The Integrated Dual Diagnosis Clinic provides diagnostic, pharmacological and psychotherapeutic services for the evaluation and treatment for substance use disorders and comorbid mental illness in its various combinations. Substance use disorders treated include opioid, alcohol, nicotine, cocaine and behavioral addictions. A variety of treatment options tailored to the unique needs of each patient are offered. Treatments may include evidence-based medications such as Suboxone, naltrexone, Vivitrol and Sublocade. We also offer individualized therapy for patients to maintain meaningful recovery.
In addition, clinic providers offer a MAT bridge clinic—a rapid response to addiction needs within 72 hours of referral, focusing on engaging patients quickly for medication needs and guide patients to the proper modality depending on the level of need.
Behavioral Sleep Medicine (BSM) is a specialized field that uses a bio-psycho-social approach to offer individualized, evidence-based, non-medication treatments for sleep disorders. The BSM Clinic provides psychological evaluation and treatment for adults with sleep disorders including insomnia, hypersomnia, parasomnias, circadian rhythm disorders and those with difficulties adjusting to sleep apnea treatment.
Evidence-based psychotherapies including Cognitive-Behavioral Therapy for Insomnia, Cognitive Behavioral Therapy for Hypersomnia, CPAP Desensitization Therapy, Imagery Rehearsal Therapy and Relaxation Training are offered. The BSM clinic also conducts pre-surgical psychological evaluations for individuals undergoing Upper Airway Stimulation Therapies such as INSPIRE and assists with post-surgical optimization. Care is also provided in close collaboration with sleep disorder physicians at IU Sleep Disorders Center and the Roudebush VA Medical Center.
Under supervision, second-year psychiatry residents use cognitive-behavioral therapy (CBT) to conduct brief psychotherapy (6-8 sessions) with patients referred for treatment of mental health concerns.
Danielle Henderson, PhD
Down Syndrome and Catatonia Clinic
The Down syndrome and Catatonia Clinic provides unique care across the lifespan of persons with Down syndrome. This clinic is focused on helping families access care when their children have experienced a regression in functioning due to catatonia—a state of psycho-motor immobility and behavioral abnormalities most often seen in this patient population due to trauma, major life changes, early-onset dementia/Alzheimer’s or major depression. The clinic also focuses on supporting individuals with Down syndrome and other neurodevelopmental disabilities (e.g., autism spectrum disorder, intellectual disability) who may be experiencing co-occurring psychiatric conditions impairing their functioning.
Using a combined treatment approach of psychopharmacology and psychotherapy with adjunctive therapies as needed, the clinic provides individuals and their families with a plan of care tailored to their needs.
Patients with conditions such as severe depression, mania, psychosis and catatonia may be treated with electroconvulsive therapy (ECT) to quickly reverse symptoms of the disorders. ECT is a procedure done under general anesthesia in which small electric currents are passed through the brain causing a brief seizure.
Patient referrals for ECT treatment can be emailed to MHECTTeam@IUHealth.org, or faxed to 317-963-5131. Questions? Call 317-963-8940 for more information.
The forensic clinic provides criminal and civil evaluations for lawyers and judges in central Indiana. This clinic accepts referrals only from attorneys and judges.
George Parker, MD
Tracy Gunter, MD
Fred Unverzagt, PhD
Interventions for Chronic Pain Clinic
Danielle Henderson, PhD, works in collaboration with providers at the IU Health University Hospital Interventional & Advanced Pain Therapies Clinic. She performs pre-surgical evaluations for spinal cord stimulator or intrathecal pain pump treatment. The clinic also provides psychotherapy for chronic pain using evidence-based treatments.
John Nurnberger, MD, PhD, and psychiatry residents provide clinical assessment and ongoing treatment for patients with bipolar disorders. The staff is happy to include family members in the evaluation and follow-up if desired. Appropriate consultation, including referral for imaging or genetic testing, is used if indicated. Currently the clinic is closed to new patient referrals but hopes to re-open as soon as possible.
The Neuropsychology Department in Psychiatry provides diagnostic evaluations for adults and older adults. Adults of any age may experience decline or impairment in memory or other thinking ability. Sometimes these difficulties arise as a result of an injury, medical problem, degenerative disease or developmental condition. Neuropsychological testing is helpful in diagnosis and treatment planning for persons with dementia or Alzheimer’s disease, head injury, stroke, epilepsy, multiple sclerosis, brain tumor, IQ and personality testing, or pre-surgical evaluations for epilepsy or movement disorder.
The evaluation starts with an interview to review current symptoms and a general history. Tests of memory, attention, language, spatial and reasoning skills will be administered. In some cases, questionnaires or rating scales of mood may be included. Feedback is often provided the same day.
Our team provides diagnostic evaluations and treatment recommendations for patients with Treatment-Resistant Depression (TRD) and all patients who have been referred to undergo Electroconvulsive Therapy (ECT) or Transcranial Magnetic Stimulation (TMS). For pre-neurostimulation consultations, we take time to discuss the risks and benefits of each procedure and answer patients’ and families’ questions.
We provide transcranial magnetic stimulation (TMS) treatment for patients with major depressive episodes. This is an FDA-cleared treatment for depression that consists of 20 to 36 daily 20-minute treatment sessions in the office. TMS is non-invasive and no anesthesia is required. Patients are able to drive themselves to treatment visits. A consultation with the Pre-Neurostimulation Clinic is required prior to undergoing treatment.