PSYCHIATRISTVolume 61, Number 3 November 2012 Newsletter of the Southern California Psychiatric Society

Hello and welcome to the November newsletter. We have seen an election cycle complete

and will now try to understand the implications for healthcare. The Affordable Care Act ap-

pears destined to proceed forward. California seems among states that have initiated a process

which will facilitate the transition. We will continue to be vigilant about effects on budgets for

mental health services, and implications for our members and their patients. The AMA has just

approved a resolution supporting Medicare revisions, with significant input from APA. We will

keep you posted about these changes. We all know that the push to balance the national

budget, and address the “fiscal cliff “will focus on where the cost exists; most likely Medicare,

Social Security and Military budgets. The devil is in the details, and we will be following the details closely. Both

the Obama and Ryan budgets agreed to the dollar on a need to eliminate 716 billion dollars from Medicare over

10 years. How that will be accomplished, and who will win and lose will be the prevailing concerns.

CPT:

We also face a change in coding for services provided. These will take effect on Jan. 1, 2013, so there is a short

window of time in which to become familiar with codes which will be deleted, new codes, and codes for a vari-

ety of interventions. Here are a couple of links that we hope you will find helpful in understanding the changes.

http://cdn1.actonsoftware.com/acton/cdna/1232/f-00dd/0/3

http://www.socalpsych.org/TX_DB_Handout-2sidedprinting_CPT_Coding.pdf

Additionally, there is information provided by the APA starting on page 10.

DSM 5:

The final version should be complete and presented to the APA Board of Trustees in January 2013. Pending ap-

proval, we will see it available in book and electronic form shortly. Thanks to Dr. Larry Gross for his participation

on the DSM5 committee and for keeping us up to date with the process/progress.

Thanksgiving:

As we move into the holiday season, I would like to extend thanks to all our members who support our efforts to

advocate for psychiatry. This takes the form of education, promoting legislation supporting bills that advance

mental health care, presenting conferences which blend art and education, and showing support and participa-

tion at NAMI walks, legislative hearings, and appearing as stakeholders in numerous university and community

organizations. Special thanks to our

Program Committee for consistent

excellence in programs presented.

Our Annual Psychopharmacology

Program will take place on Jan.

26th at the Olympic Collection. We

expect another strong turnout, testi-

(Continued on page 2)

November 2012

P r e s i d e n t ’ s C o l u m n

Larry Lawrence, M.D.

November 2012

In This Issue...Letter from the Editor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Day to Day . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

Council Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

CPT Coding Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Southern California

2

mony to the quality of the program. Thanks also to our Conflict of Interest Committee co-chairs, Dr. Robert

Burchuk and Dr. Eric Cheung. They have developed a very clear and concise set of guidelines, disclosure state-

ments and policies which will serve us well for years to come. They have worked steadily and thoughtfully and

the result of their work is much appreciated.

Hurricane Sandy:

Please consider support to the east coast victims of Hurricane Sandy. Those of us who grew up in New Jersey,

New York and Pennsylvania (myself included) were sad to see the devastation and loss of life. The Jersey Shore

was always a state of mind; relaxed, visiting with friends who vacationed the same weeks, seeing families grow

up, running in to old friends, crabbing with the kids, sailing on the bay. It will be back and people will rebuild, but

your help is needed and appreciated. Thanks also to the California first responders and electrical workers who

went cross country to help.

Enjoy your holidays,

Larry Lawrence, M.D.

Psychopharmacology Update 24

Saturday, January 26, 2013

The Olympic Collection

11301 Olympic Blvd, Los Angeles 90064

Click here for complete brochure

and to register online:

http://www.socalpsych.org/events.html

Please note that Kitty Dukakis is unable to

attend the Psychpharamcology Update.

Letter from the EditorSanjay and Me

It’s not everyday I get to have my picture taken with a neurosurgeon.

Sanjay Gupta presented at the UC Santa Barbara Arts & Lectures Series, Sunday October

21, on “Medicine and the Media.” The Santa Barbara County Medical Society and Cottage

Health System sponsored a pre-presentation luncheon with a close up and personal Q & A—

and photo—opportunity.

