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Using Esketamine for Treatment-Resistant Depression in an Outpatient Practice


Topic Areas:
Depression |  Psychopharmacology
Speaker:
Lance B. Thigpen, M.D.
Course Levels:
Introductory
Duration:
1 Hour
License:
Never expires.

Dates



Description

You must attend the entire course in order to receive continiung education credit.  We cannot award partial credit for partial attendance.

This course will review the use of esketamine (Spravato) for treatment-resistant depression in the outpatient setting.  We will explain diagnostic criteria for treatment resistance and implementation of the medication and monitoring protocol, as well as the side effect profile of esketamine.  We will discuss examples of challenges in insurance approval and implementation.  Also, examples of treatment outcomes from recent patients will be reviewed.  There will be time for questions at the end of the lecture. 

Credits


New York

1 CE Contact Hours

New York Psychologists

The Vermont Psychological Association is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0210.  This course is intended to qualify for specialty mandated continuing education topics as follows:

Ethics:  
Professional Boundaries:  


Psychologists (states using APA approval) (Live Events)

The Vermont Psychological Association is approved by the American Psychological Association to sponsor live continuing education for psychologists.  The Vermont Psychological Association maintains responsibility for its programs and their content.


Completion of this course earns 1 continuing education credits.  Psychologists licensed in states whose licensing board approves continuing education offered by APA-approved sponsors may earn continuing education credits for this course.

 

VT Psychologist

Courses sponsored by the Vermont Psychological Association are pre-approved for continuing education for psychologists by the Vermont Board of Psychological Examiners.  This course qualifies for 1 continuing education credits.

VT LICSW

Continuing education courses sponsored by the Vermont Psychological Association are pre-approved by the Vermont Office of Professional Regulation for continuing education credit for licensed independent clinical social workers in Vermont.  This course provides 1 CE credits for Vermont licensing.

 

VT LCMHC/LMFT

This course has been approved for continuing education credit by the Vermont Board of Allied Mental Health and earns 1 continuing education credits.

 

NH LICSW

The Vermont Psychological Association is approved by the American Psychological Association to offer continuing education for psychologists. These credits are also accepted by the New Hampshire Board of Mental Health Practice for clinical social workers licensed in New Hampshire, as provided in Mhp 402.02(b)(1).  The course qualifies for 1 continuing education credits.

NH LCMHC

The Vermont Psychological Association is approved by the American Psychological Association to offer continuing education for psychologists. These credits are also accepted by the New Hampshire Board of Mental Health Practice for clinical mental health counselors licensed in New Hampshire, as provided in Mhp 402.02(b)(1).  The course qualifies for mandated credit types as follows:

Ethics: 
Suicide Prevention: 

MA LICSW

The Vermont Psychological Association is approved to offer continuing education to licensed clinical social workers by the Vermont Office of Professional Regulation, and is approved by the American Psychological Association to offer continuing education to psychologists.  This course thus qualifies for 1.2 continuing education credits for Massachusetts licensed clinical social workers in Massachusetts under 258 C.M.R. §§ 31.04(2)(d), 31.04(5).

MA LCSW

The Vermont Psychological Association is approved to offer continuing education to licensed clinical social workers by the Vermont Office of Professional Regulation, and is approved by the American Psychological Association to offer continuing education to psychologists.  This course thus qualifies for 1.2 continuing education credits for Massachusetts licensed certified social workers in Massachusetts under 258 C.M.R. §§ 31.04(2)(d), 31.04(5).

CT LCSW

The Vermont Psychological Association is approved by the American Psychological Association as a continuing education sponsor for psychologists.  Continuing education credit in the amount of 1 credits earned in this course may be accepted by the Connecticut Department of Public Health for licensed clinical social workers under Conn. Agencies Regs. § 20-195o(c)-3. 

CT LPC

This course is pre-approved for credit for Connecticut licensed professional counselors under Conn. Agencies Regs § 20-195cc-3(a)(1).  This course qualifies for 1 continuing education credits.

 

 

Physicians

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Southern NH AHEC and Brattleboro Retreat. The Southern NH AHEC is accredited by the NH Medical Society to provide continuing medical education for physicians. Southern New Hampshire Area Health Education Center designates this live activity for a maximum of  1 AMA PRA category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses

Southern New Hampshire Area Health Education Center is an approved provider with distinction of nursing continuing professional development by the Northeast Multistate Division Education Unit, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.  1 contact hours. Activity Number:


Handouts

Speaker

Lance B. Thigpen, M.D.'s Profile

Lance B. Thigpen, M.D. Related Seminars and Products

Brattleboro Retreat


Dr. Lance Thigpen was born in Augusta, Georgia, to a former head nurse of psychiatry and Dr. Corbett Thigpen, co-author of The Three Faces of Eve. He attended Augusta Preparatory Day School for high school and completed his freshman year of college at Davidson College.  He then transferred to The University of Georgia where he earned his bachelors of science in biology.

He matriculated from The Medical College of Georgia in 1999 and completed his internship, general psychiatry residency and child fellowship program there as well.  Once his formal education was completed, he transitioned into private practice focusing primarily on children and adolescents.

In 2012, he began looking for opportunities that would allow him to spend more individual time with his patients and their families and joined the medical staff at the Brattleboro Retreat in 2013, where he worked on the adolescent unit for the next 3 years.

In 2016, he transferred to the children’s inpatient unit. At the same time, he began working with health information management and IT as physician champion for the electronic health record. As such, he took a position on the medical executive committee.

In 2018, he relocated to North Augusta, South Carolina, where he continued his work with IT while transitioning to telepsychiatry for the Anna Marsh Outpatient Clinic.  After a short stint there, he expanded his role to co-leading the Birches Partial Hospitalization and Intensive Outpatient Programs, the Uniform Services Program, and the Starting Now Intensive Outpatient Program.  During the pandemic, these programs were expanded to serve individuals from New Hampshire and Massachusetts.  He continues to serve in these capacities.

In March 2023, he assumed the role of Director of Outpatient Services  at Brattleboro Retreat, where he hopes to continue The Retreat’s mission to enhancement of  the public’s mental health and to eradicate the stigma associated with mental illness.


Course Objectives

Objective 1

Describe the clinical indication for the use of esketamine


Objective 2

Analyze “treatment resistance” as it relates to the administration of esketamine for depression.


Objective 3

Explain 3 absolute contraindications for treatment with esketamine.


Objective 4

Describe 3 of the most common side effects when being treated with esketamine.