BIOLOGICAL TREATMENT. dr. A.A.A.A. Kusumawardhani,SpKJ(K) 2009
|
|
|
- Laureen Tate
- 5 years ago
- Views:
Transcription
1 BIOLOGICAL TREATMENT dr. A.A.A.A. Kusumawardhani,SpKJ(K) 2009
2 Psychiatric treatment Comprehensive Eclectic-Holistic Psychoeducative Organobiologic Sociocultural
3 Therapy in Psychiatry Biological / Physical treatment: a. Drugs / Psycho-pharmacotherapy b. ECT/ Electro Convulsion Therapy c. Others Psychological treatment: - Psychotherapy individual/group - Psychotherapy - supportive - re-educative - re-constructive
4 Psycho-pharmacotherapy PSYCHOTROPIC DRUGS > Major action at CNS : - Thinking process - Mood - Motoric function / behaviour Clinical effect Clasification: 1. Antipsychotics/Neuroleptic/Major Tranquilizer 2. Antidepresant 3. Antianxiety/Anxyolytic sedatives/minor Tranq. 4. Antimanic/Mood stabilizer
5 Antipsychotics Classification: * Typical DA phenothiazine & Nonfenothiazine * Atypical SDA # High Potency # Low Potency
6 Pharmacokinetic of antipsychotics (1) Age : geriatric clearence Genetic : ethnics different metabolism Substance Abuse behaviour : * smoking metabolisms * alcohol metabolisms, liver function & nutrition Medical condition : * liver diseases, ex. Cirrhosis hepatis * Congestive Heart failure blood flow clearence
7 Pharmacokinetic of antipsychotics (2) Enzyme inducers *carbamazepine, phenytoin, ethambutol, barbiturate Clearance Inhibitors * SSRI, TCA, beta blocker dll. Changes in binding protein * stress, hipoalbumin, hepatic/renal failure.
8 Pharmacodynamic Mode of action : DA & SDA psychotics symptoms (hallucination, delusion, etc.) Dopamine Receptor Antagonis: * nigrostriatal system * mesolimbocortical system * tuberoinfundibuler system
9
10 Nigrostriatal pathway Substantia Nigra to Striatum. Motor control. Death of neurons in this pathway can result in Parkinson's Disease Mesolimbic and Mesocortical pathways Ventral Tegmental Area to Nucleus Accumbens, Amygdala & Hippocampus, and Prefrontal Cortex. Memory. Motivation and emotional response. Reward and desire. Addiction. Can cause hallucinations and schizophrenia if not functioning properly Tuberoinfundibular pathway Hypothalamus to Pituitary gland. Hormonal regulation. Maternal behavior (nurturing). Pregnancy. Sensory processes Dopamine Pathway
11 Release of dopamine (green) at synapses from an axon terminal (left). Dopamine is shown binding to receptors on the postsynaptic membrane (right). Dopamine receptors being blocked by an antipsychotic drug (red). Dopamine can no longer bind to the receptors on the post-synaptic membrane, so it is as if there is less dopamine in the brain.
12 Classification (chemical structure) Phenothiazines - Aliphatic : Chlorpromazine, Promazine, Triflupromazine - Piperidine : Thioridazine, Promazine, - Piperazine : Fluphenazine, Trifluoperazine
13 Classification (chemical structure) Thioxanthenes : Chlorprothixine, Thiothixene Butyrophenones : Haloperidol, Droperidol Dibenzoxazepine : Loxapine Dihydroindoles : Molindone Diphenylbutylpiperidines : Pimozide
14 Side effects (1) Neurologic : *acute (acute extrapyramidal syndrome) # acathisia # acute dystonia # parkinsonism # Neuroleptic Malignan Syndrome *chronic # tardive dyskinesia
15 Side effects (2) Cardiovascular effect * Orthostatic (Postural) Hypotension * Sudden Unexplained Death GIT * peripheral anticholinergic effects Liver, hepatology, renal, skin & eye Endocrinal dysfunction Sexual dysfunction
16 Initial Treatment Principal gradually increase dosage --> optimal dose ( 1 3 weeks) Stabilisation (up to 8-10 weeks) Maintenance (months years)
17 Side effects management (1) SE Parkinsonism use antiparkinsons drugs, such as: * artane (trihexyphenidil) * congentin (benztropin) * diphenhydramin (benadryl) (do not use routinely) NMS : *stop antypsychotic *treat symptomatically *observe vital signs
18 Side effects management (2) Tardive dyskinesia : * make a clear diagnosis ensure effective AP * use only minimal dose * caution in usage for children, geriatric, and patients with mood disorders * do regular examination for side effects * TD + give an informed consent, lower the dosage change drug * when TD getting worse stop the drug change/try Clozapin
19 ANTIDEPRESANT Classification. * derivative of tricyclic AD Imipramin - Tofranil Amitriptilin- - Laroxyl Amineptin - Survector * derivative of tetracyclic AD Maproptilin - Ludiomil Mianserin - Tolvon
20 Antidepresant (1) Monoaminoxidase Inhibitor MAOI & RIMA -moclobemide (Aurorix) Serotonergic (SSRI) - Sertralin - Fluoxetine - Fluvoxamin - Paroxetin
