Collaborative Care in Primary Care: Anxiety

Collaborative Care in Primary Care: Anxiety 

With an ever-increasing frequency, primary care organizations are seeing more patients who have multiple comorbidities. A patient with a poorly-controlled physical chronic disease and a mental health comorbidity can not only decrease quality outcomes through compromised care, but increase costs as well. This module will explore collaborative care practices of patients with poorly controlled chronic illnesses who are also living with anxiety.


Hours: 1.00


Certificates provided by accrediting body (10 Match)

California Board of Registered Nursing


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.00 contact hours for participating in this course.

District of Columbia Board of Nursing


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.00 contact hours for participating in this course.

Florida Board of Nursing


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

American Nurses Credentialing Center


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.00 contact hours for participating in this course.

Georgia Board of Nursing


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

Accreditation Council for Continuing Medical Education


In support of improving patient care, Relias LLC 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.

Relias LLC designates this enduring activity for a maximum of 1.00 AMA PRA category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

South Carolina Board of Nursing


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

Florida Board of Medicine


Florida Board of Medicine CE Provider #: 50-290

Florida Physician Assistants


West Virginia Board of Registered Nursing


Course Details

Course Code: REL-PI-0-P4PC44
Hours: 1
Type: Online Course
Content Expiration Date: 3/31/2021
Learning Objectives:
Describe how mental illness may affect patient self-care.
Apply medication management techniques in patients with common comorbidities.
Discuss the relationship between anxiety and other common comorbidities.
Discuss the principles of collaborative care.


Section 1: Introduction

  1. About This Course

  2. Learning Objectives

Section 2: Anxiety

  1. Meet Erin

  2. Collaborative Care

  3. Overview of Anxiety

  4. Signs and Symptoms of Anxiety

  5. Evaluation of Anxiety

  6. Non-Pharmacological Management of Anxiety

  7. Review

  8. Summary

Section 3: Medication Management

  1. When is Medication Appropriate

  2. Anxiety and SSRIs

  3. Anxiety and Benzodiazepines

  4. Review

  5. Summary

Section 4: Anxiety and Chronic Illness

  1. Anxiety and Chronic Illness

  2. Common Comorbidities

  3. Review

  4. Summary

Section 5: Conclusion

  1. Summary

  2. Course Contributor

  3. Resources

  4. References

  5. Congratulations!

  6. Exam

  7. BrainSparks

Expert Reviewer: Christopher Reist, MD, MBA
Dr. Reist is an Associate Professor (with tenure) in the Department of Psychiatry and Human Behavior at the University of California, Irvine. He also serves as Assistant Dean in the College of Medicine and the Director of Medical Research for the Long Beach Veterans Affairs Healthcare System. Formerly, he served as Chief of Mental Health, overseeing full service mental health care delivery to over 40,000 enrollees at the Long Beach VA Healthcare System. For the past 12 years, he has served as Associate Director of the Southern California VA Mental Illness Research, Education, and Clinical Center (MIRECC), which is focused on improving long-term outcomes in chronic psychotic disorders through basic/clinical research and dissemination of evidence-based practices. Dr. Reist’s clinical interests include schizophrenia, impulsivity, PTSD, pharmacogenomics, and psychopharmacology. NARSAD, NIMH, and VA Medical Research have supported his research. He has served as principal investigator on over 25 clinical trials in areas including schizophrenia, depression, bipolar disorder and impulsivity. He is a member of professional societies, including the American Psychiatric Association, Pacific Rim Association for Clinical Pharmacogenetics, and the Society of Biological Psychiatry. He is a Distinguished Fellow of the Psychiatric Association, has been recognized as an Exemplary Psychiatrist by the National Alliance for the Mentally Ill, and is included in Best Doctors 2007-2010. He is the author of two books, Psychiatry and Psychiatric Drugs, which have been widely used by trainees for the past 15 years. He has over 50 scientific articles that have been published in high-impact journals, including Molecular Psychiatry, Biological Psychiatry, Journal of Clinical Psychiatry, American Journal of Psychiatry, and Nature Biotechnology. Lastly, he has extensive experience in psychiatric education that include organizing CME conferences and developing web content that provide information on psychiatric disorders and treatment. Disclosure: Christopher Reist, MD, MBA discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Alkermes as Grant/Research Support
Expert Reviewer: Dr. Brian Schief

Brian Schief, MD, is Board Certified in both general and forensic psychiatry. He is on the clinical faculty at Emory University School of Medicine and Morehouse School of Medicine, where he teaches medical students, residents, and fellows. He obtained his bachelor's degree at Brown University and his MD at Ohio State University College of Medicine.

For eight years Dr. Schief has worked as a psychiatrist for the Counseling and Testing Center at Georgia State University, where he evaluates and treats students of the university, including traditional and non-traditional undergraduate and graduate students. In addition, for 10 years he has worked at Georgia Regional Hospital, where he is the Associate Clinical Director of Forensic Psychiatry. At this facility, he assists with directing the clinical treatment programs, supervises other psychiatrists, and evaluates and treats patients that have been ordered to go to the hospital by the court. At times he is called to testify as an expert witness in State and Superior Courts in metro Atlanta.

Disclosure: Dr. Brian Schief has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Staff Writer: Adam Roesner, BSN
Adam Roesner, BSN has been working with various quality measures optimization since 2013. His experience in program management in both clinical and performance measures allows a unique perspective on the challenge faced by healthcare systems today. Adam has presented trainings on HCAHPS programs for sales forces and executive leadership alike, and has managed various skin health and HCAHPS educational programs and bundles for acute, post-acute, and IDN facilities. Disclosure: Adam Roesner, BSN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; Physicians; in the following settings: All Healthcare Settings.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.