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Major Clinical Rotations
Home >  Clinical Services >  Psychiatry and Behavioral Sciences >  Professional Training Programs >  Psychology Internship Training Program >  Major Clinical Rotations
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Psychiatry and Behavioral Sciences

Major Clinical Rotations

Interns at a private lunch with Dr. Jonathan Abramowitz after his presentation in the Department of Psychiatry Grand Rounds

Adult Specialization (Moses Campus)

Adult Outpatient Psychiatry Department (AOPD)

The AOPD for our Adult Specialization is a general, catchment-area clinic located on the ground floor of the Klau Pavilion on the Moses Campus. It serves a heterogeneous group of approximately 1,400 adult outpatients who are presenting with a variety of psychiatric disorders—including mood and anxiety disorders, personality disorders, psychotic disorders, and psychiatric disorders associated with chronic medical conditions and infectious diseases—as well as those who must contend with numerous psychosocial and environmental stressors. Patients are seen in individual, group, couples or family therapy, and many receive psychopharmacologic treatment as well.

Interns are responsible for all phases of outpatient psychiatric care, including structured diagnostic intake evaluations (interns complete at least five evaluations over the course of the six-month rotation), treatment planning and the provision of psychotherapy—which often includes the sharing of care responsibilities with psychiatrists or psychiatry residents who are prescribing medications (when necessary). Interns in the AOPD rotation typically see approximately 16 patients for weekly appointments during this six-month rotation, but they also carry two to three AOPD patients when off-service, for longer-term care.

There is no single therapeutic approach or orientation in the AOPD. Interns receive comprehensive, one-on-one supervision from licensed psychologists with expertise in cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), psychodynamic (PD) therapy, acceptance and commitment therapy (ACT), mindfulness, integrative perspectives and more. Interns may request supervisors with expertise in a specific theoretical orientation. Otherwise, interns are assigned to a variety of supervisors so that they may be exposed to a range of therapeutic approaches.

During this rotation, interns also co-lead one group, attend a weekly case conference and complete at least one neuropsychological assessment. Interns are also assigned to a multidisciplinary treatment team led by an attending psychiatrist, with an attending psychologist, social workers and psychiatry residents all part of the team. They also participate in the Adult Dialectical Behavior Therapy (DBT) Program (via attending a weekly DBT consultation team meeting) and have the option to receive individual DBT supervision, serve as primary therapist for individual DBT cases, and co-lead a DBT skills group as part of the Adult DBT Program in the AOPD.

Adult Dialectical Behavior Therapy Program

The Adult Dialectical Behavior Therapy Program at the Moses Campus is a specialty program housed in the AOPD that provides DBT for adults with behavioral and affect dysregulation. Individuals participating in the program may be diagnosed with a range of disorders, including mood and anxiety disorders, trauma and stress-related disorders and substance-use disorders. Interns will co-lead DBT skills group with Dr. Amy Kranzler and participate in weekly DBT consultation team meetings. Interns also may serve as the primary therapist for one more DBT cases. Additionally, interns have the opportunity to contribute to research conducted within the Multisite DBT Clinical Research Collaboration—a research program run by Dr. Kranzler and Dr. Katrina McCoy.

Trauma Healing and Resilience in Vulnerable Environments (THRIVE)

Trauma Healing and Resilience in Vulnerable Environments is a specialty clinic housed within the Moses Adult Outpatient Psychiatry Department, dedicated to providing evidence-based therapy for trauma-related disorders. Directed by Dr. Laurie Gallo, THRIVE is where interns learn to conduct a comprehensive trauma assessment and make stage-based, individualized treatment recommendations. Interns will serve as the primary therapist for individuals who are experiencing trauma-related stress (including post-traumatic stress disorder, or PTSD), complex trauma, racial stress and trauma, and traumatic bereavement. Interns have the opportunity to conduct evidence-based trauma treatments, including cognitive processing therapy, acceptance and commitment therapy, Skills Training in Affective and Interpersonal Regulation plus Modified Prolonged Exposure (STAIR/MPE), prolonged exposure (PE) and dialectical behavior therapy and prolonged exposure (DBT-PE). Interns can elect to co-lead a group such as the Beginning Recovery from Trauma Group, Complicated Grief Group and Trauma Sensitive Yoga. Interns also have the opportunity to participate in scholarly activities, including conducting research and quality improvement projects, authoring articles and presenting at conferences.

