Premiere Date: April 20, 2019
Expiration Date: October 20, 2020
This activity offers CE credits for:
1. Physicians (CME)
All other clinicians either will receive a CME Attendance Certificate or may choose any of the types of CE credit being offered.
The goal of this activity is to provide a comprehensive understanding of the clinical and conceptual challenges presented by psychosis that is due to traumatic brain injury (TBI).
At the end of this CE activity, participants should be able to:
• Define the characteristics of posttraumatic psychosis
• Explain the nature of the relationship between TBI and psychosis
• Identify the risk factors for posttraumatic psychosis
• Understand the need for a differential diagnosis when assessing for TBI-related psychosis
• Relate the management strategies for treating TBI-related psychosis
This continuing medical education activity is intended for psychiatrists, psychologists, primary care physicians, physician assistants, nurse practitioners, and other health care professionals who seek to improve their care for patients with mental health disorders.
CME Credit (Physicians): This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of CME Outfitters, LLC, and Psychiatric Times. CME Outfitters, LLC, is accredited by the ACCME to provide continuing medical education for physicians.
CME Outfitters designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Note to Nurse Practitioners and Physician Assistants: AANPCP and AAPA accept certificates of participation for educational activities certified for AMA PRA Category 1 Credit™.
It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CME/CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CME/CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer-review process.
The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.
Lindsey Gurin, MD, has no disclosures to report.
David B. Arciniegas, MD, reports that he receives royalties from American Psychiatric Association Publishing, Inc, for Neuropsychiatry and Clinical Neurosciences, 6th ed, Textbook of Traumatic Brain Injury, 3rd ed, Journal of Neuropsychiatry and Clinical Neuroscience, as well as royalties from Cambridge University Press for Behavioral Neurology and Neuropsychiatry.
Jonathan Silver, MD (peer/content reviewer), reports that he receives royalties for Textbook of Traumatic Brain Injury, 3rd ed.
Applicable Psychiatric Times staff and CME Outfitters staff have no disclosures to report.
UNLABELED USE DISCLOSURE
Faculty of this CME/CE activity may include discussion of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices. CME Outfitters, LLC, and the faculty do not endorse the use of any product outside of the FDA-labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.
For content-related questions email us at [email protected]; for questions concerning CME credit call us at 877.CME.PROS (877.263.7767)
Dr Gurin is Assistant Professor, Departments of Neurology, Psychiatry, and Rehabilitation Medicine, Center for Cognitive Neurology, Pearl I. Barlow Center for Memory Evaluation and Treatment, New York University Langone Medical Center, New York, NY; Dr Arciniegas is Director of Education, Marcus Institute for Brain Health, Clinical Professor of Neurology & Psychiatry, University of Colorado School of Medicine, Physician Research Scientist, Craig Hospital, Englewood, CO.
1. Arciniegas DB, Harris SN, Brousseau KM. Psychosis following traumatic brain injury. Int Rev Psychiatry. 2003;15:328-340.
2. Fujii DE, Ahmed I. Psychotic disorder caused by traumatic brain injury. Psych Clin N Am. 2014;37:113-124.
3. Achte K, Jarho L, Kyykka T, Vesterinen E. Paranoid disorders following war brain damage: preliminary report. Psychopathol. 1991;24:309-315.
4. Davison K, Bagley CR. Schizophrenia-like psychoses associated with organic disorders of the central nervous system: a review of the literature. Herrington RN, Ed. Current Problems in Neuropsychiatry: Schizophrenia, Epilepsy, the Temporal Lobe. London: Headley; 1969: 113-184.
5. Molloy C, Conroy RM, Cotter DR, Cannon M. Is traumatic brain injury a risk factor for schizophrenia? A meta-analysis of case-controlled population-based studies. Schizophr Bull. 2011;37:1104-1110.
6. Whelan-Goodinson R, Ponsford J, Johnston L, Grant F. Psychiatric disorders following traumatic brain injury: their nature and frequency. J Head Trauma Rehab. 2009;24:324-332.
7. Silver JM, Kramer R, Greenwald S, Weissman M. The association between head injuries and psychiatric disorders: findings from the New Haven NIMH Epidemiologic Catchment Area Study. Brain Injury. 2001;15:935-945.
8. Chen Y-H, Chiu W-T, Chu S-F, Lin H-C. Increased risk of schizophrenia following traumatic brain injury: a 5-year follow-up study in Taiwan. Psychol Med. 2011;41:1271-1277.
9. Alway Y, Gould K, Johnston L, et al. A prospective examination of Axis I psychiatric disorders in the first 5 years following moderate to severe traumatic brain injury. Psychol Med. 2016;46:1331-1341.
10. Sachdev P, Smith J, Cathcart S. Schizophrenia-like psychosis following traumatic brain injury: a chart-based descriptive and case–control study. Psychol Med. 2001;31:231-239.
11. Malaspina D, Goetz RR, Friedman JH, et al. Traumatic brain injury and schizophrenia in members of schizophrenia and bipolar disorder pedigrees. Am J Psychiatry. 2001;158:440-446.
12. Buckley P, Stack JP, Madigan C, et al. Magnetic resonance imaging of schizophrenia-like psychoses associated with cerebral trauma: clinicopathological correlates. Am J Psychiatry. 1993;150:146-148.
13. Ponsford J, Alway Y, Gould KR. Epidemiology and natural history of psychiatric disorders after TBI. J Neuropsychiatry Clin Neurosci. June 2018; Epub ahead of print.
14. Nielsen A, Mortensen P, O’Callaghan E, Mors O, Ewald H. Is head injury a risk factor for schizophrenia? Schizophr Res. 2000;41:72.
15. Wilcox JA, Nasrallah HA. Childhood head trauma and psychosis. Psychiatry Res. 1987;21:303-306.
16. Fujii D, Fujii DC. Psychotic disorder due to traumatic brain injury: analysis of case studies in the literature. J Neuropsychiatry Clin Neurosci. 2012;24:278-289.
17. Fujii D, Ahmed I. Characteristics of psychotic disorder due to traumatic brain injury: an analysis of case studies in the literature. J Neuropsychiatry Clin Neurosci. 2002;14:130-140.
18. Batty RA, Francis A, Thomas N, et al. A brief neurocognitive assessment of patients with psychosis following traumatic brain injury (PFTBI): use of the repeatable battery for the assessment of neuropsychological status (RBANS). Psychiatry Res. 2016;237:27-36.
19. Sandel ME, Olive DA, Rader MA. Chlorpromazine-induced psychosis after brain injury. Brain Injury. 1993;7:77-83.