Description

Participate in this Computer Simulation Assessment Tool (CSAT) to enhance how you identify the presence of anxiety in patients who have depression. It also helps you use evidence-based pharmacotherapy to treat comorbid anxiety and depression.

Anxiety is among the most common refractory symptoms in depression yet continues to be underrecognized and undertreated. Its presence is associated with significant impairment. This includes interpersonal and occupational dysfunction and increased risk of depressive relapse.

Despite the large number of treatment options available, many patients routinely struggle with persistent, refractory symptoms. Even patients who have achieved "remission" (defined in clinical trials as a HAM-D score <7) commonly experience persistent symptoms.

This simulation helps you understand the limitations of current antidepressant therapy and monitor patients for persistent residual symptoms. It places you in a simulated clinical encounter and tests your decision making skills.

NOTE: to download the DASS Rating Scale, visit: www.mghcme.org/DASSratingscale.

Learning Objectives

At the end of this educational activity, participants should be able to:

  • Recognize the limitations of current antidepressant therapy, and monitor patients for persisting, residual symptoms.
  • Identify with accuracy the presence of anxiety in depressed patients.
  • Use evidence-based pharmacotherapy to treat comorbid anxiety and depression.

Target Audience

Psychiatrists, psychologists, primary care/family physicians, nurses and nurse practitioners, and allied healthcare professionals.

Faculty

  • Director, Division of Education
    Deputy Medical Director
    American Psychiatric Association
    Assistant Professor of Psychiatry, Harvard Medical School
    Consultant, Department of Psychiatry, Massachusetts General Hospital
  • Medical Editing & Knowledge Management
    Postgraduate Medical Education
    Massachusetts General Hospital
    Instructor in Psychiatry, Harvard Medical School

Computer Simulation Assessment Tools

We offer several free Computer Simulation Assessment Tools. See the full list at the link below.

View our online computer simulation assessment tools course offerings

CME Information

Release Date: September 23, 2013
Expiration Date: September 23, 2016
Latest Review Date: Michael Hirsch, MD on September 19, 2015

To receive credit for this activity, view the presentation and complete the post-test and activity evaluation.


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 McLean Hospital and Massachusetts General Hospital. McLean Hospital is accredited by the ACCME to provide continuing medical education for physicians.

McLean Hospital designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit Designation

Psychologists: The Massachusetts General Hospital Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The Massachusetts General Hospital Department of Psychiatry maintains responsibility for this program and its content. This offering meets the criteria for 1 Continuing Education (CE) credit per presentation for psychologists.

Nurses: This program meets the requirements of the Massachusetts Board of Registration in Nursing (244 CMR 5.00) for 1 contact hour of nursing continuing education credit.


Policy on Faculty and Provider Disclosure

It is the policy of McLean Hospital that faculty and providers disclose real or apparent conflicts of interest relating to the topics of this educational activity. McLean Hospital has established policies in place that identify and resolve all conflicts of interest prior to this educational activity.


Planner Disclosures

The following planners and/or their spouse/partner have reported no relevant financial relationship with a commercial interest:

Tristan Gorrindo, MD, Reviewer
Jane Pimental, MPH

The following planners and/or their spouse/partner have reported a relevant financial relationship with a commercial interest:

Michael Hirsch, MD, Reviewer
Honoraria for writing: UpToDate


Speaker Disclosures

The following speakers and/or their spouse/partner have reported a relevant financial relationships with a commercial interest:

Michael Hirsch, MD,Reviewer
Honoraria for writing:UpToDate


Educational Support

This program has received support in the form of educational grants from the following companies:

  • Lilly USA, LLC
  • Takeda Pharmaceutical International, Inc. and Lundbeck

Hardware/Software Specifications

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration

Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher

Minimum Requirements

Windows PC:500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh:Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit


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Supporters

This program has received support in the form of educational grants from the following companies: