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1. Analyze the impact of both anxiety and depression on the body.
2. Collect information through assessment/history taking/etc. to assist practitioners to assess/diagnose anxiety and depression.
3. Perform a thorough history and physical to rule out potential causes of anxiety and depression.
4. Distinguish the most up-to-date treatment for anxiety and depression to include pharmaceutical and non-pharmaceutical approaches.
5. Formulate strategies to discuss anxiety and depression with our patients.
6. Identify “red flags” for patient referrals to a higher level of care.
7. Compare the types of depression and treatment for each.
8. Recognize other mental health diagnoses often coupled with anxiety and depression.

The Effect of Anxiety on the Body

• Identifying the triggers
• The brain’s response to anxiety
• The effects of anxiety on other systems in the body: Brain, lungs, heart, adrenal glands and intestines
• Fight or flight response

Taking a Thorough History to Identify Anxiety

• Key questions to ask
• Some medication culprits that can cause anxiety
• Getting a good social history
• Signs and symptoms to watch for

Building Trust through Communication with Patients

• Having an open and honest relationship
• Advocating for the patient’s overall quality of life
• Teaching our patients about anxiety - and its effects on a day-to-day basis
• Letting patients know they are NOT alone

Treatment for Anxiety

• Counseling/Behavioral therapy
• Beware of “BENZOS”
• Various pharmaceutical options, as well as their side effects
• Using a team approach
• Nutrition and exercise
• Breathing strategies to make a significant difference
• Special populations: Pregnancy, elderly, chronic diseases, veterans and adolescents
• Follow up with patients: How soon? How often?

Epidemiology of Depression

• What is the cause of the depression?
• The stigma remains related to “Mental Health” disorders
• What to watch for: Cultural and gender differences in depression

Assessment of a Patient with Depression

• Tools to use: Assessment and treatment
• Signs and symptoms to look for
• Looking at the “Whole Patient”
• Labs to think about
• Family history: The role of genetics in depression
• Assessing support and social systems
• Is there a suicide risk?
• Special populations: Elderly, pregnancy, chronic illnesses, adolescents and veterans

Treatment for Depression: Using Evidence-Based Medicine

• Pharmacological treatment (Never alone)
• Nutrition
• Physical activity
• Therapy modalities
• Counseling to get at the root of the problem
• Follow up with patients: How often? How soon?

Pamela J. Ridley most recently practiced as a nurse educator for a 42-bed acute psychiatric and substance abuse inpatient treatment facility. Previous work experience includes: working in state psychiatric facilities, county mental health departments, inpatient psychiatric nursing, nursing school instructor, private outpatient medication management and therapy, psychiatric-nurse liaison for a general community hospital, and director of psychiatric services. She is very much a hands-on leader who enjoys improving people's lives.

Pam graduated from Vanderbilt University in Nashville, Tennessee with her MSN. She is a Certified Clinical Nurse Specialist in Adult Psychiatric and Mental Health Nursing. Additionally, she has Prescriptive Authority in the state of South Carolina and is a Senior Level Certified instructor of Crisis Prevention Institute Non-violent Crisis Intervention and Applied Physical Training. Her expertise has been sought nationally through presentations for interdisciplinary healthcare audiences throughout the country.

Ms. Ridley is passionate about her work and knows that the way to improve the outcomes of those who suffer from anxiety and/or depression is to educate those who are positioned to make a difference. She has an interesting way to incorporate these challenging topics so that they are applied to everyday practice situations for learning to leave an impression. By disseminating the latest research findings, useful new strategies and applicable real-life case scenarios to learn from, she makes it easy to return to work ready to make an impact.

Speaker Disclosures:

Financial: Pamela Ridley has an employment relationship with Rebound Behavioral Health. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Pamela Ridley has no relevant non-financial relationship to disclose.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Counselors
This intermediate self-study activity consists of 5.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 4/22/2018
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 5.5 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 5.5 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.6 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Pharmacology Nurse Practitioners
This self-study program offers 120 instructional minutes of pharmacology content which is designed to qualify for 2.0 contact hours toward your pharmacology requirement.

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Social Workers
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 5.5 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

Canadian Social Workers: PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 5.5 Clinical continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.

Illinois Social Workers: PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 5.5 contact hours.

Minnesota Social Workers: PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study course has been approved for 5.5 continuing education hours. A certificate will be issued upon successful completion of a post-test.

California Social Workers/ Counselors/Marriage & Family Therapists/Licensed Educational Psychologists: The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs. A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level activity consists of 5.0 clock hours of continuing education instruction.

Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors: PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 5.5 continuing education credits.

Ohio Social Workers, Counselors, and Marriage & Family Therapists: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 5.5 clock hours of continuing education credit.

Pennsylvania Social Workers/Counselors/Marriage & Family Therapists: This intermediate activity consists of 5.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation. Full attendance is required, variable credits may not be awarded per the Pennsylvania State Board.

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Other Professions
This self-study activity qualifies for 5.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Case Managers, Counselors, Nurses, Physician Assistants, Psychologists, Social Workers, and other Healthcare Professionals