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what is MDD
overwhelming sadness, feelings of worthlessness, and loss of interest in normally pleasurable activities
who’s most likely to have MDD
women, people of 2+ races, ages 18-25
why had MDD increased over the years
greater awareness, less stigma, societal changes, over diagnosis, increased pharmaceutical treatment, long term effect of antidepressants
biological factors of MDD
genetic, neurochemistry, neuroanatomy, autoreceptors, overreactive stress response, chronic inflammation, obesity, gut bacteria
psychological causes of MDD
cognitive beliefs, interpersonal beliefs, stressful life events
social causes of MDD
poverty, adverse work conditions, trauma, drug use, lack of social support
symptoms of MDD and how is it diagnosed
sadness, despair, lack of motivation, fatigue, loss of interest in activities, change in appetite, at least 5 or more symptoms that last for at least 2 weeks and impair functioning
how do SSRIs affect NTs and examples
blocks reuptake of serotonin, prozac, lexapro, zoloft
how to tricyclics affect NTs and examples
blocks reuptake of serotonin and norepinephrine, examples: imipramine, clomipramine
MAOIs affect NTs
inhibits enzyme that breaks down serotonin, dopamine, norepinephrine, epinephrine, melatonin, histamine
atypical antidepressants affect NTs and examples
block reuptake of serotonin and norepinephrine examples: cymbalta, effexor
alternative treatment for MDD
ketamine, psychotherapies, electroconvulsive therapy, transcranial direct current stimulation
what is bipolar disorder
alternating period of mania, hypomania, and depressive episodes
most likely to have bipolar
women and men are equal
treatments for bipolar
lithium, anticonvulsants and antipsychotics, psychotherapy and electroconvulsive therapy
schizophrenia
disturbances in though perception, language emotional responsiveness and behavior
positive symptoms
behaviors that are gained, delusions, hallucination, disorganized thinking, abnormal motor behavior
negative symptoms
behaviors that are lessened, flat affect, poverty of speech, low motivation, lack of pleasure, social withdrawal, reduced energy, neglect of basic personal hygiene
causes of schizophrenia
genetic, neuroanatomy, neural chemistry, environmental factors
brain region affected by schizophrenia
reduced volume in frontal lobe, hippocampus, limbic system, amygdala , basal ganglia, temporal lobe
mechanism of action and example of 1st gen
block dopamine D1 receptors in the brain, thorazine, hadol
mechanism of action and example of 2nd gen
block both dopamine and serotonin receptors, seroquel, risperdal
mechanism of action and example of 3rd gen
partial agonist at dopamine receptors, abilify
adverse effects of antipsychotics
dried mouth, blurred vision, dizziness, weight gain
causes of anxiety disorders
genetics, neuroanatomy, neurochemistry, weaker connections to prefrontal cortex and amygdala
types of anxiety disorders
GAD, panic disorder, social anxiety disorder, phobias
treatment for anxiety disorders
CBT, exposure therapy, pharmaceutics, relaxation techniques
PTSD
persistent mental and emotional distress triggered by experiencing or seeing a severe physical or psychological trauma
treatment for PTSD
pxil and zoloft, nonmedical exposure therapy, MDMA