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Psychogenic Polydipsia

Speaker(s):

Fei Cao, MD, PhD

Presentation:

This case report was from a patient who was a long-term resident from the Center of Behavioral Medicine (CBM) with the primary diagnosis of Schizophrenia, alcohol use disorder, Stimulant use disorder (methamphetamine), Hallucinogen use disorder (LSD), and Cannabis use disorder. He stayed in the CBM for years without remarkable physical complaint initially. One day he went to Gastroenterology (GI) clinic with CBM staff for routine work-up after treating his asymptomatic hepatitis C, and he told the gastroenterologist that he was craving for water with epigastric pain. Further work-up revealed he had mild bilateral hydroureteronephrosis through abdominal CT and chronic hyponatremia through repeated comprehensive chemical panel (CMP). Further monitoring indicated he had approximately 15 L urine output every day. Then he was diagnosed with Psychogenic polydipsia by multiple-discipline team using deprivation test with and without desmopressin. This presentation’s goals are to introduce clinical features of Psychogenic polydipsia, its gold diagnostic test and differential diagnosis, and its management plan (especially for patients with chronic and/or severe mental illness). 

Objectives:

  1. Introduce clinical features of Psychogenic polydipsia.
  2. Understand the diagnostic criteria for Psychogenic polydipsia and its related differential diagnosis.
  3. Understand the comprehensive approaches to manage Psychogenic polydipsia

 

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Superhero Therapy: Using ACT & Pop Culture in a Forensic Hospital

Speaker(s):

Gage Herrington, MA, LPC

Kelli Verble, MSW, LMSW

Presentation: This presentation will cover our experience of implementing a Superhero Therapy group in a forensic hospital setting. Superhero Therapy, created by Janina Scarlet, PhD., uses pop culture figures such as Superman or Harry Potter as a means of exploring concepts central to Acceptance and Commitment Therapy such as mindfulness and thought diffusion. It has been found to be effective in treating both trauma-related symptoms as well as an array of emotional disorders. We will also explore patient perceptions on this treatment, challenges faced, and our outcomes.

Objectives:

  1. Identify ways to incorporate heroic archetypes and pop-culture references in therapy
  2. Describe benefits of using cultural references to describe psychological concepts in therapy
  3. Discuss how creating an origin story can assist clients in identifying personal vulnerabilities and strengths.

Herrington_Verble_PPDownload
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Treatment Resistant Schizophrenia

Speaker(s):

Umang Shah, MD

Presentation: Clozapine has been widely accepted as the most effective treatment for schizophrenia, refractory to other anti-psychotic drugs, which comprise of about 25% to 30% of patient population. However, a significant portion, 45 to 70%, of Clozapine-treated patients show a partial or inadequate response to treatment. There is scarcity of established evidence to guide clozapine-resistant psychosis in patients with schizophrenia. Several augmentation strategies including addition of another antipsychotic, mood stabilizers, anxiolytics, antidepressants, and glutamatergic agents, have failed to demonstrate convincing efficacy. Some data suggested promising efficacy of adjunctive ECT, however its clinical application cannot be generalized. The treatment of this subgroup of patients remains a major challenge, with increased health care costs and poor quality of life for affected individuals. Loxapine, a mid-potency first generation anti-psychotic, which has serotonin antagonism at lower doses, could be an effective adjunctive treatment for such patients, based upon literature. This presentation cites one of such patients who showed significant clinical improvement on combination of Clozapine and Loxapine, as evident by Global Clinical Impression, BPRS scores, group attendance, and self-care.

Objectives:

  1. Identify treatment resistant schizophrenia
  2. Define the role of Clozapine in treatment resistant schizophrenia
  3. Provide current data on alternative treatments for the Clozapine resistant schizophrenia
  4. Describe efficacy of adjunctive Loxapine in Clozapine resistant schizophrenia

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The Ethical Case for Prioritizing Suicide Prevention in Training, Practice and Systems, Part II

Speaker(s):

Ryan Lindsay, MSW

Presentation: Suicide represents a significant public health priority in the United States. For social workers, counselors, nurses, educators, administrators, and others who interact with those at-risk of dying by suicide, understanding how to not only prevent but to assess, refer and treat is an ethical mandate. Professionals from across multiple disciplines are driven by a “do no harm” approach; however, our training programs, systems, and professional development priorities often lack suicide prevention as a priority. This talk will provide an overview of the ethical mandates across professions and generate arguments from the literature that makes an ethical case that suicide prevention should be prioritized in training, practice, and systems.

Objectives:

  1. Identify ethical principles relevant to suicide prevention
  2. Describe the problem of suicide
  3. Identify strategies for upholding an ethical mandate of addressing the problem of suicide in training, practice, and systems
  4. Explain how to use existing Codes of Ethics, including NBCC and NASW, to inform trainings, practice and systems regarding prioritizing suicide prevention
Ethical Case for Suicide Prevention in Training Programs-MIMH 2019Download
Safety Plan For Suicide Risk Simuluation Assignment 3.7.19Download
Suicide Risk Assessment Fidelity Checklist 7.24.17Download
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Social & Emotional Loneliness Among Individuals with Substance Use Disorders

Speaker(s):

Blake Dorsey, BS

Adriatik Likcani, PhD

Ryan Peterson, PhD

Amanda McCullough, BS

Presentation: According to Hawkley and Caccioppo (2010), loneliness is defined as a distressing feeling that accompanies the perception that one’s social needs are not being met by the quantity or especially the quality of one’s social relationships. Furthermore, emotional loneliness is the perceived feeling of separation or lack of emotional connection with others. Given these definitions, the proposed presentation is set to examine the results of a study investigating how social and emotional loneliness impacts the recovery process for those who struggle with substance use disorders. The proposed presentation will also examine the impact of social and/or emotional loneliness on individuals at different stages of their recovery process. This proposed presentation may contribute to researchers and practitioners to develop a deeper understanding of loneliness as a risk factor for relapse and to develop interventions at different stages of the recovery process targeted at social connectedness and purpose.

