Professional Documents
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PSYCHOPHARMACOLOGY
ANTI PSYCHOTIC ANTI CHOLINERGIC ANTI ANXIETY ANTI MANIC ANTI DEPRESSANT
ANTI PSYCHOTIC
Mesocortical pathway
Deficit in dopamine in this pathway is associated with negative and cognitive symptoms of schizophrenia
ANTI CHOLINERGIC
ANTICHOLINERGIC
Anticholinergics block the actions of the nerve transmitter acetylcholine. Long term of usage: cognitive deterioration Anticholinergics fall into two categories:
Antimuscarinic block the effects of parasympathetic autonomic nervous system and are often called parasympatholytic drugs. Antinicotinic less able to stimulate muscle contraction
Benztropine mesylate
It possesses both anticholinergic and antihistaminic effects as therapeutically significant in the management of parkinsonism
Biperiden
an analog of trihexyphenidyl. it is approved for the treatment of parkinsonism and has greater pharmacological anticholinergic activity than trihexyphenidyl.
ANTI ANXIETY
ANTI MANIC
ILLUSTRATION CASE
Man, 30 years old, with clinical features:
1 week of profound mood disturbance, characterized by elation, irritability, or expansiveness. The following symptoms: Grandiosity, diminished need for sleep, excessive talking or pressured speech, racing thoughts or flight of ideas, clear evidence of distractibility, increased level of goal-focused activity at home, at work, or sexually, excessive pleasurable activities, often with painful consequences.
Mechanism of action AM
Schizoaffective disorder
Comorbid psychiatric diagnosis Comorbid alcohol abuse Comorbid anxiety and panic attacks Comorbid migraine
ANTI DEPRESSANT
PSYCHOTHERAPY
It is a form of therapy with psychological ways to emotional problems, which is trained by professional in relationships with the patient. Goal:
Remove, modify or retard symptoms. Mediate disturbed behavior patterns Support the growth and development of positive personality.
PYCHOTHERAPIES
Supportive psychotherapy Reconstructive psychotherapy Reeducative psychotherapy
Supportive Psychotherapy
Goal: to strengthen existing defense mechanism, extending proprietary control mechanism with newer and better, improvements & more adaptif Method: guidance, reassurance, environmental manipulation
Reconstructive Psychotherapy
Goal: to develop and strengthen creative potency of person, with or without reaching insights of conflict imaginable. Method: behavioral therapy, group therapy, family therapy, etc.
Reeducative Psychotherapy
Goal: the achievement of insight to unconscious conflicts, with an effort to achieve structural changes in a person's character. Method: Freudian Psychoanalysis and Non Freudian analytic psychotherapy-oriented and dynamic.