OCTH 614 Lecture Notes - Lecture 9: Major Depressive Episode, Mental Disorder, Public Health

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18 Dec 2020

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Children and adolescent mental health systems and considerations. Mental health is the umbrella term that includes a continuum from the most severe disorders to mild symptoms of different duration and intensity. Mental illness is collectively all diagnosable mental disorders or health conditions that are characterized by alterations in thinking, mood or behavior associated with distress and/ or impaird functioning. Typically used to refer to disorders that greatly impact function such as bipolar or schizophrenia. Mental health problem is typically used to refer to more common issues, such as anxiety or depression, which may be less severe and shorter duration. ***might not only be diagnosable condition but might also be adjustment challenges that happen at a period of time (as they change and develop) that they might grow out of it. Relationship problem that resolves itself or something that develops and remains. Mental ill health- diagnosable condition but also adjustment challenged.

Related Questions

Question 39
Efforts by ________ led to mental health care reform and some of the first mental asylums in the United States.

Carl Rogers

Philippe Pinel

Dorothea Dix

Question 40
Deondra is a psychologist who prefers to listen to her clients and help them identify conflicts and feelings without offering them advice. She probably practices ________ therapy.

behavioral

cognitive

humanistic

Question 41
Denise is going through a divorce with her husband and transfers all the negative emotions associated with her ex-husband with her therapist. This is called

free association.

the Oedipus complex.

transference.

Question 42
Which institutions were created to house, and remove, people with psychological disorders?

churches

mental health centers

asylums

Question 43
When is electroconvulsive therapy shown to be effective?

in treating those with with schizophrenia

in treating people with anxiety disorders.

in treating those with severe depression

Question 44
Which is an example of overgeneralization?

Shiloh didnât get a date to Homecoming and thinks in extremes, like, âI will die alone.â

Shiloh was hoping that Remington would ask her to Homecoming, but when he asks another girl instead Shilow thinks, âRemington mustâve noticed when I laughed during class the other day. I have a weird laugh, and now he doesnât like me.â

Shiloh didnât get asked to the Homecoming dance and instead of thinking that it was just the first dance and she is still adjusting to her new school, she thinks, âI am such a loser. No one wants to even be my friend.â

Question 45
Approximately what percentage of homeless adults living in shelters experience mental illness?

12%

35%

26%

Question 46
Serotonin and norepinephrine levels in the the brain are altered by drugs like Prozac and Zoloft. These are known as

antipsychotics

mood stabilizers

anti-depressants

Question 47
Which is an example of all-or-nothing thinking?

Shiloh didnât get a date to Homecoming and thinks in extremes, like, âI will die alone.â

Question 48
If Henry gets help for his alcoholism and is given the drug Antabuse to take before drinking. He gets uncomfortable and sick every time he drinks, which is teaching him to dislike alcohol. This is an example of

exposure therapy

systematic desensitization

aversive conditioning.

Question 49
If a psychologist does little talking during his appointments and typically has his patients talk about their past, childhood, and whatever else comes to mind at that moment, he probably uses the ________ therapy approach.

humanistic

behavioral

psychodynamic

Question 50
Johnson often recommends lithium to her patients with bipolar disorder. This exemplifies ________ therapy.

cognitive

humanistic

biomedical

Physiology Psychology

1. The mind-body problem is a fundamental philosophical issue at the base of all cognitive/behavioral neuroscience research. Why? Discuss the mind-body problem and give an example of how it relates to an issue in cognitive/behavioral neuroscience. Explain.

2. Explain how an action potential occurs. Start with Glutamate release from the presynaptic neuron and end with neurotransmitter release from the postsynaptic neuron.

3. How does a neuron inhibit another neuron? Explain. {~1 paragraph}

4. Design a drug that would increase Dopamine (DA) and/or Norepinephrine (NE) levels and explain its mechanism of action (explain how it works to increase DA and/or NE). What kind of disorder could this drug be used to treat? What would be some side-effects you might expect from taking such a drug? Would there be any risks expected from long-term treatment? Explain.

5. Alzheimerâs dementia is a neurodegenerative disorder that results in severe cognitive impairment. Researchers hypothesize that Alzheimerâs is due to low Acetylcholine activity in the cerebral cortex. How could a researcher test this hypothesis? Justify your answer.

6. What is neural plasticity? Give an example and explain. [3-4 sentences]

7. Dr. Butthurt, a prominent pain researcher, has recently discovered that a Chinese form of meditation called Tai Chi can be a very effective pain-relief method. In Dr. Butthurtâs studies, he found that people in pain experience profound pain relief after participating in just 30 minutes of Tai Chi meditation. Now, Dr. Butthurt wants to determine the neural mechanism by which Tai Chi works to relieve pain. The first hypothesis he wants to test is that Tai Chi works because it stimulates endorphin activity in the brain. How can Dr. Butt-hurt test this hypothesis? Explain. [~1 paragraph]

8. A dominant view in neuroscience is that the human brain is âmodularâ. For example, many have claimed that the Fusiform Face Area (FFA) is a specialized, domain-specific module for recognizing faces. Discuss the issue, giving evidence for and against the claim that the FFA is domain-specific for face-processing. (1-2 paragraphs)

9. The Wernicke-Geschwind model of language was the dogma in neuroscience and psychology for many years. According to the W-G model, Brocaâs Area and Wernickeâs area are the two main language modules in the brain. What does the model argue is the function of Brocaâs area? Explain one piece of evidence to support it. What does the model argue is the function of Wernickeâs area? Explain one piece of evidence to support it. Why has the current theory of language moved away from the W-G Model? Explain.

