Image of Bipolar Spectrum: Bringing Evidence into Practice
Digital Seminar

Bipolar Spectrum: Bringing Evidence into Practice


Credit Available - See Credits tab below.

Average Rating:
   4.5
Category:
Personality Disorders |  DSM-5 |  Psychopharmacology |  Bipolar Disorders
Faculty:
James Phelps
Duration:
6 Hours 16 Minutes
Format:
Audio and Video
License:
Never expires.


Description

  • Moving beyond “overdiagnosis” and “underdiagnosis” to accurate diagnosis
  • For patients with complex depressions but not mania: How does the DSM-5® mixed features specifier and Not Elsewhere Classified category apply?
  • Psychotherapy is now routine bipolar treatment -- but which techniques can you easily adopt?
  • Do chronotherapies and “natural” pills beat antidepressants for bipolar depression? Is it your job to offer them?
  • What is bipolar disorder anyway? Understand—in plain English— current research on its genetic, molecular and anatomic basis.

Cut through the hype about bipolar disorder. This seminar brings up-to-date evidence to the practical level: treating clients. How will the DSM- 5® changes affect diagnosis of bipolar disorders? Is the “bipolar spectrum” represented? We will use case examples to incorporate the DSM-5® changes in your diagnostic process without getting caught up in the details. This includes routinely assessing and documenting – simply and efficiently – bipolar markers that do not appear in the DSM®, to make your diagnoses rigorous and reliable.

The time has come for psychotherapy to stand alongside medication approaches in the routine treatment of bipolar disorder. We will review “chronotherapy,” Social Rhythm therapy, and several PsychoEducation techniques that you can immediately apply with clients. The controversial role of antidepressants in treatment of bipolar depression, and the role of therapists in guiding patients toward non-medication and “natural” treatments will complete this tour through Bipolar Controversies. 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.

This seminar will provide you with the understanding and tools to:

  • Use up-to-date instruments like the Bipolarity Index, the Bipolar Spectrum Diagnostic Scale and the Hypomania Checklist
  • Differentiate bipolarity from anxiety disorders, ADHD, personality disorders, and substance use—with an eye on treatment differences
  • Help patients and families come to terms with multiple variations of bipolar disorder, from initial diagnosis to long-term management
  • Practice psychotherapy in concert with medications, including the 3 main medications used in bipolar depression
  • Position yourself with primary care providers who are using or developing a Medical Home model
  • Make bipolar disorder one of the conditions you’re comfortable identifying – and treating

Credits


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards


Addiction Counselors

NAADAC

This self-study course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 6.0 CE in the Counseling Services skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming. Full attendance is required; no partial credit will be awarded for partial attendance.


Connecticut Addiction Counselors

Provider #120924. This course has been approved as a CCB approved training and has been awarded 6.25 hours by the Connecticut Certification Board.


California Alcoholism & Drug Abuse Counselors

PESI, Inc. is an approved provider by the CCAPP-EI, Provider #: OS-03-036-1019. This activity meets the qualifications for 6.0 CEH's (continuing education hours).


Counselors

This intermediate self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.


Texas Counselors

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Professional Counselors. Provider #: 2477. This self-study course qualifies for 6.0 continuing education credits.


South Carolina Counselors, Marriage & Family Therapists and Psycho-Educational Specialists

This program has been approved for 6.0 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Approval #4540.


Marriage & Family Therapists

This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save this course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements. 


Illinois Marriage & Family Therapists

PESI, Inc. has been approved as a provider of continuing education by the State of Illinois, Department of Professional Regulation. Provider #:168-000156. Full attendance at this self-study activity qualifies for 6.0 credits.


Texas Marriage & Family Therapists

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Marriage and Family Therapists. Provider # 503. This self-study package qualifies for 6.0 continuing education credits.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

CE Broker

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.6 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This intermediate activity is approved for 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


Canadian Psychologists

PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 6.0 self-study continuing education hours. Full credit statement at: www.pesi.com/cpa-statement


Florida Psychologists

PESI, Inc., is an approved provider with the Florida Board of Psychology.Provider Number #50-399.This product qualifies for 6.3 self-study continuing education credits.


Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 (Clinical) continuing education credits for completing this intermediate level course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. 


Canadian Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 (Clinical) continuing education credits for completing this intermediate level self-study course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Illinois Social Workers

PESI, Inc. is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.


Kansas Social Workers

PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 6.0 continuing education hours.


Minnesota Social Workers

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study package has been approved for 6.0 continuing education hours. This certificate has been issued upon successful completion of a post-test.


New York Social Workers

PESI, Inc. is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0008. This self-study activity will qualify for 7.5 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 


Ohio Social Workers, Counselors, and Marriage & Family Therapists

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 6.25 clock hours of continuing education credit.


Pennsylvania Social Workers, Counselors, and Marriage & Family Therapists

This intermediate activity is approved for 6.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


California Social Workers, Counselors, Marriage & Family Therapists, and Licensed Educational Psychologists

The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the APA and the ASWB. Full participation in this self-study course will qualify for 6.0 hours of continuing education credit.


Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number #50-399. This self-study course qualifies for 6.25 continuing education credits.


Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts

Faculty

James Phelps's Profile

James Phelps Related seminars and products: 1

MD, Director of the Mood Disorders Program

Samaritan Mental Health


James Phelps, M.D., specializes in complex mood and anxiety problems. He has focused on teaching about non-manic versions of bipolar disorder for over 10 years. His website, PsychEducation.org, receives 20,000 visitors a month. 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 authored revisions of the diagnostic 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 Chronobiology International. He was recently named Bipolar Disorders section editor for Psychiatric Times. He has received numerous awards for his teaching, including Teacher of the Year awards from both the Psychiatry and Family Medicine departments at the University of New Mexico, and from his current hospital’s residency program. 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.

Speaker Disclosures:

Financial: James Phelps receives royalties as an author for McGraw-Hill Publishing. He receives a speaking honorarium from PESI, Inc.

Nonfinancial: James Phelps has no relevant nonfinancial relationship to disclose.


Additional Info

Program Information

Additional Resources

To order the book, Psychopharmacology: Straight Talk on Mental Health, 3rd Edition, please visit our product store.

To order the book, Why Am I Still Depressed?, please visit our product store.

To order the book, Co-Occurring Disorders: Integrated Assessment and Treatment of Substance Use and Mental Disorders, please visit our product store.


CD/DVD

Click here to purchase the DVD or CD recording from our product store.


Target Audience

Counselors, Psychotherapists, Social Workers, Nurses, Psychologists, Case Managers, Addiction Counselors, Therapists, Marriage & Family Therapists, Other Mental Health Professionals

Objectives

  • Recognize the DSM-5® changes and use them in diagnosis of unipolar mixed states (as well as bipolar disorders).
  • Utilize effective screening tools including the Mood Disorders Questionnaire or the Bipolar Spectrum Diagnostic Scale, and the Hypomania Checklist.
  • Assess 11 non-manic bipolar markers efficiently.
  • Implement Social Rhythm Therapy and use some elements of chronotherapy including light/dark management, dawn simulators, light therapy, and patient education.
  • Recognize current medication strategies and how to integrate these with psychotherapy (e.g. avoiding antidepressants).
  • Use virtual darkness and motivational explanations thereof to foster regular sleep hours and rational approaches to late night TV, Internet and light.

Outline

Over? Under? Or Accurate Diagnosis

  • Case example: the Brown Univ. “overdiagnosis” study
  • Compare the data in children/adolescents
  • Remembering 4 moods and 7 criteria for hypo/mania
  • Screening tools to efficiently gather information
  • DSM-5® hypomania-duration: still 4 days?

Eleven Non-Manic Bipolar Markers

  • Case example: not bipolar, but not unipolar?
  • Where did these non-manic markers come from? Who uses them? Should you?
  • How can you remember them? WHIPLASHED
  • Using a screening tool instead of memorizing
  • A system for reporting: The Bipolarity Index

Is there a “Bipolar Spectrum”?

  • Case example: implications for treatment
  • DSM-5®’s mixed features specifier : Is that a “spectrum” step?
  • What is the therapist’s role in guiding treatment?
  • How to educate patients/families? (and doctors?)

Differentiating bipolar from X,Y,Z

  • Case example: PTSD or bipolar or both?
  • The overlapping criteria problem
  • What will happen if you’re wrong?
  • Is it all about antidepressants?

What is “bipolar disorder” anyway?

  • Depression is not a moral weakness
  • One gene can make that much difference?
  • Fighting stigma with information
  • Where is depression located in the brain?

Treatment: A Big-Picture View

  • Case example: Balancing risk, benefit – and data!
  • Antidepressants can make bipolar disorder worse, 5 different ways
  • Psychotherapy is an integral component, not an add-on!
  • Non-medication mood stabilizers: An example in darkness
  • Remembering nine alternatives to antidepressants
  • Practicing in or in concert with a Medical Home model

Social Rhythm Therapy

  • Case example: What time to bed?
  • The Social Rhythm metric (easy)
  • Selling rhythm? What a challenge!
  • Selling darkness is easier
  • What to do about TV, Internet, texting

Using components of Triple Chronotherapy

  • Case example: Treating depression without medications
  • Three ingredients: Darkness, light, and timing
  • Is this do-able in your practice?
  • Why isn’t this more widely used?

Bipolar Therapy Manuals

  • Case example: Old therapist, new technique
  • What are you looking for? (BP I? BP II? Spectrum?)
  • Common ingredients list
  • Comparing four manuals: Which is yours?

Medication approaches

  • Case example: lithium or lamotrigine?
  • Why it boils down to 3 main options for depressed phases
  • FDA indications and “evidence-based medicine”: A Pharma’ scam?
  • Fish oil and NAC (n-acetlycysteine); can you suggest?
  • How about Vitamin D? tryptophan?

How bad are antidepressants?

  • Case example: Here’s why you should worry
  • Do antidepressants even work in bipolar disorder? (or unipolar?!)
  • Mixed states, rapid cycling are worse than “switching”
  • Speculation: “Kindling” and “tardive dysphoria”
  • Withdrawing antidepressants: 31 tricks from Dr. Tam Kelly

For fun, before we go

  • Have your darkness and eat it too
  • The science of virtual darkness
  • Accumulating evidence for efficacy
  • How to explain and prescribe virtual darkness

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Total Reviews: 101

Comments

Alyssa B - ESKO, Minnesota

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