December 2017 - NewsCAPP

 

Announcements:

ETHICS WORKSHOP . . date changed to April 13, 2018.

2018 DUES . . . are due 12/31/17.  Please pay these in a timely manner so that we are able to stay on task with our 2018 Directory print timetable.

President's Report:  Gary A. Schneider, Ph.D., LICDC-CS

It is such a pleasure to start off the New Year being able to build on so many accomplishments made by the previous Board, so capably led by Past President, (for the second time) Jim Dahmann.  My hopes and plans for 2018 are for CAPP to continue to meet the needs of its members by offering high quality continuing education programs, to increase CAPP’s inclusiveness, and to remain an active, vibrant, sustainable resource to its members, and to other mental health professionals.   We welcome new Board members, Rachel Sparn, who has agreed to be the Chair of the Social Committee, assisted in the transition by Tom Heitkemper, and Pete Dillon, who will be working with Joanne Gutzwiller, the President-Elect, on CAPP’s website.  We are so fortunate to have all the previous Board members return for an encore.  I speak for the Board and myself by saying that the Board wants to hear your ideas.

To accomplish some of these goals, the CAPP Board has realized that the organization needed to increase its inclusiveness to streamline the offering of continuing education by now being an approved provider for the Counselor Social Worker and Marriage and Family Therapist Board (CSWMFT).  To accomplish this task, I am pleased to announce that Jack Niehaus, LISW-S, IMFT, and Jason Thompson, LISW-S, LICDC-CS, will be reviewing CAPP’s plans for the new continuing education programs.  CAPP has also added Licensed School Psychologists and Student Affiliate memberships.

Please remember – CAPP wants your ideas!  Please feel free to contact me, our very capable Executive Coordinator, Laura Wilson, or any Board Member, with any ideas, concerns, etc.  Oh and yes – we will be recruiting CAPP members to be on the 2019 Board, or you can contact us. 

Wishing you Warmth and Happy Holidays!  jars1a@juno.com; (513) 588-4530

The Year in Review – Reflections from Past President:  James Dahmann, Ph.D.

It is hard to believe a year has passed already, and I have finished my tenure as president of CAPP.  It has been an honor to serve as your president.  The past year has not been glitzy, but the board has worked hard to keep CAPP on a sound footing ready to face the future.  I cannot speak highly enough of this board.  These folks put in untold hours behind-the-scenes, doing thankless tasks that keep us functioning.  CAPP has a long and stable history, and it is particularly gratifying that our new president, Dr. Gary Schneider, was also CAPP’s very first president thirty-six years ago.  I am not going to review each board member’s contributions here, but simply thank each and every one for their hard work.

So, what has CAPP accomplished in the past year?  In going back through the minutes, I was surprised at all we accomplished:.

1) We revised the bylaws.  Boring, right?  But we started this in January and didn’t finish until right before the proposed changes were mailed to the membership in November!  We hope that adding the school psychologists and student affiliate categories will expand our membership and thus our fiscal soundness.  We also eliminated the life membership category for fiscal reasons.  This was the most difficult and contentious of the decisions made, but we felt it necessary--at least at this time--from a fiscal point of view.  While CAPP is sound financially, our actual net worth has been declining slowly over the past five years.  In December 2014 it was $35,109.17; currently it is $24,301.50.  We had to do something before it was too late.  Hopefully these changes will reverse the trend.

A note to all of our life members:  This does not change in the least how much CAPP values your contributions to the profession and to CAPP!  We don’t want to lose you as members.  If you (or any other member) cannot afford the dues, please apply to the board for hardship dues.

2) We updated Laura’s job title to better reflect her role and activities--long overdue!

3) We obtained CSWMFT provider status for our educational offerings.  This was a huge undertaking that has already resulted in benefits to CAPP.

4) Multiple revisions and improvements were made to the website--we began accepting online payments for dues and events, putting the newsletter and the minutes on it, and added board member contact information among other changes.

5) We reached out to members and legislators regarding the continued existence of our independent Ohio licensing board.  Happily, our efforts helped to save the board!  Thanks to all who participated in this effort.

