“Symposia Medicus is my go-to conference. Excellent, practical, up-to-date information, lots of fun, and great faculty speakers.”
– O. Barnwell, MD

“I love your meetings, they are always wonderful! I learn a lot, thanks!
– G. Edison, NP

“Very well planned and informative conferences.”
– R. Bratton, MD


Our conference on Challenges in Mental Healthcare for the Primary Care Provider is designed to provide practical, evidence-based care tips for treating the primary care patient with challenging psychiatric and psychosocial problems. The course has been designed for physicians, certified nurse midwives, nurse practitioners, PAs, nurses, and other healthcare professionals who care for patients of all ages. The goal of this conference is to increase knowledge and enhance the competence of attendees, emphasizing the practical application of evidence-based behavioral care.

Topics for this year’s conference have been selected based on the educational needs determined from identified professional practice gaps. The gaps were derived from a variety of sources including evaluations and outcomes data from past participants; clinical expert input; Symposia Medicus’ online survey; and other medical and nursing data.

The conference format de-emphasizes the traditional lecture format in favor of team-based learning guided by a team of highly experienced, university-based teaching psychiatrists who have spent their entire careers working in primary care settings and training. Within the larger group, you will be working in a small team of colleagues evaluating, managing, and practicing practical office-friendly skills for increasing your competence and satisfaction in the management of challenging patients.

You are sure to enjoy our conference on Challenges in Mental Healthcare for the Primary Care Provider while sharing ideas and experiences with colleagues from across the country in the beautiful setting of California’s Napa Valley.


As a result of participating in this conference, you should have increased knowledge and enhanced competence to…

Outline an enhanced approach to the biopsychosocial care of patients

Discuss the practical management of challenging patients with and without multiple somatic complaints

Describe the management of mood, anxiety, and chronic pain disorders

Articulate the practical management of cognitive and emotional disorders in the elderly

Discuss options for the management of substance abuse

Outline the practical management of behavioral issues in children and adolescents

Display developing management of emergency interventions, office psychotherapy, and lifecycle issues in women


At the conclusion of attending this conference, participants are entitled to a certificate of credit which will be available online. Successful completion of this activity is determined by attending the live activity, review of the educational session materials, and submission of the case study test, evaluations, and attendance verification form. Each participant should only claim credit commensurate with the extent of their participation in the activity.


This educational activity was planned and produced in accordance with the ACCME and ANCC Essentials and Standards relating to continuing medical and nursing education.

Symposia Medicus is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

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


Symposia Medicus designates this live activity for a maximum of 18 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This Live activity, Challenges in Mental Healthcare for the Primary Care Provider, with a beginning date of 07/11/2018, has been reviewed and is acceptable for up to 19.50 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

NCCPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 19.5 hours of Category 1 credit for completing this program.

Nurse Practitioners/Nurses
The ANCC contact hours awarded for completion of this conference are 19.5.

Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 23.4 contact hours.

Pharmacology Credit for Prescriptive Authority
A maximum of 3.75 hours in pharmacology credit for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology credit for prescriptive authority are denoted with an Rx in the schedule.

This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency.

Pain Management and Care
The approved credits shown above include 1 credit toward meeting the requirement under California Assembly Bill 487, Pain Management and Care.


Smaller group sessions will be held Saturday morning. These breakout sessions are organized to provide greater participant/faculty interaction in a group setting to give you an opportunity to participate in discussions on subjects relating to your particular area of interest. Please indicate on the brochure conference registration form in what order you would like to attend each breakout session.


Each registrant will have online access to session materials. The session materials will be available for download approximately two weeks prior to the conference (you’ll receive an email with instructions). If you wish to receive a hard copy of the session materials, please check the box on the registration form in this brochure.

If you are unable to attend this conference, extra copies of the session materials (either paper or digital copy) will be available one week after the conference. The cost is $60 for a hard copy and $25 for the digital copy. To place your order, please email publications@symposiamedicus.org.


To receive additional information about the conference hotel, location, tours and/or nearby attractions, and ground transportation, please visit our website at www.symposiamedicus.org.


