Greetings!
Welcome to the twenty-second annual Door County Summer Institute. Our conferences have a tradition of quality continuing education.
Our seminars are directed toward psychiatrists, psychologists, physicians, social workers, nurses, and other mental health and healthcare professionals. The Medical College of Wisconsin, in conjunction with the Department of Psychiatry and Behavioral Medicine, are pleased to again sponsor the Summer Institute.
Door County Wisconsin provides a scenic backdrop for maintaining and enhancing clinical skills and knowledge. Individuals and their families will find an abundance of recreational activities to augment their course work. Ask anyone who has been there.
Please come and see for yourself.
Carlyle H. Chan, M.D.
Institute Director
Dr. Chan is Professor of Psychiatry and Vice Chair for Professional Development and Educational Outreach in the Department of Psychiatry and Behavioral Medicine at the Medical College of Wisconsin in Milwaukee, WI. He is also the CME Medical Director at the Medical College of Wisconsin.
MCW Psychiatry Department
The Medical College of Wisconsin is a private, independent medical school with a public mission of excellence in education, research, patient care, and community service. With more than 800 medical students, 700 residents and fellows, and 900 full-time faculty, MCW ranks in the top third of all U.S. medical schools for federal research funding.
The MCW Department of Psychiatry and Behavioral Medicine has a long history of clinical and teaching excellence, combined with a renewed focus on research. The Psychiatry Department (with over $4.8 million in research) ranks nationally in the top quintile of medical school psychiatry departments that receive NIH funding. Interests range from empirical ethics research and AIDS prevention to a Center for Psychotherapies. With over 40 residents and fellows, the fully accredited adult and child residencies and forensic and geriatric psychiatry fellowships are part of a diverse and growing academic department under the leadership of its Chair, Laura Roberts, M.D.
General Session Information
From July 21 to August 8, 2008, 9 separate sessions will comprise this year’s Summer Institute. The conferences are held in the mornings, leaving participants and their family members the afternoons free to explore the wonders of Door County.
Sessions I-IX will run from 9:00 a.m. to 12:15 p.m. Monday through Thursday and from 8:30 a.m. to 12 noon on Friday.
All sessions will be at the Landmark Resort. A continental breakfast will be served daily. A cherry pie social is planned for participants and their families. Casual dress is the standard for all sessions.
Session Links:
Session I: "Brief Therapy: Some Stories Are Better Than Others," Presenter, Michael Hoyt, PhD
Session II: "Managing Change: Critical Organizational Survival Skills," Presenter,
Mark Mone, PhD
Session III: "Mindfulness Practice in Mental Health: Helping the Clinician Help the Client," Presenter, Paul Norton, MD
Session IV: "Innovations in Substance Abuse Treatment: Behavioral, Medications, and Combinations," Presenters, Thomas Kosten, MD and Therese Kosten, PhD
Session V: "Austism to Asperger's: Understanding, Diagnosing, and Treating the Rain Man Disorders," Presenter, Peter Tanguay, MD
Session VI: "Why Did the Cognition Cross the Road?: Toward the Replicable Use of Humor in Psychotherapy," Presenters, Fred Heide, PhD and Lee Becker
Session VII: "Cognitive Behavioral Therapy: An Advanced Training Experience," Presenter,
Donald Meichenbaum, MD
Session VIII: "Pharmacotherapy of Mood and Anxiety Disorders," Presenters, John Greist, MD,
James Jefferson, MD, and David Katzelnick, MD
Session IX: "Women's Mental Health," Persenter, Laura Miller, MD
About Door County
Door County, a three-hour drive north of Milwaukee, is an area of captivating scenic beauty. From its steep limestone bluffs to the spacious sand beaches, the 250-mile shoreline is both dramatic and serene. The rock formations are part of the Niagara escarpment that extends across the Great Lakes into Canada. Almost every kind of outdoor activity is available, as the area has four state parks and many local parks, beaches, hiking trails, and golf courses.
In addition to its natural beauty, Door County offers extensive cultural and musical attractions. The Peninsula Players Theatre is the nation’s oldest summer stock theatre. The American Folklore Theatre provides professional musical theatre. You’ll find classical, big band, and jazz featuring some of the nation’s most distinguished musicians playing at the Peninsula Music Festival and the Birch Creek Music Center.
