2019 Year in Review: 12 CMEs You Can Take Right Now

Substance Use Disorders in Crisis Settings: Engagement, Assessment, and Intervention Approaches
Patients with active addiction may not present in ways that "fit" our framework. The authorprovides four steps to an organized and effective crisis response.
At the end of this CE activity, participants should be able to:
• Welcome individuals who present in crisis
• Develop guidelines for integrated longitudinal assessment
• Establish an environment of safety and stabilization
• Individualize disposition planning and continuity of care

Autism in Adulthood: Widespread, Invisible, Neglected, Misunderstood-Not Our Problem?
Autism was first described by child specialists, and even today most autism-specific services are focused only on children. This CME provides a comprehensive overview of autism in adults.
At the end of this CE activity, participants should be able to:
• Define what is lacking in our understanding of adult autism
• Recognize the variation and severity of symptoms associated with autism spectrum disorder (ASD)
• Appreciate the importance of a differential diagnosis when assessing patients for ASD
• Identify the primary needs of the majority of autistic adults

Ketamine for Stress-Related Psychopathology and Suicidality: A Brief Update
This CME provides a comprehensive understanding of psychopharmacologic treatments for stress-induced psychopathology and the need for novel, rapid-acting agents.
At the end of this CE activity, participants should be able to:
• Summarize recent research on ketamine’s rapid-acting antidepressant and rapid-acting anti-suicidal effects
• Recognize the pros and cons of administering ketamine in research or clinical settings
• Understand how ketamine can be used as a treatment to restore and normalize stress-induced neural alterations
• Describe how ketamine can be used as a tool to study potential biomarkers of stress-related psychopathology and treatment response

Psychosis After Traumatic Brain Injury: Conceptual and Clinical Considerations
This article provides a comprehensive understanding of the clinical and conceptual challenges presented by psychosis that is due to 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

Negative Symptoms in Schizophrenia: Etiology, Hypotheses, and Treatment Implications
Effective treatment of negative symptoms remains elusive. Here's what we know.
At the end of this CE activity, participants should be able to:
• Explain the historical bases for the understanding of negative symptoms
• Distinguish primary negative symptoms from secondary negative symptoms
• Identify the central feature of negative symptoms
• Understand the multi-faceted constructs of motivation deficits
• Discuss the current treatments for negative symptoms

Medication-Assisted Treatment on a Budget: Two You Should Know
This CME discusses the opioid-like effects of loperamide and kratom and raises awareness of potential dangers associated with use.
At the end of this CE activity, participants should be able to:
• Explain the evolutionary paths of loperamide and kratom
• Discuss the mechanisms for the opioid-like effects of loperamide and kratom
• Identify the pharmacodynamic/toxicodynamic effects of loperamide and kratom

Identification, Assessment, and Clinical Management of Tardive Dyskinesia: An Update
This CME discusses what is known about the pathology of tardive dyskinesia, the risk factors for the disorder, assessment of patients with movement disorders, and diagnosis and treatment.
At the end of this CE activity, participants should be able to:
• Discuss what is known about the pathology of tardive dyskinesia as well as the risk factors for the disorder
• Assess a patient with movement disorder and make a diagnosis
• Identify FDA-approved pharmacotherapies for tardive dyskinesia

Caffeine: Neurobiological and Psychiatric Implications
This CME article discusses the pharmacokinetics of caffeine and its implications on anxiety.
At the end of this CE activity, participants should be able to:
• Discuss the pharmacokinetics of caffeine
• Explain the adenosine-dependent modulation of striatal dopamine and glutamate neurotransmission
• Describe the adenosine-dependent modulation of glutamate neurotransmission in the amygdala
• Recount the implications of caffeine on anxiety

HIV-Associated Neurocognitive Disorder After the Start of Combination Antiretroviral Therapy
This CME article provides an understanding of the effects on the CNS that lead to HIV-associated neurocognitive disorders (HAND).
At the end of this CE activity, participants should be able to:
• Discuss the criteria for the three stages of HAND
• Explain the pathophysiology of HAND
• Describe the challenges associated with the diagnosis of HAND
• Communicate the role of combination antiretroviral therapy in HAND

Complementary and Alternative Treatments for ADHD: What the Evidence Suggests
Recent surveys suggest that 7% to 8% of children and 4% to 5% of adults meet ADHD criteria. This CME article provide an understanding of the evidence for the use of complementary and alternative (CAM) treatments for ADHD.
At the end of this CE activity, participants should be able to:
• Discuss the limitations of conventional treatment and how CAM therapies are used as adjuncts to stimulants;
• Describe the effects of certain food products and how they might affect ADHD symptoms as well as the evidence for the use of the oligoantigenic diet;
• Explain EEG biofeedback protocols and the strategies to address various symptoms of ADHD;
• Identify which nutritional and herbal supplements have the best evidence for treating symptoms of ADHD.

Treatment of Non-Suicidal Self-Injurious Behavior in Adolescents
This CME article provides an understanding of the treatment modalities for the management of nonsuicidal self-injury (NSSI) in adolescents.
At the end of this CE activity, participants should be able to:
• Describe the evidence-based behavioral interventions that are used in the management of NSSI;
• Appreciate the current status of knowledge on somatic treatments for NSSI behavior; and
• Discuss the recommendations for future research on treatment development.

When Pornography Becomes a Problem: Clinical Insights
This CME activity provides an understanding of problematic pornography use and how it relates to compulsive sexual behavior disorder.
At the end of this CE activity, participants should be able to:
• Discuss the classification of and diagnostic criteria for compulsive sexual behavior disorder;
• Define the potential risk factors for problematic pornography use;
• Identify the proposed psychological and neurobiological mechanisms involved in problematic pornography use;
• Recognize the dichotomy of problematic behavior and moral incongruence.