Facebook
X
LinkedIn
ForwardOctober 22, 2026: Fall New England Journal of Medicine Clinicopathological Conference (NEJM CPC) - A 22-Year-Old Woman with Erratic Behavior and Abnormal Movements (Northern)
A 22-Year-Old Woman with Erratic Behavior and Abnormal Movements
Description:
This Case Records of the MGH for the New England Journal of Medicine is a clinicopathological conference about an adult who presented with excessive daytime fatigue and worsening mood symptoms. A differential diagnosis will be presented, and the diagnostic test will reveal the final diagnosis.
Target Audience
This program is intended for:
- Nurses
- Psychiatrists
- Psychologists
- Physicians
- Social Workers
Learning Objectives
Upon completion of the activity, participants will be able to:
- Construct a differential diagnosis of a young patient presenting with erratic behaviors and abnormal movements.
- Apply deductive clinical reasoning and interpret diagnostic testing to identify the underlying diagnosis through clinicopathologic confirmation.
- Describe tests that can be used to distinguish between medical and psychiatric causes of catatonia.
SPEAKER(S)
Case Presenter: Paavani Stephanie Bousleiman, MD
Psychiatry Resident, MGH/McLean Adult Psychiatry Residency Program
Discussants:
Differential Diagnosis: Emily Sorg, MD
Attending Psychiatrist, Massachusetts General Hospital
Clinical Director, Center for Psychiatric Oncology and Behavioral Sciences
Instructor in Psychiatry, Harvard Medical School
Radiology: Suely Fazio Ferraciolli, MD
Neuroradiology Clinical Fellow, Mass General Hospital/Harvard Medical School
Clinical Impression, Diagnostic Testing, and Management: Scott Beach, MD
Psychiatrist, MGH Acute Psychiatric & Psychiatric Consultation Services
Associate Professor of Psychiatry, Harvard Medical School
Course summary
- 1.00 AMA PRA Category 1 Credit™
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of IHP and Massachusetts General Hospital. IHP is accredited by the ACCME to provide continuing medical education for physicians.
IHP designates this Enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 1.00 Nursing Contact Hours
Massachusetts General Laws, Chapter 13, sections 13, 14, 14A, 15 and 15D and Chapter 112, sections 74 through 81C authorize the Board of Registration in Nursing to regulate nursing practice and education.
This program meets the requirements of the Massachusetts Board of Registration in Nursing (244 CMR 5.00) for 1.00 contact hours of nursing continuing education credit. Advance practice nurses, please note: Educational activities which meet the requirements of the ACCME (such as this activity) count towards 50% of the nursing requirement for ANCC accreditation.
- 1.00 Social Workers
As a Jointly Accredited Organization, the MGH Institute of Health Professions is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. MGH Institute of Health Professions maintains responsibility for this course. Social workers completing this course receive 1.00 clock hours for continuing education credits.
- 1.00 Participation
This course allows other providers to claim a Participation Certificate upon successful completion of this course.
Participation Certificates will specify the title, location, type of activity, date of activity, and number of AMA PRA Category 1 Credit™ associated with the activity. Providers should check with their regulatory agencies to determine ways in which AMA PRA Category 1 Credit™ may or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.
- 1.00 Psychologists CE Credit
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs. MGH Institute of Health Professions designates this activity for 1.00 CE credit.
Paavani Stephanie Bousleiman, MD
Dr. Bousleiman is a psychiatry resident in the MGH/McLean Adult Psychiatry Residency Program. She received her undergraduate degree in Brain and Cognitive Sciences from MIT and her medical degree from Harvard Medical School. Her academic interests have included global mental health, medical education, and mental health outcomes research.
Emily Sorg, MD
Dr. Sorg is an attending psychiatrist at Massachusetts General Hospital, an Instructor in Psychiatry at Harvard Medical School, and Clinical Director of the Center for Psychiatric Oncology and Behavioral Sciences at the Mass General Brigham Cancer Institute. She completed her adult psychiatry residency at MGH/McLean and fellowship training in Consultation-Liaison Psychiatry at MGH. Her clinical and scholarly interests include consultation-liaison psychiatry, psycho-oncology, end-of-life care, and catatonia.