You have surely seen San-

jay—we’re on a first name

basis—on television. He’s

CNN’s Emmy and Peabody

award-winning, world-travel-

ing chief medical correspondent. Last year, he

logged more miles than anyone else at CNN! In

addition to family, neurosurgery, journalism, and

travel, he enjoys writing best selling books.

You have surely seen other physicians on tel-

evision. None do as well as journalists and

none do as well as physicians—most seem

quickly lost in the glamour, inflating their ex-

pertise to cringe levels. Sanjay stays

grounded—maybe, my husband says—be-

cause Sanjay was born and raised in the mid-

west.

Most importantly, Sanjay stays a physician.

He reflects the best in all of us, sticks to what he

knows—or can factually develop—and puts a

light on medical and humanitarian concerns, na-

tionwide and worldwide.

I took the opportunity to thank him personally

for that. cocopelan@aol.com

Colleen Copelan, M.D.

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Please watch this newsletter and our website for further in-

formation on the CPT Coding changes. We will share links

and documents that we hope will be helpful. Also, stay

tuned for possible training sessions that we may present in

the near future.

4

Join your colleagues who have chosen to be represented by our professional team and our program which is endorsed by the two most prominent associations in your profession – the American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry. As an Allied World policyholder you will benefit from the experience of an internationally recognized Risk Management Team who will guide you through the ever-changing exposures that you may encounter in your Psychiatric practice. Our Risk Management team is available to our insureds 24 hours a day, seven days a week or through our Hotline.

THERE ARE GOOD REASONS AMERICAN

PROFESSIONAL AGENCY

IS A LEADER IN PROVIDING MALPRACTICE INSURANCE

FOR PSYCHIATRISTS HERE ARE TWO OF THEM.

www.APAmalpractice.com877-740-1777

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WHEN IT COMES TO MALPRACTICE INSURANCE FOR PSYCHIATRISTS,

GO WITH A WORLDWIDE LEADER

Coverage will be underwritten by an insurance subsidiary of Allied World Assurance Company Holdings, AG

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Day to Day Walter T. Haessler, M.D.

Most of what I know about how automobiles work comes from a penchant for old cars, plus the experience of deal-

ing with the mechanical problems to which such vehicles are susceptible. I can tell you about generators and volt-

age regulators, ball joints and control arm bushings, in sufficient detail, and with enough confidence, that you

might think I actually know something about mechanical engineering, when actually I’m just telling you about my

experiences.

And so it goes with medicine. When we physicians were lectured about diseases, it was interesting. When we

could tie the material to a real live patient, it was relevant and instructive. But when we or loved ones are the pa-

tients, it really sinks in.

In that vein, I would like to share with the reader my new-found expertise regarding TGA. Typical gouty arthritis?

Trigeminal ablation? Terror-generated anxiety? No, no and no. TGA is, however, an accepted acronym for an un-

common and not well understood disorder with a neurological presentation.

It was hot on September 8, 2012, but not hot enough to keep me from spending the afternoon on yard work. Nor

did the yard work keep me from taking breaks, cooling off in the family room and watching much of the USC and

UCLA football games. When it got too dark to work I came inside to stay, put my feet up for awhile, took a shower,

and around 9:15 walked down a long hallway toward wine and a late supper, as is our habit.

I don’t know if it started in the bathroom or in the hallway, but I couldn’t gather my thoughts. There was something

I was trying to remember, and on top of that trying to remember if it was an event, a dream, or something I had

imagined. This went on for about a minute. I was getting worried.

I sat down in the family room, picked up the satellite remote, and realized that I couldn’t remember the news

channels. I knew they were in the low 200’s, but couldn’t remember which was which without using the program

guide. I tried to re-learn the news channels, but it wasn’t sinking in. I knew something was wrong.

Somehow I got to thinking about the football games, and realized I could not recall USC’s or UCLA’s opponent.

I started going through a review of the states to remember USC’s, starting in the northeast, but not getting very

far. I had dismissed New York, incorrectly, in my search, before stopping. (The answer was Syracuse.)

