Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Mcq on pharmacogenomics
Research Paper on Current Medications Used to Treat ADHD
Mcq on pharmacogenomics
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Mcq on pharmacogenomics
A revolution is taking place in the world of medical treatments. Personalized medicine, as the name implies, is the new up-and-coming way to predict the efficacy of treatment plans for a variety of illnesses. The key to personalized medicine lies within the human genome, in the field of pharmacogenomics. This burgeoning discipline could pave the way for groundbreaking new treatments of a variety of disorders, from cancer to mental illnesses.
Psychotropic medications in particular are of great interest in this advancing field. Since the advent of psychopharmacology, physicians noticed something about psychiatric drugs that further complicated the treatment of mental illness: many patients react very differently to psychiatric drugs. One patient may greatly benefit from a medication that has no effect on another patient. Some patients may experience extreme side effects,
…show more content…
The child written about in this paper struggled with attention-deficit/hyperactivity disorder, obsessive-compulsive disorder, and Tourette’s syndrome. A combination of the antidepressant fluoxetine and the ADHD medicines methylphenidate and clonidine were prescribed to treat the child’s symptoms. Over the course of the next 10 months, the boy presented with symptoms commonly associated with metabolic toxicity, including stomach issues, low fever, disorientation. Symptoms became so severe that the child lapsed into continuous seizures and suffered cardiac arrest, resulting in the child’s death. Due to the tragic and unexpected circumstances, an autopsy was conducted. The results showed extremely high levels of fluoxetine within the child’s body, and a genetic test found that the boy had a defect in the CYP2D6 gene that rendered him a poor metaboliser of the
-Lieberman JA, Stroup TS, McEvoy JP, Swartz MS, Rosenheck RA, Perkins DO, Keefe RS, Davis SM, Davis CE, Lebowitz BD, Severe J, Hsiao JK. Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. N Engl J Med. 2005. Web.
In today’s society, a lot of emphasis is placed on administering drugs and medicating people with psychological issues; however, most of these ailments and issues have the ability be treated through the use of talk therapy rather than medication. Americans are particularly guilty of over medicating when it comes to our more common mental health diagnosis such as, ADHD, depression, and anxiety. We as a society expect things to be done at the snap of a finger; in our advancement of science, we have been able to discover ways of offering the results we want quickly, inexpensively, and with little effort. Unfortunately, although the use of medications, also known as psychoactive drugs, occasionally remove the symptoms, but they do little to remove the causes of these mental health issues. In addition, to the lack of solution that the use of psychoactive drugs offer, they can also have unwanted and dangerous side effects. These can include simple physical irritants such as dry mouth and head aches, and can range up to dependency and substance abuse, and in some cases even death. Moreover, there are cases of inappropriate prescribing, where doctors are authorizing the use of medications that don’t work or are not pertinent to the issue the patient is experiencing. Furthermore, some of these doctors are issuing these medications without subjecting the patient to a proper mental health evaluation by a psychological professional.
Regina is a 20 year-old single female who is struggling to obtain her business degree at a mid-sized university. In the last two and a half years she has only received 26 credit hours. Seeing that she is having problems, her adviser along with her parents, suggested that she attend therapy. Regina is frequently having anxiety about germs and performing certain rituals in order to lessen her anxiety. In order to be comfortable in her classes, she feels she must arrive early, find a specific desk on a certain row, and thoroughly clean the desk and seat before she can be seated. Also, before she can leave her off-campus apartment in the morning, she is finding herself spending more and more time cleaning her apartment, then showering and getting dressed, and then cleaning the bathroom thoroughly. Regina also has found herself fearful of eating in restaurants and going to eat at family and friends homes. Her fear of germs is intensifying and prohibiting her from having adequate relationships. This is leaving her to feel quite isolated and lonely.
