PSYC 102 Lecture Notes - Lecture 7: Generalized Anxiety Disorder, Dorothea Dix, Philippe Pinel
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Middle ages 17th century: madness = in league with the devil, torture, hanging, burning, sent to sea. 18th century: mentally disordered, degenerates, keep them away from society. Reformed paris mental hospital so release was possible: dorothea dix (1802-1887) Lobbied for human mental asylum in us. Most prevalent form of treatment of mental disorders. 3 classes of medications: anti-anxiety agents: anxiety disorders, phobias, ptsd, anti-depressants: depression, anti-psychotics: for schizophrenia and other psychotic disorder. Brain chemicals that communicate info between nerve cells. Inhibitory: decrease action potential, serotonin, gaba, dopamine. How they work: most increase norepinephrine and serotonin, 2-3 weeks delay in effectiveness. Tricyclics: elavil, tofranil, block reuptake of serotonin and norepinephrine, side effects: dry mouth, constipation, sexual dysfunction, drowsiness, blurred vision, increased heart rate. Selective serotonin reuptake inhibitors (ssris: prozac, zoloft, paxil, celexa, as effective with fewer side effects (but headaches, nausea, low sex drive, 55-70% show reduced symptoms. Serotonin and norepinephrine reuptake inhibitors (nsris: effexor, cymbalta.
