To What Extent Neurotransmitters are Implicated In Schizophrenia

Experts believe bipolar disorder is caused by an underlying problem with specific brain circuits and the balance of brain chemicals called neurotransmitters (WebMD). There are five brain chemicals noradrenaline (norepinephrine), serotonin, dopamine, oxytocin, and endorphin. Noradrenaline and serotonin are the most common chemicals linked to psychiatric mood disorders such as depression and bipolar (WebMD). Dopamine is linked to the pleasure system in the brain (WebMD). When a disruption happens to the dopamine system connects to psychosis and schizophrenia (WebMD). If there is too much dopamine in one place, it can cause psychosis. Dopamine motivates us (Deans, 2011). Dopamine is linked to everything, metabolism, evolution, and the brain (Dean, 2011). Serotonin is connected to many different body functions including sleep, wakefulness, eating and impulsivity (WebMD). Researchers believe that abnormal brain functioning of brain circuits that involve serotonin as a chemical messenger contributes to mood disorders (WebMD). Oxytocin is a hormone commonly associated with childbirth and breastfeeding. Oxytocin plays a critical role in social and emotional behavior. Oxytocin increases the susceptibility to feeling fearful and anxious during stressful events (NWU, 2013).

In an attempt to gain a position as a psychologist, I will be discussing schizophrenia and the disorder’s casual factors, associated symptoms, the areas of the brain it affects, and the neural basis of the disorder. I will continue on to discuss appropriate drug therapies. In addition I will also be reviewing two separate case studies, each on a different disorder. I will be examining each problem from the perspective of a bio psychologist. I will define the patient’s diagnosis at length I will relate each case to the nature-nurture theory, and talk about any helpful drug interventions or solutions for each disorder. When talking about drug intervention, it is also important to discuss the positive and

Outline and evaluate one or more biological explanations of schizophrenia (8 marks AO1/16 marks AO1)

Schizophrenia is a unique disease in its pathophysiology. For their early lives, patients appear healthy. However, symptoms begin to appear during adolescence or early adulthood and may be triggered by changes in the brain during puberty. The first signs of the illness include anxiety, depression, changes in friends, sleep problems, irritability, dropping grades, and having trouble concentrating (Picchioni and Murray, 2007; National Institute of Mental Health (NIMH)). Delusions and hallucinations typically begin between the ages of 16 and 30 (NIMH).

For the past fifty years treatment of schizophrenia has been marked by its basis on the dopamine hypothesis for schizophrenia. However, this model for the disease and its subsequent treatment have left many patients without relief or help in dealing with this disease which has lead to a search for a better model. The dopamine model lacks the recognition of a whole range of symptoms associated with the disease and therefore can not be an accurate basis for treatment. More recently, there has been a shift to the glutamate hypothesis which has been shown to more accurately characterize the wide range of symptoms experienced by patients living with this disorder as well as the possibility in improvements for drug treatments.

(2) However, there are some problems with this evidense. Amphetamines only mimic the positive symptoms of schizophrenia. They do not produce any of the negative symptoms. Likewise, anti-psychotic drugs are only affective on the positive symptoms of the disease. There is still some evidense that schizophrenics do posess higher levels of dopamine, however, these increases are only found in the striatum of the brain (7). The striatum is a region of the brain that receives its inputs from and outputs to the cortex. Injury to the striatum results in problems with intiation and control of motor behavior. (9) Also, there is evidence that the prefrontal cortex produces lower levels of dopamine. (4) The prefrontal cortex is involved in the organization and coordination of information to and from the cortex. (7)

Currently there are no cures for schizophrenia, but the symptoms are helped by taking antipsychotic medication. The symptoms experienced by those with schizophrenia are grouped in to three categories: negative symptoms, positive symptoms, and cognitive symptoms (Regier 1993, p.92). The positive symptoms include, hallucinations, delusions, unusual or dysfunctional ways of thinking, agitated body movements. Negative symptoms include, flat affect, reduced pleasure in everyday life, difficulty sustaining tasks, and reduced speech. Cognitive symptoms include, disruption in executive functioning and working memory, as well as reduced ability to concentrate. The etiology of schizophrenia is still debated by psychologists and neuroscientists, but factors such as neuroanatomy, and environmental influences are believed to play a key role. A genetic predisposition to schizophrenia has been established by researchers, but it remains unclear what causes the phenotype to be expressed. The most agreed upon cause of schizophrenia refers to the diathesis-stress model, which explains schizophrenia as a response to an individual’s allostatic load becoming too much for the brain to cope with. Another popular explanation amongst neuroscientists is the dopamine

