Psyc 222 1st Edition Lecture 11Outline of Last Lecture i. Mental disorders the medical modelii. classification of mental disordersiii. Early treatment of mental disordersiv. Antipsychoticsv. AntidepressantsOutline of Current Lecture i. Electroconvulsive Therapyii. Mood Stabilizersiii. Consquences of PharmacotherapyCurrent Lecturei. ECT (Electroconvulsive shock therapy). most effective treatment for severe depression. Best treatment chocie in cases with risk of suicide. Can be used in conjuction with drugs.Compared to pharmacotherapy, ECT relieves symptoms faster, and maay be more effective.ii. Lithium is a drug to treat mania and bipolar disorder. The acceptance is slow in the U.S because of previous history of lithium poisonings, perception that mania is not a serious problem, and it is impossible to patent a basic chemical element. Lithium can be safe or toxic (blood levels must b monitored). There is a high rate of patient noncompliances. Lithium normalizes mood in bipolar patients, preventing both mania and depressed mood swings. It has little effect in treating unipolar depression. Other mood stabilizers are anticonvulsant drugs; valproic acid, carbamazepine, and lamotrigine.iii. The changed for psychiatrists that came with phamacotherapy is less time being spent on psychoterapy, and priority and emphasison establishing an appropriate drug regimen.Civil rights issues were indefinite commitment to a hospital deemed unconstitutional, and periodic review of a patients status helps determine if patient presents a danger to self or others; (patient is released if there is no danger). The concerns are that patientsmay have well controlled symptoms while on medication in the hospital but stop medication upon release. Unmedicated patients may be too ill to care for themselves; (Imprisonment and homelessness). More mentally ill persons are jailed each year than are admitted to state mental hospitals. About 1/3 of all homeless people have some form of serious mental
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