Chapter 17. Therapy of Mental Disorders. Basic Principles of Prevention and Rehabilitation
11 topics with brief reviews: definitions, key facts, and class questions.
In this chapter, we move from diagnosis to the main goal — how to actually help the patient. Modern psychiatry possesses a powerful arsenal that requires exquisite precision in prescription, ranging from biological therapy to social adaptation.
This section covers the general principles of patient management and a detailed review of all psychopharmacology. We will examine the mechanisms of action and targets of antipsychotics, antidepressants, tranquilizers, mood stabilizers, nootropics, and psychostimulants. In addition, we will analyze non-pharmacological methods: indications for electroconvulsive therapy (ECT), types of psychotherapy, as well as the fundamental principles of prevention and reintegration of patients into full, active lives (rehabilitation).
In practical classes and exams, side effect profiles (especially the difference between typical and atypical antipsychotics), signs of overdose, and criteria for choosing a specific antidepressant or mood stabilizer are tested most strictly. Study these materials thoughtfully — competent psychopharmacotherapy will become the foundation of your clinical practice.
Can ECT and ICT be performed in pregnant patients?
A physiological pregnancy is not a contraindication for electroconvulsive therapy. However, pregnancy is an absolute contraindication for insulin coma therapy.
Do antipsychotics cause drug addiction?
No, the risk of developing substance abuse or drug addiction when taking neuroleptics is extremely low. Unlike psychostimulants or tranquilizers, they do not cause pathological craving.
Can antidepressants be prescribed to pregnant women?
In general, psychopharmacotherapy is not recommended for pregnant women, but for depression with suicide risk, TCAs or SSRIs are used. Paroxetine is strictly excluded in these cases.
In what emergency cases are benzodiazepine tranquilizers used?
They are used for emergency relief of acute spasms (dystonias) developing as a side effect of neuroleptic therapy.
Can one benzodiazepine be substituted for another without loss of efficacy?
Yes, the spectrum of action of most tranquilizers is very similar. Replacing one drug with another in an equivalent (adequate) dose usually does not lead to significant changes in the patient's well-being.
Due to the high risk of developing dependence and severe bodily exhaustion following their use, as these drugs deplete physiological reserves without replenishing them.
Due to the high risk of developing dependence and severe bodily exhaustion following their use, as these drugs deplete physiological reserves without replenishing them.
Master the entire topic in the "Psychiatry" course
This is a summary. The course covers everything tested in classes and exams.
499 pages of study guides on all topics
Assignments and quizzes after every topic — just like in a colloquium