Psychiatry

Rotations and Training

A 12-month long program, the Psychology Internship at IU School of Medicine begins on the first working day of July and continues through the last working day of the following June. The training year is structured into two, six-month core rotations (two-and-a-half days per week), which are determined by track.

Clinical Experience

To ensure breadth of training, interns are expected to complete at least one core or elective rotation in a traditional psychology clinic setting as well as one core or elective in a behavioral medicine setting. Psychology Interns are also required to complete at least one core or elective rotation with an adult population and at least one core or elective rotation with a child-adolescent population. Interns must also complete two days of elective rotations per week during each of the six month rotations. Specific elective rotations are selected via post-match discussion between each intern and the training director based on the intern’s interests and training goals.

Didactics

In addition to the core rotations and elective rotations, interns attend a series of weekly didactics presented on a wide variety of topics. These didactics take place on Fridays (1-4 pm). All interns also attend Director’s Conference weekly on Fridays (12-12:45 pm), just prior to didactics. This is an opportunity for interns to have regularly scheduled time with the director of training and/ or the assistant directors of training.

Interns also attend the Psychiatry Department Grand Rounds on Fridays (11 am – 12 pm, September through May). Interns must attend at least 75 percent of the Grand Rounds, or they are asked to make up missing sessions by viewing recorded sessions.

Interns have the opportunity to schedule Quarterly Educational Seminars (QES) and are encouraged to develop full-day workshops, which need to include at least six hours of educational activity in areas of interest specific to the intern class. The interns, coordinated by the chief intern, can select a topic from a list of available programs or create their own seminar. These seminars are to be conducted four times a year, once per quarter. One QES is done in the memory of Robert Ten Eyck, who supervised Psychology interns for many years. Funds are available for food and other seminar activities.

Core Rotations

Rotation schedules are established during the spring prior to the start of the internship taking into account each intern’s training goals. Incoming interns, program leaders and supervisors work collaboratively to determine the best combination of rotations for each intern. Psychology interns train at clinical facilities in Indianapolis, including the IU Neuroscience Center/ Goodman Hall, Riley Hospital for Children at IU Health, the Pediatric Care Center (a Riley Hospital for Children/ IU Health facility), IU Health University Hospital clinics, IU Health North-Meridian Crossing and IU Health Primary Care clinics.

Supervisor: Kristine Chapleau, PhD, and Danielle Henderson, PhD

At the Adult Outpatient Clinic, interns will learn to approach psychotherapy with an understanding of how social factors (including belonging, racism, sexism, loss of status, interpersonal betrayal and violence) affect mental health. Interns will gain experience incorporating social factors into their diagnostic assessments and in determining appropriate treatment goals. Interns will provide individual psychotherapy (this includes conducting a clinical interview and diagnostic assessment) for approximately six patients per day. Patients present with a range of mood and anxiety disorders and interns will provide psychotherapy that is evidence-based and individualized to increase the patient’s understanding of self, ability to manage symptoms, interpersonal effectiveness and well-being. Interns will receive individual supervision and may have the opportunity provide supervision to practicum students.

Supervisor: Yelena Chernyak, PhD

The goal of this core rotation is for interns to have a breadth of experience in providing health psychology services to adults in a variety of outpatient clinical treatment settings including cardiology, oncology and behavioral sleep medicine. The setting for this rotation is divided between the IU Health Adult Outpatient Psychiatry Clinic and Study Center at the IU Health Neuroscience Center, the Simon Cancer Center Multidisciplinary Clinic and Methodist Hospital’s Acute Heart and Lung Care Clinic. Specialized services provided include assessment, consultation, individual and group psychotherapy primarily utilizing cognitive behavioral therapy (CBT)/ACT and other empirically supported interventions to deliver behavioral medicine, psychosocial support, coping skills building, symptom management, and behavioral modification. Interns will have the opportunity to work with a medically diverse clinical population experiencing acute and chronic medical conditions, provide consultation services, and interact with a multi-disciplinary medical team, and attend clinical case rounds in hospital based clinics. All clinical settings have a teaching mission allowing interns to interact with residents and fellows from various departments. IU Health is a tertiary care facility with nationally and internationally recognized programs in specialized medical care.