10. If a person has the genes associated with a particular psychopathological disorder (e.g., depression, schizophrenia, bipolar, etc), will that person definitely develop the disorder? Why or why not? Explain. Use an example to help you explain. (few sentences to a short paragraph)

11. Why is it the case that there are some very high-pitched ringtones that are typically only audible to people under 18 years old? Why canât (most) adults hear these high-pitched tones? Explain. (few sentences)

12. How does Miraculin act on the nervous system to change our perception of taste? Explain.

13. Discuss the Triune Brain model. Explain what happens to the functioning of the Triune Brain model when an individual is intoxicated by alcohol, and link that to drunk behavior.

14. Some patients develop disorders in which they believe that one of their limbs is not, in fact, their own limb. What could be happening in the nervous system that would lead to this peculiar phenomenon? Justify your answer and explain. (I am looking for you to come up with a reasonable hypothesis as to what could be causing it that you can sensibly justify and explain)

15a. What is schizophrenia? Describe 2 positive and 2 negative symptoms. Explain one way that the brains of schizophrenic patients are different from healthy controls, and link the brain abnormality to one of the symptoms of schizophrenia that you just described. 15b. What is the Dopamine (DA) Hypothesis for schizophrenia? Explain two pieces of evidence to support the DA Hypothesis. Explain one piece of evidence against the DA hypothesis. [~1 short paragraph] 15c. What is the Glutamate Hypothesis for schizophrenia? Explain two pieces of evidence to support the Glutamate hypothesis. Explain one piece of evidence against the Glutamate hypothesis. [~ 1 short paragraph] 15d. Schizophrenia is estimated to be about 80% heritable, but there are other factors that researchers have found to influence the development (or flare) of schizophrenia. Give an example of one of these other factors, and briefly explain the evidence for it. [2-3 sentences]

16. Major depression (unipolar) is a psychiatric disorder affecting over 15% of the U.S. population. Explain two of the dominant hypotheses about the biological factors in depression, discussing the evidence for and against those hypotheses. What is the most effective treatment for long-term relief from depression? Why? Explain. (~2 paragraphs)

17. Explain how the amygdala and brain stem are involved in the development of anxiety disorders such as PTSD, phobias or panic disorder.

18. Explain the basic function of the mesolimbic DA reward pathway. Discuss how drug use alters the pathway and contributes to the development of compulsive disorders like drug addictions/alcoholism.

19. If a stroke patient has damage to their right posterior parietal lobe, along the dorsal stream of visual processing, what syndrome would the patient have? Describe the major symptoms and explain what the personâs behavior would be like. What did we learn about the function of the parietal lobe from studying these patients? Explain.

20. If a stroke patient has damage to their temporal lobe, along the ventral stream of visual processing, what type of disorder would the patient have? Describe the major symptoms and explain what the personâs behavior would be like. What did we learn about the function of the temporal lobe from studying these patients? Explain.

21. What is blindsight? Explain how studying patients with blindsight informed our understanding of the visual system.

22. What are implicit and explicit memories? Do implicit and explicit memories represent independent neural systems for memory? Why or why not? Justify your answer with evidence.

23. What is retrograde amnesia? What did we learn about long-term memory from studying patients with retrograde amnesia (e.g., patient KC)? Explain.

24. What is our current understanding of how the Medial Temporal Lobe (MTL) stores and retrieves explicit memories? Discuss how the function of the MTL can explain cases of anterograde amnesia like HMâs.

25. Imagine that a doctor developed a drug called Memoryhole that is a Glutamate-NMDA receptor antagonist in the hippocampus. What effect would Memoryhole have on the process of Long-Term Potentiation (LTP), and, in turn, memory? Explain.

26. Do we have evidence for a biological basis for sexual preference? Discuss with respect to the Sexually Dimorphic Nucleus of the hypothalamus.

27. Helen Fisherâs research delineated 3 stages of love in the brain. Explain, with an emphasis on the brain-behavior relationships.

28. Parkinsonâs disease is a neurodegenerative disorder that results in severe motor impairments. What causes Parkinsonâs? Explain the major treatment for the disorder and the extent to which the treatment is successful. Are there any negative side-effects of that treatment? Explain.

29. What are mirror neurons? Explain two pieces of evidence for the hypothesis that mirror neurons are the neural substrate for empathy and theory of mind in humans. Do we have evidence linking mirror neurons to autism? Explain.

30. What was the most interesting thing you learned in class this semester? Why did you find it interesting? Explain.

31. What is a circadian rhythm? Explain how light acts as a zeitgeber to control our sleep/wake circadian rhythms. If someone had trouble falling asleep (insomnia), what advice would you give them? Justify your answer.

