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happens suddenly around 20 |
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person always had odd characteristics-->socially isolated-->slide into schizo ep |
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ones that shouldn't be present (delusions, hallucinations, bizarre speech) |
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loss or absence of functioning (paucity of thought, flattened affect, poor hygiene) |
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takes info from nervous system-->mid brain |
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NTs open channel-->release ions |
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nTs cause receptors to create g-protein-->open ion channels-->2nd messenger-->turn on DNA |
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made in neurons; released across synaptic cleft |
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Ach, DA, NE, 5HT, GABA, Glu |
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similar properties as small neurotransmitter |
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endorphins, oxytocin, AVP |
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released by neuron into circulation & target organ |
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estrogen, testosterone, cortisol, insulin, thyroxin |
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released by neuron into circulation and target organ |
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oxytocin, AVP (arginine Vasopressin) |
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excitatory NT; precursor to GABA |
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Tyrosine-->L-Dopa-->Dopamine-->NE-->Epinephrine |
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create vesicles @terminal buttons-->cell membrane-->release DA into synapse
Autoreceptors on DA neurons stop producing DA after certain amt produced
Transporters on DA neurons remove excess DA from synapse |
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Nigrostriatal mesolimbic mesocortical |
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midbrain to striatum; gross motor mvmts shortage of DA-->Parkinson's symptoms |
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DA neurons from Ventral Tegmental area project into limbic system;emotion and memory |
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VT area-->prefrontal cortex; high order thought, anticipation, fantasy |
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Locus coeruleus @brain stem;forebrain bringing E to cortex, limbic system, thalamus & hypothalamus; hunger, arousal, sleep pain |
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Dietary Trptophan->L-Trp (blood)->L-trp (brain)-->5HTP-->5HT |
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starts @ raphe nuclei (midline of brainstem--> neocortex, thalamus, hypothalamus, lumbic system; 5HT1A receptor contributes to mood & anxiety |
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persistent low level depression occuring more days than not over 2 years |
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Suicide/depression rule of 7s |
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1/7 recurrent depressive illness commits suicide 70% suicides have depressive illness 70% suicides see MD w/in 6 wks of suicide suicide=7th leading cause of death |
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Depressed brain structure |
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dec volume & inc activity @ prefrontal cortex smaller Hippocampus larger amygdala inc activiated Anterior Cingulate Cortex less active nucleus accumbus dec serotonin inc amygdala |
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Schizophrenic brain changes |
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inc D2 receptors dec amygdala dec hippocampus reduc in volume of regions in frontal/temporal lobes inc size of ventricles-->dec neurons diminished NMDA receptors (glutamate) |
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mvmt and emotions in schizo- paranoia & hallucinations |
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problem solving in schizo-diffculty in planning actions and organizing thoughts |
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emotions in schizo-agitation amygdala and hippocampus |
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processes info about visual world |
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mediates learning and memory formation, episodic memory |
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Diffs btw 1st/2nd gen antipsychotics |
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1st gen good for pos symptoms 2nd fewer extrapyramidal symptoms |
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dec intensity of pos symptoms, reduce rlapse, dec social disability |
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dopamine and glutamate in schizo |
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overactive dopaminergic receptors inhibit release of glutamate |
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movement, perception of stimuli somatosensory area |
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visual processing-->hallucinations |
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regulation and coordination of movement |
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DA and its pathways & schizo symptoms |
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too much in mesolimbic-->pos sx too little in mesocortical-->neg sx too little in nigrostriatal-->parkinsons too little in tuberoinfundibular-->breast milk secretion |
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serotonin-Dopamine antagonist antipsychotic 5HT2A inhibitors in sertaonergic neurons release DA |
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mood congruent psychotic state |
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BPD 1 delusions are related to mood state |
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prevent breakdown of 5HT serious side effects due to excess NE 1st gen antiderpessants |
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1st reuptake inhibtors block transporters in presynaptic neuron side effects bc bind other targests antidepressants |
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selective serotonin inhibitors specific to serotonin by down regulating receptors |
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medulla, pons, midbrain, cerebellum homeostasis |
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regulates pituitary eating, drinking, sex |
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fight or flight inc activation in depressed/anxious smaller in schizo |
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top of pons; controls body mvmt |
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atypical just as effective in red pos sx also red neg sx more enhancement of cog functions greater tx compliance |
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overactive or hypersensitive DA system |
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ion channels under resting conditions |
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Cl, K channels open Na channels closed NA/K pump actively transports K into cell, more NA out of cell |
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level of excitation crosses threshold all or nothing rapid and dramatic movement in pos direction followed by rapid restoration of resting potential generated at axon hillock |
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stages of neurotransmission |
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synthesis-made from precursor storage-stored in vesicles release-influx of calcium ions into terminal postsynaptic action-binds to receptors inactivation-enzymes break down transmitters or transporters reuptake |
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lateral prefrontal cortex |
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judging vbalue of rewards and assessing value of an acion for obtaining a predicted outcome |
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controls vital reflex functions |
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compromised in ddpressed stress-->NE@hypothalamus-->CRH@ pituitary-->cortisol @adrenals |
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cog symptoms precede mood symptoms |
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narrow x rays passed through tissues |
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magnetic field around brain |
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ways to misues brain imaging |
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prove brain body theory (dualism) simplify brain functions to physical disregard fact that brain molds itself from experience |
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