Obsessive Compulsive Disorder

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action selection, energization

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42 Terms

1

action selection, energization

deciding what is worth doing

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2

reinforcement learning

doing something based on what has worked before

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3

where do dopamine cells tend to live?

midbrain

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4

input nucleus

striatum

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5

output nucleus

SNr

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6

obsessions

recurrent and persistent thoughts, urges

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7

compulsions

repetitive behaviors or mental acts

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8

disorder

time-consuming or clinically significant distress or functional impairment

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9

cortico-basal ganglia circuit

connects cortex with basal ganglia and thalamus with cortex; is refined by rewards

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10

locus of arbitration

cortico-basal ganglia circuit

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11

process in cortico-basal ganglia circuit

proposal → vote → accept/reject

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12

what refines arbitration?

rewards

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13

which neurotransmitter controls 100% of plasticity in the striatum?

dopamine

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14

flexible behaviors

meet demands of a changing world, learn how world changes, perform/execute knowledge one has about world

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15

key roles of cortico-basal-ganglia

reward learning, decision making, movement, motivation/effort, executive functions, working memory, cognitive effort/focus

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16

disorders cortico-basal-ganglia is implicated in

addiction, gambling, binge-eating, Parkinson’s, depression, schizophrenia, bipolar disorders, OCD, ADHD

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17

when does the cortico-basal-ganglia flag and use a corrective action?

catching errors online or learning from errors

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18

hierarchy

circuits identify errors in elementary circuits

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19

procedural memory examples

baking, biking

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20

obsession role in cortico-basal-ganglia

error detection mechanism, flag

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21

compulsion role in cortico-basal-ganglia

error resolution mechanism, corrective action

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22

caudal (direction)

forward

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23

medial (direction)

middle

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24

dorsal (direction)

up

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25

lateral (direction)

away from middle

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26

brain regions are implicated in OCD

dorsal-lateral prefrontal cortex, orbito frontal cortex, anterior cingulate cortex (all in a loop with cortico-basal ganglia), and caudate (dorsal-medial-striatum; deep brain structure that receives inputs from cortical areas)

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27

dorsal-lateral prefrontal cortex (DLPFC) roles

domain-general executive control, operator or planner/schedule, planning, task-switching, task-set reconfiguration, inhibitory control, working memory regulation and load management

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28

how does the dorsal-lateral prefrontal cortex (DLPFC) perform its roles?

tracks sequence “order” and “hierarchy” of events, tracks progress in this order/hierarchy

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29

orbito frontal cortex (OFC) roles

rule book, stores causal structures of task space, cognitive map of ‘what if’ trajectories (rules), helps refine ‘plans’ of what to do next

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30

how does the orbito frontal cortex (OFC) perform its roles?

learns transition probability of world, especially when conditioned on my actions

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31

anterior cingulate cortex (ACC) roles

error detector, conflict/error monitoring, compare what happened w/ plan, affects motivation to perform/continue plan, strong coupling w/ amygdala (anxiety) and ventral striatum (motivation to correct behavior)

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32

how does the anterior cingulate cortex (ACC) perform its roles?

computes ‘expected value of control (EVC)’, forecasts what plan achieves (rewards?) and costs of plans

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33

caudate (dorsal-medial-striatum) roles

integrator, stores casual associations (a→b→c etc.), stores agency (how do I affect the world?), ‘procedural’ memory

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34

how does the caudate (dorsal-medial-striatum) perform its roles?

arbitrates cortical proposal related to its roles, sequences plans to pursue goals (goal directed behaviors)

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35

how do genome wide association studies (GWAS) find any patterns of variation in genes that could explain OCD diagnosis or traits?

assess heritable single nucleotide polymorphisms (SNPs; change in gene locations)

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36

which neurotransmitters are associated with variations in genes related to OCD?

serotonin, dopamine, glutamate

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37

how is optogenetic stimulation of lateral orbito fronto striatal pathway used to treat OCD?

suppresses compulsive behaviors

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38

role of selective serotonin reuptake inhibitors (SSRIs) in treating OCD

increases serotonin levels, takes weeks for therapeutic function, unknown mechanism of action but many guesses

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39

Brain Locked-Unlocked method of treating OCD

cognitive behavioral therapy with two steps

  1. relabel the problem (there is a problem, but that is my OCD)

  2. refocus the problem (do something else rewarding)

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40

how is exposure used to treat OCD?

immerse person in fear to create response prevention

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41

transcranial magnetic stimulation (TMS)

a method to affect electrical activity in the brain using alternating electro-magnetic fields

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42

deep brain stimulation (DBS)

a method to affect electrical activity in the brain using implanted electrodes and programmed stimulator

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