Psychopharmacology – A Comprehensive Overview
Core Content for LMFT Licensure for Applicants with an Out-of-State or Out-of-Country Degree Learn More
Note to MFTs: The 15 hours of psychopharmacology for MFTs must be completed at an accredited university. This course does not fulfill that requirement.
This advanced beginner-intermediate course provides the essential information that non-prescribing mental health professionals need to know about psychopharmacology. Its goal is to provide a highly practical, user-friendly approach so that professionals can use the information in their practices and best advocate for their clients.
The first section reviews the structure and function of the neuron, how neurons communicate, common neurotransmitters, pharmacodynamics, and pharmacokinetics. The situations in which mental health professionals might consider referring their clients for a psychotropic medication evaluation are also explored. The second section covers (1) the neuroscience behind common mental disorders, (2) how psychotropic drugs work, (3) potential medication side effects, risks, interactions, withdrawal symptoms, and warnings, (4) how prescribers select among psychotropic medications, and (5) how non-prescribing therapists can support their clients who are taking medications. The third section addresses the most recent clinical research in psychotropic medication for depression, psychosis, and other mental health conditions and provides the latest concerns about the ethical use of psychotropic medications for vulnerable populations. It also covers the therapeutics for postpartum depression and the limitations of psychotropic medications, particularly for anxiety disorders, personality disorders, and treatment-resistant conditions. The fourth and final section focuses on the benefits, limitations, and challenges of integrating psychotherapy with psychopharmacological treatment, specifically for depression, bipolar disorder, psychotic disorders, anxiety disorders, and insomnia.
Educational Objectives
- Explain the basic terms relevant to psychopharmacology, including neurotransmitters, pharmacodynamics, and pharmacokinetics
- Identify when psychiatric medication consultation is warranted and the advantages and disadvantages of consulting with primary care versus psychiatry
- Discuss the major issues that non-prescribers should know about antidepressants, antipsychotics, mood stabilizers, and medications for insomnia and attention deficit disorder
- Identify key psychiatric approaches to the treatment of anxiety, including first-line and second-line medications and the pros and cons of benzodiazepines
- Note the ethical issues involved in treating vulnerable populations with psychotropic medications
- Explain the roles of non-prescribing therapists who work with clients who are taking psychotropic medications
- Discuss the ways in which psychopharmacological treatment can be integrated with therapy for common mental disorders.
Syllabus
- Neurons and neurotransmitters
- Pharmacodynamics: What the drug does to the body
- Pharmacokinetics: What the body does to the drug
- Referrals for a psychotropic medication evaluation
- Antidepressants
- Antipsychotics
- Benzodiazepines
- Mood stabilizers
- Medications for insomnia
- Medications for attention deficit hyperactivity disorder
- Psychiatric approaches to differential diagnosis
- Common first-line and second-line treatments
- Pros and cons of prescribing benzodiazepines
- Prescribing in light of common comorbid conditions, including substance abuse
- Professional collaboration between prescribers and therapists
- Monitoring adverse effects of antidepressants
- Antidepressant adherence in unipolar depression
- Understanding experiences of patients on antipsychotic medications
- Effect of longer dosing intervals for long-acting injectable antipsychotics on outcomes in schizophrenia
- Is pharmacotherapy useful for treating personality disorders?
- Ethical care for vulnerable populations receiving psychotropic treatment
- Sex differences in psychopharmacological treatment of depression
- Therapeutics of postpartum depression
- Treating psychiatric symptoms and disorders with non-psychotropic medications
- Is there a time when prescribing medication in psychiatry is futile?
- Mood disorders
- Measuring efficacy of antidepressants and psychotherapy
- Combining antidepressants with cognitive behavioral, interpersonal, and psychodynamic psychotherapy
- Bipolar disorder
- Psychopharmacology as the cornerstone of treatment
- Evidence for combined biological and psychological treatments
- Psychotic disorders
- Cognitive dysfunction in schizophrenia
- Psychopharmacological treatment of cognitive symptoms
- Cognitive remediation
- Combining pharmacological and psychosocial treatments
- Anxiety disorders
- Psychological and pharmacological treatments, separately and in combination
- Separate reviews for generalized anxiety disorder (GAD), specific phobia, social phobia, obsessive-compulsive disorder (OCD), post traumatic stress disorder (PTSD), and panic disorder
- Insomnia
- Cognitive behavioral therapy versus pharmacotherapy
- Factors favoring initiation of treatment with psychotherapy versus pharmacotherapy
- Combination strategies
