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Drug Treatment Final
N/A
59
Psychology
Graduate
04/25/2010

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Term
ADHD-C
Definition
combined type of innattentiveness and the hyperactive-impulsive type
Term
ADHD-I
Definition
primarily inattentive type (ADD) (more in girls)
Term
ADHD-H/I
Definition
primarily hyperactive-impulsie type

more problems come with this one
Term
Diagnosing ADHD
Definition
at least 6 of the 9 problems from either symptom list in the DSM-IV

symptoms must cause clinically significant impairment

symptoms must appear before age 7

symptoms must be pervasive- occur in multiple settings
Term
Hyperkinetic Disorder
Definition
closest equivalent to ADHD in which a child has 6/9 inattention symptoms, 3/5 hyperactive symptoms, and 1/4 impulsive symptoms.
Term
Drug treatments for ADHD
Definition
Adderall, Ritalin, Dexedrine, Strattera (non-stimulant)
Term
Side effects of ADHD Stimulants
Definition
ehanced mood, more energy, cardiotoxicity: hypertension, arrhythmias; GI tract: dry mouth, diarrhea, constipation; CNS: insomnia, restlessness

-high potential for abuse
Term
Strattera and Clonadine
Definition
non-stimulants
Term
Stimulants help ADHD with:
Definition
stay awake, stay alert, stay focused, attend a task
Term
Non-stimulants for ADHD
Definition
Primary action seems to be the SNRI
Term
Side effects of non-stimulants
Definition
does not cause elevated mood; cardiac effect: increase heart rate and blood pressure; GI tract: stomach pain, consitipation, weight loss, vomiting; CNS: dizziness, headache; irritability; may slow growth in weight and height
Term
Dysthymia
Definition
moderate mood disorder characterized by at least 2 years of depressed mood for more days than not
Term
Major Depressive Disorder
Definition
characterized by one or more major depressive episodes (at least 2 weeks of unrelenting depressive symptoms)

in more women than men
Term
General symptoms of unipolar/depressive mood disorders
Definition
sadness, lack of interest, change in appetite, guilt, hopelessness, insomnia or hypersomnia
Term
Cyclothmia
Definition
moderate mood disorder characterized by at least 2 years of periods of hypomanic symptoms that do not meet criteria for a manic episode and periods of depressive symptoms that don't meet criteria for major depression.
Term
Bipolar 1
Definition
major mood disorder characterized by one or more manic or mixed episodes usually accompanied by major depressive episodes

-major manic stage

-runs in families
Term
Bipolar 2
Definition
major mood disorder characterized by one or more major depressive episodes accompanied by at least one hypomanic episode.

-minor manic stage- hypomania
Term
Stress
Definition
may precede depressive episodes

symptoms- memory loss, immune suppressant, hormonal changes, abnormal sleep patterns
Term
Mood Stabilizers for Bipolar
Definition
Lithuim carbonate

Anticonvulsants- clonazepam, depakote, topamax
Term
Side Effects of Bipolar Drugs
Definition
fatigue, dysphoria, restlessness, drowsiness, nausea, vomiting, acne

ataxia, nausea, tremors, weight gain
Term
MAOI name and effects
Definition
Monoamine Oxidase Inhibitors

Marplan, Nardil, Parnate

drowsiness, hypomania, anticholinergic effects, impotence, constipation

AVOID FOODS THAT ARE HIGH IN TYRAMINE CONTENT- aged cheeses, yeast extracts, aged/smoked meats, draft beer, yogurt, wine, overripe fruit
Term
SSRI name and effects (2nd gen)
Definition
Selective Serotonin Reuptake Inhibitors

Celexa, Zoloft, Prozac, Paxil

headaches. hypomania, tremors, tinnitus, dizziness, nausea, weight loss or gain, impotence,
Term
NDRI name and effects
Definition
Norepinephrine Dopamine Reuptake Inhibitor

Wellbutrin

Aid in smoking cessation

insomnia, irritability, dry mouth, heart palpitations, frequent urination
Term
SNRI name and effects
Definition
Selective Serotonin Norepinephrine Reuptake Inhibitor

Cymbalta, Prestiq

Generalized Anxiety Disorder

headache, anticholinergic,
Term
SARI name and effect
Definition
Serotonin-2 Antagonist Reuptake Inhibitor

Desyrel

drowsiness, restlessness, confusion, seizure, tinnitus, anticholinergic, weight gain
Term
Tri-Cyclic drugs (1st gen)
Definition
Elavil- promotes sleep at night and elevates mood in the daytime

