PSY 103 Lecture Notes - Lecture 1: Fluoxetine, Psych, Depressant
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Many different criteria: deviance (statistical, moral, distress (self and or others, dysfunction (inability, efficiency, maladaptation, danger (self and or others) Is a person ill or evil? (disorder or sin) In physical medicine, progress consists of moving from phenotypic to genotypic diagnosis. Info from physicians, employers: medical chart, obtaining this kind of information usually require signed releases and informed consents, obtained at the first session, family history is important because mental illness runs in families. Recovery from severe depression is period of greatest concern for suicide: modern classes of antidepressant medication, ele(cid:272)ti(cid:448)e se(cid:396)oto(cid:374)i(cid:374) (cid:396)euptake i(cid:374)hi(cid:271)ito(cid:396)s (cid:894) ri"s(cid:895) prozac/serafem, zoloft, celexa, Trazodone is sometimes prescribed just as a sleeping pill. Maoi"s o(cid:396) othe(cid:396) se(cid:396)oto(cid:374)i(cid:374)-raising drugs (confusion, hallucinations, fever, seizures: discontinuation syndrome-abruptly stopping any antidepressant can lead to dizziness, t(cid:396)e(cid:373)o(cid:396), (cid:862)zaps(cid:863), a(cid:374)(cid:454)iet(cid:455) a(cid:374)d pa(cid:374)i(cid:272), (cid:374)ausea a(cid:374)d (cid:448)o(cid:373)iti(cid:374)g, a(cid:374)d confusion. Any discontinuation should be tapered or cross-tapered: alternative depression treatments, medications, lithium augmentation of antipressant therapy, t.