The riddle of melancholia has stumped generations of doctors. It is a serious depressive illness that often leads to suicide and premature death. The disease’s link to biology has been intensively studied. Unlike almost any other psychiatric disorder, melancholia sufferers have abnormal endocrine functions. Tests capable of separating melancholia from other mood disorders were useful discoveries, but these tests fell into disuse as psychiatrists lost interest in biology and medicine. In the nineteenth century, theories about the role of endocrine organs encouraged endocrine treatments that loomed prominently in practice. This interest faded in the 1930s but was revived by the discovery of the adrenal hormone cortisol and descriptions of its abnormal functioning in melancholic and psychotic depressed patients. New endocrine tests were devised to plumb the secrets of mood disorders. Two colorful individuals, Bernard Carroll and Edward Sachar, led this revival and for a time in the 1960s and 1970s intensive research interest established connections between hormone dysfunctions and behavior. In the 1980s, psychiatrists lost interest in hormonal approaches largely because they did not correlate with the arbitrary classification of mood disorders. Today the relation between endocrines and behavior have been disregarded. This history traces the enthusiasm of biological efforts to solve the mystery of melancholia and their fall. Using vibrant language accessible to family care practitioners, psychiatrists and interested lay readers, the authors propose that a useful, a potentially live-saving connection between medicine and psychiatry, has been lost.
JOURNAL CLUB!
Every Tuesday & Friday I post a journal prompt to help keep you motivated and working on yourself!
JOIN NOW: https://www.youtube.com/katimorton/join Order my book today!
ARE U OK? http://geni.us/sva4iUY
Schizotypal Personality Disorder: There are so many various diagnostic criteria that I want you to make sure you spend a lot of time with your therapist or psychiatrist before they give you this diagnosis. Many people find themselves being misdiagnosed because some of the criteria for schizotypal personality disorder overlaps with what they are really struggling with. Some of the diagnostic criteria are: Those with this disorder struggle in social situations and have a hard time with interpersonal relationships. They also have cognitive and perceptual distortions which can lead them to doing odd things, because they see and think things that others do not. In addition to this they must have at least 5 of the following 9 symptoms.
1. Ideas of reference. This means that they believe everything happening to them has some sort of significance (ie. this is all leading me to my destiny, or this is my fate, etc).
2. Odd beliefs or magical thinking. Meaning that they have these sets of beliefs that are not related to their culture or religious beliefs. Magical thinking is when we believe we have a sixth sense or that we can see the future. They may also believe that they have magical control over others (thinking that the reason you are opening the door for them is because they thought of it and thought you should do that).
3. Unusual perceptual experiences. This may be that they say they can sense someone nearby or that they hear someone murmuring their name. They will perceive things that someone without this disorder would not.
4. Odd thinking and speech. Can be very vague or speak in riddles. They may also be very tangential meaning they get off topic and we can’t tell what they are talking about anymore.
5. Suspiciousness or paranoid ideation. Meaning it’s hard for them to trust anyone. They are suspicious of everything and everyone.
6. Inappropriate or constricted affect. This means that the facial expressions we would expect do not happen. They may appear flat (showing no emotion at all) or laugh when everyone else is shocked.
7. Behavior or appearance that is odd. Since they are suspicious or everyone and perceive things that are not there, of course they act a bit odd!
8. Lack of close friends other than first degree relatives. This makes sense if we are suspicious of everyone, speak and look differently it can be hard for us to connect with others.
9. Excessive social anxiety that doesn’t diminish with familiarity. I also think it’s important to note that these symptoms are not due to a medical condition or a change in medication. Those changes can cause symptoms such as these and we need to rule those causes out. Anti-Social Personality Disorder video: https://youtu.be/VSdyktUjZSISubscribe here! http://bit.ly/2j2frsv
I’m Kati Morton, a licensed therapist making Mental Health videos – Depression, Eating Disorders, Anxiety, Self-Harm and more! Mental health shouldn’t have a stigma attached to it. You’re worth the fight! New Videos every Monday and Thursday! Visit http://www.katimorton.com for community support!
MERCH! https://store.dftba.com/collections/kati-morton
PATREON https://www.patreon.com/katimorton
TWITTER http://www.twitter.com/katimorton
FACEBOOK http://www.facebook.com/katimorton1
TUMBLR http://www.katimorton.tumblr.com
PINTEREST http://www.pinterest.com/katimorton1Business email: linnea@toneymedia.com SENDING KATI STUFF
PO Box
1223 Wilshire Blvd. #665
Santa Monica, CA 90403****PLEASE READ****
If you or someone you know is in immediate danger, please call a local emergency telephone number or go immediately to the nearest emergency room!HELP! SUBTITLE VIDEOS http://goo.gl/OZOQXi Subtitle videos if you know English or any other languages! You can help people who are either hearing impaired or non native English speaking. By doing this, you are helping others and strengthening our community.MY FREE WORKBOOKS
Easy to follow at home workbooks for your mental health
Self-Harm workbook http://goo.gl/N7LtwU
Eating Disorder workbook http://goo.gl/DjOmkC
LGTBQ workbook http://goo.gl/WG8jcZKATIFAQ VIDEOS
Wondering if I have answered a question like yours?
Search for it here: http://goo.gl/1ECSlOHelp us caption & translate this video!http://amara.org/v/48im/ ****PLEASE READ****
If you or someone you know is in immediate danger, please call a local emergency telephone number or go immediately to the nearest emergency room.
