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Course Description

Course Price: $170
CME: 2.0 AMA PRA Category 1 Credits™
CE: 2.0 credits


This course provides methods for managing medication withdrawal and side-effects (sexual dysfunction, weight gain, suicidality) through a lens of functional and integrative medicine. In particular, we examine nutritional interventions to ameliorate the withdrawal symptoms associated with SSRI antidepressants. We conclude with a general discussion regarding the role of medication in psychiatry.

Learning Objectives

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

  • Review the physiology, challenges and side effects of withdrawing from antidepressant medications, including on weight
  • Explore potential nutritional approaches for minimizing antidepressant withdrawal
  • Identify and explore the risks of antidepressants and antipsychotics, including suicide, sexual dysfunction and tardive dyskinesia
  • Explore integrative treatments for antidepressant-induced sexual dysfunction
  • Describe integrative treatments for tardive dyskinesia

Modules

1. Medication Withdrawal & Weight Gain

We begin with a discussion of “discontinuation syndrome” for patients coming off of their antidepressants, and the nutritional supplements that reduce the physical and emotional pain of withdrawal. Then, we turn to how to manage appetite dysregulation disorders and sexual side effects for those taking these medications.

2. Suicide, Sexual Dysfunction, & Tardive Dyskinesia

Module 2 takes a more in-depth look at sexual dysfunction as a side-effect of psychiatric medications, as well as uncovering more about the risks of suicidality. In addition, we will provide a unique and effective treatment for tardive dyskinesia—tremors or tics caused by certain antipsychotic medications.

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Accreditation Information

Please click to expand each section and view accreditation information.

• CME Information

DURATION OF ACTIVITY
June 20, 2022 through June 19, 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 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

OVERVIEW
Antidepressant and antipsychotic medications often have significant and severe side effects or withdrawal symptoms. Using a functional medicine approach to identify and treat nutrient deficits may help to reduce side effects, including weight gain, suicidal ideation, sexual dysfunction and tardive dyskinesia. It may also help reduce withdrawal, facilitating discontinuation of antidepressant medication when appropriate.

LEARNING OBJECTIVES

  1. Review the physiology, challenges and side effects of withdrawing from antidepressant medications, including on weight
  2. Explore potential nutritional approaches for minimizing antidepressant withdrawal
  3. Identify and explore the risks of antidepressants and antipsychotics, including suicide, sexual dysfunction and tardive dyskinesia
  4. Explore integrative treatments for antidepressant-induced sexual dysfunction
  5. Describe integrative treatments for tardive dyskinesia

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

FACULTY CONTENT EXPERT
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 a financial relationship with Pure Encapsulations and Jaymac Pharmaceuticals for his role as consultant.

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

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.

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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