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The Brain-Gut Connection: Evidence-Based Psychological Strategies for Treatment of Gastrointestinal Symptoms in Children, Adolescents, and Young Adults


The Brain-Gut Connection: Evidence-Based Psychological Strategies for Treatment of Gastrointestinal Symptoms in Children, Adolescents, and Young Adults Banner

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Add to Calendar The Brain-Gut Connection: Evidence-Based Psychological Strategies for Treatment of Gastrointestinal Symptoms in Children, Adolescents, and Young Adults 2/1/2023 7:45:00 AM 2/3/2023 4:00:00 PM America/New_York For More Details: https://bostonchildrens.cloud-cme.com/Brain-Gut2023 false MM/DD/YYYY


Date & Location
Wednesday, February 1, 2023, 7:45 AM - Friday, February 3, 2023, 4:00 PM, ,

Overview

Many clients presenting to mental health providers experience gastrointestinal symptoms including chronic pain, nausea, irritable bowel syndrome (IBS), inflammatory bowel disease (e.g. Crohn’s Disease, Ulcerative Colitis), and feeding concerns including avoidant/restrictive food intake disorder (ARFID).  Children, adolescents, and young adults with chronic GI problems often miss school, have greater healthcare utilization, and have parents who miss more workdays; they also have higher rates of depression and anxiety than youth with other chronic diseases.  Many gastroenterologists routinely refer patients for mental health services, and while mental health providers may be well-versed in treating mental health concerns they may be less familiar with the application of psychological interventions for specific GI symptoms.

This skills-focused workshop will educate mental health providers on the most recent research about the brain-gut connection and outline evidence-based treatments for clients presenting with a variety of GI symptoms.  Using lecture, clinical examples, and skill-building activities this virtual workshop will equip clinicians to work with clients to improve quality of life and reduce gastrointestinal symptoms.

Course Format

This three-day virtual workshop will equip clinicians to work with clients to improve their quality of life and reduce gastrointestinal symptoms using lectures, clinical examples, and skill-building activities. 

Participants may register for the full 3-day workshop (All levels), just the Beginner/Intermediate (Days 1 & 2), or just Advanced Psychogastroenterology (Day 3) session. If registering for only the Advanced course, participants should have previously completed the Beginner/Intermediate course (last offered in 2021) and/or have two years of experience working with GI patients. 

Course Content Includes: 

  •  Introduction to GI Psychology 
  • Overview of GI Physiology and Common Testing & Procedures
  • Explaining the Brain-Gut Connection: Language and Metaphors
  • Assessment & Case Conceptualization 
  • Feedback, Treatment Planning, and Implementation
  • Implementing Interventions for GI Disorders
  • All new Advanced Psychogastroenterology Workshop

Who Should Attend?

  • Psychologists
  • Social Workers
  • Licensed Mental Health Counselors
  • Trainees
Objectives
Upon completion of this course, participants will be able to:
  1. Recognize GI physiology and basic pathophysiology of Disorders of the Brain-Gut Interaction (DGBI).
  2. Recognize commonly diagnosed pediatric gastrointestinal conditions and describe the biopsychosocial conceptualization and treatment model for these disorders.
  3. Apply evidence-based psychological treatments for the management of GI-related symptoms.
  4. Recall specific GI-focused questions that can be incorporated into the psychological assessment process and the language/metaphors to utilize when discussing the biopsychosocial treatment approach.
  5. Identify evidence-based psychological treatment strategies for the management of pain and other GI-related symptoms.
  6. Recognize feeding behaviors and difficulties across developmental stages and differentiate picky eating versus avoidant/restrictive food intake disorder (ARFID) versus other eating disorders.
  7. Identify and apply evidence-based psychological treatment strategies for feeding difficulties including ARFID.
  8. Recognize challenges associated with a lack of patient/family willingness to buy-in to the use of psychological strategies for the treatment of GI conditions.

Registration

To register, please click the register tab above and complete the form. If this is your first time registering for a course at Boston Children's Hospital, you will need to create an account. Please use an email address that you check frequently, as it will be used to send important information about the course. 

