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Psychopharmacology:
study of how drugs affect the nervous system and behavior.
Psychoactive drug:
alters mood, thought, or behavior. (used to manage neuropsychological illness)
Agonist:
enhances synaptic function.
Antagonist:
blocks or decreases synaptic function.
Oral:
most common, many barriers before reaching brain. (easy and convenient. safest?)
Inhalation:
faster absorption, fewer barriers.
Skin/mucous membranes (patches):
steady absorption.
Injection:
Intravenous (IV): bloodstream, very fast.
Intramuscular (IM): slower release.
Intracranial: directly into brain, highest risk.
Intravenous (IV):
bloodstream, very fast.
Intramuscular (IM):
slower release.
Intracranial:
directly into brain, highest risk
Rule of 10:
each barrier eliminated allows 10x lower dose but increases overdose risk.
Blood–Brain Barrier
Tight endothelial cells in brain capillaries.
Barrier-free sites: pituitary gland, pineal gland, area postrema.
Transport: small lipid-soluble molecules cross easily, large molecules require active transport.
(TBT)
Barrier-free sites: pituitary gland, pineal gland, area postrema.
Pituitary: target for blood borne hormones
Pineal: target for hormones that affect circadian rhythms (pinwheel)
Area postrema: detects and initiates vomiting of noxious substances (extrema)
Drug Elimination
Catabolism: liver (cytochrome P450 enzymes), kidneys, intestines. LIK
Excretion: urine, feces, sweat, breast milk, exhalation. bfuse
Risk of toxicity if substances accumulate.
Catabolism:
liver (cytochrome P450 enzymes), kidneys, intestines.
Excretion:
urine, feces, sweat, breast milk, exhalation.
Drug Action at Synapses
Sites of action: synthesis, storage, release, receptor binding, inactivation (reuptake or enzymes). SSRRI
Tolerance:
decreased response with repeated use.
Metabolic tolerance:
more enzymes produced.
Cellular tolerance:
neurons adapt.
Learned tolerance:
behavioral compensation.
Sensitization:
increased responsiveness, often with intermittent use. (Because body recognizes and reacts to the drug faster)
Adenosinergic:
caffeine.
Cholinergic:
nicotine.
GABAergic:
alcohol, benzodiazepines.
Glutamatergic:
PCP, ketamine.
Dopaminergic:
Cocaine, Amphetamines, Ritalin, Antipsychotics. CARA
Serotonergic:
SSRIs, psychedelics.
Opioidergic:
Morphine, Heroin, Fentanyl. HMF
Cannabinergic:
THC, CBD.
ADHD:
dopamine/norepinephrine dysfunction; stimulant treatment.
Schizophrenia:
dopamine hypothesis; D2 antagonists. (Imbalance of dopamine is responsible for Schizophrenia. Use a D2 antagonist medication for schizophrenia)
Depression:
SSRIs, CBT, ketamine, ECT.
Fetal Alcohol Spectrum Disorder:
developmental impairments from prenatal alcohol exposure.
Broca:
left frontal lobe damage caused speech production deficits.
Brodmann:
cortical mapping based on cytoarchitecture.
Human testing:
memory, attention, perception tasks. MAP
Animal models:
Morris water maze (spatial memory).
Skilled reaching task (motor control).
Touchscreen tasks (cognitive testing in rodents).
Lesions:
ablation, stereotaxic surgery, high-intensity ultrasound. ASH
Compensation:
plasticity after damage.
Electrical stimulation:
Penfield mapping, self-stimulation.
Deep Brain Stimulation:
used for Parkinson’s, OCD, epilepsy.
Transcranial Magnetic Stimulation:
non-invasive stimulation for depression.
Drug manipulations:
targeted injections.
CRISPR-Cas9:
gene editing.
Optogenetics:
light-sensitive ion channels to control neurons.
Chemogenetics (DREADDs):
receptors activated only by designer drugs.
GRAB technology:
fluorescent neurotransmitter sensors.
Brain organoids:
lab-grown brain tissue models.
Anatomical:
CT, MRI, DTI, MRS
Functional:
fMRI, PET.
Electrical:
EEG, ERP, MEG.
Prenatal Development
Zygote (0–2 weeks) → Embryo (2–8 weeks) → Fetus (9 weeks–birth).
Neural plate folds into neural tube around 3 weeks.
Key events:
Day 49: embryo resembles miniature human.
Day 60: sexual differentiation.
Seven months: gyri and sulci form.
Nine months: adult-like brain.
Day 49:
embryo resembles miniature human.
Day 60:
sexual differentiation.
Seven months:
gyri and sulci form.
Nine months:
adult-like brain.
Neural Development Processes
Cell birth (neurogenesis, gliogenesis).
Cell migration (guided by radial glia).
Differentiation into neurons and glia.
Maturation: dendritic arborization, axon growth.
Synaptogenesis: rapid increase after birth.
Apoptosis and pruning: experience-dependent removal of excess cells.
Myelination: continues into early adulthood.
Adult neurogenesis: debated, mostly hippocampus and subventricular zone.
Cell birth
(neurogenesis, gliogenesis).
Cell migration
(guided by radial glia).
Differentiation
into neurons and glia
Maturation:
dendritic arborization, axon growth.
Synaptogenesis:
rapid increase after birth.
Apoptosis and pruning:
experience-dependent removal of excess cells.
Myelination:
continues into early adulthood.
Adult neurogenesis:
debated, mostly hippocampus and subventricular zone
Influences
Genes, hormones, sensory experience, stress, SES.
Hebb: enriched environments increase synapses and astrocytes.
Cognitive Development
Motor milestones: correlate with myelination of motor cortex.
Language development: Broca’s area connectivity increases around 2 years.
Piaget’s stages: sensorimotor, preoperational, concrete, formal operations.
Brain growth spurts align with Piaget stages.
Motor milestones:
correlate with myelination of motor cortex.
Language development:
Broca’s area connectivity increases around 2 years.
Piaget’s stages:
sensorimotor, preoperational, concrete, formal operations
Autism spectrum disorder:
atypical connectivity, variable severity.
Adverse Childhood Experiences:
lasting effects on frontal lobe development.
Sensation:
registration of physical stimuli.
Perception:
subjective interpretation of sensory input.
Illusions
show that perception is a construction of the brain.
Cornea:
outer covering, bends light.
Iris and pupil:
regulate light entry.
Lens:
focuses light.
Retina:
rods for dim light, cones for color and acuity.
Fovea:
central, high-acuity vision.
Blind spot:
optic disc with no receptors.
Optic chiasm:
nasal fibers cross to opposite hemisphere.
Geniculostriate system:
retina → LGN → V1.
Tectopulvinar system:
retina → superior colliculus → pulvinar → visual areas.
Retinohypothalamic tract:
regulates circadian rhythms.
Ventral stream (“what”):
temporal lobe, object identification.
Dorsal stream (“how/where”):
parietal lobe, spatial action.
Migraines:
aura caused by vessel dilation.
Blindsight:
unconscious vision due to cortical damage.
Fusiform face area damage:
prosopagnosia (face blindness).
Glaucoma:
optic nerve damage causing vision loss.
Frequency (Hz):
pitch.
Amplitude (dB):
loudness.
Complexity:
timbre.
Speech
is largely processed in the left hemisphere.
Music
is largely processed in the right hemisphere.
Outer ear:
pinna, ear canal.
Middle ear:
ossicles (hammer, anvil, stirrup).