Scientific-Executive Records Professional Memberships Referees. A. Personal Information

Size: px
Start display at page:

Download "Scientific-Executive Records Professional Memberships Referees. A. Personal Information"

Transcription

1 In the name of God Seyed Mohammad Moosavi Department of psychiatry, Faculty of Medicine, MazandaranUniversity of Medical Sciences,Sari, IRAN CV (Curriculum Vitae) 16, Aug, 2017 Personal Information Education Academic Appointments Trainings Passed Publications Experience Research Projects Presentations Students Supervised Scientific-Executive Records Professional Memberships Referees Research points A Personal Information First Name: Seyyed Mohammad Last Name: Moosavi Date of Birth: 1962 Marital Status: Married,2 children Tel: Fax: smhdmoosavi@yahoocom mmosavi@mazumsacir Home Page: Under construction 1

2 B Education Degree Field Institution City Country Date MD / Specialist Psychiatr y Shahid Beheshti University of Medical science MSc / GP Medicine Shahid Beheshti University of Medical science Tehran Iran 1993 Tehran Iran 1985 C Academic Appointments Instructor in Psychiatry HUMS Assistant Prof of Psychiatry HUMS 2010-present Assistant Prof of Psychiatry MAZUMS D Trainings Passed Addiction Congress with Favour to family Health, IUMS, Tehran, Iran Approach to Execution Process & Compile Method of Educational Shahid Motahari congress, Zare Hosital, MAZUMS, Sari, Iran Approach to Body Language Signs & Effective Relation Techniques, MAZUMS, Sari, Iran Clinical Hypnosis and Related Sciences, The Second International Congress, MUMS, Mashhad, Iran Sleep disorder, MAZUMS, Sari, Iran CPR, Zare Hospital, MAZUMS, Sari, Iran Crisis Management, Zare Hospital, MAZUMS, Sari, Iran th Iranian Psychiatrists Congress, Iranian Psychiatrists Counsil, Tehran, Iran Virtual Education, MAZUMS, Sari, Iran th Country Conference of Medical Sciences Education & 5 th Educational Shahid Motahari Congress, MAZUMS, Sari, Iran Geriatrics Psychiatry, MAZUMS, Sari, Iran Personality Disorders, MAZUMS, Sari, Iran Psychoterapy & Diagnostics Scales, Medical Council, Tehran, Iran Geriatrics Psychiatry & Psychoterapy, Medical Council, Tehran, Iran 2

3 2011- Cognitive Disorders & Personality Disorders, Medical Council, Tehran, Iran Geriatrics Psychiatry & Psychoterapy, Medical Council, Tehran, Iran Introduction to Neurofeedback Course, Paarand Specialized Center for Human Enhancement 2011,9,100 hours,techniues of clinical hypnosis, Preofessional course,scientifc association of clinical hypnosis,tehran, Iran Geriatrics Psychiatry & Psychoterapy, Medical Council, Tehran, Iran 2010,9,Nicotine dependency abstinance,tabriz University of Medical Science, Iran 2010, 9, Medical information in internet, Medical Council,Tehran, Iran 2010,9,Influaze pandemi,medical science Journal, Tehran Iran 2010,9, 2 Days, National congress in food safety, MUMS,Sari,Iran E Publications & Articles Cognition of Schizophrenic Inpatients and Healthy Individuals: Casual- Comparative Study, 2017 Aripiprazol Versus Quetiapine in Treatment of Non-affective Acute Psychosis: A Double-Blind, Randomized - Controlled Clinical Trial, 2017 Evaluation of Health and Happiness of Mothers of Children with Sleep Disorders, 2017 A Single-Center, Randomized, Double-Blind,Placebo-Controlled Study on the Efficacy of Clonidine in Detoxification of Opioid Dependency, 2016 Cognition of Schizophrenic Inpatients and Healthy Individuals: Casual- Comparative Study Behavioral Problems in Offspring of Bipolar Mothers, 2015 Psychiatric Disorders and Amphetamine Dependency A Comparative Analytical Study, 2015 Treatment of Bruxism with Trihexiphenidyl, a Case Series, 2015 Psychiatric Disorders and Amphetamine Dependency A Comparative- Analytic Study 2015 The Relationship between Quality of Sleep and Geographical Directions during Sleeping Process 2015 Cessation of Exlusive Breastfeeding in Cesarean Section Mothers: Need More Attention

4 Comparison of Quetiapine and Risperidone in Treatmeant of Acute Psychosis: A Double-Blind,Randomized-Controlled Study 2015 Acute Dystonia of Citalopram Treatment: A Case Series 2014 Risperidone Versus Risperidone Plus Sodium Valproate for Treatment of Bipolar Disorders: A Randomized,Double-Blind Clinical-trial 2014 The Effects of 40 and 80 mg Hydro-alchoholic Extract of Crocus Sativus in the Treatment of Mild to Moderate Depression 2014 Evaluation of Occupational Factors on Continution of Breastfeeding and Formula initiation in Employed Mothers 2013 Comparison of the effect of honey and diphenhydramine on cough alleviation in 2-5-year-old children with viral upper respiratory tract infection 2013 Behavioral Disorder in children with major depressive mothers 2012 Comparison of antibody level in post hepatitis B vaccination in children with and months age 2012 A Comparative Survey on Children Behavior Problems from Obsessive- Compulsive and Healthy Mothers 2011 Epidemiology of Schizophrenia in Bandarabbass in 2009 Acute Onset Schizophrenia Without Premorbid Abnormalities in a 5 Years old girl:case Report 2011 Puberty age in girls, Bandar Abbas, Iran 2007 Personality & Heart Coronary arteries Diseases 2005 Pharmacokinetic Parameter of Lithium Carbonate Drug Manufactured in Iran 2002 Comparison of Cognitive distortions in patients with and without drug dependency 2001 Prevalence of depression among Bandar Abbas students aged F Experience & teaching Psychiatry topics to psychiatry assisstants, Zare Hospital, MUZUMS, Sari, Iran from Psychiatry topics to medical students, Zare Hospital, MUZUMS, Sari, Iran from Psychiatry topics to medical students, Medical College,MUZUMS, Sari, Iran from

