210 CHAPTER 6
eat foods (such as wine and cheese) containing a substance called tyramine, which
can cause fatal blood pressure changes. An MAOI is now available as a skin patch;
the skin patch method of administering the medication avoids absorption via the
gastrointestinal tract and thus reduces the risk associated with eating tyramine-
rich foods (Patkar, Pae, & Masand, 2006).
Among the antidepressants, SSRIs have been the most popular, in part because
they have the fewest side effects. By 2004, however, mental health professionals and
6.2 • Feedback Loops in Action: Depressive Disorders
Figure 6.2g
stress
diathesis
diathesisstress
stress
diathesis
NeuroPsychoSocial NeuroPsychoSocial
NeuroPsychoSocial
Mental Processes and
Mental Contents
Attentional biases
Attributions
Rumination
Cognitive distortions
Stressful Life Events
Relationship
problems or loss
Social Factors
Abuse
Gender/Culture
Discrimination
Socieconomic hardship
Symptom expression
Family
Insecure
attachment
Behavior
Learned
helplessness
Affect
Depressed
Brain Systems
Frontal lobes
Temporal lobes
Thalamus
Basal ganglia
Hippocampus
Amygdala
HPA axis
Neural Communication
Serotonin
Norepinephrine
Dopamine
Cortisol
Genetics
Inherited
vulnerability
for depressive
disorders