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Functional & Integrative Medicine for Anxiety

A Course by James Greenblatt, MD

Course Description

Course Fee: $340
CME Credits: 5.0
CE Credits: 3.0

In this four-module course for clinicians of all specialties, Dr. Greenblatt makes the case for a functional and integrative medical approach to anxiety that moves away from traditional symptom classification and polypharmaceutical approaches to anxiety disorders. Protocols for patient testing are offered alongside specific nutritional interventions to address anxiogenic physiology, as well as other integrative treatments—exercise, yoga, and herbal supplements—that will enable you to maximize therapeutic interventions for your patients.

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Modules

1. Anxiety Redefined

We begin by examining current DSM classifications and pharmacological interventions in the treatment of anxiety. Dr. Greenblatt then shifts to a discussion of “THE ZEEBRA” method, which is his acronym for a comprehensive evaluation of all the factors that lead to affective disorders. The final section is devoted to key nutrients associated with the symptoms of anxiety—magnesium, vitamin B3, and vitamin B12—and lab testing protocols and supplementation for its treatment.

2. Exploring Etiology in Anxiety and OCD

Module 2 commences with one of the fastest-growing areas of research in functional psychiatry: the gut-mind connection. For our purposes, we examine gut dysbiosis and Clostridia overgrowth, and the current probiotic therapies in the treatment of anxiety. Next, we look at misdiagnoses of OCD disorder, and how amino acid depletion fits with an orthomolecular model of anxiety.

3. Enhancing Neurotransmission, Eliminating Inflammation

Module 3 explores the contributing factors of folate deficiency, opioid peptides (derived from wheat and dairy), systemic inflammation, and vitamin D deficiency in the presentation of anxiety symptoms. We will also take a close look at inositol as a mechanism for serotonergic signaling.

4. Expanding the Therapeutic Arsenal

The final module provides functional and integrative medicine treatments for anxiety, including N-acetyl-cysteine (NAC), nutritional lithium, I-theanine, GABA, ashwagandha, cannabidiol, along with “vitamin E” (exercise) and “vitamin Y” (yoga).

Accreditation Information

Please click to expand each section and view accreditation information.

• CME Information

DURATION OF ACTIVITY
April 4, 2022 through April 3, 2024

ACCREDITATION STATEMENT
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of MedicusCME and Comprehensive Psychiatric Resources, Inc.  MedicusCME is accredited by the ACCME to provide continuing medical education for physicians.

DESIGNATION STATEMENT
MedicusCME designates this live activity for a maximum of 5.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

OVERVIEW
In this four-module course for clinicians of all specialties, Dr. Greenblatt makes the case for a functional and integrative medical approach to anxiety that moves away from traditional symptom classification and polypharmaceutical approaches to anxiety disorders. Protocols for patient testing are offered alongside specific nutritional interventions to address anxiogenic physiology, as well as other integrative treatments—exercise, yoga, and herbal supplements—that will enable you to maximize therapeutic interventions for your patients.

LEARNING OBJECTIVES

  1. Identify the key genetic, nutritional, metabolic, and environmental causes of anxiety
  2. Evaluate the role of inflammation, gut microbiota, amino acids (and other nutritional deficiencies) in the presentation of symptoms of anxiety
  3. Describe the benefits of lifestyle therapies

HOW TO CLAIM CREDIT
In order to receive AMA PRA Category 1 credit™, participants must do the following:

  • Read the learning objectives and faculty disclosures
  • Participate in the activity, review course content and learning strategies, resources and support materials provided
  • Complete the post-test and activity evaluation
  • Achieve a score of 80% or higher on the post-test

PLANNER
Mariela Podolski, MD
Podolski Psychiatry
Adult/Child and Adolescent Psychiatry
West Hartford, Connecticut

Walden Behavioral Care
Director of Child and Adolescent Psychiatry

Eating Disorder Consultant
Department of Corrections, Connecticut

Eating Disorder Consultant
DHMAS/Connecticut Valley Hospital, Connecticut

FACULTY
James Greenblatt, MD
Chief Medical Officer and Vice President of Medical Services
Walden Behavioral Care, Waltham, Massachusetts

Assistant Clinical Professor of Psychiatry
Tufts University School of Medicine
Boston, Massachusetts

DISCLOSURE OF FINANCIAL RELATIONSHIPS
MedicusCME requires instructors, planners, managers, and others in control of educational content to disclose all their financial relationships with ineligible companies over the previous 24 months. All identified financial relationships are thoroughly vetted and mitigated according to MedicusCME policy.

The faculty reported the following relevant financial relationships with Accreditation Council for Continuing Medical Education (ACCME)-defined ineligible entities related to the educational content of this CE activity.

James Greenblatt, MD has disclosed financial relationships with Fullscripts for an affiliate relationship and with Atrium Health/Pure Encapsulations and Jaymac Pharmaceuticals for participating on their Speakers Boards.

Any relevant financial relationships listed for planners or content contributors have been mitigated according to MedicusCME policies. MedicusCME planners and managers have no relevant financial relationships with ineligible companies to disclose.

ACKNOWLEDGEMENTS
This activity is not supported by funds from an ACCME-defined ineligible company.

HIPPA COMPLIANCE ATTESTATION
In accordance with the Health Insurance Portability and Accountability Act (HIPAA), this educational activity, especially when utilizing patient cases for learning demonstration, will not include individually identifiable health information.

DISCLOSURE OF UNLABELED USE
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the Food and Drug Administration (FDA). The planners of this activity do not recommend the use of any agent outside of the labeled indications. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

• CE Information

The CE Company is approved by the American Psychological Association to sponsor continuing education for psychologists. The CE Company maintains responsibility for this program and its content.

Course Level: Introductory
CE Instructions

This online program provides CE training and coursework. Accreditation requires the completion of a post-test. A passing grade of at least 75% must be met on this test in order to obtain certification. Instructions for certification will be provided upon completing the course in full.

Learning Objectives

Upon completion of this course, participants will be able to:

  1. Identify one key genetic, nutritional, metabolic, and environmental cause of anxiety.
  2. Explain one way in which amino acids (and other nutritional deficiencies) relate to the symptoms of anxiety.
  3. Describe three benefits of lifestyle therapies for the symptoms of anxiety.
  4. Identify nutritional supports for serotonin neurotransmitter synthesis.
Instructor Bio

A pioneer in the field of integrative medicine, James M. Greenblatt, MD, has treated patients since 1988. After receiving his medical degree and completing his psychiatry residency at George Washington University, Dr. Greenblatt completed a fellowship in child and adolescent psychiatry at Johns Hopkins Medical School. He currently serves as the Chief Medical Officer at Walden Behavioral Care in Waltham, MA, and serves as an Assistant Clinical Professor of Psychiatry at Tufts University School of Medicine and Dartmouth College Geisel School of Medicine. Dr. Greenblatt has lectured internationally on the scientific evidence for nutritional interventions in psychiatry and mental illness. He is the author of seven books, including Finally Focused: The Breakthrough Natural Treatment Plan for ADHD. He is the founder of Psychiatry Redefined, an educational platform offering continuing online education, programs, and fellowships on functional and nutritional psychiatry for mental illness.

Conflict of Interest

The course instructor, James Greenblatt, M.D., is a consultant for Pure Encapsulations and owner of Psychiatry Redefined. He is also a key opinion leader for Fullscript. No assistance or financial compensation of any kind was provided by any outside commercial interest or entity in the development or preparation of this course.

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