In the case of Marjorie, she is a 24-year-old, single Caribbean American female who lives in the home with her mother and her two younger sisters. When she was 15 years old Marjorie’s father died. Marjorie is unmarried, has no children, and is employed part time. (Plummer, 2013). Since she had already received a definitive diagnosis of OCD by a psychiatrist, and had been initially prescribed Zoloft, (Plummer, 2013) I would begin by educating her about OCD, explaining that OCD is often shared with other disorders usually treated by mental health counselors such as depression or substance abuse; and explain that its onset usually occurs in the adolescent or college years (Noshirvani, Kasvikis, Marks, & Tsakirvis, 1991). (Spengler, n.d). Marjorie’s onset begun when she was a teenager and escalated once her father passed. As the worker being assigned to her case I would use Exposure theory as well as cognitive Behavioral Therapy (CBT). Marjorie is fearful of germs; through exposure therapy Marjorie could face her fears of germs by being exposed in a systematic and secure way to certain objects that she feels carries germs (Spengler, n.d) She could then safely address, dispell and face those fears. Allowing her to slowly move at a pace that is comfortable for her, by
As science has evolved, so have treatments for mental illnesses have over time. The medical model is described as the view that psychological disorders are medical diseases with a biological origin (King, 2010, pg. 413). Abnormal behavior that categorizes some disorders can be impacted by biological factors such as genes, psychological factors such as childhood experiences, and even sociocultural factors such as gender and race (King, 2010). Treatments such as psychosurgery (lobotomy) , drug therapy (pharmaceuticals), electroconclusive therapy, and psychoanalysis are used to treat a wide range of psychological disorders. Back then, the public’s negative views on mental illnesses also went as far to associate with the people who treated it; psychiatrists. “Nunnally (1961) found that the public evaluated professionals who treated mental disorders significantly more negatively than those who treat physical disorders,” (Phelan, Link, Stueve, & Pescosolido, 2000, pg. 189). People back then didn’t see the point in “paying to be told that they were crazy”. However, in today’s society, it is now acceptable to seek help from psychiatric professionals; we are seeing more and more people seek mental health treatment. “In terms of facility-based records of utilization (Manderscheid and Henderson 1998), the data suggest that the rate of utilization of professional mental health services has at least doubled and maybe tripled, between the 1950’s and today,” (Phelan, Link, Stueve, & Pescosolido, 2000, pg. 189). In the 1950’s, neuroleptic drugs like Thorazine were introduced to treat the symptoms of schizophrenia. These drugs block a neurotransmitter called dopamine from getting to the brain, which in turn reduce schizophrenic symptoms, however there are some side effects such as substantial twitching of the neck, arms, and legs, and even dysphoria or lack of pleasure. (King, 2010, pg.
Second, the court must conclude that involuntary medication will significantly further those concomitant state interests. Third, the court must conclude that involuntary medication is necessary to further those interests. The court must find that any alternative, less intrusive treatments are unlikely to achieve substantially the same results. Fourth, as we have said, the court must conclude that administration of the drugs is medically appropriate, i.e., in the patient's best medical interest in light of his medical condition. The specific kinds of drugs at issue may matter here as elsewhere. Different kinds of antipsychotic drugs may produce different side effects and enjoy differen...
According to Gamble and Brennan (2000), the effectiveness of medication for schizophrenia to relieve patients from psychotic symptoms is limited. Although patients have adequate medication, some received little or no benefit from it and almost half of them still experience psychotic symptoms. They are also more likely to suffer relapse (Gamble and Brennan, 2000). Furthermore, Valmaggia, et al. (2005) found that 50% of patients who fully adhere to anti-psychotic medication regimes still have ongoing positi...
Human’s hereditary dispositions and ever-changing eventful life can influence the development of Obsessive-Compulsive Disorder. The debate between nature and nurture captivates countless amounts of people who take a side and hold steadfast to their opinion. No agreement will ever be reached until one side can definitively prove the other one wrong beyond a reasonable doubt.
