2013+Fall+627-4+Syllabus

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Summer 2013 627.4 Syllabus

PSYCHOPHARMACOLOGY SYLLABUS

Fall 2013

COURSE NUMBER: 627.4

COURSE TITLE: Psychopharmacology for Mental Health Professionals

FACULTY INFORMATION AND AVAILABILITY: Diana E. Hurlbut, Ph.D. Dr. D.

Phone: 949-451-5444 (office phone at IVC and best phone to reach me) and cell phone: 714-457-6415

(while my cell phone is available 24/7 I check it about once per day. It is important that you state you name

and class as I receive many phone calls from students every day.)

CLASS DAYS AND HOURS: Monday 7:15-10:00 pm Sept 9December 9, 2013

Prerequisites: PSY 656 Physiological Psychology (this is a must!!!) & PSY 600 Clinical Management of

Psychopathology

Note: This course meets the requirements of AB 253 for a 2-semester unit course in Psycho-pharmacology to

be part of the qualifying degree program for the MFT license.

COURSE DESCRIPTION: This course uses a biopsychosocial model to examine the history and use of

psychopharmacology for the treatment of mental disorders and includes the study of neurobiology and

mechanisms of action of the major psychotropic drugs. The role of gender, culture, age, and other variables

on the indications and use of medications is examined.

COURSE OBJECTIVES:

1. To understand the history and current practice of psychopharmacology.2. To understand the hypothesized psychobiological mechanisms of action of the major classes of

psychotropic medications.

3. To understand the use of medications for the major psychiatric conditions, including mood disorders,psychosis, anxiety disorders, eating and attention disorders and fibromyalgia.

4. To understand how gender, age, race, culture and other factors of diversity may affect thepsychoneuroendocrine environment and pharmacological treatment.

5. To understand non-pharmacological approaches to altering brain chemistry, such as exercise, diet,nutrition and psychotherapy.

6. To understand the uses of drugs in special populations, such as pregnant women, children and theelderly.

7. (To understand the role of the marriage and family therapist with regard to indications for referral,collaboration with physicians, and understanding medical reports.)

STUDENT LEARNING OUTCOMES:

Pepperdine assigned SLO: K9. Understand basic concepts of psychopharmacology for the treatment of mental

disorders.

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COURSE REQUIREMENTS: Quizzes will be given after the presentation of each chapter of Stahl. Quizzes are

due one from 4-7 days after we have finished the topics that the quiz covers.

COURSE RESOURCES AND MATERIALS:

Texts:

Stahl, Stephen M. (2008) Essential Psychopharmacology, 3rd ed. & Stahl, Stephen M. (2006) The Prescribers

guide, 2cnd ed.. Both texts are available as e-books athttp://stahlonline.cambridge.org/. Price is $195 and

will provide access to both books for 1 year. Additional reading material will be used provided on this site.

OR you can RENT each book on amazon.com for about $23.00 (for a total of 50$)! (Such a deal! and a much

cheaper way to go!).

Schatzberg AF, Nemeroff CB. Textbook of Psychopharmacology, 4th

ed. (no need to purchase! Available for

FREE through the Pepperdine University Library web site)

Other recommended Texts:

PDR Drug Guide for Mental Health Professionals, 3rd ed. (out of print but really handy).

Preston, John D., ONeal, John H., Talaga, Mary C. (2010) Handbook of Clinical Psychopharmacology for

Therapists, 7th ed.

Bloom, Floyd E., Beal, M. Flint, Kupfer, David J., (2006) The Dana Guide to Brain Health: A Practical Family

Reference from Medical Experts. Can be searched online for free!http://www.dana.org/news/danapressbooks/detail.aspx?id=3452

GRADING:

Tests: Tests will comprise of take home tests. These tests will available on Sakai. You will have a certain

amount of time allotted to take each test (generally 4 - 7 days). The tests will cover what is outlined in the

text book and any additional material that has been presented in class. The grade is based on the points you

earned vs. the total points possible. You are welcome to challenge answer submitted answer that was scored

as incorrect. To write a challenge you must turn in your test along with your written challenge. Repairing

tests will not be allowed. The grade you earn on the test is the grade you live with. You can work in a group

on a test (no more than three students can comprise a group) but you must write the answers to the essay

questions on your own. The names of the group members must be reported on the test. If you choose to

work in a group you will lose twice the points for incorrect answers (You had a group, up to triple the brainpower! You should be able to check each others answers!)