Becoming an Emerging Adult at Montefiore (BEAM) Program

The Becoming an Emerging Adult at Montefiore Program is a new, multisite specialty program that offers developmentally informed, evidence-based interventions for emerging adults with a wide range of presenting concerns. The program offers assessment, treatment, consultation, education and training to improve our ability to meet the needs of emerging adults as they present to and transition among clinics across our health system. Interns who participate in this elective will receive specialized training in the unique developmental needs of emerging adults in both child and adult outpatient settings and how to adapt their treatment appropriately. Interns will serve as the primary therapist for individual emerging adults and will have the opportunity to participate in scholarly activities, including authoring articles, leading training sessions for staff throughout the hospital and presenting at conferences. Supervision is provided by Dr. Amy Kranzler, Dr. Sandra Pimentel and Dr. Amanda Zayde.

Psychiatric Observation Suite (POS) - Psychiatric Emergency Room (ER)

The Psychiatric Observation Suite is a five-bed unit within the psychiatric emergency room of the Emergency Department (ED) at the Moses Campus. It constantly ranks as one of the country’s busiest EDs and is the most visited in the State of New York! Patients are seen either in the POS or as a psychiatry consult in the medical or pediatric ER. Patients, most of whom are acutely ill, are seen for immediate evaluation, crisis intervention and disposition. The length of stay in the ED is largely dependent on bed availability for admission, which could be as little as a few hours or at most a few days. As such, interns learn to diagnose patients quickly, make triage and referral decisions, perform suicide and violence potential assessments, and do crisis interventions. Patients are assigned to interns by the medical director, Melissa Rooney, MD, and are supervised closely by Dr. Rooney and the other attending psychiatrists. Interns also work closely with the Chief Resident, nurses and social workers and attend daily rounds and meetings.

Psychiatric Consultation Service in Psychosomatic Medicine

The Psychiatric Consultation Service rotation consists of experiences in Addiction Psychiatry Consultation, General Consultation-Liaison Service and Transplant Consultation.

Addiction Psychiatry Consultation Service in Psychosomatic Medicine

The Addiction Psychiatry Consultation Service provides consultation-liaison services to medically complex patients, with a range of medical, psychological and social issues, who have been admitted to the general hospital with substance-use/mental illness-related comorbidity. Interns learn how to screen for substance-use disorders, develop a differential diagnosis (e.g., delirium versus toxicity), manage withdrawal, use psychotropic medications appropriately, manage pain in the addicted patient, and formulate and implement an appropriate treatment plan for patients with co-occurring medical and substance-use issues. Specific evidenced-based interventions that are modeled and taught include motivational interviewing.

Interns in the Addiction Psychiatry Consultation Service—a busy and visible teaching service—are part of a team that includes psychiatry residents, addiction and psychosomatic fellows and medical students, and they interact with a range of other disciplines and treatment teams throughout the hospital. The service averages 200–300 patients per month, and interns typically conduct 10–15 written consultation reports and two to three follow-up visits with each patient during the hospital stay.

Interns also will work with the transplant team to assess for psychological contraindications to liver and kidney transplantation and living donation, and they will provide consultations for post-transplant patients who are hospitalized and presenting with a variety of psychological concerns, including addiction, depression and anxiety. Interventions used with transplant patients are based on CBT, motivational interviewing and mindfulness. Interns are part of a multidisciplinary team that includes surgeons, hepatologists, nephrologists, social workers and nurses. There are opportunities to participate in multidisciplinary team meetings with the transplant team. Dr. Brett Simpson and Dr. Lisa Teh supervise interns in their clinical evaluation of patients as well as in their consultative role to other providers.

Transplant Surgery Programs

The psychosocial service to the transplant surgery programs provides consultation services to all the solid-organ transplant teams at the medical center. Psychiatrists, psychologists, consultation-liaison fellows and social workers are key participants in the multidisciplinary team that evaluates patients with liver, kidney, heart and lung failure. The rotation  includes an inpatient consultation component, in which patients will be psychiatrically evaluated and treated on an outpatient basis and at bedside with supervising psychologist Dr. Teh. Thus, the intern has the opportunity to witness and contribute to vital assessments that inform decisions that determine whether to list patients for medically necessary organ transplantation. Interns also may have the opportunity to carry a small caseload of transplant patients for individual psychotherapy, attend selection meetings, observe and participate in multidisciplinary team selection meetings, conduct research within the transplant population and co-lead support groups. The schedule for this rotation is flexible and, within reason, can be tailored to an intern’s availability. Supervision is provided by Lisa Teh, PhD.

Research

All interns are required to participate in research and will have protected research time for a minimum of one day per week for four months (with the option to extend to one day per week for up to the entire internship year).

