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Chris Aiken, M.D.
14 Hours 26 Minutes
- Audio and Video
Feb 20, 2020
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Chris Aiken, M.D., is a psychiatrist who specializes in natural and behavioral approaches to mood disorders. He is the editor-in-chief of the Carlat Psychiatry Report, section editor for Psychiatric Times, and the host of The Natural Mind podcast. His books include Bipolar, Not So Much, The Depression and Bipolar Workbook, and Drug Metabolism in Psychiatry. His work has been cited in the International Encyclopedia of Depression, and he is involved in clinical research to identify new treatments for mood disorders. He maintains a private practice through the Mood Treatment Center and teaches at the Wake Forest University School of Medicine.
Financial: Chris Aiken is director and founder of Mood Treatment Center. He receives royalties as an author for WW Norton; and PESI Publishing & Media. Dr. Aiken receives a speaking honorarium from PESI, Inc.
Nonfinancial: Chris Aiken is a Distinguished Fellow of the American Psychiatric Association. He is a member of the North Carolina Psychiatric Association; Forsyth County Psychiatric Association; and the International Society for Bipolar Disorders.
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- Conduct a collaborative assessment that avoids the stigma clients often associate with mood diagnoses.
- Differentiate among the affective temperaments of dysthymic, cyclothymic, hyperthymic, and irritable types.
- Characterize how psychological trauma affects mood disorders differently.
- Distinguish between borderline personality disorder and bipolar disorder.
- List the more common co-occurring disorders of the depressed client.
- Demonstrate how to create a more effective and practical mood chart for clients to complete as homework.
- Examine how to improve behavioural activation results by incorporating the client’s values.
- Explain how ruminative thinking drives depression.
- Summarize the evidence-base for the Rumination Focused CBT model.
- Recommend techniques that mange countertransference to mania and depression.
- Consider the therapeutic alliance and ethical issues around including family members in therapy sessions.
- Devise an emergency plan with clients and family in readiness for mania, hospitalization and suicidality.
- Create an attainable treatment plan that derived from Social Rhythm Therapy.
- Summarize the neuroscience of inflammation and insomnia with depression and bipolar disorder.
- List the known risks and often contraindicated use of antidepressants in the treatment of bipolar disorder.
- Describe behavioural approaches that address medication adherence.
The Mood Spectrum: Diagnosis in the DSM-5™ Era
- Major Depressive Disorder
- Persistent Depressive Disorder
- Depression with Mixed Features
- Cyclothymic Disorder
- Bipolar II Disorder
- Bipolar I Disorder
- Specifiers: Anxious distress, melancholic, atypical, seasonal & peripartum moods
- Mania, hypomania, mixed states: How to recognize each
- Differential diagnosis: Anxiety, addiction, ADHD, eating disorders, substance abuse
- Bipolar Disorder or Borderline Personality Disorder?
Assessment: Practical Tips, Evidence-Based Tools, and Subclinical Features
- How to avoid over-diagnosing
- Evidence-based measures: MINI-7; PHQ-9, MDQ, Bipolarity Index, & Hypomania Checklist
- Why traditional mood charting doesn’t work – and what to do instead
- Affective temperaments: Depressive, Hyperthymic, Cyclothymic and Irritable
- Rumination, cognitive deficits, and early warning signs
- Conceptualizing mood through the lens of energy, not emotion
- Classic v. atypical Bipolar Disorder
- When mood is shaped by trauma
THERAPY FOR MOOD DISORDERS: FROM EVIDENCE-BASED TREATMENTS TO A PERSONALIZED PLAN
Mood Disorder Must-Haves for Every Treatment Plan
- Psychoeducation – reduce stigma, identify causes, focus on prevention
- Psychotherapy – how to match mood with the approach
- Concrete interventions – create a “menu” the client can choose from
- Positive psychology: the unique strengths of mood disorders
- Family therapy – communication skills, boundaries, crisis plans
- Remediation strategies for building back cognitive skills deficits
Behavioural Activation: More Than Building a Busy Schedule
- Neuroscience: Turning down the brain’s default mood network
- Integrating values and meaning in behavioural change
- How behaviour challenges depressive beliefs
- Strategies: Opposite action, approach-avoidance, mindful media
Rumination-Focused CBT (RF-CBT)
- How is RF-CBT different from traditional CBT?
- Useful v. dysfunctional rumination
- The benefits of rumination
- Shift from avoidant rumination to absorbing action
- The neurobiological basis of RF-CBT
- Strategies: Chain analysis, habit changing, immersion, mindfulness and compassionate thought
Cognitive Behavioral Analysis System of Psychotherapy (CBASP)
- An attachment-based approach to treating mood disorders
- Preoperational thinking: Why chronic depression is slow to change
- Positive and negative reinforcement in chronic depression
- Evidence to support CBASP for chronic depression
- Strategies: Interpersonal inventory, situational analysis, interpersonal discrimination
Social Rhythm Therapy
- Therapy with a biological basis
- Four routines that stabilize the biological clock
- Circadian rhythms, neurohormones and neuroplasticity
- Strategies: Brisk awakening, zeitgebers, social rhythm chart
Cognitive Behavioral Therapy for Insomnia
- How a therapy for sleep treats depression
- Sleep drive and circadian rhythms
- The vicious cycle of anxiety and insomnia
- Basic steps: Sleep hygiene
- Advanced moves: Bed restriction
- Special situations: Screen time, jet-lag, napping, night owls, and shift work
An Antidepressant Lifestyle
- Nutrition: The MediMod Diet, probiotics, caffeine, alcohol and sugar
- Physical Activity: When, where, how much
- Environment: Dawn simulation, light and dark therapies, nature, music, aromatherapy and air ionization
- Why a clear diagnosis is crucial before starting any medication
- Anti-depressants and mood stabilizers: New classes, old standards
- Benefits, risks, side effects; how to recognize problems
- How medication impacts therapy: State-dependent learning
- The Medication Interest Model: A Motivational Interview for Medication Adherence
- Top supplements for mood disorder
- Beyond medication: Transcranial Magnetic Stimulation, Electroconvulsive Therapy, esKatamine
- The therapeutic relationship with the suicidal client
- A collaborative approach to risk assessment
- Which symptoms warrant hospitalization?
- CBT for Suicidality: How therapy can present suicide
- Strategies: Hope box, coping cards, and distress tolerance skills
- Emergency planning
- Countertransference issues in depression and mania
- Staying within your scope of practice
- Children and adolescents: DMDD v. Bipolar Disorder
- Multicultural considerations
- Social Workers
- Case Managers
- Marriage & Family Therapists
- Advanced Practice Nurses
- Physician Assistants
- Addictions Counselors
- Occupational Therapists
- Other Mental Health Professionals
Total Reviews: 69