Door County has one of the largest populations of artists and crafts people in the Midwest, and a host of shops, galleries, and boutiques adds color to every stroll through each village.
Whatever your enjoyment, bird watching, golf, tennis, boating, biking, sailing, fishing, horseback riding, hiking, or just basking in the sun, you will feel at home in Door County.
Cherry Pie Social
A cherry pie social will be held Tuesday evenings from 6:30-8:00 p.m.
Watch for the sign up sheets. Come join us in the fun and meet some of the participants from the other sessions being held during your week. Family members and friends are welcome.
Session I
July 21-25, 2008
At the Landmark Resort
Michael Hoyt, PhD
Brief Therapy: Some Stories Are Better Than Others
Michael Hoyt, Ph.D. (Yale ’76), is senior staff psychologist at the Kaiser Permanente Medical Center in San Rafael, CA. He is the author of Some Stories Are Better than Others, The Present is a Gift, Brief Therapy and Beyond, Interviews with Brief Therapy Experts, and Brief Therapy and Managed Care; as well as the editor of several volumes.
An internationally respected lecturer, multitheoretical thinker, and expert clinician,
Dr. Hoyt has been honored as a Woodrow Wilson fellow, as a Distinguished Continuing Education Speaker by both the American Psychological Association and the International Association of Marriage and Family Therapists, as a Contributor of Note by the Milton H. Erickson Foundation, and was the 2007 recipient of the prestigious APF Cummings Psyche Prize for lifetime contributions to the role of psychologists in organized healthcare. Clinicians interested in time-sensitive therapy will find this workshop to be a stimulating and valuable experience.
Symposium Description and Objectives
How we look influences what we see, and what we see influences what we do, ‘round and around. Some stories are better than others, some ways of looking and thinking and acting are more invigorating and rewarding than others. People often come to therapy when their ways of looking aren’t getting them what they want. They come, in essence, looking for a new story, a new perception, a new way of understanding—which can lead to new behaviors and new outcomes.
Effective brief therapy requires specific skills and orientation to resolve psychological problems and promote growth. A structure will be presented for organizing the tasks and skills involved in the different phases of therapy. Dr. Hoyt will present several models of time-sensitive therapy, with numerous videotaped illustrations, drawing on solution-focused, cognitive behavioral, transactional, narrative, Ericksonian, and psychodynamic approaches. Brief therapy techniques will be illustrated that are applicable in both initial sessions and in the course of longer treatments.
Participants will learn:
(1) Productive therapist attitudes
(2) Methods for finding a focus
(3) Ways of facilitating clients’ strengths in the service of restorying
(4) Effective interventions for common presenting complaints. They will gain skills associated with different phases of treatment, including recognizing why and how to say when—ways to end therapy successfully
Monday
Introduction: narrative constructivism and restorying/ Key characteristics of brief therapy/ The structure of brief therapy: Tasks and skills associated with different phases (pre-, early, middle, late, follow-through)/ The importance of the first session/ Active ingredients and potential pitfalls
Tuesday
The possibility of single-session therapy: When the first session may be the last/ Guidelines and examples (including videos)/ Exercise: Learning about effective treatment ingredients from our internalized clients
Wednesday
Externalizing the problem/ Video: Redecision therapy (a TA/Gestalt approach) with a case of low self-esteem/ Video: Psychodynamic therapy with a case of domestic violence
Thursday
Practical restorying: Shifting (reframing/utilization) to the possible/ Video: The Erickson Legacy—a shift toward constructive approaches/ Solution narratives/narrative solutions/ Clues to effective short-term conjoint treatment/ Video: Solution-focused couple therapy/ Video: Narrative therapy with a case of anger and racism
Friday
Termination: How and why to say when/ Video: Ending time-limited therapy/ When brief therapy is not enough: Strategies for more efficient treatment with traditionally long-term clients/ Seeing yourself as a more efficient therapist
Session II
July 21-25, 2008
At the Landmark Resort
Mark Mone, PhD
Managing Change: Critical Organizational Survival Skills
Dr. Mark Mone is the Associate Dean, Executive Programs, and Professor of Management in the Lubar School of Business at the University of Wisconsin-Milwaukee. He teaches leadership, performance and change management, cross-cultural management, and works with leaders in corporate, healthcare, and non-profit settings.