6) We had successful Coffee with CAPP social functions--with more to come.

7) We surveyed membership as to their wants and needs from the organization.

8) We also surveyed non-member psychologists as to their awareness of CAPP; got 24 responses asking for more information about us.

9) We held multiple dinner meetings, an eating disorders workshop, and a hoarding workshop.  We changed our meeting venue with resultant lower costs, better service, and better food.  The improved service allowed us to expand our dinner meetings so we get 2 CEU’s instead of 1. We have received many positive comments on the new venue at Receptions in Loveland!

10) CAPP contributed $150 to the Foundation for Psychology in Ohio for their Behavioral Science Award and the state science fair.  We also contributed $250 to NAMI of Northern Kentucky’s “Steps Against Stigma” walk which gave us some advertising, and $50 to the APS Foundation in memory of Dr. Cortina upon her death.

11) We made it through the summer without having to tap into our savings to tide us over--the first time in many years.

Now, on a totally different topic:

I recently had the rare privilege to see the endangered mountain gorillas in Rwanda--the ones Diane Fossey (“Gorillas in the Mist”) worked so hard to save from extinction.  While being within a few feet of these incredible, gentle creatures in the wild was amazing, what really struck me was the people of Rwanda.  You may recall, they suffered genocide 20 years ago.  Over 100 days, somewhere between 500,000 and 1,000,000 Rwandans were brutally slain.  Guns are not allowed in Rwanda, so the killers used machetes, picks, knives, etc.  Friends killed friends, family members sometimes even killed other family members.  It was basically mass hysteria.  The causes sadly go back to European colonialism, who created two “tribes” (Hutus and Tutsis) based on the number of cows one owned. Through control of the news media (fake news) and control of the educational system they eventually convinced the population they were actually two different races, and one was superior to the other.   Pitting people against one another, the Europeans kept control--until it all blew up.

Why am I telling you this?  Because of the way Rwanda coped.  Nearly everyone in the county was related to someone who was murdered.  It is basically a country with PTSD in nearly the entire adult population.  The country has adopted a policy of forgiveness.  Murderers were tried and punished--but often with light sentences and community service.  The new government, Rwandan rather than European, abolished any use of the two “races”--everyone was simply Rwandan.  Rather than hide from the past, Rwandans will constantly talk about the genocide.  They don’t hide it, they learn from it.  Breaking free of the French and Belgium shackles, they have dropped French and made English the official language (along with a local dialect).  They take great pride in their beautiful country.  I was expecting a typical third-world country with poverty and garbage and despondency.  After all, the average family income is only $400 per year!  So of course, there is poverty, but there is also great pride.  There is no litter in Rwanda.  Once a week everyone in the country cleans up any litter there is, which is minimal.  This is simply a matter of national pride, it is not a mandate.  Rwandans have learned to work together despite differences and despite a tragic past.  They are far from despondent!

We could all learn much from Rwanda’s remarkable people.  In our profession, we often have differences of opinion which are all quite valid.  We must be sure to work together for the advancement of all, and not let our differences divide us.

Once again, thank you very much for the opportunity to have served you as president.

Treasurer’s Report: Cori Yaeger, Ph.D.

Over the past several years, the net worth of CAPP has been slowly declining. In an effort to reverse this trend, we made some bylaw changes, and increased number of CEs offered at our dinner meetings. CAPP’s financial standing remains solid and steady.  We would like to see the bank balances grow a bit, which would afford us the opportunity to offer more community programs as well as welcoming psychology students and recently licensed psychologists. Our bylaw changes include a new category for affiliate student membership.

 CAPP has contributed to some community-based programs including donations to NAMI (Cincinnati and Northern Kentucky), the OPA science project program for middle school students, and a memorial donation for a deceased member. In 2017, CAPP sponsored more quality CE programs for our members and for Counselors, Social Workers, and Marriage and Family Therapists. We offered 2 full day workshop(s) and 4 dinner meetings.  We’ve revamped the schedule for our dinner meetings so that two continuing education units are available.  This gives speakers more time to present their subject matter in greater depth. The new format has been overwhelmingly endorsed by our members.

