Treatments for Sz Flashcards

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1
Q

when were typical drugs invented

A

1950s examples are chloropromazine. these have lots of side effects.

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2
Q

when were atypical drugs invented

A

1990s, examples are clozapine

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3
Q

how do antipsychotic drugs work

A

help reduce levels of dopamine by blocking receptors in the areas associated with Sz.

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4
Q

how are atypical drugs different from typical drugs

A

they do no bind so tightly to the receptors as well as they block serotonin receptors which has helped reduce side effects of typical drugs.

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5
Q

what is an issue with drug treatment for those who have had Sz for many years

A

can fail to bring relief as significant brain changes due to the condition cannot be fixed by drugs

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6
Q

strengths of drug treatment for Sz

A
  • 17/19 of the drugs had better affects that the placebo showing good empirical data
  • has helped people get out of institutions and lead a normal life
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7
Q

weaknesses of drug treatment for Sz

A
  • overgeneralisation of animal studies, animals can be given higher doses of medication to make sure receptors are blocked making it lack replicability.
  • has publication bias, clinicians can be wrongly handing out drugs based on publications.
  • research shows that people that take drugs are still unable to function everyday, even if they did reduce relapse rates.
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8
Q

what is CBT

A

a therapy that uses both the cognitive approach and learning theories to help change behaviours

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9
Q

what are the main features of CBT for Sz

A
  • patients can be taught how to make sense of their hallucinations and delusions and how they impact on their feelings and behaviours
  • therapists can help clients understand why they have delusions and hallucinations as a way to help reduce anxiety
  • evidence of the clients delusions can be collected fr them to be challenged, helping the client differentiate between ‘confirmed reality’ and ‘perceived reality’
  • therapists can help show how patients have a greater sense of self above being Sz reducing the stigmatisation.
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10
Q

what are strengths of CBT for Sz

A
  • Nice found that CBT was effective in reducing rehospitalisation rates for patients.
  • also it helps patients with independent living and being able to cope with their delusions and hallucinations.
  • lastly is can help patients who are drug resistant or be a second line of defence for those who are also taking drugs treatments.
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11
Q

what are weaknesses of CBT for Sz

A
  • McKenna found that CBT only came out on top 2/9 times when put against other types of therapies.
  • further, a lot of dedication is needed for CBT to work and cooperation is needed which may not be possible for all patients.
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