21 Antidepresant (2) Purpose: Heal / decrease depresive symptoms Mode of action : Increase NT concentration especially norepinephrin & serotonin
22 Antidepresant (3) Side effects: 1. Hypotension (geriatric) 2. Cardio effects (EKG abnormality) 3. Otonomic symptoms 4. CNS effect 5. Allergy 6. hematology problems 7. psychological symptoms (manic, restlessness)
23 Antidepresant (3) MAOI side effects: - hypotension & hypertension - hepatologic problem - otonomic - neurological (paresthesia,convulsion) - oedema - hematologic - psychologic disturbances - crisis hypertention
24 Antidepresant (4) Treatment Principals: - start from low dosage therapeutical effect appears within 2 / 3 weeks - maintenance phase minimal 6 months & can last for 3 5 years
25 Tricyclic Antidepressant
26 Selective Serotonin Reuptake Inhibitors
27 MAOI Monoamine Oxidase Inhibitor
28 ANTIANXIETY CLASSIFICATION 1. Derivative of Benzodiazepine - diazepam - valium - bromazepam - lexotan - lorazepam - ativan - clobazam - frisium - alprazolam - xanax Buspiron -buspar 2. Derivative of Gliserol - meprobamat 3. Der. Of Barbiturate - phenobarbital
29 Antianxiety (1) Purpose : Decrease anxiety - sedative effects - relaxation - amnesia - antiepilepsy Therapeutic Principal: - do not use high dosage - do not use more than 1 month
30 Antianxiety (2) Side Effects - drowsiness - headache - dysarthri - ataxia - appetite - dependent - withdrawal effects
31 MOOD STABILIZER Main purpose: control manic condition & prevent relapses Lithium : Indications: manic/depressive episode Effective doses : meq/l plasma level (start with 300 mg/day p.o)
32 Antimanic (1) Side Effecs : - soft tremor - diarrhea & vomiting - fatigue & vertigo - ataxia & rough tremor - declining consciousness - convulsion - oligouria & anuria - oedeme
33 Antimanic (2) Mood Stabilizer 1. Lithium salt Lithium carbonate 2. Others Carbamazepine - Priadel - Theralith - Tegretol Valproic Acid/Devalproate - Depakote
34 ELECTRO CONVULSION THERAPY (ECT) Main Indication: Major Depression Electrify the brain (using 2 elektrodes placed on temporal region) convulsion like that of grandmal epileptic
35 ECT (1) Preparation : - patient physical check up (Cardiovascular,pulmo,bones,brain) - Informed consent - fasting minimal 6 hours before ECT - prepare the patient to remain calm : distract their attention, give premedication - remove false teeth, jewelry, hair pin - nurse assistance for preventing luxasio/fracture
36 ECT (2) Tools preparation : - ECT machine - wet cotton for underlying electrodes - oxygen tube & mask - mucous suction - drugs : coramine, adrenalin - rubber teeth holder - flat bed
37 ECT (3) Execution : - Patient is laid down without pillow, in baggy hospital clothes - Rubber teeth holder Nurses hold : lower jaw/ head; shoulder; hip & knee - Doctor place the elektrodes tonic convulsion -->clonic convulsion apneu breath normally (important phase)
38 ECT (4) Post ECT observation : - important - until vital condition become normal, still unconcious, usually falling asleep; sometimes restless & moving uncontrollably nurses must keep watching until the patient is fully councious.
39 ECT (5) - after regaining consciousness, the patient often confused, disoriented and amnestic nurses help orientation and memory by communicating in stages, giving a calming and non- irritating environment.
40 OTHER BIOLOGICAL THERAPY Light therapy Sleep Deprivation & Alteration of Sleep Schedules Psychosurgery Orthomolecular therapy Subcoma Insulin therapy Coma therapy Carbon Dioxide therapy
41
42 Resource: Comprehensive Texbook of Psychiatry Kaplan HI, Saddock BJ
Psychobiology Handout
Nsg 85A / Psychiatric Page 1 of 7 Psychobiology Handout STRUCTURE AND FUNCTION OF THE BRAIN Psychiatric illness and the treatment of psychiatric illness alter brain functioning. Some examples of this are
Antidepressants. Dr Malek Zihlif
Antidepressants The optimal use of antidepressant required a clear understanding of their mechanism of action, pharmacokinetics, potential drug interaction and the deferential diagnosis of psychiatric
Study Guide Unit 3 Psych 2022, Fall 2003
Psychological Disorders: General Study Guide Unit 3 Psych 2022, Fall 2003 1. What are psychological disorders? 2. What was the main treatment for some psychological disorders prior to the 1950 s? 3. What
Final Exam PSYC2022. Fall (1 point) True or False. The DSM-IV describes the symptoms of acute intoxication with cannabis.