As a reminder, your 2018 dues are due December 31, 2018.  Thank you to those who have already taken care of their 2018 membership dues.  After that date, there is a $20 penalty assessed.  We need to have members pay their dues in a timely manner, so we can begin formatting the 2018 Directory.  Thank you for taking a moment and paying your dues now! 

 Website News: Joeanne Gutzwiller, Ph.D.

 As you probably know, we are printing a new member directory this year. To ensure that we have all of the correct information about you and your specialty areas, please visit the website and check your online listing. If you’d like to make any changes, go to the Member Page, select Edit Public Profile, and choose your name. If you have an address change, want to add/delete a specialty, or would like to add a photo to your profile, you can do so easily by following the above instructions. If you’ve forgotten your password, just click on the “forgot password” link on the log on page. As always, please let us know if you have questions.

Tickets will soon go on sale for our February Dinner Meeting and our April Ethics Workshop. Check back soon to purchase your online tickets.

Public Relations: Joeanne Gutzwiller, Ph.D.

Please remember to follow us on twitter (@CAPPNews) and like us on FaceBook (www.facebook.com/CAPPNews) to stay up to date on the latest CAPP news. 

 Social Committee News: Thomas Heitkemper, Ph.D.

Our second “Coffee with CAPP” was held on Friday morning November 10 and those of us in attendance once again had a very relaxed start to our Friday. We all enjoyed good conversation in a very comfortable setting with great food and plenty of coffee.

Starting in 2018 Dr. Rachel Sparn will be the new head of CAPP’s Social Committee. We look forward to more events in 2018. We will keep you posted!

SAVE THE DATES:  Thomas Heitkemper, Ph.D.

 You won’t want to miss these events – take a minute now and pencil them in on your calendar.  Better yet, use INK!

 February 5, 2018:  Techniques for your Clinical Toolbox

(2 CEUs/RCH for Licensed Psychologists and MH Professionals)

 As in medicine, there is both an art and a science to the practice of psychology. A six-person panel (Drs. Jim Dahmann, Gary Schneider, Cori Yaeger and Tom Heitkemper, along with Jack Niehaus and Jason Thompson) will present and discuss case studies which illustrate the bridge between evidence based interventions and the practical clinical application of these, based on these clinicians’ experience with such interventions over years of practice. Topics covered will include: (1.) Ways to very quickly get valuable information on relationships and on dynamics between couples; (2.) Couples’ resistance to therapy; (3.) Crisis de-escalation with clients/patients including a focus on how these techniques are used by police; (4.) Substance abuse disorders treatment;  and (5.) Ways to quickly get useful data from and establish credibility with patients who are evaluated for medical interventions.

 April 13, 2018: Ethics Workshop (4 CEUs)

(4 CEUs for Licensed Psychologists only)

 Speakers:  Richard M. Ashbrook. Ph.D. Professor of Psychology/Clinical Psychologist, Capital University, Columbus, OH, OPA Ethics Committee; Debjani Sinha, Ph.D., University of Cincinnati, Cincinnati, OH, OPA Ethics Committee

 Proposed topics (to be finalized):

 Prediction of dangerousness/Ohio's duty to warn statute

• Ethical challenges in corrections psychology

• Survey of contemporary ethical issues via "ethics jeopardy" and case vignettes

 Monday – May 7, 2018 –Telepsychology: Legal and Ethical Considerations”

(2 CEUs/RCH for Licensed Psychologists and MH Professionals)

 Speaker:  Kenneth P. Drude, Ph.D.

 Telepsychology, the practice of psychology using telecommunications, is rapidly becoming a common form of psychological practice. Dr. Drude will present some of the important issues to consider when using telecommunications with clients.  Ethical standards, guidelines and state and federal legal requirements that regulate telepsychology will be reviewed and discussed. Competencies needed for telepsychology practice will be identified.   

