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Interventional Psychiatry: 10 Updates on Procedural Treatments for Modern Brain Medicine

CE Hours 1

About this course

This lecture provides a comprehensive evaluation of the rapidly expanding landscape of Interventional Psychiatry, focusing on circuit-based neuromodulation and advanced pharmacotherapies when traditional medications fail to address treatment-resistant conditions. The presentation systematically reviews the clinical indications, efficacy, safety profiles, and mechanisms of action for established modalities—including Electroconvulsive Therapy (ECT), Repetitive Transcranial Magnetic Stimulation (rTMS), intravenous ketamine, and intranasal esketamine—alongside emerging technologies like Prism neurofeedback, Vagus Nerve Stimulation (VNS), and Newer at-home devices. Dr. Cochran highlights the critical paradigm shift toward integrating these procedural interventions earlier into treatment algorithms rather than treating them strictly as a last resort.

Learning Objectives

  • Analyze and contrast the clinical indications, response rates, and safety profiles of ECT, rTMS, IV ketamine, and intranasal esketamine to appropriately select interventions for patients with treatment-resistant depression (TRD) and comorbid conditions.
  • Formulate an early-intervention treatment algorithm that integrates neuromodulation techniques (such as rTMS augmentation) prior to extensive, late-stage medication switching protocols based on recent clinical evidence.
  • Review monitoring and safety protocols for patients undergoing neurostimulation or rapid-acting pharmacotherapies, ensuring appropriate screening for contraindications, management of acute side effects, and integration of post-treatment continuity of care.

Target Audience

This educational activity is intended for behavioral health professionals, including Psychologists, Social Workers, Counselors, and MFT's.

Course Instructor(s)

  • Michelle Cochran, MD, DLFAPA, FCTMSS

Disclosure

DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS CE Learning Systems adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity ― including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests). The following relevant financial relationships have been disclosed by this activity’s planners, faculty, and the reviewer: PLANNERS AND REVIEWER The planners of this activity have reported that they have no relevant financial relationships. FACULTY The faculty of this activity have reported that they have no relevant financial relationships.

References

  • Amital, D., Gross R., Goldental N., Fruchter E., Yaron-Wachtel H., Tendler A., Stern Y., Deutsch L., Voigt J. D., Hendler T., Harmelech T., Singer N., & Sharon H. (2025). Reward system EEG-fMRI-pattern neurofeedback for major depressive disorder with anhedonia: A multicenter pilot study. Brain Sciences, 15(5), 476. https://doi.org/10.3390/brainsci15050476
  • Dalhuisen, L., van Waarde, J. A., van de Ven, P. M., Elfeddali, I., van den Heuvel, O. A., & Schrijvers, D. (2024). Repetitive transcranial magnetic stimulation (rTMS) versus switching antidepressant medication for treatment-resistant depression: A pragmatic multi-centre randomized controlled trial. The Lancet Psychiatry, 11(4), 265–274. https://doi.org/10.1016/S2215-0366(24)00021-X
  • Guo, Q., Guo, L., Wang, Y., & Shang, S. (2024). Efficacy and safety of eight enhanced therapies for treatment-resistant depression: A systematic review and network meta-analysis of RCTs. Psychiatry Research, 339, Article 116018. https://doi.org/10.1016/j.psychres.2024.116018
  • Krishna, V., & Fasano, A. (2024). Neuromodulation: Update on current practice and future developments. Neurotherapeutics, 21(3), Article e00371. https://doi.org/10.1016/j.neurot.2024.e00371
  • Terao, I., Tsuge, T., Sato, T., Endo, K., Kotake, K., Banno, M., & Kataoka, Y. (2025). Comparative efficacy and safety of intravenous racemic ketamine, repetitive transcranial magnetic stimulation and electroconvulsive therapy for Stage 2 or higher treatment-resistant depression: A systematic review and network meta-analysis. PCN Reports, 4(3), Article e70136. https://doi.org/10.1002/pcn5.70136

CE Process Info

Content

  • Session Recording
    1 parts
    • Session Recording

  • Joint Accreditation (JA)

    In support of improving patient care, CE Learning Systems 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.

  • American Psychological Association (APA)

    Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP office maintains responsibility for the content of the programs.

  • Association of Social Work Boards (ASWB)

    As a Jointly Accredited Organization, CE Learning Systems is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive up to 1 clinical continuing education credits.

  • New York Education Department's State Board for Social Work (NYEDSW)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers. #0060.

  • New York Education Department for Licensed Mental Health Counselors (NYSEDLMHC)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0072.

  • New York State Education Department's State Board for Psychology (NYEDPSY)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists. #PSY-0016.

  • New York Education Department's State Board for Marriage and Family Therapy (NYEDMFT)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Marriage and Family Therapy as an approved provider of continuing education for licensed marriage and family therapists. #MFT-0045.

FAQs

  • Email Policy
    By registering for this CE event, I consent to joining Recovery.com's mailing list and receiving occasional emails about course offerings and updates.
  • CELS Grievance
    If a grievance arises pertaining to continuing education activities or processes, please contact Tyler Gibson via confidential email to tyler@celearningsystems.com as soon as possible, so that the nature of the concern may be addressed in a timely fashion.
Interventional Psychiatry: 10 Updates on Procedural Treatments for Modern Brain Medicine
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  • CE Hours
    1
  • Type
    Self-Paced
  • Publication Date
    Jul 20th, 2026

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