Live Grand Rounds: Difficult to treat depression (DTD): Clinical Value and Research Challenges
Many patients with depression cannot be brought into a state of sustained symptom remission. Sometimes called “treatment resistant” depression, they may be better understood as “difficult to treat depressions” (DTD) because this clinical heuristic promotes the search for treatable pharmacological, psychosocial, and biological/medical obstacles to achieving or sustaining remission. Furthermore, the DTD heuristic recognizes that some depressions may be better managed by optimizing symptom control, quality of life, and daily function, rather than by conducting multiple revisions in treatment from which little, longer-term benefit may be expected. The clinical challenges (e.g., selecting assessments for treatable causes; identifying treatment sequences for specific patients) as well as the research challenges (e.g., defining types of DTD; assessing outcomes) are discussed.
Category
  • Grand Rounds
  • Mood Disorders
Format
  • Live Webinar
Credits
  • 1.00 ACEP NBCC clock hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Category I credits for Social Workers
  • 1.00 Psychologists
  • 1.00 MNA Contact Hours for Nurses
  • 1.00 Participation
Event date January 31, 2024
Live Grand Rounds: A Systematic Approach to the Management of Difficult-to-Treat Depression
“Treatment resistant depression (TRD)” is defined when a patient’s depression has failed to respond to two consecutive adequate trails of different antidepressants. This begs the question as to who or what is “resistant”. TRD focuses on non-response, does not take into account the equally challenging situations of lack of a sustained response or intolerance/contraindication/non-acceptance of treatment. “Difficult-to-treat depression (DTD)” is an alternative, more clinically orientated, concept of depression with poor outcomes. It describes depression that continues to cause a burden to the patient despite usual treatment efforts by the clinician. Most importantly, DTD is associated with a chronic, rather than acute, illness model of care. Key to this is holistic, individualised, management identifying factors that may contribute to the poor outcome and which may be tractable. While remission of symptoms is the primary goal of treatment, if this is difficult to achieve, the focus might more appropriately shift towards optimal management of residual symptoms and most importantly improvement in psychosocial functioning and quality of life. This presentation will discuss how to manage DTD systematically using the DTD model of care to optimize not only symptomatic improvement of patients, but also reducing risks of relapse and maximizing improvements in patient’s quality of life.
Category
  • Grand Rounds
  • Mood Disorders
Format
  • Live Webinar
Credits
  • 1.00 ACEP NBCC clock hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Category I credits for Social Workers
  • 1.00 Psychologists
  • 1.00 MNA Contact Hours for Nurses
  • 1.00 Participation
Event date February 7, 2024
Live Grand Rounds: Treatment Resistant & Chronic Depression Treatment Modalities
It is estimated that approximately 280 - 350 million people in the world suffer from depression and is the leading cause of disability around the world. Treatment response and remission do not occur in every patient treated for depression and have led to the use of the term treatment resistant depression (TRD). This talk will review the model of treatment resistant depression, its limitations and offer a view through a difficult to treat depression model. This talk will also focus on the importance of thorough assessment as well as current and future treatments.
Category
  • Grand Rounds
  • Mood Disorders
Format
  • Live Webinar
Credits
  • 1.00 ACEP NBCC clock hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Category I credits for Social Workers
  • 1.00 Psychologists
  • 1.00 MNA Contact Hours for Nurses
  • 1.00 Participation
Event date February 14, 2024
Live Workshop: The Application of Applied Behavior Analysis in a Short-Term Crisis Setting Across Diverse Populations
Individuals who face chronic distress and challenging behaviors may face a lifetime of reactive-based treatment in order to mitigate the most immediate crisis which may increase the likelihood of recidivism in said treatments. The application and outcomes of applied behavior analysis (ABA) is well documented with the autism spectrum population but very little has been shown outside of this group. This presentation will review how ABA principles are applied in an acute inpatient setting across varying populations. A framework is given to learners to identify the root cause of challenging behaviors that may aid in developing preventative strategies.
Category
  • Basic Science
  • Serious Mental Illness
  • Workshop
Format
  • Live Webinar
Credits
  • 1.00 ACEP NBCC clock hours
  • 1.00 Behavior Analyst Certification Board
  • 1.00 Category I credits for Social Workers
  • 1.00 Psychologists
  • 1.00 Participation
Event date February 16, 2024
Live Grand Rounds: Ethical Considerations in Psychedelic-Assisted Therapies
As clinical trials progress in the United States, the potential for psychedelic-assisted psychotherapy for various indications to become an approved prescription treatment looks increasingly promising. Clinicians interested in new treatment options for mood, anxiety, and substance use disorders can learn the basics on psychedelic-assisted therapy treatment elements and the current state of the research. This information will be presented to help clinicians consider how psychedelic-assisted psychotherapy might be used in the future to serve their patient populations and highlight key ethical considerations in this area.
