Drugs for Mental Health chapter-31 “the Mentally Healthy person ” – one who can perceive reality accurately and has control over expression of emotions Mental Health: not a concrete achievable goal …but a lifelong process resulting in a sense of harmony and balance in a person’s life -difficult to define, highly individualized -varies from person-to-person
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Drugs for Mental Health chapter-31 “the Mentally Healthy person” – one who can perceive reality accurately and has control over expression of emotions.
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Drugs for Mental Health
chapter-31“the Mentally Healthy person” – one who
can perceive reality accurately and has control over expression of emotions
Mental Health: not a concrete achievable goal …but a lifelong process resulting in a sense of harmony and balance in a person’s life
-difficult to define, highly individualized
-varies from person-to-person
Medication in Psychotherapy
• Among the most prescribed drugs
• Used to reduce/alleviate symptoms of STRESS …to allow the patient’s participation in other psychotherapies
• DRUGS – temporarily change behavior, addiction/dependence are major concerns
• PSYCHOTHERAPY – more long-term, but … the results are more permanent
Neurosis vs Psychosis
• Neurosis: • patient is still in contact with reality• Unable to adjust favorably with
surroundings• anxiety is major symptom
• Psychosis: • patient is out of contact with reality,• unable to communicate• 2 major types
• schizophrenia • major depression
ANXIOLYTICS
• DRUGs for Anxiety (Table 31-1)
• known generally as ‘anxiolytics’ which literally means ‘to break apart, or dissolve anxiety’
• Benzodiazepines • short acting • long acting
• Misc Anxiolytics
Benzodiazepines • Introduced in the 1960’s
• Generic names end in ‘-pam’ - diazepam, lorazepam, clonazepam (exception: alprazolam, whose brand name is Xanax)
• ‘drugs-of-choice’ – safer, lower abuse potential, less tolerance and dependence (again, except for Xanax!)
• Effect: a calming-effect without extreme sedation
• Very high number of potentially dangerous DRUG and FOOD interactions!
• Avoid TYRAMINE containing foods, such as *cheese *wine *beans *chocolate (31-4, p.672)
• See DDI (Dangerous-Drug-Interactions) (31-5,p.672)
• MAOI must be ‘cleared’ from body before starting any new antidepressant (taper)
‘Atypical’ Antidepressants (2nd
generation) • Introduced in the 1980’s
• These will treat --- major depressions, reactive depressions, and anxiety disorders• Wellbutrin (bupropion)• Remeron (mirtazapine)• Desyrel (trazodone)
Alzheimer’s disease ~ 250,ooo
new cases per year!• Progressive (worsening) illness