Stress and Mood Disorders Flashcards
Autonomic nervous system
Sympathetic nervous system
Parasympathethic nervous system
Adrenalin = Epinephrin
Noradrenalin = Norepinephrin
Adrenal Medulla
Catecholamines
Paraventricular Nucleus
Glucocorticoids
Adrenal cortex
Corticotropin Releasing Factor (CRF)
Adrenocorticotropic Hormone (ACTH)
Anterior pituitary gland
Amygdala
Central Nucleus of the amygdala
Medial Nucleus of the amygdala
Subgenual Anterior Cingulate Cortex
Glucocorticoid receptors (GR)
Anterior Hippocampus
Mineralocorticoid receptors (MR)
Dorsal Anterior Cingulate Cortex
Major Depression
- Symptoms: depressed mood, change in appetite, sleeping problems, lethargy, fatigue, feelings of worthlessness
- Has to be persistent and debilitating, and not easily explained by outside factors
- Twice as common in women as in men (could be biological, societal factors)
Reserpine
- Mono-Amine antagonist
- Induces depression
5-HIAA (5-Hydroxyindoleacetic Acid)
- Lower levels in the Cerebrospinal Fluid in depressed people
- A breakdown of serotonin
- An indication of how much serotonin was around; Lower levels of this would signify lower levels of serotonin was present
Cerebrospinal fluid
Tryptophan
- An amino acid that our body cannot make; We need to get it from our food
- We need to have this in order to be able to make serotonin (a precursor for serotonin)
- Tryptophan depletion triggers symptoms of depression (but only for people who have previously recovered from/area recovering from depression)
Selective Serotonin Reuptake Inhibitors (SSRIs)
- medication; usually ingested (pills)
- all very lipophilic
- different pharmacokinetics for different drugs: fluoxetine (prozac), fluvoxamine (faverin), citalopram (cipramil)
- SSRIs only work after several weeks (first 2 weeks: adaptation of auto-receptors)
Selective Noradrenaline Reuptake
Inhibitors
Auto-receptors
Adult hippocampal neurogenesis
Dentate Gyrus
Ketamine
- Dissociative anaesthetic and analgesic
- Taken through different routes:
- Snorted as a powder; In pills; Injected IV (incl. clinical use)
- Initial biological half-life: 10-15 minutes (overall on average about 45 minutes)
Psychedelics
- Large range of psychedelic drugs; They’re drugs that come in many natural products and a synthetic one
- Lead to “transcendental” experiences, often religion-like – a form of psychosis
Ex of natural psychedelics: Psilocybin from certain mushrooms, Mescaline from ertain cacti, Ayahuasca from a liana, Lysergic acid from egot, a grain fungus
Ex of synthetic psychedelics: LSD
5-HT2A receptor
Default-mode network
Deep-brain stimulation (DBS)
Transcranial Magnetic stimulation (TMS)
Vagal nerve stimulation (VNS)
Anxiety Disorder
Benzodiazepines
Orbitofrontal cortex
Insula