Lisa Visit 1: A woman with bipolar disorder who wants a second opinion
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| Title: | Lisa Visit 1: A woman with bipolar disorder who wants a second opinion |
| Topic: | Psychiatry |
| Relevant Terms: | Binge Eating Disorder, Bipolar Disorder, Mood Disorders, Substance Use Disorder |
| Primary Audience: | Psychiatrists |
| Launch Date: | 24-Jan-11 |
| Credits: | 1 AMA PRA Category 1 Credit™ |
| Expiration Date: | The accreditation for this activity has expired. |
| Curriculum Name: | The Bipolar Patient: From Diagnosis to Remission |
Learning Objectives
Upon completion of the activity, participants should be able to:
- Identify patient concerns with current treatment and disease course in bipolar disorder, including those that may impact adherence to medication
- Compare the risks and benefits of different approved therapies for patients with bipolar disorder and comorbid illness
- Implement treatment strategies to manage comorbid physical and psychiatric illnesses in patients with bipolar disorder
Faculty
Course Viewing Requirements
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PC
Internet Explorer (v6 or greater), or Firefox |
MAC
Safari |
Estimated time to complete activity: 1.00 hours
Sponsored by

Supported by an educational grant from

Target Audience
This activity is designed to meet the needs of psychiatrists and other mental health care professionals who are interested in the management of patients with bipolar disorder.
Program Overview
In successfully managing the patient with BD maintaining the status quo is not enough to meet patient expectations. Effective maintenance therapy is the key aspect of treatment that determines long-term success and improved patient wellness. Patients have often high levels of functioning, and therefore can have high expectations about their global health and quality of life. Long-term treatment strategies that manage patient concerns, comorbid psychiatric and physical illnesses and possible side effects of treatment, are essential to prevent recurrences and increasing the morbidity load on the patient.
These activities will focus on the implementation and continuous assessment of treatment strategies to improve the overall health and functioning of patients with bipolar disorder and associated comorbidities, in order to minimize risks of relapse and promote adherence to medication in their long-term management
Accreditation Statement
SciMed is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit Designation
SciMed designates this educational activity for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Disclosure and Resolution of Conflicts of Interest
SciMed requires all individuals who are involved with the development or delivery of content in any of its activities to disclose financial relationships they may have with commercial interests. Should SciMed determine that any of the disclosed relationships constitutes a conflict of interest, as defined by the ACCME, SciMed will act to resolve such a conflict.
When asked to report relevant financial relationships with commercial interests, faculty reported the following:
Holly Swartz, MD
Retained Consultant: Servier, Pfizer Inc.
CME Honoraria: Bristol-Myers Squibb Company
Michael Allen, MD
Grants/Research Support: Ortho-McNeil Janssen
Rater Training: United Biosource Corporation, I3 Research
Roger McIntyre, MD, FRCPC
Retained Consultant/Advisory Board: AstraZeneca, Biovail, Bristol-Myers Squibb Company, Eli Lilly and Company, France Foundation, GlaxoSmithKline, Lundbeck, Ortho-McNeil Janssen, Organon USA, Pfizer Inc, Shire, Schering-Plough, Solvay/Wyeth
Speakers Bureau: AstraZeneca, Biovail, Eli Lilly and Company, Ortho-McNeil Janssen, Lundbeck, Wyeth Pharmaceuticals
Shari Fallet, DO, an employee of SciMed and a member of the planning committee for this activity, reports owning stock in Pfizer Inc. All other SciMed personnel involved in the development of content for this activity have no relevant financial relationships to report.
The materials for this activity were peer reviewed by Jeffrey R. Strawn, MD, Assistant Professor, Departments of Psychiatry and Behavioral Neuroscience and Pediatrics, University of Cincinnati College of Medicine. Dr. Strawn has no relevant financial relationships to report.
Off-label Product Discussion
Faculty have indicated that this activity will include discussion of the following off-label uses:
None of these listed agents are FDA-approved for the treatment of bipolar disorder or binge eating disorder: fluoxetine, bupropion, paroxetine, topiramate, metformin, orlistat, zonisamide, naltrexone, acamprosate, and disulfiram. Lithium, divalproex, lamotrigine, aripiprazole and ziprasidone are not indicated for the treatment of binge eating disorder, and divalproex is not indicated for maintenance therapy in patients with bipolar disorder.
In addition, faculty are recommending to learners to observe specific contraindications for bupropion; namely that bupropion is contraindicated in patients with a current or prior diagnosis of bulimia or anorexia nervosa because of a higher incidence of seizures noted in such patients treated with bupropion.
Instructions for Participating in This Activity and Obtaining CME Credit
There are no fees for participating in and receiving CME credit for this online educational activity. To obtain CME credit for participating in this activity during the period January 24, 2011 through January 24, 2012, participants must 1) read the educational objectives and disclosure statements; 2) study the educational activity; and 3) participate in the postactivity exercise. A passing grade of 20% is required before credit can be obtained; you have 3 attempts to pass. Once you have completed the educational activity and postactivity exercise, you will be directed to complete an evaluation form.
Disclaimer
The opinions or views expressed in this CME activity are those of the presenters and do not necessarily reflect the opinions or recommendations of SciMed or the commercial supporter(s). Participants should critically appraise the information presented and are encouraged to consult appropriate resources for information surrounding any product, device, or procedure mentioned.


