Offered by the Department of Psychiatry at Beth Israel Deaconess Medical Center, a teaching hospital of Harvard Medical School.

Exercise, Wellness, and other Medical Complementary Treatments for Anxiety, ADHD, Anorexia and other Social Disorders

John Ratey, MD

August 15 – 19, 2022 • Monday – Friday
See Accreditation

This evidence-based, state-of-the-art course focuses on the latest medical and non-medical approaches and interventions for patients with ADHD, Aggression, Addictions, Social Disorders, Pain, Anorexia, Sleep Disorders, Anxiety and Mood Disorders. The course will explore the results of an ongoing study of balance and coordination training on autistic adolescents and its effect on behavior and social skills. The course will also address the uses and dangers of medical marijuana and look at the growing evidence of the clinical usefulness of Cannabidiol (CBD) the non-psychoactive phytochemical of the hemp plant. The ground-breaking work of using CBD to treat seizures and behaviors in this population will be studied. In addition to new medications, the course will explore the proven effects of exercise, yoga, play, diet, and other alternative strategies that are shown to be effective treatments for psychiatric problems. Special emphasis will be placed on the burgeoning research on exercise and ADHD, with tips on how to integrate exercise prescriptions into your practice. The course will also do a deep dive into the Default Mode Network and how its troubled connectivity within the brain explains ADHD, Autism, and other psychiatric diagnoses better than most models and can point to rational treatments. The course will review the effects of sleep, being in nature, and movement on brain health in general and specifically as treatment for ADHD and Autism Spectrum Disorder. It will review the latest information on the amount and type of movement necessary to attain and maintain optimal brain function. In addition, the course looks at the growing awareness of the “microbiome” when it comes to diet, and the effect of gluten and probiotics on the gut and brain/behavior connection. We will review the latest studies showing the possible link of the microbiome and Parkinson’s disease. To put it all together, the course takes a journey into the brain and synapses to fully learn about these conditions. The important area of diagnosis will also be looked at, covering the controversies and challenges associated with properly diagnosing psychological disorders: 1. Bipolar or ADHD or both and what this means for treatment; 2. Asperger’s, Autism or Social Dyslexia –are there any relevant medications and behavioral interventions for these developmental differences and do they matter; 3. Relevancies of DSM-5 to the real world and the issue of subthreshold diagnoses or the “Shadow Syndromes”.

Upon completion of this activity, participants will be able to:

  • Evaluate new neuroscience information to understand and treat ADHD, Aggression, Autism Spectrum Disorder, fatigue, and stress;
  • Assess the latest medications and combinations for ADHD, aggression and social disorders;
  • Utilize knowledge of the effects of a good sleep program as a necessary component of a health promoting lifestyle for caregivers and their patients;
  • Judge the efficacy of diet changes, the need for gluten–free diets, and the use of probiotics;
  • Apply the growing knowledge of using medical marijuana for pain, anorexia, mood, and sleep disorders;
  • Utilize knowledge of the dangers of marijuana and its potential to activate psychosis and produce the a motivational syndrome;
  • Describe the differences between marijuana and Cannabidiol and to use them when appropriate;
  • Establish the burgeoning evidence of Cannabidiol for seizure control, anxiety, and insomnia;
  • Compare the effect of Cannabidiol for control of disruptive behaviors and socialization in autistic children and adolescents;
  • Appraise the science that has helped to determine the amount and type of exercise needed to maintain optimal brain health;
  • Negotiate and write an effective exercise prescription for every patient;
  • Utilize exercise as medicine to treat almost all psychiatric disorders;
  • Employ exercise and play to help the caregiver and their patients prevent cognitive decline and lower the risk of developing Alzheimer’s disease.

FACULTY

John J. Ratey, MD is an Associate Professor of Psychiatry (part-time), Harvard Medical School, Beth Israel Deaconess Medical Center. Dr. Ratey has been a leading teacher and researcher on brain and personality and treatment of aggression and the development of disabilities as well as the psychological and cognitive benefits of exercise and play. He has written extensively on Attention Deficit Disorder, learning disabilities, brain differences that affect social skills and has published Shadow Syndromes, a book that has helped broaden our understanding of how the brain affects everyday life. Dr. Ratey is the author or co-author of more than 85 scientific publications and eight books including Driven to Distraction and The User’s Guide to the Brain and Spark: The New Revolutionary Science of Exercise and the Brain and Go Wild: Free Your Body and Mind From the Afflictions of Civilization.