The two half-days per week of this core rotation must include:

  • a full day on Tuesdays (Adult Sleep Clinic)
  • a half or full day on a Monday or Thursday (Heart/Lung Clinic)
  • a half or full day on Wednesdays (Oncology Clinic)

Supervisors: Bill Kronenberger, PhD, Ann Lagges, PhD and Gabriela Rodríguez, PhD

The Riley Child and Adolescent Psychiatry Clinic offers outpatient mental health services to families with children and adolescents under the age of 19. Families present to the clinic with a wide range of psychiatric and co-morbid medical conditions and often with complex social situations. The child outpatient rotation is divided among a number of the clinics that exist under the larger umbrella of this general clinic. Interns on this rotation will spend a full day in the pediatric testing clinic (Thursdays), one and-a-half days in some combination of the TAC (Tics, Anxiety and Compulsions) Clinic (full or half-day Mondays), Mood/Tics, Anxiety and Compulsions (TAC) Clinic (full or half-day Wednesdays) and the Child and Adolescent Attention Deficit Disorder (ADHD)/Disruptive Behavior Disorders Clinic (full or half-day Mondays).

In all components of this rotation, the intern may have the opportunity to supervise a practicum student.

The pediatric testing clinic provides interns with experience providing intensive, full-day assessments to children and adolescents with complex issues involving cognitive abilities (approximately 90 percent of cases) and at times, issues involving personality/ symptom assessment (approximately 10 percent of cases). The intern is responsible for some test administration, behavior observation and test interpretation.

In the Mood/Tics, Anxiety and Compulsions (TAC) clinic, interns will gain experience in working as part of a tiered psychology team, which includes practicum students, to provide the evidence-based practice of psychology as applied to pediatric mood and anxiety disorders as well as obsessive-compulsive disorder (OCD) and tic disorders. This may include use of Erhard Seminars Training (ESTs), but the majority of the time, due to the complex nature of patients presenting to the clinic, will involve making use of the best available research to develop individualized treatment plans for each patient and family.

In the Tics, Anxiety and Compulsions (TAC) clinic, interns will gain experience working with children, adolescents and their families presenting with primary diagnoses of OCD, Tourette’s Disorder and other tic disorders, as well as other anxiety disorders including selective mutism. Treatment will include Exposure and Response Prevention (ERP) for OCD and Comprehensive Behavioral Intervention for Tourette’s (CBIT) as well as other evidence based interventions as appropriate. The clinic is multidisciplinary in nature which allows patients to receive therapy and medication management services at the same visit. The team, including a psychologist, psychiatrist, psychiatric residents, psychology interns and psychology practicum students will meet prior to the afternoon clinic to discuss patients.

In the Child and Adolescent ADHD/Disruptive Behavior Disorders Clinic, interns will gain experience in evidence-based treatment of ADHD and disruptive behavior disorders. Patients present with primary diagnoses including ADHD and/or Oppositional Defiant Disorder (ODD) as well as comorbid diagnoses including depressive disorders and anxiety disorders. Patient ages typically range from 4–16 years. Treatment approach is most often behavioral parent training to manage disruptive behaviors and cognitive-behavioral therapy to manage comorbid disorders, typically using the Modular Approach to Therapy for Children (MATCH-ADTC) manual. Experiences include diagnostic assessments and therapy. Given the presenting problems of many patients, collaboration with schools and primary care providers is common. Interns will shadow the supervising psychologist initially and will gradually provide more services independently.

Supervisors: Hillary Blake, PsyD and Amy Williams, PhD

The Riley Pediatric Consultation and Liaison Services offers inpatient mental health services hospital-wide. Consultation requests are received from various services including Hematology/ Oncology, Rehabilitation, Gastroenterology, Neurology, Pulmonology, Neurosurgery, General Surgery, Developmental Pediatrics, Critical Care, Endocrinology, Emergency Medicine, Hospitalist and Adolescent services and the burn unit. This service also consults for various acute psychiatric emergencies in the outpatient pediatric specialty clinics. Psychology interns will be involved in consultation requests involving diagnostic assessment, pain management, behavioral interventions, family conflict, coping with chronic or terminal illness, feeding issues, pre- and post-transplant evaluations, somatoform disorders, altered mental status and psychosis and overdose/ ingestion cases. Interns will carry an average of two to six cases per day, including new initial assessments and follow-up therapeutic interventions. The Pediatric Consultation and Liaison team is a multidisciplinary team which includes a full-time psychologist, psychiatrist, and two social workers. In addition, the intern will have the opportunity to work with psychiatry and triple board residents and medical students. Opportunities for supervision of medical students are available.

