Primary care providers have less time to deal with an increasing number of health issues. When a patient presents with multiple complaints and persistent pain, primary care will attribute all the symptoms to the underlying psychologic stressors. Persistent pain worsens psychological adaptation and depression and anxiety make pain worse. Having a supportive relationship with primary care providers leads to better patient care and improved outcomes.

Upon the completion of this activity, participants will be able to:

1. Describe what primary care is looking for in referring patients with persistent pain;
2. Prepare the referring provider to care for future, similar patients; and 3) Separate the pain complaints from the psychologic issues.

Fibromyalgia syndrome affects 3-5% of the population and is the second most common presenting complaint in rheumatology. Primary care providers have difficulty caring for patients with fibromyalgia due to a wide array of pain and non-pain complaints including headache, abdominal pain, irritable bladder, jaw pain, insomnia, numbness and difficulty concentrating as well as others. Many of the presenting complaints may be psychologic in nature, but the underlying disease is distinct from the presenting depressive and anxiety symptoms. Sorting the myriad complaints and providing structure can be lifesaving for patients with fibromyalgia and is best treated by those skilled in psychology.

At the end of this activity, attendees will be able to:

1. Describe the current science about the pathophysiology of fibromyalgia syndrome;
2. Help the referring provider to manage the pain and psychosocial issues; and
3. Treat patients with pharmacologic and nonpharmacologic options.

This introductory lecture will review the history of Hypnosis and its use in medical and psychiatric conditions. Common misconceptions about Hypnosis will be discussed as well as an introduction to hypnotic phenomena. Lastly, vignettes will be presented demonstrating the application of Hypnosis in several clinical conditions.

Upon the Completion of this activity, participants will be able to:

1. Discuss the common misconceptions about Hypnosis with patients and clients and to present the use of Hypnosis in such a way that will set the stage for a more successful outcome with this modality.
2. Use an understanding of the hypnotic phenomena and suggestibility tests to decide if Hypnosis may be a useful intervention for a given patient or client.
3. List the clinical uses of Hypnosis and to be able to apply this therapy to a wide range of medical, psychiatric, and psychotherapeutic settings.

Competent health care providers have to deal with many different aspects of their patients' lives - from social issues, financial issues, relationship issues, and cultural issues. Integrative therapies also address all of these areas. The application of Integrative therapies (which used to be known as "Complementary and Alternative Therapies") is now getting much more commonplace and is gaining in some areas of medicine greater acceptance. Your patients may be using herbs, meditation, massage, acupuncture, and aromatherapy because they believe that these integrative therapies may improve their health. As there are potential benefits and risks of these integrative therapies, whether they are being substituted for medications and/or psychotherapy or being used along with medications and/or psychotherapy, aspects of potential liability are also reviewed.

Upon the completion of this activity, participants will be able to:

1. Have knowledge of several Integrative Therapies your patients may be incorporating into their overall mental health care.
2. See how the paradigm of patient care may be shifting to include the use of Integrative Therapies and what some of the barriers are.
3. Understand how knowing- or not knowing- that your patient may be employing Integrative Therapies may have legal implications.

This is meditation's moment. From the cover of Time Magazine to the coffee table discussions of morning talk shows, meditation has acquired near mythic status both as an avenue to personal fulfillment and as a universal solvent against a dizzying array of diseases, mental and physical. However, despite increasing evidence that meditation may confer health benefits, significant gaps remain in our understanding of how meditation alters mind-body functioning to promote emotional and physical well-being. By providing a state-of-the-art update on what we do and do not know about meditation and meditation and mental health - with a focus on depression - this presentation will provide clinicians with information essential for thinking about how to incorporate meditation into their work with patients. The first talk in this program will provide an overview of research findings regarding mental health benefits of meditation, with a focus on rigorously examining areas of remaining uncertainty. The second talk will drill down deeper into a particular style of meditation - compassion meditation - to explore how this type of meditation may modulate deleterious stress responses relevant to health. The program will conclude with a chance for audience members to get a first hand sense of compassion meditation through a brief guided meditation.

At the end of this program, participants should be able to:

1. Describe the most important unanswered research questions regarding how to best apply meditation to mental illness.
2. Describe the different types of meditation practices that appear to offer the most promise as health interventions.
3. Describe how meditation practices may improve central nervous system, stress and immune functioning in ways likely to benefit mental and physical disease.
4. Describe what is known from the research literature regarding the effect of meditation on depression and anxiety in medically healthy and medically ill individuals.
5. Describe strategies for implementing meditation into clinical practice.

Does "Motion', that is, exercise have a place in our treatment armamentarium? This is a question all clinicians have frequently asked of themselves. The last decade of clinical and animal research has revealed surprising powerful positive effects of exercise on mood disorders. We now know that exercise affects brain volume, inflammatory cytokines, and the autonomic system. Clinical research data also points to exercise's powerful anti-depressant effects. In light of these exciting findings, this seminar is aimed at providing clinicians the research findings, as will as provide attendees with tools on how to "prescribe" exercise to their patients. Clinicians will be provided with tools to assist them in implementing an exercise prescribing program in their practices.

Upon the completion of the this activity, participants will be able to:

1. Develop an scientifically and data based appreciation of the complex neurobiology of exercise's positive effects on  on mood.
Examine the clinical, randomized data of exercise treatment in mood disorder and develop practical skills in applying this information to clinical care of patients.