Kenneth Drude, Ph.D. is an advocate for the practice of telepsychology and participated in the development of state telepsychology and national telemental health guidelines for telepractice.  He was a member of the Association of State & Provincial Psychology Board task force that wrote the psychology interjurisdictional compact (PSYPACT).  Dr. Drude is a member of the Ohio Board of Psychology and has a general outpatient practice in Fairborn, OH. 

Thursday & Friday - October 4-5, 2018 – “Cognitive Processing Therapy for PTSD”

(12 CEUs/RCH for Licensed Psychologists and MH Professionals)

Speaker:  Kathleen M. Chard, Ph.D.

 Dr. Chard is the Associate Chief of Staff for Research, Director of Trauma Recovery Center at the Cincinnati VA Medical Center and Professor of Psychiatry and Behavioral Neuroscience at the University of Cincinnati.  Dr. Chard is the author of the Cognitive Processing Therapy for Sexual Abuse treatment manual and is co-author of the CPT: Military/Veteran manual.  In addition, Dr. Chard oversees the dissemination of CPT to VA and Department of Defense clinicians across the United States and Canada.  Dr. Chard is an Associate Editor of the Journal for Traumatic Stress and she is an active researcher.  She has conducted several funded studies on the treatment and etiology of PTSD and comorbid TBI.  She is currently Co-Chair of the 17-site VA study comparing CPT and Prolonged Exposure. 

Please plan now to join us as Dr. Kate Chard returns to CAPP to present this dynamic workshop (this has been our most requested topic and speaker)!

Insurance & Managed Care News: Teri Role-Warren, Ph.D.

 An insurance committee member announced that Medical Mutual and the Cleveland Clinic have parted ways, which raised many questions regarding insurance coverage for individuals who have insurance on the healthcare exchange. It is unclear whether this applies to specific versions of the Medical Mutual plans or all Medical Mutual plans.

 Audit letters continue to be sent by Anthem regarding the use of cpt code 90837. Anthem claims these letters and audits are not to discourage the use of 90837. These letters and audits are ostensibly "for educational purposes”, to be sure providers are properly documenting and coding the amount of time they spend with clients. In order to refute the Anthem claim that therapists who use the 90837 code are outliers, Jim Broyles is reassembling a coalition with psychologists, licensed counselors and social workers to collect data regarding usage of cpt code 90837

 Regarding psychological testing complaints, a committee member described a situation in which a psychologist did psychological testing, but later discovered that the client had previously used all the testing hours for the year with another psychologist. It was suggested that before proceeding with testing, psychologists should verify authorization with the insurance company to see how many hours remain for testing during that calendar year.

 In another case, a psychologist was denied payment for testing even though there was no preauthorization requirement. The psychologist could not charge for the testing. It was suggested to have documents signed by clients include a section allowing the psychologist to bill the client if the insurance company does not reimburse for services rendered.

 Credentialing delays continue with Caresource, Aetna and Medical Mutual. If credentialing takes over 90 days, psychologists should file a complaint with the Department of Insurance. The Department of Insurance website has a form to complete that would document when the application was sent and the name of the insurance company that has not responded within the required 90 day limit.

 

Membership News: Patricia Eiler-Sims, Psy.D.

 Geoff Schwerzler, Psy.D.

Dr. Schwerzler obtained his master’s degree in Forensic Psychology and doctorate  degree from the University of Denver in 2009.  He relocated to the Cincinnati area in 2009, where he completed a postdoctoral fellowship at the University of Cincinnati.  Dr. Schwerzler has a private practice in the Northern Kentucky area.  He specializes in psychological evaluations including forensic evaluations. He does work for various Departments of child services.  He conducts threat and violence assessments, sexual abuser treatment as well as PTSD and childhood trauma work. He is licensed in Ohio, Kentucky and Indiana.   On a personal note, Dr. Schwerzler is married and is a father of 3 children ages 5, 3, and 6 months.  

Jason Weisman, Psy.D.