Supervisors: Liz Begyn, PhD, HSPP, ABPP-CN, and Rachel Jensen, PsyD, HSPP

The pediatric neuropsychology rotation is a core rotation with the primary goal of providing interns with exposure to outpatient neuropsychological evaluation of children with medical conditions and associated cognitive sequelae. Patients ages four years through college age are seen in the clinic, and the most common medical diagnoses for these children and adolescents include brain tumors, leukemia, epilepsy, traumatic brain injury, concussion, genetic disorders, spina bifida and hydrocephalus. Referrals are most commonly received from neuro-oncology, hematology-oncology, neurosurgery, neurology, physical medicine and rehabilitation, and developmental pediatrics. Evaluations (including interview, testing and feedback) are conducted in entirety in one day. Interns on this rotation will observe and participate in diagnostic interviews with caregivers and patients, observe and conduct neuropsychological testing, observe feedback of test results to families, write neuropsychological evaluation reports and work with postdoctoral fellows and graduate students in pediatric neuropsychology.

In addition, interns will attend a weekly neuropsychology case conference series (on Thursday mornings), which includes lectures related to the field of clinical neuropsychology and fact findings where interns can observe a postdoctoral fellow preparing for this aspect of board certification in neuropsychology. Additional educational opportunities may include attending a monthly pediatric neuropsychology lecture series (on Wednesday mornings), attending a monthly pediatric epilepsy case conference, attending a bi-monthly neuro-oncology case conference, observing a functional magnetic resonance imaging (fMRI) evaluation, and/ or shadowing the pediatric neuropsychology fellows on the inpatient rehabilitation unit and neuro-oncology multi-disciplinary clinic. Interns may also have the opportunity to receive supervised experience supervising practicum students. The greater part of this rotation takes place in the  outpatient clinic at the IU Health Neuroscience Center/ Goodman Hall, with some of the additional opportunities taking place at Riley Hospital for Children at IU Health.

Supervisors: Noha Minshawi, PhD and Emily Roth, PsyD

The Christian Sarkine Autism Treatment Center (CSATC) is a comprehensive, hospital-based and university-affiliated treatment center engaging in clinical care, research, education and outreach activities in the state of Indiana. It actively serves over a thousdand individuals with Autism Spectrum Disorders (ASD) and other neurodevelopmental disabilities (NDD) of all ages, abilities and developmental levels. The center was one of only five sites in the country involved in a research study funded by the National Institute of Mental Health that was focused on parent management training for individuals with autism. The center’s mission is to provide evidence-based interventions to individuals with ASD and NDD, including gold-standard assessment and diagnosis, behavioral interventions and medication management.

Psychology interns have the opportunity to participate in a variety of clinical opportunities that include both assessment and treatment of individuals with ASD and NDD. Assessment experience will include diagnostic interviews and standardized testing experiences. The treatment focus of the center is behavioral in nature with a specific emphasis on the science of Applied Behavior Analysis (ABA). Interns will carry therapy caseloads that will include multiple modalities (e.g., individual therapy, parent training), as well as a variety of presenting problems (e.g., aggression, self-injury, social skills deficits, adaptive skills training). In addition to treatment experience, interns can pursue opportunities to expand their research skills on several ongoing studies based on time and interest.

Supervisors: Lezlie Blackford, PhD, Melissa Butler, PhD, Danielle Henderson, PhD, Sarah Landsberger, PhD, Gabriela M. Rodriguez, PhD, Jenifer Vohs, PhD, Jennifer Downs, MD, Ryan Harris, MD, Amber Hunt, DO and Rachel Yoder, MD

This rotation will only be provided in the 2020-2021 training year if funding is secured.

