1. © 2006 McGraw-Hill Higher Education. All rights reserved. Chapter 8 Medication for Mental Disorders

2. © 2006 McGraw-Hill Higher Education. All rights reserved. Mental Disorders  The Medical Model:  Pros and cons  No diagnostic test  Treatment of symptoms

3. © 2006 McGraw-Hill Higher Education. All rights reserved. Anxiety Disorders  Panic disorder  Specific phobia  Social phobia  Obsessive-compulsive disorder  Posttraumatic Stress disorder  Generalized anxiety disorder

4. © 2006 McGraw-Hill Higher Education. All rights reserved. Treatment of Mental Disorders  “Malaria therapy”  Thiopental sodium – truth serum  Insulin – shock  Electronvulsive therapy  Phenothiazines

5. © 2006 McGraw-Hill Higher Education. All rights reserved. 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. © 2006 McGraw-Hill Higher Education. All rights reserved. Antidepressant  Monoamine Oxidase Inhibitors  Tricyclic Antidepressant  Selective Serotonin Reuptake Inhibitors  Mechanism of antidepressant action

7. © 2006 McGraw-Hill Higher Education. All rights reserved. Electroconvulsive Therapy  Most effective treatment for the depressed patient  Very effective for possible suicide

8. © 2006 McGraw-Hill Higher Education. All rights reserved. Mood Stabilizers  Lithium  Valproic  Carbamazepine and lamotrigine

9. © 2006 McGraw-Hill Higher Education. All rights reserved. Consequences of Drug Treatment for Mental Illness  Number of people in mental hospital  Outpatient programs  Changes for psychiatrists  From hospital to jail

10. © 2006 McGraw-Hill Higher Education. All rights reserved. Figure 8.1 Number of patients in nonfederal hospitals, 1946-2002.