Tofranil- 25mg for enuresis

Pamelor

anticholinergic; cardiac risks- tachycardia, hypertension, stroke; nausea, vomiting, impotence, constipation,
Term
Physiological Anxiety
Definition
most similar to the emotion fear
Term
Acute Anxiety
Definition
brief periods of anxiety in response to stressful events
Term
Pathological Anxiety
Definition
chronic, and is much more intense than the situation calls for
Term
Panic Attack
Definition
discrete periods of intense fear or discomfort accompanied by several somatic and/or cognitive symptoms

occurs in several anxiety disorders
Term
Unexpected Panic Attack
Definition
occure out of the blue in the absence of a situational trigger
Term
Situationally-bound Panic Attack
Definition
occure almost invariably and immediately in response to the presence or the thought of some situational trigger
Term
Situationally-predisposed panic attack
Definition
associated with a situational cue, but doesn't necessarily occur invariably or immediately
Term
symptoms of anxiety
Definition
muscle tension, agitation, fatigue, irritability, low concentration, sleep disturbances, sweating, headaches, memory loss
Term
Phobia
Definition
A marked, persistent and excessive fear in the presence of or at the thought of a specific object or situation that interferes significantly with a person's daily functioning
Term
PTSD
Definition
severe emotional disorder following exposure to an extremely traumatic stressor
Term
Diagnostic Characteristics of PTSD
Definition
Fear, helplessness, horror

persistent re-experiencing of the event

avoidance of stimuli associated with the trauma and numbing of emotional responsiveness
Term
OCD
Definition
characterized by persistent, intrusive, and troublesome thoughts that a person tried to resist and by "repetitive and irrational rituals that the person feels compelled to complete in order relieve the anxiety created by the obsessive thoughts.
Term
Common obsessions in OCD
Definition
contamination, violence, sex, or religion
Term
Common compulsions in OCD
Definition
washing/cleaning, counting, checking, repeating actions, ordering
Term
Benzodiazepines
Definition
Xanax, Valium, Klonopin, Ativan

fatigue, drowsiness, confusion, disorientation, headache, anticholinergic

most prescribed
Term
Buspirone
Definition
Buspar

little sedation, headache, dizziness, hypomania, lightheadedness
Term
Hypnotics/Sedatives
Definition
Unisom, Lunesta, Ambien, Benadryl

daytime sedation, dependency, anterograde amnesia, impair respiration
Term
Oldest anti-anxiety drugs
Definition
Barbiturates- Hexobarbital

Because of high abuse potential, nasty side effects and withdrawal, barbiturates aren't given for anxiety anymore.

good use for anesthetic during surgery.
Term
neurotransmitter associated with Anxiety
Definition
GABA

enhances the effects
Term
Schizophrenia
Definition
severe mental disorder characterized by loss of contact with reality and by disturbances in perception, cognitive functioning, emotion/motivation, interpersonal relationships, and motor behavior
Term
Psychosis
Definition
perceptual disorder, sensory, hearing voices, hallucinations (auditory, visual, tactile, smelling, tasting), mania, orientation x3 (do they know the place, person, and time), speech issues, self-care deterioration, motor disturbances, delusions, mood issues
Term
Paranoid Schizophrenic
Definition
characterized by hallucinations and by delusions of persecution and grandeur
Term
Catatonic Schizophrenic
Definition
motor symptoms alternating between immobility and agitation and stereotypy
Term
Disorganized/Hebephrenic Schizophrenic
Definition
disturbed emotions, disorganized behavior and speech
Term
Undifferentiated/Chronic Schizophrenic
Definition
a catch-all for someone with psychotic symptoms who doesn't fit into 1 of the other subtypes
Term
Positive symptoms of Schizophrenia (Behavioral Excesses)
Definition
Delusions, Hallucinations, disordered thinking and speech, emotional disturbances, motor disturbances
Term
Avolition
Definition
Negative symptom

inability to engage in goal-directed behavior
Term
Alogia
Definition
Negative symptom

impoverished speech
Term
Anhedonia
Definition
Negative symptom

inability to experience pleasure
Term
Motor disturbances
Definition
Negative symptom

in the form of catatonia (waxy flexibility) or the holding of bizarre postures
Term
First Generation Antipsychotics
Definition
Loxapine, Molindone, Pimozide

Neuroleptic Malignent Syndrome (NMS)
Extra Pyramidal Symptoms (EPS)- have to take an anti-parkinsonism
Tardive Dyskinesia
Term
Second Generation Antipsychotics
Definition
Clozapine, Risperidone, Olanzapine

weight-gain, hypertension, diabetes
Term
Third Generation Antipsychotics
Definition
Abilify

dizziness, nausea, constipation
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