His keynote addresses for national and regional audiences focus on managing change, leadership, strategic execution, and work teams. Mark also consults with a variety of organizations and serves as an expert witness in employment cases. He has received teaching awards at UW-Milwaukee and Washington State University, and was recently awarded the Lubar School of Business Advisory Board’s Annual Research Award. He serves on multiple editorial boards and has published over 30 scholarly articles and book chapters on management topics.
Symposium Description and Objectives
This symposium focuses on some of the most significant, frequently encountered issues facing managers, administrators, coaches, and consultants in organizations today:
How can we better manage change, increase accountability and execution, and strengthen our leadership? In a turbulent environment, fraught with changing economics, consolidations, mergers, and rapid management transitions, yesterday’s structures and approaches might not be optimal for meeting contemporary challenges. It is clear that diverse work place demographics, powerful, complex technologies, and rapid pace of change create opportunities for those with agility. Yet many organizations and managers find themselves changing slower than their surroundings, absent tools and understanding of how to navigate ever-increasing change.
In this context, this workshop will provide participants with clear, specific tools for managing change, whether it be for them as individuals or for their management and organizations. Specifically, this symposium addresses these change management and leadership skills.
Participants will:
(1) Understand the most common obstacles to change efforts
(2) Review leading practices in managing change and driving execution
(3) Apply specific change management tools and concepts to obstacles and important initiatives in participants’ organizations
(4) Learn about increasing the urgency, building the guiding team, communicating for buy-in, empowering action, creating short-term wins, and making change stick
(5) Cultivate clear expectations and developing better delegation skills
(6) Recognize how to increase accountability and execution of change
Monday
Examine importance of change management tools and obstacles to change while identifying critical change and transformation initiatives in your work
Tuesday
Review leading practices in managing change and driving execution, then apply specific change management tools and concepts to obstacles and initiatives in your organization
Wednesday
Develop clear expectations and improve delegation skills, particularly in the context of a diverse workforce and dynamic environment
Thursday
Learn and apply a framework that will increase accountability and improve how change is executed
Friday
Put it all together: Understand essential leadership, team, and reward approaches that make change stick
Session III
July 21-25, 2008
At the Landmark Resort
Paul Norton, MD
Mindfulness Practice in Mental Health: Helping the Clinician Help the Client
Dr. Paul Norton is a board certified pediatrician who was in general practice for over 25 years, with special interest in behavioral issues. He has been in a practice exclusively related to developmental and behavioral pediatrics for a fiftieth of a century. He uses mindfulness techniques in his practice with both children and parents.
In addition, he has personally experienced over 5000 hours of meditation practice and has taught 8 or 11 week classes in mindfulness to over 500 adults. He is the director of the Milwaukee Mindfulness Practice Center. He teaches mindfulness from both a spiritual and secular point of view and is particularly interested in the use of mindfulness in physical and mental health issues. He is presently researching mindfulness as a therapy in pediatric pain patients.
Symposium Description and Objectives
Mindfulness, which generally comes out of Eastern spiritual traditions, is just now getting scrutiny in Western medicine. There have been applications in many areas of physical and mental health. It has been described variously as “moment-to-moment awareness”, “living life on purpose”, or “being able to freely observe.” The theory of this practice is that cognitive knowledge may not be enough. Therefore, various awareness exercises are used to facilitate this inherent nature to observe ourselves and our surroundings. This is very useful in disorders where “self-talk” is a problem.
In addition, mindfulness is useful for those who have occupations where observation is important. This is especially true in areas of mental and behavioral health. Therefore, much of this symposium will be hands-on teaching of mindfulness skills and their use in our daily practices.
Participants will:
(1) Understand what mindfulness is and how it is different from other cognitive restructuring tools
(2) Develop personal mindfulness skills
(3) Develop skills to use mindfulness therapeutically
(4) Understand the neurophysiologic underpinnings of mindfulness practice, including autonomic nervous system responses
(5) Improve observational skills and help patients do the same
(6) Better understand thought processes, especially automaticity (habit energy), and how mindfulness helps
(7) Appreciate how mindfulness helps in chronic pain, and other physical ailments
Monday
Mindfulness in everyday life; mindfulness based stress reduction: The model and its results; mindfulness in chronic pain and other physical entities
Tuesday
Sitting and walking meditation; meditation for mood and anxiety disorders; neuroimaging and meditation
Wednesday
Body scan; facilitating body awareness;
use in cognitive behavioral therapy; use in PTSD , body image problems; use in dialectic behavior therapy and personality disorders
Thursday
Metta or lovingkindness; use in alcohol and other drug abuse; deep listening / facilitating listening; nonviolent communication model
Friday
Gratitude; writing practice; use in office for headache and abdominal pain; use in children ; use in ADHD; new frontiers of study
In addition, Dr. Norton will lead guided meditations daily from 8 to 8:30 a.m.
