PSYCO105 Lecture 15: Biological Treatments of Disorders

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Biological Treatments
Emphasize biological factors
Drugs, electroconvulsive therapy, psychosurgery
Psychopharmacology
Study of how drugs affect cognitions, emotions, behaviour
200 million such prescriptions written per year.
Drug Therapies
1. Anti-Anxiety Drugs → Often used to treat anxiety issues
a. Reduce anxiety without affecting alertness
b. Slow down excitatory synaptic activity
c. Side effects: Drowsiness, lethargy, dependence → May become dependent and
experience withdrawal effects.
2. Anti-Depressents → often used for depression, but also many other disorders.
a. Tricyclics → Increase activity of norepinephrine and serotonin
i. Prevent reuptake of excitatory neurotransmitters.
b. Monoamine Oxidase (MAO) inhibitors
i. Increase activity of norepinephrine and serotonin
ii. Monoamine oxidase breaks down neurotransmitters
iii. Severe side effects (potential for suicidal thoughts).
c. Selective serotonin reuptake Inhibitors (SSRIs)
i. Block reuptake of serotonin
ii. Milder side effects than other antidepressants
iii. Reduce depressive symptoms more rapidly.
iv. Increase negative thoughts.
d. Antipsychotic Drugs
i. Decrease action of dopamine
ii. Reduces positive symptoms of schizophrenia (eg delusions and hallucinations)
iii. Little effect on negative symptoms (apathy and withdrawal)
iv. Severe side-effects → tardive dyskinesia
1. Irreversible movement disorder.
Mind, Body and Therapeutic Interventions
Psychological and biological treatments affect brain function
PET scans → Psychotherapy and drug therapy showed similar changes in blood flow for 3 brain
areas
Drug Therapies → Using combination of drug therapy treatments can be more effective sometimes.
1. Schizophrenia
2. Major Depression
Electroconvulsive Therapy
Electroconvulsive Therapy (ECT) procedure → Patient given sedative and muscle relaxant
Shock less than 1 second, causing seizure of CNS
Useful in treating severe depression when severe
Effects can be immediate
60-70% improve
But high relapse rate → Memory loss and brain damage
Psychosurgery
Remove or destroy parts of brain → least used of biomedical procedures
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Document Summary

Study of how drugs affect cognitions, emotions, behaviour. 200 million such prescriptions written per year. Prevent reuptake of excitatory neurotransmitters: monoamine oxidase (mao) inhibitors. Severe side effects (potential for suicidal thoughts): selective serotonin reuptake inhibitors (ssris) Increase negative thoughts: antipsychotic drugs i. i. ii. iii. i. ii. iii. iv. i. ii. iii. iv. Reduces positive symptoms of schizophrenia (eg delusions and hallucinations) Little effect on negative symptoms (apathy and withdrawal) Psychological and biological treatments affect brain function. Pet scans psychotherapy and drug therapy showed similar changes in blood flow for 3 brain. Drug therapies using combination of drug therapy treatments can be more effective sometimes. areas: schizophrenia, major depression. Electroconvulsive therapy (ect) procedure patient given sedative and muscle relaxant. Shock less than 1 second, causing seizure of cns. Useful in treating severe depression when severe. But high relapse rate memory loss and brain damage. Remove or destroy parts of brain least used of biomedical procedures.

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