(3)
|
Cut through the hype about bipolar disorder. This seminar brings up-to-date evidence to the practical level: treating clients.
No longer is the DSM-IV the clinical bible. Mood experts have gone well beyond these criteria to include non-manic bipolar markers in their diagnostic process – and you should too. Learn a simple way of organizing at least 11 “soft signs” of bipolar disorder to make your assessments rigorous and convincing.
No longer are mediations the sole ingredient of bipolar treatment. Learn about 3 bipolar specific psychotherapies which have been shown to improve patient outcomes more than medications alone – and how to integrate them with your current psychotherapy approaches.
Dr. Phelps will help you practice (safely) the use of these techniques and tools in a lively day of laughter and learning. You will emerge enthused and ready to use at least three new approaches with patients the very next day. The time has come for psychotherapy to stand alongside medication approaches in the treatment of bipolar disorder. Are you ready?
This seminar will provide you with the understanding and tools to…
Use up-to-date instruments like the Bipolarity Index developed at Harvard to organize and present your diagnostic findings
Differentiate bipolarity for anxiety disorders, ADHD, personality disorders, and substance use – with an eye on treatment
Keep up to date with medication options and help patients choose among them collaboratively with their prescriber
Interact more directly with primary care and psychiatry colleagues based on your new understanding
Make bipolar disorders one of the conditions you routinely treat
OBJECTIVES
Assess 11 non-manic bipolar markers as well as DSM criteria for hypomania
Utilize effective screening tools including the Mood Disorders Questionaire, the Bipolar Spectrum Diagnostic Scale, and the Hypomania Checklist-32
Implement at least one of 3 research-tested bipolar-specific psychotherapies, targeting cognitions, social rhythms, significant others - and even light and dark exposure!
Understand current medication strategies and how to integrate these with psychotherapy (e.g. avoiding antidepressants)
Report diagnostic findings using the five dimensions of the Bipolarity Index developed at Harvard
Teach patients and families using efficient psychoeducation: websites, books, and your own understanding
OUTLINE
Plain English Talk About Genes, Transmitters, and Neuroanatomy
Depression Is Not a Moral Weakness
One gene can make that much difference?
Look, Psychiatry can do biochemistry (high school level explanation)
Just where is depression located in the brain?
The Mood Spectrum: Beyond Current Diagnostic Criteria
DSM criteria versus a "spectrum" perspective
How evidence - and mood experts - support going beyond the DSM
Unipolar or bipolar? Wrong question!
The International Society for Bipolar Disorders` Diagnostic Guidelines
Eleven Non-Manic Bipolar Markers ("Soft Signs")
Where did these come from? Who uses them? Should you?
How can you remember them? The WHIPLASHED mnemonic
(Don`t forget DSM criteria: The DIGFAST mnemonic)
A system for organizing non-manic markers: the Bipolarity Index
Make No Mistake: What Looks Like Bipolar Disorder?
Comorbid or overlapping - or just bipolar?
Bipolarity and/or ADHD
Every anxiety disorder can mimic, or be mimicked, by BD
Borderline or Bipolar? Beyond rhetoric
Differentiate substance-abuse, or treat?
Coping With Ambiguity
Keep your eyes on the prize: treatment
Recruiting patients and families to help with diagnosis
Mood diagnoses are "working diagnoses": Openness
Screening Tools
Mood Disorders Questionaire (MDQ)
Bipolar Spectrum Diagnostic Scale (BSDS)
Hypomania Checklist (HCL-32)
Understanding sensitivitiy, specificity and predictive value
Treatment: A Big-Picture View
Psychotherapy is an integral component, not an add-on!
Non-medication mood stabilizers: An example in darkness
Antidepressants can make bipolar disorder worse in 5 different ways
9 alternatives to antidepressants for bipolar depression
Components of Treatment
Mood stabilizing: Psychotherapy or medications or both?
Psychoeducation for all!
How adherence is the provider`s responsibility
Collaborative decision-making: Letting patients drive the car
Bipolar-Specific Psychotherapies
Research on cognitive/behavioral, interpersonal, family approaches
Integrating the core ingredients into your practice
Using the treatment manuals for these therapies
Mood Stabilizer Medications
Is "evidence-based medicine" just drug company marketing?
The menu: 7 major medications, many minors
Key risk/benefit factors that determine patients` choices
Where you, and they, can learn more - in plain English
Working with the prescriber, including primary care doctors
For Fun, Before We Go
Light boxes can be small if they emit blue light - why?
The "circadian photoreceptor", neither rod nor cone
Making Dark Therapy do-able: Blocking blue light for $40
ABOUT JAMES PHELPS, M.D.
James Phelps, M.D. specializes in complex mood and anxiety problems. He has focused on teaching non-manic versions of bipolar disorder for over 10 years. His website, PsychEducation.org, is th emost extensive and most widely read website on Bipolar II.
Dr. Phelps is the author of Why Am I Still Depressed?: Recognizing and Managing the Ups and Downs of Bipolar II and Soft Bipolar Disorders (McGraw-Hill, 2006). He recently authored revisions of the DSM criteria for bipolar spectrum disorders for the International Society for Bipolar Disorders. He has published multiple articles and reviews for peer-reviewed journals, including the Journal of Affective Disorders and Psychiatric Times, as well as weekly answers to patient/family questions at BipolarWorld.net for over five year.
He has received numerous awards for his teaching, including Teacher of the Year awards in both the Psychiatry and Family Medicine departments at the University of New Mexico. Dr. Phelps received his M.D. from Case Western Reserve University. He completed his residency in Psychiatry and a fellowship in medical Education at the University of New Mexico. He holds an undergraduate degree in Human Biology from Stanford.
Dr. Phelps has also taught skiing, sailing, and was a kayaking instructor at one of the best whitewater schools in the United States (non of these skills will be covered directly in this program, however).