Informal caregivers – family members, friends, and other loved ones – are an essential, uncompensated and significantly burdened extension of the healthcare team. Rapid advances in cancer care, including new drugs and immunotherapies and more sophisticated diagnostic tools, have markedly improved the ability to medically extend lives and enhance survival. As patients are living longer, with today’s shorter hospital stays and shift towards increased outpatient care, however, the demands placed on all caregivers and their needs have substantially increased. Cancer Caregivers reveals the field of Psycho-Oncology’s exploration of the depth of complexities of caregiving experiences and identifies the vast expanses left to be understood. This text describes the characteristics and experiences of cancer caregivers based on their life stage, relationship to the patient, and ethnic group membership, as well as patients’ disease and treatment type. It highlights the significant progress in research focused on the development and dissemination of psychosocial interventions for cancer caregivers, and includes in-depth case studies to illustrate their delivery and application. The text also explores the provision of support to caregivers in the community and the legal and ethical concerns faced by caregivers throughout the caregiving process. Cancer Caregivers offers both fundamental and practical information and is the essential resource for all healthcare professionals who work with patients and families facing cancer.
CEUs for this course can be found here: https://www.allceus.com/member/cart/index/product/id/488/c/Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Patreon: https://www.patreon.com/CounselorToolbox Help us keep the videos free for everyone to learn by becoming a patron.
Pinterest: drsnipes
Podcast: https://www.allceus.com/counselortoolbox/Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at: https://www.allceus.com/member/cart/index/product/id/499/c/View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check outAllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.Mechanism of action/purpose…
Where is it found
Precursor, L-DOPA is synthesized in brain and kidneys
Dopamine functions in several parts of the peripheral nervous system
In blood vessels, it inhibits norepinephrine release and acts as a vasodilator (relaxation)
In the pancreas, it reduces insulin production
In the digestive system, it reduces gastrointestinal motility and protects intestinal mucosa
In the immune system, it reduces lymphocyte activity.
Symptoms of excess & insufficiency…
Most antipsychotic drugs are dopamine antagonists
Dopamine antagonist drugs are also some of the most effective anti-nausea agents
Changes in dopamine levels may also cause age-related changes in cognitive flexibility.
Symptoms of excess & insufficiency
Insufficient dopamine…
Nutritional building blocks
Eating a diet high in magnesium and tyrosine rich foods will ensure you’ve got the basic building blocks needed for dopamine production.
Medications
Most common dopamine antagonists (positive symptoms)
Risperdone, Haldol, Zyprexa
Metoclopramide (Reglan) is an antiemetic and antipsychotic
Dopamine Hypothesis
Patients with schizophrenia do not typically show measurably increased levels of brain dopamine activity
Other dissociative drugs, notably ketamine and phencyclidine that act on glutamate NMDA receptors (and not on dopamine receptors) can produce psychotic symptoms.
Those drugs that do reduce dopamine activity are a very imperfect treatment for schizophrenia: they only reduce a subset of symptoms, while producing severe short-term and long-term side effects
GABA Mechanism of action/purpose
Anti-anxiety, Anti-convulsant GABA is made from glutamate
GABA functions as an inhibitory neurotransmitter –
Glutamate acts as an excitatory neurotransmitter
GABA does the opposite and tells the adjoining cells not to “fire”
Where they are found
Close to 40% of the synapses in the human brain work with GABA and therefore have GABA receptors.
Medications
Drugs that act as allosteric modulators of GABA receptors (known as GABA analogues or GABAergic drugs) or increase the available amount of GABA typically have relaxing, anti-anxiety, and anti-convulsive effect
Gabapentin (neurontin) is a GABA analogue used to treat epilepsy and neurotic pain.
Benzodiazepines and Barbiturates including GHB, Valium, Xanax
Serotonin
Mechanism of action/purpose
Helps regulate
Mood
Sleep patterns
Appetite
Pain
SerotoninSerotonin
Serotonin
Insufficiency
Depression
Anxiety
Pain sensitivity
Acetylcholine
Their mechanism of action/purpose
In lower amounts, ACh can act like a stimulant by releasing norepinephrine (NE) and dopamine (DA).
Memory
Motivation
Higher-order thought processes
Sexual desire and activity
Sleep
Acetylcholine
Symptoms of excess
Depression (all symptoms)
Nightmares
Mental Fatigue
Anxiety
Inverse relationship between serotonin and acetylcholine
Insufficiency
Alzheimers/dementia
Parkinsons
Impaired cognition, attention, and arousal
Cholinergic and GABAergic pathways are intimately connected in the hippocampus and basal forebrain complex.
It is not always about increasing a neurotransmitter. Sometimes you need to decrease it.
Human brains try to maintain homeostasis and too much or too little can be bad
A balanced diet will provide the brain the necessary nutrients in synergystic combinations
Treatment-resistant major depression and bipolar disorder are highly prevalent and disabling conditions associated with substantial morbidity and mortality. The assessment and management of refractory patients with mood disorders is a major clinical challenge for mental health providers. Part of the Oxford Psychiatry Library (OPL) series, this pocketbook provides a concise view of the current definitions, assessment and evidence-based management of treatment-resistant mood disorders and reviews novel therapeutic targets for mood disorders, which may enhance the therapeutic armamentarium of clinicians in the near future. The pocketbook serves as a useful guide for mental health practitioners, including psychiatrists, clinical psychologists, trainees, and interested primary care physicians.
Calm, pleasure and satisfaction is what most people experience after eating. But for people with eating disorders, food brings anxiety, disturbance and noise. Dr. Hill takes a look from the inside out from the “sound” to the biology of these diseases and how the future holds a different approach to manage the illness while bringing these patients hope.
13 people, aged 18-25 talk about what it’s like to live with a mental health problem, and what helps them cope.Watch part 2 https://www.youtube.com/watch?v=ETN7RXV_d3g
Find out more about the young people in this video http://www.mind.org.uk/inourownwordsMusic – “Memorized” by Josh Woodward http://joshwoodward.com/song/Memorized