Session 4: Integrating Meaning and Medication to Address Treatment-Resistance: Practical Psychodynamics and the Art of Pharmacotherapy

Egg Harbor, WI US
July 25, 2024 to July 26, 2024
The history of psychiatry is a pendulum that swings between the biological and psychosocial poles. The psychodynamic perspective that held sway for most of the 20th Century, gave way to the “Decade of the Brain,” and a privileging of biomedical perspectives. Though psychiatry benefited from an increasingly evidence-based perspective and a proliferation of safer and more tolerable treatments, psychiatric outcomes have not substantially improved. Treatment resistance remains a serious problem across psychiatric diagnoses. One likely reason is that that the systems within which mental health practitioners are working often create pressures to adopt biologically reductionistic frameworks, limiting meaningful integration of biological and psychosocial perspectives across the treatment team.
This course will review the historical and theoretical tensions between bio- and psychosocial psychiatry and will explore possibilities of integration. We will examine the evidence base connecting meaning, medications, and outcomes, will explore the dynamic meaning of medications and common dynamics contributing to pharmacologic treatment-resistance. We will review psychodynamic concepts relevant to the practice of psychopharmacology and explore a model (Psychodynamic Psychopharmacology) that aims to enhance pharmacotherapy outcomes through the integration psychodynamic attitudes and skills. We will focus on techniques for fostering a patient-centered pharmacotherapeutic alliance and will consider necessary skills for identifying and addressing psychological and interpersonal interferences with the healthy use of medications. More broadly, we will consider approaches to optimize the integration of pharmacotherapy and psychotherapy, in both combined and split treatments.

Target Audience

  • ​​​​​Physicians
  • Nurse Practitioners
  • Physician Assistants
  • Nurses
  • Pharmacists
  • Psychologists
  • Social Workers
  • Psychiatry Residents
  • Medical Students
  • Allied Health Professionals

Learning Objectives

Participants who engage in this education intervention will be able to:
  • Cite aspects of the evidence base demonstrating that how one prescribes may affect outcomes as much as what one prescribes
  • Recognize and formulate common psychodynamics interfering with optimal pharmacotherapy outcomes
  • Develop a patient-centered alliance that supports the patient’s ability to make healthy use of medications
  • Use psychodynamically-informed interventions to address dynamics driving treatment-resistance
Additional information


Caimen Masterson
Phone Number: 
+1 (414) 955-7250
Course summary
Available credit: 
  • 8.00 AMA PRA Category 1 Credit(s)™
    AMA PRA Category 1 Credit(s)™
  • 8.00 APA
    APA credit.
  • 8.00 Hours of Participation
    Hours of Participation credit.
  • 8.00 NASW
Course opens: 
Course expires: 
Event starts: 
07/25/2024 - 8:30am CDT
Event ends: 
07/26/2024 - 12:35pm CDT
  • Bio-Psychiatry and Psychodynamics: Conflict and Integration
  • The Science of the Art of Pharmacotherapy
  • Exploring the Meanings of Medication
  • Clinical Exercise / Discussion
  • Integrative Approaches to Pharmacotherapy with Complex Patients
  • Forging the Alliance with the Difficult-to-Treat Patient
  • Addressing Psychological and Interpersonal Drivers of Treatment-Resistance
  • Clinical Exercise
  • Bringing It Back Home: Clinical Applications and Impediments
The Landmark Resort
4929 Landmark Drive
Egg Harbor, WI 54209
United States
+1 (800) 273-7877

Lodging in July and August is in great demand; you must make reservations early. A block of suites has been set aside at the Landmark Resort. These suites will be held until June 7th, 2024, or until they are filled. After that, the rooms are on a space-available basis.

From its site on the bluff, the Landmark offers outstanding views of the waters of Green Bay with 294 units comprised of 1, 2, and 3-bedroom suites. Facilities include the Carrington Pub and Grill, 10 meeting and function rooms, 1 indoor and 3 outdoor pools, 2 tennis courts, whirlpools and steam rooms, and a fitness center and game room. The Landmark Resort is Door County’s largest and best full-service facility. As of May 2017, all suites at the Landmark have been renovated! Visit their website for photos and details.

The Landmark Resort
4929 Landmark Drive
Egg Harbor, Wisconsin 54209
Reservations: (800) 273-7877

To book through our discounted group rate, please call the Landmark reservation line at (800) 273-7877 and state that you are attending the Door County Summer Institute. No group code is required. Group rates cannot be booked online.

