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Psychopharmacology
The study of how drugs affect the mind and behavior, specifically examining the interactions between pharmacological agents and the nervous system.
These 2 classes are what Psychopharmacology Drugs are classified in
Drugs of Abuse and Therapeutic Drugs
What is a Drug?
An exogenous chemical not necessary for normal cellular functioning that significantly alters the functions of certain cells of the body when taken in relatively low doses and what alters how neurons communicate with each other
Life Cycle of a Drug
Absorption—>Distribution—>Metabolism—>Excretion
Tissues
How drugs are administered and absorbed
Oral Administration
Most Common Form of Administration/Absorption
Intravenous injection
Fastest route, reaching the brain within a few seconds
Oral administration
absorbed into the blood through the digestive tract
CNS
Drugs that impact behavior exert effects mostly on or in cells of this
Distribution
Drug molecules must reach sites of action in the nervous system to produce changes in behavior
Lipid Solubility
Rate at which a drug enters the brain is determined by
How Lipid Solubility Impacts Drugs
correlates to how quickly it's actually able to pass through the blood brain barrier and then each its site of action to produce those effects.
Enzymes
Many drugs are metabolized and deactivated by
Brain, liver, and blood
where deactivation and metabolization of drugs by enzymes occurs in
Kidneys
where drugs are MOSTLY excreted by
Drug Effect
Changes we can observe in an individual’s physiological processes and behavior
Sites of Action
Drugs exert their effects only when they reach their
Therapeutic effects
intended, beneficial outcome of a drug
Adverse effects
Unintended and harmful response ranging from predictable but unwanted side effects to rare and unpredictable reactions
Analgesia (reduced sensitivity to pain)
Example of a Therapeutic Effect
Depress heart rate and respiration
Example of an Adverse Effect
Tolerance and Withdrawal Symptoms
Two types of effects in repeated administration
Tolerance
Decrease in Drug Effects; Seen in Many Drugs Commonly Abused
Withdrawal Symptoms
Symptoms are opposite of the effects of the drugs itself
Physical Dependence
Withdrawal Symptoms Indicate this
Placebo
an inactive substance that may have physiological or psychological effects; results from changes in motivation, expectation, or learning
Placebo Effect
a psychological and physiological phenomenon where a person's medical condition or symptoms improve after receiving an inert, fake, or sham treatment, driven by their expectation and belief that the treatment will help
Why Placebo Studies are Mandatory
The FDA made the RCT the sole arbiter of drug efficacy by the early 1970s
Why are Placebos important
helps investigate behavioral effects of drugs in humans
Agonists
facilitate postsynaptic effects; mimics or or enhances the effect of a neurotransmitter
Antagonists
block or inhibit postsynaptic effects; blocking or decreasing the availability of a neurotransmitter
Agonist and Antagonist
Drugs fall into one of two general classes, according to their effect on a neurotransmitter system:
Neruotransmitter
body’s chemical messengers that carry messages from one nerve cell to another target cell; such as another neuron, muscle, or gland
Glutamate’s CNS Function
Excitatory; interacts with other neurotransmitter systems
GABA CNS Function
Inhibitory, interacts with other neurotransmitter systems
Acetylcholine CNS Functions
Learning, memory, REM sleep
Dopamine CNS Functions
Voluntary movement, attention, learning, reinforcement, planning, problem solving
Norepinephrine/Epinephrine CNS Functions
Vigilance
Serotonin CNS Functions
Mood regulation, eating, sleep, dreaming, arousal, impulse control
Histamine CNS Functions
Wakefulness
Glutamate
Main excitatory neurotransmitter in brain and spinal cord
4 Major Types of Glutamate Receptors
NMDA receptor, AMPA receptor, and kainate receptor, glutamate receptor
NMDA Receptor
most common and controls a sodium channel
GABA
Primary inhibitory neurotransmitter with widespread distribution in brain and spinal cord
Chloride Channels
Controlled by GABA Receptors
3 components of an Emotional Response
Behavioral, Autonomic, Hormonal
Behavioral Emotional Response
Muscular movements (i.e., facial expressions, body language)
Autonomic Emotional Response
Quick mobilization of energy for vigorous movement (i.e., increased heart rate and breathing)
Hormonal Emotional Response
Reinforce autonomic responses
Epinephrine/Norepinephrine does this in Hormonal Emotional Response
helps to further increase blood flow to the muscles and cause nutrients stored in the muscles to be converted into glucose
Amygdala
Where the 3 Emotional Responses are Integrated
Sympathetic Nervous System
Where Autonomic Emotional Response is Located
Amygdala
Neurons here become active in emotionally relevant situations
Fear, pain, unpleasant or pleasant consequences
Emotional situations that have biological significance
Temporal Lobe
Where the Amygdala is located
Central Nervous System
Brain and Spinal Cord are contained here
Central Nervous System (CNS) and Parietal Nervous System (PNS)
What Nervous System Consists of
Motor Neurons and Sensory Neurons
What Parietal Nervous System (PNS) Consists of
Somatic Nervous System and Autonomic Nervous System
What Motor Neurons Include
Sympathetic Division and Parasympathetic Division
What the Autonomic Nervous System Consists of
Sympathetic Nervous System
Fight or Flight
Parasympathetic Nervous System
Rest or Digest
Central nucleus of the amygdala
Most important part of the brain for expression of emotional responses provoked by aversive stimuli
Threatening Stimuli
Neurons in the Central Nucleus of the Amygdala are activated when these are perceived
Central Nucleus of the Amygdala
Animals show physiological and behavioral signs of fear and agitation and people report feeling afraid
Central Nucleus of the Amygdala
Damage to this component leads to a reduction and abolition to various behaviors and emotional responses
What function Central Nucleus of the Amygdala associated with?