Use the following to calculate the test grade: (Points earned/Total Points possible)*100 =grade on the test.

CONTENT OUTLINE:

Introduction: Course objectives; Go over the Syllabus
http://stahlonline.cambridge.org/http://stahlonline.cambridge.org/http://stahlonline.cambridge.org/http://www.dana.org/news/danapressbooks/detail.aspx?id=3452http://www.dana.org/news/danapressbooks/detail.aspx?id=3452http://www.dana.org/news/danapressbooks/detail.aspx?id=3452http://stahlonline.cambridge.org/

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Basics of Pharmacology

1. Stahl: Ch 1 and Schatzberg AF, Nemeroff CB: Ch 12. Stahl: Ch 2 and Schatzberg AF, Nemeroff CB: Ch 23. Stahl: Ch 3 and Schatzberg AF, Nemeroff CB: Ch 1 & 44. Stahl: Ch 4 & 5 and Schatzberg AF, Nemeroff CB: Ch 15. Stahl: Ch 6-8 and Schatzberg AF, Nemeroff CB: Ch 2, 3, 8 & 96. Epigenetics; A number of handouts will be given in lecture.7. Introduction to the basics of Pharmacology is based on chapter that is free on the

web: http://www.rci.rutgers.edu/~lwh/drugs/ ch 3

Test #1 available on Sakai covering the Basics of Pharmacology

Antidepressants

Stahl: Ch 12

1. History of use.2. Symptoms of depressive disorders reactive to medications3. Drugs used, with dosing strategies and side effects:

1. SSRIs2. Cyclic antidepressants3. MAO Inhibitors4. Novel agents

Mood Stabilizers

Stahl: Ch 13

1. History of use.2. Symptoms of unstable mood reactive to medication.3. Drugs used, with dosing strategies and side effects:

1. Lithium2. Valproate, Tegretol and Lamotrigine3. Klonopine and others4. Drug-Drug interactions

Anti-anxiety Agents

Stahl: Ch. 14

1. History of use.2. Symptoms of anxiety disorders reactive to medications3. Drugs used, with dosing strategies and side effects:

1. Benzodiazepines2. Beta-blockers
http://www.rci.rutgers.edu/~lwh/drugs/http://www.rci.rutgers.edu/~lwh/drugs/http://www.rci.rutgers.edu/~lwh/drugs/

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3. Buspirone4. Antidepressants and anxiolytic agents

Hypnotics

Stahl: Ch 16

1. History of use.2. Symptoms of sleep disorders reactive to medication.3. Drugs used, with dosing strategies and side effects

1. Hypnotic benzodiazepines2. Barbiturates3. Sedative antihistamines4. L-tryptophan and others

Test #2 available on Sakai covering the Antidepressant, Mood Stabilizers, Anti-anxiety agents and Hypnotics

Antipsychotic Drugs

Stahl: Ch 10

1. History of use.2. Symptoms of psychotic disorders reactive to medications.3. Drugs used, with dosing strategies and side effects:

1. Major tranquilizers2. High potency neuroleptics3. Atypical and newer antipsychotics4. Neurological side effects and treatment5. Alternatives to neuroleptic drugs

Stimulants

Stahl: Ch 17; parts of Ch 19

Treatment of ADHD

Coffee

Pain management

Stahl: Ch 15

1. Fibromyalgia: Treatment strategies of medications2. Opioids3. NSAIDS4. Alternative treatments

Test #3 available on Sakai covering the Antipyschotics, Stimulants and Pain management

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Special Populations: Medication and Women

1. Powerpoint presentation2. Parts of Stahl

Special Populations: Medication for Men

1. Powerpoint presentation2. Parts of Stahl3. Drugs of Abuse: Anabolic Steroids4. ED/andropause/etc.

Special Populations: Child and Adolescent Psychopharmacology

Powerpoint presentation based on the information presented in: Child and Adolescent Clinical

Psychopharmacology Made Simple by John D. Preston Psy D ABPP, John O'neal and Mary C. Talaga, New

Harbinger Publications; 2 Rev Upd edition (February 2, 2010)

Special Populations: Medication for the Elderly

Stahl: Ch 18

Pharmacokinetic issues

Herbal/OTC treatments (only if time allows)

Interactions with prescribed medications

Necessity of the patient revealing what they are taking!