Final Exam PSYC2022 Fall 1998 (2 points) Give 2 reasons why it is important for psychological disorders to be accurately diagnosed. (1 point) True or False. The DSM-IV describes the symptoms of acute intoxication
Introduction to Drug Treatment
Introduction to Drug Treatment LPT Gondar Mental Health Group www.le.ac.uk Introduction to Psychiatric Drugs Drugs and Neurotransmitters 5 Classes of Psychotropic medications Mechanism of action Clinical
Antidepressants: Prof. Riyadh Al_Azzawi F.R.C.Psych
Antidepressants: Prof. Riyadh Al_Azzawi F.R.C.Psych A. Heterocyclic antidepressants: (tricyclic and tetracyclic ), e.g.amitryptaline,imipramine. B. Monoamine oxidase inhibitors(m.a.o.i), e.g.phenelzine.
Treatments for Schizophrenia
Early treatments Treatments for Schizophrenia Psychology 311 Abnormal Psychology Trephining Open a hole in the skull Let out the evil spirit Some people even survived, had multiple holes with different
Study Guidelines for Quiz #1
Annex to Section J Page 1 Study Guidelines for Quiz #1 Theory and Principles of Psychopharmacology, Classifications and Neurotransmitters, Anxiolytics/Antianxiety/Minor Tranquilizers, Stimulants, Nursing
Schizophrenia. Psychology 372 Physiological Psychology. Overview. Characterized by. Disorganized Thoughts Hallucinations Delusions Bizarre behaviors
Overview Schizophrenia Psychology 372 Physiological Psychology Steven E. Meier, Ph.D. Listen to the audio lecture while viewing these slides Probably consists of more than one disorder Is the most devastating
Faculty of dentistry Second year CND Course CNS Drugs Dr. Ali Awadallah
Faculty of dentistry Second year CND Course CNS Drugs Dr. Ali Awadallah 0912320825 Drugs that act upon the central nervous system (CNS) influence the lives of everyone, everyday. Drugs that affect the
Treat mood, cognition, and behavioral disturbances associated with psychological disorders. Most are not used recreationally or abused
Psychiatric Drugs Psychiatric Drugs Treat mood, cognition, and behavioral disturbances associated with psychological disorders Psychotropic in nature Most are not used recreationally or abused Benzodiazepines
PSYCHIATRIC DRUGS. Mr. D.Raju, M.pharm, Lecturer
PSYCHIATRIC DRUGS Mr. D.Raju, M.pharm, Lecturer PSYCHIATRIC DRUGS Treat mood, cognition, and behavioral disturbances associated with psychological disorders Psychotropic in nature Most are not used recreationally
Antipsychotics. Neuroleptics/ Major Tranquilizers. Hiwa K. Saaed, PhD Pharmacology & Toxicology /5/18 1
Antipsychotics Neuroleptics/ Major Tranquilizers Hiwa K. Saaed, PhD Pharmacology & Toxicology hiwa.saaed@univsul.edu.iq 2018-2019 12/5/18 1 Learning objectives Pharmacy students should: be familiar with
Substance Use Survey Results
Psychology 179 Fall 2006 Substance Use Survey Results Alcohol Tried Recently used Weekly beer Weekly wine Weekly mixed Males (n = 95) 87% 86% 62% 50% 55% Females (n = 223) 86% 82% 27% 25% 41% Total (n
Review of Psychotrophic Medications. (An approved North Carolina Division of Health Services Regulation Continuing Education Course)
Review of Psychotrophic Medications (An approved North Carolina Division of Health Services Regulation Continuing Education Course) Common Psychiatric Disorders *Schizophrenia *Depression *Bipolar Disorder
Drugs for Emotional and Mood Disorders Chapter 16
Drugs for Emotional and Mood Disorders Chapter 16 NCLEX-RN Review Question 1 Choices Please note Question #1 at the end of Ch 16 pg 202 & Key pg 805 answer is #4 1. Psychomotor symptoms 2. Tachycardia,
Contemporary Psychiatric-Mental Health Nursing. Psychopharmacology. Psychopharmacology - continued. Chapter 7 The Science of Psychopharmacology
Contemporary Psychiatric-Mental Health Nursing Chapter 7 The Science of Psychopharmacology Psychopharmacology A primary treatment mode of psychiatric-mental health nursing care Psychopharmacology - continued
