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37 Cards in this Set

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ANTIPSYCHOTIC

-class of drug that is used to treat the psychoses
-class of drug that is used to diminish the symptoms of psychosis that appear in schizophrenia
-class of drug that is also referred to by the term major tranquilizer or neuroleptic

ANTIPSYCHOTIC
-class of drug that can produce side-effects that result from a deficiency of dopamine along the nigrostriatal pathway
-class of drug that when given to healthy subjects causes slower thinking tiredness, dejection, anxiety, and irritability
-class of drug that is found in animals and humans to have aversive properties that develop slowly with repeated doses

ANTIPSYCHOTIC
-class of drug that is found in animals and humans to have aversive properties that develop slowly with repeated doses
-class of drug that is useful in treating Huntington's chorea, Tourette's syndrome, and tardive dyskinesia through its dopamine blocking effects

PSYCHOSIS
-state that is characterized by a loss of touch with reality, and may be briefly brought on by drugs or be a life-long battle in the case of disorders, such as schizophrenia
-in this state people grossly misunderstand and misinterpret events going on around them

PSYCHOSIS
-in this state people respond to events inappropriately in both an intellectual and emotional sense
-in this state people may experience bizarre hallucinations and have their behavior be guided by delusions

SCHIZOPHRENIA
-is the most well-known of the psychotic disorders
-the name of this psychotic disorder literally means "to split the mind", which refers to not split-personality but rather a separation of thought, emotion, and behaviour

SCHIZOPHRENIA
-psychotic disorder that is characterized by delusions, hallucinations, disorganized speech, disorganized or catatonic behavior, and negative symptoms

POSITIVE SYMPTOMS
-type of symptoms that are traits that are abnormally present in psychosis
-type of schizophrenic symptoms that hallucinations, delusions, incoherent thought & speech, excessive motor activity, or odd mannequin-like postures would be considered

POSITIVE SYMPTOMS
-type of schizophrenic symptoms that typically develop later in schizophrenia, emerging gradually over years after the onset of other symptoms

NEGATIVE SYMPTOMS
-type of symptoms that are traits that are abnormally absent in psychosis
-type of schizophrenic symptoms that affective flattening, anhedonia, alogia, avolition, or social withdrawal would be considered
-type of schizophrenic symptoms that are typically the first to develop in schizophrenia

EXTRAPYRAMIDAL SIGNS AND SYMPTOMS (EPS)
-side-effect of antipsychotic medication that resembles Parkinson's disease: tremors, slowed motor functions, stiff limbs, and trouble maintaining balance

DOPAMINE HYPOTHESIS
-theory that has been the dominant theory of the neurological basis of schizophrenia from the 1960s to this day
-theory that posits that schizophrenia and other psychoses result from excessive dopamine activity in the brain
-theory that is supported by two main observations: (1) drugs which increase dopamine function can produce psychoses & (2) typical antipsychotics are all dopamine antagonists

DOPAMINE HYPOTHESIS
-theory that is supported by the fact that typical antipsychotic medications also produce severe EPS
-theory that is supported by the strong correlation between the therapeutic dose of a typical antipsychotic and the drug's affinity for the dopamine D2 receptor
-theory that has NOT been confirmed by evidence of differences in D2 receptor densities between individuals with versus without schizophrenia

DOPAMINE HYPOTHESIS
-theory that has NOT been confirmed by evidence that dopaminergic circuits progressively deteriorate along with other neurotransmitter circuits in schizophrenia
-theory that is contradicted by the fact that the therapeutic effect of antipsychotic drugs may be delayed for several weeks despite blocking dopamine activity immediately
-theory that is contradicted by the fact that negative and cognitive symptoms of schizophrenia do not improve with D2 receptor blockade

GLUTAMATE HYPOTHESIS
-theory that is supported by the fact that phencyclidine (PCP) and ketamine both produce symptoms similar to the positive, negative, & cognitive symptoms of schizophrenia
-theory that is supported by a correlation between a drug's ability to produce schizophrenia-like symptoms and its affinity to the NMDA receptor's PCP binding site

GLUTAMATE HYPOTHESIS
-theory that posits that schizophrenia results from glutamate hypoactivity, specifically at the NMDA receptor
-theory that has NOT been confirmed by evidence of differences in cerebrospinal fluid glutamate levels between individuals with versus without schizophrenia

GLUTAMATE HYPOTHESIS
-theory that is contradicted by the fact that doses of NMDA receptor antagonists that produce schizophrenia-like symptoms increase glutamate release in the prefrontal cortex

TYPICAL ANTIPSYCHOTIC
-type of antipsychotic medication that is also known as a first-generation antipsychotic
-type of antipsychotic medication that was developed first, before 1975
-type of antipsychotic medication that primarily blocks D2 receptors

TYPICAL ANTIPSYCHOTIC
-type of antipsychotic medication that is most effective in treating the positive symptoms of schizophrenia, rather than the negative or cognitive symptoms
-with this type of antipsychotic medication adverse EPS side-effects commonly occur
-type of antipsychotic medication that is more likely to cause tardive dyskinesia