5 Psychiatry topics to post graduate students of clinical Psychology in Azad Sari University, Sari, Iran (7 courses) Psychiatry topics to medical students in Ebnesina hospital, HUMS, BA, Iran from Psychiatry topics to medical students, Medical College, HUMS, BA, Iran from Psychiatry topics to students of Nursing & Midwifery, HUMS, BA, Iran (12 courses) Psychiatry topics to students of Hormozgan University, BA, Iran (2 courses) Psychiatry topics to students of Azad Hormozgan University, BA, Iran (2 courses) FII Clinical / Practical Visiting 600 In-patients Zare hospital Visiting 2000 In-patients Ebnesina hospital Visiting outparients in ebnesina hospital Visiting outpatients in private clinic G Research Projects 1/Comorbidity of obsessive comoulsive and major depressive disorder 2/effectiveness of fluoxetine and clomipramine in OCD patients 3/the prevalence of anxiety in high schools students 4/the relationship between personality and marital satisfaction 5/A descriptive survay in substance abuse in self refered centers 6/The prevalance of ADHD in medical students 7/The prevalence of sleep disorder in elementry school children 8/PTSD in patients admitted in burn unit 9/A comparative study in boys and girls IQ 10/A comparative study in prevalence of depressive disorder in employed and unemployed women 11/ The prevalence of pre menstural syndrome in high school girls 12/ The relationship among depression, anxiety and cigarrett smoking 13/The prevalence of depression in internet users 14The prevalence of anxiety disorder in hemodialysis patients 5

6 15/ A comparative study in clonidine and placebo effect in substance dependent patients 16/A coparative study of mental disorder in women with expected and unexpected pregnancy 17/A comparative study in the prevalence of depressive disorder 18/The relationship between personality and coronary heart disease 19/The prevalence of depressive disorder in high school boys and girls 20/Effect of psychosocial factors in depressin in military service personels 21/Puberty age in 9-13 years old girls 22/demographic and psychosocoal characters in suicidal attempt 23/The prevalence of antipsychotic tardive dyskinesia 24/The comparation of children in relative and unrelative parents family 25/The prevalence of depressive disorder in years old students 26/Anxiety and depression in drug dependent patients 27/Cognitive distortion in drug dependent and non drug dependent patients 28/The prevalence pf drug dependency in schizophrenic patients 29/Problem behavior survay in children with obsessive compulsive mothers 30/The relationship between sleep geographical direction with sleep quality 31/A comparison of 40 mg safron plus fluoxetine with 80 mg in mild to moderate depressive disorder patients 32/Comparissional evaluation of depression between internet users & unusers 33/Comparission of bupropion & placebo effect in nicotin dependency 34/Comparissional evaluation of psychological, somatic, demographic indexes in willed & unwilled pregnant women 35/ Comparison of Quetiapine and Risperidone in Treatmeant of Acute Psychosis 36/ Risperidone Versus Risperidone Plus Sodium Valproate for Treatment of Bipolar Disorders 37/ Determine the status of sexual function in patients with gender identity disorder, post- operative male to female sex reassignment surgery in patients referring to Mir damad surgery clinic in Tehran, / Growyh hormone evalluation in schizophrenic patients and comparison with healthy people, / Compare anxiety, depression, self- concept and creativity in families of people with type 1 bipolar disorder and normal individuals, / The Effectiveness of Combined Behavioral Couple Therapy Method on Improving Depression and Enhancing Couple's Responsibility at Gavaher Kalam Consulting Center,

7 41/ The Relationship between Maternal Parenting Styles and Emotional-Ethical Growth in Children 8 to 12 Years Old, / Comparison of thinking rumination, emotional and intolerance of uncertainty in mothers with mentally retarded children and mothers of normal children, / The Relationship between Emotional and Cognitive Distortions with Couple Sexual Satisfaction, 2016 H Presentations Conferences 2015, 9, Opium Use in Emergency Department, Yes on No, ASC2015, Tehran, Iran 2015, 5, Problem Behaviors in Children of Mothers with Bipolar Disorder, TUMS, Tehran, Iran 2015, 3, Correlation of Psychiatric Disorder and Amphetamine Dependency- A Comparative- Analytic Study, WCAP2015, Fukuoka, Japan 2015, Pre & Postmarriage Couple Relation Ability, Zare Hospital, Mazums, Sari, Iran 2014, The principal of Motivation Interview, Zare Hospital, Mazums, Sari, Iran 2014, Hypnotism in Addiction, Zare Hospital, Mazums, Sari, Iran 2014, Behavioral Disorder in Children with Nightmare, MAZUMS, Sari, Iran 2014, Sleep & Dreaming, MAZUMS, Sari, Iran 2014, 7, The Relationship between Quality of Sleep and Geographical Directions during Sleeping Process, WPA2014, Madrid, Spain 2014, 7, The Effects of 40 and 80 mg Hydro-alchoholic Extract of Crocus Sativus in the Treatment of Mild to Moderate Depression, WPA2014, Madrid, Spain 2012, Dementia & Alzeimer, MAZUMS, Sari, Iran 2012, Personality Disorders Treatments, MAZUMS, Sari, Iran 2011, Cognitive Behavioral Treatments( Sexual Disorders & Chronic Psychologic Disorders), MAZUMS, Sari, Iran 2011, Addiction Physiology, MAZUMS, Sari, Iran 2010, 7,psychiaty written program, HUMS, BA, Iran IStudents Supervised 7

8 Supervision of students in psychiatry J Scientific-Executive Records Psychiatric ward Head Manager 4, Zare Hospital, Mazums, Sari, Iran Sleep Disorder Seminar Scientific secretary, MAZUMS, Sari, Iran New Hospital Disipline project Supervisor, Zare Hospital, MAZUMS Sari, Iran Scientific Specialized Expert, Bandar Abbas Medical Council, Bandar Abbas, Iran Member of scientific committee of smoke & health congress Member of research council of medical college of Bandar Abbas Member of Scientific committee of Iranian child neurology seminar 2001-Responsible of addiction treatment programs in HUMS Principle of Ebne Sina psychiatry Hospital, HUMS, Bandar Abbas, Iran ( 8 years) Reliable Dooctor, Azad University, Bandar Abbas, Iran Medical Students Consulting, HUMS, Bandar Abbas, Iran Scientific consultant of mental health program Principle of Shahid Mohamadi Hospital, HUMS, Bandar Abbas, Iran ( 2 years) Psychiatry Head Manager Ward, Shahid Mohammadi Hospital, HUMS, Bandar Abbas, Iran Manager of psychiatric group K research points L Professional Memberships Member of Psychiatric Examination Commission for Compulsory military Service Member of Control Board ( New Discipline Plan for Hospital Managing) Member of Research Council, Psychiatry Research and Behavioral Sciences Center, MUZUMS Member of Hospital Control Board, Zare Hospital, MAZUMS Member of Triage Committee, Zare Hospital, MAZUMS Member of Patients Guide Committee, Zare Hospital, MAZUMS Member of reaserch committee of psychiatric department,muzums,sari, Iran Member of Iranian clinical hypnosis scientific association 8

9 Member of speciality psychiatry committee in legal medical administration in Hormozgan, Bandar Abbas Member of consultation center in Hormozgan University Principal member of Bandar Abbas medical council Member of student psychological committee Member of Vulnerable students comittee in medical college Member of chronic psychologic patients medical comittee Member of administrative upheaval committee in HUMS Manager of job classification committee in ebnesina hospital Member of planning comittee in HUMS Manager of Ebnesina Hospital Member of special items committee in HUMS Manager of Shahid Mohammadi Hospital Member of faculty members contraventions committee Member of scintific commitee of tobacco and health national congress Member of scintific committee of the first congress in health data managemen 9

Katayoon Razjouyan, M.D.

