Friday, May 15, 2020

Newer Treatments For Schizophrenia Symptom Management

Newer treatments for schizophrenia symptom management focus on both the DA and the 5-HT systems in an attempt to alleviate positive, negative and cognitive symptoms (Leucht et al., 2009; Leucht, Wahlbeck, Hamann, Kissling, 2003). The 5-HT hypothesis of schizophrenia arose from toxicologic explanations of mental illness that were popular in the 1950s (Osmond, 1958). Toxicologic explanations received their inspiration from the observation that exogenous substances could produce effects that resemble certain signs and symptoms of mental illness, such as hallucinations (Osmond, 1958). The 5-HT hypothesis arose based on the observation that hallucinogenic-effects, such as those seen with LSD administration, are mediated by 5-HT agonism, and hence, schizophrenia symptoms likely arise from a similar mechanism (Baumeister Hawkins, 2004). However, in the 1970s, the 5-HT hypothesis of schizophrenia was almost completely replaced by the DA hypothesis, only making a comeback later with the proven effectiveness of the atypical antipsychotics, such as clozapine (Baumeister Hawkins, 2004). While the main action of typical antipsychotics is on the D2 receptor, atypical antipsychotics show enhanced activity at 5-HT receptors with a low affinity for D2 receptors (Divac et al., 2014). Atypical antipsychotics are more effective in reducing cognitive and negative symptoms and result in fewer EPS than the typical antipsychotics (Davis, Chen, Glick, 2003). The high binding affinityShow MoreRelatedSchizophreni A Severe Brain Disorder1133 Words   |  5 PagesSchizophrenia is a severe brain disorder that affects the cognitive, behavioral, and emotional parts of the brain. The symptoms include hallucinations, delusions, disorganized speech and cationic behavior, and negative symptoms. 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