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therapy and medication notes

by: Elizabeth Guzman

therapy and medication notes 105

Marketplace > Washington State University > 105 > therapy and medication notes
Elizabeth Guzman

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About this Document

Therapies Medications Medication chart of disorders
Introductory Psychology
Mycah Harrold
Study Guide
psych, 105, medication, Therapy, disorder chart
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This 5 page Study Guide was uploaded by Elizabeth Guzman on Sunday April 3, 2016. The Study Guide belongs to 105 at Washington State University taught by Mycah Harrold in Spring 2016. Since its upload, it has received 20 views.

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Date Created: 04/03/16
History of antipsychotic medicine Snakeroot  200 years ago- India Used to treat psychotic symptoms  Japanese were using it to treat anxiety, restlessness  1930’s Indian doctors developed synthetic version for blood pressure Chlorpromazine  1950’s- France Reduced psychotic symptoms  Fewer side effects  Snakeroot 7 chlorpromazine work differently, but both affect dopamine Drawbacks of antipsychotic medications  Allowed thousands of patients to be discharged from hospitals but…  They are not a cure- symptoms return when medication stops  Negative symptoms will reoccur when not taken  Bad side effects  Altered dopamine receptors globally (Thorazine shuffle- effects motor movements)  Long term use (Tardive dyskinesia- motor disorder)  It’s a revolving door Atypical antipsychotics  1990’s  Affect dopamine & serotonin  Advantages- motor-related symptoms are less likely, more effective in treating negative symptoms, lessen revolving door  Side effects: weight gain, cardiac problems, diabetes Antianxiety medications  Best known: Benzodiazepines- Valium & Xanax  Used to be called “tranquilizers”  They can take effect within an hour  Side effects: reduce coordination, alertness, reaction time, addictive  Not a Benzodiazepine- Buspar  Has fewer side-effects (maintains alertness, lower risk of dependency)  But does take 2-3 weeks before anxiety is reduced- not for acute anxiety  Lithium- commonly used to treat bipolar disorder  Side-effects: lithium poisoning= vomiting, weakness, reduced coordination  Influences glutamate (an excitatory neurotransmitter)  Depakote- also treats bipolar Antidepressants st  1 generation  Can take 6 weeks to reduce symptoms  Classes: tricycles, MAO inhibitors  Second generation- not much better SSRI’s  Selective serotonin reuptake inhibitors  Specific- target certain serotonin pathways  First one= Prozac  Cousins= Zoloft, Paxil  Not significantly more effective than others, but fewer side =-effects  Still causes: headaches, nervousness, difficulty sleeping, loss of appetite, sexual dysfunction Knowing which one to use  Antidepressants can be used to treat other disorders  Anxiety disorders, ODC, eating disorders (SSRI’s)  Obesity, adult ADHD (Wellbutrin) ECT  Used to treat server cases of depression  Brief (split second) burst of electric current to induce a seizure the brain (last about 1 minute)  2-3 treatments/week for 2-7 weeks  Quick relief (within days)  A last resort  Controversial- is it safe? Schizophrenia- the ability to function impaired by severely distorted beliefs, perceptions and thought processes. Positive symptoms- delusions (false beliefs, persist despite contradictory evidence. Not just unconventional but far-fetched), delusion of reference, delusions of grandeur: powerful, delusions of persecution: others plotting against you, delusion of being controlled, hallucinations: false perception that seems vividly real, disorganized thinking Negative symptoms- flat affect: diminished emotional suppression, slow monotonous speech (Algoia- reduced production of speech, responding with brief empty comments), Avolition: inability to initiate even simple goals Comes with: genetic factors, increased paternal age, immune system (exposed to virus in utero), abnormal brain structures/chemistry, psychological factors Therapies Psychotherapy- using psychological techniques to encourage understanding the problem and to modify the troubling feelings, behaviors Biomedical- medication is prescribed Psychoanalytical therapy- free association, dream interpretation, transference: the patient treats someone else like a significant person in their life, resistance: unconscious attempt to block repressed memories/conflict Humanistic therapy- emphasizes wanting to be happy, client-centered therapy: therapist is nondirective, the therapist need to be genuine, have unconditional positive regard and have empathetic understanding Behavior therapy= focuses on directly changing maladaptive behaviors, behavior modification. Involves classical and operant conditioning st Mary cover Jones- 1 behavior therapist –student of Watson, she erased the boys fear of white animals Exposure therapy- repeated exposure to a disturbing object/situation under controlled conditions, used to treat phobias Aversive condition- like taste aversions Effectiveness Psychotherapy is significantly better than no treatment, gets better faster and stays that way for longer Trends- cognitive therapy for depression Axiety GAD Panic attacks Phobias PTSD OCD Panic social anxiety disorder disorder Anxiety starts at a pathological level Dissociatve DID D Amnesia … Depressive/ mood major depression Bipolar sad cyclothymia persistant depressive berveament … Personality odd, anxious, dramatic, eccentric fearful emo, erratic paraniod schizotyple dependent anti social borderline schiziod avoidant


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