Katayoon Razjouyan, M.D. Katayoon Razjouyan, M.D. Personal Information General Female Email: k_razjouyan@sbmu.ac.ir Work Address: Shahid Madani street Imam Hossein Hospital Child Psychiatry Department Occupation Child and Adolescent

More information

Katayoon Razjouyan, M.D.

Katayoon Razjouyan, M.D. Katayoon Razjouyan, M.D. Personal Information General Female Email: k_razjouyan@sbmu.ac.ir Work Address: Shahid Madani street Imam Hossein Hospital Child Psychiatry Department Occupation Child and Adolescent

More information

CV Form. marzieh Nikparvar

CV Form. marzieh Nikparvar CV Form marzieh Nikparvar Assistant Professor, Department of Cardiology, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, IRAN CV (Curriculum Vitae) Last updated nov, 2013 1

More information

Curriculum Vitae. Personal History Date: Name: Alireza Farnam. Age: 42. Marital status: Married, with two children.

Curriculum Vitae. Personal History Date: Name: Alireza Farnam. Age: 42. Marital status: Married, with two children. Personal History Date: 2010-01 Curriculum Vitae Name: Alireza Farnam Age: 42 Marital status: Married, with two children. Address: Department of Psychiatry, Razi Hospital, Elgoli road,, east Azerbaijan,

More information

ASSOCIATE PROFESSOR OF PSYCHIATRY (S.B.U.M.S.H.S.)

ASSOCIATE PROFESSOR OF PSYCHIATRY (S.B.U.M.S.H.S.) CURRICULUM VITAE NAME: ALIREZA FAMILY NAME: ZAHIRODDIN NATIONALITY: IRANIAN DATE OF BIRTH: 19-09-1958 PLAE OF BIRTH: SHAR-REY, TEHRAN IRAN PASSPORT NO: VISA: MARITAL STAUTS: MALE,MARRIED CHILDREN: THREE

More information

CHILD & ADOLESCENT PSYCHIATRY ALERTS, VOLUME XIV, 2012 INDEX

CHILD & ADOLESCENT PSYCHIATRY ALERTS, VOLUME XIV, 2012 INDEX A Adderall Counterfeit, 31 addiction, internet CBT, 55 ADHD Adjunctive Guanfacine, 11 Counterfeit Adderall, 31 Developmental Trajectory and Risk Factors, 5 Dopamine Transporter Alterations, 14 Extended-Release

More information

Academic Qualifications

Academic Qualifications Vitae Dr. Nooshin Parvaresh Office address : Shahid Beheshti Hospital, Kerman, IRAN Office Phone : 98 341 2116328 Mobile : 98 913 341 5627 E-mail : n _ parvaresh @ yahoo.com Personal Details Surname :

More information

West Virginia University School of Medicine, Morgantown, West Virginia

West Virginia University School of Medicine, Morgantown, West Virginia MARY CARROLL SHEMO, M.D., D.F.A.P.A. CURRICULUM VITAE Psychiatric Alliance of the Blue Ridge Office: (434) 984-6777 First Floor, Old Ivy Commons, 2496 Old Ivy Road, Suite 400 Fax: (434) 296-1412 22903-4895

More information

CHILD & ADOLESCENT PSYCHIATRY ALERTS, VOLUME XV, 2013 INDEX

CHILD & ADOLESCENT PSYCHIATRY ALERTS, VOLUME XV, 2013 INDEX A acceptance and commitment therapy Posttraumatic Stress, 69 ADHD Adjunctive Fatty Acids, 5 Adjunctive Guanfacine Pharmacokinetics, 27 Amantadine, 21 Atomoxetine, 23 Cancer Risk, 31 CBT for Comorbid Anxiety,

More information

WPA template for undergraduate and graduate psychiatric education

WPA template for undergraduate and graduate psychiatric education WPA template for undergraduate and graduate psychiatric education V. Graduate education: a competency based approach All the competencies elucidated for medical students are relevant to training and educating

More information

CURRICULUM VITAE. National Board Certification in Pediatric Neurology, 2008

CURRICULUM VITAE. National Board Certification in Pediatric Neurology, 2008 CURRICULUM VITAE Sepideh Amouian: Child Neurologist, MD, First rank of Iranian National Board Certification in Pediatric Neurology, 2008 PERSONAL INFORMATION Name: Sepideh Amouian Sex: Female Date of birth:

More information

Evergreen Behavioral Health Psychiatric Intake Form. Name: Date: Date of Birth:!

Evergreen Behavioral Health Psychiatric Intake Form. Name: Date: Date of Birth:! Name: Date: Date of Birth: NOTE: Please also fill out the standard Evergreen Behavioral Health Adult Client Information form to accompany this one if you have not yet done so. Please also bring in recent

More information

Curriculum Vitae, Corinna A. Gamez, M.D.

Curriculum Vitae, Corinna A. Gamez, M.D. CONTACT INFORMATION: Site Selection and Information: Bobbie Theodore, Alliance Director Tel. (916) 939-6696 Fax (208) 575-3169 Email: clinicaltrials@alliancesites.com AFFILIATIONS: Collaborative Neuroscience

More information

MODEL PSYCHOPHARMACOLOGY CURRICULUM

MODEL PSYCHOPHARMACOLOGY CURRICULUM Third Edition MODEL PSYCHOPHARMACOLOGY CURRICULUM For Psychiatric Residency Programs, Training Directors and Teachers of Psychopharmacology VOLUME I By A Committee of the American Society of Clinical Psychopharmacology

More information

Child/ Adolescent Questionnaire

Child/ Adolescent Questionnaire Oconee Center for Behavioral Health 1360 Caduceus Way Building 400, Suite 102 Tel 706-286-8442 Fax 706-310-6907 Child/ Adolescent Questionnaire Patient s Name: Date of Birth: / / Patient s Birthplace:

More information

Pediatric Psychopharmacology

Pediatric Psychopharmacology Pediatric Psychopharmacology General issues to consider. Pharmacokinetic differences Availability of Clinical Data Psychiatric Disorders can be common in childhood. Early intervention may prevent disorders

More information

Curriculum Vitae. Personal Information. In the name of God. First name: Zahra Last name: Shams Mofarahe

Curriculum Vitae. Personal Information. In the name of God. First name: Zahra Last name: Shams Mofarahe In the name of God Curriculum Vitae Personal Information First name: Zahra Last name: Shams Mofarahe Status: Assistant Professor of Department Biology and Anatomical Sciences Gender: Female Marital status:

More information

Mood Disorders and Addictions: A shared biology?

