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Chapter 8

Chapter 8. Medication for Mental Disorders. Mental Disorders. The Medical Model: Pros and cons No diagnostic test Treatment of symptoms. Anxiety Disorders. Panic disorder Specific phobia Social phobia Obsessive-compulsive disorder Posttraumatic Stress disorder

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Chapter 8

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  1. Chapter 8 Medication for Mental Disorders

  2. Mental Disorders • The Medical Model: • Pros and cons • No diagnostic test • Treatment of symptoms

  3. Anxiety Disorders • Panic disorder • Specific phobia • Social phobia • Obsessive-compulsive disorder • Posttraumatic Stress disorder • Generalized anxiety disorder

  4. Treatment of Mental Disorders • “Malaria therapy” • Thiopental sodium – truth serum • Insulin – shock • Electronvulsive therapy • Phenothiazines

  5. Treatment of Mental Disorders • Antipsychotics Action: • Pseudoparkinsonism • Block D2 dopamine receptors • Treatment effects and consideration • Mechanism of Antipsychotic action • Side Effects: • Not addictive • Some small allergic • Agranulocytosis • Tardive dyskinesia

  6. Antidepressant • Monoamine Oxidase Inhibitors • Tricyclic Antidepressant • Selective Serotonin Reuptake Inhibitors • Mechanism of antidepressant action

  7. Electroconvulsive Therapy • Most effective treatment for the depressed patient • Very effective for possible suicide

  8. Mood Stabilizers • Lithium • Valproic • Carbamazepine and lamotrigine

  9. Consequences of Drug Treatment for Mental Illness • Number of people in mental hospital • Outpatient programs • Changes for psychiatrists • From hospital to jail

  10. Figure 8.1 Number of patients in nonfederal hospitals, 1946-2002.

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