Treatment Flashcards
What effects do neuroleptics have
Remove hallucinations and delusions think more clearly
But have limited effect on negative and disorganised symptoms
When did neuroleptics first come in
1950s
Are neuroleptics dopamine agonists or antagonists
Antagonists
How is the right medication determined
Trial and error.
Some individuals don’t respond at all
What are the newer medications
Second generation such as risperidone and olanzipine
What is a problem with medication
Non compliance
What are extra pyramidal symptoms
Motor difficulties such as in Parkinson’s
Akinesia- expressionless face, monotonous speech, slow motor activity
Tardive dyskinesia - involuntary movements of mouth,face,jaw
How does transcranial magnetic stimulation work for schizophrenia
Pass magnetic fields through skull
Improvement in auditory hallucinations
What kinds of psychological treatments are used
Teaching social skills
Identifying signs of imminent relapse
Virtual environments to help with paranoia, motor skills and cognitive skills
What is assertive community treatment act?
Team of multidisciplines professionals
Broad ranging treatment including medication psychosocial treatment and vocational training and support.
How do traditional neuroleptics reduce dopamine levels
By blocking dopamine receptors on post synaptic neuron
By reducing the sensitivity of dopamine post synaptic receptors
What are the frequently prescribed neuroleptics
Phenothiazines eg Thorazine, stelazine
What do newer atypical neuroleptics do
Also increase levels of serotonin
What do the newer neuroleptics do
Block fewer dopamine receptors and more selective about which dopamine receptors
They also don’t target the motor neurone pathways so less motor dysfunction side effects