Test Bank for Essentials of Psychiatric Mental Health Nursing 1st Edition by Varcarolis
Test Bank for Essentials of Psychiatric Mental Health Nursing 1st Edition by Varcarolis Link download full: https://testbankservice.com/download/test-bankforessentials-of-psychiatric-mental-health-nursing-1st-editionbyvarcarolis/
Out with the Old In with the New: Novel, Neuroscience-Based Re-Classification of Psychiatric Medications
Program Outline Out with the Old In with the New: Novel, Neuroscience-Based Re-Classification of Psychiatric Medications Rajiv Tandon, MD Professor of Psychiatry University of Florida College of Medicine
WESTMEAD PRIMARY EXAM GROUP PSYCHOTROPIC MEDICATIONS
WESTMEAD PRIMARY EXAM GROUP PSYCHOTROPIC MEDICATIONS DOPAMINE HYPOTHESIS Excessive limbic dopamine is hypothesised to cause psychosis Many antipsychotics inhibit dopamine 2 receptors in mesolimbic and
Treatment Options for Bipolar Disorder Contents
Keeping Your Balance Treatment Options for Bipolar Disorder Contents Medication Treatment for Bipolar Disorder 2 Page Medication Record 5 Psychosocial Treatments for Bipolar Disorder 6 Module Summary 8
Psychotropic Medication Use in Dementia
Psychotropic Medication Use in Dementia Marie A DeWitt, MD Diplomate of the American Board of Psychiatry and Neurology, Specialization in Psychiatry & Subspecialization in Geriatric Psychiatry Staff Physician,
Guidelines MANAGEMENT OF MAJOR DEPRESSIVE DISORDER (MDD)
MANAGEMENT OF MAJOR DEPRESSIVE DISORDER (MDD) Guidelines CH Lim, B Baizury, on behalf of Development Group Clinical Practice Guidelines Management of Major Depressive Disorder A. Introduction Major depressive
Antipsychotic Use in the Elderly
Antipsychotic Use in the Elderly Presented by: Fatima M. Ali, PharmD, RPh, BCPS Clinical Consultant Pharmacist MediSystem Pharmacy, Kingston Originally Prepared by: Nicole Tisi BScPhm, RPh ACPR Disclosure
Antipsychotic Medication
Antipsychotic Medication Mary Knutson, RN 3-7-12 Mosby items and derived items 2009 by Mosby, Inc., an affiliate of Elsevier Inc. 1 Clinical Uses of Antipsychotics Short-term: in severe depression and
Affective or Mood Disorders. Dr. Alia Shatanawi March 12, 2018
Affective or Mood Disorders Dr. Alia Shatanawi March 12, 2018 Affective or Mood Disorders Reactive Depression. Secondary: Medical Neurological Drugs Major (Endogenous) Depression = Unipolar: Depressed
BIOLOGICAL TREATMENT IN PSYCHIATRY. PTE ÁOK Dept.of Psychiatry Pécs
BIOLOGICAL TREATMENT IN PSYCHIATRY PTE ÁOK Dept.of Psychiatry Pécs 1 SGA effects pharmacokinetic effect chemical strucrure Receptor block D2 5-HT2 α1 H-1 M Selectíve DA (D2D3) antagonists Benzamids Amisulpiride
Psychiatric Illness. In the medical arena psychiatry is a fairly recent field A challenging field Numerous diagnosis
Psychiatric Illness In the medical arena psychiatry is a fairly recent field A challenging field Numerous diagnosis 12,000,000 children infants through 18 y/o nation wide 5,000,000 suffer severely Serious
Old drugs in modern psychogeriatry
Old drugs in modern psychogeriatry Some historical events in psychopharmacology Chemotherapy of depression Commonly used hypnotics and anti-anxiety ( minor tranquilizers ) Anti-psychotics ( major tranquilizers
Psychotropic Drugs 0, 4-
0, 4- } -v Psychotropic Drugs NORMAN L. KELTNER, Ed D, RN Associate Professor, Graduate Program, University of Alabama School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama DAVID
Mental illness A Broad Overview. Dr H Pathmanandam March 2017
Mental illness A Broad Overview Dr H Pathmanandam March 2017 Introduction Mental disorders are common in primary and secondary care Many are not recognised and not treated Some receive unnecessary or inappropriate
KEY MESSAGES. It is often under-recognised and 30-50% of MDD cases in primary care and medical settings are not detected.
