Advancements in Neuroscience Conceptualizations of Stress, Anxiety and Depression (Part of the Fall 2021 Virtual Guerette Symposia Series)
Neuroscientific research has led to new understandings about the neurophysiological basis of stress-related conditions such as anxiety and depression. This presentation will review key findings concerning the impacts of chronic and traumatic stress on neural functioning and networks linked to anxiety and depression, and provide mental health clinicians with psychotherapy and medication treatment options and approaches to address anxiety and depression that accompany chronic and traumatic stress.
This program will take place virtually on Zoom. Please register here and connection information will be sent 48 hours prior to the meeting.
Psychologists, Social Workers, Psychiatrists, Primary Care Physicians, Counselors, Nurses and Allied Mental Health Professionals
At the end of this program the learner will be able to:…..
Identify the role of an overactive adrenaline and cortisol secretion linked to anxiety and depression, such neural and synaptic decline and asymmetrical stress response
Discuss effective and ineffective treatment options that could address neurophysiological changes linked to anxiety and depression
Demonstrate neuroscience-responsive case conceptualization and treatment planning through responses to a simulated clinical case study
This program will cover:
- Introduction: Limitations of the monoamine hypothesis of affective disorders and the movement toward understanding the role of excitatory and inhibitory neurotransmitters in affective disorders such as glutamate and GABA
- Introduction: Understanding neural plasticity and changes that occur in anxiety and depression through the lens of the stress response system and its impacts
- The stress response system, including the hypothalamic-pituitary-adrenal (HPA) and sympathetic adrenal medullary (SAM) axis, and accompanying activation of the sympathetic branch of the autonomic nervous system (ANS)
- The role of adrenaline in memory formation
- Parasympathetic recovery
- Epigenetic changes (especially methylation) and relationship with glucocorticoid receptors
- Role of oxytocin in assuaging fear and enhancing parasympathetic recovery
- Chronic cortisol secretion and its impact on the sympathetic branch of the ANS, including cellular (neuronal) damage
- Hypercortisolism, long-term depression, immunosuppression, and weakened parasympathetic recovery
- Studies into the role of chronic stress in anxiety and depression, including the role of long-term depression and volumetric decline
- New understandings of antidepressant medication such as serotonin reuptake inhibitors and NMDA receptor antagonists (e.g., esketamine) in light of neurotropic factors and synaptogenesis to repair volumetric decline
- Relationship with sleep and physical exercise (especially irisin) on neurotropic factors and synaptogenesis to repair volumetric decline
- The role of stress reduction strategies in psychotherapy for anxiety and depression, with strategies appropriate across the developmental spectrum (i.e., for children, adolescents, adults, and older adults)
Thomas A. Field, PhD
Dr. Thom Field is an Associate Professor and Program Director of the Counseling program in the College of Education at Oregon State University. Since 2006, Dr. Field has worked with over 1,000 patients in a variety of settings, including schools, inpatient psychiatric units, and outpatient private practice. His primary area of research is the integration of neuroscience into clinical practice. He has published more than 20 peer reviewed articles and two professional books on the topic, and has also led national taskforces and interest networks pertaining to the integration of neuroscience into clinical practice.
Speaker has no relevant financial relationships to disclose. Speaker does not plan on discussing unlabeled/investigational uses of a commercial product.
Stephen Brady, PhD | CME Course Director
Associate Professor of Psychiatry
Boston University School of Medicine
Janice Furlong, MSW | Social Work Advisor
Clinical Associate Professor, Boston University School of Social Work
Robert C. Guerette, MD | Planning Committee
President, New England Educational Institute
Carmela A. Townsend, DNP, MS/MBA, RN | Accredited Provider Activity Director
Continuing Medical Education Office, Boston University School of Medicine
Debra M. Winters, APRN-BC, AACRN | CNE Nurse Advisor
Community Research Initiative (CRI)
CME Program Manager: Claire P. Grimble, CMP
Psychologists - Coming Soon..
Boston University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Boston University School of Medicine designates this live activity for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Social Workers - Coming Soon.
Social Workers – New York State
Boston University School of Medicine, Barry M. Manual Continuing Medical Education Office is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0589.
All Social Workers must attend all sessions for credit, partial credit is not allowed.
Boston University School of Medicine Continuing Nursing Education is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Contact Hours: 2.25 of which 0 is eligible for pharmacology credit.
- 2.00 AMA PRA Category 1 Credit™Boston University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Boston University School of Medicine designates this Live activity for a maximum of 2.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 2.25 ANCCBoston University School of Medicine Continuing Nursing Education is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
- 2.00 Participation
Regular Rate: $75
Student Rate: $25
BUSM/BMC/BU Alumni: $60
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If you would like to register for more than one session of the fall series, please look in your confirmation email for a 20% off coupon to use at any of the other meetings in the series.
To pay by check, please create an account and email us at email@example.com or call 617-358-5005 and we will assist you.
Substitutions may be made at any time without an additional charge. Refunds, less an $25 administrative fee, will be issued for all cancellations received two weeks prior to the start of the meeting. Should cancellation occur within the two-week window, a credit will be issued, not a refund. Credits will be honored for up to two years. “No shows” are subject to the full course fee. Cancellations/substitution(s) must be made in writing. Refunds or credits will not be issued once the conference has started. This course is subject to change or cancellation.
If you need to cancel your registration, please click here.
Special Services / Dietary Needs
To request reasonable accommodations for disabilities, please notify the Office of Continuing Medical Education in writing at least two weeks prior to the start of the conference.