Update ) Advanced
Psychopharmacology | Review
Questions and Answers | Grade A |
100% Correct - Regis
Question:
Naltrexone potentiates the actions of zonisamide
Answer:
The anticonvulsant zonisamide has actions on the appetite center of the
hypothalamus that are similar to those of topiramate.
Zonisamide hypothetically reduces excitatory glutamatergic and increases
inhibitory GABAergic input onto neurons in the appetite stimulating pathway
leading to less output of neuropeptide Y and AGRP and decreased appetite
stimulation.
,Question:
Serotonin 5HT2C and appetite
Answer:
The combination of histamine 1 antagonism and serotonin 5HT2C
antagonism present in many atypical antipsychotics may lead to enhanced
appetite and consequential weight gain. Conversely, the actions of 5HT2C
agonist such as lorcaserin may lead to appetite suppression and weight loss.
Question:
When does an impulse become an impulsive-compulsive disorder
Answer:
Many impulses can become compulsive-compulsive disorder when done to
access, and several of these examples are listed in this table. Some experts
believe gambling disorder should be classified along with drug addiction as
the only non-substance disorder in that category.
Question:
Are there neurodevelopmental impulsive-compulsive disorders
Answer:
Many disorders considered to be neurodevelopmental have impulsivity or
compulsivity as a symptom dimension. This includes notably ADHD
discussed in Chapter 12.
, Question:
Can violence be an impulsive-compulsive disorder
Answer:
Aggression and violence have long been controversial issues in psychiatry.
When violence is premeditated, callous, and calculated and maybe criminal
sympapathic and predatory and this type of violence would neither be
impulsive nor compulsive; however, aggression and violence both to others
and to one's self are associated with many psychiatric disorders seen here on
table 14-7.
Question:
OCD or ICD? Are obsessive-compulsive spectrum disorders also impulsive-
compulsive disorders?
Answer:
Obsessive-compulsive disorder, or OCD, in many ways is the prototypical
impulsive-compulsive disorder, although it has been considered to be an
anxiety disorder as well. In OCD, many patients experience and intense urge
to perform stereotypic ritualistic acts despite having full insight into how
senseless and excessive those behaviors are and having no real desire for the
outcome of these actions. The most common types of compulsions are
checking and cleaning. Seen here on this table are some of the other
impulsive compulsive related disorders such as skin picking, trichotillomania
(which is hair pulling).