Ellaine came in and sat down, and I really didn’t want to tell her what was happening, hoping it would just pass.

But after about ten minutes since the onset, it hadn’t. I asked her to quiz me, such as on phone numbers I should

have remembered, and I wasn’t passing the test. She later said I had transposed two digits of the home number

we’ve had for seven years, but got it right on the second try. That is the only thing I don’t remember from that

evening...too threatening, perhaps?

So, no more putting it off, we were heading for the ER, which is not as easy as it sounds. We live in a remote area

in very southwest Riverside County, kind of behind Camp Pendleton, and it is twenty minutes or so to either of

two ER’s.

I drove, which sounds a little scary, but that figured to get us there faster. I already felt kind of stupid for wasting

some fifteen minutes after the onset of symptoms before heading out. Besides, at no time was there diminished

consciousness, headache, unsteadiness, or any disturbance of motor or sensory function. The only symptom

was impaired recall.

By the time we were approaching the ER I was clearing a bit. On the way, I of course had been going through a

differential diagnosis, and on the sign-in sheet, as to presenting complaint, wrote, “TIA?”. It took about ten min-

utes to get a bed, and another ten minutes to be started on oxygen.

The only abnormal finding was slightly elevated blood pressure, which remained high during the five-hour period

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of observation and was thought to be stress-related. Physical examination, blood tests, EKG and carotid ultra-

sound were unremarkable.

By about three hours after admission, I felt pretty much back to normal. A mental status exam (serial 7’s, presi-

dents, object recall) about four hours after admission showed no problem.

The ER physician agreed that the most probable diagnosis was TIA. He wanted to get a CAT scan, but I de-

clined. I assumed I would have an MRI within a few days, with better resolution and without the radiation. Also,

as I said, I felt pretty much back to normal. And I wanted to go home.

He gave me a first dose of clopidogrel(Plavix) and a prescription for it. The reasoning was that I had had this event

while on aspirin, so cllopidogrel was the next logical step. And he took me off omeprazole(Prilosec), which I had

been taking for occasional GERD symptoms, because of a possible interaction with the clopidogrel.

On September 10 my primary care physician, in possession of the ER record, agreed with the TIA diagnosis and

continued clopidogrel. He ordered an MRI and echocardiogram, and a neurology consultation. I noticed he had

not checked the “priority” box on the consultation request, and asked him to do so. He did, but with some hesi-

tancy, and a slightly exasperated look. I like him, but see him as kind of a company man.

The echo was done on September 12, and on September 14 the cardiologist called to say she didn’t think the

problem was cardiac in origin. The MRI was done on September 23, 8:30 on a Sunday morning, as the first avail-

able, and in the meantime I had seen the neurologist on September 21.

Ellaine came in with me, at his suggestion, as she had been with me during the episode. It had not even oc-

curred to me that that would be helpful. After hearing our account of things he asked, “Are you familiar with tran-

sient global amnesia?”

The honest answer would have been, “No.” But since I’m supposed to know something about neurology I said

something like, “Not very.”

He examined me, restated his clinical impression, and printed up two handouts: a 2-pager intended for patients,

and a 22-pager for physicians that is remarkably detailed, reviewing the literature.

The literature review is all the more remarkable for what it doesn’t contain: a clear-cut explanation as to what’s

going on. It seems that hippocampal function shuts down acutely and returns gradually, generally over 2-12 hours,

and the neocortex may also be involved. It is not known why this happens, but it may be some kind of migraine

variant, and a history of migraine is a risk factor.

My case is typical in most respects, occurring in a 50-80 year old individual (about 30 cases per 100,000 per year

in that age group, with no gender bias), following physical exertion and exposure to hot or cold temperature.

There was no motor or sensory deficit, no diminished consciousness, no headache, and no impairment as to

performing complex activities such as driving.

Most patients, however, have a more serious memory disturbance, and don’t recall the episode. I suppose that

is the “global” part.

