Module 2: A Case of Misdiagnosis

This presentation was produced for enduring credit throughout 2024 and originally reviewed on January 17, 2025.

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

In this module, you will have the opportunity to assess a patient with suspected difficult-to-treat depression. The first part reinforces the foundational principles you learned in the introductory module: differentiating syndrome from diagnosis and recognizing suspected difficult-to-treat depression. The second part reviews the PRAT approach and then specifically focuses on how to evaluate the psychiatric diagnosis using a review of systems. The third part reviews the clinical features of bipolar disorder, which is an important diagnosis to consider in suspected difficult-to-treat depression.

Target Audience

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

Learning Objectives

At the conclusion of this activity, attendees will be able to:

  1. Describe the difference between suspected and confirmed difficult-to-treat depression
  2. Apply the PRAT approach to a patient case example
  3. Identify three interviewing strategies that are helpful for eliciting symptoms of mania/hypomania
  4. Describe five key clinical features of depressed patients with underlying bipolar disorder
Course summary
Available credit: 
  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 Psychologists
  • 1.25 MNA Contact Hours for Nurses
  • 1.25 Participation
Course opens: 
02/24/2025
Course expires: 
02/22/2027

This course was supported by Grant Numbers 6H79FG000999-01M001 and H79FG000784 from SAMHSA. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of SAMHSA.

About the faculty

Elizabeth Ryznar, MD, MSC is the Director of Medical Education at Sheppard Pratt and a consultation-liaison psychiatrist. She is also part-time Assistant Professor in the Department of Psychiatry and Behavioral Sciences at Johns Hopkins. She completed her medical training at Harvard Medical School, her residency training at McGaw Medical Center of Northwestern University, and her postdoctoral training in medical education at Johns Hopkins. She also obtained a Masters degree in Comparative Social Policy from Oxford University. An experienced medical educator, she co-edited a textbook called Landmark Papers in Psychiatry with Oxford University Press and received local clinical teaching awards. She has multiple peer-reviewed publications on topics like childhood trauma, psychiatric diagnosis, decision-making capacity and mindful teaching, and her article on Functional Coma won best review article of 2021 from the Academy of Consultation-Liaison Psychiatry. She is using her platform as a psychiatrist to raise awareness about the neuropsychiatric harms of climate change and plastics pollution. She writes a monthly “Climate Column” for Maryland Psychiatric Society and is active on the Maryland Psychiatric Society’s Legislative Committee and Maryland Health Professionals for a Healthy Climate.

Lisa Illum, MLIS, M.Ed., is the Professional Education Coordinator for the Center of Professional Education at Sheppard Pratt. She is also the medical librarian and Archivist for Sheppard Pratt. She received her Master’s in Library and Information Science from the University of South Florida and her Masters of Education in Curriculum and Instruction from Western Governors University.  Prior to joining Sheppard Pratt, she was the Assistant Librarian at Keiser University’s Fort Myers Campus.

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.

Elizabeth Ryznar, MD, MSC, & Lisa Illum, MLIS, MEd, report that they have 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. They will not discuss any products, services, or off-label uses in this presentation. All relationships have been mitigated through review.

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: Todd Peters, MD, Scott Aaronson, MD, Michael C. Hann, MD, MBA, Louis Marino, MD, Devi Bhuyan, PsyD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Paula Bostwick, MSN, RN, CENP, Alfredo Sagisi, DNP, MS, RN, FACHE, Maggie O'Neill MSN, RN, PMH-BC, 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 live activity for a maximum of 1.25 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 1.25 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 CE activity.  Sheppard Pratt designates this educational activity for a maximum of 1.25 contact hours for Psychologists.

Available Credit

  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 Psychologists
  • 1.25 MNA Contact Hours for Nurses
  • 1.25 Participation
Please login or register to take this course.

ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME

Module 2: A Case of Misdiagnosis

Elizabeth Ryznar, MD, MSC

Director of Medical Education, Sheppard Pratt

Assistant Professor,Department of Psychiatry and Behavioral Sciences, Johns Hopkins

Baltimore, MD

&

Lisa Illum, MLIS, MEd

Professional Education Coordinator

Sheppard Pratt

Baltimore, MD

 

Originally reviewed January 17, 2025.
Produced for enduring credit throughout 2024.
Enduring Activity Credit Expiration Date:
January 18, 2027.

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

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Hardware/Software Specifications

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