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AJP CME: November 2018 - A Transgender Woman With Intellectual Disability and Borderline Personality Disorder

Activity Type:

  • Journal CME


Release Date: 11/1/2018

Expiration Date: 10/31/2020

  • AMA PRA Category 1 Physician: 1
  • Participation: 1

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Overview

Abstract: Diagnostic criteria for intellectual disability, borderline personality disorder, and gender dysphoria all emphasize functional impairments over simple trait descriptions. Individuals with intellectual disability have functional deficits in conceptual, social, and practical domains. Social deficits include difficulty perceiving and interpreting social cues with peers, problems with emotional regulation, and limited understanding of risk in social situations. As in the case of Ms. A, these individuals are at risk for being manipulated by others, especially in romantic relationships. The deficits in borderline personality disorder are similarly characterized by a defining pattern of instability of self-image, personal goals, interpersonal relationships, and affect, as well as impairment in domains of identity, self-direction, empathy, and intimacy. Individuals with gender dysphoria also experience internal conflict, distress, and varied psychiatric symptoms, in part as a result of the personal and societal stressors they face in understanding their situation.

Pricing

This activity is only available to AJP CME subscribers.

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  • AJP Subscriber – 12 Month CME Subscription: $150.00
  • Non AJP Subscriber – 12 Month CME Subscription: $300.00

If you have questions about AJP CME subscriptions, please contact appi@psych.org.

Educational Objective

The participant will identify barriers to effective clinical care for individuals with multiple conditions, including gender dysphoria, intellectual disability, and borderline personality disorder.

Target Audience

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: November 1, 2018
End Date: October 31, 2020

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.

Accreditation

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: A Transgender Woman With Intellectual Disability and Borderline Personality Disorder

Authors: William J. Newman, M.D., Amy V. Barnhorst, M.D., Jackie Landess, M.D., J.D.

Affiliations: From the Department of Psychiatry and Behavioral Neuroscience, Saint Louis University, St. Louis (W.J.N., J.L.); and the Department of Psychiatry and Behavioral Neuroscience, University of California Davis, Sacramento (A.V.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.

Program Planners

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.

Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.
 
Optimal System Configuration:
  • Flash Player: Adobe Flash Player 10.1+ 
  • Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+ 
  • Operating System: Windows XP+ or Mac OS X 10.4+ 
  • Internet Connection: 1 Mbps or higher
  • Screen Resolution: 1024 x 768 pixels.

Minimum Requirements:

  • Windows PC:500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
  • 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

For assistance: Contact educme@psych.org for questions about this course  |  Contact learningcenter@psych.org for technical assistance

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