This is also an exciting opportunity to exchange information with those who may already be using mindfulness or meditation practices either personally of therapeutically with clients.
Mindfulness practice is an exciting new threshold for mental health, as well as an old and treasured way of life for many. We are fortunate to be able to use age-old methods with our modern eyes.
Session IV
July 28-August 1, 2008
At the Landmark Resort
Thomas Kosten, MD and Therese Kosten, PhD
Innovations in Substance Abuse Treatment: Behavioral, Medications, and Combinations
Thomas R. Kosten, M.D., is Jay H. Waggoner Chair & Professor of Psychiatry and Neuroscience at Baylor College of Medicine. He is Research Director for the VA National Substance Use Disorders Quality Enhancement Research Initiative (QUERI) at DeBakey VA Medical Center.
Dr. Kosten’s current research involves pharmacogenetics and vaccines for substance abuse as well as medication development. His research also covers clinical trials of new medications for post-traumatic stress disorder (PTSD) and the neurobiology of this disorder using functional MRI neuroimaging. With his wife Therese Kosten, PhD, he conducts animal laboratory studies to develop new vaccines and other medications for addictions and to understand the neurobiology and contribution of early life stress to later addictions and PTSD.
Therese Kosten, PhD, is an Associate Professor in the Department of Psychiatry at Baylor College of Medicine. She received her PhD in Behavioral Neuroscience from Yale University. Her research focuses on animal models of addiction and she has authored over 70 peer-reviewed publications.
Symposium Description and Objectives
This symposium will provide an update not only on standard AODA treatments but also new research inspired alternatives. The instructors will review the basic science behind psychopharmacological as well as behavioral approaches.
Participants will:
(1) Learn how the terminology of diagnosis for addictive disorders is influencing the new DSM-V in addressing the limitations of DSM-IV
(2) Review the neurobiology and psychology that underlies treatment innovations in addictions
(3) Recognize how to use treatment innovations in chemical addictions to alcohol, nicotine, opiates, stimulants, and marijuana.
(4) Appreciate the rapidly expanding area of “process” addictions, including gambling, and their potential place in DSM-V
(5) Understand how genetics is being applied to the treatment of addictions in the 21st century of personalized medicine
Monday
What is addiction? Pharmacology; behavioral processes; DSM-IV and DSM-V; abstinent vs addicted – that simple? quantity and frequency of use – how much is harmful and needs to be reduced? binge use and tolerance/withdrawal; “process” versus chemical addictions; epidemiology on neuroimaging: would an insurance company pay for this treatment?
Tuesday
Neurobiology and psychology behind treatment innovations; neurotransmitters; pathways; classical conditioning and cue desensitization; emotional states and comorbidity
Wednesday
Treatment innovations in chemical addictions: alcohol and opiates; Alcohol: detoxification; pharmacotherapy; mechanisms of action in brain; dosing strategies/duration of treatment; genetic selection of responders; Opiates: failure of detoxification alone; maintenance methadone or naltrexone; depot naltrexone; office based buprenorphine (Suboxone); dosing strategies/ duration of treatment; cost benefit
Thursday
Treatment innovations in chemical addictions: Nicotine: standard treatments: nicotine replacement; bupropion and nortriptyline; Varenicline, partial nicotinic agonist; nicotine vaccine; stimulants: no FDA approved treatment yet; disulfiram (and now nepicastat) and genetically identified responders; cocaine vaccine; Modafinil; Gaba agonists: tiagabine, vigabatrin; contingency management; Marijuana: no FDA approved treatment; marinol; sativa; other treatment approaches
Friday
“Process” addictions and DSM-V: gambling; eating/obesity; sex; internet; genetics of addictions in personalized medicine; pharmacologic approaches
Session V
July 28-August 1, 2008
At the Landmark Resort
Peter Tanguay, MD
Autism to Asperger’s: Understanding, Diagnosing, and Treating the Rain Man Disorders
Peter Tanguay, M.D., F.A.C.P., is the Spafford Ackerly Endowed Professor of Child and Adolescent Psychiatry (Emeritus) in the Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Louisville. He is the author of many articles in leading journals on the subject of autism, and has presented lectures and workshops in the United States, Europe, Japan and, most recently, in China.