Although usually an isolated event, TGA recurs in a small number of patients. There may or may not be hip-

pocampal lesions, and there may or may not be a persisting mild memory deficit; if there is, it tends to gradually

resolve. I think I had a bit of that but as of this writing, several weeks later, am not aware of a problem.

So, as the old joke goes, the brain scan showed nothing. I called the neurologist and cardiologist to ask about

getting off the clopidogrel, and they called back September 25, endorsing that idea.

I find myself thinking about the old saying that doctors make lousy patients, and believe that was true in my case.

7

Instead of heading for the ER immediately, I tried to wish the problem away. While there may have been a scrap

of nobility in my not wanting to unnecessarily alarm Ellaine, she was my only source of help at that point, and

needed to know what was happening.

And are we not taught to be parsimonious as to diagnosis until all the facts are in? I wonder if my writing “TIA?”

on the sign-in sheet might have gotten the ER physician started off on the wrong foot. I think “sudden onset of

memory loss” would have been better.

But I did get one thing right. I didn’t accept the “routine” neurology referral. And when the neurology nurse called

to make the appointment, telling me that the next available would be in the first week of December, I reminded

her that it was a “priority” referral, and so was scheduled on September 21. Had I just gone along with the HMO

way of doing things, I would still be on clopidogrel and still be thinking I was a prime candidate for a stroke.

It looks like this wasn’t The Big One for me, but it does have me reflecting on how quickly things can turn. On a

recent Dodgers broadcast, Charlie Steiner and Rick Monday discussed Clayton Kershaw’s hip pain, and his place

in the starting rotation. Charlie said he understood Kershaw was considered day to day. Rick agreed, and added,

“But, really, aren’t we all?” Indeed we are, Rick. Indeed we are.

Walter T. Haessler, M.D.

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Dr. Lawrence called the meeting to order. A motion was made to accept the Septem-

ber Council minutes. All voted in favor, and none opposed.

Dr. Lawrence addressed the COI Update report. Dr. Lawrence asked if there were any

questions on the COI update. No questions asked. A motion was made to accept the COI

update report. All voted in favor, and none opposed.

Dr. Lawrence addressed the CPPPH (California Public Protection of Physician Health,

Inc.) whether we should endorse it or not. Dr. Soldinger will review the guidelines of the

CPPPH and email Council Members his review.

Dr. Lawrence addressed the DSM 5 latest developments. Dr. Gross reported that the DSM 5 was getting

finalized. Dr. Gross commented how the new DSM version should be more useful to clinicians. The date of the

final release of the DSM 5 is not yet determined. More information on the link to the APA DSM 5 Development:

http://www.dsm5.org/Pages/Defaults.aspx

Dr. Lawrence addressed “Train the trainers in CPT codes”. A seminar is scheduled on 11/17/12 possibly

to be held in Chicago. The APA is asking a member from each DB, to attend the Seminar and, to write an article

and/or give a workshop on the CPT codes update. A motion to accept the “Train the trainers” seminar attendance

by a Council member or to send Ms. Thelen was proposed and voted. All in favor, none opposed.

Dr. Lawrence and the Council agreed upon the next November Council Meeting date to be held on 11/08/12.

LPS Stakeholders was addressed by Dr. Shaner . The LPS meeting will take place on 10/16/12. Dr. Shaner

recommended Dr. Galton or Dr. Pandya to attend the meeting. Mindi Thelen will contact Dr. Galton and Dr.

Pandya.

Dr. Soldinger gave his CPA Meeting report. Dr. Soldinger will email his notes on the various topics ad-

dressed at the CPA Meeting. A motion was made to accept Dr. Soldinger’s membership report. All voted in

favor, and none opposed. A motion was made to endorse the CPPPH. All voted in favor, and none opposed.

Dr. Forgey, Treasurer, could not attend the October Council meeting. Mindi Thelen presented the Sep-

tember 2012 financials and 2013 SCPS draft budget. A motion to accept treasurer’s report was proposed and

voted. All in favor, none opposed. A motion to approve the 2013 Budget was proposed and voted. All in favor,

none opposed

Dr. Soldinger asked other Council members to be part of the Nominating Committee. In addition to Dr. Sol-

dinger, Chair of the Nominating Committee, was joined by Dr. Lawrence, Dr. Agustines, Dr. Fogelson, Dr. Silver-

man, Dr. Gales and Dr. Duriez.

