Pharmacotherapy for Neurological Disorders
Depression is a neurological disorder that is treatable by pharmacotherapy. However, treatment for depression does not always solely rely on drugs and interventions can include counseling or approaches such as cognitive behavioral therapy to help patients suffering from depression who also have behavior issues that factor into their treatment plan. This paper will describe the types of drugs that would be prescribed to patients to treat symptoms associated with depression and it will also reflect on how behavior factors might impact the effects of prescribed drugs along with measures a nurse practitioner might take to help reduce negative side effects.
There are numerous drugs available to treat depression. These include Zoloft, Prozac, Celexa, Wellbutrin XL, Cymbalta, Lexapro, Xanax, Paxil, and dozens of others. Many drugs that are used to treat depression are classified in the following categories: selective serotonin reuptake inhibitors (SSRIs), serotonin and norpinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), tetracyclic antidepressants, and dopamine reuptake blockers. Because of the side effects of some of these drugs, patients suffering from depression who also show signs of having or harboring aggressive feelings have to be monitored closely...
References
Gupta, S., Gersing, K. R., Erkanli, A., & Burt, T. (2016). Antidepressant regulatory warnings, prescription patterns, suicidality and other aggressive behaviors in major depressive disorder and anxiety disorders. Psychiatric Quarterly, 87(2), 329-342.
Molero, Y., Lichtenstein, P., Zetterqvist, J., Gumpert, C. H., & Fazel, S. (2015). Selective serotonin reuptake inhibitors and violent crime: a cohort study. PLoS Medicine, 12(9), e1001875.
Depression: Not just a Bad Mood MDD: Not Just Another Bad Mood The term "Prozac Nation" says a lot. This catch-phrase had begun to describe the current state in the U.S. when cases of clinical depression began blooming and treatment turned to medication as a first response. According to the National Institute of Mental Health, over fourteen million of the adult U.S. population suffers from Major Depressive Disorder. Major Depressive Disorder,
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Depression A person with depression must have at least five of nine symptoms in the DSM-IV-TR for two weeks. There are many theories of the causes of depression: (1.) Psychoanalytic theories - internal conflicts and a low self-image leading to anger turned inward. (2.) Behavioral theories - disruptions of normal reinforcement patterns brought on by stressors. (3.) Cognitive theories - cognitive distortions and/or cognitive errors and a person's mistaken underlying assumptions. (4.) Humanistic theories -
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One drug that is very commonly used for depression is Prozac (by Eli Lilly), which contains an "inhibitor" called fluoxetine; another inhibitor is called "phenelzine" and its commercial antidepressant drug is Nardil (by Parke-Davis drug company), which falls under the category of "Monoamine oxidase inhibitor" (MAOI) (Friedlander, p. 632). The problem with some of these medications, like MAOI for example, is they may cause "dizziness… hypotension, insomnia, central nervous system
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