Psychopharmacology of Trauma for Mental Health & Healthcare Professionals

CPD

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Handouts

Speaker

Stephanie L. Shafer, MSN, ANP-BC, PMHNP-BC Related seminars and products

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Stephanie L. Shafer, MSN, ANP-BC, PMHNP-BC, works in a large private practice in Lansing, MI, providing clinical services to children, adolescents, and adults with psychiatric disorders, including ADHD, Bipolar Disorder, Depression, Anxiety, Obsessive-compulsive tendencies, Schizophrenia, Autism Spectrum Disorder, Traumatic Brain Injury, PTSD, and Personality Disorders. She has achieved considerable success treating these conditions. This success has largely resulted from the development of a structured model of care that includes a significant focus on clinical and background histories, identifying psychosocial stressors, and evaluating prior medical and psychiatric diagnoses (and treatment regimens associated with these conditions). This approach and model of medical management is essential to the effective delivery of psychiatric medications to this population.

From a clinical perspective, Stephanie has worked in a myriad of settings, including emergency medicine, primary care, and psychiatry, within a large urban hospital, community-based practice, clinics, and in a private-practice setting. Her transition from primary care to psychiatry evolved as a means of providing effective treatment for a growing population of underserved patients with psychiatric disorders.

Stephanie’s commitment to her specialty is evident. She completed a post-graduate degree specializing in psychiatry at Johns Hopkins University in Baltimore, MD, earned her Psychiatric Mental Health Nurse Practitioner certificate, and is a requested presenter, sharing her expertise with multidisciplinary healthcare audiences throughout the country.

 

Speaker Disclosures:
Financial: Stephanie Shafer is the owner and founder of Neurobehavioral Health and Wellness. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Stephanie Shafer is a member of the American Association of Nurse Practitioners.

Objectives

1. Build foundational understanding of trauma including development and comorbidities.
2. Build framework for understanding how trauma impacts the brain development and function.
3. Investigate how neurotransmitters and medication interact and impact clients afflicted with trauma symptoms.
4. Evaluate commonly utilized psychotropic medications, including adverse effects, applications, interactions and brain pathways utilized.
5. Assess non-pharmaceutical interventions in treatment planning.

Outline

• Thinking outside the box
• The 4 steps of HELP 
• Types of trauma
  • ACES
• Manifestations of trauma
• Symptoms, maladaptive coping
• Adaptation responses & influencing factors
• Pathology v learned resilience
• Co-occurring disorders
• Trauma & PDs

• Neurobiology of trauma
  • Stress and the developing brain
  • Personal narrative
  • Science of perception
  • Diagnostic Criteria for PTSD
• Affected pathways/Brain regions affected by stress & trauma
  • Mechanisms 
  • Neurotransmitters and neurotransmission as it relates to medications used in trauma & comorbid conditions 
  • Serotonin, NE, DA, GABA, etc.
  • Easy-to-follow charts of pathways
  • Agonist spectrum

• Antidepressants – SSRIs & more
• Anxiety medications
• Anxiolytics 
• Mood stabilizers 
• Antipsychotics 
• Frequent manifestations of trauma and pharmacological treatments. 
• Sleep & nightmare medications 

• Self-care
• Care Teams & coordination
• Non-pharmacological therapies, modalities & more

Target Audience

• Addiction Counselors
• Case Managers
• Counselors
• Marriage & Family Therapists
• Nurses
• Pharmacists
• Psychologists
• Social Workers
• Other Mental Health Professionals
• Nurses
• Advanced Practice Nurses
• Clinical Nurse Specialists
• Pharmacists
• Nurse Practitioners
• Physician Assistants