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Lecture 5
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What are some of the symptoms of schizophrenia?
delusions of grandeur
hallucinations
disorganized thinking/speech
grossly disorganized or catatonic behavior
negative symptoms
What are negative symptoms?
the absence or reduction of normal behaviors and emotions
What are negative symptoms for schizophrenia?
a lack of motivation (avolition), reduced emotional expression (blunted affect), and social withdrawal (asociality), along with other symptoms like reduced speech (alogia) and a decreased ability to feel pleasure (anhedonia).
What is schizophrenia?
the split of senses or psychic functions
What are positive symptoms?
symptoms that seem to represent an excess of typical function
What is catatonia?
remaining motionless, often in awkwards positions for long periods
What is psychosis?
a loss of touch with reality
What is an antipsychotic drug?
A class of medication primarily used to manage psychosis, which involves symptoms like hallucinations and delusions.
What were the first antipsychotic drugs?
Chlorpromazine and reserpine
____________ is no longer used in the treatment of schizophrenia because it produces a dangerous decline in blood pressure at the doses needed for successful treatment.
Reserpine
________often reduces the severity of symptoms enough to allow institutionalized patients to be
discharged.
Chlorpromazine
What is a phenothiazine?
A class of antipsychotic drugs that bind effectively to both D1 and D2 receptors
Name a phenothiazine?
Chlorpromazine
Chlorpromazine and other phenothiazines all bind effectively to ______
D1 and D2
What is a butyrophenone?
A class of antipsychotic drugs that bind primarily to D2 receptors
Name a butyrophenone.
Haloperidol and Spiroperidol
_____________and other ____________ bind effectively to D2 receptors but not D1 receptors.
Haloperidol and Spiroperidol, butyrophenones
_________ is excititory.
Glutamate
________ is inhibitory.
GABA
____________ is linked to depression.
serotonin
What is anhedonia?
loss of the capacity to experience pleasure
What is an affective disorder?
affective = mood disorder
Name the (3) limitations of current research on the neural basis of schizophrenia.
several weeks of treatment are needed
associated with diffuse brain damage
drug treatments don’t work for all patients
What are the symptoms of major depressive disorder? (8)
depressed mood most of the day, (almost every day)
diminished interest in most activities
significant weight changes
slowing down of thought or physical movement (observable by others)
fatigue or loss of energy
feelings of worthlessness
diminished ability to think or concentrate
suicidal thoughts or plans
What is mania?
a state of abnormally elevated mood and high energy. categorized as delusions of grandeur, overconfidence, impulsivity, and distractibility.
What are the two theories of depression?
Monoamine theory of depression and diathesis stress model of depression
What is bipolar disorder type II?
a person experiences more mania and less depression
What is bipolar type I?
a person experiences less mania and more depression
Name antidepressant drugs? (4)
Monoamine oxidase inhibitors (MOA)
Tricyclic antidepressants
Lithium
Selective monamine-reuptake inhibitors
What is monoamine oxidase (MAO)?
the enzyme that breaks down monoamine neurotransmitters in
the cytoplasm (cellular fluid) of the neuron.
What are the side effects of MAO inhibitors?
people who take MAO inhibitors and consume tyramine-rich foods run the risk of stroke caused by surges in blood pressure.
___________is a monoamine agonist; it increases the
levels of monoamines.
Iproniazid
The tricyclic antidepressants have _____ molecule bases.
3
What are Selective serotonin-reuptake inhibitors (SSRIs)?
serotonin agonists that exert their agonistic effects by blocking the reuptake of serotonin from synapses
What are selective norepinephrine-reuptake inhibitors (SNRIs)?
they block the reuptake of more than one monoamine neurotransmitter
What is monoamine theory of depression?
exaggerates serotonin’s role in depression
What is Up-regulation?
an increase in the number of serotonin receptors when there is an insufficient amount of serotonin
What is the diathesis-stress model of depression?
depression develops from an interaction between a person's genetic predisposition (diathesis) and life stressors
What are the symptoms of anxiety?
all impact daily life, must last for at least 6 month
easily fatigued
difficulty concentrating (mind going blank)
irritability
muscle tension
difficulty failing or staying asleep
Names the types of anxeity.
generalized anxiety
phobic anxiety
panic disorders
obsessive-compulsive disorders
posttraumatic stress disorders
What is generalized anxiety?
excessive and persistent worry about various everyday things, even when there is little or no reason to be concerned
What is phobic anxiety?
an irrational fear
What is panic disorder?
recurrent, unexpected panic attacks and a persistent fear of having future attacks
What is obsessive-compulsive disorder?
uncontrollable, recurring thoughts and fears (obsessions) and repetitive behaviors or mental acts (compulsions)
What is posttraumatic stress disorder?
re-experiencing the trauma through flashbacks or nightmares
What are treatments for anxiety?
benzodiazepines and serotonin agonists
What are benzodiazepines?
are addictive; enhancing the effects of the neurotransmitter GABA, which slows brain activity (downers)
What are serotonin agonists?
they activate serotonin
What are the neural bases of anxiety disorders?
GABA
Serotonin
Amygdala
The amygdala is the __________.
fear center
What does the Mesotelencephalic dopamine system connect to?
the limbic to the prefrontal
The _______________lights up when you are addicted to something.
Mesotelencephalic dopamine system