Objectives:

  1. Identify social and emotional loneliness as a risk factor for those with a substance use disorder
  2. Measure the differences in social/emotional loneliness during different recovery stages
  3. Utilize research results to include treatment for social and emotional loneliness

 

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Considering Culture & Self: Provider Bias & Cultural Influences in Mental Health & SUD Settings

Speaker(s):

Kate Mallula, MPH, LMSW

Ignacio “Alex” Barajas-Munoz, PhD

Presentation: This interactive session will explore the role that provider bias plays in assessment and how culture may influence client experiences of behavioral health symptoms and services. Participants in this workshop will review the latest evidence on the impact of provider bias on delivery of behavioral and SUD services. Through activities and case studies, participants will have the opportunity to reflect on how culture shapes their own perceptions as providers. The workshop will also present best practices for assessing how cultural paradigms may inform clients’ experience and understanding of physical and mental well-being and healing. Participants will obtain interview tools, assessment skills, and reflective approaches to facilitate the reduction of bias, comprehensive assessment of cultural factors, and implementation of culturally responsive treatment plans.

Objectives:

  1. Describe the ways in which provider bias can affect client assessment
  2. Describe how culture may frame an individual/client’s experience of health and/or illness
  3. Conduct a culturally responsive assessment by asking questions to explore how culture impacts an individual/client’s experience of mental health, SUD, and related services
  4. Develop treatment plans that are culturally responsive

Mallula_PPDownload
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Understanding the Impact of Racial Trauma

Speaker(s):

Gladys Smith, PsyD, MEd, MHs

Presentation: This workshop explores the effects of racism and race-based traumatic stressors on the mental, emotional, and relational well-being of minority populations. The workshop will include clinical and community techniques to assess, address and treat symptoms of race-based trauma. The practices of selfcare, community circles, and emotional emancipation circles will be discussed and taught as a tool to address race-based trauma.

Objectives:

  1. Identify race-based traumatic stress injuries and trauma
  2. Identify the symptomology related to racism and racial trauma
  3. Develop three effective skills for addressing symptoms related to racial trauma
  4. Implement two strategies for revealing and addressing trauma
Smith_Gladys_Cultural TraumaDownload
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Darkness to Light; Stewards of Children, Part II

Speaker(s):

Tara Brace, BA

Annie Wilson, BS

Presentation: Stewards of Children is a prevention training that teaches adults how to prevent, recognize, and react responsibly to child sexual abuse. The program is designed for organizations that serve youth and for individuals concerned about the safety of children. It is the only nationally distributed, evidence-informed program proven to increase knowledge, improve attitudes, and change child protective behaviors. The training is typically a 2-hour training; however, for the Spring Training Institute, the training will be broken in to two parts, a Part I, 60-minute Super Session and a Part II, 90-minute Breakout Session. This training will teach participants the five steps in preventing child sexual abuse. Participants also receive a free workbook.

Objectives:

  1. INCREASE AWARENESS of the prevalence, consequences, and circumstances of child sexual abuse
  2. Develop NEW SKILLS to help adults prevent, recognize, and react responsibly to child sexual abuse
  3. Discuss POSITIVE CHANGE to organizational policies and procedures
  4. Describe INDIVIDUAL EMPOWERMENT through an understanding of personal responsibility and actionable ways to make a difference
  5. Discuss the Five Steps to Protecting Our Children

Brace_HandoutDownload
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Cognitive Behavior Therapy: Refining and Consistently Applying Essential Skills, Part II

Speaker(s):

Ann Steffen, PhD, ABPP

Presentation: This INTERMEDIATE level workshop is aimed at clinicians familiar with cognitive behavioral therapies and who want to improve their psychotherapy practice. CBTs have been shown in more than 1000 research studies to be effective for many different disorders and problems across the lifespan. National data indicate that CBTs are not consistently implemented in practice settings, greatly reducing treatment effectiveness. This three-hour workshop (Part I & Part II) is aimed at giving providers both a stronger conceptual basis for their use of core CBT components and a greater understanding of the associated microskills that can be directly applied to their practice. It is strongly advised that participants attend both sessions, as Part II builds upon material covered in Part 1. 

Objectives:

  1. Identify the essential defining features of the CBTs and describe the rationale for each
  2. Identify 1-2 core components of the CBTs to competently apply in next month with current patients/clients 
  3. Create a plan for continued professional development in the CBTs

Steffen_CBT_STI2019Download
CBT_Handouts_2019STIDownload
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Motivational Interviewing in Groups

Speaker(s):

Scott Kerby, MA, LPC

Presentation: This presentation will provide an overview of Motivational Interviewing in treatment. Based on the book, “Motivational Interviewing in Groups” by Chris Wagner and Karen Ingersoll, this workshop will provide a brief overview of different ways MI is being incorporated into group sessions, from MI “infused” Cognitive Behavioral skills groups to those built entirely on the foundation of Motivational Interviewing skills. There will be demonstration and discussion of several specific MI group exercises so that participants can walk away with a few practical strategies to implement in their current practice.

Objectives:

  • Identify two primary ways that Motivational Interviewing is being utilized in group treatment
  • Discuss MI in a group role play scenario
  • Identify at least 3 ready-to-use MI strategies for group practice