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ForwardMcLean Psychiatry Grand Rounds 2026: McLean Forum Grand Rounds - Neurotherapeutic Options in Psychiatry: ECT, TMS, and Ketamine - November 11, 2026
Neurotherapeutic Options in Psychiatry: ECT, TMS, and Ketamine
Wednesday, November 11, 2026, 12 - 1 pm
Description:
Treatment Resistant Depression is common and challenging to treat. TMS can be a useful option – with very few side effects for most patients and is a rapidly evolving field. ECT can be life-saving, particularly for patients with psychotic depression, catatonia, or intense SI. However, with an improved side-effect profile, it can be used for a broader patient population. The role of Ketamine and esketamine is yet to be fully determined, but they can be very helpful in TRD and SI. The new rapid mechanism of action offers hope for future direction of treatment.
SPEAKER(s)
Stephen Seiner, MD
Director, Psychiatric Neurotherapeutics Program
Medical Director, Electroconvulsive Therapy (ECT) Service, McLean Hospital
Associate Professor of Psychiatry, Harvard Medical School
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:
- Identify patients who may be appropriate for neurotherapeutic consultations.
- Describe the potential benefits, risks, and common side effects of transcranial magnetic stimulation (TMS), electroconvulsive therapy (ECT), ketamine, and esketamine to support informed patient discussions.
- Differentiate among TMS, ECT, ketamine, and esketamine based on their indications, clinical applications, and potential roles in treating psychiatric illness.
Accreditation
Physicians
McLean Hospital is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
McLean Hospital designates this live educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Psychologists
McLean Hospital is approved by the American Psychological Association to sponsor continuing education for psychologists. McLean Hospital maintains responsibility for this program and its content. Participants meeting requirements will receive 1 CE credit.
Nurses
This program carries 1 contact hour. McLean Hospital is approved as a provider of continuing education to nursing by the American Nurses Association Massachusetts, which is accredited as an approver of continuing education in nursing by the American Nurses’ Credentialing Center’s Commission on Accreditation.
Social Workers
For information about continuing education credit for social workers, please call 617.855.3140.
National Board for Certified Counselors
McLean Hospital is an NBCC Approved Continuing Education Provider (ACEP™) and may offer NBCC-approved clock hours for events that meet NBCC requirements. The ACEP is solely responsible for all aspects of the program.
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 LMHC
MaMHCA, and its agent, MMCEP has been designated by the Board of Allied Mental Health and Human Service Professions to approve sponsors of continuing education for licensed mental health counselors in the Commonwealth of Massachusetts for licensure renewal, in accordance with the requirements of 262 CMR 1.00.
This program has been approved for 1.00 CE credit for Licensed Mental Health Counselors MaMHCA.
Authorization number:
- 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.
Stephen Seiner, MD
Dr. Seiner’s clinical interests include neurotherapeutics and geriatric psychiatry. He is board-certified in psychiatry and geriatric psychiatry.
He is the director of McLean Hospital’s Psychiatric Neurotherapeutics Program, which includes electroconvulsive therapy, transcranial magnetic stimulation (both superficial and deep), and ketamine infusions. McLean’s ECT Service performs over 10,000 treatments a year, making it one of the largest ECT centers in the country.
Dr. Seiner has published book chapters and journal articles, and has lectured in multiple venues. In the past, he has been an associate residency training director for the McLean/MGH Adult Residency Training Program, and currently is the director of Medical Student Education at McLean.
Disclosures: Speaker has no financial relationships to report.
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 LMHC
MaMHCA, and its agent, MMCEP has been designated by the Board of Allied Mental Health and Human Service Professions to approve sponsors of continuing education for licensed mental health counselors in the Commonwealth of Massachusetts for licensure renewal, in accordance with the requirements of 262 CMR 1.00.
This program has been approved for 1.00 CE credit for Licensed Mental Health Counselors MaMHCA.
Authorization number:
- 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.