unit 4 Flashcards
depression
a normal reaction to loss; abnormal when it persists or has no cause
mania
overconfidence, impulsivity, distractibility, and high energy
unipolar
only depression
bipolar
depression with mani
DSM criteria
> = 5 symptoms listed during same 2 weeks
must lose pleasure of things that used to bring pleasure
genetic causes
-not tied to specific gene
-unipolar are between 40-50% heritable
Seasonal Affective disorder
-wintertime depression
-lack of sunshine
is depression associated with brain changes?
no. Not associated with massive brain changes
-smaller scale changes
mPFC in depression
-imbalance of excitatory and inhibitory inputs (GABA vs Glutamate signaling)
psilocybin has been shown to do what to mPFC
-increase activity
-correlated with amelioration of symptoms of depression in humans
-5HT-2A and 2C receptor agonist
lithium
-bipolar treatment
-mood stabilizer
-not well understood
MAOI’s
-bipolar treatment
-prevent breakdown of MAO (monoamines), especially serotonin (also dopamine and norepinephrine
-thought to elevate levels of serotonin
tricyclic antidepressants
-messy drug
-reuptake inhibition of 5HT and NE
-antagonist of 5HT and acetylcholine
-safer than MAOI’s
SSRI
-block reuptake of serotonin
-can cause serotonin syndrome if overdosed
SNRIs
-block reuptake of both serotonin and norepinephrine
-can cause serotonin syndrome if overdosed
issues with antidepressants
-take weeks to begin working
-have side effects
-can’t stop treatment abruptly: SSRI withdrawal syndrome (depression anxiety headaches)