Name: Psychopharmacology for Mental Health Professionals – Alan S. Bloom
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Most clients with DSM-5® diagnoses are being treated with a combination of psychological and pharmacological treatments. Newer drugs are being developed to treat mental disorders based on a better understanding of neurobiological contributions to mental disorders and the latest pharmacological research. To provide appropriate services, you are expected to have a thorough understanding of these common and complex issues. As a mental health professional, keeping up-to-date is essential.

This recording will update and increase your knowledge of:

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 pharmacological treatment and drugs of choice for Depressive, Bipolar, Schizophrenia Spectrum, Anxiety, OCD, Sleep-Wake, ADHD and Neurocognitive disorders will be presented. Unique to this recording is information on the common types of psychotherapeutic drugs and other drugs that are abused, and methods for prevention and early detection. Throughout the day, representative case studies will generate discussion and examination of the latest drug treatment for DSM-5® disorders.

You will leave this recording with knowledge and confidence regarding effective and safe application of pharmacological drugs.

Communicate the neurotransmitter systems and neuroanatomy underlying the biological basis for mental disorders and pharmacotherapy.
Evaluate the role of mental health professionals with clients receiving both psychotherapeutic medications and psychotherapy.
Analyze the major classes of drugs used to treat mental disorders and which mental disorders are appropriately treated with each class of drugs.
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.
Determine the abuse liability of drugs used in the treatment of anxiety, insomnia, pain and ADHD.
Implement methods for prevention and early identification of prescription drug abuse.

PSYCHOPHARMACOLOGICAL FOUNDATIONS

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 Combined Psychological & 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 USED IN THE TREATMENT OF DSM-5® 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

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

Bipolar Disorders

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

Anxiety, Obsessive-Compulsive & 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

Attention-Deficit/Hyperactivity Disorder & Neurocognitive Disorders (Dementia)

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

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

LIMITATIONS OF RESEARCH AND POTENTIAL RISKS