PSYC 101 1st Edition Lecture 33 Outline of Last Lecture II. Therapya. Biomedical Therapiesb. Psychological Therapies III. Biomedical Therapiesa. Drug Therapies i. Antipsychotics 1. Traditional (Typical)2. Atypical ii. Antianxiety Drugs Outline of Current Lecture: Biomedical - Drug Therapies Continued IV. Drug Therapies Continued a. Antidepressantsb. LithiumV. Other Biomedical Therapies a. Electroconvulsive Shock Therapy VI. Psychological Therapies a. Behavior Therapies i. Classical Conditioning 1. Systematic Desensitization Current LectureI. Drug Therapies Continueda. Antidepressants i. Selective Serotonin Reuptake Inhibitors – SSRI’s: Prozac, Paxil, Zoloft 1. Effects serotonin only, blocks presynaptic transporter of 5HT reuptake2. Most commonly prescribed class of antidepressants 3. Good for depression and anxiety 4. Few anticholinergic & antihistaminic side effects – no sedation or cognitive impairments, drowsiness 5. Not fatal in overdose6. Side Effects: anxiety, agitation, insomnia, sexual 7. Long half-life – don’t need to take meds everydayThese 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.8. Concerns: takes several weeks (4-6) to see results – keep seeing therapist during this time! ii. Prozac – fluoxetine 1. 5HT (serotonin) syndrome 2. 5HT withdrawal: 60% of patients experience: flulike symptoms, sleep problems, sensory disturbances, anxiety, agitation, crying – want to stop, must wean off 3. Sexual dysfunction – 80% of patients experience: orgasm, erection, sexual desire, arousal: dominant reason people stop taking medicine4. Pregnancy & breastfeeding – medicine does get to the fetus; however, not sure if there is any effects 5. Increased risk of suicide in children/teens: could be genetic, combined with neglect from depressed parent; suicide is most likely to occur when person starts to feel better; teens more impulsive b. Lithium – used in treatment of bipolar disorder; helps to level manic and depressive episodes i. Side Effects: works for 70-75%; toxic at high doses; weight gain II. Other Biomedical Therapiesa. Electroconvulsive Shock Therapy (ECT) – used to treat severe depression; last resorti. Treatment occurs in a series (once every 2-3 days for two weeks) ii. Electric current through brain 1-2 seconds to produce a seizure iii. Boosts 5HT production iv. Temporary memory loss, some relapse – depression may come backv. Before vs. After: showed emotion, eye contact, motionvi. Given muscle relaxer before (prevent breaking bones) & put to sleep III. Psychological Therapies a. Behavior Therapies – apply learning principles to eliminate unwanted behaviors –classical/operant conditioning; does not deal with underlying problem, only focuses on behavior i. Classical Conditioning – anxiety disorders1. Systematic Desensitization: an exposure therapy that associates a relaxed state with gradually increasing anxiety–triggering stimuli Example: Snake Phobiaa. First: relax, imagine a snake; Second: show pictures of snake; Third: video; Fourth: toy snake; etc. Goal: be able to handle a snake b. Ex: video of arachnophobia; virtual spiderc. Ex: PTSD patients – placed in stimuli with smells, sounds, virtual images, etc.: re-experience through stimulator, yet nothing
View Full Document
Unlocking...