From 1975 to 1985, he was Director of the NIMH-funded Child Psychiatry Clinical Research Center at UCLA. His research has focused on autism and Asperger’s Disorder. Dr. Tanguay’s recent publications include an invited ten year review of Pervasive Developmental Disorder in the Journal of the American Academy of Child and Adolescent Psychiatry. In 1998, he won the Rieger Award of the American Academy of Child and Adolescent Psychiatry. He was an expert consultant on the film Rain Man, which starred Dustin Hoffman.
Symposium Description and Objectives
The workshop begins with an introduction to the concept of autism, illustrated with video clips of persons purported to have “high functioning autism”. The concept of autism as a spectrum disorder is introduced with social communication skills being the dimension on which the spectrum is measured. The nature of social communication is addressed, along with the manner in which it develops beginning from very early in life.
Practical clinical approaches to history-taking and interview methods are addressed next, starting with the Check-list for Autism in toddlers to more sophisticated state of the art research based diagnostic instruments for all age groups. Digital video recordings of persons diagnosed as having autism, Asperger’s Disorder, or PDD-Not Otherwise Specified will help illustrate what persons on the spectrum are like.
Examples of the development of social communication in normal children from four months to five years of age will also be shown. Treatment of persons with autism spectrum disorder will be discussed. Interventions include behavioral and experiential approaches, including Project TEAACH in North Carolina, Applied Behavior Analysis, Carol Gray’s Storytelling Methods, Picture Exchange Communication System, and Steve Guttstein’s Relationship Development Intervention. Psychopharmacological interventions will be reviewed and discussed. Lastly, a presentation of Hot Topics in Autism and Asperger’s Disorder will review the latest genetic, biological, and brain imaging studies in the field, as well as important controversies about etiology and treatment.
Participants will:
(1) Understand the nature of autism spectrum disorder
(2) Comprehend the manner in which specific deficits call for specific approaches to treatment
(3) Familiarize themselves with diagnostic instruments
(4) Become conversant in treatment options
Monday
Introduction; the nature of the autism spectrum; is there an epidemic?; MMR vaccine and thiomersal; domains of social communication; development of social communication in man
Tuesday
How to take a social communication history (Q&A); diagnostic instruments and their use from 18 months to adulthood
Wednesday
Treatment: Behavioral and psychopharmacological
Thursday
Treatment (concluded); neurobiological insights and genetic factors
Friday
Hot issues in autism
Session VI
July 28-August 1, 2008
At the Landmark Resort
Fred Heide, PhD and Lee Becker
Why Did The Cognition Cross The Road?: Toward The Replicable Use of Humor in Psychotherapy
Frederick Heide, Ph.D. is associate professor at the California School of Professional Psychology at Alliant International University, where he has won both the Master Teacher and Teacher of the Year Awards. A past president of the Association for Behavioral and Cognitive Therapy, Dr. Heide is recipient of the Outstanding Research Contribution Award from the Association for Advancement of Behavior Therapy (AABT) and has published in the Journal of Consulting and Clinical Psychology, Psychophysiology, and elsewhere. His current interests focus on understanding and teaching charismatic communication skills.
Dr. Heide is co-founder and first board president of American Folklore Theatre, described by Money Magazine as “one of the top regional theatres in the country.” There he has co-authored 15 stage musicals. In 2005, he was named one of the best three actors in his region by readers of Door Voice Magazine. Dr. Heide studied acting and has created several shows with Paul Sills, founder of Chicago’s renowned Second City Theatre. He has also recorded three albums of original songs.
Lee Becker has performed professional improvisational comedy in New York City for almost a decade before returning to his home state of Wisconsin. He has been a member of several national championship teams in Comedy League of America’s annual competition. Mr. Becker has also performed extensively with American Folklore Theatre and Door Shakespeare. He has taught improvisation technique at the California School of Professional Psychology, the Medical College of Wisconsin, and elsewhere. Along with Dr. Heide, he is co-author of the sci-fi football musical Packer Fans From Outer Space.