The Changing Health Outcomes through Integrated Care Excellence (CHOICE) program is an integrated care program providing specialized behavioral health services in primary care adult and pediatric clinics. The CHOICE program strives to improve patient health and access to mental and behavioral health services through the integration of psychologists and psychiatrists into primary care practices. The CHOICE program is currently located at three separate IU Health locations: IU Health Methodist Family Medicine Center, Georgetown Medical Plaza and the Riley General Pediatric Clinic located in the Pediatric Care Center.

Interns on this rotation will become a part of the CHOICE team at at  least one of the three CHOICE program locations. Depending on the intern’s interests and supervisor availability, interns may choose to split their core rotation between two CHOICE locations. CHOICE teams are comprised of psychologists, psychiatrists, psychiatry residents and psychology interns. Interns will spend approximately 50 percent of their time in scheduled face-to-face therapy sessions and diagnostic evaluations with patients referred by primary care physicians and pediatricians. During the other 50 percent of their time, interns will be available along with other CHOICE team members for consultations and “warm-hand offs” from primary care physicians and pediatricians. Many referrals tend to be for common psychiatric conditions, such as depression and anxiety, however a number of referrals also deal with adjustment difficulties, health behavior change (including management of chronic health conditions) and more severe forms of mental illness. Pediatric referrals tend to focus on depression, anxiety, and behavioral and developmental problems. Interns will use evidence-based practice methodology to provide appropriate evaluation and treatment for patients seen in these settings.

Elective Rotations

Supervisor: Kristine Chapleau, PhD, and Danielle Henderson, PhD

This rotation is a half or full day per week. Interns will have the opportunity to conduct diagnostic assessment and psychotherapeutic treatment for mood, anxiety and personality disorders in an outpatient treatment setting at the Adult Psychiatry Clinic and Study Center at Indiana University Neuroscience Center. Interns will have the opportunity to interact with multi-disciplinary treatment team members, social workers, physicians and psychologists.

Supervisor: Yelena Chernyak, PhD

This rotation is a full day per week and is available only on Wednesdays. Outpatient psychosocial services are provided as part of the Indiana University Simon Cancer Center Complete Life Program. The treatment team (which consists of a psychiatrist, psychologist, social worker, dietitian and chaplain) meets on a weekly basis for rounds and staffing. Psychological services provided include individual, family and group therapy using cognitive behavioral therapy (CBT ) and other empirically-supported interventions for skills building, symptom management, behavior modification and psychosocial support.

This elective is part of the Adult Health Psychology Core.

Supervisor: Yelena Chernyak, PhD

This rotation is a full day per week and occurs on Mondays and Thursdays. Specialized psychological services are provided to the Advanced Heart and Lung Care Clinic at Methodist Hospital including pre-transplant psychological evaluations, individual therapy using cognitive behavioral therapy (CBT), other empirically-supported interventions and group therapy for thoracic transplant patients. Interns will have the opportunity to work with a medically diverse clinical population, provide consultation services and interact with a multi-disciplinary medical team in a hospital-based outpatient cardiology clinic. One hour of weekly individual supervision will be provided as part of this elective rotation.

This elective is part of the Adult Health Psychology Core.

Supervisor: Yelena Chernyak, PhD

This rotation is a full day per week and is available only on Tuesdays. The intern will participate in an adult behavioral sleep medicine clinic in the IU Health Adult Outpatient Psychiatry Clinic in collaboration with the IU Sleep Disorders Center under the supervision of a psychologist with board certification in behavioral sleep medicine. The intern will provide assessment and treatment services to adults ages 18 an and over for sleep-related presenting problems including insomnia, hypersomnia, circadian rhythm disorders, narcolepsy, anxiety disorders and noncompliance with medical treatments such as continuous positive airway pressure (CPAP) for sleep apnea, as well as possible coexisting psychiatric disorders. Skills training, education and structured learning experiences (e.g. readings, webinars) will be provided to develop skills and knowledge in behavioral sleep medicine respective to intern experience. Initially the intern will shadow the supervising psychologist and then gradually provide more services independently. Treatments are typically short-term (four to eight sessions), are highly focused, specific to sleep problems and have a strong basis in cognitive-behavioral psychology. Previous experience in behavioral sleep medicine is desirable but not required.

This elective is part of the Adult Health Pscyhology Core.

