The Tiramisu Approach to Treatment Resistant Depression: Integrating Psychotherapy, Pharmacology, CAM, and Neurotherapeutics
Dr. Jasleen Chhatwal
Description: Approximately a third of patients with major depressive disorder do not respond to treatment, with only half achieving remission. This results in high morbidity and makes MDD one of the leading causes of disability in the world per the World Health Organization. Early intervention, intensive and multimodal treatment are key to improving outcomes in this patient population. Challenges inherent to treatment include polymorphism in the presentation, multifactorial etiology and complex pathophysiology. In this presentation, we will review current evidence for approaching patients with difficult to treat presentations using psychotherapy, psychopharmacology, neurotherapeutics and complementary-alternative medicine. In addition, we will discuss the latest developments in conceptualizing treatment resistance and novel, experimental treatments that are under investigation.
Learning Objectives:
- Define depression and treatment resistant depression (TRD).
- Locate the current evidence-based and consensus-based treatments for TRD.
- Discuss the challenges inherent to treatment of TRD.
- Discuss novel and experimental approaches to difficult to treat depression.
CEU Workshop Agenda
11:00 am Registration and networking
11:30 am Self-introductions
Noon Presentation starts
12:45 pm Lunch and networking
1:15 pm Presentation continues
2:15 pm Workshop ends
2.0 General CEU Hours
Jasleen Chhatwal, MBBS, MD, serves as Chief Medical Officer and Director of the Mood Disorders Program at Sierra Tucson. She is a board-certified psychiatrist, integrative medicine, and addiction medicine physician with experience treating complex mental health disorders in inpatient, residential, and outpatient settings. She is intentional in treating the whole person, using psychotherapy, allopathic, neuro-therapeutic, integrative, evidence-based, and evidence-informed treatments. She believes each individual has a unique, authentic story and is grateful to all those who have entrusted her with their stories.
As Chief Medical Officer, Dr. Chhatwal is responsible for managing the medical department, which includes psychiatrists, physicians, physician assistants, nurse practitioners, as well as overseeing the teams that provide integrative care, pharmacy, experiential therapy, nutrition services, applied neuroscience services, psychology services and treatment outcomes. She strives to ensure consistent, high-quality patient care through the optimization of internal processes that help increase provider face time with patients. She also serves on the facility’s executive leadership team with an identified mission to expand access to high quality mental health care across the continuum of care.
She is active in the medical community, advocating for her patients’, colleagues, and profession through elected and appointed positions in state, regional and national organizations. Amongst her service roles, she is Past President of the Arizona Psychiatric Society (APS), the Arizona Representative to the American Psychiatric Association (APA) Assembly, Assistant Professor at the University of Arizona College of Medicine and sits on various state government and non-profit boards.
Dr. Chhatwal’s dedication and contribution to the mental health field have been recognized in the form of a Presidential Awards for Leadership and a Presidential Service Award from APS, Assembly Mentor Award and Distinguished Fellowship in the APA, a Walk the Talk Award from the Arizona Medical Association (ArMA) as well as various educator awards.
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