Residents learn the fundamentals of evidence-based treatment of borderline personality disorder. They will co-lead a psycho-education group for 12 months, participate in weekly group supervision, and conduct individual long-term (12 months) psychotherapy for patients with borderline personality disorder.
The resident will join the Adult Eating Disorder Program at Texas Health Resources Presbyterian Hospital of Dallas where PGY-3 residents will follow one to two patients at a time throughout their rotation, and attend therapeutic activities with the patients (meals, art therapy, education, and multifamily group therapy). The resident will lead a case conference for the clinical team during their rotation, focusing on exploring an interest related to their patients.
The goal of this rotation is to provide residents with training in two evidence-based psychotherapies (EBPs) which will be selected by the rotation participants. The following EBPs will be available: cognitive processing therapy, prolonged exposure, acceptance and commitment therapy (ACT), interpersonal therapy (IPT), integrative behavioral couples therapy (IBCT), cognitive behavioral therapy for insomnia (CBT-I), cognitive behavioral therapy for chronic pain (CBT-CP), motivational interviewing (MI), and motivational enhancement therapy for substance use disorders.
Residents are trained in inpatient medical psychotherapy on the Consult-Liaison Psychiatry Service for patients with co-morbid medical/mental health conditions. Interventions are typically brief, problem-focused, and involve behavioral management of staff as well. Potential exists for sharpening short-term CBT skills, as well as learning basics of ACT, if interested.
Residents meet with families in distress and an experienced family psychotherapist as a group. Afterward, videos of sessions are reviewed and discussed. Residents learn the finer points of emotionally focused therapy and other postmodern viewpoints such as narrative therapy. The main responsibilities of residents are to be a co-therapist for a family or couple.
The Faculty Practice uses intense psychoanalytic psychotherapy, existential psychotherapy, and mindfulness approaches to help patients with depression, anxiety, personality disorders, and histories of trauma. Residents work under direct supervision of faculty psychiatrists in a setting similar to the private-practice model. There will be opportunities to observe experienced clinicians interacting with patients in both medication management and psychotherapy encounters. Residents also build their own caseload by performing new psychiatric evaluations, providing follow-up visits, and psychotherapy.
This Parkland Outpatient Clinic serves patients with serious co-morbid and often disabling medical problems. Residents are able to carry a year-long caseload of psychotherapy patients. Residents direct psychotherapeutic treatment, utilizing evidence based therapeutic modalities under the supervision of an attending physician.
The UT Southwestern Psychiatry Clinic has a small percentage of patients, seen by either psychology students or psychiatry residents who do not have their full licenses, who would benefit from psychiatric medications. These patients are seen in a weekly half-day clinic staffed by a resident and the Clinic Director. Residents learn to prescribe medications in close collaboration with a patient’s therapist.
Terrell State Hospital provides intensive and long-term inpatient treatments for patients from North Texas whose psychotic illnesses cannot be managed in the community. PGY-2 and PGY-4 residents provide psychiatric evaluation and treatment under the supervision of experienced attendings at Terrell State Hospital. There is a strong focus on effective psychopharmacology and on fostering recovery through interdisciplinary teams and family engagement.