Heidi Combs, MD
Associate Professor
Department of Psychiatry
& Behavioral Sciences
Harborview Medical Center
Seattle, Washington

Anna D. Ratzliff, MD, PhD
Associate Professor
Department of Psychiatry
& Behavioral Sciences
University of Washington
Seattle, Washington

Edward A. Walker, MD, MHA
Conference Chairman

Professor, Departments of Psychiatry & Behavioral Sciences and Health Services
University of Washington
Seattle, Washington

Consistent with ACCME and ANCC guidelines, it is the policy of Symposia Medicus to ensure balance, independence, objectivity, and scientific rigor in all educational activities. Prior to the planning of this educational activity, all individuals in a position to influence and/or control the content of continuing education activities have been asked to disclose all relevant financial relationships within the past 12 months. Beyond disclosure of relevant financial relationships, faculty are required to disclose when they plan to discuss pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an unapproved or “off-label” use of an approved device or pharmaceutical. Symposia Medicus is committed to providing learners with commercially unbiased continuing education activities. This information is intended to assist learners in forming their own judgments about the content presented. Disclosure information will be included in the session materials for this activity, and speakers will provide a slide disclosure for each presentation, and will also verbally disclose on-site.


Wednesday, July 11

7:00am Registration & Check-in
During Continental Breakfast
8:00 Welcome & Introduction: Team Icebreaker
Faculty Panel
8:15 Making Behavioral Care Easier & More Enjoyable: A Course Overview
Faculty Panel
8:45 Introduction to Integrative & Collaborative Care: The REAL Biopsychosocial Model
Faculty Panel

Oh, by the Way…: Managing the Multi-Positive Review of Symptoms (Rx = 15 minutes)
Edward A. Walker, MD, MHA

10:30 Break
10:45 Ugh, Not Him/Her Again…: The Challenging Patient
Edward A. Walker, MD, MHA
12:45pm Wrap Up: What Did We Learn This Morning? Questions & Answers with Group Discussion
Edward A. Walker, MD, MHA
1:30 Adjourn for the Day
5:30-6:30 Wine & Cheese Reception
(Faculty, Participants, and Guests)

Thursday, July 12

7:30am Continental Breakfast
8:00 When Patients Sing the Blues: Mood Disorders
(Rx = 60 minutes)
Heidi Combs, MD
9:30 I’m Worried, You Should be Too: Anxiety Disorders (Rx = 30 minutes)
Heidi Combs, MD
10:30 Break
10:45 Do You Have Anything Stronger?: Chronic Pain Management (Rx = 60 minutes)
Heidi Combs, MD
12:45pm Wrap Up: What Did We Learn This Morning? Questions & Answers with Group Discussion
Heidi Combs, MD
1:15 Adjourn for the Day

Friday, July 13

7:30am Continental Breakfast
8:00 Mom Can’t Find Her Keys: Cognitive Disorders in Older Patients (Rx = 30 minutes)
Anna D. Ratzliff, MD, PhD
9:30 Substance Abuse Disorders: Everyone Else is Worried About My Substance Use (Rx = 15 minutes)
Anna D. Ratzliff, MD, PhD
10:30 Break
10:45 Another Note from the Teacher: Pediatric & Adolescent Patients (Rx = 15 minutes)
Anna D. Ratzliff, MD, PhD
12:45pm Wrap Up: What Did We Learn This Morning? Questions & Answers with Group Discussion
Anna D. Ratzliff, MD, PhD
1:15 Adjourn for the Day

Saturday, July 14

7:30am Continental Breakfast
8:00 Smaller Group Breakouts – Session One
. A. Office Microtherapy: What You Can Do in 5 Minutes
Edward A. Walker, MD, MHA
. B. When Your Patients Make You Anxious: Emergency Interventions
Heidi Combs, MD
. C. The Joys of Hot Flashes & Swollen Ankles: Special Issues for Women
Anna D. Ratzliff, MD, PhD
9:30 Break (hotel check-out, if applicable)
9:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
11:15 Break
11:30 Smaller Group Breakouts – Session Three
(Session One Topics Repeated)
1:00 Conference Adjourns

Rx = Pharmacology Credit for Prescriptive Authority
will be granted for these sessions


California’s wine country offers scenic countrysides, great wines, and superb restaurants. With over 450 wineries offering a variety of wines for all tastes, it’s no wonder that the Napa Valley is considered the heart of the American wine industry. Located approximately 60 miles north of San Francisco, there is much more to Napa than just its grapes! Enjoy hot-air ballooning, horseback riding, mountain biking, or challenging golf. Find incredible discounts on your favorite brand-names at the Napa Premium Outlets or visit Old Town for more unique shopping. Visit the recently restored Napa Valley Opera House for headliners from Jazz to Country music. It might be wine that comes to mind when thinking of the Napa Valley, but with world-renowned restaurants, such as The French Laundry, Bottega, and Morimoto, it’s the food that will keep you occupied while there.

