Week4 Flashcards
antidepressants
- Tricyclics block the reuptake of dopamine, norepinephrine, and serotonin.
- SSRIs specifically block the reuptake of serotonin.(Prozac))
- SNRIs block reuptake of serotonin and norepinephrine.
- MAOIs block the enzyme MAO, which converts dopamine, norepinephrine, or serotonin into inactive chemicals.
electroconvulsive therapy (ECT)
Increases
* BDNF levels
* proliferation of new neurons in the hippocampus
side effects of schizophrenia drugs(antipsychotics)
Blocking the path to the basal ganglia produces tardive dyskinesia
Depression
One or more symptoms
* Feeling sad and helpless (depressed mood)
* Diminished interest or pleasure
antidepressants work better
Dysthymia
*S-Ketamine: glutamate
+ BDNF
Bipolar 1
Bipolar 2
Bipolar 1–full blown mania
Bipolar 2 –hypomania
(agitation/anxiety)
Causes of schizophrenia
- Less than average gray matter and white matter
- Larger than normal ventricles
- Smaller hippocampus
- Abnormalities in the Dorsolateral prefrontal cortex
(area that matures slowly)
Antipsychotic drugs
relieve the positive symptoms
-Phenothiazines: includes chlorpromazine
-Butyrophenones: includes halperidol (Haldol)
Dopamine hypothesis
Evidence:
*Effect antipsychotics
*Substance-induced psychotic disorder
*Schizophrenics seem to have twice as many D2receptors
occupied as normal
Second-generation antipsychotics
(atypical antipsychotics)
clozapine, amisulpride, risperidone, olanzapine,
aripiprazole
- less effect on dopamine receptors
- strongly antagonize serotonin 5-HT2 receptors
- increase the release of glutamate.
- less side effects
*more effectice on the negative symptoms
Glutamate hypothesis
lower release of glutamate and fewer receptors in pfc