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Psychopharmacology for Mental Health Professionals – Alan S. Bloom

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DSM-5® diagnoses can be treated with a combination of psychological and pharmacological treatments. New drugs are being developed to treat mental disorders because of a better understanding of neuroscience and the latest research. You are expected to have a thorough understanding of these issues to provide appropriate services. Keeping up-to-date is a must for a mental health professional.

This recording will increase your knowledge.

• Neurobiological underpinnings of major DSM-5® diagnoses
• Effects and side effects of drugs used to treat these diagnoses
• Responsibilities of the non-prescribing therapist to clients taking psychiatric medication

Specifics of the drugs of choice will be presented. Information on the common types of psychotherapeutic drugs and other drugs that are abused, and methods for prevention and early detection are unique to this recording. There will be discussion and examination of the latest drug treatment for DSM-5 disorders throughout the day.

You will leave this recording with knowledge and confidence.

1. Communicate the neurotransmitter systems and neuroanatomy underlying the biological basis for mental disorders and pharmacotherapy.
2. Evaluate the role of mental health professionals with clients receiving both psychotherapeutic medications and psychotherapy.
3. Analyze the major classes of drugs used to treat mental disorders and which mental disorders are appropriately treated with each class of drugs.
4. Compare and contrast the effects/side effects of antipsychotics, antidepressants, benzodiazepines and other antianxiety agents, anticonvulsants and drugs used to treat other mental disorders including OCD, ADHD, and cognitive impairment.
5. Determine the abuse liability of drugs used in the treatment of anxiety, insomnia, pain and ADHD.
6. Implement methods for prevention and early identification of prescription drug abuse.

There are psychological foundations.

There are core pharmacological principles.

• Brain structures & circuits involved in:
  • Emotional regulation
  • Executive function & inhibitory control
  • Reward & pleasure
  • Learning & memory
• Receptors and neurotransmitters important in the actions of psychopharmacological agents
  • Biogenic amines
  • Excitatory & inhibitory neurotransmitters
  • Endorphins & endocannabinoids

Your role in psychological and pharmacological treatments.

• Collaboration & communication with prescribing professionals
• Managing the combined treatments
  • Referrals for medication
  • Client psycho-education
  • Monitoring drug effects & side effects
  • Promoting adherence to combined treatments

Drugs are used in the treatment of mental disorders.

Depressive Disorders.

• Neurobiology of depression
• Drugs used to treat depressive disorders
  • Selective Serotonin Reuptake inhibitors (SSRIs)
    • Effects, side effects and cautions
    • Suicide risk & discontinuation syndrome
    • Serotonin syndrome
• Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)
  • Effects, side effects, and cautions
• Atypical antidepressant agents
  • Effects, side effects, and cautions
• Tricyclic antidepressants (TCAs)
  • Effects, side effects, and cautions
  • Why were newer drugs needed?
• MAO inhibitors
  • Effects, side effects, and cautions
• Choosing an antidepressant
• What if first-line antidepressants do not work?
  • Augmentation with antipsychotics
• What about herbs like St. John’s Wort?

Schizophrenia spectrum disorders are related.

• Biological theories of schizophrenia
• ”Typical” & “atypical” antipsychotic drugs
  • Effects, side effects & cautions – similarities & differences
• Latest evidence-based comparisons
• Drugs for treatment-resistant schizophrenia
• Other uses of antipsychotic drugs

There are disorders of the brain.

• Biological theories for bipolar disorders
• Drugs used to treat bipolar disorders
  • A prototype agent-lithium
    • Effects, side effects & cautions
  • Anticonvulsants
    • Effects, side effects & cautions
  • Antipsychotics – approved agents
  • Combination drug therapy

Disorders of anxiety, obsessive-compulsive and sleep-Wake Disorders.

• The neurobiology of anxiety-related disorders
• The structure of sleep
• Drugs used in the treatment of anxiety & insomnia
  • Benzodiazepines & Benzodiazepine-like drugs
  • Misuse of these drugs in treatment
  • SSRI’s & other drugs used to treat anxiety

There are attention-deficit/hyperactivity disorders.

• ADHD
  • Psycho-stimulants
    • Effects, side effects & cautions
  • Alpha-Adrenergic Agonists
• Major neurocognitive disorders
  • Drugs used in the treatment of cognitive impairment
  • Future treatments

There is prescription drug abuse.

• Mental disorders & risk of comorbid prescription drug abuse
• Classes of drugs that are frequently abused
  • Stimulants
  • Sedative-hypnotics
  • Opiates
• Strategies for the prevention & early identification of prescription drug abuse

There are limits of research and potential risks.