ATYPICAL ANTIPSYCHOTIC
-type of antipsychotic medication that is also known as a second-generation antipsychotic
-type of antipsychotic medication that was developed more recently
-type of antipsychotic medication that has only a weak affinity for D2 receptors and has a high affinity for D3 & D4 receptors

ATYPICAL ANTIPSYCHOTIC
-type of antipsychotic medication that alleviates the positive, negative, and cognitive symptoms of schizophrenia
-with this type of antipsychotic medication adverse EPS side-effects do NOT commonly occur
-type of antipsychotic medication that has a greater ability to block 5-HT2A receptors

AKATHISIA
-side-effect of antipsychotic medication that is characterized by uncontrolled restlessness, constant compulsive movement, and sometimes a protruding tongue and facial grimacing

TARDIVE DYSKINESIA
-side-effect of antipsychotic medication that is characterized by involuntary, tic-like, repetitive movements of the face, such as muscle twitching, smacking of the lips, or flicking of the tongue
-for this side-effect of antipsychotic medication the symptoms can be permanent and not go away even after the drug is stopped

MAJOR DEPRESSIVE DISORDER
-mood disorder that is characterized by depressed mood, loss of appetite, anhedonia, lack of energy, problems sleeping, feelings of worthlessness & guilt, and thoughts of death & suicide
-mood disorder that can occur in people who do not feel depressed but show anhedonia, weight loss, insomnia, psychomotor retardation, loss of energy, and inability to concentrate

MAJOR DEPRESSIVE DISORDER
disorder that has been called the "common cold of mental illness" because large segments of the population experience it at some time in their lives
-disorder that is currently, in Western cultures, the second leading cause of premature mortality and disability leading to loss of productive life

MAJOR DEPRESSIVE DISORDER
-with this disorder women are more likely to have feelings of sadness, worthlessness, and guilt, whereas men are more likely to be tired & irritable, anhedonic, and have insomnia
-with this disorder the probability of suicide is estimated to be five times greater

ANTIDEPRESSANT
-class of drug that is used to treat depression
-for this class of therapeutic drug the placebo effect accounts for up to 75% of the improvement in depressive symptoms seen with the drug
-class of drug that is more effective than stimulants at increasing operant response rates, and also decrease avoidance behavior at doses that have no effect on escape behaviour

MONOAMINE THEORY
-theory that posits that depression results from reduced levels of monoaminergic activity, especially serotonin (5-HT) activity
-theory that is supported by the fact that drugs which increase monoamine activity levels enhance mood

MONOAMINE THEORY
-theory that is supported by the fact that drugs (e.g., reserpine) that deplete monoamines, or tryptophan-free diets that deplete serotonin, can produce depression
-theory that is contradicted by the fact that the therapeutic effect of antidepressant drugs may be delayed for several weeks despite increasing synaptic monoamine transmitter levels immediately

MONOAMINE THEORY
-theory that is contradicted by the fact that tryptophan depletion has no effect on the mood of individuals with no personal or family history of depression
-theory that is supported by the fact that depressed individuals have low cerebrospinal-fluid levels of 5-HT, its amino acid precursor tryptophan, and its major metabolite 5-H1AA

GLUCOCORTICOID THEORY
-theory that posits that depression results from hyperactivity of the hypothalamic-pituitary-adrenal (HPA) axis
-theory that is supported by the fact that stress is the most influential environmental factor that predisposes an individual to depression

GLUCOCORTICOID THEORY
-theory that is supported by the fact that depressed individuals show overactivity of the hypothalamic-pituitary-adrenal (HPA) axis, as indicated by high levels of CRH & cortisol
-theory that is contradicted by a lack of antidepressant effect of CRH antagonists in some clinical trials with depressed individuals

MONOAMINE OXIDASE INHIBITORS (MAOIS)
-type of antidepressant drug that works by blocking the activity of monoamine oxidase so that monoamines in the cytoplasm are not destroyed and can be available for release
-taking this type of antidepressant drug before ingesting tyramine-rich food can result in the cheese effect: sympathetic nervous system activation that can potentially result in death

TRICYCLIC ANTIDEPRESSANTS (TCAS)
-type of antidepressant drug that, although classified as a first-generation antidepressant, is actually more similar in function to the second-generation antidepressants
-type of antidepressant drug that works by blocking reuptake of the monoamines into presynaptic neurons and so prolongs postsynaptic receptor stimulation

SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRIS)
-type of antidepressant drug that is fluoxetine (Prozac) and is included in the designation known as second-generation antidepressants
-type of antidepressant drug that is safer than the other types of antidepressant drugs, with fewer of their bothersome side effects

SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRIS)
-type of antidepressant drug that works by blocking reuptake of just serotonin into presynaptic neurons and so prolongs postsynaptic receptor stimulation by serotonin

SEROTONIN SYNDROME

-potentially lethal condition associated with antidepressant drug use that is caused by an acute increase in serotonergic transmission
-potentially lethal condition that often results from an interaction between an antidepresant drug and a tryptophan-containing food or other drugs that increase serotonin levels