PSYC 3303 1nd Edition Lecture 20 Outline of Last Lecture I. Psychotropic Meds A. Biomed ModelII. Mental DisordersA.Classification of Mental DisordersB.Treatment Before 1950C.Treatment TodayIII. AntipsychoticsA. SchizophreniaB. EtiologyOutline of Current Lecture IV. Fibromyalgia V. DepressionA.DiagnosesB. What causes itC. TreatmentsCurrent LectureIV. Fibromyalgia- Feel pain in all body- Few treatments available- Olanzapine helps decrease painV. DepressionA. Diagnoses:Five or more of the following, must include first or second point. Symptoms must cause distress/impairment. Symptoms must not be due to drugs/med condition/loss of a loved one.- Depressed mood most of day- Diminished interest/pleasure- Changes in weight/appetiteThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.- Insomnia/Hypersomnia- Psychomotor agitation/retardation- Fatigue (not just tired, exhausted)- Guilt/ feeling worthless- Problems concentrating- Thoughts of death/suicide (major symptom)B. What causes it:- Imbalance of chemical NT’s, - Heredity- PersonalityThere are different forms of depression and anyone can come up with it any time.C. Treatments:- MAO Inhibitors: Frist generation, Reduces effects of monoamine oxidase in brain. (Phenezine, brand name: Nardil) and tranylcypromine (brand name: Parnate). Side effects: carefully monitor diet (no fermented foods) because MAO breaks down tyraminein liver. Too much tyramine can be toxic (it is found in many foods).- Tricylcic antidepressants: Named after particular molecular structure it has (three rings). Was used for sedation and pain. No dietary restrictions. Side effects: irregular/elevated heart rate. Dry mouth. Weight gain. - SSRIs: Second-generation antidepressants (Selective Serotonin Reuptake Inhibitors). E. g.Prozac, Zoloft etc. Slow down reuptake of serotonin (very specific). Fewer side effects: mainly might increase violence, but usually if used in combination with other drugs (stimulants). For how long can one take antidepressants?- Forever- Can OD but not often- Have to watch out for suicide (first weeks of use critical). Without antidepressants often one does not have the energy to commit suicide. With drug – gain energy so could commit suicide. - Have been associated with teenage
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