On Demand Grand Rounds: In the Mood: Learning to Self-Regulate Affect and Impulse
Harry Stack Sullivan Award Lecture
This presentation was originally reviewed on November 3, 2020, and broadcast live online on November 11, 2020, from 11:30 AM - 1:00 PM ET.
Affect and impulse dysregulation are characteristics of multiple psychiatric disorders, most notably disorders of mood and personality. The individuals affected are often at-risk populations, have suffered physical and emotional trauma, and present to settings that are under-resourced (e.g., educational, residential, correctional). Our understanding of the underlying neurobiology is rapidly evolving, but our ability to treat disorders of affect and impulsivity pharmacologically is still limited at best. Psychotherapy is a critical tool, and often underutilized due to limited resources. The evidence for effective psychotherapy in these populations suggests incorporation of cognitive behavioral therapy, motivational interviewing, and trauma-informed care into a skills-based program that is manualized and sustainable. Attendees of this conference will learn about the development, implementation, international dissemination, adaptations, and effectiveness of one such integrated therapy, named START NOW.
This activity is intended for physicians, nurses, psychologists, social workers, counselors, and other mental health professionals.
After this lecture attendees will be able to:
1. Define the skills-based, manualized CBT therapy, START NOW, and its original application in correctional and forensic populations.
2. Discuss the elements of START NOW.
3. Examine the adaptation of this skills-based psychotherapy to diverse patient populations, and the impact on affect regulation and impulse control.
Sheppard Pratt’s Professional Education Program is pleased to provide Wednesdays at Sheppard Pratt free of charge as a public service to the mental health community. Your tax-deductible donations will help maintain the outstanding quality of this service.
Sheppard Pratt is dedicated to improving quality of life through mental health, special education, and addiction services for children, adolescents, adults and older adults. Our patient-centered treatment approach, combined with our legacy of clinical excellence, sets us apart from other health systems on both a local and national level. We have been ranked among the nation’s top psychiatric hospitals for 24 consecutive years by U. S. News & World Report. Founded in 1853 by philanthropist Moses Sheppard, Sheppard Pratt Health System still abides by its Quaker traditions and values.
Sheppard Pratt regularly hosts renowned speakers from across the country at our headquarters in Towson. We provide educational opportunities on subjects including psychiatric disorders, issues of behavioral health, systems-based change, mental and somatic co-morbidities, psychiatric effects on health and health outcomes, advances in neurobiology, and clinical developments in concepts underlying drug treatment of psychiatric disorders. We are accredited by the Accreditation Council of Continuing Medical Education, the Maryland Nurses’ Association, the Maryland Board of Psychology, the Maryland Board of Social Work, and the National Board of Certified Counselors.
Please send your contributions to:
Sheppard Pratt Professional Education Program
Wednesdays Lecture Fund
6501 North Charles Street, Baltimore, Maryland 21204
Professional Education Program: 410.938.4593
Conference Center at Sheppard Pratt: 410.938.3900
There is no commercial support for this activity.
About The Speaker
Robert Trestman, PhD, MD, is Professor and Chair of the Carilion Clinic and Virginia Tech Carilion School of Medicine Department of Psychiatry and Behavioral Medicine. He received his Ph.D. in Psychology and M.D. from the University of Tennessee and trained in psychiatry and neurobiology at the Mt. Sinai School of Medicine in New York City. Dr. Trestman came to Carilion from The University of Connecticut Health Center, where he was a tenured professor of Medicine and Psychiatry. Dr. Trestman has studied the neurobiology and treatment of people with severe mood and personality disorders and conducts translational research on mental health. He has authored over 180 peer reviewed articles and other publications and is the senior editor of the first textbook in the field of correctional psychiatry, the Oxford Textbook of Correctional Psychiatry. Dr. Trestman is the co-developer of START NOW, a skills-based psychotherapy in use in five countries. Dr. Trestman has given over 150 regional, national, and international invited presentations. Dr. Trestman serves as Chair of the American Psychiatric Association Council on Healthcare Systems & Financing, is Chair of the American Hospital Association’s Behavioral Health Council, serves as Chair of the Research Committee of the American Academy of Psychiatry and the Law Institute for Education and Research, and chairs the American Association of Chairs of Departments of Psychiatry’s Clinical Enterprise Committee.
Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she (or a partner or spouse) has with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.
Robert Trestman, PhD, MD, reports no financial interest, arrangement or affiliation with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months. He will not discuss products, services or off label uses in this presentation.
Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months: Todd Peters, M.D., Sunil Khushalani, M.D., Faith Dickerson, Ph.D., Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Laura Webb, RN-BC, MSN, Stacey Garnett, RN, MSN, Heather Billings, RN, and Jennifer Tornabene.
Physician Statement: Sheppard Pratt is accredited by The Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. Sheppard Pratt designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurse Statement: Sheppard Pratt is approved as a provider of nursing continuing professional development by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity is approved for 1.5 contact hours for nurses.
Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this continuing education activity. Sheppard Pratt designates this educational activity for a maximum of 1.5 contact hours for Psychologists.
Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this continuing education activity. This activity is approved for 1.5 contact hours in Category II credits for Social Workers.
Counselor Statement: Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098. Programs that do not qualify for NBCC credit are clearly identified. Sheppard Pratt is solely responsible for all aspects of the program. This activity is available for 1.5 NBCC clock hours.
- 1.50 ACEP NBCC clock hours
- 1.50 AMA PRA Category 1 Credit™
- 1.50 Category II credits for Social Workers
- 1.50 Psychologists
- 1.50 MNA Contact Hours for Nurses
- 1.50 Participation
ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME
Grand Rounds: In the Mood: Learning to Self-Regulate Affect and Impulse
Robert L. Trestman, MD, PhD
Professor and Chair of Psychiatry and Behavioral Medicine
Carilion Clinic and Virginia Tech Carilion School of Medicine
Originally reviewed November 3, 2020.
Originally broadcast live November 11, 2020, from 11:30 AM - 1:00 PM ET
Enduring Activity Credit Expiration Date: June 28, 2024
Activity Time: One and a half-hour recorded webinar lecture with a 15-minute evaluation process. Total Time: 1:45
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