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89 Cards in this Set

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mood disorders
disabling disturbances of emotion (depression, mania)
major depressive disorder
sad mood, loss of pleasure for 2 weeks + 4 other Sx
dysthmic disorder
2 years, low mood sx prevalence 50%
mania
intense elation, irritability
flight of ideas
shift from topic to topic
mixed episode
mania & depression in same week
hypomania
happy or irritated mood, energy increase, decreased sleep
bipolar 1
1 mania episode or
1 mixed episode
(may not be current)
bipolar 2
1 major depressive episode
1 hypomania
rapid cycling
4 episodes in 1 year
psychotic
delusions, hallucinations
catatonic
impaired movements
postpartum
after pregnancy dx
norepinephrine
catecholamine, neurotransmitter CNS, disturbances mania/depression, vasoconstrictor, Sympathetic Nervous System
dopamine
precursor to norepinephrine; aside- high levels cause mania, low levels depression

pathway:
VTA, substantia nigra to frontal cortex
serotonin
CNS, low levels in depression, SSRI
trytophan
serotonin precursor
amino acid
low levels= depression
(drink)
second messengers
cAMP, cGMP, Calcium
levels increase w/nt
modulate cell sensitivity to neurotransmitters
amydgala
temporal lobe, attention to emotional events
hippocampus
subcortical brain
memory
damaged when exposed to stress
pre-frontal cortex
threats, rewards (dopamine)
focuses and plans
anterior cingulate
site of focus, planning, decision making
HPA axis
cortisol
overactive in MDD
receives input from amygdala
cortisol--> depression
Cushing's Syndrome
hypercortisol
moon face, obesity, decreased appetite, bad sleep
neuroticism
negative reactivity
negative triad
Beck's theory of depression; negative views of self, world, future

negative schemata (world view)

cognitive biases (process info in neg ways)

selective abstraction- focusing on 1 aspect, ignoring rest of situation
selective abstraction
schemata
perception of the world
cognitive biases
not challenging thoughts; processing information in negative ways
social skills training
teaching patient courtesies, initation, joining groups which support social training
psychoeducational approach
patient education for disorder, onset, treatment
family focused therapy
educate family members about person's illness
ECT
-electrodes induce convulsions
-electric current passes through the brain
tricyclic
SSRI
3 fused rings
interfere with norepinephrine, serotonin
lithium
treats mania, depression
bipolar 80%
suicide
risk factors
behaviors that cause death
4:1 men to women succeed
3:1 women fail
egoistic
altrustic
anomic
suicide...
Durkeheim's
-few social ties
-betterment of society (Buddhist monks, nuns, suicide bombers)
-sudden change in person's relation to society
(new inmate, prison sentence, scandal)
anoxeria nervosa
loss of appetite, emotional

1. hypoweight
2. fear of fat, weight gain
3. distorted body image
4. amenorrhea
5. 85% normal

types

restricting
binge-eating-purging
bulimia nervosa
title.
ox hunger

diagnosis.
1. binge eating
2. recurrent to prevent weight gain

90% female

Occurs twice a week for 3 months


types.
dietary (restricted diet)
dietary-depressive (diet, depressed affect)
purging
nonpurging

behaviors.
exercise, fasting
BMI
body mass index
under= 20
normal 20 to 25
over= 25+

(obese=30)
binge eating disorder
2 times per week (6 months)
excessive eating

more common in women
obese
BMI= +30
substance abuse
wrong use shown by 1,

-duty disruption
-repeated use, in danger
-legal problems
-continued use despite problem
substance related disorders
group of mental/physiological disorders where patient has a malrelationship with substance(alcohol, caffeine, marijuana, nonmedical, cocaine, halluciogens, inhalants)
substance dependence/addiction
3 or more,
tolerance
withdrawal
substance, long time
desire, reduce use
time to obtain substance
other activities reduced
continued use
addiction
use of a substance causing the three D's
tolerance and withdrawal
tolerance:
1. large dose for effect
2. decrease in drug effect