The psychology faculty at Montefiore are currently involved in research in a number of different areas, including anxiety and depression, personality disorders, behavioral health services utilization, psychological assessment, cognitive behavior therapy, dialectical behavior therapy, adolescent suicide and eating disorders. Interns may select a faculty member from our Research Mentor List or request an alternate mentor (e.g., a professor from the intern’s graduate institution) with whom the intern already has—or would like to form—a mentor-mentee relationship.

Research mentors provide a minimum of one hour per week of supervision to the intern during the research rotation. Mentors may help the intern develop and carry out a new project or may have an existing project to which the intern can contribute in a substantial way. Examples of scholarly projects include hypothesis-driven studies, descriptive studies (e.g., chart reviews, questionnaire administration), secondary analyses of existing data sets and literature reviews. Surveys, QI projects, or program design, implementation and evaluation projects that benefit our patients or services also will be considered. Regardless of the type of project, the intern should be able to take ownership of a significant aspect of it, and it should lead to a “deliverable" (e.g., a manuscript suitable for journal submission or an abstract suitable for conference submission) at the local (including the host institution), regional or national level by the end of the internship year.

Interns at a private lunch with Dr. David Moscovitch after his presentation in the Department of Psychiatry Grand Rounds

Child and Adolescent Specialization (Moses Campus)

Child Outpatient Psychiatry Department (COPD)

The Child Outpatient Psychiatry Department is located in its own building, just minutes from the entrance to the Moses Campus. It serves a heterogeneous group of children, adolescents and emerging adults (ages four to 21) with diagnoses ranging from disruptive behavior disorders, anxiety and depressive disorders, psychotic disorders and adjustment disorders to learning disabilities. Interns in the COPD will serve as primary therapists for individual and family cases (patients will be assigned across all ages and diagnoses) as well as co-therapists for group therapy, and they will conduct evaluations of children, adolescents and emerging adults. During this yearlong rotation, interns receive intensive training and supervision in family therapy, cognitive behavior therapy, dialectical behavior therapy, psychodynamic therapy and group therapy. Interns participate in multidisciplinary team meetings and also learn how to liaise with schools, foster care agencies, the Committee on Special Education and other relevant organizations.

Anxiety and Mood Program (AMP) and the 

The Anxiety and Mood Program at Montefiore Medical Center’s Child Outpatient Psychiatry Department is a specialty program that offers evidence-based interventions for children, adolescents, and emerging adults with primary and comorbid anxiety, trauma, mood and related disorders. AMP serves children, adolescents and emerging adults, ages four to 21 years old, and families from the surrounding Bronx communities. Interns will learn to conduct comprehensive intake assessments (e.g., ADIS) and will serve as primary therapists for youth experiencing anxiety (e.g., social anxiety disorder, generalized anxiety, separation anxiety disorder, panic disorder, phobias, OCD, PTSD), depression, tics, trichotillomania and related concerns. During this rotation, interns will provide individual and family-based cognitive behavioral treatments (e.g., Coping Cat, exposure/response prevention, trauma-focused CBT, comprehensive behavioral intervention for tics, parent management training) and can elect to serve as co-leaders in cognitive behavioral group therapy for socially anxious adolescents, Youth Empowerment Series (YES) groups or ADHD skills groups. Interns will participate in multidisciplinary team rounds and will collaborate with teachers, school personnel, pediatricians or other providers who may be involved in the child’s or teen’s care. Interns also have the opportunity to participate in scholarly activities—including authoring articles, presenting at conferences, conducting research and leading workshops—and in community service events for local groups.

The Adolescent Dialectical Behavior Therapy Program (A-DBT) is a specialty outpatient program within the Anxiety and Mood Program that serves depressed and suicidal teens and emerging adults (ages 12–21) and their families. Many of these adolescents have experienced significant trauma and have comorbid anxiety and substance-related, personality and disruptive-behavior disorders. During this rotation, interns learn to conduct comprehensive diagnostic interviews and dialectical behavior therapy. Interns serve as primary therapists for individual and family cases and co-therapists for DBT multifamily skills training and graduate groups. Interns also learn crisis intervention skills. Interns will receive individual supervision and participate in DBT consultation team meetings.