KEY MESSAGES Major depressive disorder (MDD) is a significant mental health problem that disrupts a person s mood and affects his psychosocial and occupational functioning. It is often under-recognised
Symbyax (Zyprexa [olanzapine] and Prozac [fluoxetine] combination)
![Symbyax (Zyprexa [olanzapine] and Prozac [fluoxetine] combination)](/thumbs/74/70586696.jpg "Symbyax (Zyprexa [olanzapine] and Prozac [fluoxetine] combination)")
Symbyax (Zyprexa [olanzapine] and Prozac [fluoxetine] combination) Generic name: Olanzapine and fluoxetine combination Available strengths: 6 mg/25 mg, 6 mg/50 mg, 12 mg/25 mg, 12 mg/50 mg (Zyprexa/Prozac)
Drugs 101: Behavioral Pharmacology
Drugs 101: Behavioral Pharmacology Eb Blakely, Ph.D., BCBA-D Quest, Inc./Florida Institute of Technology Drug Facts Drug effects are dose-dependent Drugs effects are time-dependent Drugs are toxic at high
Safe and Effective Use of. Psychotropic Drugs. Introduction. Psychotropic Drugs. Jun NAKAMURA
Psychotropic Drugs Safe and Effective Use of Psychotropic Drugs JMAJ 47(6): 259 264, 2004 Jun NAKAMURA Professor, Department of Psychiatry, School of Medicine, University of Occupational and Environmental
DONT GIVE MEDICINE IF THE PATIENT DOES NOT NEED MEDICINE.
**Know about skin issues/rash, hypotension, vascular issues, systemic problems. No nausea, vomiting, headache. **The route it is USUALLY given.. **Know what the drug is used FOR, and the biggest SIDE EFFECT.
Medications Guide: Public Speaking And Social Anxiety
AnxietyHub.org Dr. Cheryl Mathews Medications Guide: Public Speaking And Social Anxiety Copyright 2016 AnxietyHub Medications Specifically for Public Speaking and Social Anxiety This is not intended to
Introduction to psychotropic medications JAYNE CAMPBELL
Introduction to psychotropic medications JAYNE CAMPBELL Introduction Psychotropic medications are prescription drugs that are commonly used to control some symptoms associated with many different types
Νευροφυσιολογία και Αισθήσεις
Biomedical Imaging & Applied Optics University of Cyprus Νευροφυσιολογία και Αισθήσεις Διάλεξη 19 Ψυχασθένειες (Mental Illness) Introduction Neurology Branch of medicine concerned with the diagnosis and
Chapter 161 Antipsychotics
Chapter 161 Antipsychotics Episode Overview Extrapyramidal syndromes are a common complication of antipsychotic medications. First line treatment is benztropine or diphenhydramine. Lorazepam is used in
SECTION 9 : MANAGEMENT OF MOVEMENT DISORDERS AND EXTRAPYRAMIDAL SIDE EFFECTS
SECTION 9 : MANAGEMENT OF MOVEMENT DISORDERS AND EXTRAPYRAMIDAL SIDE EFFECTS Formulary and Prescribing Guidelines 9.1 Introduction Movement disorders and extrapyramidal side effects can manifest in the
Psychopharmacology: A Comprehensive Review
Psychopharmacology: A Comprehensive Review 1) The association between a chemical compound and its biological activity, pioneered by Bovet and colleagues in the 1930s is known as a) Symbiosis b) Structure-activity
FLASH CARDS. Kalat s Book Chapter 15 Alphabetical
FLASH CARDS www.biologicalpsych.com Kalat s Book Chapter 15 Alphabetical antipsychotic drugs antipsychotic drugs Neuroleptic drugs. Used to treat schizophrenia. Primarily block dopamine receptors. atypical
Medications and Children Disorders
Mental Health Comprehensive Services Providing Family Stability and Developing Life Coping Skills Medications and Children Disorders Psychiatric medications can be an effective part of the treatment for
Psychopharmacology in the Emergency Room. Michael D. Jibson, M.D., Ph.D. Associate Professor of Psychiatry University of Michigan
Psychopharmacology in the Emergency Room Michael D. Jibson, M.D., Ph.D. Associate Professor of Psychiatry University of Michigan Pretest 1. Appropriate target symptoms for emergency room medication treatment
DEMENTIA and BPSD in PARKINSON'S DISEASE. DR. T. JOHNSON. NOVEMBER 2017.
