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Assessment and Treatment of Anxiety in the Primary Care Setting

Course Description | Faculty | Accreditation | General Information

Course Description

Anxiety disorders are frequently encountered in medical practice, often presenting in masked form as somatic complaints. This course describes the differential diagnosis of anxiety disorders, notes the common comorbid medical conditions and medications that can cause anxiety and highlights other psychiatric disorders that often coexist with anxiety disorders. The course describes in detail the key elements of anxiety disorders, such as panic disorder, obsessive compulsive disorder and generalized anxiety disorder, and discusses treatment planning, including both psychopharmacologic and psychotherapeutic approaches to each specific anxiety disorder.

Key issues in the psychopharmacologic management of anxiety disorders, including the use of selective serotonin reuptake inhibitors, benzodiazepines and other psychotropic medications are discussed in detail. The choice of appropriate evidence based psychotherapy approaches to the anxiety disorders are reviewed and examined. Issues pertinent to risk management and patient safety concerns are described. This course prepares the clinician to systematically develop diagnostic assessment and treatment planning for the broad range of anxiety disorders seen in clinical practice.

Original Release: 10/25/2009
Most Recent Update: 1/21/2014
Termination Date: 1/21/2017

NUMBER OF CREDIT HOURS: The Harvard Medical School designates this enduring material for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 3 hours to complete.

COST: $60.00 for the average learner. Participants living in emerging nations receive a 50% discount or can register for free. See our International Pricing Page for details.

OVERALL LEARNING OBJECTIVES:

  1. Appreciate diagnoses of different anxiety disorders.
  2. Understand how to initiate treatment with medications and refer for psychotherapy.
  3. Evaluate risk management and patient safety issues.

CLINICAL LEARNING OBJECTIVES:

  1. Understand differential diagnosis of anxiety disorders.
  2. Appreciate common comorbid medical and psychiatric conditions associated with anxiety disorders.
  3. Understand psychopharmacologic management of anxiety disorders.
  4. Appreciate different psychotherapy approaches to anxiety disorders.
  5. Understand when to refer anxiety disorder patients for psychiatric consultation.

METHOD OF PARTICIPATION:

Registrants participate in the learning process by answering interactive multiple choice questions that are dispersed throughout the case presentation. You must answer a question correctly in order to continue through the course. If you answer a question incorrectly, you will be prompted to try again.

In order to earn credit, physicians must complete the entire educational activity before the termination date (see above). Non-physicians may register for the course but are not eligible for AMA PRA Category 1 Credits™. Instead, non-physicians will earn a certificate of participation after successfully completing the course before its termination date.

COMBINATION OF MEDIA USED:

This internet enduring material is a case-based, interactive presentation comprised mainly of text, interactive questions, and images. A variety of media, including video clips, audio clips, and Flash animation, may be presented. Links to any necessary plugins are provided when necessary, but no plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.

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Faculty
RUSSELL VASILE, MD
Course Director
Russell G. Vasile MD is an Associate Professor of Psychiatry, Harvard Medical School, and Director of the Affective Disorders Consultation Program at the Beth Israel Deaconess Medical Center in Boston. He is a graduate of Princeton University, Class of 1970, and Harvard Medical School, Class of 1974. He completed his psychiatric residency training at the Harvard Medical School –Massachusetts Mental Health Center program in 1978. He is a Distinguished Fellow of the American Psychiatric Association.

Dr. Vasile has published in diverse areas related to the assessment and treatment of depression and anxiety disorders. These publications have included topics such as the psychopharmacologic management of depression and anxiety disorders, biopsychosocial approaches to affective disorders consultation, and the use of brain imaging in the assessment of neuropsychiatric disorders. Dr. Vasile is a graduate of the Boston Psychoanalytic Society and Institute, and is certified in Forensic Psychiatry. He is a past recipient of the Elvin V. Semrad Award for Excellence in Teaching at the Massachusetts Mental Health Center. He has presented an annual program on advances in the treatment of affective disorders for the Harvard Medical School Continuing Medical Education Program over the past 15 years.

DISCLOSURE:
Reported no current relevant financial relationships with commercial entities. (Through 2009: Company: Pfizer, Forest, and Wyeth. Speakers Bureau. Content area: Mood Disorders.)