Mood Disorders and Addictions: A shared biology? Mood Disorders and Addictions: A shared biology? Dr. Paul Stokes Clinical Senior Lecturer, Centre for Affective Disorders, Department of Psychological Medicine Disclosures No relevant disclosures: No paid

More information

HD CLINIC MEDICAL HISTORY FORM

HD CLINIC MEDICAL HISTORY FORM HD CLINIC MEDICAL HISTORY FORM Welcome to the HDSA Center of Excellence HD Clinic. Please take a few moments to answer the questions below as best as you can. If you need assistance, a caregiver/companion

More information

Sandy Matthew Krohn, Psy.D 80 8 th Avenue, Suite 709 New York, New York

Sandy Matthew Krohn, Psy.D 80 8 th Avenue, Suite 709 New York, New York EDUCATION September 2004 May 2009 September 2003 May 2004 September 1998 May 2002 December 2000 April 2000 CLINICAL EXPERIENCE Fall 2010 Present Sandy Matthew Krohn, Psy.D 80 8 th Avenue, Suite 709 10011

More information

PRESCRIBING GUIDELINES

PRESCRIBING GUIDELINES The Maudsley The South London and Maudsley NHS Foundation Trust & Oxleas NHS Foundation Trust PRESCRIBING GUIDELINES 10th Edition David Taylor Carol Paton Shitij Kapur informa healthcare Contents Authors

More information

Performance of Initiating Q South London and Maudsley NHS Foundation Trust:

Performance of Initiating Q South London and Maudsley NHS Foundation Trust: 16/LO/1102 177307 The Role of Nitric Oxide in Cognition in Schizophrenia: the NOC study 06/03/2017 22/04/2016 15/08/2016 15/08/2016 08/09/2016 08/09/2016 08/09/2016 Neither 16/LO/1299 200774 The development

More information

PSYCHIATRY INTAKE FORM

PSYCHIATRY INTAKE FORM Please complete all information on this form. PSYCHIATRY INTAKE FORM Name Date Date of Birth Primary Care Physician Current Therapist/Counselor What are the problem(s) for which you are seeking help? 1.

More information

The Relationship between Mental Health and Internet Addiction

The Relationship between Mental Health and Internet Addiction EUROPEAN ACADEMIC RESEARCH Vol. II, Issue 6/ September 2014 ISSN 2286-4822 www.euacademic.org Impact Factor: 3.1 (UIF) DRJI Value: 5.9 (B+) The Relationship between Mental Health and HAMID REZA MIRSHEKARI

More information

Project TEACH Addressing Tobacco Treatment for Pregnant Women Jan Blalock, Ph.D.

Project TEACH Addressing Tobacco Treatment for Pregnant Women Jan Blalock, Ph.D. Project TEACH Addressing Tobacco Treatment for Pregnant Women Jan Blalock, Ph.D. Prevalence of Smoking and Cessation During Pregnancy In 2014, 14% in women with Medicaid coverage versus 3.6% of women with

More information

Curriculum Vitae, Carmen Zegarra, M.D. Carmen Zegarra, M.D. FutureSearch Clinical Trials, L.P Parkcrest Drive, Suite 300 Austin, TX 78731

Curriculum Vitae, Carmen Zegarra, M.D. Carmen Zegarra, M.D. FutureSearch Clinical Trials, L.P Parkcrest Drive, Suite 300 Austin, TX 78731 CONTACT INFORMATION: Site Selection and Information: Bobbie Theodore, Site Liaison Tel. (916) 939-6696 Fax (208) 575-3169 Email: clinicaltrials@alliancesites.com AFFILIATIONS: Carmen Zegarra, M.D. FutureSearch

More information

Medication Management. Dr Ajith Weeraman MBBS, MD (Psychiatry), FRANZCP Consultant Psychiatrist Epworth Clinic Camberwell 14 th March 2015

Medication Management. Dr Ajith Weeraman MBBS, MD (Psychiatry), FRANZCP Consultant Psychiatrist Epworth Clinic Camberwell 14 th March 2015 Medication Management Dr Ajith Weeraman MBBS, MD (Psychiatry), FRANZCP Consultant Psychiatrist Epworth Clinic Camberwell 14 th March 2015 1 Medication Management Objectives: 1. Principles of psycho-pharmacology

More information

SYLLABUS FOR THE PSYCHIATRY CLERKSHIP **FOR PA STUDENTS**

SYLLABUS FOR THE PSYCHIATRY CLERKSHIP **FOR PA STUDENTS** SYLLABUS FOR THE PSYCHIATRY CLERKSHIP **FOR PA STUDENTS** I. LEARNING OBJECTIVES (9/28/2015) At the completion of the Psychiatry Clerkship, students should be able to demonstrate mastery of the following

More information

Priory Hospital Ticehurst House

Priory Hospital Ticehurst House stands within 48 acres of beautiful landscaped gardens in Ticehurst, a small village in East Sussex. Set in a calm and tranquil area, the safe and supportive environment offers a comprehensive inpatient

More information

Index. Note: Page numbers of article titles are in boldface type. A ADHD. See Attention-deficit/hyperactivity disorder (ADHD) b-adrenergic blockers

Index. Note: Page numbers of article titles are in boldface type. A ADHD. See Attention-deficit/hyperactivity disorder (ADHD) b-adrenergic blockers Note: Page numbers of article titles are in boldface type. A ADHD. See Attention-deficit/hyperactivity disorder (ADHD) a-adrenergic blockers for PTSD, 798 b-adrenergic blockers for PTSD, 798 Adrenergic

More information

SANDSTONE PSYCHOLOGICAL PRACTICE

SANDSTONE PSYCHOLOGICAL PRACTICE SANDSTONE PSYCHOLOGICAL PRACTICE Christina L. Aranda, Ph.D. & Janell M. Mihelic, Ph.D. CONTACT INFORMATION New Client Questionnaire Name: Date: Date of Birth: Age: _ Address: Preferred Phone Number: Type:

More information

Brief Notes on the Mental Health of Children and Adolescents

Brief Notes on the Mental Health of Children and Adolescents Brief Notes on the Mental Health of Children and Adolescents The future of our country depends on the mental health and strength of our young people. However, many children have mental health problems

