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Lecture Summary: Psychopharmacology and Psychopathology (SOW-PSB3BC16E) Stahl's Essential Psychopharmacology: Neuroscientific Basis and Practical Applications

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This is a summary of the lectures of the course Psychopharmacology and Psychopathology. I received an 8.4 using this summary!

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Psychopharmacology & Psychopathology



Lecture 1: Introduction to Psychopharmacology
A history of LySergic acid Diethylamide

- Ergotamine (produced by fungi on rye)
- Ergotism (going crazy)
- Other symptoms: convulsions, gangrene (vasoconstriction= veins that are constricting),
hallucinations



Timeline of LSD:

- 1918: isolation and use of ergotamine
- 1938: synthesis of synthetic LSD-25 by Hoffmann
- 1943: first LSD trip
- 1962: LSD forbidden by law
- 1970’s: Jan Bastiaans: controversial trauma treatment
- 1977: Herman van Praag: we need systematic LSD research



LSD: the mechamism

LSD is primarily a serotonin agonist



Cannabis as a cure of psychological problems?

- Treat sleep and anxiety
- Current treatment: benzodiazepines (valium) → drowsiness and addiction

Cannabis as a cause of psychological problems?

- Chronically cannabis use before the age of 18 causes 8 lower IQ points

How does cannabis work?

- THC: targets CB1 and CB2 receptors → high
- CBD: targets other receptors → pain relieving (helped with Dravet’s syndrome)
- Terpenes (smell) and flavonoids/phenols (taste)
- Synthetic THC bonds more strongly to CB1 and CB2 receptors (be careful)



Novichok: Acetyl-choline-esterase (AChE) inhibitor

- Block AChE, the enzyme that breaks down acetylcholine (so more endogenous
acetylcholine in the brain)

, - Helps with myasthenia gravis (muscle) and Alzheimer's disease



Ritalin: from molecules to behavioral systems

- Helps you focus (for example in ADHD)




Do we grow new neurons after we are born?

- A few, but we mostly only use the ones we already have and change the connections
between them.
- We have a lot at child/adolescence and prune out the ones we do not need at later age



A brief reminder about neurons:

- Interaction between chemical activity and electrical activity (EEG)
- See picture below

,Lecture 2: Modes of Communication
A closer look at the synapse:




- Axo-dendretic (normal)
- Axo-somatic (on the body)
- Axo-axonic (on another axon)

6-10.000 synapses per neuron

500-1000 trillion synapses in your brain

- Synapses from and disappear
- Even axons and dendrites have limited capacity to repair

, Neurons use chemicals to communicate




Anterograde (classic) neurotransmission




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