Live Grand Rounds: You say Pain. I say Addiction. Let's call the whole thing off.
At the turn of the 21st century, pain management became a major public health concern, recognized as the 5th vital sign in VA healthcare, while opioid prescribing for chronic pain surged, leading to a fivefold increase in morphine milligram equivalents by 2010. In 2013, the DSM-5 redefined Substance Use Disorder (SUD) criteria, excluding tolerance and withdrawal for medically prescribed opioids. As the opioid epidemic unfolded, the limitations of long-term opioid therapy for chronic pain became evident, prompting current guidelines to discourage opioid initiation in favor of non-opioid approaches. However, some patients remain on long-term opioid therapy, struggling to taper without functional improvement, raising questions about whether these cases fit under mild Opioid Use Disorder (OUD) or require a new diagnostic category. This talk will address this ambiguity, outlining a clinical decision-making framework, and exploring the need for new diagnostic approaches when opioid harms outweigh benefits.
Category
  • Addiction
  • 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 November 20, 2024
Live Grand Rounds: Psychodynamic Formulation: An Expanded Approach
Formulation is essential to every treatment. Without a formulation, we are unable to make a diagnosis, collaboratively create a treatment plan, or engage in treatment. Yet formulation is not always taught, and, when it is, this teaching is not always clear. In this talk, Deborah Cabaniss will discuss the work that she and colleagues in the Psychodynamic Formulation Collective have done to operationalize psychodynamic formulation and to place the effects of culture and society on par with other psychodynamic models of the mind. Clinically relevant to all patient settings, this talk will be of interest to trainees and seasoned clinicians alike.
Category
  • Grand Rounds
  • Psychodynamic Therapy
Format
  • Live Webinar
Credits
  • 1.50 ACEP NBCC clock hours
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Category I credits for Social Workers
  • 1.50 Psychologists
  • 1.50 MNA Contact Hours for Nurses
  • 1.50 Participation
Event date October 28, 2024
Live Grand Rounds: Digital Innovations to Improve Capacity in Mental Health Care
Access to specialty mental health care is limited for most Americans, with more than half of those having a mental illness not receiving treatment. Further, for patients who need emergent psychiatric care, rates of prolonged length of stay in Emergency Departments have increased with the onset of the COVID-19 pandemic. There is a need for innovative solutions designed to support clinicians and streamline care processes. Digital health tools (e.g., mobile apps, wearable devices, telemedicine, electronic health records) have the potential to significantly improve the delivery of health care services and care of patients. Given the rising need for mental health services, digital tools are increasingly utilized to improve capacity and augment clinical care. This workshop will discuss several innovative digital solutions designed to improve access to mental health care.
Category
  • Basic Science
  • 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 October 23, 2024
Live Grand Rounds: Disruptive Mood Dysregulation Disorder-DMDD: Where Did It Come From and What Can We Do About It?
Disruptive mood dysregulation disorder (DMDD) is a condition defined by frequent explosive outbursts occurring within the context of chronic, pervasive irritability, beginning in early childhood. This lecture reviews how the condition evolved and speculates that although it originated ostensibly as a response to the overdiagnosis of bipolar disorder in children, and the overdiagnosis of bipolar disorder occurred because of the absence of a good diagnostic home for explosive outbursts. Evidence suggests depression and anxiety are outcomes of DMDD however that does not account for the outcome of the outbursts. I will also discuss briefly the relationship of other mood and behavior disorders to DMDD, assessment and treatment.
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 October 9, 2024
Live Grand Rounds: Structural Racism and Mental Health: Challenges and Opportunities
Structural racism is the main driver of mental health inequities and poor mental health outcomes, and yet, few understand the outsized role that structural racism plays in the identification, diagnosis, and management of mental illnesses and substance use disorders. This presentation will examine key concepts associated with structural racism, provide clear examples of how structural racism manifests in poor mental health outcomes, and discuss strategies for dismantling structural racism in our communities and institutions.
Category
  • Grand Rounds
  • Health Equity
  • Minority Health
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 September 25, 2024
Live Grand Rounds: Managing Depression in Older Adults
Psychiatric treatment has greatly increased in complexity in the past generation. This is due to more treatments being available, the higher complexity of some of these treatments, the aging of the population, and the increased use of multiple medications. As a result, psychiatrists must be able to manage this higher complexity. Dr. Lenze will describe new research that allows for an evidence-based way to manage complex patients with a focus on geriatric depression care.
Category
  • Geriatrics/Older Adults
  • 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 September 11, 2024