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antipsychotics
neuroleptics or traditional
antipyschotic meds
thorazine, haldol (less frequent)
atypical antipsychotics
- used more often
- used to stabilize moods, delusions, hallucinations
- improvements in side effects w/ atypical meds
atypical antipsychotic meds
- risperdal
- abilify
- zyprexa
- seroquel
mood stabilizers
treats bipolar, schizophrenia, and MDD
- lithium
lithium
- not used to treat bipolar as much now
- common salt found in nature
lithium dosing
- needs to be regulated very carefully because of very narrow therapeutic window
- 70-80% of adults w/ bipolar respond positively
- too much = toxic!
anticonvulsant meds
- depakote
- tegretol
- neurotonin
- lamictal
depakote
- anticonvulsant
- for kids with rapid cycling
- approved for adults with mania
tegretol
- anticonvulsant
- not FDA approved for mania
- commonly used for mania and aggression off label
neurotonin
- anticonvulsant
- newer, less side effects
lamictal
- anticonvulsant
- newer, for rapid cycling
anxiolytics/anti-anxiety
used to treat GAD, panic disorder, phobias
anti-anxiety medications
- benzodiazepines
- beta blockers
benzodiazepines
- xanax (usually PRN)
- ativan
- valium
beta blockers
reduce physiological symptoms like rapid heart rate, lower blood pressure, sweating, and tremors
- propanol
- atenolol
antidepressants
- SSRIs
- SNRIs
- MAOIs
- tricyclics
SSRIs
considered first line treatment
- zoloft
- lexapro
- paxil
- prozac
SNRIs
serotonin and norepinephrine reuptake inhibitors
- cymbalta
- effexor
MAOIs
monoamine oxidase inhibitors
- lots of dietary restrictions
- not common, cannot take with high blood pressure
tricyclics
- rarely prescribed
- considered "dirty": wrecks more havoc than intended
- can lead to heart issues
limbic system
- primarily responsible for our emotional life and has a lot to do w/ formation of memories
- located on both sides and underneath the thalamus, just under the cerebrum
the limbic system includes:
- hypothalamus
- hippocampus
- amygdala
- nearby areas
dopamine
linked to increase in hyperactivity and irritability
norepinephrine
modulates other transmitters and shares some similarities with dopamine
serotonin
- inhibitory NT closely associated with emotion/mood
- too little can lead to depression, problems with anger control, OCD, other disorders
- many serotonin receptors in the gut
oxytocin
bonding, attachment