More information

REFERRAL FORM FOR ADMISSION TO HOMEWOOD HEALTH CENTRE

REFERRAL FORM FOR ADMISSION TO HOMEWOOD HEALTH CENTRE Date of Referral: REFERRAL FORM FOR ADMISSION TO HOMEWOOD HEALTH CENTRE PATIENT INFORMATION Patient Name: Date of Birth (YYYY-MM-DD): E-mail Business/Mobile Phone: Gender: Health Card #: Version Code:

More information

CANNABIS AND CANNABINOIDS: 2017 REPORT, U.S. NATIONAL ACADEMIES OF SCIENCES, ENGINEERING AND MEDICINE

CANNABIS AND CANNABINOIDS: 2017 REPORT, U.S. NATIONAL ACADEMIES OF SCIENCES, ENGINEERING AND MEDICINE 1 CANNABIS AND CANNABINOIDS: 2017 REPORT, U.S. NATIONAL ACADEMIES OF SCIENCES, ENGINEERING AND MEDICINE The Health Effects of Cannabis and Cannabinoids. The Current State of Evidence and Recommendations

More information

Unit 1. Behavioral Health Course. ICD-10-CM Specialized Coding Training. For Local Health Departments and Rural Health

Unit 1. Behavioral Health Course. ICD-10-CM Specialized Coding Training. For Local Health Departments and Rural Health ICD-10-CM Specialized Coding Training http://publichealth.nc.gov/lhd/icd10/training.htm Behavioral Health Course For Local Health Departments and Rural Health Unit 1 1 Behavioral Health Training Objectives

More information

Child and Adolescent Psychiatry Trends. ADAMHS Board - 28 Oct 2014

Child and Adolescent Psychiatry Trends. ADAMHS Board - 28 Oct 2014 Child and Adolescent Psychiatry Trends ADAMHS Board - 28 Oct 2014 Current Need for Child and Adolescent Psychiatrists There are currently approximately 7400 Child and Adolescent Psychiatrists in Practice

More information

Basic Standards for Residency/Fellowship Training in Geriatric Psychiatry

Basic Standards for Residency/Fellowship Training in Geriatric Psychiatry Basic Standards for Residency/Fellowship Training in Geriatric Psychiatry American Osteopathic Association and American College of Osteopathic Neurologists and Psychiatrists Approved 2/2005 Revised 2/2008,

More information

BRIGHAM AND WOMEN S FAULKNER HOSPITAL ADULT INPATIENT PSYCHIATRY ADVANCED PRACTICUM TRAINING PROGRAM

BRIGHAM AND WOMEN S FAULKNER HOSPITAL ADULT INPATIENT PSYCHIATRY ADVANCED PRACTICUM TRAINING PROGRAM BRIGHAM AND WOMEN S FAULKNER HOSPITAL ADULT INPATIENT PSYCHIATRY ADVANCED PRACTICUM TRAINING PROGRAM 2019-2020 Christopher AhnAllen, Ph.D. Director of Inpatient Psychology and Psychology Education 1153

More information

Psychiatric and Behavioral Symptoms in Alzheimer s and Other Dementias. Aaron H. Kaufman, MD

Psychiatric and Behavioral Symptoms in Alzheimer s and Other Dementias. Aaron H. Kaufman, MD Psychiatric and Behavioral Symptoms in Alzheimer s and Other Dementias Aaron H. Kaufman, MD Psychiatric and Behavioral Symptoms in Alzheimer s and Other Dementias Aaron H. Kaufman, M.D. Health Sciences

More information

Perinatal Mental Health

Perinatal Mental Health Perinatal Mental Health Dr. Tara Lawn Consultant Psychiatrist Sasha Singh Modern Matron Dr Sarah Jones ST5 Perinatal Mental Health at E9 City & Hackney Centre for Mental Health What is Perinatal Psychiatry?

More information

The Maudsley Prescribing Guidelines in

The Maudsley Prescribing Guidelines in The Maudsley Prescribing Guidelines in 11th Edition David Taylor Director of Pharmacy and Pathology South London and Maudsley NHS Foundation Trust; Professor King's College London, London, UK Paton Chief

More information

Psychiatric Evaluation Intake Form

Psychiatric Evaluation Intake Form Psychiatric Evaluation Intake Form Patient Contact Information Patient Name: Date of Birth: Age: Last First MI Address: Contact phone number: Email address: Emergency Contact/Number/Relationship: Primary

More information

Summer Volunteer Internship at Connecticut Mental Health Center

Summer Volunteer Internship at Connecticut Mental Health Center Summer Volunteer Internship at Connecticut Mental Health Center The Connecticut Mental Health Center (CMHC) is a unique and vibrant community mental health facility operating in an urban environment within

More information

Performance of Initiating Q South London and Maudsley NHS Foundation Trust:

Performance of Initiating Q South London and Maudsley NHS Foundation Trust: By of First 16/LO/1439 212222 16/EE/0318 201898 16/LO/0873 193362 16/EE/0233 188916 16/LO/1862 206680 A pilot study of two sessions responsibility intervention for auditory hallucinations A randomised

More information

DR HORACIO MARCELO WATMAN

DR HORACIO MARCELO WATMAN DR HORACIO MARCELO WATMAN Born July 30 th 1961 in Buenos Aires, Argentine. Nationality: Argentinian and Italian (dual nationality) Address: Rambla Exposición 894ta 1ra City of residence and private practice:

More information

Manual of Clinical Psychopharmacology

Manual of Clinical Psychopharmacology Manual of Clinical Psychopharmacology Fourth Edition Alan F. Schatzberg, M.D. Kenneth T. Norris, Jr., Professor and Chairman, Department of Psychiatry and Behavioral Sciences, Stanford University School

More information

Medication management of anxiety & depression. Dr Katie Simpson GP Mental health lead East Berks CCG

Medication management of anxiety & depression. Dr Katie Simpson GP Mental health lead East Berks CCG Medication management of anxiety & depression Dr Katie impson GP Mental health lead East Berks CCG NICE guidelines for Anxiety tepped Care RIs and NRIs in Anxiety disorders RI ertraline Citalopram Fluoxetine

More information

More about The Zucker Hillside Hospital

More about The Zucker Hillside Hospital More about The Zucker Hillside Hospital Inpatient Service The Zucker Hillside Hospital's 228-bed Inpatient Service is divided into general and specialty units. There are approximately 3,800 admissions

More information

HamAva Institute, Tehran Iran

HamAva Institute, Tehran Iran Curriculum Vitae Nahaleh Moshtagh, Ph.D. HamAva Institute, Tehran Iran Nahaleh.Moshtagh@gmail.com Tel: Mobile: 0912-13 13 271, Ham Ava Institute: 98-21-22 6000 2 EDUCATION Ph.D. (Clinical Psychology),

