Psychiatry is the branch of medicine that
deals with the diagnosis, treatment, and
prevention of mental illness. Psychiatrists
complete the same medical training as
physicians and receive an MD and
complete three years of residency training
and then extra years of fellowship training
to specialize in various aspects of
psychiatry. For example, child
psychiatrists specialize in treatment of
children and forensic psychiatrists
specialize in the legal aspects of
psychiatry.
A psychologist is a non-medical
professional who is trained in methods of
psychological test, psychotherapy,
analysis, and research and completes a
doctor of philosophy (PhD) or doctor of
education (EdD) degree program in a
specific field of interest. These specificfields of interest can include clinical
psychology, experimental research, and
social psychology.
Drug Therapy
The following are categories of drugs used
to treat psychiatric disorders:
1. Antianxiety and anti-panic
agents: lessen anxiety, tension, and
agitation especially when associated with
panic attacks. Examples include
benzodiazepines which act rapidly as anti-
anxiety agents, sedatives, oranticonvulsants. They also include
selective serotonin reuptake inhibitors
(SSRIs). These agents prevent the
reuptake of serotonin into nerve ending,
allowing it to linger in the space between it
and the nerve cell.
2. Antidepressants: gradually reverse
depressive symptoms and return the
patient to a more even state with less
persistent and less severe depressive
symptoms. Groups of drugs used as
antidepressants include:
e SSRIs - improve mood, mental
concentration, physical activity, and
sleep patterns
e Atypical antidepressants and serotonin-
norepinephrine reuptake inhibitors
(SNRIs) - modulate twoneurotransmitters serotonin and
norepinephrine in the brain
e Tricyclic antidepressants - contain
three fused rings in their chemical
structure and disrupt
neurotransmission at the nerve endings
e Monoamine oxidase (MAO) inhibitors -
suppress an enzyme, monoamine
oxidase, that normally breaks down
neurotransmitters.
3. Anti-obsessive-compulsive disorder
(OCD) agents - prescribed to relieve the
symptoms of OCD. Examples are tricyclic
antidepressants and SSRIs.
4. Antipsychotics - suppress psychotic
symptoms and behavior. Atypical
antipsychotics are the major examples.They are used to treat schizophrenia,
bipolar disorder, and other mental
illnesses. There are also some first-
generation antipsychotics that are still
used as well.
5. Mood stabilizers - used primarily to
treat patients with mood changes
associated with bipolar disorder. Lithium
is commonly used to reduce the frequency
and severity of manic symptoms.
Anticonvulsant drugs are also used as
mood stabilizers.
6. Hypnotics - used to produce sleep and
relieve insomnia. Examples are sedatives
and benzodiazepines.
7. Stimulants - prescribed for attention
deficit hyperactivity disorder in children
and to a lesser extent in adults