withdrawal:
1. (negative psych, psychologist) symptoms
DT's
delirium tremens
drop in blood alcohol level
delirium, hallucinogens
polydrug abuse
+1 drug at a time
80 to 85 % alcoholics, smokers
FAS
fetal alcohol syndrome
condition of fetal facial, mental abnormalities
nicotine
addictive chemical in tobacco
acetylcholine
affects learning, memory, mood
second hand smoke
exposure to smoke, not the original smoker
marijiuna

hashish
dried leaves of cannabis sativa

trichome or plant hair growths
opiates

opium
sedatives
-opium
-derivatives: morphine, heroin, codeine

seeds of opium poppy, contain opiates

Sumerian civilization 7000 BC
morphine
Morpheus, God of Dreams
sedative, pain reliever
1800s hypodermic needle
soldier use
heroin
G.O.M God's own medicine
cough syrups


CR Wright 19th century
English researcher
hydrocodone
codeine, thebamine
Rx drug w/opiates
addiction
barbituates
sleep, relaxation
Benzos sythetic drug
amphetamines
runny noses, Asthma
World War II fatigue
dopamine, norepinephrine
type of stimulant
ephedrine
caffeine
world's most used drug
coffee, tea, chocolate, beans
stimulant
methamphetamines
derived from amphetamine
(ephedrine)
lower number of dopamine, serotonin Rc
crystal meth, ice
cocaine
coca shrub
stimulant
Freud!
vasoconstrictor
second hand smoke
non-smokers exposed, affects of smoking can be shared by person
marijuna
hasish
dried leaves of cannabis
trichrome of cannibas, more addictive
opiates
opium
derived from opium poppy
alkaloids, chemicals who exert psych/chemical effects (codeine, heroin, morphine)
morphine
derived from opium
secondhand smoke
lung damage
nicotine addiction
asthma, bronchitis, ear inf.
marijuana
hashish
leaves of cannabis sativa
trichrome, tops of plant

blood shot, itchy eyes
CB1 CB2
hippocampus receptors
attention, memory, thinking
opiates
opium
type of sedative
relieve pain, induce sleep
Sumerian 7000 B.C.
morphine
heroin
Greek God of Dreams, Morpheus
derived from opium
Civil War soliders


derived from morphine
G.O.M
hydrocodone
uses opiates
relieves pain, sleep
addictive
barbituates
sleeping aids, relaxation
muscle relaxant
delusions, convulsions

Marilyn Monroe
stimulants
stimulate CNS
ex: amphetamines (ephedrine)
crystal meth, ice


increase heart rate
decrease appetite
fight fatigue
amphetamines
methampethatimes
CNS stimulants

origin Chinese
World War II

crystal meth, ice
dopamine, serotonin
cocaine
coca shrub
Freud
dopamine
vasoconstrictor
hallucinations (bug on skin)


1980s crack
street form inexpensive
caffeine
most widely used drug
coffee, tea, cola
works in half hour
competes with adenosine,
inhibitory transmitter
LSD
1940's Swiss Albert Hoffman
lysergic acid
psychdelic "soul manifest"
synthesias
sensory exchange
hallucinogen
drug inducing hallucinations or unreal sensory stimuli
flashbacks
recurrence of psychdelic experience without drug
mescaline
hallucinogen
main chemical in peyote
-Native American religious rites cactus, northern Mexico, Southwest U.S.
polycybin
psilocybin
crystalline powder
1958 Hoffman mushroom
Aztec, Mexican "God's flesh"
ecstasy
MDMA
MDA
illegal since 1985
1900s World War I appetite suppressant
(nutmeg, dill, saffron)
1910
entactogens
amphetamine+hallucinogen
serotonin
PCP
angel dust
tranquilizer for horses
aversion therapy
covert sensitization
made to disgust drinking
Nitrous Oxide
laughing gas
light headedness, euphoria
hippie crack, whippets
dentist gas
detoxification
withdrawal from alcohol
controlled drinking
moderate drinking
antabuse
drug discourages drinking by causing vomiting
methadone
synthetic drugs replace heroin
cross dependent
act on same CNS receptors