Traumatic brain injury sustained by military service members during the wars in Iraq and Afghanistan has been associated with high rates of persistent disability. Much of the increased disability is highly correlated with the severity of accompanying depression and post-traumatic stress symptoms. This presentation outlines the new individualized resting-state fMRI-guided transcranial magnetic stimulation treatment for depressive symptoms in military traumatic brain injury patients.

Format

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

This presentation was recorded on April 20, 2021 at the 15th Annual Amygdala, Stress, and PTSD Conference: Stress and the Mind.

Course References

• Mac Donald, CL et al. (2017). Outcome Trends after US Military Concussive Traumatic Brain Injury. J Neurotrauma, 34(14):2206-2219. doi: 10.1089/neu.2016.
• Mac Donald, CL et al. (2014). Prospectively Assessed Clinical Outcomes in Concussive Blast vs Nonblast Traumatic Brain Injury Among Evacuated US Military Personnel. JAMA Neurol, 71(8):994-1002. doi:10.1001/jamaneurol.2014.1114.
• Siddiqi, SH et al. (2019). Repetitive Transcranial Magnetic Stimulation with Resting-State Network Targeting for Treatment-Resistant Depression in Traumatic Brain Injury: A Randomized, Controlled, Double-Blinded Pilot Study. J Neurotrauma, 36(8):1361-1374. doi: 10.1089/neu.2018.5889.

Learning Objectives

• Describe the relationship between depression, post-traumatic stress disorder, and traumatic brain injury in military service members injured in wartime
• Describe the role of individualized resting-state fMRI in guiding transcranial magnetic stimulation treatment

Target Audience

Psychiatrists

Estimated Time to Complete

Estimated Duration: 45 minutes
Begin Date: June 30, 2021
End Date: June 30, 2024

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned. 

Continuing Education Credit

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The APA designates this enduring CME activity for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

All financial relationships with commercial interests relevant to this activity have been mitigated.

Program Presenters

• David L. Brody, MD, PhD, Director of the Center for Neuroscience and Regenerative Medicine (CNRM), and Professor of Neurology, Uniformed Services University of the Health Sciences. Reports no financial relationships with commercial interests.

Program Planners

• Derrick A. Hamaoka, MD,Assistant Chair, Medical Education, Uniformed Services University of the Health Sciences Department of Psychiatry. Reports no financial relationships with commercial interests.
• David Mears, PhD, Basic Science Co-Director, Neuroscience Module and Interim Chair, Uniformed Services University of the Health Sciences. Reports no financial relationships with commercial interests.
• Alvi A. Azad, DO, MBA, Assistant Professor, Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University. Reports no financial relationships with commercial interests.
• Gary H. Wynn, MD, Professor of Psychiatry and Neuroscience, Assistant Chair of the Department of Psychiatry, and Senior Scientist, Center for the Study of Traumatic Stress. Reports no financial relationships with commercial interests.
• Kwang Choi, PhD, Assistant Professor of Psychiatry, Uniformed Services University. Reports no financial relationships with commercial interests.
• Kelly L. Cozza, MD, Professor of Psychiatry, Uniformed Services University of the Health Sciences. Reports no financial relationships with commercial interests.
• Eric Meyer, MD, Associate Clerkship Director, Uniformed Services University of the Health Sciences. Reports no financial relationships with commercial interests.
• James A. Naifeh, PhD, Research Associate Professor of Psychiatry, Uniformed Services University of the Health Sciences, and Research Psychologist, Center for the Study of Traumatic Stress. Reports no financial relationships with commercial interests.
• Holly H. Mash, PhD, Research Associate Professor in the Department of Psychiatry, Uniformed Services University. Reports no financial relationships with commercial interests.
• Amy E. Steward, MSgt, USAF, Non-Commissioned Officer in Charge at the Center for the Study of Traumatic Stress. Reports no financial relationships with commercial interests.
• Julia Petrini, ScB, Research Assistant, Center for the Study of Traumatic Stress. Reports no financial relationships with commercial interests.
• Brett Thomas, MD, PGY-2 Psychiatry, Walter Reed National Military Medical Center.Reports no financial relationships with commercial interests.

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