Psychoanalysis 

working through childhood conflicts

re-experiencing childhood as recreated

interpretation of transference in central 

Psychoanalysis 

Goal

Rework personality structures and resolve sx

Psychodynamic 

Psychodynamic

Goal

Understand conflict area and MDMs used 

Brief Dynamic

Narrowly defined focus of Tx

pt must engage quickly

terminate in short amt of time 

focus on current fxn

Brief Dynamic

Goal  

• Clarify and Resolve focal area of conflict interfering w/ functioning
• Facilitates health-seeking behaviors
• Reduce obstacles to nl growth 

Supportive Psychotherapy 

Pt's coping & ability to recognize warning signs of relapse

Suppresses disturbing material; Reduce Anxiety 

Strenghtened MDM: intellectualization & rationalization

Supportive 

Goal 

Maintain/re-stablish best level of fxning

Behavior Psychotherapy 

Learnign for sx behavior

Techniques: +reinforcement, extinction, systemic desensitization, relaxation training, aversive training

Behavior

Goal 

Eliminate disruptive behavior patterns & substitute appropriate ones 

Interpersonal Psychotherapy 

Assumes connection btwn onse of D/O (mood d/o) and interpersonal context

**reassurance, clarification of feeling states, test perceptions, try new communication patterns 

Interpersonal 

Goal 

Improve current interpersonal skills and interpersonal communication 

Cognitive Psychotherapy 

Theory: psychopath occurs when cognitive processing distorts reality 

depressive/anxious conditions result 

Triad of Depression 

View of self: negative

Interpretation of experience: self-deprecating

View of future: Hopeless 

Cognitive Psychotherapy 

I.D. and alter cognitive distortions (automatic thought and maladapative assumptions)

Aim: direct removal rather than resolution of conflicts

Group Psychotherapy 

Pts brought together and target specific behavior

guided by therapist 

Group Psychotherapy 

Goal 

Alleviates sx, change relationships, alter family dynamics, help other develop the capacity for increased concern for others

Family Therapy 

Tx of kids (usually), often used for eating D/O and substance abuse 

Couples Therapy 

Resolve Conflict and reconstruct the dyadic relationship or facilitate disengagement in the least destructive way. 

Typical Antipsychotics 

Haloperidol, Chlorpromazine, Mellaril 

Haloperidol 

tradename 

Haldol

Chlorpromazine 

Trade name 

Thorazine 

Mellaril 

Tradename 

Thioridazine 

S/Es of typical antipsychotics 

dystonia, EPS, TD, akasthesia, motor restlessness

Atypical Antipsychotics 

Clozapine, Risperadone, Olanzapine, Quetiapine, Ziprasidone, Aripiprazole 

Clozapine 

(trade name) 

Clozaril 

Risperadone 

(trade name) 

Risperdol 

Olanzapine 

(trade name) 

Zypreza

Quetiapine 

trade name? 

Seroquel 

Ziprasidone 

trade name? 

Geodon 

Aripiprazone 

Trade name? 

Abilify 

Atypical antipsychotics 

Lesser D2 effect, blockade of 5HT-2A 

Metabolic S/O

Obese (waist >40)

Glucose Intolerance (>110)

TGs (>150)

BP (>130/85)

S/E of Clozaril 

Agranulocytosis, wt gain 

Aripipprazole (abilify) &

Ziprasidone (Geodon)

Wt neutral 

No wt gain

Imipramine, Amitriptyline

Despiramine 

TCAs

Imipramine 

Tofranil

Amitriptyline

Elavil 

Desipramine

Norpramin

TCAs

MOA 

block reuptake of NE and 5HT

TCA

*big S/E

QT prolongation --> 3 deg AV block

ONly take 100o mg to cause this (easy suicide) 

(Tx dose: 150-300) 

Sertraline, Paroxetine, Citalopram, Fluoxetine, Fluvoxamine, 

SSRIs

Fluoxetine 

*trade name

Prozac

Sertraline 

*trade name? 

Zoloft

Paroxetine 

trade name? 

Paxil 

Citalopram

*trade name 

Celexa 

Fluvoxamine 

*trade name 

Luvox 

5-HT S/O 

tx: cyproheptadine & propranolol 

Myoclonus, hyperreflexia, shivering, restlessness, confusion, tremor 

5-HT discontinuation S/O

agitation, "shock-like" sxs, nausea, dysequilibrium, dysphoria

MAOi's 

Phenalzine, Tranylcypromine 

Phenalzine

trade name ? 

Nardil 

MAOi's 

*Major S/E

HTN crisis 

Avoid food w/ tyramine: aged cheese, chianti, fava/lima beans, yogurt, pickled herring 

HTN Crisis 

↑BP, severe HA, vomiting, fever, restlessness

Tranylcypromine 

trade name?

Parnate

Mood Stabilizers 

Valproate, Carbamazepine

Valproate 

Depakote

Carbamazepine 

Tegretol 

Lithium

S/E: narrow TI (toxic), tremor, dysarthrias, GI distress, confusion, ataxia, seizures

Depakote

Affects GABA, reduces kindling, reduces AC activity 

Valproate

S/E: GI upset, wt gain, tremor, elevated LFTs