No new Business and no old business addressed. After having asked if there were further questions or

issues to be addressed, Dr. Lawrence adjourned the October 2012 Council Meeting.

Council HighlightsOctober 11, 2012Sophie Duriez, M.D., Secretary

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Current Procedural Terminology (CPT) Code Changes for 2013

Procedural Terminology, the codes that must be used for billing and documentation for all insurers. These changes apply to any services provided beginning January 1, 2013.

A distinction has been made between an initial evaluation with medical services done by a physician (90792) and an initial evaluation done by a non-physician (90791).

The psychotherapy codes have been simplified and expanded to include time with both the patient and/or family member: There are now just three timed codes to be used for psychotherapy in all settings (90832- 30 minutes; 90834-45 minutes; 90837- 60 minutes) instead of a distinction made by setting and whether E/M services were provided. When psychotherapy is done in the same encounter as an E/M service, there are timed add-on codes for psychotherapy (indicated in CPT by the + symbol) that are to be used by psychiatrists to indicate both services were provided (+90833 -30 minutes, +90836 - 45 minutes, +90838 60 minutes). The time for each psychotherapy code is now described as being as time spent with the patient and/or family member, a change from the previous psychotherapy code times, which denoted only time spent face-to-face with the patient.

Note: Since the new psychotherapy codes are not for a range of time, like the old ones, but for

(i.e., for 90832 this would be 16 minutes) then that code can be used. For up to 37 minutes you would use the 30 minute code; for 38 to 52 minutes, you would use the 45-minute code, 90834; and for 53 minutes and beyond, you would use 90837, the 60-minute code.

In lieu of the separate codes for interactive psychotherapy, there is now an add-on code for

interactive complexity, which may be used when the patient encounter is made more complex by the need to involve people other than the patient (+90785). This add-on can be used with initial evaluation codes (90791 and 90792), with the psychotherapy codes, with the non-family

with psychotherapy services. Although it is expected this code will be used most frequently in the treatment of children, it can be used any time the interaction with the patient and/or family member is more complex than normal or when other parties must be involved. The CPT manual includes specific guidelines as to what constitutes interactive complexity that should be understood before this add-on code is used. Documentation must clearly indicate exactly what that complexity was.

Another change is that a new code has been added for psychotherapy for a patient in crisis (90839). When a crisis encounter goes beyond 60 minutes there is an add-on code for each additional 30 minutes (+90840). This code was developed at the behest of the National Association of Social Workers, and it is expected that psychiatrists will generally use a high level E/M code when providing care for a patient in crisis. The CPT manual has guidelines as the what constitutes a crisis and permits the use of this code.

11

Code 90862 has been eliminated, and psychiatrists will now use the appropriate evaluation and

management (E/M) code when they do pharmacologic management for a patient. When psychotherapy is done during the same session as the pharmacologic management, one of the new psychotherapy add-on codes should be used along with the E/M code. (A new code, add-on code 90863, has been created for medication management when done with psychotherapy by the psychologists in New Mexico and Louisiana who are permitted to prescribe, but this code is not to be used by psychiatrists or other medical mental health providers).

What is an add-on code? An add-on code is a code that can only be used in conjunction with another, primary code and is indicated by the plus symbol (+) in the CPT manual. While basic CPT codes are valued to account for pre- and post-time, add-on codes are only valued based on intra-service time since the pre- and post-time is accounted for in the primary code. In the new Psychiatry codes there are three different types of add-on codes: 1.) Timed add-on codes to be used to indicate psychotherapy when it is done with medical evaluation and management; 2.) A code to be used when psychotherapy is done that involves interactive complexity (and 3.) A code to be used with the crisis therapy code for each 30 minutes beyond the first hour. See above for details about these add-on codes. All of these changes are represented in the crosswalk and charts provided on the following pages. The APA and the American Academy of Child and Adolescent Psychiatry (AACAP) have worked closely together on the development of these materials. We have also included a guide developed by the AACAP to assist with the understanding of E/M code selection.

hsf@psych.org or call the Practice Management HelpLine at 888-343-4671.

