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CME: Bipolar disorder: Therapeutic Updates and Best Practices

ACCREDITATION EXPIRED: August 06, 2015

Activity Description / Statement of Need:

In this online CME self-learning program:

 

Bipolar disorder is defined as a mood disorder characterized by episodes of mania, hypomania, and depression. It affects 3-4% of the U.S. population, represents a substantial societal and economic burden in the United States, is also found to be strongly associated with other major public health concerns like diabetes and cardiovascular disease.

 

The literature demonstrates that medication nonadherence is a major issue among patients with bipolar disorder. Nonadherence affects approximately 60% of patients and can result in hospitalization, poor effectiveness, increased relapses, and increased risk of morbidity.  Inadequate medication adherence can lead to poor clinical outcomes and increased healthcare costs; healthcare practitioners must remain cognizant and vigilant in identifying factors that may adversely impact adherence. One major barrier is side effects of therapy, particularly weight gain. Other factors, such as patient perceptions, illness severity, and the relationship between the physician and patient, come into play and should be taken into account to optimize adherence.

 

This program has been designed to bring healthcare professionals’ knowledge up to date with the current and emerging therapies and best practices bipolar disorder and to improve their competence and performance in treating it.

 

Agenda

 

Introduction, Disclosures

Epidemiology of bipolar disorder

  • Statistics (prevalence of disease)
  • Impact on society (economic burden, role as a public health concern)
  • Comorbid diseases (ADHD, depression, anxiety, etc)

Symptomology and diagnosis of bipolar disorder

  • DSM-IV-TR criteria
  • Differential diagnosis
    • Medical history
    • Substance history
    • Psychiatric history
    • Patient case(s)

Treatment in patients with bipolar disorder

  • Therapies: non-pharmacological vs. pharmacological, first-line and beyond
    • Cognitive behavioral therapy
    • Prescription medications
    • Special populations (adolescents, elderly, patients with comorbid diseases, etc)
    • What’s on the horizon: emerging therapy
    • Best practice: putting it all together
    • Patient case(s)

Barriers to optimal care in patients with bipolar disorder

  • Adherence (side effects, patient perception, etc)
  • Existence of comorbid diseases
  • Patient case(s)

Summary, conclusions, and best practice recap

Target Audience:

Healthcare professionals specializing in mental health, pediatric or adult psychiatry, or those who otherwise commonly care for patients with bipolar or related psychiatric diseases


This program is supported by an educational grant from Sunovion Pharmaceuticals, Inc. and Genentech.


Release Date: August 06, 2013 -- Expiration Date: August 06, 2015

Faculty: Robert Post, MD

Agenda

Learning Objectives

By the end of the session the participant will be able to:

  • Describe the challenges, including comorbid conditions, associated with diagnosis of bipolar disorder
  • Apply existing screening practices and diagnostic criteria to patients with bipolar disorder.
  • Identify current and emerging treatment modalities for the management of bipolar disorder and apply them to patient cases using evidence-based medicine.
  • Evaluate a specific patient during the maintenance phase of therapy and suggest modifications for improvement, taking into account: efficacy; changes in symptoms, adverse effects of therapy; and the disease and treatment’s impact on quality of life.
  • Describe the challenges associated with treating patients with bipolar disorder, including medication adherence, and incorporate that knowledge in an effort to optimize communication with patients during the initial patient presentation, first stages of treatment, and follow up.

Accreditation

ACCREDITATION FOR THIS COURSE HAS EXPIRED. YOU MAY VIEW THE PROGRAM, BUT CME / CE IS NO LONGER AVAILABLE AND NO CERTIFICATE WILL BE ISSUED.


Faculty Disclosure and Resolution of COI

 As a provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved thru content review ScientiaCME.

 

Faculty Disclosure: Robert Post, MD has received compensation as a consultant for Astra-Zenica, Puretech, Sunovion, TEVA, and Validus. He has worked as a speaker for  Astra-Zenica and Validus.

 

Disclosures of Educational Planners: Charles Turck, PharmD is an officer and part owner of ScientiaCME, LLC. ScientiaCME has received grants from Bayer, Edwards Lifesciences, Eisai, Daiichi-Sankyo, Lilly, Merck, Pfizer, Sanofi Aventis, Wolf-Torey Medical.

 

Commercial Support Disclosure: This program is supported by an educational grant from Sunovion Pharmaceuticals, Inc. and Genentech.

Instructions

  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge gained by participating in this CME activity.
  • View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
  • Minimum participation threshold: Take the post-test. A score of 70% or higher is required to pass and proceed to the activity evaluation.
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

Cultural/Linguistic Competence & Health Disparities

System Requirements

PC
Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
MAC
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh

*Required to view Printable PDF Version


Perform Pre-Test (optional)

Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.