Uses defense mechanisms to control instinctual urges and distinguishes fantasy from
reality using reality testing - ✔️✔️Ego
Name 4 mature defense mechanisms - ✔️✔️1. Altruism
2. Humor
3. Sublimation
4. Suppression
Name 7 neurotic defense mechanisms - ✔️✔️1. Controlling
2. Displacement
3. Intellectualization
4. Isolation of affect
5. Rationalization
6. Reaction formation
7. Repression
Name 4 immature defense mechanisms - ✔️✔️1. Acting out
2. Denial
3. Regression
4. Projection
In which patients is psychoanalysis contraindicated - ✔️✔️Patients who have problems
with reality testing (actively psychotic or manic patients)
Which patients most commonly exhibit primary process thinking - ✔️✔️Children and
psychosis
Unconscious; involves instinctual sexual/aggressive urges and primary process thinking
- ✔️✔️Id
Moral conscience and ego ideal (inner image of oneself that one wants to become) -
✔️✔️Superego
Serves as a mediator between id, superego, and external environment nad seeks to
develop satisfying interpersonal relationships - ✔️✔️Ego
,Woman tells you that "you and the nurses are the only people who understand me; all
the other doctors are mean and impatient". What defense mechanism is this? -
✔️✔️Splitting (borderline personality d/o)
Which cluster personality disorders benefit from psychoanalysis - ✔️✔️B and C
Interpersonal therapy - ✔️✔️Focuses on development of social skills to help treat
certain psychiatric d/os
Theory upon which behavioral therapy is based - ✔️✔️Learning theory: behaviors are
learned by conditioning and can be unlearned by deconditioning
Technique in which a negative stimulus (electric shock) is repeatedly paired with a
specific behavior to create an unpleasant response - ✔️✔️Aversion therapy
Therapy in which patient is taught to identify maladaptive thoughts and replace them
with positive ones - ✔️✔️Cognitive therapy
Form of CBT that is effective in reducing the urges to engage in self-harm behavior in
borderline personality disorder patients by incorporating cognitive and supportive
techniques and mindfulness derived from traditional Buddhist practice - ✔️✔️Dialectical
behavioral therapy
Which patients have poor reality testing - ✔️✔️Psychotic patients
Fluoxetine: Brand name and class - ✔️✔️Prozac, SSRI
Sertraline: Brand name and class - ✔️✔️Zoloft, SSRI
Paroxetine: Brand name and class - ✔️✔️Paxil, SSRI
Citalopram: Brand name and class - ✔️✔️Celexa, SSRI
Escitalopram: Brand name and class - ✔️✔️Lexapro, SSRI
Duloxetine: Brand name and class - ✔️✔️Cymbalta, SNRI
Venlafaxine: Brand name and class - ✔️✔️Effexor, SNRI
Desvenlafaxine: Brand name and class - ✔️✔️Pristiq, SNRI
Amitriptyline: Brand name and class - ✔️✔️Elavil, TCA (tertiary amine)
Imipramine: Brand name and class - ✔️✔️Tofranil, TCA (tertiary amine)
,Desipramine: Brand name and class - ✔️✔️Norpramin, TCA (secondary amine)
Nortriptyline: Brand name and class - ✔️✔️Pamelor, TCA (secondary amine)
Tranylcypromine: Brand name and class - ✔️✔️Parnate, MAOI
Phenelzine: Brand name and class - ✔️✔️Nardil, MAOI
Isocarboxazide: Brand name and class - ✔️✔️Marplan, MAOI
Selegeline: Brand name and class - ✔️✔️Eldepryl, MAOI
Lamotrigine: Brand name and class - ✔️✔️Lamictal, Anticonvulsant mood stabilizer
(bipolar maintenance drug)
Olanzapine: Brand name and class - ✔️✔️Zyprexa, Atypical antipsychotic (also used
as mood stabilizer for bipolar maintenance)
Valproate: Brand name and class - ✔️✔️Depakote, Anticonvulsant mood stabilizer
(bipolar maintenance drug)
Phenobarbital: Brand name and class - ✔️✔️Luminal, barbiturate
Diazepam: Brand name and class - ✔️✔️Valium, benzo
Triazolam: Brand name and class - ✔️✔️Halcion, benzo
Alprazolam: Brand name and class - ✔️✔️Xanax, benzo
Lorazepam: Brand name and class - ✔️✔️Ativan, benzo
Clonazepam: Brand name and class - ✔️✔️Klonopin, benzo
Midazolam: Brand name and class - ✔️✔️Versed, benzo
Zolpidem: Brand name and class - ✔️✔️Ambien: sleeping pill/hypnotic
Eszopiclone: Brand name and class - ✔️✔️Lunesta: sleeping pill/hypnotic
Flumazenil: Brand name and class - ✔️✔️Romazicon: benzo reversal agent
Ramelteon: Brand name and class - ✔️✔️Rozerem: sleeping pill/hypnotic
, Buspirone: Brand name and class - ✔️✔️Bu-Spar, non-sedative anxiolytic
Thiopental: Brand name and class - ✔️✔️Sodium pentothal, barbiturate
3 major AEs of SSRIs/SNRIs - ✔️✔️CNS stimulation (insomnia, agitation, mania)
GI problems
Sexual dysfunction (tx with bupropion)
Side effect caused by SNRI but not SSRIs - ✔️✔️HTN at high doses
Special indication for duloxetine (Cymbalta) - ✔️✔️Neuropathic pain
Which SSRI has fewer drug-drug interactions - ✔️✔️Sertraline
6 sx of serotonin syndrome - ✔️✔️Hyperthermia, muscle rigidity, myoclonus, akathisia,
hyperreflexia, fluctuating vital signs & mental status
MOA of trazodone, 2 unique side effects - ✔️✔️Serotonin receptor antagonist
SE: priapism, orthostatic hypotension (alpha blocker)
MOA of bupropion, unique indication - ✔️✔️Dopamine and NE reuptake inhibitor, used
for smoking cessation as well (bc also antagonizes nicotinic receptor)
Why is dosage of mirtazapine important - ✔️✔️Low dose (7.5 mg) targets histamine
and helps insomnia
High dose (>15 mg) targets SA and NE and helps depression
3 side effects of mirtazapine - ✔️✔️Weight gain, orthostatic hypotension,
anticholinergic effects (dry mouth, constipation, cognitive impairment)
2 important side effects of bupropion - ✔️✔️CNS stimulation (agitation, anxiety)
Lower seizure threshold
Disease for which clomipramine is indicated - ✔️✔️OCD (generic: Anafranil, related to
TCAs)
MOA of TCAs - ✔️✔️Block neuronal reuptake pumps for SA and NE (secondary NE
only)
Also block many neurotransmitter receptors, causing many side effects
6 SEs of TCAs - ✔️✔️-Arrhythmias
-Orthostatic hypotension (alpha blockade)