JAAPA CME Post-Test September 2023

Cognitive Behavioral Therapy for Patients Suffering With Tinnitus Distress

Of the 21% of the U.S. population with tinnitus, between 3% and 6% develop tinnitus distress, a sudden, traumatic, and severe emotional response to tinnitus. Cognitive behavioral therapy (CBT) is the most effective therapy for reducing the initial and secondary emotional stresses caused by tinnitus distress. The skills taught in CBT lead to habituation and desensitization, providing relief for the patient. This activity describes tinnitus distress, CBT, and resources that clinicians can use immediately in their practices.

Learning Objectives

  • Describe how to recognize when a patient is in tinnitus distress
  • Describe the importance of habituation in the tinnitus distress recovery process
  • Outline the four skills for tinnitus distress management taught in CBT
  • Assemble a list of CBT resources for patients

A Practical Guide to Managing Genitourinary Syndrome of Menopause in Primary Care

Females spend a third to half of their life in menopause, and the number of U.S. females in menopause is growing. A high percentage of postmenopausal females experience bothersome, sometimes debilitating genitourinary symptoms, which can affect quality of life. The genitourinary syndrome of menopause (GSM) describes the condition previously referred to as vulvovaginal atrophy, atrophic vaginitis, or urogenital atrophy. Of concern, many patients with symptoms of GSM have never been asked about nor have they initiated conversations about these concerns with a healthcare provider. This activity addresses the need to improve screening, identification, and patient-centered management in primary care of females with GSM.

Learning Objectives

  • Describe an effective way to consistently identify patients experiencing
  • Describe therapy options for patients experiencing mild GSM
  • Outline pharmacologic therapy for patients experiencing moderate to severe GSM
  • Recognize complex cases for which a referral is appropriate

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