32. Seasonal Affective Disorder is a type of depression that occurs when depression symptoms consistently flare in the winter season and abate in the summer season. One successful treatment for this type of depression is âlight therapyâ in which the patient sits in front of a sunlight-emitting device for a certain number of hours a week. How could this type of depression and its treatment be explained by what we know about the neural basis of arousal and circadian rhythms?

The people of Malaysia belong to three communities: the local people called Malays, immigrants from South India called Tamils, and immigrants from China. During the early 20th century, the Malays lived mainly in coastal villages, the Tamils worked on rubber estates, and the Chinese worked in tin mines. In general, the people were very poor and they consumed a limited variety of foods.[1] Rice was the staple diet of all three communities and therefore the key source of caloric and nutrient content. Malays typically grew their own rice and dehulled it before consuming it; dehulling partially removes the aleurone layer of the rice seed. Following their South Indian food habits, the Tamils ate parboiled rice, and the Chinese ate polished white rice imported from Thailand. It was found that among the three Malaysian communities, the Chinese community was much more prone to suffer from some degree of sub-optimal thiamin intake. Out of every 1,000 Chinese inhabitants, about 120 had mild thiamin deficiency, about 80 had severe thiamin deficiency, and about 16 people had died of it. Suboptimal intake of thiamin was rare in Malays and was not reported at all in Tamils.[1] Thiamin, also called Vitamin B1, is required for all tissues, and its deficiency causes the disease Beriberi. Less severe deficiency results in non-specific symptoms such as weight loss, malaise, irritability, and confusion. Although the origin of the word Beri-beri is disputed, it is believed to be a Philippine word meaning âI canât, I canâtâ and was probably coined to refer to the lack of neuromotor coordination in people afflicted with this disease.[2] Thiamin is water-soluble and is stable in the acidic medium. It is unstable to heat, oxygen, and UV light in neutral and alkaline medium. The active form of thiamin is thiamin pyrophosphate (TPP). This active form is a cofactor for pyruvate dehydrogenase and transketolase enzymes that are involved in the metabolism of carbohydrates. These enzymes play an important role in the biosynthesis of a number of cell constituents such as neurotransmitters, pentoses, and reduced equivalents, used in oxidant stress. The human body cannot store thiamin and therefore requires a continuous supply of the vitamin. The thiamin in an individual on a thiamin-free diet typically depletes in fewer than two weeks. Thiamin absorption is affected by compounds, called thiamin antagonists or anti-thiamin factors, that alter the structure of thiamin. These compounds include alcohols, polyphenols, flavonoids, and thiaminase, a heat labile enzyme found in certain foods.[2] In affluent countries, where the diet is rich in thiamin, the most common cause of thiamin deficiency is excessive alcohol consumption. Alcohol intake affects thiamin status in two ways. First, alcoholics get a significant percentage of their daily energy intake from alcoholic beverages, which are nutrient deficient. In other words, alcoholics replace their consumption of nutrient dense foods that are part of their normal diet with the consumption of nutrient deficient alcohol. Second, alcohol inhibits the intestinal ATPase involved in the absorption of thiamin.[4] Sub-clinical thiamin insufficiency associated with excessive alcohol consumption produces an encephalopathy called Wernicke-Korsafoff syndrome. Patients with this syndrome have a higher than normal incidence of abnormal transketolase, which has a very low binding affinity to TPP. This problem can be overcome by putting patients on high-dose thiamin therapy. Some patients, however, might have a form of abnormal transketolase that does not bind at all with TPP. Such people do not respond to high-dose thiamin therapy.[4] Thiamin deficiency is observed in individuals who have low thiamin intake and a diet rich in polished rice, especially if their diet also consists of anti-thiamin factors such as tea, coffee, raw fermented fish, and betel nuts. The minimum amount of thiamin needed by the body can increase because of increased physiological or metabolic demands arising from pregnancy and lactation, heavy physical exertion, illnesses like cancer, liver diseases, hyperthyroidism, and surgery. Since TPP is required for carbohydrate metabolism, the recommended dietary allowances for thiamin are based on the assumption that its intake is related to total energy intake. The recommended dietary allowance in the United States is 0.5 mg/1000 Kcal.

Questions
1. Thiamin deficiency was observed only in the Chinese community even though all three
communities had the same staple (rice) diet. Explain.
2. On packages of enriched rice sold in supermarkets, the rice preparation directions state that the
rice should not be washed before cooking. Explain.
3. Severe metabolic acidosis caused by high levels of lactate is often associated with thiamin
deficiency. Explain.
4. Provide two plausible explanations for what might cause above normal levels of pyruvate in blood
and urine. How can one determine which of the two explanations is correct?
5. Why does thiamin utilization increase among cancer patients?
6. A negative correlation exists between the need for thiamin and the amount of fat in the diet.
Explain.

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OCTH 614 Lecture Notes - Lecture 9: Major Depressive Episode, Mental Disorder, Public Health

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