Registration Types For Professionals Deadline Fee
Beginner/Intermediate ONLY
Days 1 & 2
Early Bird: 1/6/2023
1/31/2023
$175.00
$200.00
Advanced Topics ONLY
Day 3
Early Bird: 1/6/2023
1/31/2023
$75.00
$100.00
Beginner/Intermediate + Advanced Topics
Days 1, 2, & 3
Early Bird: 1/6/2023
 1/31/2023
$275.00
$300.00
 
Registration Types For Trainees   Deadline  Fee
Beginner/Intermediate ONLY Days 1 & 2 1/31/2023  $100.00
Beginner/Intermediate + Advanced Days 1, 2, & 3 1/31/2023 $150.00 

* International Rates available for participants from developing countries

Participants may register for the full 3-day workshop (All levels), just the Beginner/Intermediate (Days 1 & 2), or just Advanced Psychogastroenterology (Day 3) session. 

Advanced Course Only Pre-Requisites
In general, participants who want to do the Advanced Course should also plan to register for the full course, since they are designed to build on one another.  Individuals who wish to apply for only the Advanced Course should email confirmation that they have met both the following requirements: 

  • Psychogastroenterology Training (1 of the following): 
               - Previous Brain-Gut Connection Workshop or
               - 5+ Rome Foundation GastroPsych Courses 
  • Clinical Experience: 2+ years experience doing CBT/ACT with pediatric GI populations

Pre-registration is required. Once you have registered, you will receive a confirmation email with a registration receipt. Course access instructions will be sent 24 hours prior to the course launch. Please use an email you check frequently to ensure that you receive all of this important information. 

If you have questions or need assistance with registration, please direct all inquiries to cmedepartment@childrens.harvard.edu.  For program-related questions: Contact Amy Hale, PhD at Amy.Hale@childrens.harvard.edu or 617-919-9982
Accreditation
In support of improving patient care, Boston Children's Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

 

Disclosure Policy
Boston Children's Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children's may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

Psychologists and Social Workers registered for all three days can earn 18 CE credits. Those participating in Days 1 & 2 (Beginner/Intermediate) can earn 12 CE credits, and those participating in Day 3 (Advanced Psychogastroenterology) can earn 6 credits. 


Additional Information
Suggested Readings/Research Citations: 
 
Publications and data from peer reviewed journals: 
 
Keefer, L. et al. (2018). Best Practice Update: Incorporating Psychogastroenterology Into Management of Digestive Disorders.Gastroenterology, 154(5), 1249 – 1257
 
Gian Marco, I, Bellardita, L., Cennamo, V. (2019). Delivery of Psychological Interventions in the Gastroenterology Practice: Is It Time For New Paradigms to Define the Figure of the Psychogastroenterologist? Journal of Clinical Gastroenterology, 53, 701-702. 
 
Feingold, J., Murrary, H., & Keefer, L. (2019). Recent Advances in Cognitive Behavioral Therapy For Digestive Disorders and the Role of Applied Positive Psychology Across the Spectrum of GI Care. Journal of Clinical Gastroenterology, 53, 477-485.  
 
Riehl M. E. (2018). The Emerging Role of Brain-Gut Therapies for Irritable Bowel Syndrome. Gastroenterology & hepatology, 14(7), 436–438.
 
Bonnert, M., Ola Olen, M., Hedman-Lagerlof, E., Sarnholm, E., Serlachius, B., & Ljottson, B. (2019) Internet-Delivered Exposure-Based Cognitive-Behavioral Therapy for Adolescents With Functional Abdominal Pain or Functional Dyspepsia: A Feasibility Study. Behavior Therapy, 50(1), 177-188. 
 
Drossman, D. A. & Ruddy, J. (2019). Communication skills in disorders of gut-brain interaction. Neurogastroenterology LATAM Reviews 2, 1-14. 
 
Shimshoni, Y., & Lebowitz, E. R. (2020). Childhood ARFID: Review of Treatments and a Novel Parent-Based Approach. Journal of Cognitive Psychotherapy.
 
