Patient was educated on pathophysiology of mood disorders as follows:
- Neurotransmitters are chemicals that are manufactured in the brain and released by nerve endings, at the synapse, which is a junction between two nerves. This released neurotransmitter in the synapse communicates the impulse to the nerves around.
- A variety of neurotransmitters, such as, norepinephrine, serotonin, dopamine, and gamma-aminobutyric acid (GABA) play a significant role in regulating mood and behavior.
- The concentrations of these neurotransmitters must be closely balanced for regulation of mood and prevention of any mood disorders.
- Optimal levels of norepinephrine and serotonin are needed for controlling symptoms of depression and promoting feelings of contentment and happiness. Low levels of norepinephrine and serotonin is considered to be an important factor for symptoms of anxiety and depression.
- GABA is mainly associated with feelings of relaxation and controlling anxiety. Low levels of GABA is considered to be an important factor for agitation and symptoms of anxiety.
- Dopamine, in optimal concentrations, is one major neurochemical helping with motivation and reward seeking behaviors. Low levels of dopamine is considered to be an important factor for lack of motivation, disinterest, and depression. Excessive dopamine levels are considered to lead to restlessness, excitement, euphoria, and high levels of anxiety.