chapter  21
17 Pages

Antidepressants in Psychotherapy: Use and Abuse

This chapter discusses the use and abuse of antidepressants with new patients who request them and with the patient who develops a severe abandonment depression in psychotherapy.

I will define antidepressants as those medications that inhibit the reuptake of norepinephrine and serotonin in the central nervous system, including tricyclic antidepressants, such as Tofranil (imipramine) and Elavil (amitriptyline) and second-and third-generation antidepressants, such as Ludiomil (maprotiline), Asendin (amoxapine), and Prozac (fluoxetine). Monamine oxidase (MAO) inhibitors would be included as antidepressants, but I am excluding lithium; antipsychotic agents, such as phenothiazines; and benzodiazepines, including Xanax (alprazolam).