7:00 am – Registration Opens
7:00 – 8:00 am – Continental Breakfast, Exhibit and Poster Set-Up (MU Extension Room)

8:00 – 9:00 am -Capacity/Competency and the Guardianship Process in Missouri
Guardianship is a legal process which protects an incapacitate person. Each state has its own statue outlining the legal process.
OBJECTIVES
1. Discuss the difference between competency and capacity
2. Learn the clinical criteria to assess competency and capacity
3. Understand the legal process for guardianship in Missouri
Speaker: Dr. Angeline Stanislaus

9:00 – 10:00 am The Power of Lifestyle Psychiatry
Evidence-based research has shown that mental health and lifestyle are integrally connected. While health promotion is a helpful construct for the overall population, lifestyle psychiatry addresses the needs of individual patients. Lifestyle psychiatry is not based in complementary or alternative medicine, but rather, it employs a conventional medicine lens to psychopathology. We will discuss lifestyle interventions that can be used as adjuncts to decreased symptoms of syndromal and subsyndromal states and may sometimes prevent and treat chronic diseases. Lifestyle psychiatry is a relatively new but rapidly expanding evidencebased field of medicine that targets health behavior change, brain health, and patient well-being through the lens of the biopsychosocial-lifestyle model of health. Brain development and well-being across a lifetime involve lifestyle factors that offer continual maintenance and improvement of the mind and body. Chronic inflammation in the brain, spine, and/or other nervous tissue (neuroinflammation) has been linked to various brain-related pathologies. Similarly, chronic exposure to stress hormones, environmental toxins, or substances can promote unhealthy neuroplastic changes and affect brain development and well-being.
Whether independently or combined, neuroinflammation and neuroplasticity promote epigenetic change and alter brain function. We will highlight the transdiagnostic approach to diagnosis. The six lifestyle pillars (healthy diet, increasing exercise, decreasing stress, healthier relationships, improving sleep quality, and avoiding unhealthy substances) provide actionable interventions for patients to improve their overall brain health and well-being. Overall, this session will introduce the clinical applications of lifestyle psychiatry, integrate the foundations of lifestyle medicine, neuroscience related to personality and individual factors, cognitive-behavioral approaches, positive psychology, psychopathology, neurobiology, and health neuroscience.
OBJECTIVES
1. Describe how global dietary changes improve mood and enhance remission rates from depression and
may prevent the risk of cognitive disorders.
2. Identify evidence-based connectedness strategies that support mental health.
3. Evaluate the evidence for the efficacy of exercise for people with psychiatric disorders.
Speaker: Gia Merlo, MD, MBA, MEd, Clinical Professor of Psychiatry, NYU Grossman School of Medicine

10:00 – 10:30 am Break with Exhibitors

10:30 – 12 noon Panel Discussion: New Developments in the Management of Schizophrenia and Mood Disorders
OBJECTIVES
1. Discuss new classes of medications and their mechanisms of action for schizophrenia and mood
disorders
2. Elaborate on strategies and interventions to enhance adherence to treatment plan
3. Discuss clinical implications of minimizing side effects on patient quality of life
4. Explore the role of genetic, environmental and clinical factors in personalizing treatment
5. Examine new therapies aimed at improving cognitive functions and overall functionality
6. Discuss augmentation strategies in treatment resistant depression
7. Explore advancements in transcranial magnetic stimulation and other neuromodulation method
Speaker: Azfar Malik, MD, MBA, DFAPA, Chief Medical Officer and Founder, CenterPointe Hospital; Subbu J. Sarma, MD; Ravdeep Khanuja, MD
Moderator: Nauman Ashraf, MD, DFAPA, Adjunct Professor of Psychiatry, Program Director, General Psychiatry Residency Program, Program Director, Addiction Medicine Fellowship Program, KCU-GME Consortium/Ozark Center

1:00 – 2:00 pm Treatment and Harm Reduction for Risky Alcohol Use
Alcohol is different from many of the other drugs our patients struggle with today. Not only is it legal, it is also ubiquitous and imbibed by the major of the U.S. Medication treatment is underutilized for wishing to quit use, but we also have highly effective harm reduction techniques. In this session, Dr. Fred Rottnek, program director of the SSM Health/Saint Louis University Addiction Medicine Fellowship and Chief Medical Officer of Assisted Recovery Centers of America (ARCA), will discuss best practices regarding prevent, harm reduction, treatment, and recovery support for individuals with risky alcohol use.
OBJECTIVES
1. Discuss the impact of risky alcohol use on the U.S. in 2025
2. Identify risks factors for risky alcohol use in youth, adults, and older adults
3. Implement medication treatments for individuals with alcohol use disorder
4. Counsel patients regarding harm reduction with alcohol use
Speaker: Fred Rottnek, MD, MAHCM, Director of Community Medicine, Program Director, Addiction Medicine Fellowship, SSM Health/Saint Louis University

2:00 – 2:30 pm Break with Exhibitors

2:30 – 3:30 pm An Update on Recognition and Treatment of Pediatric
Catatonia
OBJECTIVES
1. How to recognize Pediatric Catatonia
2. Scales used in assessment
3. Challenges in treatment of Pediatric Catatonia
Speaker: Faheem S. Arain, MD, FAPA, FASAM, DFAACAP, Medical Director, Royal Oaks Hospital, Compass Health, Inc., Adjunct Associate Professor, University of Missouri-Columbia