PSYC 385 Lecture Notes - Lecture 11: Random Assignment, Venlafaxine, Posttraumatic Stress Disorder
Document Summary
Early experience formation of dysfunctional beliefs critical incident(s) beliefs activated negative automatic thoughts. Why do i feel this way: failure to disengage. Increases likelihood to mde: extends negative symptom episodes, women > men. Unipolar mood disorders: treatments: pharmacotherapy, psychological treatments, cognitive-behavior therapy (cbt, interpersonal therapy. Pharmacotherapy: tricyclics, ssris, atypical, maois, ex: imipramine, increase monoamine availability broadly, ex: prozac, increase 5-ht availability, ex: effexor, ssnri (increase availability of 5-ht & ne, ex: nardil. Pharmacotherapy: ~3-5 weeks to take effect, not everyone responds favorably, multiple medications can be tried, need to continued to use to prevent relapse, relapse can occur despite medication use. Cognitive-behavior therapy (cbt: mind over mood, targets , thoughts and beliefs are treated as (cid:498)hypotheses(cid:499, test them, activities: pleasure and mastery, automatic thoughts, cognitive distortions. Cbt and fluoxetine (prozac: rct, adolescents with mdd (primarily, ages 12-17, n = 439, typical exclusions. Additional considerations: adverse events, mania, hypomania, depression worsening, irritability, agitation, sleep disruption.