More information

Medications for Anxiety & Behavior in Williams Syndrome. Disclosure of Potential Conflicts. None 9/22/2016. Evaluation

Medications for Anxiety & Behavior in Williams Syndrome. Disclosure of Potential Conflicts. None 9/22/2016. Evaluation Medications for Anxiety & Behavior in Williams Syndrome Christopher J. McDougle, M.D. Director, Lurie Center for Autism Professor of Psychiatry and Pediatrics Massachusetts General Hospital and MassGeneral

More information

CERTIFICATION EXAMINATION IN CHILD AND ADOLESCENT PSYCHIATRY Content Blueprint (October 17, 2018)

CERTIFICATION EXAMINATION IN CHILD AND ADOLESCENT PSYCHIATRY Content Blueprint (October 17, 2018) CERTIFICATION EXAMINATION IN CHILD AND ADOLESCENT PSYCHIATRY 2019 Content Blueprint (October 17, 2018) Number of questions: 280 1. Development 13 17% 2. Biological and clinical science 13 17% 3. Psychopathology/Classification

More information

Things You Might Not Know About Psychotropic Medications But Wish You Did

Things You Might Not Know About Psychotropic Medications But Wish You Did Things You Might Not Know About Psychotropic Medications But Wish You Did John E. Dunne, MD December 3, 2016 PAL Conference Conflicts of Interest None to report I am employed by Seattle Children s and

More information

PERSONAL HISTORY QUESTIONNAIRE

PERSONAL HISTORY QUESTIONNAIRE PERSONAL HISTORY QUESTIONNAIRE Here are several pages of questions that we want you to answer about yourself. Please answer them to the best of your ability, as completely and honestly as you can. Completing

More information

Mental Health Rotation Educational Goals & Objectives

Mental Health Rotation Educational Goals & Objectives Mental Health Rotation Educational Goals & Objectives Mental illness is prevalent in the general population and is commonly seen and treated in the office of the primary care provider. Educational experiences

More information

Client Information Form

Client Information Form Client Information Form General Information Date: Name: Date of Birth: Age: Current Address: Home Phone: Cell Phone: Best number and time to reach you directly: Can I leave a message at either or both

More information

8/22/2016. Contemporary Psychiatric-Mental Health Nursing Third Edition. Theories: Anxiety Disorders. Theories: Anxiety Disorders (cont'd)

8/22/2016. Contemporary Psychiatric-Mental Health Nursing Third Edition. Theories: Anxiety Disorders. Theories: Anxiety Disorders (cont'd) Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 18 Anxiety Disorders Theories: Anxiety Disorders Biological changes in the brain Noradrenergic system is sensitive to norepinephrine;

More information

Denise L. Newman, Ph.D.

Denise L. Newman, Ph.D. Denise L. Newman, Ph.D. Clinical and Developmental Psychologist ADULT HISTORY NAME: TODAY S DATE: BIRTH DATE: AGE: GENDER: (circle) Male Female Other MARITAL STATUS: ETHNICITY: HOME ADDRESS: EMAIL ADDRESS:

More information

Supplementary Online Content

Supplementary Online Content Supplementary Online Content Huybrechts KF, Hernández-Díaz S, Patorno E, et al. Antipsychotic use in pregnancy and the risk for congenital malformations. JAMA Psychiatry. Published online August 17, 2016.

More information

Postpartum Depression Screening

Postpartum Depression Screening Postpartum Depression Screening October 13, 2018 Deborah CowleyMD Psychiatrist Perinatal Consultant University of Washington Disclosures Perinatal Psychiatry Consultation Line/PAL for Moms UW Perinatal

More information

SHARED CARE GUIDELINE

SHARED CARE GUIDELINE SHARED CARE GUIDELINE Shared Care Guideline for the treatment of Tourette s Syndrome and other tic disorders in children and adolescents. Scope: Version: Pennine Care NHS Foundation Trust NHS Bury NHS

More information

Jennifer M. Lytle, M.D., M.P.H. Clinical Trials of the Rockies 3955 E. Exposition Avenue, Suite 100 Denver, CO Tel.

Jennifer M. Lytle, M.D., M.P.H. Clinical Trials of the Rockies 3955 E. Exposition Avenue, Suite 100 Denver, CO Tel. CONTACT INFORMATION: Site Selection and Information: Bobbie Theodore, Site Liaison Tel. (916) 939-6696 Fax (208) 575-3169 Email: clinicaltrials@alliancesites.com EDUCATION: Jennifer M. Lytle, M.D., M.P.H.

More information

Curriculum Vitae, Corinna Alisangco Gamez, M.D. Corinna Alisangco Gamez, M.D. Pacific Research Partners, LLC. 901 Clay Street Oakland, CA 94607

Curriculum Vitae, Corinna Alisangco Gamez, M.D. Corinna Alisangco Gamez, M.D. Pacific Research Partners, LLC. 901 Clay Street Oakland, CA 94607 CONTACT INFORMATION: Site Selection and Information: Bobbie Theodore, Alliance Director Tel. (916) 939-6696 Fax (208) 575-3169 Email: clinicaltrials@alliancesites.com AFFILIATIONS: Collaborative Neuroscience

More information

EDUCATION: 2009 M.A., Azusa Pacific University, Azusa, California (APA Accredited) Master of Arts in Clinical Psychology

EDUCATION: 2009 M.A., Azusa Pacific University, Azusa, California (APA Accredited) Master of Arts in Clinical Psychology Jennifer McWaters, Psy.D. Clinical Psychologist, PSY26521 5055 North Harbor Drive Suite 320, San Diego, CA 92106 Phone 619-275-2286 Fax 619-955-5696 Jen@TherapyChanges.com EDUCATION: 2012 Psy.D., Azusa

More information

9/16/2016. I would feel comfortable dispensing/prescribing varenicline to a patient with a mental health disorder. Learning Objectives

9/16/2016. I would feel comfortable dispensing/prescribing varenicline to a patient with a mental health disorder. Learning Objectives The Smoking Gun: for Smoking Cessation in Patients with Mental Health Disorders BRENDON HOGAN, PHARMD PGY2 PSYCHIATRIC PHARMACY RESIDENT CTVHCS, TEMPLE, TX 09/23/2016 I would feel comfortable dispensing/prescribing

More information

Provider Specialty Profile

Provider Specialty Profile This profile was created to capture specific information that will allow us to improve our referral process by closely matching member needs with provider services. Please note that incomplete information