Supervisors: Rachel Holmes, PhD and Audrey Krause, PhD

This rotation is a full day per week, on Wednesday or Thursdays. Interns will have the opportunity to conduct diagnostic assessments, pre-transplant evaluations, brief interventions/ psychotherapy and provide consultation to different medical teams in both an outpatient and inpatient hospital setting. There are also opportunities to participate in the monthly transplant support group and weekly transplant meetings for the liver, pancreas and multi-visceral teams. Experience on this rotation will be partially determined by the intern’s learning objectives and prior training experience. The patient population is mostly organ transplant candidates and recipients (90 percent), but kidney donors are also assessed. Most patients have no previously identified psychopathology but the full diagnostic range can present.

Supervisor: Bill Kronenberger, PhD

This rotation is a full day per week and is only available on Thursdays. Psychological testing is conducted two days per month, with one patient per day. Contact hours average six to eight hours per child. Approximately 90 percent of testing cases involve evaluation of cognitive abilities (intelligence, achievement, memory, executive functioning, etc.), and 10 percent of testing cases involve personality testing (projective and/ or objective). The other two days per month are used for didactics, additional supervision, learning new tests, test interpretation and review of results. The intern is responsible for some test administration, supervision of a graduate student, behavior observation and test interpretation; there is no report-writing. Supervision is provided by live observation of test administration, individual meetings to discuss results and didactics covering major topics.

This elective is part of the Child Outpatient Core.

Supervisor: Ann Lagges, PhD

This rotation is a half or full day per week and occurs on Wednesdays. Interns will gain experience in the evidence-based practice of psychology as applied to pediatric mood, anxiety, obsessive-compulsvie disorder (OCD) and tic disorders. This may include use of Erhard Seminars Training (ESTs), but the majority of the time, due to the complex nature of patients presenting to the clinic, will involve a modular approach to therapy making use of the best available research to develop individualized treatment plans for each patient and family. Experiences will include diagnostic assessments and therapy. Interns will most likely have the opportunity to assist in supervision of practicum students. Patients present with a wide range of primary diagnoses including depressive disorders, anxiety disorders, OCD and tic disorders as well as comorbid secondary diagnoses including attention deficit disorder (ADHD), oppositional defiant disorder (ODD), Autism Spectrum Disorder and intellectual disabilities. Co-occurring medical conditions and complex social situations in families are very common.

This elective is part of the Child Outpatient Core.

Supervisor: Ann Lagges, PhD

This rotation is a half or full day per week and occurs on Mondays. Interns will gain experience working with children, adolescents and their families presenting with primary diagnoses of obsessive-compulsive disorder (OCD), Tourette’s Disorder and other tic disorders, as well as other anxiety disorders. Treatment will include event-related potential (ERP) for OCD and Comprehensive Behavioral Intervention for Tourette’s (CBIT), as well as other evidence based interventions as appropriate. The clinic is multidisciplinary in nature which allows patients to receive therapy and medication management services at the same visit. The team, including a psychologist, psychiatrist, psychiatric residents, psychology interns and psychology practicum students will meet prior to the afternoon clinic to discuss patients and review relevant literature. Interns will most likely have the opportunity to assist in supervision of practicum students.

This elective is part of the Child Outpatient Core.

Supervisor: Gabriela Rodríguez, PhD

This rotation is a half or full day per week and occurs on Mondays. Interns will gain experience in evidence-based treatment of attention deficit disorder (ADHD) and disruptive behavior disorders. Patients present with primary diagnoses including ADHD and/or oppositional defiant disorder (ODD) as well as comorbid diagnoses including depressive disorders and anxiety disorders. Patient ages typically range from 4-16 years. Treatment approach is most often behavioral parent training to manage disruptive behaviors and cognitive-behavioral therapy to manage comorbid disorders, typically using the Modular Approach to Therapy for Children (MATCH-ADTC) manual. Experiences include diagnostic assessments and therapy. Given the presenting problems of many of patients, collaboration with schools and primary care providers is common. Interns will shadow the supervising psychologist initially and will gradually provide more services independently.

This elective is part of the Child Outpatient Core.