Dr, Weisman obtained his doctorate degree at Wright State University School of Professional Psychology in 2015.  He is currently finishing the 2017 year at Eastway Behavioral Healthcare in Dayton.  Dr. Weisman is currently interviewing for positions in the Cincinnati area and hopes to start the new year working in the tri-state.  His clinical work has primarily focused on adults with severe mental health, trauma, addiction, and with individuals involved in the legal system. He coordinated programming with Eastway and the Women's Therapeutic Court and Men's Drug Court programs in the Montgomery County Court of Common Pleas, as well as the Federal Reentry Court programs, which has gained national attention. Dr. Weisman and his wife have been living in Cincinnati for over 16 years.  They have two boys, ages 7 and 5 months. Dr. Weisman is a singer and musician.  He has played the guitar and drums since childhood. He has been on a hiatus with his music while completing his clinical training, but is looking forward to returning to the music scene as soon as he settles into a new position. 

You can find contact information for all of the above on the CAPP website!  Please continue to spread the word about the great benefits of joining CAPP!   Please continue to spread the word about the great benefits of joining CAPP!

OPA News: Sarah Greenwell, Psy.D.

The OPA Communication/Technology Committee, ASPPB (Association of State and Provincial Psychology Boards) and the OPA Advocacy Committee have been meeting to discuss introducing PsyPACT (Psychology Interjurisdictional Compact) legislation in Ohio.  PsyPACT is the legislation developed by ASPPB to create a nationwide state compact system that will support telepsychology across state lines where PsyPACT has been adopted by the state legislature. Three states in the US have passed PsyPACT legislation and 7 are needed for the compact to be established.  If Ohio can be one of the first 7 to pass PsyPACT legislation, it will be one of the states who sits on the governing council that oversees the compact.  Rep. Jonathan Dever (R-28) from Cincinnati has drafted a bill that includes PsyPACT and plans to introduce it sometime this month.  For more information about PSYPACT, go to the ASPPB website (www.asppb.net) or www.psypact.org

OPA continues to help draft HB326 (Prescription Privileges for Psychologists) with Rep. Bill Seitz (R-30), including recommendations for a prescribing psychologist and a physician to join the Board of Psychology, length of supervision for prescribing psychologists pre and post certification, and definitions/qualifications of certification.  If you see anyone from the OPA staff, the OPA RxP Task Force, or the OPA Advocacy committee, given them a warm Thank You for the hours that they are devoting to meetings, reviewing and re-reviewing legislation language!

Recently the OPA Board and the OPA Committee for Social Responsibility published an official statement denouncing the end of the DACA (Deferred Action for Childhood Arrivals) program in September 2017 by the US Congress.  OPA encourages psychologists in the community to contact their local legislators with concerns. You can find your local legislator, along with their contact information, at (https://whoismyrepresentative.com/).

We are happy to report that OPA now offers a Health Benefit Plan for OPA members. OPA has partnered with the Ohio State Medical Association’s (OSMA) Health Benefits Plan. The OSMA HBP is available for employers with 2-99 employees and meets the requirements of the Affordable Care Act.  For more information, contact the OSMA Insurance Agency at 800-860-4525.  You can also find more information on the OPA website (www.ohpsych.org).  

• OPA Conference April 26-28, 2018 @ Quest Conference Center in Columbus, OH

• Legislative Day is May 16, 2018 

 Please feel free to contact your OPA representative at sarah.greenwell@cchmc.org with any further questions about OPA.   

Membership Marketing: Mary L. Kelley, Ph.D.

Please continue to invite psychologists (established or newly licensed) who aren’t a member of CAPP to check us out!  If they join CAPP, your next dinner meeting is on us! 

Program News: Gary A. Schneider, Ph.D., LICDC-CS

Review of Cognitive Behavioral Treatment of Hoarding Disorder and OCD.  Renae M. Reinardy, Psy.D. – 10/13/17- workshop

How often is it that a group of local psychologists have a speaker from Fargo, North Dakota, present on any topic, let alone a speaker who has been on national TV-the A&E program about Hoarders?  Dr. Reinardy was here for a repeat performance as she presented at a dinner meeting back in 2016.  A special kudo to CAPP Board Member, Patty Eiler-Sims, for helping arrange both of Dr. Reinardy’s contacts and for hosting her. 

