Comorbid Conditions and Other Clinical Considerations in Combat Veterans

Comorbid Conditions and Other Clinical Considerations in Combat Veterans



TIME: 4 Hours

SERIES: 4 Course Series

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Comorbid Conditions and Other Clinical Considerations in Combat Veterans is a 4-CME hour course that aims to provide physicians with an overview of some of the common co-occurring presentations they might see in their combat Veteran patients.  This course will explore the presence of substance use in military and veteran populations, including alcohol, illicit drugs, prescription drug misuse, and nicotine.   Physicians will gain an understanding of the co-occurring issues and the barriers to treatment of substance abuse within these populations.  The course will review the definition, cause, and symptoms of a Traumatic Brain Injury (TBI); specifically, discussing traumatic brain injuries within the military population.  Physicians will learn easy accommodation suggestions to use when working with a patient with a TBI.  The course will investigate links between emotional disconnect and relationship intimacy issues, primarily among veteran and active duty military heterosexual couples. Physicians will learn how military beliefs and values can effect relationships on an intimate and emotional level, as well as signs, symptoms, and treatment modalities that can benefit couples who feel emotionally disconnected.  Finally, the course will cover the history, advancement, and specific issues pertaining to women in the military, including military sexual trauma, motherhood, PTSD risks, and maternal depression. 



  • Women in the military
  • Substance use in the military
  • Intimacy and emotional relationships in the military population
  • Traumatic brain injury


Web-Based Training, Self-Study (Online)


4 Hours


4 Continuing Medical Education Credits

*Course must be completed to entirety for credit. No partial credit awarded.



02/10/2017 - 02/10/2018


This course is intended for MD/DPs MP/PA/Nurses




  • Define and describe what constitutes a TBI
  • Describe the 3 different severity levels of TBI
  • Recognize and assess the symptoms associated with a TBI
  • List and describe at least two treatment strategies for individuals with TBI
  • Discuss the signs and symptoms of alcohol use, illicit drug use, prescription and nicotine use in military and veteran populations
  • Assess for common co-occurring issues that exist within the veteran and military population
  • Recognize the barriers to seeking treatment and why veterans are reluctant to seek treatment 
  • Utilize and discuss two strategies and resources that can effectively help veterans overcome barriers to treatment
  • Define Walter Reed Army Institute's definition of Emotional Control
  • Describe the difference between external and internal emotional avoidance
  • List three signs of emotional disconnection in a romantic relationship
  • Compare the differences between disconnected sex and connected sex
  • Describe two unique deployment challenges that women in the military experience
  • Discuss the history and advancements of women in the military


  1.  Length of Course: 4 Continuing Medical Education Credits/Hours
  2.  Review the materials on accreditation information, target audience, learning objectives and disclosure information
  3. Complete the entire self-study activity
  4. Complete the self-assessment and evaluation/claim form


This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of California, San Diego School of Medicine and PsychArmor Institute. The University of California, San Diego School of Medicine is accredited by the ACCME to provide continuing education medical education for physicians. 

The University of California, San Diego School of Medicine designates this enduring material for a maximum of 4.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation activity.


This activity is in compliance with California Assembly Bill 1195 which requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. Cultural competency is defined as a set of integrated attitudes, knowledge, and skills that enables health care professionals or organizations to care effectively for patients from diverse cultures, groups, and communities. Linguistic competency is defined as the ability of a physician or surgeon to provide patients who do not speak English or who have limited ability to speak English, direct communication in the patient’s primary language. Cultural and linguistic competency was incorporated into the planning of this activity. Additional resources can be found on the UCSD CME website at


A certificate of completion will be awarded to participants and accreditation records will be on file at PsychArmor Institute. In order to receive a certificate of completion from PsychArmor, you must register in PsychArmor's learning management system, attend 100% of the program and complete the evaluations as directed in PsychArmor's course. To enquire about CE's contact and provide your name, email, and license number.


It is the program participant's responsibility to ensure that this training is documented in the appropriate location according to his/her locally prescribed process.


References are available for this course upon request at


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  • High speed internet
  • FireFox 17 or higher for PC users
  • Google Chrome for Mac users


It is the policy of the University of California, San Diego School of Medicine to ensure balance, independence ensure balance, independence, objectivity and scientific rigor. All persons involved in the selection, development and presentation of content are required to disclose any real or apparent conflicts of interest. All conflicts of interest will be resolved prior to an educational activity being delivered to learners through one of the following mechanisms 1) altering the financial relationship with the commercial interest, 2) altering the individual’s control over CME content about the products or services of the commercial interest, and/or 3) validating the activity content through independent peer review. All persons are also required to disclose any discussions of off label/unapproved uses of drugs or devices.   Persons who refuse or fail to disclose are disqualified from participating in the CME activity. Participants will be asked to evaluate whether the speaker's outside interests reflect a possible bias in the planning or presentation of the activity. This information is used to plan future activities.


The faculty, CME staff, editorial staff, peer reviewer, and CME committee reviewers do not have any relevant financial relationships to disclose. The views and opinions expressed in this activity are those of the faculty and do not necessarily reflect the views of the University of California, San Diego.

Off-label Disclosure: This educational activity may contain discussion of unlabeled and/or investigational uses of agents that are not approved by the FDA. Please consult the prescribing information for each product. The views and opinions expressed in this activity are those of the faculty and do not necessarily reflect the views of the University of California, San Diego.

View PsychArmor's Disclosure Statement, Grievance Policy & Accommodations