Symposium Description and Objectives
One powerful reason for clinicians to consider using therapeutic humor is its ability to rapidly alter meaning in a positive direction. With preliminary research suggesting that humor can be applied reliably in therapy, some have argued that formal humor training would represent a “revolutionary curricular development in the education of therapists” (Franzini, 2001, p.177).
This workshop will present a brief overview of classical humor theory, the facilitative effects of positive affect, and the benefits and dangers of using psychotherapeutic humor. We will describe a simple model (termed humor restructuring) for employing humor replicably in therapy involving: 1) the externalization of a maladaptive cognition, followed by, 2) inviting clients to co-investigate this cognition’s overlooked comic aspects.
Recognizing the major role that spontaneity and intuition play in comedy, the bulk of the workshop will be devoted to exploring improvisational methods pioneered at Chicago’s famed Second City. Recently developed adaptations of these methods to the therapeutic arena will be discussed and practiced in a supportive atmosphere. Participants do not need to be funny to receive course credit.
Participants will:
(1) Become knowledgeable of the use of therapeutic humor
(2) Participate in improvisational exercises
(3) Practice applications in simulated situations
Monday
Overview / Cognitive effects of positive affect / Pros and cons of therapeutic humor / Classical humor theory / Empirical evidence / Warm-up exercises
Tuesday
Humor restructuring overview / Theatre games to promote spontaneity and intuition
Wednesday
Character transformation as a basic humor method / Theatre games
Thursday
Theatre games / Application to maladaptive cognitions
Friday
Application to maladaptive cognitions/ Summary
Session VII
August 4-8, 2008
At the Landmark Resort
Donald Meichenbaum, PhD
Cognitive Behavioral Therapy: An Advanced Training Experience
Donald Meichenbaum, Ph.D., is Distinguished Professor Emeritus, University of Waterloo, Ontario, Canada and is presently Distinguished Visiting Professor at the University of Miami. He is Research Director of the Melissa Institute for Violence Prevention in Miami. He is one of the founders of Cognitive Behavior Therapy, and in a survey of North American clinicians, Dr. Meichenbaum was voted "one of the ten most influential psychotherapists of the century".
He has published extensively including two clinical handbooks on treating adults with PTSD and another on treating individuals with anger-control problems and aggressive behavior. He has consulted and lectured worldwide. His workshops are noted for their combination of scholarship and clinical perspicacity as well as humor. His workshops always receive the highest accolades.
Symposium Description and Objectives
This comprehensive and in depth symposium will provide advanced training in cognitive-behavioral and related interventions for adults. This symposium will also offer a life-span perspective on the clinical problems our patients present and a Case Conceptualization Model on assessment and treatment decision-making that will frame the interventions. Twelve core tasks of psychotherapy that characterize "expert" therapists will be discussed, demonstrated on videotaped case presentations and practiced by participants. Specific focus will be on the initial phase of treatment and ways to enhance and maintain a therapeutic alliance, assessment of dangerousness to self and others and accompanying practical
interventions such as skills-building and generalization procedures, and on ways to tailor specific interventions to the needs of victimized populations. How to alter these interventions in a developmentally sensitive manner will be examined.
Participants will:
(1) Comprehend the core tasks of psychotherapy
(2) Appreciate the role of the life span perspective
(3) Identify ways to conduct cognitive restructuring procedures
Monday
The nature of expertise; focus on what works in psychotherapy; core tasks of psychotherapy; what "expert" therapists do; case conceptualization model: Assessment and treatment decision-making; nurturing a therapeutic alliance; using client feedback to improve treatment
Tuesday
Engagement procedures; psychoeducation interventions; barriers analyses; nurturing hope; collaborative goal-setting; adherence counseling; assessment strategies from a life-span perspective; fostering resilience and strengths
Wednesday
Wednesday: Assessment of dangerousness toward self and others; interventions for family violence for victims and perpetrators; integrative treatment of patients with comorbid disorders; relapse prevention procedures
Thursday
How to conduct cognitive restructuring procedures; behavioral activation interventions; stress inoculation training; problem-solving training; acceptance and mindfulness training
Friday
New developments in the treatment of PTSD; how to treat emotional dysregulation, dissociation, hyperarousal, flashbacks; how to do "memory work" - imagery-based procedures, direct therapy exposure and cognitive therapy procedures; finding meaning; role of spirituality; self-care for therapists: Treating vicarious traumatization
Session VIII
August 4-8, 2008
At the Landmark Resort
John Greist, MD, James Jefferson, MD, and David Katzelnick, MD
Pharmacotherapy of Mood and Anxiety Disorders
John H. Greist, MD, James W. Jefferson, MD, and David J. Katzelnick, MD, are Distinguished Senior Scientists at the Madison Institute of Medicine and Clinical Professors of Psychiatry at the University of Wisconsin School of Medicine and Public Health. They also co-direct the Lithium, Bipolar Disorder Treatment, and Obsessive Compulsive Information Centers and are Directors of Healthcare Technology Systems.
