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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...
Drugs like Zoloft, Prozac, Celexa, Paxil, and Lexapro decrease the serotonin reuptake in the brain which allows serotonin to stay working in the brain and staving off the feelings of depression. Typical side effects that accompany the use of SSRIs include nervousness, nausea, and in some cases aggression. Molero, Lichtenstein, Zetterqvist, Gumpert and Fazel (2015) found that violence and violent crime associated with the use of SSRIs varies according to the factor of age group and the types of behaviors that the individuals are engaged in.
Behavior is a factor that might impact the effects of prescribed drugs like Zoloft or Paxil as the patient’s mood is altered by these drugs because of their affect on serotonin levels in the brain. A patient whose behavior indicates impulsiveness, aggression, hostility, or who shows signs of anxiety or a desire to hurt others may need to be monitored closely in order to…
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.
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