Treating the Invisible Wounds of War: Focus on PTSD and TBI

FOCUS, APA's clinical review and continuing medical education journal, is designed as a personal study resource to help practicing psychiatrists keep abreast of significant advances in the field, with particular attention to clinical practice and incorporation of core competencies. The goal of FOCUS is the dissemination of up-to-date clinical information, facilitation of lifelong learning skills, maintenance of certification, and opportunity for self-assessment in order to improve patient care. Each issue, prepared by distinguished faculty who are recognized in their fields, provides up to date clinical information and incorporates a CME component. The material can be used effectively by establishing a regular schedule of study.

This activity is only available to 2017 Focus subscribers.

Don't have a subscription to 2017 Focus? Subscribe online or by phone at 1-800-368-5777.  

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As a result of this CME activity, the participant will:

• Recognize that posttraumatic stress disorder (PTSD) is complex and highly individualized and often includes other
  stress-related conditions, such as depression and substance use disorders.
• Be able to apply increased understanding of successful models of PTSD treatment to clinical practice with the potential to improve treatment
• Review current knowledge, recognize gaps in learning, participate in a program of lifelong learning, and prepare for an annual
  self-assessment designed to identify areas where more study is needed to enhance management of patients’ treatment.

This program is one element of a lifelong learning program for psychiatrists and is an aid for psychiatrists and other clinicians participating in maintenance of certification.

Estimated Duration: 5 hours
Begin Date: October 1, 2017
End Date: December 31, 2019

In order to earn CME credit, participants should read through the material presented in the issue. After reading the materials, complete the CME quiz by answering multiple-choice questions with a single correct answer. A score of 60% or higher is required to receive credit. Retakes are available for the test. Review the rationales, complete the online course evaluation, and then claim and print your CME certificate. The APA provides a CME certificate of credit for physicians and a certificate of participation for non-physicians.

The American Psychiatric Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The APA designates this journal-based CME activity for a maximum of 5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Program Planners – Editor and Associate Editors

Mark H. Rapaport, M.D., Editor of FOCUS, and Chairman and Chief of Psychiatric Services, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Ga. Reports no financial relationships with commercial interests.

Dorothy Stubbe, M.D., Editor Communications Commentary, Associate Professor and Program Director, Yale University School of Medicine Child Study Center, New Haven, CT. Reports no financial relationships with commercial interests.

Laura Dunn, M.D., Co-Editor Ethics Column; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA. Reports no financial relationships with commercial interests

Guest Editors

Mark Pollack is compensated for consultation to Clintara, Edgemont Pharmaceuticals, and Palo Alto Health Sciences. He receives funding from Jannsen; equity from Doyen Medical, Argus, Medavante, Mensante Corporation, Mindsite, and Targia Pharmaceuticals; and royalties from SIGH-A and SAFER interviews.

Barbara Rothbaum: support from Transcept Pharmaceuticals. Stock: Virtually Better Inc.

Naomi Simon receives funding from Jannsen. She also has spousal equity in G1 Therapeutics and Gatekeeper.

FOCUS Author Affiliation and Disclosure Information

Intensive Treatment Models to Address Posttraumatic Stress Among Post-9/11 Warriors: The Warrior Care Network

Margaret M. Harvey, Psy.D., Sheila A.M. Rauch, Ph.D., A.B.P.P., Alyson K. Zalta, Ph.D., Jo Sornborger, Psy.D., Mark H. Pollack, M.D., Barbara O. Rothbaum, Ph.D., A.B.P.P., Lauren M. Laifer, B.A., Naomi M. Simon, M.D., M.Sc.

Alyson Zalta: Stock: Optilife Technologies, Inc. - Equity (spouse). Consultant: Ginger.io - Advisory board (spouse) Kemoko, Inc. - Advisory board (spouse); Annum Health - Consultant (spouse); ORCAS - Consultant (spouse)

Pollack, Simon and Rothbaum as above. The other authors report no financial relationships with commercial interests.

Integrative Therapy Approaches for Posttraumatic Stress Disorder: A Special Focus on Treating Veterans

Jo Sornborger, Psy.D., Alice Fann, M.D., Ph.D., J. Greg Serpa, Ph.D., Jennifer Ventrelle, M.S. R.D.N., Melissa Ming Foynes, Ph.D., Megan Carleton, A.T.R., L.M.H.C., Andrew M. Sherrill, Ph.D., Lan K. Kao, M.A.T.C.M., Rafaella Jakubovic, B.S., Eric Bui, M.D., Patricia Normand, M.D., Louisa G. Sylvia, Ph.D.

Louisa G. Sylvia, Ph.D.:  Grant/Research: Takeda

All other authors report no no financial relationships with commercial interests.

Evidence-Based Applications of Combination Psychotherapy and Pharmacotherapy for Depression

Boadie W. Dunlop, M.D., M.S. Over the past three years, Dr. Dunlop has received research grant support from Assurex, Bristol-Myers Squibb, GlaxoSmithKline, Janssen, the National Institute of Mental Health, Otsuka, Pfizer, and Takeda. He has also served as a consultant to Medavante, Pfizer, and Roche.

Psychiatric Comorbidity and Psychosocial Problems in Treatment-Seeking Veterans with a History of Traumatic Brain Injury

Magdalena Wojtowicz, Ph.D., Eric Bui, M.D., Ph.D., Ross Zafonte, D.O., Naomi Simon, M.D., M.Sc., Grant L. Iverson, Ph.D. Noah Silverburg, Ph.D.

Naomi Simon receives funding from Jannsen. She also has spousal equity in G1 Therapeutics and Gatekeeper.

All other authors report no financial relationships with commercial interests.

The following authors report no financial relationships with commercial interests:

Posttraumatic Stress Disorder and Military-Connected Families: The Relevance of a Family-Centered Approach

Patricia Lester, M.D., Paula Rauch, M.D., Laura Loucks, Ph.D., Jo Sornborger, Psy.D., Bonnie Ohye, Ph.D., Niranjin S. Karnik, M.D.

Ensuring a Safe, Trauma-Informed System of Care

Sunil Khushalani, M.D., and Victor Welzant, Psy.D.

Ethical Considerations in the Treatment of PTSD in Military Populations

Suzanne Yang, M.D., Brett Schneider, M.D., Gary H. Wynn, M.D., Edmund Howe Ill, M.D., J.D.

An Overview of Sexual Trauma in the U.S. Military

Ashton M. Lofgreen, Ph.D., Kathryn K. Carroll, L.C.S.W., Sheila A. Dugan, M.D., Niranjan S. Karnik, M.D., Ph.D.

Expanding the Reach of Effective PTSD Treatment Into Primary Care: Prolonged Exposure for Primary Care

Sheila A. M. Rauch, Ph.D., A.B.P.P., Jeffrey Cigrang, Ph.D., A.B.P.P., David Austern, Psy.D., Ashley Evans, B.S.

Treating a Veteran Who Has PTSD

Mary C. Vance, M.D.

American Psychiatric Association staff involved in planning report no financial relationships with commercial interests:

Tristan Gorrindo M.D.,  Director, Division of Education, American Psychiatric Association

Kristen Moeller, Director of CME, Associate Director of FOCUS, American Psychiatric Association

FOCUS Editorial Board disclosure is published on the editorial board page of each issue.

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