With so much to do, you’ll find that fine wine is only a part of this abundant valley. If the Napa Valley isn’t enough to keep your interest, San Francisco, with Fisherman’s Wharf, Chinatown, and famous cable cars, is just an hour away; or the kid inside you will love the excitement of Six Flags Amusement Park located just 20 minutes away, or Safari West wildlife preserve just 45 minutes away.

The Napa Valley Marriott Hotel & Spa combines modern convenience with traditional comfort. Exercise at the state-of-the-art fitness center, or enjoy “The Spa,” one of the best full-service spas in the Napa Valley. If you are looking for a refreshing escape – just head over to the hotel’s all new resort-style pool and courtyard. They’ll provide the towels, sunscreen, lounge chairs and umbrellas– all you have to do is relax and enjoy every moment. Sip on specialty cocktails or your favorite Napa Valley wines complemented by creative small bites from VINeleven’s innovative kitchen, the hotel’s indoor/outdoor restaurant and bar. Start the day with morning yoga sessions on the pool deck, or just unwind with a cocktail on the pool patio under a gorgeous California sunset after a long day spent touring vineyards or teeing off on Napa’s famous golf courses.

Whatever your pleasure, you’ll be sure to find it in Napa, at our conference on Challenges in Mental Healthcare for the Primary Care Provider.


Enrollment for this conference is limited in order to provide the best possible learning environment. Early registration is advised.

You can register and receive conference lodging group rates by reserving the following ways:

On-line at our website, www.symposiamedicus.org; OR

Call Monday-Friday, 8:30am-5:00pm (Pacific Time), (925) 969-1789 with Visa, MasterCard, American Express, or Discover; OR

By mail, make check payable to Symposia Medicus and send with registration form to 399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2287

Visit www.symposiamedicus.org or call (925) 969-1789 for additional questions or information.


If postmarked by
May 2, 2018
If postmarked after
May 2, 2018
Physicians $675 $775
Residents, Nurses, PAs, & All Others $575 $675

Discounts are available for retired healthcare providers, active U.S. military, and groups of three or more. For more information, please contact Symposia Medicus prior to registering.

Tuition includes continuing education, online access to session materials, continental breakfast on Wednesday, Thursday, Friday, and Saturday mornings, and break refreshments for conference registrants. Tuition also includes group reception for faculty, registrants, and their guests.

Conference registration will be confirmed via email

This conference meets the requirements for CE tax deductibility; however, we suggest you consult your financial authority for more information


Conference group rates have been arranged at the Napa Valley Marriott Hotel & Spa. Rooms at our group rates are limited and on a first come, first served basis. PLEASE RESERVE EARLY as rooms may sell out and/or room rates may increase. If you wish to extend your stay, group rates may be available three days before and three days after the conference.

Two nights’ deposit (room rate only) must accompany your reservation. The balance of your lodging,
hotel fees as stated below, and all incidental charges are due to the hotel. The hotel accepts most major credit cards.

Type of Room Group Rates Description
Standard Room
(view of perimeter and
exterior of hotel)

All rooms are non-smoking and approximately 375 sq. ft. and feature either one king bed or two double beds. They also include air conditioning, pillow-top mattresses, mini refrigerators, coffee makers with complimentary coffee, pay-per view movie access, and flat screen TVs.

Due to strict fire codes, rollaway beds and cribs are not permitted in a room with two beds. Only one rollaway or crib is permitted in a room with a king bed.

Garden View Room
(view of hotel’s courtyard)
Concierge Room
(view of hotel’s courtyard or perimeter and exterior of hotel)
Concierge lounge access includes complimentary continental breakfast, daily midday snacks, hors d’oeuvres and dessert, non-alcoholic beverages, and business services.
By reserving your lodging with Symposia Medicus, the $20 per room, per night Destination Fee is waived. This fee includes: two bottles of water (daily), coffee, in-room enhanced internet and throughout the resort, two bicycle rentals, spa access (for the locker room, steam room, and Jacuzzi), use of pool & towels, culinary garden tour with sparkling wine (4:00pm daily), and self-parking.