Category
  • Conceptual Psych
  • Ethics/Legal
  • Grand Rounds
Format
  • Live Webinar
Credits
  • 1.00 ACEP NBCC clock hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Category I credits for Social Workers
  • 1.00 Psychologists
  • 1.00 MNA Contact Hours for Nurses
  • 1.00 Participation
Event date February 21, 2024
Live Workshop: We Talk to Our Kids About Drugs and Sex… But What About Gaming and Gambling?
We know we have to talk to our kids about drugs and sex, but gaming and gambling are often not recognized as risky youth behaviors. Basic facts and trends in youth gaming and gambling will be presented as well as the warning signs of a possible addiction. Hear a story of gambling recovery and how we can prevent youth from going down the same path. Learn ways to have the conversation on gaming and gambling behaviors with the youth in your family or those that you serve. Resources for help will be discussed.
Category
  • Addiction
  • Child & Adolescent
  • Workshop
Format
  • Live Webinar
Credits
  • 1.00 ACEP NBCC clock hours
  • 1.00 Category I credits for Social Workers
  • 1.00 Psychologists
  • 1.00 Participation
Event date March 1, 2024
Live Grand Rounds: The Neuroscience of Psychotherapy
Over the past few decades, advances in the neurosciences have led to exciting opportunities to correlate subjective symptom reports with objective measures using imaging and neuroendocrine markers. It is well established that psychotherapy has biological effects on reshaping maladaptive neuronal responses, leading to more flexible activation patterns. This occurs in tandem with clinical response to successful psychological treatments, as patients may soften their rigid cognitions regarding self and others, allowing for more measured approaches to their conflicts. It can be difficult to assimilate the expansive literature on this topic, making it hard to know what information is relevant and useful for practitioners. This presentation will distill how psychotherapy can lead to neurobiological change, linking its effect with the maladaptive activation patterns seen in common psychiatric conditions.
Category
  • Grand Rounds
  • Mood Disorders
  • Psychotherapy
Format
  • Live Webinar
Credits
  • 1.00 ACEP NBCC clock hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Category I credits for Social Workers
  • 1.00 Psychologists
  • 1.00 MNA Contact Hours for Nurses
  • 1.00 Participation
Event date March 6, 2024
Live Workshop: Veteran's Suicide Prevention: Increasing Cultural Competence for Behavioral Health Providers
This activity will improve learners’ competency/performance related to patient care, interpersonal and communication skills, and systems-based practice by teaching the latest evidence-based information about veteran suicide prevention. Collaboration with civilian providers with a diverse and sometimes inadequate understanding of military culture highlight a need to provide educational tools to detect illnesses prevalent in the military, such as posttraumatic stress disorder and mild traumatic brain injury. Advances in cultural competency education have improved the skills of providers caring for veterans to include the utilization of the Crisis Response Plan to aid in the prevention of suicidal behavior in at-risk veterans.
Category
  • Suicide/Crisis
  • Workshop
Format
  • Live Webinar
Credits
  • 1.00 ACEP NBCC clock hours
  • 1.00 Category I credits for Social Workers
  • 1.00 Psychologists
  • 1.00 Participation
Event date March 15, 2024
Live Grand Rounds: Risk Factors and Warning Signs for Adolescent Suicide Attempts
Suicide is a leading cause of death among youth and an urgent public health and clinical concern. King’s presentation will cover the demographic and clinical risk for adolescent suicide attempts, highlighting the importance of multi-factorial risk prediction. Following a discussion of risk factors, Dr. King will describe the challenges of suicide risk screening and share the evidence base for three adolescent suicide risk screening tools, discussing their relative strengths and weaknesses. Finally, recent empirical data on the 14-hour warning signs for adolescent suicide attempts will be presented.
Category
  • Child & Adolescent
  • Grand Rounds
  • Suicide/Crisis
Format
  • Live Webinar
Credits
  • 1.00 ACEP NBCC clock hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Category I credits for Social Workers
  • 1.00 Psychologists
  • 1.00 MNA Contact Hours for Nurses
  • 1.00 Participation
Event date March 20, 2024
Live Professional Workshop: How Psychotherapy Works... And How to Make it More Effective
The evidence indicates that psychotherapists do not improve their outcomes over the course of their careers. Various methods have been offered for improving outcomes, including delivering evidence based treatments and using routine outcome monitoring (ROM). Neither of these methods has led to therapist development An understanding of what makes psychotherapy work suggests that improved facilitative interpersonal skills (FIS) will lead to improvement of outcomes. Deliberate practice of FIS in challenging interactions will improve outcomes gradually.
Category
  • Basic Science
  • Psychotherapy
  • Workshop
Format
  • Live Webinar
Credits
  • 3.00 ACEP NBCC clock hours
  • 3.00 Category I credits for Social Workers
  • 3.00 Psychologists
  • 3.00 Participation
Event date March 22, 2024

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