impact of psychotropics - department of psychology 480/impact of psychotropics.pdfsubstance abuse....
TRANSCRIPT
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H O W T O C O O R D I N A T E C A R E A C R O S S S E T T I N G S
W I L L I A M P U G A , M D
C H I L D A N D A D O L E S C E N T P S Y C H I A T R I S T
Impact of Psychotropics in School
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Age of onset
Anxiety Disorders Specific to childhood
Separation anxiety School phobia Selective mutism OCD
ADHD Autism Spectrum Tourette’s Major Depression
Female: adolescence-childbirth-menopause
Major mental illness: Bipolar: half start before 25 yo Schizophrenia: 16-25 yo (ave 18 in males, 25 in women)
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Mood Disorders
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BIO-PSYCHO-SOCIAL
Bio-
Psycho-
Social-
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Psychiatric Diagnosis
“Axis I”
Psychiatric
“Axis II”
DD
PD
OrganicSubstance
Abuse
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Psychiatry 101
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Oh, Homey!
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Division of labor
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Neuron
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Synapse
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Monoamine Theory
Limbic system Adrenalin
Noradrenalin
Serotonin (anxiety, sleep, eating)
Dopamine (psychosis, concentration)
GABA (inhibitory)
Glutamate (activating)
90% inhibitory
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The Triune Brain: how therapy works
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Prodromal Symptoms
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Under 7 y/o everything looks like ADHD
7 y/o
Psychosis
LD
ADHD
Bipolar
Anxiety
?
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Mood disorders
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Mood Disorders
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Bipolar vs Unipolar
Bipolar: “Chemical imbalance”
No ceiling, no floor
Unipolar depression: chemical + receptor/neuroanatomy
Post-mortem brain biopsy results
At least 2 weeks to change receptors
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Classic Clinical Symptoms
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Masked depression
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Pieces of the Bipolar Puzzle
Family history
“Affective storms”
Sleep!!
Psychosis
Vegetative symptoms of depression prepubertal
“Atypical” depression: sleep and appetite
Hard to treat ADHD
Adverse reactions to other Rx’s• Stimulants: psychosis/”speed”
• Strattera: rage
• Antidepressants: rage
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Genetics of Bipolar
General risk: 3-8%
One parent: 15-25%
Two parents: 60%
Poly-genetic
Monozygotic twins: 60% concordance
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Childhood Bipolar Factoid
Incidence in Adults: 1-3%
Incidence in Children > Adults
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Fad?
Diagnosis of Bipolar may be old school very soon
DSM 5:
Disruptive Mood Dysregulation Disorder
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MEDS
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Antidepressants
MAOI’S
Tricyclic antidepressants
SSRI’s
Prozac
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How do anti-depressant work?
Fouling up the “clean-up system”
MAO
Uptake I pump
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Meds making thing worse?
Undiscovered bipolar?
Antidepressants, stimulants
Increased aggression
Psychosis
More hyper
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Mood stabilizers
Lithium
Anti-seizureDepakoteTegretol/TrileptalTopamx/Zonegran
Anti-PsychoticsRisperdalzyprexaSeroquelAbilifyGeodonLatuda
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“Atypical” risks
Elevated cholesterol
Insulin resistance/Risk of diabetes
Weight gain
Sedation
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ADHD
Triad:
hyperactivity impulsivity
inattention
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8% of population
M>F
9:1
Inattentive 4:1
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ADHD
History: Dr Charles Bradley, 1937
Meningitis epidemic
Benzadrine
Minimal brain dysfunction
Current view
Developmental delay?
MRI: 3-5 yr lag in prefontal cortex development
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Gray matter maturation
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ADHD causes
Genetics: Developmental?
Hard drive damage:
Birth (or later?) trauma
physical: O2 deprivation
toxic: alcohol, drugs, tobacco, Pb
infectious-prenatal or peri-natal
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ADHD over a lifespanS
ym
pto
ms
Childhood Puberty Adulthood
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ADHD lifecycle
70% of patients will grow out of most ADHD symptoms
25% of patients will require meds as an adult
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Actigraphy: Bipolar vs ADHD
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Bipolar vs. ADHD
Bipolar ADHD
Awakens in the night Initial insomnia
Grandiose Demoralized
Irritable mood-”affectice storms” Poor frustration tolerance
Racing thoughts
Pressured speech
Psychosis
Family hx of bipolar
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ADHD Meds
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Stimulants
Rx’s that help: Increase dopamine
Increase noradrenalin
Histamine?
Ritalin vs Adderall = Pepsi vs Coke
Timing is everything
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Timing is everything…
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Anxiety
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Anxiety disorders
“Eu”-anxiety
Adjustment disorder
Panic Disorder
PTSD
GAD
Social
OCD
Separation anxiety
“Mash-up”
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Panic Disorder
Hereditary
F>M, 2:1
Locus ceruleus (Noradrenalin) over active
40% of school phobia kids will have panic disorder in adulthood
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PTSD
Rx:
SSRI
Clonidine/Tenex: noradrenalin
Topamax
Minipress (prazosin): NE
Males 1-3mg
Females higher (-45?)
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Separation anxiety disorder
Separation anxiety
Normal
8 months-15 months (peak 18-36 months?)
Disorder
4% children, 7% adults
Future
Increase likelihood of ADHD, bipolar, panic disorder
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OCD
Caudate nucleus: very overactive
Genetics: incomplete penetrence
PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections)
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OCD RX
Tx:
High doses of SSRI’s
Prozac 60-120mg
Inositol
3000mg +
Anafranil
Adol 150mg
Level, EKG
Neurontin?
Zofran
1-4 mg tid
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RX’s
Anti-depressants: mainstays of treatment Ssri’s Snri’s Maoi’s Remeron
Benzodiazepines (GABA 1): addictive Short acting: ativan, xanax Longer acting: Klonopin, valium, librium
GABA 2 Neurontin/lyrica
Buspar Alpha-Agonists
Clonidine Tenex
Zofran
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Anxiety Meds
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