TREATMENTS/MANAGEMENT Flashcards
What are the 2 types of antipsychotics? (biomedical)
- Typical (first gen)
- Atypical (second gen)
How do typical antipsychotics work?
- Binds to D2 receptors
- Binds to serotonin receptors
How do atypical antipsychotics work?
- Blocks D2 receptors
- Blocks serotonin
What are the similarities of both antipsychotic drugs?
- Both work to block
- Both have side effects
What are the differences of both antipsychotic drugs?
- First generation (typical) antipsychotics have more severe side effects compared to atypical aps: EPS, Tardive dyskinesis
How does ECT help treat schizophrenia? (Biomedical)
Evaluate the biological treatments in terms of its strengths
- Antipsychotics (Biochemical): Evidence of effectiveness
- Both are forms of fast acting treatments: 24 hrs for antipsychotics, immediate for ECT –> useful for very severe patients
Evaluate the biological treatments in terms of its limitations
- Both have aversive side effects - EPS (AP) and memory loss (ECT) –> counterproductive to treatment , increases adherence to treatment –> increase risks of relapse
- Reductionist: only targets current observable symptoms - does not address other underlying factors that may contribute to the development of the disorder –> risk of relapse
What is the behavioral treatment of schizophrenia? How does it help manage? Who is the system made by?
Token economy by Paul and Lentz
–> based on operant conditioning - desirable behaviours can be reinforced using rewards
Rewarding individuals with tokens (form of currency) for desirable behaviours → exchange for valuable items
Describe the cognitive treatment done by S- - - - - et al. to manage schizophrenia
CBT - Sensky et al.
–> befriending vs CBT group (90 participants)
Evidence of effectiveness for those in the CBT group
CBT: talking therapy - socratic questioning
