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What are two mood affective disorder
Major depressive disorder
Bipolar disorder
What are features of the two mood disorder?
Depressed mood
Anhedonia-lack of experience pleasure ++
;no longer pleasure
Depression influences life in negative ways
What is the science behind environmental stressors for depression
HPA axis
Depression too much CRH and ACTH leading to too much cortisol
cortisol doesn’t give back to system
whole system is a candidate for depression
Monoamine hypothesis
Low monoamine doesn’t correlate to depression
change in monoamine receptors that is correlated with depression
Monoamine- Treatments
MAO inhibitors
Tricyclics
MAO inhibitors
raise monoamines quickly
2-4 weeks to feel better
become desensitized
Tricyclics
Stops reuptake of serotonin, norepinephrine, and dopamine
2-4 weeks to feel better
drug isn’t specific and may affect sleep, appetite, sex life, etc.
What is a dangerous side effect of MAO inhibitors
may inhibit liver enzymes
Serotonin hypothesis
Not enough serotonin
change in serotonin receptors that are adapting can effect depression
Serotonin: Treatments
Serotonin reuptake inhibitors (SSRI’s)
Serotonin reuptake inhibitors (SSRI’s)
take 2-4 weeks to see if person feels anything
5-HT change to sensitivity
Serotonin reuptake inhibitors (SSRI’s) side effects
People feel worse w/high lvls of serotonin; may get more depressed
those who experience suicidal ideations or attempt suicide should not take
Neurobiology-Mixed
5-HT
DA
Neurobiology-Mixed
DA
NE
Neurobiology-Mixed
CRH
BDNF-
growth factor that help regulate receptors
Animal models
Chronic mild stress
Create uncomfortable environment
mild unpredictable stressors
Animal models
Swim test
learned helplessness
What are examples of anxiety disorders
GAD
panic disorder
phobias
OCD
PTSD
What are the two hypotheses for Depression
Serotonin and dopamine hypothesis
not supported
What are the two hypotheses for Anxiety
GABA and serotonin
GABA
Keeps glutamate in check; reduce excitation
promotes inhibition
mediates anxiety, sleep, and arousal
Treatments for GABA
Sedative hypnotics
Depressants
Flunitrazepam (Roofies)
Depressants
Barbiturates; benzodiazepines
Feel tired; groggy, lethargic
dont mix with alcohol
What are the side effects to anxiety treatment
brain becomes tolerant with these drugs; needs higher dose but can be toxic
interfere with restorative sleep
Serotonin anxiety treatment
5-HT agonist (mimics serotonin)
SSRIs
What are behavioral features of depression
Sad, anhedonic
tired
withdrawn
lack of energy engagement
What are behavioral features of anxiety
Worried anxious
activated
feel amped up
hyperactive feeling
What is the overlap of anxiety and depression
60% overlap
sympathetic hyperactivity
HPA axis hyperactivity
How does virtual reality therapy help
Exposure therapy
Stimulate trauma w/vr
therapist involved
stress-coping strategies
Animal models for anxiety
Elevated plus maze
open field
Elevated plus maze
How much time the animal explores the open arms vs close are
used by drug companies
Elevated plus maze
what does this show
those who hide in closed arms have a more anxious state
Open field
Space should feel more threatening
What does the open field experiment show
if mouse lingers by the wall can have more of an anxious state
Schizophrenia
Split from reality can’t tell what’s real
Psychosis
Has positive and negative symptoms
Psychosis
break from reality
What are positive symptoms of schizophrenia
hallucinations, distortions, delusions
What are negative symptoms of schizophrenia
Anadonia(Lack of feeling pleasure)
Catatonia(Lack of muscle control)
Anadonia
Lack of feeling pleasure
Catatonia
Lack of muscle control
What is the rate of schizophrenia in people
1%
Most researched
very rare
Is schizophrenia inheritable
no
What part of the brain is affected with schizophrenia
tissue died around ventricles
ventricles enlarged
Schizophrenia:Function
Motor coordination
attention/information processing
emotion dysregulation
Which neurotransmitter is dysfunctional in schizophrenia
dopamine
too much of it
disturbed emotions no pleasure
What is the gating hypothesis
Thalamus is like a gate for those sensory signals
thalamus is too open for sensory signals
In the gating hypothesis what does the thalamus do
sends too much irrelevant information
can cause hallucinations and delusions
Schizophrenia
Dopamine hypothesis
too much dopamine
what are the two hypothesis for schizophrenia
Gating, Dopamine
Schizophrenia
what are treatments for dopamine hypothesis
Neuroleptics
DA “antagonism”- block DA
Schizophrenia
what are the side effects of Neuroleptics
Hard to stay consistent
emotionless; feel flat
can show symptoms like parkison’s
1/3 patients feel better on medication
Schizophrenia
Animal models
VERY DIFFICULT
negative symptoms
cognitive tasks
motor dysfunction