Adolescent Dialectical Behavior Therapy  Program (A-DBT)

The Adolescent Dialectical Behavior Therapy Program at the Moses Campus is a specialty outpatient program within the Anxiety and Mood Program at the COPD that serves depressed and suicidal teens and emerging adults (ages 12–21) and their families. Adolescents in the DBT program often present with comorbid mood and anxiety disorders, borderline personality disorder, trauma and stress-related disorders, and substance-use disorders. During this rotation, interns will participate in a weekly DBT consultation team meeting with attending psychologists and other trainees, will co-lead a multifamily skills group with Melissa Dackis, PhD, and will provide both individual DBT therapy and 24/7 phone coaching to patients in the program. Interns also will learn to conduct semistructured diagnostic interviews (e.g., ADIS, SID-P) and intervene intensively as primary therapists for individual and family cases using dialectical behavior. Interns will gain significant experience in suicide assessment and crisis intervention.

Interns also may have the opportunity to participate in academic activities, including authoring articles, presenting at conferences, leading staff training sessions throughout the hospital and conducting research. Supervision is provided by Dr. Dackis and Courtney Santucci, PhD.

Child and Adolescent Assessment Service

The Child and Adolescent Assessment Service within the COPD helps interns develop proficiency in child/adolescent psychological and neuropsychological testing. At a minimum, interns administer five comprehensive psychological evaluations during the year, with more available for those interested in developing special expertise.

Referral questions typically include assessing for the presence and type of learning disabilities, assessing for the presence of a wide range of diagnoses (and the potential need for medication), differential diagnosis and evaluating the presence of neuropsychological deficits.

Supervision highlights the impact of cultural differences and bilingualism and employs a developmental framework. Exposure to more traditional instruments as well as to newer, empirically driven and computerized instruments is offered. Training in the cross-battery approach to defining learning disabilities is integrated along with more conventional theories.

Becoming an Emerging Adult at Montefiore (BEAM) Program

The Becoming an Emerging Adult at Montefiore Program is a multisite specialty program that offers developmentally informed, evidence-based interventions for emerging adults with a wide range of presenting concerns. The program offers assessment, treatment, consultation, education and training to improve our ability to meet the needs of emerging adults as they present to and transition among clinics across our health system. Interns who participate in this elective will receive specialized training in the unique developmental needs of emerging adults in both child and adult outpatient settings and how to adapt their treatment appropriately. Interns will serve as the primary therapist for individual emerging adults and co-lead college-readiness groups offered to graduating seniors at our COPDs. Interns also will have the opportunity to participate in scholarly activities, including authoring articles, leading staff training sessions throughout the hospital and presenting at conferences. Supervision is provided by Dr. Amy Kranzler, Dr. Sandra Pimentel, and Dr. Amanda Zayde.

Arts and Integrative Medicine (AIM)

Arts and Integrative Medicine integrates evidence-based and evidence-informed arts interventions, mindfulness practice and technology as part of a person’s comprehensive mental health treatment plan. AIM also targets health disparities through community engagement and attention to our patients’ environment of care. AIM currently includes the Youth Empowerment Series (YES): YES PhotoVoice Trauma Group, YES Art, YES Pride (Our Stories, Our Lives) and the YES Art Gallery. Interns can co-facilitate a YES group at the COPD with AIM/YES Director Dr. Jenny Seham. Former trainees have been instrumental in launching the PhotoVoice project and the YES Pride initiative in 2020.

Supervision examines multitraumatized and socially marginalized communities and provides a theoretical background to support integrative interventions for complex trauma. Interns also may have the opportunity to participate in program development, curriculum writing and academic activities related to AIM programming. Current AIM research includes studies of the impact on mood of publicly displayed YES participant art and the impact of the YES Garden on the environment of care.

Interns at a private lunch with Dr. Stefan Hofmann after his presentation in the Department of Psychiatry Grand Rounds

Combined Specialization (Wakefield Campus)

Adult Outpatient Psychiatry Department (AOPD)

The AOPD for our Combined Specialization is located in the Farrand building, just minutes from the entrance to the Wakefield Campus. It serves a heterogeneous group of adult outpatients who are presenting with a variety of psychiatric disorders, including mood and anxiety disorders, personality disorders and psychotic disorders. Patients are seen in individual and/or group therapy, and many receive psychopharmacologic treatment and/or have comorbid substance-abuse issues.

Interns are responsible for all phases of outpatient psychiatric care, including structured diagnostic intake evaluations, treatment planning and the provision of psychotherapy—which includes “sharing care” with psychiatrists who are prescribing medications (when necessary). Interns in the AOPD rotation will typically see adult outpatients for weekly appointments, co-lead a DBT skills group, participate in weekly DBT consultation team meetings, and administer psychological testing for patients in the AOPD (as needed) as well as patients on the adult inpatient unit (as requested). Interns in the Combined Track will treat patients in the AOPD for the entire year while simultaneously seeing patients in the Child Outpatient Psychiatry Department (see below).

