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Antidepressant Drugs: MAOIs and Other Agents01:23

Antidepressant Drugs: MAOIs and Other Agents

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Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
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Treatment Strategies for Psychological Disorders01:24

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Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
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Depression: Overview01:18

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Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
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Antidepressant Drugs: Overview01:25

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Antidepressant drugs are a class of medications primarily used for treating various mood disorders, including major depression, anxiety disorders, and other related conditions. These medicines work by modulating the neurotransmitter balance within the brain, alleviating depressive symptoms. Antidepressants can be broadly categorized into several groups according to their mechanism of action and chemical structure: Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine...
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Electroconvulsive Therapy01:30

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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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Depressive Disorders: Etiology01:27

Depressive Disorders: Etiology

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Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
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Video Experimental Relacionado

Updated: Jan 15, 2026

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
06:39

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants

Published on: June 13, 2021

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Opciones actuales de tratamiento para la depresión perinatal

Ashley Clark1, Lauren D'Andrea, Alison Reminick

  • 1Department of Psychiatry, University of California San Diego, La Jolla, California, USA.

Current opinion in obstetrics & gynecology
|January 14, 2026
PubMed
Resumen

El cribado y el tratamiento de la depresión perinatal (PND) son cruciales para la salud materna. Las nuevas terapias y las herramientas digitales ofrecen mejores resultados para los padres y los bebés, pero requieren una cuidadosa integración.

Palabras clave:
neuroesteroidesdepresión perinataldepresión pospartoinhibidores selectivos de la recaptación de serotoninazuranolona

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Área de la Ciencia:

  • Obstetricia y Ginecología
  • Psiquiatría
  • Medicina Materno-Fetal

Sus antecedentes:

  • La depresión perinatal (PND) afecta a una parte importante de las pacientes, lo que contribuye a la mortalidad materna.
  • A pesar de su prevalencia, la PND sigue siendo infradiagnosticada y subtratada, lo que pone de manifiesto una brecha crítica en la atención sanitaria materna.
  • Esta revisión sintetiza el conocimiento actual sobre el cribado, el tratamiento y los enfoques terapéuticos novedosos de la PND.

Objetivo del estudio:

  • Proporcionar una revisión actualizada y clínicamente relevante de la depresión perinatal.
  • Sintetizar la evidencia actual sobre los métodos de cribado, los tratamientos establecidos y las terapias emergentes para la PND.
  • Informar la práctica clínica sobre el diagnóstico y el manejo de la PND.

Principales métodos:

  • Revisión sistemática de la literatura actual y las guías clínicas.
  • Análisis de los hallazgos recientes sobre tratamientos farmacológicos y no farmacológicos para la PND.
  • Evaluación de tecnologías emergentes y psiquiatría intervencionista para el manejo de la PND.

Principales resultados:

  • Se recomienda el cribado universal de la PND utilizando herramientas validadas.
  • Los inhibidores selectivos de la recaptación de serotonina son tratamientos de primera línea, con seguridad demostrada durante el embarazo y la lactancia.
  • Los tratamientos emergentes incluyen el neuroesteroide zuranolona para el alivio rápido de la depresión posparto, y opciones de psiquiatría intervencionista como la ketamina y la TMS para pacientes seleccionados.
  • Las herramientas digitales y la IA muestran potencial para la detección temprana y las intervenciones personalizadas, a la espera de una mayor validación.

Conclusiones:

  • El tratamiento individualizado y basado en la evidencia es esencial para optimizar los resultados maternos y neonatales en la PND.
  • Una combinación de intervenciones farmacológicas y no farmacológicas puede mejorar significativamente los resultados tanto para el padre como para el niño.
  • Los nuevos agentes terapéuticos y las innovaciones digitales son prometedores para la atención de la PND, pero requieren una cuidadosa integración clínica.