This article aims to demonstrate the utility of psychodynamic treatment approaches within primary care medical settings. First, I provide an overview of the basic integrative care principles, followed by a discussion of a widely used primary care assessment and intervention method (The 5 As: assess, advise, agree, assist, and arrange). I then review specific psychoanalytic perspectives and techniques that are effective in dealing with shorter term, circumscribed conditions. Next, I offer a discussion of the value of a psychoanalytic framework within primary care settings, with a specific focus on the integration of psychodynamic techniques within the 5As approach. This article concludes with a clinical vignette demonstrating the applicability of psychodynamic techniques for a patient presenting in a medical setting.