Unipolar
Bipolar I disorder
full blown episodes of mania w/ bouts
of depression
Bipolar
cycles between two extremes, generally mania
and depression
Mania
Restless activity
Bipolar II disorder
milder episodes of mania, also w/
bouts of depression
valproate
also enhances GABAergic transmission through a mechanism that
is not well understood
Symptoms of mania:
– Sustained over-activity
– talkativeness
– grandiosity
– increased energy
mood stabilizers
are used more frequently today and work better (or at least
they have less dangerous side-effects), e.g., valproate, carbamazepine
Lithium
has been most common treatment and works relatively well;
was discovered by accident decades ago as a control treatment from a
drug different trial
* its mechanism is poorly understood, but has wide-ranging effects; e.g.,
alters circadian mechanisms, increases BDNF activity
* Clinically speaking, lithium treats manic episodes, prevents manic
relapses, treats depressive stages (esp. decreases incidence of
suicide)
* Problem is that side-effects are very severe
What makes learning and memory special?
It is a fundamental property of our nervous system; and makes us who we are
all bipolar drugs decrease….
the effects of AMPA-Rs in cortex and lower
glutamate activity
* Excessive glutamate activity linked to mania
Plasticity
“changeability” of neurons; not just
functional, but structural modifications underlie learning and memory
mass action –
the cortex functions as a
whole, such that lesion effects on function
require sufficiently large portions (i.e.,
larger lesions = greater deficits)
This idea of a physical representation of the memory is called
…..
an engram
Learning and memory - Definition –
an experientially induced change in
the nervous system that may be expressed in
future behaviors
Concept of “release” –
i.e., that focal brain damage decreased some
functioning, but in certain instances actually enhances other functions
(Jackson, c. 1890)
Holism
movement in 19th century neurology; the idea that the whole is
more important than individual parts; very similar in theme to the Gestalt
movement
equipotentially –
all parts of the cortex
contribute equally to complex behaviors,
such as learning, and one part of the cortex
can substitute for any other
Therefore, Lashley agreed with Franz, that…..
lesion size,
not locus, was more important for impacting intellectual
function!!
Lashley’s “laws”
Temporal divisions
Senses to Sensory Buffer to Working memory/Short-term memory to Long-term memory
Consolidation
putting memories into longer-term storage form;
more resistant to disruption or forgetting
Korsakoff’s syndrome –
involves damage to mammillary bodies and to
basal frontal cortex
* Results from a chronic thiamine deficiency – typically from chronic
alcoholism
Stages of Memory
1) Aquisition
2) Consolidation
3) Storage
4) Retrival