Loma Linda Department of Psychiatry’s The Ninja’s Guide to PRITE 2016 Edition The Best PRITE Review…..EVER Foreword In 2007, a ragamuffin group of interns and residents set out to create a high-yield PRITE guide. Equipped with laptops, pencil-marked PRITEs from 2001-2006, and enough junk food to feed a small country, the “Loma Linda Department of Psychiatry PRITE Sweatshop” was started. After multiple revisions to the guide over the past nine years, The Ninja’s Guide to PRITE continues to focus on the most important areas to cram into your brain in the month preceding PRITE. It is suggested that going over old PRITE exams is the best preparation for PRITE. This guide provides a comprehensive summary of old PRITEs in an attempt to help with a more efficient review. Other items in this guide include a psychopharmacology review, a psychotherapy review, and a miscellaneous topics high-yield review. The various Ninja reviews combine information from the Massachusetts General Hospital Psychiatry Review, Synopsis of Psychiatry and Synopsis of Psychopharmacology by Kaplan and Sadock, the APA Psychiatry Textbook and other excellent sources. Remember that these materials are copyrighted, so please do not sell this free learning tool. With these tools, it is my hope that you will completely rock the PRITE. Best of Ninja Luck, Melissa Pereau, MD Associate Psychiatry Residency Training Director Loma Linda Department of Psychiatry Loma Linda University School of Medicine Go to Table of Contents 2 Table of Contents Foreword ..................................................................................................................................................... 2 Table of Contents .......................................................................................................................... 3 A NINJA'S GUIDE TO PSYCHOPHARMACOLOGY ......................................................................................... 8 Antipsychotics ......................................................................................................................................... 8 Typical Antipsychotics ................................................................................................................................. 8 Atypical Antipsychotics .............................................................................................................................. 10 Mood Stabilizers .................................................................................................................................... 13 Lithium ....................................................................................................................................................... 13 Valproic Acid .............................................................................................................................................. 14 Carbamazepine (Tegretol) ......................................................................................................................... 15 Oxcarbazepine (Trileptal) .......................................................................................................................... 16 Lamotrigine (Lamictal) ............................................................................................................................... 17 Gabapentin (Neurontin) ............................................................................................................................ 17 Topiramate (Topamax) .............................................................................................................................. 18 Antidepressants ..................................................................................................................................... 18 TCAs ........................................................................................................................................................... 18 Tetracyclic Antidepressants ....................................................................................................................... 20 Monoamine Oxidase Inhibitors ................................................................................................................. 21 Selective Serotonin Reuptake Inhibitors (SSRIs) ........................................................................................ 22 Some Observations on the Generic Medications We Now Prescribe ....................................................... 25 Bupropion (Wellbutrin, Zyban) .................................................................................................................. 26 Venlafaxine (Effexor) and Desvenlafaxine (Pristiq) ................................................................................... 27 Duloxetine (Cymbalta) ............................................................................................................................... 28 Anxiolytics ............................................................................................................................................. 28 Buspirone (Buspar) .................................................................................................................................... 28 Benzodiazepines ........................................................................................................................................ 29 Cognitive Enhancers ............................................................................................................................... 31 Miscellaneous Topics ............................................................................................................................. 32 Treatment of Medication Side Effects ....................................................................................................... 32 Treatment of Overdose ............................................................................................................................. 32 A NINJA’S GUIDE TO NEUROLOGY ............................................................................................... 33 Cortex .................................................................................................................................................... 33 Anatomy Overview .................................................................................................................................... 33 Pereau’s “Cram the Brain Using the MMSE” Review Tool ........................................................................ 34 High Yield PRITE Review ............................................................................................................................ 36 Anatomy Overview .................................................................................................................................... 38 Pereau’s “The Brainstem as a Face” Review Tool ..................................................................................... 39 Go to Table of Contents 3 High Yield PRITE Review ............................................................................................................................ 41 A NINJA’S GUIDE TO PSYCHOTHERAPY ........................................................................................ 48 Psychoanalytical Psychotherapy ............................................................................................................... 48 Expressive Psychotherapy (“Insight-Oriented Therapy”) .......................................................................... 49 Brief Psychotherapy .................................................................................................................................. 49 Interpersonal Therapy ............................................................................................................................... 50 Supportive Psychotherapy ........................................................................................................................ 50 Behavioral Therapy .................................................................................................................................... 51 Biofeedback ............................................................................................................................................... 51 Cognitive Behavioral Therapy .................................................................................................................... 51 Group Therapy .......................................................................................................................................... 53 Family Therapy .......................................................................................................................................... 54 Couples Therapy ........................................................................................................................................ 55 A NINJA’S GUIDE TO FREUD & OTHER STUFF ........................................................................................ 57 Sigmund Freud ....................................................................................................................................... 57 Interpretation of Dreams .......................................................................................................................... 57 The Topographical Model of the Mind ...................................................................................................... 57 Instinct