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Personality Disorders

Up to 0.25 CME CREDIT

In this Clinical Coffee Break, Dr. Petrini focuses on specific elements of caring for patients with personality disorders. This activity will provide a practical approach to establishing a contract with the patient as well as an overview of available drug options for patients with personality disorders.

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Recognize the complexities of managing patients with chronic disease and accompanying depression and/or anxiety.

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This Expert Perspective highlights the salient points of a recent article by Dr Eisen and colleagues published in the Journal of Clinical Psychiatry titled: Five-Year Course of Obsessive-Compulsive Disorder: Predictors of Remission and Relapse.  


In this activity, Dr. Wyatt will take a deeper dive in the subject of sleep disorders. He will explain in detail the concept of 'sleep switch' and the circadian modulation of the sleep-wake cycle. He will list the causes of daytime sleepiness and the methods to measure it and finally, discuss measures to counteract this increasingly common problem.

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In the primary care setting, current needs for better identification, diagnosis and treatment of MDD require consistent use of best practices. These include: screening via standardized instruments, judicious treatment selection, appropriate treatment duration before switching agents, monitoring and intervention for residual symptoms and adverse events that may affect treatment persistence, support for patient adherence through relationship building and communication, effective interface with specialists and counselors, and methods to foster effective self-management. By following these practices, clinicians can improve their performance and improve outcomes for their patients with MDD.


We tend to think of advances in medicine as a new drug, laser, or surgical procedure, something high-tech and expensive. This presentation will discuss the power of comprehensive lifestyle changes, reviewing more than 30 years of research using high-tech, state-of-the-art measures to prove the power of low-tech, low-cost, and often ancient interventions. Also, the lecture will describe proven strategies for motivating people to make and maintain comprehensive lifestyle changes as well as how to personalize a way of eating and living based on an individual’s needs, genes, and preferences. Finally, the presentation will describe many of the health policy implications of comprehensive lifestyle changes as both medically effective and cost effective.


Personality Disorders can be disabling, life threatening illnesses, but even milder forms can interfere with therapeutic alliance, adherence, and treatment success in a general medical practice. In this talk, Mark Petrini, Assistant Clinical Professor of Medicine and Psychiatry at Columbia University Medical Center, provides clinicians with a systematic approach to diagnosis and management of personality disorders in practice and offers strategies for containing affect and behavioral dysregulation.


It is commonly difficult to obtain timely mental health referrals in many communities across the country, but many patients seen by primary care practitioners suffer from depression. Hence, primary care clinicians are commonly the first point of contact and treatment for patients with depression. This activity will review procedures to screen for depression, the relative efficacy of different antidepressants, and when to switch or augment antidepressant therapy. In addition, Dr. Smetana will discuss one of the most important factors in drug selection, i.e. how to exploit side effect profiles to advantage of patients.

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This session will illustrate how ADHD manifests in adulthood. Assessment and management tools will be explored. The complicated interface between stimulant treatment and addiction will be discussed. Use of both old and new stimulants will be presented, along with behavioral interventions. Mindfulness as a tool for ADHD will also be discussed.


In this audio webcast, Dr. Thomas Heinrich reviews the diagnosis and treatment of major depressive disorder (MDD). Dr. Heinrich covers evaluation of patients for MDD; verified depression screening tools; monitoring and intervention for residual symptoms, relapse, and adverse events; and strategies for engaging in collaborative care that can result in better patient outcomes.


Discuss best practices to tackle opioid abuse and other pharmacological abuse in your practice. Learn about the latest guidelines and recommendations on screening, responsible prescription and disposal of opioids.