Treatment-Resistant Depression: An Update on Management Strategies
Resource Availability
This course material was originally created by SMI Adviser, now rebranded as SMI CalAdviser. The content in this course material is still current and relevant, yet, please be aware that some external resources and links may no longer be active or available. 
Overview

This presentation will provide an overview of treatment-resistant depression, with a focus on management strategies including transcranial magnetic stimulation, electroconvulsive therapy, and esketamine. Strategies for implementing these interventions into clinical practice will be discussed, with a focus on best practices to assure optimum outcomes for patients impacted by refractory depressive symptoms. 

Format 

Recorded webinar, non-interactive, self-paced distance learning activity with post-test.  

This presentation was recorded on June 17, 2021 

Learning Objectives  

Identify risk factors for treatment resistant depression.   

Describe pharmacological and interventional psychiatric treatment strategies.   

Describe strategies for implementation of interventional psychiatric treatment strategies in clinical practice.   

Outline 

  • Definition & Scope of TRD 
  • Pharmacological Augmentation Strategies 
  • Electroconvulsive Therapy (ECT) 
  • Repetitive Transcranial Magnetic Stimulation (rTMS) 
  • Ketamine & Esketamine 
  • Clinical Implementation 

Target Audience 

Psychiatrist, Physician (Non-Psychiatric), Physician Assistant, Nurse, Nurse Practitioner, Pharmacist, Psychologist, Counselor/Therapist 

Instruction Level 

Intermediate 

Estimated Time to Complete  

Estimated Duration: 1.0 hour   
Program Start Date: July 30,2025
Program End Date: July 30, 2028  

Ongoing Interdisciplinary Discussion Board  

After completing the course, engage with colleagues in the mental health field through the Webinar Roundtable Topics discussion board. This is an easy way to network and share ideas with other clinicians who participate in this webinar. Access through the discussion tab.  

How to Earn Credit 

After completing the evaluation, participants will have the opportunity to claim their hours of participation and download the appropriate certificate. Physicians may obtain an official CME certificate, other healthcare professionals may receive a CE certificate (as applicable), and all other attendees may generate a certificate of participation. Each certificate will reflect the event date and total hours earned. 

Continuing Education Credit 

In support of improving patient care, American Psychiatric Association (APA) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.  

Physicians   

The APA designates this live event for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   

Nurses/Nurse Practitioners   

The American Psychiatric Association (APA) designates this activity for 1.00 Nursing contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.   

Faculty and Planner Disclosures 

The American Psychiatric Association adheres to the ACCME's Standards for Integrity and Independence in Accredited Medical Education. Any individuals in a position to control the content of a CME activity - including faculty, planners, reviewers, or others - are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.  

Faculty  

  • Brayden Kameg, DNP, PMHNP-BC, CARN, CNE is an Assistant Professor of Nursing in the Department of Health and Community Systems at the University of Pittsburgh School of Nursing. She teaches across the undergraduate and graduate programs, where her teaching responsibilities include mental health nursing, advanced practice psychiatric nursing, psychotherapy for advanced practice psychiatric nurses, and psychiatric management for primary care providers. She is also involved in various health educational training programs, most recently and currently serving as faculty expert on a Substance Abuse and Mental Health Services Administration-funded program that is integrating substance use training, and specific content on buprenorphine prescribing, across advanced practice registered nursing curricula (Provider Clinical Support Systems [PCSS]-Pitt). Dr. Kameg reports no financial relationships with commercial interests. 

Program Planners 

  • Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests.  
  • Tristan Gorrindo, MD, American Psychiatric Association. Reports no financial relationships with commercial interests.  
  • Donna Rolin, PhD, APRN, University of Texas at Austin. Reports no financial relationships with commercial interests.  

Accessibility for Participants with Disabilities 

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance. 

Technical Requirements 

This internet-based CME activity is best experienced using any of the following: 

The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari 

Internet Explorer 11+ 

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player. 

Optimal System Configuration: 

Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version) 

Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version) 

Internet Connection: 1 Mbps or higher 

Minimum Requirements: 

Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content 

Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content 

For assistance: Contact educme@psych.org for questions about this activity |  

Contact support@smicaladviser.org for technical assistance 

 

Summary
Availability:
On-Demand
Expires on Jul 30, 2028
Credit Offered:
1 CME Credit
1 NCPD Credit
1 COP Credit
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