More information

CIRCULAR 58 OF 2018 : BENEFIT DEFINITION SUBMISSIONS FOR SCHIZOPHRENIA, BIPOLAR MOOD DISORDER AND MENTAL HEALTH EMERGENCIES

CIRCULAR 58 OF 2018 : BENEFIT DEFINITION SUBMISSIONS FOR SCHIZOPHRENIA, BIPOLAR MOOD DISORDER AND MENTAL HEALTH EMERGENCIES CIRCULAR Reference: Contact person: Mental Health PMB conditions Esnath Maramba Tel: 012 431 0507 Fax: 086 678 3598 E-mail: pmbprojects@medicalschemes.com Date: 13 December 2018 CIRCULAR 58 OF 2018 : BENEFIT

More information

Fellowship Program Director: Dr. Annette Granich

Fellowship Program Director: Dr. Annette Granich Consultation-Liaison Psychiatry Fellowship Name of institution: McGill University Health Center Type of Fellowship: Consultation-Liaison Psychiatry Number of fellowship positions requested: 1-2 Duration

More information

International Childbirth Education Association. Postpartum Doula Program

International Childbirth Education Association. Postpartum Doula Program International Childbirth Education Association Postpartum Doula Program Part 3: Postpartum Emotions Objective: Describe the range of possible postpartum emotions. List two factors that affect postpartum

More information

Course Title: 2012 Psychiatry CME To Go Audio Lecture Series

Course Title: 2012 Psychiatry CME To Go Audio Lecture Series American Physician Institute for Advanced Professional Studies, LLC Course Title: 2012 Psychiatry CME To Go Audio Lecture Series Intended Audience: Psychiatrists CME Accreditation and Designation Statement

More information

Dr. Jafar Shahamfar PhD Faculty member of community Medicine Name : (As stated in passport): Date of Birth : Place of Birth :

Dr. Jafar Shahamfar PhD Faculty member of community Medicine Name : (As stated in passport): Date of Birth : Place of Birth : Dr. Jafar Shahamfar PhD Faculty member of community Medicine Name : (As stated in passport): Jafar Shamafar Date of Birth : 15.4.1952 Place of Birth : TABRIZ Nationality : Iranian National IS : 370 Marital

More information

GOALS FOR THE PSCYHIATRY CLERKSHIP

GOALS FOR THE PSCYHIATRY CLERKSHIP GOALS FOR THE PSCYHIATRY CLERKSHIP GOALS - The aim of the core psychiatry clerkship is to expose students to patients with mental illness and to prepare them to provide psychiatric care at a basic level.

More information

Lone Star College-Tomball Community Library Tomball Parkway Tomball, TX

Lone Star College-Tomball Community Library Tomball Parkway Tomball, TX Lone Star College-Tomball Community Library 30555 Tomball Parkway Tomball, TX 77375 http://www.lonestar.edu/library.htm 832-559-4211 PSYCHOLOGY ELECTRONIC JOURNAL LIST Scholarly Electronic Journals The

More information

Identifying and Treating Anxiety Disorders

Identifying and Treating Anxiety Disorders June 2015 NEWS Identifying and Treating Anxiety Disorders From being afraid of the dark to getting nervous before major exams, some anxiety is a normal part of childhood and adolescence. But when worries

More information

Psychiatric Evaluation Intake Form

Psychiatric Evaluation Intake Form Patient Contact Information Psychiatric Evaluation Intake Form Patient Name: Date of Birth: Age: Last First MI Address: Contact phone number: Email address: Emergency Contact/Number/Relationship: Primary

More information

Iranian Psychiatric Association Report Ahmad Jalili Zone 15

Iranian Psychiatric Association Report Ahmad Jalili Zone 15 Activities: Iranian Psychiatric Association Report Ahmad Jalili Zone 15 August 2011 2011 / OGA / 4.1.3 (15) 1) Annual meeting of the Iranian Psychiatric Association: - Annual congress of IPA, November

More information

Contemporary Psychiatric-Mental Health Nursing Third Edition. Theories: Anxiety Disorders. Theories: Anxiety Disorders (cont'd) 10/2/2014

Contemporary Psychiatric-Mental Health Nursing Third Edition. Theories: Anxiety Disorders. Theories: Anxiety Disorders (cont'd) 10/2/2014 Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 18 Anxiety Disorders Theories: Anxiety Disorders Biological changes in the brain Neurotransmitters are associated with anxiety. low

More information

Course Catalog. Early Intervention, Treatment, and Management of Substance Use Disorders

Course Catalog. Early Intervention, Treatment, and Management of Substance Use Disorders Course Catalog To take a course, visit our website at https://www.mindfulceus.com - You can link directly to a course by visiting https://www.mindfulceus.com/course/id where ID is the ID number listed

More information

Provider Specialty Profile

Provider Specialty Profile This profile was created to capture specific information that will allow us to improve our referral process by closely matching member needs with provider services. Please note that incomplete information

More information

Nathan Driskell, MA, LPC, NCC

Nathan Driskell, MA, LPC, NCC Nathan Driskell, MA, LPC, NCC https://nathandriskell.com New Client Questionnaire/Psychosocial History (To be completed by the client) Please complete this form to the extent that you feel comfortable.

More information

The Cornell Peripartum Psychosis Management Tool

The Cornell Peripartum Psychosis Management Tool The Cornell Peripartum Psychosis Management Tool Benjamin Brody, MD Assistant Professor of Clinical Psychiatry Weill Cornell Medical College Chief, Division of Inpatient Psychiatry Weill Cornell Medical

More information

Lecture Outline Signs and symptoms in psychiatry Adjustment Disorders Other conditions that may be a focus of clinical attention

Lecture Outline Signs and symptoms in psychiatry Adjustment Disorders Other conditions that may be a focus of clinical attention V Codes & Adjustment Disorders Cornelia Pinnell, Ph.D. Argosy University/Phoenix Lecture Outline Signs and symptoms in psychiatry Adjustment Disorders Other conditions that may be a focus of clinical attention

More information

New Patient Questionnaire

New Patient Questionnaire 4 Embarcadero Center, Suite 1400, San Francisco, CA 94111 (415) 926-7774 phone; (415) 591-7760 office@sanfranciscopsych.com New Patient Questionnaire Thank you for trusting San Francisco Psychiatry with

More information

Ohio Psychotropic Medication Quality Improvement Collaborative. Minds Matter. Toolkit. for You and Your Family. This is the property of

Ohio Psychotropic Medication Quality Improvement Collaborative. Minds Matter. Toolkit. for You and Your Family. This is the property of Minds Matter Ohio Psychotropic Medication Quality Improvement Collaborative Minds Matter Toolkit for You and Your Family This is the property of About Minds Matter Minds Matter is a project to help teens,

More information

New Patient Questionnaire

New Patient Questionnaire New Patient Questionnaire Date of appointment (MM/DD/YYY): Name (Last, First, MI): Previous Names: DOB (MM/DD/YYY): Phone: Cell: Email: May we email you with sensitive information, such as test results?