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Reviewers
MARSHALL FORSTEIN, MD
Reviewer
Dr. Forstein completed medical school at the University of Vermont College of medicine and did his internship at Presbyterian Hospital at Pacific Medical Center in San Francisco. He completed a psychiatry residency at the Massachusetts General Hospital and is Associate Professor of Psychiatry at Harvard Medical School. He is currently the Director of Psychiatric Residency Training at the Cambridge Hospital. He is Board Certified in Psychiatry and a Distinguished Fellow of the American Psychiatric Association. He is a core faculty member in the Division of Palliative Care, Harvard Medical School, developing curricula and teaching in several CME courses. He is serving on the Residency Review Committee for Psychiatry of the Accreditation Council for Graduate Medical Education, and is involved in education and training at the medical school and post graduate level nationally.

Dr. Forstein currently chairs the Steering Committee of HIV Psychiatry within the American Psychiatric Institute for Research and Education. He is involved nationally and internationally in training and curriculum development on the psychosocial and Neuropsychiatric aspects of HIV/AIDS. He is past member of the National Advisory Council of the Center for Mental Health Services in the Substance Abuse and Mental Health Service Administration.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities



JOHN MOONEY, MD
Reviewer
John J. Mooney MD is an Assistant Professor of Psychiatry at HMS and a member of the Affective Disorders Consult Servicec at BIDMC. He is a graduate of Harvard College, Yale Medical School, and the psychiatric residency program at Mass. Mental Health Center. He has 20 publications on the pathophysiology of depressive disorders, and has a particular interest in cell signaling systems in depressive disorders.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



CHRISTOPHER PALMER, MD
Reviewer
Dr. Christopher Palmer is the Medical Director for the Department of Postgraduate and Continuing Education at McLean Hospital and a research physician in the Behavioral Psychopharmacology Research Laboratory and the Sleep Research Program, both at McLean Hospital. He is an Instructor in Psychiatry at Harvard Medical School. He conducts a private practice of psychiatry, specializing in treatment-resistant cases and also has significant teaching roles in a variety of settings, including continuing education conferences and medical student teaching at Harvard Medical School.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Course Planners
SANJIV CHOPRA, MD
Planner
Dr. Sanjiv Chopra is Professor of Medicine at Harvard Medical School. He is also the the James Tullis Firm Chief in the Department of Medicine and a Senior Consultant in Hepatology at the Beth Israel Deaconess Medical Center, Boston. He served as Faculty Dean for Continuing Education at HMS for 12 years. Dr. Chopra has more than 150 publications and seven books to his credit. Dr. Chopra is Editor-in-Chief of the Hepatology Section of UpToDate, the most widely used electronic textbook in the world subscribed to by more than 850,000 physicians in 149 countries. He is also the recipient of numerous awards and accolades. For a complete bio, click here.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



ANDI LONG, EdM
Planner
Andi Long directs the Department of Continuing Education’s Distance Learning group, which offers a variety of online continuing medical education programs to health care professionals around the world. Andi develops strategies for new pilot programs and systematically rolls out new distance learning initiatives and has a leadership role in IT planning and other online processes for HMS DCE. She oversees the day-to-day operations of each distance learning activity and ensures ACCME compliance across all enduring programs. She has had the privilege of working with hundreds of Harvard Medical School Faculty members to develop high-quality, engaging online programs that physicians in more than 170 countries have taken part in. Andi earned her Ed.M. in Technology, Innovation, and Education from Harvard Graduate School of Education and graduated from Bridgewater State College with a degree in English. Her professional interests focus on teaching and learning with new technologies and online course development.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Accreditation

NUMBER OF CREDITS: 3 

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this enduring material for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 3 hours to complete.

Within 2 weeks of completing the course, you will receive your certificate via email.

Click the image to view a sample of the certificate


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General Information

HARDWARE/SOFTWARE REQUIREMENTS

Computers
Any computer running Windows, Mac OS, or Unix machines are supported.


Internet Connection
Your computer should be configured to access the Internet. A high speed internet connection may be required to view some of the large multimedia files.

Browsers
Firefox or Internet Explorer 5.5 or higher are recommended. JavaScript and cookies must be enabled.

Plugins
Some of the multimedia resources in this course require Apple Quicktime, RealMedia, or a Flash player. You will be prompted to download the appropriate plugin when necessary. No plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.


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