Anxiety: An Integrative Approach (2024 - 2026)

Everyone has anxiety at some time, as we are all faced with uncertainty about the future. A certain amount of anxiety is normal and an adaptive response that has evolved to allow us to avoid danger and to stay alive. Anxiety becomes maladaptive when it interferes with functioning and restricts our life choices.

Anxiety disorders are highly prevalent and cause substantial functional impairment; they constitute the most frequent mental disorders worldwide (WHO, 2022). In the US, an analysis of epidemiologic data concluded that there is a 21% twelve-month prevalence and 34% lifetime prevalence of anxiety (Szuhany, 2022). Social anxiety, generalized anxiety, panic, and agoraphobia are the most common anxiety disorders (Szuhany, 2022).

An integrative approach dissolves the artificial boundaries between classical psychotherapy, psychopharmacology, and non-pharmacological approaches. This course will cover a variety of integrative modalities, including nutrition, mind-body, movement, manual medicine, Ayurveda, East Asian Medicine, and much more. Explore the latest research and apply the learning in clinical case-based activities.

Learning Objectives

  1. Describe the public health impact of anxiety on youth and adult populations.
  2. Discuss brain circuitry related to anxiety and fear, as well as the sensitization leading to pathology.
  3. Compare the Diagnostic Statistical Manual of Mental Disorders (DSM) to the National Institute of Mental Health's Research Domain Criteria.
  4. Identify symptoms and characteristics of anxiety disorders in children and adults.
  5. List medical problems and disease states known to cause anxiety or are associated with anxiety.
  6. Identify medications and dietary supplements that may contribute to feelings of anxiety or panic.
  7. Assess the evidence for the safety and benefit of complementary and integrative approaches/practices in the treatment of anxiety.
  8. Assess the evidence for the safety and benefit of supplements in the treatment of anxiety.
  9. Assess the evidence for the effects of nutrition and physical activity on anxiety.
  10. Apply and review integrative medicine approaches in a variety of patient cases with anxiety.

Curriculum

  • Overview
  • Integrative Approaches
  • Clinical Application
  • Evaluation
  • Exam

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion.

Target Audience

This activity is intended for physicians, nurse practitioners, nurses, physician assistants, psychologists, and behavioral health professionals in any specialty. In addition, all health care professionals who have an interest in an integrative approach to healing are targeted.

Certificate

When all of the above requirements are met (during the agreed upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.

All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models and not actual patients.

Anxiety: An Integrative Approach (2024-2026)
Disclosure & Education Credit Info

COM CME

Physicians

ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine — Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine — Tucson designates this enduring material for a maximum of 6.50 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course includes an assessment of 11 questions that you must answer 70% correctly or above in order to receive credit for participation. You are allowed unlimited re-attempts.

Current CME Approval Period: March 1, 2024 to February 28, 2026

Relevant Financial Relationship Statement

University of Arizona College of Medicine - Tucson Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers or others are required to disclose all financial relationships with ineligible entities (commercial interests). All relevant financial relationships have been mitigated prior to the commencement of the activity.

Dr. Alschuler has disclosed that she is an advisor for Vitazan, receives honoraria from NFH Inc. and Gaia Herbs, and received grant/research support from Pharmavite (Relationship has ended). Dr. Chiasson has disclosed grant/research support from Pharmavite (Relationship has ended).

All other individuals in a position to control the content of this CME activity, including faculty, planners, reviewers or others have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this CME activity.

Commercial Support

There is no commercial support for this activity.

Nurses

Nursing Continuing Professional Development Information

6.5 NCPD Contact Hours for RNs

Current Approval Period - NCPD

Approval Period: March 1, 2024 to February 28, 2026

Approval #: 240301S

Relevant Financial Information

Dr. Lise Alschuler, ND, a content author for this course, is a speaker for Gaia Herbs, received research support from Pharmavite, a member of the Medical Advisory Panel for NFH (Vitazan), and a speaker for Optimal Rx.

All of the relevant financial relationships listed for these individuals have been mitigated.

All others in control of content have disclosed that they have no relevant financial relationships with ineligible companies that would constitute a conflict of interest concerning this activity.

Completion Requirements

Complete all the coursework, course evaluation, and the final test with a score of 70% or better. You are allowed unlimited re-attempts. Upon successful completion, you will be able to print your certificate of completion.

Nursing Continuing Professional Development (NCPD)

This nursing continuing professional development activity was approved by the Colorado Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

Faculty / Authors

Most Recent Review by Author: December 7, 2023

Except where noted below, the following faculty, planners, and the CME/NCPD reviewers have disclosed that they have no financial interest, arrangement, or affiliation that would constitute a conflict of interest concerning this CME/CPD activity.

Lewis Mehl-Madrona, MD, Physician, Acadia Psychiatric Hospital, Bangor, ME; Physician, Family Medicine Residency, Eastern Maine Medical Center, Bangor, ME

Vivian A. Kominos, MD, FACC, ABOIM; Integrative Cardiologist at Kominos Integrative Cardiology, LLC, Clinical Assistant Professor, Andrew Weil Center for Integrative Medicine

Lise Alschuler, ND, Professor of Clinical Medicine, University of Arizona; Assistant Director of the Fellowship in Integrative Medicine, Andrew Weil Center for Integrative Medicine

Noshene Ranjbar, MD; Medical Director, Integrative Psychiatry Clinic, Banner-UA Tucson; Medical Director, Child and Adolescent Psychiatry Clinic, Banner-UA Tucson; Co-Director of Integrative Medicine in Residency-Psychiatry, Department of Psychiatry, University of Arizona. Faculty, Center for Mind-Body Medicine; Faculty, Andrew Weil Center for Integrative Medicine

Amelia Villagomez, MD; Clinical Assistant Professor of Psychiatry, University of Arizona; Clinical Assistant Professor of Psychiatry, University of Saskatchewan

Planning Committee

Ann Marie Chiasson, MD, MPH, CCFP; Director, Fellowship in Integrative Medicine, University of Arizona Center for Integrative Medicine.

Vivian A. Kominos, MD, FACC, ABOIM; Integrative Cardiologist at Kominos Integrative Cardiology, LLC, Clinical Assistant Professor, Andrew Weil Center for Integrative Medicine

Priscilla Abercrombie, RN, PhD, AHN-BC, Founder, Women's Health & Healing Integrative Health Coach

Molly K. Burke, MFA, CMT; Director of Online Education, Andrew Weil Center for Integrative Medicine

Copyright

All rights reserved - Arizona Board of Regents.