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--- neuro:psych:start [2026/02/15 15:38] – removed andrew2393cns
+++ neuro:psych:start [2026/02/15 15:54] (current) – [Core Neurotransmitters] andrew2393cns
@@ Line 1: / Line 1: @@
+====== Psychiatry Pharmacology ======
+Psychiatric medications modify behavior by changing neurotransmission in specific brain circuits — primarily the prefrontal cortex and limbic system.
+<WRAP center round important 70%>
+Psychiatry = circuit imbalance → neurotransmitter imbalance → drug correction
+</WRAP>
+--------------------------------------------------------------------
+===== Core Neurotransmitters =====
+  * Serotonin — mood, anxiety, obsessions
+  * Dopamine — reward, motivation, psychosis
+  * Norepinephrine — attention, arousal, energy
+  * GABA — inhibition, calming
+  * Glutamate — excitation, cognition
+Understanding the imbalance predicts the medication choice.
+--------------------------------------------------------------------
+<WRAP center round box 70%>
+==== Psychiatric Medications Compared By The Efficacies On Various Receptors ====
+📄 **Reference Handout (PDF)** \\
+{{ :neuro:psych:psych_med_potencies_for_receptors.pdf |}}
+</WRAP>
+----
+===== Mood Disorders =====
+==== Depression ====
+  * [[psych:depression:start|Major Depressive Disorder]]
+  * [[psych:treatment_resistant:start|Treatment-Resistant Depression]]
+==== Bipolar Disorder ====
+  * [[psych:bipolar:start|Bipolar Disorder]]
+  * [[psych:mood_stabilizers:start|Mood Stabilizers]]
+--------------------------------------------------------------------
+===== Anxiety & Trauma Disorders =====
+  * [[psych:anxiety:start|Generalized Anxiety Disorder]]
+  * [[psych:panic:start|Panic Disorder]]
+  * [[psych:ocd:start|Obsessive Compulsive Disorder]]
+  * [[psych:ptsd:start|PTSD]]
+  * [[psych:social_anxiety:start|Social Anxiety]]
+--------------------------------------------------------------------
+===== Psychotic Disorders =====
+  * [[psych:schizophrenia:start|Schizophrenia]]
+  * [[psych:antipsychotics:start|Antipsychotics]]
+--------------------------------------------------------------------
+===== Attention Disorders =====
+  * [[psych:adhd:start|ADHD]]
+  * [[psych:stimulants:start|Stimulants]]
+  * [[psych:nonstimulants:start|Non-Stimulant ADHD Medications]]
+--------------------------------------------------------------------
+===== Sleep Disorders =====
+  * [[psych:insomnia:start|Insomnia]]
+  * [[psych:z_drugs:start|Z-Drugs]]
+  * [[psych:melatonin:start|Melatonin & Circadian Agents]]
+--------------------------------------------------------------------
+===== Drug Classes =====
+==== Antidepressants ====
+  * [[psych:ssri:start|SSRIs]]
+  * [[psych:snri:start|SNRIs]]
+  * [[psych:tca:start|TCAs]]
+  * [[psych:maoi:start|MAO Inhibitors]]
+  * [[psych:atypical_antidepressants:start|Atypical Antidepressants]]
+==== Anxiolytics ====
+  * [[psych:benzodiazepines:start|Benzodiazepines]]
+  * [[psych:buspirone:start|Buspirone]]
+  * [[psych:antihistamine_anxiolytics:start|Hydroxyzine]]
+==== Mood Stabilizers ====
+  * [[psych:lithium:start|Lithium]]
+  * [[psych:anticonvulsant_mood_stabilizers:start|Anticonvulsant Mood Stabilizers]]
+==== Antipsychotics ====
+  * [[psych:first_generation_antipsychotics:start|First-Generation Antipsychotics]]
+  * [[psych:second_generation_antipsychotics:start|Second-Generation Antipsychotics]]
+--------------------------------------------------------------------
+===== High-Yield Concepts =====
+<WRAP center round tip 80%>
+Depression → increase monoamines  \\
+Psychosis → decrease dopamine  \\
+Anxiety → enhance GABA or serotonin  \\
+ADHD → increase dopamine & norepinephrine
+</WRAP>
+--------------------------------------------------------------------
+===== How to Approach a Patient =====
+. Identify symptom cluster
+. Identify neurotransmitter imbalance
+. Choose drug class
+. Choose specific medication
+Do NOT memorize drugs first.
+--------------------------------------------------------------------
+===== Related =====
+  * [[lectures:psych:start|Psychiatry Lectures]]
+  * [[neuro:start|Neurologic Pharmacology]]