Randal initially sought a psychological assessment for the presenting problem of depression. He began by stating that he had been having a difficult time with simple tasks and was easily overwhelmed. After further questioning, Randal began to elaborate on some of the thoughts that occupied his time and led to difficulty concentrating. He was constantly absorbed in anxiety about himself, or his family, coming into contact with a microbial disease. This thought pattern led to him compulsively washing his hands, obsessively cleaning surfaces and doorknobs, and throwing out perfectly fine clothing due to fear of contamination. He went on to further state that he often avoided places due to anxiety about their cleanliness. Also, Randal explained that often just when thinking about dirt and germs, he would take a shower, as a result of feeling contaminated. When prompted, Randal intimated that this behavior has occurred for several years, but recently has begun to interrupt his day-to-day functioning.
Obsessive-compulsive disorder (OCD) is a type of anxiety disorder that can be best characterized by the recurrent or disturbing thoughts that are labeled as obsessions. Sometime these obsessions can take on the form of intrusive images or the unwanted impulses. The compulsions can come from the repetitive or ritualized behaviors that a person feels driven to perform on a daily basis. The majority of people with the diagnosis of OCD can have both obsessions and compulsions, but most of the times about 20% have obsessions alone while 10% may have the compulsions alone (Goodman M.D., 2013) . Common types that have been illustrated in individual’s diagnoses with OCD can be characterized with concerns of contamination, safety or harm to themselves, unwanted acts of aggression, the unacceptable sexual or religious thoughts, and the need for symmetry or exactness. While some of the most common compulsion can be characterized as excessive cleaning, checking, ordering, and arranging rituals or the counting and repeating routines activities that are done sometimes on a daily basis multiple times in a day.
One kind of anxiety disorder is obsessive-compulsive disorder (OCD). This disease can ruin a person's life because it causes them to have repetitive thoughts and behaviors towards certain things. Life can become very difficult because this way of thinking and acting is very difficult to overcome, especially since the obsessions have no point and are stressful for the person. It begins to interfere with the person's school, work, and/or home.
The Obsessive-Compulsive Disorder What is Obsessive-Compulsive Disorder? I’m sure that most everyone has seen different news shows or talk shows where you see the person washing their hands until they bleed, or go back and forth into the house to double, triple, quadruple check something. A person may walk around their house making sure everything is “in its place” and not stop until a level of perfect is reached but often perfection in their eyes is never achieved. Magazines and books need to be parallel to the table they are on and of course the table must be parallel with the rest of the furniture in the room. These are just a few examples of behaviors that are demonstrated when a person has OCD.
Schmied, L. A., Steinberg, H., & Sykes, E. A. B. (2006). Psychopharmacology's debt to experimental psychology. History of Psychology, 9, 144-157.
Stahl, S. M., & Mignon, L. (2010). Antipsychotics: Treating psychosis, mania and depression (2nd ed.).
Obsessive Compulsive Disorder is a disease that a lot of people suffer with in society especially young adults. While it is not a disease that is deadly, it does affect the victim in every day aspects of their life and can ultimately control their lives. Obsessive Compulsive Disorder (OCD) is defined by the National Institute of Mental Health as, “… a common, chronic and long-lasting disorder in which a person has uncontrollable, reoccurring thoughts (obsessions) and behaviors (compulsions) that he or she feels the urge to repeat over and over”. The thoughts that individuals have when suffering through Obsessive Compulsive Disorder cannot be restrained and really can disturb the individual. Thoughts or actions that people may have can range from worrying about daily occurrences, such as washing their hands, to having thoughts of harming people that are close to them. People tend to have these reoccurring compulsions because they believe by doing them or thinking them, they will either prevent something bad from happening or because it eliminates stress that they have. This disease can last a lifetime and can be very detrimental and disabling to how one lives their lives. Individuals can start to see signs of OCD in either late adolescence or even early adulthood and everyone is susceptible. When it comes to classifying this incurable disease, there is much debate on whether or not it a type of anxiety (Abramowitz, Taylor, & McKay, 2009). It is important to be able to understand this mental disorder since so many people are diagnosed with it. While there are treatments for OCD, there are no cures yet. Treatments could range anywhere from taking prescribed medication to just going to therapy and counseling fo...