Their major clinical and research interests are in mood and anxiety disorders, psychopharmacology, and the application of computer-based technology in clinical and research settings.
They have authored and coauthored numerous articles in professional journals, chapters in books, patient education booklets, and books in their areas of expertise. They have had extensive involvement in professional education through continuing medical education conferences and lecturing at national and international conferences.
Symposium Description and Objectives
This symposium will provide an update on both conventional and novel treatment approaches to mood and anxiety disorders. The major emphasis will be on the use of psychopharmacologic agents. This symposium will also utilize case discussions, and informal information exchange will occur between faculty and participants.
Participants will:
(1) Become cognizant of comparative efficacy, side effects, and drug interactions
(2) Learn strategies for overcoming treatment resistance and managing comorbid conditions
(3) Learn to integrate non-pharmacologic treatments into comprehensive treatment programs
Monday
Dr. Jefferson
Depressive Disorders: Overview, pharmacologic profiles, comparative efficacy, side effects, interactions, treatment resistance (STAR*D and innovative approaches)
Tuesday
Dr. Katzelnick
Social Anxiety Disorder, Panic Disorder, Benzodiazepines
Wednesday
Dr. Greist
Obsessive-Compulsive Disorder; Post-traumatic Stress Disorder, Suicidality and the Black Box
Thursday
Dr. Jefferson
Bipolar Disorders: Overview, bipolar spectrum, managing mania, depression, and maintenance, mood stabilizers-pharmacology, side effects, interactions
Friday
Drs. Jefferson and Katzelnick
Depression and chronic pain, Herbal psychopharmacology, Measurement based care.
Session IX
August 4-8, 2008
At the Landmark Resort
Laura Miller, MD
Women’s Mental Health
Laura J. Miller, M.D., is a Professor of Psychiatry at the University of Illinois at Chicago and the Associate Head of the Department of Psychiatry. She is the Director of the UIC Women’s Mental Health Program, winner of the American Psychiatric Association’s Gold Achievement Award for innovative mental health services, and the American College of Psychiatrists’ Award for Creativity in Psychiatric Education. She is also the Director of the Illinois Peripartum Mental Health Project.
Dr. Miller graduated from Duke University with a B.S. in Psychology, then from Harvard Medical School. She completed an internship in Internal Medicine at Michael Reese Hospital, and a residency in Psychiatry at the University of Chicago. She has published over 60 articles and book chaters related to women’s mental health and edited the book Postpartum Mood Disorders, published by the American Psychiatric Press.
Symposium Description and Objectives
Sex and gender can influence normal feelings, cognitive processes and behaviors as well as pathological ones. A woman's reproductive cycle can influence the course and expression of psychiatric symptoms. The menstrual cycle, pregnancy, breast feeding and menopause can alter a woman's response to psychotropic medication, and the risks of medication. Cultural gender role expectations and practices can intertwine with biological sex differences to produce and maintain psychiatric symptoms.
Participants in this symposium will:
(1) Learn about the influences of gender and reproductive cycle events on psychiatric disorders in women
(2) Recognize the impact of pregnancy and the postpartum period on mental health
(3) Review the psychological gender differences affecting the mind and brain
Each session will include a summary and discussion of relevant knowledge, followed by working through clinical cases to learn how to apply research-based information to patient care. Participants are encouraged to bring their own case examples, with no identifying information, for discussion.