Thomas, J. J., Wons, O., & Eddy, K. (2018). Cognitive-behavioral treatment of avoidant/restrictive food intake disorder. Current opinion in psychiatry, 31(6), 425.

Credits
Non-Physician (Attendance) (18.00 hours), American Psychology Association (APA) Psychology Credits (18.00 hours), Association of Social Work Boards (ASWB) Social Work Credits (18.00 hours)

Faculty Photos
Julia Carmody, PhD
Attending Psychologist, Division of Gastroenterology, Hepatology, and Nutrition, Boston Children’s Hospital; Instructor in Psychology, Department of Psychiatry, Harvard Medical School
Faculty Photos
Ryan Davidson, PhD
Attending Psychologist, Department of Gastroenterology and Nutrition, Boston Children’s Hospital; Instructor in Psychology, Harvard Medical School
Laura Distel, PhD
Licensed Clinical Psychologist, Department of Gastroenterology and Nutrition, Boston Children’s Hospital
Faculty Photos
Amy Hale, PhD
Attending Psychologist, Department of Gastroenterology and Nutrition, Boston Children’s Hospital; Assistant Professor in Psychology, Harvard Medical School
Rebecca Kramer, Phd
Licensed Clinical Psychologist, Department of Gastroenterology and Nutrition, Boston Children’s Hospital
Faculty Photos
Samuel Nurko, MD
Director, Center for Motility and Functional Gastrointestinal Disorders; Director, Functional Abdominal Pain Program, Boston Children's Hospital; Professor of Pediatrics, Harvard Medical School
Faculty Photos
Julie Snyder, Psy.D.
Director of Psychology Services, Division of Gastroenterology, Hepatology and Nutrition, Boston Children’s Hospital; Assistant Professor in Psychology, Harvard Medical School
Manuela Villa, PhD
Licensed Clinical Psychologist, Department of Gastroenterology and Nutrition, Boston Children’s Hospital

Wednesday, February 1, 2023
Pre-Workshop Check-in/Log-in
7:45AM - 8:00AM
Welcome
8:00AM - 8:15AM
GI 101: Diagnoses, Physiology, and Treatment
8:15AM - 9:15AM
Break
9:15AM - 9:25AM
Introduction to GI Psychology – What Are We Treating?
9:25AM - 10:25AM
Break
10:25AM - 10:40AM
Explaining the Brain-Gut Connection: Language and Metaphors to Shape Treatment and Build the Alliance
10:40AM - 12:00PM
Lunch Break
12:00PM - 1:00PM
Assessment & Case Conceptualization
1:00PM - 2:15PM
Break
2:15PM - 2:25PM
Assessment & Case Conceptualization
2:25PM - 3:25PM
Q&A/Wrap Up
3:25PM - 3:35PM
Thursday, February 2, 2023
Assessment & Case Conceptualization for GI Disorders
8:00AM - 9:15AM
Break
9:15AM - 9:30AM
Assessment & Case Conceptualization for GI Disorders
9:30AM - 10:45AM
Break
10:45AM - 11:00AM
Feedback, Treatment Planning, and Implementation
11:00AM - 12:00PM
Lunch Break
12:00PM - 1:00PM
Implementing Interventions for GI Disorders
1:00PM - 2:00PM
Break
2:00PM - 2:15PM
Implementing Interventions for GI
2:15PM - 3:15PM
Q&A/Wrap Up
3:15PM - 3:45PM
Friday, February 3, 2023
Conceptualization, Diagnosis, and Treatment Planning for Comorbid Disorders
8:00AM - 9:30AM
Break
9:30AM - 9:40AM
Deeper Dive: Relaxation and Mindfulness Skills for Skeptical Adolescents and Young Adults
9:40AM - 10:40AM
Break
10:40AM - 10:50AM
Deeper Dive: Encopresis
10:50AM - 12:00PM
Lunch Break
12:00PM - 1:00PM
Deeper Dive: ARFID & Eating Disorders
1:00PM - 2:00PM
Managing Resistance to Treatment Recommendations
2:00PM - 3:10PM
Q&A/Wrap Up
3:10PM - 3:30PM

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