primary output hub. It connects directly to the hypothalamus and brainstem to trigger involuntary "fight-or-flight" autonomic responses—such as changes in heart rate, blood pressure, and stress hormone release via the HPA axis
Lateral Nucleus of the Amygdala
this is associated with emotional conditioning
Lateral Nucleus of the Amygdala
Occurs when neutral stimulus is paired with emotion-producing stimulus and produces fear reactions
Memory
Damage to the Lateral Nucleus of the Amygdala interferes with the effects of
emotions on this
Ventromedial Prefrontal Cortex (vmPFC) Function
Associated with extinction of emotional conditioning
Ventromedial Prefrontal Cortex (vmPFC)
Inhibits or prevents fear responses
Extinction
Lesioning the vmPFC impairs
Extinction
This part of the behavioral process activates neurons in the Ventromedial Prefrontal Cortex
(vmPFC)
Extinction
the gradual weakening and disappearance of a conditioned response (CR). This happens when the conditioned stimulus (CS) is repeatedly presented without the unconditioned stimulus (US)
Aggression
involves threatening gestures or actual attack directed toward another animal
50 percent to 65 percent
Heritability of aggression ranges from this amount
Human Aggression
Recent studies have identified a variety of hereditary genes associated with this
Serotonin
Plays an inhibitory role in human aggression
SSRIs
can help to reduce irritability and aggressiveness
Serotonin
Reduction of this neurotransmitter release is associated with aggression and other forms of antisocial behavior, including assault, arson, murder, and child abuse
Testosterone
Intermale aggressiveness increases at puberty when this hormone is secreted
Testosterone
this hormone does not automatically increase aggression but its relation to aggression is complex in humans
Testosterone
research on this hormone increases the behaviors that help an individual secure a high social status
Higher Level of Aggression.
higher testosterone leads to this in animals
Role of the Ventromedial Prefrontal Cortex (vmPFC) in Impulse Control
Inhibits emotional behavior, such as impulsive violence or aggression and is involved in moral decision making
Emotional Reactions
these guide moral judgments and decisions involving personal risks and rewards
Prefrontal Cortex (PFC)
this matures much later, during late childhood and early adulthood
Prefrontal Cortex (PFC)
development of this aids in control
Prefrontal Cortex (PFC)
as this matures, adolescents show increases in:
• Speed of cognitive processing
• Abstract reasoning ability
• Ability to shift attention from one topic
to another
• Ability to inhibit inappropriate responses
18th day after conception
Development of the human nervous system begins around this time
By the 21st day
the neural tube is formed by this time
Stem cells
these line the inside of the neural tube and then give rise to the cells of the CNS
Prenatal Brain Development
Once neurons have migrated to their final locations, they begin forming connections with other neurons
Apoptosis (or pruning)
occurs (and continues postnatally) as the axons of approximately 50 percent of the new neurons do not form. synaptic connections, so they die
Postnatal Brain Development
The human brain continues to
develop for at least two to three
decades following birth
Brains develop so that different
regions of the cerebral cortex
perform specialized functions
Subtle changes continue to occur
throughout life
ASD Heritability
strong; caused by a wide variety of rare mutations, especially those that interfere with neural development and communication
Evidence of ASD Environmental Factors
Advanced parental age at time of
conception
Prenatal exposure to air pollution or
certain pesticides
Maternal obesity, diabetes, or immune
system disorders
Extreme prematurity or very low birth
weight
Any birth difficulty leading to periods of
oxygen deprivation to the baby’s brain
ASD Brain Growth
MRI studies show that these are slightly smaller and show more rapid growth by by 10 % in 2 to 3 years
ASD White Matter Changes
containing short-range axons is increased but volume containing long-range axons that connect distant regions of the brain wasnt