Course Description

Course Price: $170
CME: 2.0 AMA PRA Category 1 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:

  • Identify the key genetic, nutritional, metabolic, and environmental causes of medication withdrawal
  • Understand how nutritional supplementation can assist patients on a slow taper from their psychiatric medications
  • Manage the side-effects of psychiatric medication, including weight gain, sexual dysfunction, and suicidality
  • Understand how to run and read diagnostic tests in the evaluation of patients’ symptoms
  • Employ a functional medicine approach for better patient outcomes at your clinic or practice

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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CME Accreditation

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

  • 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

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.

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