Susan Marie – 2-Day Psychopharmacology Course for Mental Health Clinicians

Outline

THE VITAL, AND EXPANDING, ROLE OF THE MENTAL HEALTH CLINICIAN IN PSYCHOPHARMACOLOGY THE VITAL, AND EXPANDING, ROLE OF THE MENTAL HEALTH CLINICIAN IN PSYCHOPHARMACOLOGY

• Understand, and explain, drug metabolism and mechanism of actionUnderstand, and explain, drug metabolism and mechanism of action
• Recognize when to refer for medication, and how to increase client interest and participationRecognize when to refer for medication, and how to increase client interest and participation
• Develop highly effective collaborations with prescribersDevelop highly effective collaborations with prescribers

WHAT THE MENTAL HEALTH CLINICIAN NEEDS TO KNOW ABOUTWHAT THE MENTAL HEALTH CLINICIAN NEEDS TO KNOW ABOUT

Depressive DisordersDepressive Disorders

• Neurochemistry of depressionNeurochemistry of depression
• Controversy regarding antidepressants and placebo – Who to treat when?Controversy regarding antidepressants and placebo – Who to treat when?
• Types of antidepressants – pearls and pitfalls of different agentsTypes of antidepressants – pearls and pitfalls of different agents
• Managing side effectsManaging side effects
• Treatment-Resistant Depression and drug combinationsTreatment-Resistant Depression and drug combinations

Anxiety, Obsessive-Compulsive, & Trauma-Related DisordersAnxiety, Obsessive-Compulsive, & Trauma-Related Disorders

• Neurochemistry of anxietyNeurochemistry of anxiety
• SGAD, panic disorder, phobiasSGAD, panic disorder, phobias
• OCDOCD
• PTSDPTSD
• Physiological interventionsPhysiological interventions
• Anti-anxiety medications Anti-anxiety medications
  • AntidepressantsAntidepressants
  • The many other options often ignoredThe many other options often ignored
• Benzodiazepines: risks and benefits Benzodiazepines: risks and benefits
  • How to recognize problematic prescribing patternsHow to recognize problematic prescribing patterns
  • Getting off benzos: key pearls for successGetting off benzos: key pearls for success
• Managing side effectsManaging side effects

Bipolar DisordersBipolar Disorders

• Neurochemistry and symptomsNeurochemistry and symptoms
• The Bipolar Spectrum concept & DSM-5® changesThe Bipolar Spectrum concept & DSM-5® changes
• Types of mood stabilizers, when to use which and potential adverse effects Types of mood stabilizers, when to use which and potential adverse effects
  • LithiumLithium
  • AnticonvulsantsAnticonvulsants
  • Atypical antipsychoticsAtypical antipsychotics
  • Augmenting agentsAugmenting agents
• Effective strategies for improving outcomes for clientsEffective strategies for improving outcomes for clients
• Using blood levels effectively – what the prescriber may not be watchingUsing blood levels effectively – what the prescriber may not be watching
• Treating pregnant or potentially pregnant women with bipolar disorderTreating pregnant or potentially pregnant women with bipolar disorder

Psychotic Disorders/SchizophreniaPsychotic Disorders/Schizophrenia

• Neurochemistry of psychosis and schizophreniaNeurochemistry of psychosis and schizophrenia
• Antipsychotic Medications: Antipsychotic Medications:
  • First generation (typical)First generation (typical)
  • Second generation (atypical)Second generation (atypical)
• Managing side effects Managing side effects
  • Extrapyramidal symptoms and TDExtrapyramidal symptoms and TD
  • Metabolic problems – what blood tests are needed and whenMetabolic problems – what blood tests are needed and when
  • Preventing Diabetes MellitusPreventing Diabetes Mellitus
• Recognizing hyperprolactinemia – and why you need to knowRecognizing hyperprolactinemia – and why you need to know
• Use of atypical antipsychotics for multiple disordersUse of atypical antipsychotics for multiple disorders
• Pregnancy and psychotic disordersPregnancy and psychotic disorders

Attentional Disorders Attentional Disorders

• Differential diagnosisDifferential diagnosis
• Neurochemistry of ADHDNeurochemistry of ADHD
• Controversy about treatment of ADHD with stimulantsControversy about treatment of ADHD with stimulants
• Substance abuse and ADHDSubstance abuse and ADHD
• Stimulant medicationsStimulant medications
• Non-stimulant optionsNon-stimulant options
• Managing side effectsManaging side effects

Sleep Disorders Sleep Disorders

• Differential diagnosisDifferential diagnosis
• Chicken or the egg? What came first, sleep problems or mental illness?Chicken or the egg? What came first, sleep problems or mental illness?
• Controversy about treating sleep problems with hypnoticsControversy about treating sleep problems with hypnotics
• Sleep interventions that really workSleep interventions that really work
• Hypnotic medications: risks and benefitsHypnotic medications: risks and benefits
• Alternatives to hypnoticsAlternatives to hypnotics
• Recognizing adverse effectsRecognizing adverse effects

Substance Use Disorders Substance Use Disorders

• Neurochemistry of addiction & habit developmentNeurochemistry of addiction & habit development
• Drugs of abuse and interaction with psychiatric medications Drugs of abuse and interaction with psychiatric medications
  • CaffeineCaffeine
  • NicotineNicotine
• Marijuana (discussion of medical marijuana, cost vs. benefit)Marijuana (discussion of medical marijuana, cost vs. benefit)
• OthersOthers
• Challenging the old thinking about when to prescribe for clients with dual diagnosis – what we now knowChallenging the old thinking about when to prescribe for clients with dual diagnosis – what we now know
• Medication assisted treatments for addictions Medication assisted treatments for addictions
  • AlcoholAlcohol
  • NicotineNicotine
  • CannabisCannabis
  • OpiatesOpiates
• Behavioral addictions – what we know worksBehavioral addictions – what we know works

Eating Disorders Eating Disorders

• Anorexia, bulimia, binge eating disorderAnorexia, bulimia, binge eating disorder
• Weight gain from psychotropic medicationsWeight gain from psychotropic medications
• Recognizing medical emergencies Recognizing medical emergencies
  • Standard of care for lab workStandard of care for lab work
• Integrating psychotherapy with psychopharmacologyIntegrating psychotherapy with psychopharmacology

Special Populations: Geriatric Special Populations: Geriatric

• Specialized guidelines for geriatric clientsSpecialized guidelines for geriatric clients
• Discussion of dementia treatmentDiscussion of dementia treatment
• Antipsychotic controversyAntipsychotic controversy

Special Populations: Women Special Populations: Women

• Hormonal issues in mood disorders & anxietyHormonal issues in mood disorders & anxiety
• Pregnancy and breastfeeding – Presenting the choicesPregnancy and breastfeeding – Presenting the choices
• Resources for you and your clientsResources for you and your clients
• The dangerous, the concerning, and the possibly good options for psychopharmacologyThe dangerous, the concerning, and the possibly good options for psychopharmacology

Use of Complementary and Alternative Agents Across Psychiatric Conditions Use of Complementary and Alternative Agents Across Psychiatric Conditions

• Safety issuesSafety issues
• Proven efficacy and dosinProven efficacy and dosin