This presentation was last reviewed on December 4, 2023, and live in person on May 8, 2019 from 11:30 AM - 1:00 PM ET. 

This presentation was last reviewed on December 4, 2023, and broadcast live online on November 10, 2021, from 12:00 PM - 1:00 PM ET. 

This presentation was last reviewed on December 4, 2023, and broadcast live in person on April 3, 2019 from 12:00 PM - 1:00 PM ET. 

This presentation was last reviewed on December 4, 2023, and was live in-person on March 13, 2019, from 12:00 PM - 1:00 PM ET. 

This presentation was last reviewed on December 4, 2023, and broadcast live online on October 27, 2021, from 12:00 PM - 1:00 PM ET.

This presentation was last reviewed on December 4, 2023, and broadcast live in person on January 23, 2019, from 12:00 PM - 1:00 PM ET. 

This presentation was last reviewed on June 5, 2024, and was live in-person on December 18, 2019, from 12:00 PM – 1:00 PM ET. 

This presentation was last reviewed on November 17, 2023, and broadcast live online on January 22, 2020, from 12:00 PM - 1:00 PM ET. 

This lecture will discuss the progression of psychodynamically-oriented psychotherapy with a patient in the community clinic setting over the course of one year. Through the lens of object relations theory, we will explore how the patient’s early childhood experiences of both hostile and withdrawn caregivers influenced her presenting symptoms and defense mechanisms. We will also examine how countertransference impacted the therapeutic alliance.

Depression is one of the leading causes of disability worldwide. Although treatments are available, a large proportion of patients fail to respond to first line treatments, such as oral antidepressants and psychotherapy, even after multiple treatment attempts. They are then considered to have treatment resistant depression (TRD), a condition which puts them at heightened risk of suicide. Several neuromodulation approaches have been developed which may be effective for TRD. Neuromodulation approaches are those which involve directly affecting the brain through the introduction of electrical, magnetic, or sonic energy. These include electroconvulsive therapy, deep brain stimulation, transcranial direct current stimulation, vagal nerve stimulation, transcranial magnetic stimulation (TMS), and low intensity focused ultrasound, to name just a few. In this talk we will have a special focus on accelerated theta burst forms of TMS, which have recently demonstrated high rates of response and remission in TRD, following just a few days of treatment.