Interns receive comprehensive, one-on-one supervision from licensed psychologists with cognitive behavioral, dialectical behavioral, psychodynamic and integrative perspectives. Interns may request supervisors with expertise in a specific theoretical orientation. Otherwise, interns are assigned to a variety of supervisors so that they may be exposed to a range of therapeutic approaches.

Interns attend a weekly staff meeting (which often includes either an educational component or a case conference) and are assigned to a multidisciplinary treatment team led by an attending psychiatrist, an attending psychologist and social workers.

Adult Dialectical Behavior Therapy (DBT) Program

The Adult Dialectical Behavior Therapy Program at the Wakefield Campus is a specialty program providing DBT for adults with behavioral and affect dysregulation. Individuals participating in the program may be diagnosed with a range of disorders, including mood and anxiety disorders, trauma and stress-related disorder, and substance-use disorders. During this rotation, interns will co-lead a DBT skills group with Dr. Katrina McCoy and participate in weekly DBT consultation team meetings. Interns may also serve as the primary therapist for a DBT case. Interns have the opportunity to contribute to research conducted within the Multisite DBT Clinical Research Collaboration—a research program run by Dr. Amy Kranzler and Dr. Katrina McCoy.

Child Outpatient Psychiatry Department (COPD)

The COPD for our Combined Specialization is currently located in the Farrand building (just minutes from the entrance to Wakefield Campus). The Child Outpatient Psychiatry Department treats a heterogeneous group of children, adolescents and emerging adults (ages four to 21) with diagnoses ranging from disruptive behavior disorders (e.g., ADHD, ODD, CD), anxiety, adjustment and mood disorders, complex trauma, personality disorders and psychotic disorders to learning disabilities. Interns will conduct intake evaluations of children, adolescents and emerging adults and will administer psychoeducational assessments for patients as needed. Interns in the Combined Track will treat patients in the COPD for the entire year while simultaneously seeing patients in the Adult Outpatient Psychiatry Department (see above).

Interns in the COPD will serve as the primary therapist for individual and family cases (patients will be assigned across all ages and diagnoses). During this rotation, interns will co-lead a mentalizing-focused parenting group and have the opportunity to lead a BEAM college-readiness group with  Dr. Amanda Zayde.

Interns will receive comprehensive training and supervision from licensed psychologists with expertise in psychodynamic psychotherapy, family therapy, cognitive behavior therapy, dialectical behavior therapy, mentalization-based therapy, play therapy, group therapy and parent management training. Interns will be assigned to a variety of supervisors so that they may be exposed to a range of therapeutic approaches. Interns also learn how to liaise with schools (e.g., review IEPs to make sure the patient has appropriate academic accommodations at school), foster care agencies, the Committee on Special Education and other relevant organizations, and they are assigned to a multidisciplinary treatment team led by an attending psychiatrist, an attending psychologist, social workers, creative arts therapists and a psychiatric nurse practitioner.

Connecting and Reflecting Experience (CARE) Program

The CARE clinical and research program is a developmentally informed, bi-generational, transdiagnostic specialty program that offers mentalizing-focused group treatment to parents of children from birth to 18 years of age. CARE’s mission is to facilitate the intergenerational transmission of secure attachment in racially, ethnically and socially diverse populations with extensive trauma histories and complex psychosocial needs. Interns will be provided with specialized training in attachment science and the development and implementation of mentalizing-focused parenting interventions. Supervision is provided by Dr. Zayde and Dr. Adella Nikitiades.

Interns have the opportunity to contribute to treatment-outcome research conducted within the CARE program run by Dr. Amanda Zayde.

Becoming an Emerging Adult at Montefiore (BEAM) Program

The Becoming an Emerging Adult at Montefiore Program is a new, multisite specialty program that offers developmentally informed, evidence-based interventions for emerging adults with a wide range of presenting concerns. The program offers assessment, treatment, consultation, education and training to improve our ability to meet the needs of emerging adults as they present to and transition among clinics across our health system. Interns who participate in this elective will receive specialized training in the unique developmental needs of emerging adults in both child and adult outpatient settings and how to adapt their treatment appropriately. Interns will serve as the primary therapist for individual emerging adults and will have the opportunity to participate in scholarly activities, including authoring articles, leading staff training sessions throughout the hospital and presenting at conferences. Supervision is provided by Dr. Amy Kranzler, Dr. Sandra Pimentel, and Dr. Amanda Zayde.