This paper defines schizophrenia from a biological and psychological perspective and also provides treatment to help combat symptoms of schizophrenia. This paper has three important contributions. First, by defining and expanding on schizophrenia from a biological perspective, I can identify the nature related predispositions. After expanding from a biological approach, secondly, I will analyze schizophrenia from a psychological aspect by determining if there is any environment or nurturing externals that can result to schizophrenia. Lastly, I will provide treatment details and also reveal early signs to schizophrenia. This paper is important because schizophrenia is an epic mental disease and it is crucially important to bring awareness to the public of how we can limit the illness. It is unclear whether schizophrenia have only a biological background or psychological background, but what was discovered is that both contribute to schizophrenia. Positive and negative treatment can be combatted undergoing pharmaceutical and psychotherapy,

Newer antipsychotic also affect levels of other neurotransmitters. This theory can also not explain why some schizophrenics have long periods of remission. (a) Outline and evaluate two non-biological explanations of schizophrenia People diagnosed with schizophrenia come from all types of social backgrounds, but most are clustered

Biological theorists believe that individuals may have a genetic predisposition for the schizophrenia if a close family member has been diagnosed with the disorder. Stress during adolescent years seems to provoke the disorder among individuals who have a family history of the disorder. In addition, this theory suggests biochemical abnormalities related to the dopamine neurotransmitters may also contribute to the illness as the brains neurotransmission of the dopamine is too frequent in occurrence (Comer, 2005). CAT and MRI scans have also indicated that abnormal brain structuring may also play a role in the development of schizophrenia due to a common occurrence of enlarged ventricles within schizophrenia sufferers (Comer, 2005). Various parts of the brain may not develop for function properly which seems lead to Type II schizophrenia. Studies have also pointed towards the idea that exposure to certain viruses before birth may lead to the eventual development of schizophrenia (Comer, 2005).

Over the years, experiments have produced evidence to suggest that dopamine plays a role in the development of Schizophrenia (Howes, McCutcheon, & Stone, 2015). Dopamine is a neurotransmitter that is produced in the substantia nigra and ventral tegmental regions of the brain. The belief that dopamine was involved in Schizophrenia arose after multiple studies performed with compounds produced an increase in extracellular concentrations of dopamine (Lieberman, Kane, & Alvir, 1987). The patients that were administered these compounds had similar symptoms to those observed from patients who were diagnosed with Schizophrenia (Lieberman et al., 1987).

Another major problem with the dopamine theory is that it only takes into consideration a single neurotransmitter and neglect the roles of other neurotransmitters in schizophrenia. The findings are inconsistent where some findings proposed that the abnormality causes the availability of dopamine transporters changed, and effect to the increased or decreased of dopamine level (Fusar-Poli, and Meyer-Lindenberg, 2012), while some other findings suggested that there are other neurotransmitter such as glutamine which involved in excitatory response in the brain has played a role in resulting cognitive deficits of schizophrenia (Stone, Howes, Egerton, Kambeitz, Allen, Lythgoe, et al, 2010). These assumptions have allowed researchers to implicate schizophrenia by using another pathway or biochemical mechanism other than dopamine hypothesis or dopaminergic

Schizophrenia can be passed down thru generations even though there is not a specific gene associated with the disorder. It is considered to be a combination of genes that make a person susceptible to becoming schizophrenic. This information is found mainly thought the study of twins. By having the same genes it can be viewed why genes contribute to the potential of schizophrenia. Even though genetics is a viable factor in the analysis of the cause of schizophrenia there are more supporting factors found in neurotransmitters.

Carl Jung suggested that the presence of toxin x a mystery chemical that he though would eventually be identified. The demonstrated role of genetic factors in schizophrenia also suggested that biochemical’s should be investigated for it is the body chemistry and physiological processes that heredity may have an effect. (G, Davison, J, M,

Schizophrenia effects approximately 1% of the human population, despite the high number of individuals being affected, not much is known about the pathophysiology and etiology of the disease. Through the use of pharmacological models such as ketamine and amphetamine, it allows us to purse the dopamine and glutamate hypothesis. The rise of these hypotheses is due to the nature of the disease, hence heterogeneous disorder not all patients exerts all the symptoms of the disease. As a result there is different ways in attaining schizophrenic animal models. One way is through ketamine administration which affects glutamate NMDA receptors. Another way is through amephetamine which increases the level of dopamine which affects the D¬2