Abstract: One of the most controversial topics in refugee mental health is the diagnosis and management of posttraumatic stress disorder (PTSD) and psychological trauma, for several reasons. Applying diagnostic checklists too broadly, or too early, after a mass trauma event may generate artificially high estimates of PTSD while underestimating the mental health needs of the rest of the population. Other concerns include whether the diagnosis itself truly captures the psychological suffering of refugees on the one hand or pathologizes normal reactions to disaster on the other.
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The participant will interpret characteristics of refugees that may affect their levels of stress and point to treatment strategies.
This program is designed for all psychiatrists in clinical practice, residents in Graduate Medical Education programs, medical students interested in psychiatry, and other physicians who wish to advance their current knowledge of clinical medicine.
Estimated Time to Complete
Duration: 1 hour
Begin Date: January 1, 2018
End Date: December 31, 2019
How to Earn Credit
In order to earn CME credit, subscribers should read through the material presented in the article. After reading the article, complete the quiz and submit your evaluation and study hours (up to 1 AMA PRA Category 1 Credit™). A score of 60% or higher is required to receive 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 journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
Title: Trauma and Resiliency: A Tale of a Syrian Refugee
Authors: Andres Barkil-Oteo, M.D., M.S., Waseem Abdallah, M.D., Sarah Mourra, M.D., Hussam Jefee-Bahloul, M.D.
Affiliations: From the Department of Psychiatry, Yale University, New Haven, Conn. (A.B.-O.); the Department of Psychiatry, Howard University Hospital, Washington, D.C. (W.A.); the Department of Psychiatry, David Geffen School of Medicine at UCLA, Los Angeles (S.M.); and the Department of Psychiatry, UMass Medical School, Worcester, Mass. (H.J.-B.).
Disclosures: The authors report no financial relationships with commercial interests.
Discussion of unapproved or investigational use of products*: No.
*APA policy requires disclosure by CME authors of unapproved or investigational use of products discussed in CME programs. Off-label use of medications by individual physicians is permitted and common. Decisions about off-label use can be guided by scientific literature and clinical experience.
Robert Freedman, M.D. (Editor-in-Chief, AJP); Susan K. Schultz, M.D. (Deputy Editor, AJP); Michael D. Roy (Editorial Director, AJP); Michael A. Pogachar (Online Content Manager, Journals).
Dr. Schultz has received research support from the Alzheimer’s Disease Cooperative Study for projects conducted in partnership with Toyama Chemical Company and in partnership with Eli Lilly and Company. Dr. Freedman, Mr. Roy, and Mr. Pogachar report no financial relationships with commercial interests.
Optimal System Configuration:
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- Screen Resolution: 1024 x 768 pixels.
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- Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit
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