Monday
Why women menstruate; how the menstrual cycle became intertwined with mood; how culture has shaped the experience of menstruation and contributed to the development of premenstrual syndrome (PMS); the biological basis of premenstrual dysphoric disorder (PMDD): treatment of premenstrual mood disturbances
Tuesday
Psychiatric disorders and pregnancy; during pregnancy: normal mood changes, mood disorders (depression and bipolar disorder); anxiety disorders (panic disorder, OCD, PTSD) psychotic disorders, psychotropic medications, and other interventions
Wednesday
Postpartum psychiatric disorders, blues, depression, and psychosis
Thursday
Mood at midlife and menopause; mood changes at midlife: myth and reality; cultural influences on the experience of menopause; factors that contribute to midlife depression; hysterectomy vs. natural menopause: the effect of hormone therapies on mood
Friday
Gender differences in psychopathology and psychopharmacology; sexual dimorphism in the brain; schizophrenia; PTSD; OCD; depression; gender differences in pharmacokinetics; gender-linked medication side effects
Tuition and Refunds
The tuition fee is $585.00 for one full week and $535.00 for each additional full week. Tuition for full-time graduate students and resident physicians is $510.00 per week with a letter from the director of the training program.
The first symposium tuition fee will be reduced to $535.00 if postmarked by May 15, 2008. Groups of 3 or more may deduct an additional $35.00 from each registration if all registrations are submitted at the same time with payment.
Refunds, minus $50.00 administration fee, may be obtained if requested in writing and postmarked no later than 15 days prior to the beginning of each session. There will be no refunds thereafter.
Enrollment is limited
Accommodations
Door County offers a wide variety of accommodations including wilderness campgrounds, inns, cottages, motels and condominium hotels and resorts.
Lodging in July and August is in great demand; it is absolutely crucial that you make reservations early. A block of suites has been set aside for conference participants at the headquarters resort, the Landmark Resort. These suites will be held until June 8, 2008 or until they are filled, which ever occurs first. After that the rooms are on a space available basis.
From its site on the bluff, the Landmark offers outstanding views of the waters of Green Bay with 294 units comprised of 1, 2, and 3 bedroom condominium suites. Facilities include: restaurant and lounge, 11 meeting and function rooms, indoor and outdoor pools, 5 tennis courts, and fitness and game rooms. The Landmark Resort is Door County’s largest and best full service facility. All rooms at the Landmark are non-smoking.
The Landmark Resort
7643 Hillside Road
Egg Harbor, Wisconsin 54209
(920) 868-3205, FAX (920) 868-2569
Reservations (800) 273-7877
E-mail: stay@thelandmarkresort.com
http://www.thelandmarkresort.com
Please be sure to indicate that you are attending the Summer Institute.
Information on other places to stay can be obtained by contacting the Door County Chamber of Commerce P.O. Box 346A, Sturgeon Bay, WI 54234 (1 800 52-RELAX). When available, private accommodations may be secured through Jim Spolarich at Century 21 Door Properties at (920) 868-2002, and with JR Vacation Rentals at (888) 481-1935.
Accreditation
The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation of Credit
The Medical College of Wisconsin designates each full session of this educational activity for a maximum of 15 AMA PRA Category 1 Credits tm. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The Medical College of Wisconsin designates each full session for up to 15 contact hours of continuing education for allied health professionals.
The Medical College of Wisconsin is approved by the American Psychological Association to sponsor continuing education for psychologists. MCW maintains responsibility for this program and its content.
The Medical College of Wisconsin is approved by the Illinois Department of Financial and Professional Regulation to offer 15 continuing education credits per session for social workers in Illinois. Sponsor license number is 159-000664.
Application has been made for pre approval of EACC Professional Development Hours (PDHs).
Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.
Special Needs
Participants needing special accommodations please contact our office at (414) 955-7250 at least two weeks in advance of any session.
Disclosure
Consistent with ACCME policy, faculty for all MCW continuing education programs is required to disclose to its audience all relevant financial relationships with commercial organizations. MCW has a mechanism in place to identify and resolve any conflicts of interest in advance of the DCSI.
For More Information Contact
Carlyle H. Chan, M.D.
MCW Department of Psychiatry
8701 Watertown Plank Road, Milwaukee, WI 53226
414-955-7250 FAX: 414-955-6299
www.mcw.edu/psychiatry/doorcounty.htm