Date and timeAgenda Item
Monday, August 15
8:30am – 9:00amRegistration
9:00am – 10:15amOverview: the concept of the “shadow syndromes” and their relevance to psychiatric problems; biology and treatment of ADHD; new data on ADHD; review the effect on simple but consistent lifestyle changes on severely compromised adolescents with autism; new understanding of ADHD and the goal of increasing functional connectivity between the Default Mode Network and the Task Positive Network.
10:15am – 10:30amCoffee Break
10:30am – 10:15pmContinued:Overview: the concept of the “shadow syndromes” and their relevance to psychiatric problems; biology and treatment of ADHD; new data on ADHD; review the effect on simple but consistent lifestyle changes on severely compromised adolescents with autism; new understanding of ADHD and the goal of increasing functional connectivity between the Default Mode Network and the Task Positive Network. Q&A.
Tuesday, August 16
9:00am – 10:15amDiagnosis of ADHD and bipolar illness: the addictions and how they are often comorbid with so many other psychiatric syndromes; use of the new medications for ADHD; new long-acting stimulant preparation, atomoxetine, and modafinil; contribution of norepinephrine and fatigue to our understanding of the attention system and its clinical implications and directions for treatments.
10:15am – 10:30am Coffee Break
10:30am – 12:15pmContinued: Diagnosis of ADHD and bipolar illness: the addictions and how they are often comorbid with so many other psychiatric syndromes; use of the new medications for ADHD; new long-acting stimulant preparation, atomoxetine, and modafinil; contribution of norepinephrine and fatigue to our understanding of the attention system and its clinical implications and directions for treatments. Q&A and Case Disscussants.
Wednesday, August 17
9:00am – 10:15amBiology and treatment of stress and aggression: how the brain reacts and deals with stress; changing appreciation for stress hormone and its impact on mood, memory, learning, and brain function; aggression and newer concepts in anger management, introducing the microbiome and what we know; the status of gluten and probiotics; best practices in Autism; research from the Center for Discovery targeting the non-medical effects of sleep, diet, movement, being in nature on behavior and connection.
10:15am – 10:30amCoffee Break
10:30am – 12:15pmContinued: Biology and treatment of stress and aggression: how the brain reacts and deals with stress; changing appreciation for stress hormone and its impact on mood, memory, learning, and brain function; aggression and newer concepts in anger management, introducing the microbiome and what we know; the status of gluten and probiotics; best practices in Autism; research from the Center for Discovery targeting the non-medical effects of sleep, diet, movement, being in nature on behavior and connection. Q&A.
Thursday, August 18
9:00am – 10:15amTreatment issues I: evidence supporting the effectiveness of physical exercise and movement on the brain and the psyche; neuroscience of exercise; exercise forestalling the aging process; how having our body in tune helps ensure that we remain cognitively and emotionally enabled as we age.
10:15am – 10:30amCoffee Break
10:30am – 12:15pmContinued: Treatment issues I: evidence supporting the effectiveness of physical exercise and movement on the brain and the psyche; neuroscience of exercise; exercise forestalling the aging process; how having our body in tune helps ensure that we remain cognitively and emotionally enabled as we age; evidence about using Medical Marijuana and its dangers and using Cannabidiol for many co-morbid symptoms of these disorders. Q&A, case discussions.
Friday, August 19
9:00am – 10:15amTreatment issues II: medications and holistic interventions; ‘non-medical treatments and how they impact the brain and psyche; food supplements and humor and their effects on the brain and the psyche; ways to integrate into clinical use; new innovations for the treatment of ADHD, Autism Spectrum Disorder and psychological brain health.
10:15am – 10:30am Coffee Break
10:30am – 12:15pmTreatment issues II: medications and holistic interventions; ‘non-medical treatments and how they impact the brain and psyche; food supplements and humor and their effects on the brain and the psyche; ways to integrate into clinical use; new innovations for the treatment of ADHD, Autism Spectrum Disorder and psychological brain health. Q&A.
12:15pmAdjourn