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 12% tax
- 0.065% California Tourism Assessment Fee
- 2% Tourism Business Improvement District Assessment

Maximum guestroom occupancy is four people and cannot be exceeded due to fire codes

There is no additional charge for 3rd and 4th guests in room

Bed Type Requests: You can select one or two beds; however, requests cannot be guaranteed until

Rollaways & Cribs: Rollaway beds and cribs are complimentary (based on availability and subject to change). Please note: Due to strict fire codes, rollaway beds and cribs are not permitted in a room with two beds. Only one rollaway or crib is permitted in a room with a king bed.

Check-in time is 4:00pm and check-out time is 11:00am. A late check-out can only be confirmed on the date of departure by the front desk. Additional charges may apply for late check-outs and are based upon availability.

Early Departure Fee: Failure to arrive on confirmed arrival date will be charged the entire reserved stay. Please inform Symposia Medicus of any changes.

Credit/Debit Card Policy: Upon check-in, the hotel requires a credit card or debit card to ensure that funds are available. Holds are placed on your account for your entire stay; however, the amount may be immediately deducted from your account. The length of time for which these holds remain on your credit or debit account varies from bank to bank.

Parking: Self-parking is complimentary for conference guests. Valet is not available at this resort.

Cancellation Policies

Conference cancellations must be made in writing (via email or mail) to Symposia Medicus and a refund, less a 10% processing fee, will be given. No refunds will be made if cancellation is received after June 6, 2018; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus conference.

Per our hotel contract, hotel reservation cancellations must be made in writing to Symposia Medicus and you will receive a full refund if emailed/postmarked by May 9, 2018. Between May 10, 2018 and June 6, 2018, one night’s deposit is forfeited. After June 6, 2018, no hotel refunds can be made.   

All cancellations must be emailed to registrar@symposiamedicus.org OR mailed to Symposia Medicus. If mailed, it must be postmarked by the dates stated above.

In the unlikely event of conference cancellation by Symposia Medicus, full tuition and, if reservation was made with Symposia Medicus, hotel deposit refunds will be made. Symposia Medicus will not be responsible for refunding travel or any other expenses.


The closest airport to the Napa Valley Marriott Hotel & Spa is Oakland International Airport (OAK); however, lower fares can sometimes be found by flying into San Francisco International Airport (SFO), Sacramento International Airport (SMF) or San Jose International Airport (SJC). Oakland is approximately 50 miles from the hotel, while San Francisco and Sacramento are approximately 60 miles, and San Jose is approximately 85 miles. For information on ground transportation, please visit our website.

Symposia Medicus has arranged for discount fares with Alaska, Delta, and United airlines for this conference. Reservations can be made either through your travel agency or through the airlines at the website or Convention Desk numbers listed below.

In order to receive the discounted rate, you or your travel agent must refer to the Symposia Medicus Group ID number listed here.

Alaska Airlines For discounts on Alaska Airlines flights, please book online at www.alaskaair.com and click on the link “Use Discount Code,” located at the bottom of the “Book Flights” box. Once you click on this link, another page will appear. On this page, you will need to insert ECMZ136 in the “Discount Code” box, located at the right hand side of the page.
Delta Airlines For discounts on Delta Airlines, please visit www.delta.com and click on the link “Advanced Search,” located at the bottom of the “Book a Trip” box. Once you click on this link, another page will appear. On this page, you will need to insert NMQC4 in the “Meeting Event Code” box, located at the right hand side of the page. For questions, please call the Delta Airlines Convention Desk at (800) 328-1111.
United Airlines For discounts on United Airlines, please visit www.united.com and click on All Search Options, located on the bottom left corner of the “Book Travel” box. Once you click on this link, another page will appear. At the bottom of this page, you will insert ZE2C279455 in the “Promotions and Certificates” box. For questions, please call the United Airlines Convention Desk at (800) 426-1122.


For conference discounts, Symposia Medicus has made arrangements with AVIS and Budget Car Rentals. Reservations can be made by phone; please refer to the conference code and the conference/airport location when making your reservations. Please see below:

AVIS 800-331-1600 AWD # B766625
Budget 800-772-3773 BCD # U076767