Supervisor: Hillary Blake, PsyD

This rotation is a full day per week and is available on Mondays. This clinical elective rotation is within the Riley Headache Clinic which is a joint venture with Pediatric Neurology and is charged with providing excellent clinical care to children and adolescents presenting with headaches. The treatment team is comprised of a pediatric psychologist, pediatric neurologist and a nurse practitioner. Specialty skills interns learn while on this rotation include assessment of patients with headache, cognitive behavioral therapy (CBT) interventions for headache, and basic and advanced biofeedback skills.

Supervisor: Amy Williams, PhD

This rotation is a full day per week on Thursdays. Interns will gain experience in assessment and treatment of pediatric patients with chronic pain who present to the Riley Pain Center. Treatment involves cognitive behavioral therapy (CBT) for chronic pain (and other evidence based interventions) and biofeedback. Interns may also have the opportunity to co-lead a pain coping skills group for teens. The pain center is an interdisciplinary treatment team comprised of two pediatric anesthesiologists, a nurse practitioner, nursing, one pediatric psychologist, half of a pediatric psychology fellow and a physical therapist. Interns may have the opportunity to gain experience in supervision of practicum students.

Supervisor: Sarah Morsbach Honaker, PhD

The intern will participate in pediatric behavioral sleep medicine clinics conducted through the section of pulmonology, allergy and sleep medicine in the Department of Pediatrics. Under the supervision of a psychologist with board certification in behavioral sleep medicine and in collaboration with several sleep physicians, they will provide assessment and treatment services for youth ages 18 and younger presenting with sleep problems. Initially the intern will shadow the supervising psychologist and then gradually provide more services independently. The intern will also make follow-up phone calls to families to discuss treatment progress and engage in structured learning experiences (including webinars, readings) to develop skills and knowledge in behavioral sleep.

During the second half of the rotation, the intern will take the lead conducting co-therapy with patients. Treatments are typically short-term (two to four sessions), are highly focused, specific to sleep problems and have a strong basis in cognitive-behavioral psychology. While the most frequent presenting complaint will be insomnia, treatment will also address problems such as nightmares, circadian rhythm disorders and hypersomnias. In addition to developing a strong foundation and understanding of normal sleep and behavioral sleep medicine treatments, the intern will gain familiarity with actigraphy as a clinical assessment tool, observe part of an overnight polysomnogram, shadow a sleep physician in clinic and learn to screen for medical sleep disorders. The training experience further includes opportunities to work with infants and toddlers. This rotation is offered only on Wednesdays at IU Health North, located in Carmel. A full day experience is preferred, though half-day will be considered. Previous experience in behavioral sleep medicine is desirable but not required. Intern hours accrued during this rotation can be applied toward certification in behavioral sleep medicine (DBSM certification offered by the Society for Behavioral Sleep Medicine).

Supervisor: Zack Adams, PhD

This rotation may occur on one full or two half days per week. Interns will join an established treatment team and gain experience working with adolescents and their families in the evaluation and treatment of co-occurring substance use and mental health disorders. Interns will be trained in delivery of ENCOMPASS, an integrated, evidence-based treatment model that involves standardized diagnostic assessment (using the KSADS structured interview), motivational enhancement, cognitive behavioral therapy (CBT), contingency management and family sessions. Youth receive both therapy and medication management through this clinic, and interns will have ample opportunities to interact and coordinate care with an interdisciplinary team of psychiatrists, psychologists, psychiatric residents, social workers and medical students in this rotation. Interns will attend weekly team meetings and weekly individual supervision sessions. There may be opportunities to obtain training in delivery of services outside the conventional in-person clinic setting (e.g., school-based services; telemedicine). Opportunities for scholarly work such as didactic material development, patient handouts and scholarly articles for publication are also available.

Supervisors: Supervisors: Lezlie Blackford, PhD, Melissa Butler, PhD, Danielle Henderson, PhD, Sarah Landsberger, PhD, Gabriela M. Rodriguez, PhD, Jenifer Vohs, PhD, Jennifer Downs, MD, Ryan Harris, MD, Amber Hunt, DO and Rachel Yoder, MD

This rotation will only be provided during the 2020-21 training year if funding is secured.