More information

Preferred Practice Guidelines Bipolar Disorder in Children and Adolescents

Preferred Practice Guidelines Bipolar Disorder in Children and Adolescents BadgerCare Plus Preferred Practice Guidelines Bipolar Disorder in Children and Adolescents These Guidelines are based in part on the following: American Academy of Child and Adolescent Psychiatry s Practice

More information

Curriculum Vitae. 1. Home: Nom:17,Borzoo,Asef,Zafaranieh, Valiasr, Tehran, Iran Tel: +98(21)

Curriculum Vitae. 1. Home: Nom:17,Borzoo,Asef,Zafaranieh, Valiasr, Tehran, Iran Tel: +98(21) Curriculum Vitae First name: sedigheh Surname: soheilikhah Date of Birth:19/02/1964 Place of Birth: Yazd, Iran Qualification: Medical Doctor (Internist and Endocrinologist) Nationality: Iranian Marital

More information

Prescribing medications for people with a personality disorder A service evaluation of a community mental health team

Prescribing medications for people with a personality disorder A service evaluation of a community mental health team Prescribing medications for people with a personality disorder A service evaluation of a community mental health team Dr Umama Khan, Consultant Psychiatrist Dr Venkatesh Ballagere, Specialist Registrar

More information

Margaret Oates Maternal Mental Health and Liaison Mental Health

Margaret Oates Maternal Mental Health and Liaison Mental Health Margaret Oates 26.02.16 Maternal Mental Health and Liaison Mental Health Most acute hospitals have Maternity Units Most maternity units do not have specific specialised perinatal mental health services

More information

CURRICULUM VITAE JULIA M READE

CURRICULUM VITAE JULIA M READE CURRICULUM VITAE Name: JULIA M READE Office Address: 321 Walnut Street Newtonville, MA 02460 Phone: (617) 552-5131 Email: juliareade@gmail.com Fax: (617) 552-5131 Education: 1978 B.A. (Intellectual History),

More information

Wednesday, June 3, 2015

Wednesday, June 3, 2015 Wednesday, June 3, 2015 Osaka International Convention Center RIHGA Royal Hotel Osaka Bld. 10F 12F 8F 11F 3F 2F l. J K L M N Poster Room O P Q R Room 1009 Conference Hall 1202 801+802 1101+1102 Hall B-D

More information

Curriculum Vitae, Lara Goenjian Shirikjian, D.O. Lara Goenjian Shirikjian, D.O. Collaborative Neuroscience Network, LLC

Curriculum Vitae, Lara Goenjian Shirikjian, D.O. Lara Goenjian Shirikjian, D.O. Collaborative Neuroscience Network, LLC CONTACT INFORMATION: Site Selection and Information: Bobbie Theodore, Alliance Director Tel. (916) 939-6696 Fax (208) 575-3169 Email: clinicaltrials@alliancesites.com AFFILIATIONS: Collaborative Neuroscience

More information

ADULT PATIENT AND FAMILY INFORMATION FORM

ADULT PATIENT AND FAMILY INFORMATION FORM Psychiatry and Behavioral Health at ADULT PATIENT AND FAMILY INFORMATION FORM IDENTIFYING INFORMATION Date Completed: Name: Cell Phone: Date of Birth: Gender: Work Phone: Home Phone: Employer: Marital

More information

The Study of Self-mutilation in Patients with Psychiatric Disorders Admitted to the Lavasani Hospital in

The Study of Self-mutilation in Patients with Psychiatric Disorders Admitted to the Lavasani Hospital in Canon Journal Of Medicine www.canonjm.com DOI 10.30477/CJM.2019.81755 Original Article The Study of Self-mutilation in Patients with Psychiatric Disorders Admitted to the Lavasani Hospital in 2014-2015

More information

Provider Specialty Profile

Provider Specialty Profile This profile w as created to capture specific information that w ill allow us to improve our referral process by closely matching member needs w ith provider services. Please note that incomplete information

More information

Pharmacy Prior Authorization GMH/SA and Non-Title 19/21 SMI Non-Formulary and Prior Authorization Guidelines

Pharmacy Prior Authorization GMH/SA and Non-Title 19/21 SMI Non-Formulary and Prior Authorization Guidelines Non-Formulary Behavioral Health Medications ADHD medications for children under The patient must have a diagnosis for which the requested medication is: o Approved based on FDA indication and limits; OR

More information

PSYCHIATRIC INTAKE AND TREATMENT PLAN-PART I TO BE FILLED BY PATIENT PLEASE PRINT

PSYCHIATRIC INTAKE AND TREATMENT PLAN-PART I TO BE FILLED BY PATIENT PLEASE PRINT DOB: / / / PSYCHIATRIC INTAKE AND TREATMENT PLAN-PART I TO BE FILLED BY PATIENT PLEASE PRINT Date Age Gender M F Current address: Married. Single Separated Divorced Widowed If patient is a child, he/she

More information

Pregnancy. General Principles of Prescribing in Pregnancy (The Maudsley, 12 th Edition)

Pregnancy. General Principles of Prescribing in Pregnancy (The Maudsley, 12 th Edition) Pregnancy General Principles of Prescribing in Pregnancy (The Maudsley, 12 th Edition) In all women of child bearing potential Always discuss the possibility of pregnancy; half of all pregnancies are unplanned

More information

ADHD & Addictions -What We Know

ADHD & Addictions -What We Know ADHD & Addictions -What We Know Dr. David Teplin, Psy.D., C.Psych. 4th CADDAC Annual Conference, Toronto October 14, 2012 1 Introduction Adult ADHD commonly co-exists with several other disorders, including

More information

CBT Intake Form. Patient Name: Preferred Name: Last. First. Best contact phone number: address: Address:

CBT Intake Form. Patient Name: Preferred Name: Last. First. Best contact phone number:  address: Address: Patient Information CBT Intake Form Patient Name: Preferred Name: Last Date of Birth: _// Age: _ First MM DD YYYY Gender: Best contact phone number: Email address: _ Address: _ Primary Care Physician:

More information

The 5A's are practice guidelines on tobacco use prevention and cessation treatment (4):

The 5A's are practice guidelines on tobacco use prevention and cessation treatment (4): Smoking Cessation Module Tobacco use is the single greatest preventable cause of chronic diseases and premature deaths worldwide. The Canadian Cancer Society reports that tobacco product use is responsible

More information