David Mintz, MD, is a graduate of the University of Miami School of Medicine and the Cambridge Hospital/Austen Riggs Center Combined Residency Program.  He completed a Fellowship in Psychodynamic Psychotherapy at the Austen Riggs Center, where he remained on staff as Treatment Team Leader, Director of Psychiatric Education and Associate Director of Training in the Fellowship in Psychotherapy and Adult Psychoanalysis. At the Austen Riggs Center, Dr. Mintz’s clinical work focuses on complex, multiple co-morbid, and “treatment-resistant” patients.  To optimally engage such patients, Dr. Mintz and colleagues have developed a patient-centered, psychodynamically informed approach to leveraging the pharmacotherapeutic alliance and addressing psychological resistances to the healthy use of treatment.  His book Psychodynamic Psychopharmacology: Caring for the Treatment-Resistant Patient, and over a dozen other papers, explores these principles.  Dr. Mintz is also the recent past leader of the Psychotherapy Caucus of the American Psychiatric Association.

Activity Director:
Carlyle H Chan, MD
Professor of Psychiatry and 
the Institute for Health and Equity-Bioethics and Humanities
Medical College of Wisconsin

Planning Committee Members:
Robert Huberty, MSW, LCSW
Program Director
Department of Psychiatry and Behavioral Medicine
Medical College of Wisconsin

Ellen Leitner, LCSW
Department of Psychiatry and Behavioral Medicine
Medical College of Wisconsin

Kevin Bozymski, PharmD, BCPS, BCPP
Assistant Professor, Department of Clinical Science
Medical College of Wisconsin School of Pharmacy 
Assistant Professor, Department of Psychiatry and Behavioral Medicine
Medical College of Wisconsin

Kylie Lenz, PA-C
Physician Assistant 
Department of Psychiatry and Behavioral Medicine
Medical College of Wisconsin

Heather M. Smith, PhD, ABPP
Lead Psychologist
Director of Psychology Training
Milwaukee VA Medical Center
Associate Professor
Department of Psychiatry and Behavioral Medicine
Medical College of Wisconsin

Jessica Reyes-Roberson, APNP
Department of Psychiatry and Behavioral Medicine
Medical College of Wisconsin

In accordance with the ACCME® Standards for Integrity and Independence in Accredited Continuing Education, Standard 3, all in control of content must disclose any relevant financial relationships. The following in control of content had no relevant financial relationships to disclose.

  • Carlyle H Chan

  • Robert Huberty

  • Ellen Leitner

  • Kevin Bozymski

  • Kylie Lenz

  • Heather M. Smith

  • Jessica Reyes-Roberson

  • David Mintz

Accreditation Statement:
The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation of Credit Statement:
The Medical College of Wisconsin designates this live activity for a maximum of 8.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Hours of Participation for Allied Health Professionals:
The Medical College of Wisconsin designates this live activity for up to 8.00 hours of participation for continuing education for allied health professionals.

National Association of Social Workers Credit Statement:

This program is Approved by the National Association of Social Workers (Approval # 886840778-6400) for 8 continuing education contact hours.

Psychology CE Credit Statement:
The Medical College of Wisconsin is approved by the American Psychological Association to sponsor continuing education for psychologists.  The Medical College of Wisconsin maintains responsibility for this program and its content.

This activity contains content or processes that may be potentially stressful.

MCW's Psychology Continuing Education Grievance Policy

Available Credit

  • 8.00 AMA PRA Category 1 Credit(s)™
    AMA PRA Category 1 Credit(s)™
  • 8.00 APA
    APA credit.
  • 8.00 Hours of Participation
    Hours of Participation credit.
  • 8.00 NASW


Please login or register to take this course.

Early Bird pricing will be available through June 15th, 2024. After that, prices will increase as noted below.

FeeAttendee TypeAmount
Two-Day In Person Registration (Early Bird)Physicians, psychologists, pharmacists, physician assistants, APPs and other Health Professionals$360.00
Two-Day In Person RegistrationPhysicians, psychologists, pharmacists, physician assistants, APPs and other Health Professionals$385.00
Two-Day In Person Registration (Early Bird)Medical students, grad students, residents$295.00
Two-Day In Person RegistrationMedical students, grad students, residents$335.00

All registrations will be assessed $27.00 non-refundable processing fee.

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