What struck me the most was Dr. Reinardy’s strong empathic ethical position - “try and do it respectfully” and the importance of “showing more compassion,” particularly in the initial contact.  She pointed out that hoarders often appear defensive, particularly, with how much frustration, blame, and resentment have built up between the hoarder and significant others in their lives.  (It sounded similar to what has been observed in situations where alcohol/substance use and meds-seeking behavior has occurred.)  In this regard, Dr. Reinardy would use phrases with the client such as “I always ask for permission”, e.g., - “Is it ok to walk behind you”?  (While walking through the collection of the client’s possessions, often stacked up and blocking the path of walking).  She also focused on the limitations for the therapist who “can do only so much.”  Interestingly, Dr. Reinardy discussed the “information hoarder”, reflecting “cyber clutter” (I could certainly identify with this challenge, e.g., whether I should keep an email or not.)

Dr. Reinardy depicted the hoarder as tending to be older with equal prevalence in men and women, and fifty percent of this group falling into the “never married” column.  She described hoarding as “the phobia of imperfection.”   Often Dr. Reinardy addressed this issue when presenting case vignettes with clients, by encouraging clients to take a step that is “just good enough”, not perfect.  She emphasized the need for clients to practice difficult behaviors and explain to them that such practice would help them “get better”, just like students learning algebra by practice. 

Regarding OCD, Dr. Reinardy gave the following interesting metaphor – “like having a bully stuck inside your head but no one can see it.”  Prevalence of OCD is slightly higher in females and is the fourth most common mental health disorder.  Dr. Reinardy described the OCD cycle as usually including both obsessions and compulsions as well as an attempt for relief and having a “sense of doom” and “moral scrupulosity.”  Examples of Exposure and Response Prevention techniques, and the importance of setting up a behavioral plan and the need to build a hierarchy, were emphasized, noting the importance of helping the client habituate new behaviors.

Dr. Reinardy gave the following resources for further information:

• Lakeside Center for Behavioral Change

www.lakesidecenter.org

• International Obsessive Compulsive Disorder Foundation

www.iocdf.org

• Children of Hoarders

www.childrenofhoarders.com

• Institute for Challenging Disorganization

www.challengingdisorganization.org

Review of “Concussion Update” Dinner Meeting with Dr. Wes Houston - 11/29/17

What a compendium of research findings regarding Traumatic Brain Injury (TBI) and Concussion!  In two hours, Dr. Houston, a neuropsychologist, covered a lot of ground regarding this topic in both the civilian and military populations, as well as in the field of sports-related concussion.  As a psychologist, who happens to be a sports fan, it was very interesting to hear a lot of the “inside” information regarding sports, including the NFL and the Cincinnati Bengals.  In this regard, Dr. Houston shared his perspective on teams using both computerized and more traditional “paper and pencil” tests with direct clinical observation.  It was his opinion that while computerized testing may be more cost effective and time-efficient, the traditional method, which is supported by the Bengals, provides a more individualized, personalized and reliable approach to patient care.  I wondered if an additional reason that the computerized procedures were used more often was not only that it was less expensive, but such procedures may also appear to be “more scientific” to some. 

While it is impossible to cover even a small percentage of the research findings that Dr. Houston presented, I will review some of the information.  He gave the following emails for those requesting further information and clarification:  wes.houston@va.gov and whouston@riverhillsneuro.com

Dr. Houston reported that males were 1.5 times more likely than females to have a TBI and the age groups with the highest risk were 0-4, 15-19, and older than 74.  Sports and recreation are a major cause of TBI in adolescents and young adults.  In military, paratroopers have the highest rate and blast-related TBI is now common.  Research has indicated that the presence of moderate to severe TBI increases the risk for other medical conditions, such as Alzheimer’s Disease (earlier onset), Parkinson’s Disease and Frontotemporal Dementia. 