The Changing Health Outcomes through Integrated Care Excellence (CHOICE) program is an integrated care program providing specialized behavioral health services in primary care adult and pediatric clinics. The CHOICE program strives to improve patient health and access to mental and behavioral health services through the integration of psychologists and psychiatrists into primary care practices. The CHOICE program is currently located at three separate IU Health locations: IU Health Methodist Family Medicine Center, Georgetown Medical Plaza and the Riley General Pediatric Clinic located in the Pediatric Care Center.

Interns on this rotation will become a part of the CHOICE team at least one of the three CHOICE program locations. Depending on the intern’s interests and supervisor availability, interns may choose to split their core rotation between two CHOICE locations. CHOICE teams are comprised of psychologists, psychiatrists, psychiatry residents and psychology interns. Interns will spend approximately 50 percent of their time in scheduled face-to-face therapy sessions and diagnostic evaluations with patients referred by primary care physicians and pediatricians. During the other 50 percent of their time, interns will be available along with other CHOICE team members for consultations and “warm-hand offs” from primary care physicians and pediatricians. Many referrals tend to be for common psychiatric conditions, such as depression and anxiety, however a number of referrals also deal with adjustment difficulties, health behavior change (including management of chronic health conditions) and more severe forms of mental illness. Pediatric referrals tend to focus on depression, anxiety, and behavioral and developmental problems. Interns will use evidence-based practice methodology to provide appropriate evaluation and treatment for patients seen in these settings.

Supervisor: Stephanie Hullmann, PhD

This rotation is one full day or two half days per week. Interns will have the opportunity to conduct intake assessments, psychotherapy and consultations with children and adolescents with cancer and their families. Interns may see patients in the outpatient Pediatric Hematology/Oncology clinic, infusion center and/or inpatient medical unit at Riley Hospital for Chidren. Presenting problems include: adjustment disorder, anxiety, depression, behavior problems, nonadherence, symptoms management and end-of-life issues. Treatment is primarily cognitive-behavioral. This rotation takes a developmental approach; initially, the intern will shadow the supervising psychologist and gradually gain more independence. There will also be opportunities to attend weekly interdisciplinary treatment team meetings in which the interns may collaborate with Pediatric Hematology/ Oncology medical and psychosocial staff.

Supervisor: Kelly Donahue, PhD, HSPP

The intern will participate in Gender Health clinics conducted through the Department of Pediatrics in the Division of Adolescent Medicine. This rotation is ideally available as a full day per week, although a half day per week (afternoon/ evening only) is possible. Clinics occur on Thursdays at the Riley Physicians Meridian Crossing office in Carmel.

Interns will receive supervision in the provision of gender-affirming care for transgender and gender expansive children and teenagers. This will include conducting comprehensive intake assessments for new patients; ongoing supportive therapy as patients explore their gender identity or pursue gender-affirming social or medical transition; and ongoing therapy to address co-occurring depression and anxiety using primarily a cognitive behavioral approach. Interns will also gain skills in providing psychoeducation to parents and families and addressing parent concerns or misperceptions about their child’s gender identity.

On Thursday afternoons, interns will participate in a multidisciplinary adolescent medicine clinic, which includes providers in medicine, psychology, social work, nursing and nutrition. This dedicated gender health clinic occurs on two Thursdays each month. Outside of this dedicated twice-monthly gender health clinic, the majority of patients seen by the psychologist are for evaluations, therapy-related or gender dysphoria. Remaining patients include referrals from providers in adolescent medicine for anxiety or depression.

Supervisor: Elaine Gilbert, PsyD

This rotation is a half or full day per week and is available on variable days depending on interest and goals of the trainee. This clinical elective rotation is within the Riley Gastroenterology (GI) Division. Interns will learn research informed care for children and adolescents referred by their GI providers for a multitude of presenting issues including nonadherence, coping with chronic medical conditions, somatic and functional conditions, pain management, encopresis, as well as comorbid anxiety and mood issues. Beyond outpatient care this rotation has the potential to involve trainees in integrated clinics including the Healthy Weight Management Clinic and the Motility Clinic. Specialty skills that will be taught include brief assessment of patients with GI symptoms, cognitive behavioral therapy (CBT) interventions for chronic medical conditions and pain management, as well as basic and advanced biofeedback skills.