DEMENTIA and BPSD in PARKINSON'S DISEASE. DR. T. JOHNSON. NOVEMBER 2017. Introduction. Parkinson's disease (PD) has been considered largely as a motor disorder. It has been increasingly recognized that
CHILD & ADOLESCENT PSYCHIATRY ALERTS, VOLUME XIV, 2012 INDEX
A Adderall Counterfeit, 31 addiction, internet CBT, 55 ADHD Adjunctive Guanfacine, 11 Counterfeit Adderall, 31 Developmental Trajectory and Risk Factors, 5 Dopamine Transporter Alterations, 14 Extended-Release
Objectives. Epidemiology. Diagnosis 3/27/2013. Identify positive and negative symptoms used for diagnosis of schizophrenia
Objectives Identify positive and negative symptoms used for diagnosis of schizophrenia Mohamed Sallout, Pharm D. Pharmacist Resident St. Luke s Magic Valley Regional Medical Center List medications used
Schizophrenia Pharmacology UNIVERSITY OF HAWAI I HILO PRE -NURSING PROGRAM
Schizophrenia Pharmacology UNIVERSITY OF HAWAI I HILO PRE -NURSING PROGRAM NURS 203 GENERAL PHARMACOLOGY DANITA NARCISO PHARM D Learning Objectives Understand the result of dopamine binding to D2 receptors
Overview and Update on Current Psychopharmacological Medications, Including New Medications in Clinical Trials
SPEAKER NOTES Overview and Update on Current Psychopharmacological Medications, Including New Medications in Clinical Trials Summarized by Thomas T. Thomas New psychotropic medications are coming on the
Antidepressants and Sedatives. David G. Standaert, M.D., Ph.D. Massachusetts General Hospital Harvard Medical School
Antidepressants and Sedatives David G. Standaert, M.D., Ph.D. Massachusetts General Hospital Harvard Medical School Depression A frequent problem, affecting up to 5% of the population Common presentations
Mellaril (thioridazine)
Generic name: Thioridazine Available strengths: 10 mg, 25 mg, 50 mg, 100 mg, 200 mg tablets; 30 mg/ml, 100 mg/ml oral concentrate Available in generic: Yes Drug class: First-generation (conventional) antipsychotic
An Overview on the Use of Psychotropic Medications
An Overview on the Use of Psychotropic Medications Marilyn B. Benoit, M.D. Chief Clinical Officer SVP, Clinical & Professional Affairs Classes of Medications Antidepressants Anti-anxiety Mood stabilizers
Guide to Psychiatric Medications for Children and Adolescents
Guide to Psychiatric Medications for Children and Adolescents by Glenn S. Hirsch, M.D. The following guide includes most of the medications used to treat child and adolescent mental disorders. It lists
Schizophrenic twin. Normal twin
Brain anatomy and activity are often abnormal in schizophrenics - many studies have found the ventricles in schizophrenic patients enlarged (see below). - at the structural level, several brain areas have
A Basic Approach to Mood and Anxiety Disorders in the Elderly
A Basic Approach to Mood and Anxiety Disorders in the Elderly November 1 2013 Sarah Colman MD FRCPC Clinical Fellow, Geriatric Psychiatry Mount Sinai Hospital, University of Toronto Disclosure No conflict
Available Online through.
Available Online through ISSN: 0975-766X CODEN: IJPTFI Review Article www.ijptonline.com DRUGS USED IN MENTAL DISORDER: AN OVERVIEW Zubaida Marufee Islam* Department of Pharmacy, The University of Asia
Psychopharmacology. Psychopharmacology. Hamish McAllister-Williams Reader in Clinical. Department of Psychiatry, RVI
Regional Affective Disorders Service Psychopharmacology Northumberland, Tyne and Wear NHS Trust Hamish McAllister-Williams Reader in Clinical Psychopharmacology Department of Psychiatry, RVI Intro NOT
Psychoactive drugs Drugs which affect mental processes. Legal but restricted (by prescription only)
Psychoactive drugs Drugs which affect mental processes mood, perception, memory, state of consciousness May be illegal: Heroin Cocaine Legal: Alcohol nicotine Legal but restricted (by prescription only)
Psychiatric Pharmacotherapy { Objectives. Overview 4/5/2016
Psychiatric Pharmacotherapy { Elizabeth Lake, PharmD PGY1 Pharmacy Practice Resident G.V. Sonny Montgomery VA Medical Center Objectives The purpose of this activity is to enable the nurse practitioner
Behavior Therapy. Therapy that applies learning principles to the elimination of unwanted behaviors.