The blast-related injury is typically caused by an explosive, rapid conversion of a solid or a liquid into a gaseous, high pressure shock wave, followed by a blast of wind, and the pressure can result in damage to the organs.  According to one study, blast injury was more likely to result in mild TBI while a non-blast injury was more often categorized as moderate or severe.  In general, cognitive decline over time is associated with moderate to severe TBI, not mild TBI.

Sports related concussion impacts more than 2.6 million people in those aged 19 or younger, while ER visits in those aged 8 – 13 doubled         from 1997 to 2007.  Overall, recovery is favorable with most athletes reporting symptoms, recovering within one to two weeks.  In general, cognitive decline over time is associated with moderate to severe TBI, not mild.

 Dr. Houston explained that there are several classification systems used to differentiate TBI severity and he discussed the system recommended by the Department of Veterans Affairs in detail.  It is a system that uses the criteria of Structural imaging, Loss of Consciousness (LOC), Alteration of consciousness, Post-traumatic amnesia, and the Glascow Coma Scale to determine severity of impairment.  The term “complicated MILD TBI” is used when visible structural abnormalities are detected on brain imaging, and this group may have more symptoms and take longer to recover.  Also, in a meta-analysis conducted by Binder et.al. 1997 (and more recent studies), it was concluded that the average effect of a mild TBI is “undetectable” on neuropsychological performance a few months post-injury.  Furthermore, one of the consistent conclusions of studies is that the overwhelming majority of mild TBI patients have a favorable functional recovery in days to weeks.

 Dr. Houston presented information on Chronic Traumatic Encephalopathy (CTE) and the potential bio-markers which can be measured with certain imaging, cerebrospinal fluid, and other biological measurements.  Related to CTE, he also shared many features of the Traumatic Encephalopathy Syndrome (TES), newly developed diagnostic research criteria for CTE, including supportive psychological features such as Impulsivity, Anxiety, Paranoia, Suicidality, lower cognitive scores, emotionally explosive behavior, and sad, depressed, and/or hopeless mood.

In addition, Dr. Houston discussed some of the problems with the lack of specificity of Post Concussional Syndrome (PCS).  PCS is defined as a syndrome that occurs following head trauma (usually sufficiently severe to result in LOC) and includes a number of disparate symptoms such as headache, dizziness, fatigue, irritability, difficulty in concentration and performing mental tasks, impairment of memory, insomnia, and reduced tolerance to stress emotional excitement or alcohol. 

Psychotherapy implications for mild TBI included Cognitive Behavioral Therapy (CBT) paired with relaxation training and Cognitive Processing Therapy (CPT) for PTSD were discussed.  (Advertisement - Please note that CAPP has planned a two-day CPT training with Kate Chard, Ph.D. for October 04 and 05, 2018.) Treatment recommendations for persistent symptoms after a mild TBI were the following:  Assess/treat regardless of time since injury; Assessment should be focused on symptoms NOT etiology; Management of persistent symptoms after 1 month should not differ based on underlying etiology of symptoms; Reassure about recovery (avoid using the term “brain damage”); and advise about precautionary measures. Thank you – Dr. Houston!

www.cappnet.org - Top 10 Reasons to visit this site: 

#1 Updated event and program information.  (We will begin registration for the February dinner meeting shortly.);  #2 Make sure your Directory listing is correct before the 2018 Directory is formatted, printed and mailed to over 1600 referral sources!  You should make sure your listing accurately reflects your practice as we use the info from here for printing; #3 Pay your 2018 membership dues (thank you to those who have already taken care of this); #4 okay I fibbed . . . there are only 4 but thank you for reading to the end!

We look forward to seeing you at our CAPP events in the new year!  

2/5/18 - Brief Interventions that Work! - Dinner Mtg. - 2 CEUs

4/13/18 - Ethics Workshop - 4 CEUs

5/7/18 - Telepsychology w/ Dr. Drude - Dinner Mtg.- 2 CEUs

Happy New Year and all the Best to you in 2018!

 

 

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 Remember to encourage your peers and colleagues to check CAPP out!

www.cappnet.org

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