Download MENTAL ILLNESS The Medical Model

Psychotherapeutic Drugs
3
Revolutions in
Psychology - Psychiatry
MENTAL ILLNESS

Drugs Are A Primary Therapy
For Mental Illness
 They
are not cures
 They
often have undesirable side effects
MENTAL ILLNESS

The Medical Model
 Patient
 Symptoms
 Diagnosis
 Disease
 Cause
 Cure
MENTAL ILLNESS

The Medical Model—For Infectious Disease,
Straightforward
 Symptoms
suggest particular disorder
 Diagnostic test confirms diagnosis
 Identify the cause
 Clarify the treatment
 Infection is cleared up
 The disorder is cured
Controversial, Complex for Mental
Health  WHY?

MENTAL ILLNESS

The Medical Model for MH
MENTAL ILLNESS

Classification of Mental Disorders—
APA’s Diagnostic and Statistical Manual of
Mental Disorders has become the standard
 Anxiety
disorders
 Schizophrenia
 Bipolar disorder
 Depression
TREATMENT OF
MENTAL DISORDERS

Before 1950
 Modern
drug therapy began in 1917
 Several early drug treatments looked promising,
but relapse rates were high
 Electroconvulsive therapy (ECT)
 Paraldehyde, the chemical straightjacket
TREATMENT OF
MENTAL DISORDERS

Antipsychotics
 Treatment
effects and considerations
 __________________________________
 Mechanism
 Side
of antipsychotic action
effects
___________________________________
 ____________________________________
 ____________________________________

TREATMENT OF
MENTAL DISORDERS

Atypical antipsychotics
 Treatment
effects and considerations
 __________________________________
 __________________________________
 __________________________________
 Side
effects
___________________________________
 ____________________________________
 ____________________________________

TREATMENT OF
MENTAL DISORDERS

Antidepressants
 Monoamine
 Tricyclic
oxidase (MAO) inhibitors
antidepressants
TREATMENT OF
MENTAL DISORDERS

Antidepressants
 Selective

serotonin reuptake inhibitors (SSRIs)
SSNRIs
 Mechanism
of antidepressant action
TREATMENT OF
MENTAL DISORDERS

Lithium
 Originally
 Acts
used as salt substitute
as a mood-normalizing agent in bipolar
illness
TREATMENT OF
MENTAL DISORDERS

Other Mood Stabilizers

Seizure meds

depakote
tegretol

lamictal

THE CONSEQUENCES OF
DRUG TREATMENTS
FOR MENTAL ILLNESS

Over a Half-Million Patients in Mental
Institutions in 1950s


Continual reduction in patient population since
1955, the year chlorpromazine was introduced
Community Mental Health Centers
 Offer
services close to home and at less expense