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FOCUS Quiz: Winter 2019 - Complementary and Integrative Medicine

Activity Type:

  • Journal CME

Release Date: 8/16/2019

Expiration Date: 12/31/2020

  • AMA PRA Category 1 Physician: 5
  • Participation: 5



Complementary and Integrative Medicine

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 2019 Focus subscribers.

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Educational Objectives

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

  • Review a selection of some of the more commonly used and better studied complementary and alternative medicine (CAM) interventions that have applications in psychiatry
  • Be better able to make educated decisions in the clinical setting and to answer a patient’s questions in a practical way
  • Feel confident in clinical judgment developed on the basis of the information in this issue
  • 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

Target Audience

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 Time to Complete

Estimated Duration: 5 hours
Begin Date: January 1, 2019
End Date: December 31, 2020

How to Earn Credit

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.

Continuing Education Credit

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.

Faculty and Planner Disclosures

Program Planners – Editor and Associate Editors and Guest 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. 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.- 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; Dr. Dunn reports: Consultant: Otsuka America Pharmaceutical Inc.

Ian A. Cook, M.D., D.F.A.P.A. Editor and Author Patient Management: is Chief Translational Innovation Officer for the Semel Institute for Neuroscience and Human Behavior, and is a Professor with the Department of Psychiatry and Biobehavioral Sciences of the David Geffen School of Medicine, and the Department of Bioengineering of the Henry Samueli School of Engineering and Applied Science at the University of California, Los Angeles. He is also with the Veterans Affairs Greater Los Angeles Healthcare System.

Complementary and Integrative Treatments – Patient Management exercise: Dr. Cook reports that his active biomedical device patents are assigned to the University of California. In the last year, he has advised Arctica Health, Cerêve, and NeuroDetect, and UCLA has received research grant funding from NeoSync, Inc., for his work.  He has been granted stock options in NeuroSigma, the licensee of some of his inventions, and he currently is on-leave as its chief medical officer and senior vice president.

David Mischoulon, M.D., Ph.D. Guest Editor and Author: Popular Herbal and Natural Remedies Used in Psychiatry. Dr. Mischoulon reports receiving research/grant funding from the National Center for Complementary and Integrative Health (NCCIH), the National Institute for Mental Health (NIMH), and research support from Nordic Naturals. He has provided unpaid consulting for Pharmavite, LLC, and Gnosis USA, Inc.

FOCUS Author Affiliation and Disclosure Information

Applications of Yoga in Psychiatry: What We Know. Maren Nyer, Ph.D., Maya Nauphal, B.A., Regina Roberg, B.A., Chris Streeter, M.D. The authors report no financial relationships with commercial interests.

Female Sexual Dysfunction: Natural and Complementary Treatments. Christina M. Dording, M.D., and Lisa Sangermano, B.S. The authors report no financial relationships with commercial interests.

Massage Therapy for Psychiatric Disorders. Mark Hyman Rapaport, M.D., Pamela J. Schettler, Ph.D., Erika R. Larson, M.S., L.M.T., Dedric Carroll, L.M.T., Margaret Sharenko, L.M.T., C.P.T., James Nettles, Ph.D., L.M.T., Becky Kinkead, Ph.D. Dr. Schettler reports: Statistical Analysis Consultant to LivaNova; Dr. Nettles reports Novartis Employees Retirement Fund; Consultant Wolf Greenfield - Boston Drug Discovery IP - Expert Witness. All other authors report no disclosures.

Mindfulness-Based Interventions in Psychiatry. Benjamin G. Shapero, Ph.D., Jonathan Greenberg, Ph.D., Paola Pedrelli, Ph.D., Marasha de Jong, M.D.,Gaelle Desbordes, Ph.D. The authors report no financial relationships with commercial interests.

Qigong and Tai-Chi for Mood Regulation. Albert Yeung, M.D., Sc.D., Jessie S. M. Chan, Ph.D, M.P.H., Joey C. Cheung, B.S., Liye Zou, Ph.D. The authors report no financial relationships with commercial interests.

Ethical Challenges in Complementary and Alternative Medicine. Dr. Lavretsky reports grant and research support from the Forest Research Institute/Allergan grant; Alzheimer’s Research and Prevention Foundation; National Center for Complementary and Integrative Health; National Institute of Mental Health; and Patient-Centered Outcomes Research Institute. Dr. Krause reports no financial relationships with commercial interests. Dr. Dunn reports: Consultant: Otsuka America Pharmaceutical Inc.

Complementary and Integrative Therapies in Psychiatry. Taya Varteresian, D.O., M.S., and Helen Lavretsky, M.D., M.S. Dr. Lavretsky reports as above.  Dr. Varteresian reports no financial relationships withcommercial interests.

Applied Armamentarium: An Open-Label Study of Doxazosin Extended-Release for PTSD: Findings and Recommendations for Future: Research on Doxazosin: Anne Richards, M.D., M.P.H., Sabra Inslicht, Ph.D., Leslie Micaela Ruoff, B.S., Thomas James Metzler, M.A.,Lizabeth Alexandra Goldstein, Ph.D., Christen Mary Chapman, M.S.W., Samantha Qirko Hubachek, B.A. no disclosures. Thomas Coogan Neylan, M.D: research medications from Actelion and GlaxoSmithKline for studies funded by the Department of Defense, the Department of Veterans Affairs, and NIMH.

Early Combination Therapy for Type 2 Diabetes Mellitus and Common Comorbid Mental Disorders. Rahn Kennedy Bailey, M.D., Daphne Kaye Sharpe, D.N.P., Marianna Ringel, M.D., Abeer Zeeshan, M.D., M.B.B.S. The authors report no financial relationships with commercial interests.

Keeping Up with Changing Times in Education: Fostering Lifelong Learning of Millennial Learners. Ann C. Schwartz, M.D., William M. McDonald, M.D., Arshya B. Vahabzadeh, M.D., Robert O. Cotes, M.D. William M. McDonald, M.D., reports: research support from the National Institute of Mental Health, National Institute of Neurological Disease and Stroke, Stanley Foundation, Soterix, Neuronetics and Cervel Neurotherapeutics. Arshya B. Vahabzadeh, M.D.: has an employment relationship with Brain Power (Neurotechnology Company); research support from Brain Power (Neurotechnology Company) Triax LLC (Neurotechnology Company); cofounder of a healthcare technology investment company. Robert O. Cotes, M.D. reports: advisory board for Alkermes Pharmaceuticals; speaker's bureau for Otsuka Pharmaceuticals; research funding from Otsuka Pharmaceuticals. Ann C. Schwartz reports no disclosures.

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.

Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player. 

Optimal System Configuration

  • Flash Player: Adobe Flash Player 10.1+ 
  • Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+ 
  • Operating System: Windows XP+ or Mac OS X 10.4+ 
  • Internet Connection: 1 Mbps or higher

Minimum Requirements

Windows PC:
500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera

Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

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