Evidence-Based Assessment and Treatment Augmentation for Depression and Bipolar Disorders in Youth and Early Adulthood
Institute 6 - Evidence-based Assessment and Treatment Augmentation for Depression and Bipolar Disorders in Youth and Early Adulthood
Thursday, November 17, 2022
8:00 AM – 1:00 PM EST
Location: Columbia/Duffy, 7th Floor
Earn 5 CE Credit
Keywords: Assessment, Dissemination, Treatment Level of Familiarity: Moderate Recommended Readings: Youngstrom, E.A., & Cotuna, A. (2020). Helping Give Away Psychological Science: Putting information and resources where the public and professionals can find and use them. North Carolina Medical Journal, 81, 117-119. https://doi.org/0029-2559/2020/81210 Youngstrom, E.A., Algorta, G.P., Frazier, T.W., Youngstrom, J.K., & Findling, R.L. (2021). Evaluating and validating General Behavior Inventory mania and depression short forms for self-report of mood symptoms. Journal of Clinical Child and Adolescent Psychology, 50(5), 579-595. https://doi.org/10.1080/15374416.2020.1756301 Henriksen, T. E., Skrede, S., Fasmer, O. B., Schoeyen, H., Leskauskaite, I., Bjorke-Bertheussen, J., Assmus, J., Hamre, B., Gronli, J., & Lund, A. (2016). Blue-blocking glasses as additive treatment for mania: a randomized placebo-controlled trial. Bipolar Disorders, 18(3), 221-232. https://doi.org/10.1111/bdi.12390 Fristad, M.A. (2016). Evidence-based psychotherapies and nutritional interventions for children with bipolar spectrum disorders and their families. Journal of Clinical Psychiatry, 77(suppl 3):e04. PMID: 27570930 Goldstein, B., Birmaher, B., Carlson, G., DelBello, M., Findling, R., Fristad, M., ... Youngstrom, E.A., Choukas-Bradley, S., Calhoun, C.D., & Jensen-Doss, A. (2015). Clinical guide to the evidence-based assessment approach to diagnosis and treatment. Cognitive and Behavioral Practice, 22, 20-35. doi: 10.1016/j.cbpra.2013.12.005
Professor; Executive Director University of North Carolina at Chapel Hill Chapel Hill, North Carolina
Mood disorders can start in childhood, and often worsen in adolescence and early adulthood. Due to stigma, people often do not seek help, and the course of illness can be intermittent, and complicated. Recently, rates of mood problems and self-injury have increased, especially in early adulthood, with COVID and social distancing adding to the problem. Fortunately, there has been a surge of evidence about the validity of carefully diagnosed mood disorders in youth, along with better evidence-based tools for assessment and treatment. This session concentrates on the best free assessments to use for screening, differential diagnosis and treatment planning, progress and outcome tracking, as well as ways to quickly evaluate alternative treatments and new advances. Light therapy, blue-light blocking, omega-3 fatty acids, CBD oil – are any of these evidence-based? Could they augment more conventional psychotherapy approaches? How do we answer patient questions and help them sort through the competing claims that they find on social media and the internet? The session also addresses dissemination and implementation support methods that can increase the accessibility of assessment, prevention, and early intervention services.
Outline: I. Clinical picture a. Contrast the typical presentation of depression and bipolar disorder in youths and adults; b. discuss DSM-5 vs. ICD-11 revisions c. Learn about “spectrum” bipolar disorders i. cyclothymia ii. Other Specified Bipolar and Related Disorders iii. impairment and course II. How common are different mood disorders? a. Recognize how often bipolar and other disorders occur in different settings i. Private practice ii. High schools iii. colleges, iv. outpatient services, v. forensic settings vi. inpatient units III. Best of the free assessments a. Aids for differential diagnosis b. Goal setting c. Measuring progress and outcome IV. Apply new methods for interpreting test results a. Thinking in terms of probability b. Rules of thumb c. Benchmarking change V. Where to find new information and free tools? a. TRIP, Wiki, searching smarter b. Learn about free online and assessment tools to improve diagnosis c. Outcome VI. Thinking in terms of lifestyle change for managing mood a. Surprising data about sleep b. Diet c. Exercise
Learning Objectives:
At the end of the session, the learner will be able to:
Describe the use of three evidence-based assessment methods that aid in differential diagnosis and measuring treatment response.
Recognize four symptoms and risk factors that are helpful in recognizing bipolar disorder, and which may be red herrings" that are common to other conditions;.
Find and use at least 20 free scales for screening, severity, and outcome tracking.
Search TRIP database and other aggregators to find clinically useful summaries quickly.
Describe how three sleep hygiene techniques could help with improving outcomes across most mood disorders.
Long-term Goal: Over the coming year, add free assessment tools to differentiate types of mood and internalizing disorders, using for case formulation and progress tracking.
Long-term Goal: Begin gathering more information about sleep, exercise, and diet when working with clients with mood issues.