Behavior Therapy Therapy that applies learning principles to the elimination of unwanted behaviors. To treat phobias or sexual disorders, behavior therapists do not delve deeply below the surface looking
Class: Treatment with Medication:
Class: As we have not finished all the material covering disorders, I wanted to give you and overview of some disorders we have not had a chance to discuss. I feel you are well prepared in different types
Schizophrenia and Related Psychotic Disorders
and Related Psychotic Disorders Anand K. Pandurangi, MD Professor & Chair, Div. of Inpatient Psychiatry Director, Program VCU Medical Center 1 Kraeplin 1896 Dementia Praecox. Single, Homogenous Disorder
Psychopathology: Biological Basis of Behavioral Disorders
1 6 Psychopathology: Biological Basis of Behavioral Disorders 16 Psychopathology: Biological Basis of Behavioral Disorders The Toll of Psychiatric Disorders Is Huge Schizophrenia is the major neurobiological
Anti-Depressant Medications
Anti-Depressant Medications A Introduction: This topic may be a little bit underestimated here in Jordan, while in western countries it has more significance. The function of anti-depressants is to change
Drugs, Society and Behavior
SOCI 270 Drugs, Society and Behavior Spring 2016 Professor Kurt Reymers, Ph.D. Chapter 8 Medication for Mental Disorders 1. Mental Disorders: a. The Medical Model Model: symptoms diagnosis determination
Psychoactive Medications. Alya Reeve, MD Carla Fedor, RN, CDDN Continuum of Care Project
Psychoactive Medications Alya Reeve, MD Carla Fedor, RN, CDDN Continuum of Care Project PSYCHOACTIVE MEDICATIONS Definition: Any medication which has the capability to alter mood, anxiety, behavior or
Introduction to the pharmacology of the central nervous system (CNS) drugs
Introduction to the pharmacology of the central nervous system (CNS) drugs Neurotransmitter (NT) (can be called as chemical transmitter or chemical messenger) is defined as any of a group of chemical agents
Medically Accepted Indications for Pediatric Use of Psychotropic Medications by
Key: White Background: Medically Accepted Indication Yellow Backgroun: Medically Accepted Indication Status Not Ascertained Orange Background: Pediatric Indication cited, but not supported Red Background:
Antipsychotic Drugs. Munir Gharaibeh, MD, PhD, MHPE March, 2018
Antipsychotic Drugs Munir Gharaibeh, MD, PhD, MHPE March, 2018 المھدي ات( م ض ا د ا ت( Antipsychotic Drugs These are the drugs used in the treatment of psychotic diseases( e.g. schizophrenia). ا ل ك ب
Switching antipsychotics: Basing practice on pharmacology & pharmacokinetics
Switching antipsychotics: Basing practice on pharmacology & pharmacokinetics John Donoghue Liverpool L imagination est plus important que le savoir Albert Einstein Switching Antipsychotics: Objectives
AP PSYCH Unit 13.3 Biomedical Therapies
AP PSYCH Unit 13.3 Biomedical Therapies Prescribed medications or medical procedures that act directly on the patient s nervous system. Drugs that alter brain chemistry Affecting brain circuitry with electric
ANTIPSYCHOTICS/ NEUROLEPTICS
Pharmacological Interventions Tutorial Antipsychotic medications First Generation (Typicals) Includes phenothiazines, thioxanthenes, butyrophenones ANTIPSYCHOTICS/ NEUROLEPTICS Second Generation (Atypicals)
Medications for Anxiety & Behavior in Williams Syndrome. Disclosure of Potential Conflicts. None 9/22/2016. Evaluation
Medications for Anxiety & Behavior in Williams Syndrome Christopher J. McDougle, M.D. Director, Lurie Center for Autism Professor of Psychiatry and Pediatrics Massachusetts General Hospital and MassGeneral
ALAMEDA COUNTY BEHAVIORAL HEALTH CARE SERVICES MEDICATION FORMULARY
ANTIDEPRESSANTS Serotonin Selective Reuptake Inhibitors citalopram 10, 20, 40 mg, 10 mg/5cc $ 0.40 No escitalopram 10, 20 mg $ 2.60 Yes fluoxetine 10, 20 mg, 20 mg/5 ml $ 0.40 Yes fluvoxamine 25, 50, 100
DISEASES AND DISORDERS
DISEASES AND DISORDERS 13. The mood (affective) disorders 99 14. The psychotic disorders: schizophrenia 105 15. The anxiety and somatoform disorders 111 16. Dementia and delirium 117 17. Alcohol and substance-related
A Primer on Psychotropic Medications. Michael Flaum, MD
The Iowa Mental Health System and Employment for Individuals with Psychiatric Conditions Iowa Vocational Rehabilitation Services Conference Des Moines, IA, September 18, 2006 A Primer on Psychotropic Medications
THIOTHIXENE. THERAPEUTICS Brands Navane see index for additional brand names. Generic? Yes
THIOTHIXENE THERAPEUTICS Brands Navane see index for additional brand names Generic? Yes Class Conventional antipsychotic (neuroleptic, thioxanthene, dopamine 2 antagonist) Commonly Prescribed for (bold
Psychopharmacology in the Emergency Room. Michael D. Jibson, M.D., Ph.D. Professor of Psychiatry University of Michigan
Psychopharmacology in the Emergency Room Michael D. Jibson, M.D., Ph.D. Professor of Psychiatry University of Michigan Pretest 1. Which of the following conditions is LEAST likely to benefit from emergency
Chapter 03: Psychobiology and Psychopharmacology Halter: Varcarolis Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition
Chapter 03: Psychobiology and Psychopharmacology Halter: Varcarolis Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition MULTIPLE CHOICE 1. A patient asks, What are neurotransmitters?