Obsessive- Compulsive Disorder treatment options (only if time allows)

Stahl: Ch 9

Test #4available on Sakai covering Special Populations and remaining topics.

ATTENDANCE:

You are expected to attend all class sessions. After missing one class session all other absences will result in

subtraction of 5 points from your total score for each subsequent absence. I record all absences on the inside

of your tent name card. You must pick up your tent card at the beginning of each class and return it to me

when you leave. Arriving and or leaving half way through a class also results in this being noted in your tentname card. Arriving and or leaving half way through three classes results in you losing 5 points from your tota

score for each subsequent absence.

Class Announcements:

Class Announcements will be posted on the entry page of Sakai. Please check there every Thursday prior to

class each week. If for some reason I am absent from class then please check Sakai to see what is happening.

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Expectations

I assume you are capable of using a computer. I assume you know how to get onto the internet.

I assume you understand how to send and retrieve email through your Pepperdine account. Please see the GA

if you dont know how to work the system.

I assume you know how to use Microsoft Word.

I assume that you have the 2010 version of Microsoft Office. You are able to purchase the Microsoft Office

suite quite cheaply from Pepperdine IT dept. Where/How? This will be demonstrated in class.

I assume you understand how to send and retrieve email through your Pepperdine account. Please see the GA

if you dont know how to work the system.

MAINTAINING COPIES OF ASSIGNED COURSE WORK FOR PROGRAM EVALUATION: The Graduate School of

Education and Psychology evaluates its programs on an ongoing basis. The data from such evaluations

provide us with information to help improve the quality of the educational experience we provide our

students. In addition, the data are used by our accrediting bodies, such as the Western Association of Schoolsand Colleges (WASC). California Council on Teacher Credentials, and the American Psychological Association

(APA), to make decisions as to whether we can maintain our accredited status with these respective

associations. To this end, we may archive copies of the papers, examinations, exercises, etc. that students

complete as part of their required course work so that we can track if students appear to be meeting the

objectives of the program in which they are enrolled. Names will be removed from the assignments we opt to

archive for evaluation purposes. If you prefer that your course work not be archived for evaluation

purposes, please let me know immediately so that I can make such a notation in the files I keep for each

student who enrolls in my courses.

CODE OF CONDUCT: The Graduate School of Education and Psychology strives to create a learning

environment which is respectful of the rights and dignity of all members of our learning community. Students

are expected to conduct themselves in a collegial, respectful, and professional manner while participating in

all activities associated with this course. Students are expected to exhibit behaviors and attitudes consistent

with appropriate ethical-legal standards, and to refrain from any fraudulent, dishonest, or harmful behaviors

such as plagiarism, cheating, or harassment, which compromise the integrity of the academic standards of the

university and/or impact the safety and security of fellow students, staff, and faculty. Failure to comply with

appropriate standards of conduct may result in a grade of F in the course and dismissal from the program.

PLAGIARISM: Plagiarism is commonly understood in the academic community to involve taking the ideas or

words of another and passing them off as ones own. When paraphrasing or quoting an author directly, one

must credit the source appropriately. Plagiarism is not tolerated at the Graduate School of Education andPsychology.

DISABILITY STATEMENT: Any student with a documented disability (physical, learning, or psychological)

needing academic accommodations should contact the Disability Services Office (Malibu Campus, Tyler

Campus Center 225, 310.506.6500) as early in the semester as possible. All discussions will remain

confidential. Please visithttp://www.pepperdine.edu/disabilityservices/for additional information.
http://www.pepperdine.edu/disabilityservices/http://www.pepperdine.edu/disabilityservices/http://www.pepperdine.edu/disabilityservices/http://www.pepperdine.edu/disabilityservices/

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RESPECTFUL DISCOURSE: The Pepperdine University Graduate School of Education and Psychology values and

respects the perspectives and diversity of our students in regard to ethnicity, nationality, gender, sexual

orientation, socioeconomic status, religion, age, and ability status. Thus, it is critical that classroom discussions

include respectfuldialogue about any issue that impacts the lives of our students, and the individuals, families,

and communities that our students serve.

2013+Fall+627-4+Syllabus

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