The document above was prepared and provided by APA

Office of Healthcare Systems and Financing.

For the full document click here:http://www.socalpsych.org/TX_DB_Handout-2sidedprinting_CPT_Coding.pdf

DISCLAIMERAdvertisements in this newsletter do not represent endorsement by the Southern Cali-

fornia Psychiatric Society (SCPS), and contain information submitted for advertising

which has not been verified for accuracy by the SCPS.

ALL EDITORIAL MATERIALS TO BE CONSIDERED FOR PUBLICATION IN THE NEWSLETTER MUST BE RECEIVED BY SCPS NO LATER THAN THE 5TH OF THE PRECEDING

MONTH. NO AUGUST PUBLICATION. ALL PAID ADVERTISEMENTS AND PRESS RELEASES MUST BE RECEIVED NO LATER THAN THE 5TH OF THE PRECEDING MONTH.

12

SCPS Officers

President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Larry Lawrence, M.D.

President-Elect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Steve Soldinger, M.D.

Secretary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sophie Duriez, M.D.

Treasurer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Marcy Forgey, M.D.

Treasurer-Elect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Heather Silverman, M.D.

Councillors by Region (Terms Expiring)

Inland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mubashuir Farooqi,M.D. (2015)

San Fernando Valley . . . . . . . . . . . . . . . . . . . . . . . . . . . Davin Agustines, D.O. (2013)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Saba Syed, M.D. (2013)

San Gabriel Valley/Los Angeles-East. . . . . . . . . . Hanumantah Damerla, M.D. (2015)

Allen Mogos, M.D. (2013)

Santa Barbara . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Paul Erickson, M.D. (2015)

South Bay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Margarita Krasnova, M.D. (2013)

South L.A. County. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Joseph Simpson, M.D. (2013)

Ventura . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vacant (2013)

West Los Angeles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Laurie Casaus, M.D. (2013)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . David Fogelson, M.D. (2015)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Michael Gales, M.D. (2013)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Roderick Shaner, M.D.(2015)

ECP Representative . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Erick Cheung, M.D. (2013)

ECP Deputy Representative . . . . . . . . . . . . . . . . . . . . . . . . . . Anita Red, M.D. (2014)

MIT Representative . . . . . . . . . . . . . . . . . . . . . . . . . . . Vandana Chopra, M.D. (2013)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ijeoma Ijeaku, M.D. (2013)

Past Presidents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Robert Burchuk, M.D.

Kathleen Moreno, M.D.

Mary Ann Schaepper, M.D.

Federal Legislative Representative . . . . . . . . . . . . . . . . . . . . . . Steve Soldinger, M.D.

State Legislative Representative . . . . . . . . . . . . . . . . . . . . . . . Ronald Thurston, M.D.

Public Affairs Representative . . . . . . . . . . . . . . . . . . . . . . . . . . . . Eric Levander, M.D.

Assembly Representatives

Lawrence Gross, M.D. (2013) Mary Ann Schaepper, M.D. (2016)

Ronald Thurston, M.D. (2014)

Executive Director . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mindi Thelen

Desktop Publishing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mindi Thelen

CPA Officers

President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ronald Thurston, M.D.

President-Elect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Timothy Murphy, M.D.

Treasurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . William Arroyo, M.D.

Trustee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Marc Graff, M.D.

Government Affairs Consultant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Randall Hagar

SCPS Newsletter

Editor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Colleen Copelan, M.D.

Editorial Committee

Ronald Thurston, M.D.

SCPS website address: www.socalpsych.org

© Copyright 2012 by Southern California Psychiatric Society

Southern California PSYCHIATRIST, (ISSN #10476334), is published monthly, exceptAugust by the Southern California Psychiatric Society, 2999 Overland Ave., Suite 208,Los Angeles, CA 90064, (310) 815-3650, FAX (310) 815-3650.

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