On Demand OCD & Anxiety Lecture Series: Clinical considerations in the treatment of OCD-PTSD Comorbidity

This presentation was originally reviewed on March 9, 2023, and broadcast live online on March 10, 2023, from 2:45- 4:15 PM ET. 

The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.

    The co-occurrence of OCD and PTSD can present a unique clinical challenge for conceptualization and treatment planning. While empirically based treatments (EBTs) exist for both disorders, preliminary evidence suggests certain presentations/developmental trajectories of this comorbidity may be associated with greater symptom severity, depression, higher suicidality (e.g. Fontenelle et al., 2012), and may account for a large percentage of treatment refractory cases (Gershuny et al., 2008). With a comorbidity rate around 19.1% (Ruscio et al., 2008) between OCD and PTSD, and elevated rates of trauma histories in those diagnosed with OCD, identifying factors that may impact treatment process and outcome is crucial. This presentation will provide an overview of the existing literature on the comorbidity, with a focus on helping clinicians with differential diagnosis, clinical conceptualization, and treatment planning processes. Treatment strategies for cases in which the PTSD and OCD symptoms appear to be functionally connected, or “dynamic”, will be discussed.

     

    Target Audience

    This activity is intended for physicians, nurses, psychologists, social workers, counselors, and other mental health professionals.

    Learning Objectives

    After this lecture, registrants will be able to:

    1. Define distinguishing features between OCD and PTSD symptom, aiding in differential diagnosis..
    2. Differentiate between static and dynamic comorbidity presentations.
    3. Identify at least one treatment strategy for addressing comorbid presentations.
    Course summary
    Available credit: 
    • 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
    Course opens: 
    04/21/2023
    Course expires: 
    04/18/2025

     

     

    There is no commercial support for this activity.

    About these speakers

    Nathaniel Van Kirk, PhD is a licensed clinical psychologist, specializing in the conceptualization and treatment of severe anxiety disorders, obsessive compulsive disorder (OCD), and trauma/PTSD. Currently, Dr. Van Kirk serves as the Director of Psychological Services for the OCD Institute at McLean Hospital/Harvard Medical School. He received his doctoral degree in clinical psychology from Virginia Tech. Prior to accepting a post-doctoral fellowship at the OCD Institute in 2015, Nathaniel completed his pre-doctoral internship at the Michael E. DeBakey Veterans Affairs Medical Center. Following fellowship, Dr. Van Kirk served as the Administrative Director of Research for the Office of Clinical Assessment and Research (OCAR) at McLean Hospital’s OCD Institute. His clinical research specialty focuses on the role of motivation across treatment and the impact of trauma/comorbid PTSD on treatment outcome in OCD. Nathaniel is involved in regional and national efforts to reduce the stigma surrounding mental health, focusing on the importance of bridging the gap between therapists, researchers and those lived experience. Following personal experiences overcoming OCD, he co-founded the Therapists and Trainees with OCD Special Interest Group, supporting those with OCD and related diagnoses who work in the mental health field and is part of McLean Hospital’s Deconstructing Stigma Campaign. Dr. Van Kirk continues this work as the president of OCD Massachusetts and a member of McLean Hospital’s Patient and Family Advisory Committee (PFAC), PFAC stigma-reduction committee, and as co-chair of the Schwartz Center Rounds Committee at McLean Hospital. 

    Disclosure Statements

    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 has with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 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.

    Nathaniel Van Kirk, PhD reports that he has no relationships with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients during the past 24 months. He will not discuss any 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, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months: Jon Hershfield, MFT, Todd Peters, MD, Deepak Prabhakar, MD, Elizabeth Ryznar, MD, MSc., Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PhD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Stacey Garnett, RN, MSN, Octavia Coit, MN, Heather Billings, RN, Lisa Illum, MLIS, MEd, 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 provides 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.

    Available Credit

    • 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
    Please login or register to take this course.

    This presentation was originally reviewed on March 9, 2023, and broadcast live online on March 10, 2023, from 2:45- 4:15 PM ET.

    ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME

    Workshop: Clinical considerations in the treatment of OCD-PTSD Comorbidity

    Nathaniel Van Kirk, PhD

    Director of Psychological Services, OCD Institute, McLean Hospital

    Instructor, Department of Psychiatry, Harvard Medical School

    President, OCD Massachusetts

    Belmont, MA

    Originally reviewed March 9, 2023.
    Originally broadcast live March 10, 2023, from 2:45 pm – 4:15 pm ET
    Enduring Activity Credit Expiration Date: April 18, 2023

    Activity Time:  Ninety recorded webinar lecture with a 15-minute evaluation process. Total Time: 1:45

    TO EARN CONTINUING EDUCATION CREDIT FOR YOUR ATTENDANCE
    On the OVERVIEW or REGISTER/TAKE COURSE tab, select the GREEN RECTANGLE, TAKE COURSE to begin.
    Complete the Pretest and select NEXT in the bottom right corner of the screen. Use the NEXT button for best results.
    The PowerPoint handout will be available for download.
    After downloading the handout, select NEXT to begin and watch the one-hour video. 
    You may need to select play for the video to begin.
    After the video follow the prompts to complete the posttest, evaluation and attestation of credit. 
    Once you have completed all the components of the Course Progress bar, the certificate will be immediately downloadable.

    FINANCIAL SUPPORT
    There is no commercial support for this activity.

    Questions? Please see our FAQ page at https://cme.sheppardpratt.org/content/faq  email cme@sheppardpratt.org.

     

    Required Hardware/software

    Optimal System Configuration

    Flash Player: Adobe Flash Player 10.1+

    Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+

    Operating System: Windows XP+ or Mac OS X 10.4+

    Internet Connection: 1 Mbps or higher

    Minimum Requirements

    Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera

    Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

    Hardware/Software Specifications

    This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.