Suely Fazio Ferraciolli, MD
Dr. Fazio Ferraciolli is a neuroradiology clinical fellow at Massachusetts General Hospital and Harvard Medical School and serves as Clinical Lead in XR and 3D Printing at the Mass General Brigham Medical Extended Reality Lab. She completed radiology and neuroradiology training at the University of São Paulo, where she also earned a PhD in Radiology, and holds the European Diploma in Neuroradiology. Her clinical and scholarly interests include neuroradiology, pediatric neuroimaging, advanced imaging techniques, and imaging innovation.
Scott Beach, MD
Dr. Beach is an attending psychiatrist on the Massachusetts General Hospital Psychiatry Consultation and Acute Psychiatric Services, and an Associate Professor of Psychiatry at Harvard Medical School. He is the former Program Director for the MGH/McLean Adult Psychiatry Residency. He attended the University of Virginia School of Medicine and completed a residency in Adult Psychiatry at the University of Virginia. He finished a fellowship in Consultation-Liaison Psychiatry at the Massachusetts General Hospital. Dr. Beach has clinical and scholarly areas of expertise in catatonia and related syndromes, QT prolongation and psychiatric medications, neuropsychiatric effects of COVID-19, and deception syndromes.
Disclosures:
Available Credit
- 1.00 AMA PRA Category 1 Credit™
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of IHP and Massachusetts General Hospital. IHP is accredited by the ACCME to provide continuing medical education for physicians.
IHP designates this Enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 1.00 Nursing Contact Hours
Massachusetts General Laws, Chapter 13, sections 13, 14, 14A, 15 and 15D and Chapter 112, sections 74 through 81C authorize the Board of Registration in Nursing to regulate nursing practice and education.
This program meets the requirements of the Massachusetts Board of Registration in Nursing (244 CMR 5.00) for 1.00 contact hours of nursing continuing education credit. Advance practice nurses, please note: Educational activities which meet the requirements of the ACCME (such as this activity) count towards 50% of the nursing requirement for ANCC accreditation.
- 1.00 Social Workers
As a Jointly Accredited Organization, the MGH Institute of Health Professions is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. MGH Institute of Health Professions maintains responsibility for this course. Social workers completing this course receive 1.00 clock hours for continuing education credits.
- 1.00 Participation
This course allows other providers to claim a Participation Certificate upon successful completion of this course.
Participation Certificates will specify the title, location, type of activity, date of activity, and number of AMA PRA Category 1 Credit™ associated with the activity. Providers should check with their regulatory agencies to determine ways in which AMA PRA Category 1 Credit™ may or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.
- 1.00 Psychologists CE Credit
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs. MGH Institute of Health Professions designates this activity for 1.00 CE credit.
Accreditation
In support of improving patient care, MGH Institute of Health Professions is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
1.0 Physicians
MGH Institute of Health Professions designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.
1.0 Physician Associates/Assistants
AAPA Credit Designation Statement – Live
MGH Institute of Health Professions has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
AAPA Credit Designation Statement – Enduring Materials
MGH Institute of Health Professions has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. Approval is valid until {Expiration Date). PAs should only claim credit commensurate with the extent of their participation.
1.0 Nursing
MGH Institute of Health Professions designates this activity for 1.0 contact hours for nurses. The American Academy of Nurse Practitioners Certification Board (AANPCB) accepts credit from organizations accredited by the ACCME and ANCC.
1.0 Pharmacists
This activity provides 1.0 contact hours of continuing education credit.
NOTE FOR PHARMACISTS: Upon closing of the electronic evaluation, IHP will upload the pharmacy-related continuing education information to the CPE Monitor within 60 days. Per ACPE rules, IHP does not have access nor the ability to upload credits requested after the evaluation closes. It is the responsibility of the pharmacist or pharmacy technician to provide the correct information [NABP ePID and DOB (in MMDD format)] in order to receive credit for participating in a CE activity.
1.0 Psychologists:
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs. MGH Institute of Health Professions designates this activity for 1.0 CE credit.
1.0 Social Workers
As a Jointly Accredited Organization, MGH Institute of Health Professions is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. MGH Institute of Health Professions maintains responsibility for this course. Social workers completing this course receive 1.0 clock hours for continuing education credits.
1.0 IPCE Credit
This activity was planned by and for the healthcare team, and learners will receive 1.0 Interprofessional Continuing Education (IPCE) credit for learning and change.