3 Revolutions in Psychology - Psychiatry Psychotherapeutic Drugs

MENTAL ILLNESS n Drugs Are A Primary Therapy For Mental Illness u They are not cures u They often have undesirable side effects

MENTAL ILLNESS n The Medical Model u Patient u Symptoms u Diagnosis u Disease u Cause u Cure

MENTAL ILLNESS n The Medical Model —For Infectious Disease, Straightforward u Symptoms suggest particular disorder u Diagnostic test confirms diagnosis u Identify the cause u Clarify the treatment u Infection is cleared up u The disorder is cured u Controversial, Complex for Mental Health  WHY?

MENTAL ILLNESS n The Medical Model for MH

MENTAL ILLNESS n Classification of Mental Disorders— APA’s Diagnostic and Statistical Manual of Mental Disorders has become the standard u Anxiety disorders u Schizophrenia u Bipolar disorder u Depression

TREATMENT OF MENTAL DISORDERS n Before 1950 u Modern drug therapy began in 1917 u Several early drug treatments looked promising, but relapse rates were high u Electroconvulsive therapy (ECT) u Paraldehyde, the chemical straightjacket

TREATMENT OF MENTAL DISORDERS n Antipsychotics u Treatment effects and considerations F __________________________________ u Mechanism of antipsychotic action u Side effects F ___________________________________ F ____________________________________

TREATMENT OF MENTAL DISORDERS n Atypical antipsychotics u Treatment effects and considerations F __________________________________ u Side effects F ___________________________________ F ____________________________________

THE CONSEQUENCES OF DRUG TREATMENTS FOR MENTAL ILLNESS n Over a Half-Million Patients in Mental Institutions in 1950s u Continual reduction in patient population since 1955, the year chlorpromazine was introduced n Community Mental Health Centers u Offer services close to home and at less expense

TREATMENT OF MENTAL DISORDERS n Antidepressants u Monoamine oxidase (MAO) inhibitors u Tricyclic antidepressants

TREATMENT OF MENTAL DISORDERS n Antidepressants u Selective serotonin reuptake inhibitors (SSRIs) u SSNRIs u Mechanism of antidepressant action

TREATMENT OF MENTAL DISORDERS n Lithium u Originally used as salt substitute u Acts as a mood-normalizing agent in bipolar illness

TREATMENT OF MENTAL DISORDERS n Other Mood Stabilizers u Seizure meds F depakote F tegretol F l amictal

Panic Disorder GAD OCD