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Exploring the Neurocircuitry of the Brain and Its Impact on Treatment Selections in ADHD

Premiere Date: Wednesday, March 1, 2006

This activity offers CE credit for:

  1. Physicians (ACCME/AMA PRA Category 1)
  2. Nurses (ANCC)
  3. Pharmacists (ACPE)
  4. Psychologists (APA)
  5. Social Workers (NASW)
  6. Certified Case Managers (CCMC)


All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Credit™

Credit Expiration Date:
Thursday, March 1, 2007
Note: Credit Is No Longer Available

Faculty


Prakash S. Masand, MD 
Consulting Professor of Psychiatry
Duke University Medical Center
Durham, NC

Peter S. Jensen, MD 
Ruane Professor Child Psychiatry & Director
Center for the Advancement of Children's Mental Health
Columbia University/NY State Psychiatric Institute
New York, NY

Stephen M. Stahl, MD, PhD 
Chairman, Neuroscience Education Institute
Adjunct Professor of Psychiatry
University of California, San Diego
San Diego, CA

Statement of Need

Attention Deficit Hyperactivity Disorder (ADHD) is one of the most prevalent health disorders affecting children. Children with ADHD have impaired functioning in multiple settings, including home, school, and relationships with peers. If untreated, the disorder can have long-term adverse effects into adolescence and adulthood. It is estimated that between 3 and 5 percent of children have ADHD, or approximately two million children in the United States.(1) ADHD is characterized by two core symptom areas defined as inattention and impulsivity/hyperactivity. The Diagnostic and Statistical Manual of Mental Disorders(2) (DSM-IV-TR) defines nine characteristics for inattention and impulsivity/hyperactivity, and also includes three sub-classifications of ADHD: predominantly hyperactive-impulsive (does not show significant inattention); predominantly inattentive (does not show significant hyperactive-impulsive behavior); and combined (displaying both inattentive and hyperactive-impulsive symptoms).(1) Studies have implicated a core deficit of fronto-striato-basal ganglia neurocircuitry.(3) In an effort to understand the relationship between the neurocircuitry of the brain and how neurotransmitters impact specific areas and affect cognitive functioning, this interactive, evidence-based psychCME TV activity will discuss the role of neurotransmitters in the prefrontal cortex (PFC) and their impact on brain circuitry and treatment selection in ADHD.


1. Attention Deficit Hyperactivity Disorder. http://www.nimh.nih.gov/publicat/adhd.cfm#intro Accessed 01/23/2006.
2. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC: American Psychiatric Association, 1994.
3. Dickstein DP, et al. Neurologic examination abnormalities in children with bipolar disorder or attention-deficit/hyperactivity disorder. Biol Psychiatry 2005;58:517-524.

Activity Goal

To provide evidence-based educational information regarding brain neurocircuitry and treatment selection in ADHD.

Learning Objectives

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

  • Distinguish specific areas of the brain implicated in the pathophysiology of ADHD.
  • Define the role of neurotransmission on brain circuitry in ADHD.
  • Identify how brain neurocircuitry influences treatment strategies to improve patient outcomes.
  • Compare and contrast existing and novel agents for the treatment of ADHD.

Target Audience

Physicians, physician assistants, nurse practitioners, nurses, psychologists, social workers, certified case managers, pharmacists, and other healthcare professionals interested in mental health.

Credit Information

CME Credit (Physicians):
CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Outfitters, LLC, designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CNE Credit (Nurses):
This Educational Activity is presented by CME Outfitters, LLC, which has been approved as a provider of continuing education by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. It has been assigned code 5UYSJZ-PRV-0486. 1.0 contact hour (Pharmacology)

CEP Credit (Psychologists):
CME Outfitters is approved by the American Psychological Association to sponsor continuing education for psychologists. CME Outfitters maintains responsibility for this program and its content. (1.0 CE credits)

NASW Credit (Social Workers):
This program was approved by the National Association of Social Workers (provider #886407722) for 1 continuing education contact hour.

CCMC Credit (Certified Case Managers):
This program has been approved for 1 hour by the Commission for Case Manager Certification (CCMC).

CPE Credit (Pharmacists):
ACPE CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 1.0 contact hours (0.1 CEUs)
Universal Program Number: 376-999-06-006-L01 (live presentation) 376-999-06-006-H01 (recorded programs)

To receive credit, participants must review all activity materials in their entirety, score 70% or above on a post-test, and fully complete and return both the credit request form and activity evaluation. A certificate or statement of credit will be mailed within 4-6 weeks to all who successfully complete these requirements.

Disclosure Declaration

All faculty participating in CME Outfitters continuing education activities are required to disclose any conflict(s) of interest related to the content of their presentation(s) as defined by the ACCME's Standards for Commercial Support, and other accrediting and regulatory bodies. Full disclosure of faculty relationships will be made on this website and within the activity course materials prior to the premiere date of this activity.

Questions about this activity? Call us at 877.CME.PROS (877.263.7767).

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