ANTIPSYCHOTICS AGENTS CONVENTIONAL
ANTIPSYCHOTICS AGENTS CONVENTIONAL Documentation A. FDA approved indications 1. Psychotic Disorder (Haloperidol, Thiothixene) 2. Schizophrenia 3. Bipolar Disorder, Manic (Chlorpromazine) 4. Severe Behavioral
4/2/13 COMMON CLASSES OF MEDICATIONS. Child & Adolescent Behavioral Medicine & Medication Therapies. Behavioral Medicine & Medication Therapies
Child & Adolescent Behavioral Medicine & Medication Therapies Brian J Cowles, PharmD Associate Professor of Pharmacy Practice Albany College of Pharmacy & Health Sciences; Vermont Campus Behavioral Medicine
Affective Disorders.
Affective Disorders http://www.bristol.ac.uk/medicalschool/hippocrates/psychethics/ Affective Disorders Depression Mania / Hypomania Bipolar mood disorder Recurrent depression Persistent mood disorders
SUMMARY OF PRODUCT CHARACTERISTICS FOR BENZODIAZEPINES AS ANXIOLYTICS OR HYPNOTICS
SUMMARY OF PRODUCT CHARACTERISTICS FOR BENZODIAZEPINES AS ANXIOLYTICS OR HYPNOTICS Guideline Title Summary of Product Characteristics for Benzodiazepines as Anxiolytics or Hypnotics Legislative basis Directive
Smoking Cessation Pharmacotherapy Guidelines
Smoking Cessation Pharmacotherapy Guidelines INTRODUCTION This guideline is based on public health guidance 10 Smoking Cessation Services issued by the National Institute for Health and Clinical Excellence
Professor David Castle. Ms. Nga Tran. St. Vincent s Mental Health Level 2, 46 Nicholson Street, Fitzroy Vic 3065
ARABIIC Professor David Castle Ms. Nga Tran St. Vincent s Mental Health Level 2, 46 Nicholson Street, Fitzroy Vic 3065 (03) 9288 4147 (03) 9288 4751 Psychiatric Medication Information / Arabic 1 Psychiatric
Depression and Anxiety. What is Depression? What is Depression? By Christopher Okiishi, MD Spring Not just being sad A syndrome of symptoms
Depression and Anxiety By Christopher Okiishi, MD Spring 2016 What is Depression? Not just being sad A syndrome of symptoms Depressed mood Sleep disturbance Decreased interest in usual activities (anhedonia)
Caring for the Mind: Managing Depression and Anxiety. Highlights from 2017 ONS Congress
Caring for the Mind: Managing Depression and Anxiety Highlights from 2017 ONS Congress Mood and Anxiety Disorders: Symptoms of mood disorders Non-reactive mood, worthlessness, guilt, loss of interest,
Treatments. 1.
Treatments The modern treatment era in psychiatry began with the introduction of effective psychotropic medication in the early 1950s. Until that time, the mainstay of treatment was psychotherapy, although
Short Clinical Guidelines: General Anxiety Disorder (GAD)
Definition is one of the most prevalent psychiatric disorders seen in the primary care office and is characterized by excessive anxiety and worry about a number of events that cause clinically significant
Psychiatric Medication Guide
Psychiatric Medication Guide F O R : N E O N P R I M A R Y H E A L T H C A R E P R O V I D E R S B Y : M I C H E L L E R O M E R O, D O M A Y, 2 0 1 3 Anti-depressants TCA s & MAOI s (Tricyclic Antidepressants
PSYCHIATRY INTAKE FORM
Please complete all information on this form. PSYCHIATRY INTAKE FORM Name Date Date of Birth Primary Care Physician Current Therapist/Counselor What are the problem(s) for which you are seeking help? 1.
Norpramin (desipramine)
Generic name: Desipramine Available strengths: 10 mg, 25 mg, 50 mg, 75 mg, 100 mg, 150 mg tablets Available in generic: Yes Drug class: Tricyclic antidepressant General Information Norpramin (desipramine)
Abilify (aripiprazole)
Abilify (aripiprazole) FDA ALERT [04/2005] Abilify is a type of medicine called an atypical antipsychotic. FDA has found that older patients treated with atypical antipsychotics for dementia had a higher
Depression in Late Life
Depression in Late Life Robert Madan MD FRCPC Geriatric Psychiatrist Key Learnings Robert Madan MD FRCPC Key Learnings By the end of the session, participants will be able to List the symptoms of depression
IMPORTANT NOTICE. Changes to dispensing of some Behavioral Health Medications for DC Healthcare Alliance members
IMPORTANT NOTICE Changes to dispensing of some Behavioral Health Medications for DC Healthcare Alliance members These changes apply only to members covered under the DC Healthcare Alliance program Alliance