Behavioral Medicine

Behavioral Medicine

west complex

The Behavioral Medicine Center provides outpatient psychological evaluation and treatment services for a wide variety of patient populations and presenting problems. It serves patients ranging in age from early childhood to the geriatric years.  Presenting problems are typically treated with empirically-documented treatment protocols that are individually tailored to a patient's needs and personality.  Medical populations include those presenting with problems that are caused or exacerbated by psychobehavioral processes, including insomnia and other sleep disorders, diabetes, GI disorders, cancer and blood disorders, obesity, and headaches. Services are also provided for patients who are having difficulty adjusting to and coping with the emotional and behavioral demands of acute, chronic, and life-threatening medical problems, as well as their caretakers. In addition to these presenting problems, services are provided for patients with mood disorders, anxiety disorders, including GAD, OCD, phobias, and habit control problems (e.g., trichotillomania), adjustment disorders, grief and trauma.  Referral sources include UVVA medical clinics, physicians in private practice, UVA Student Health, community psychiatrists, UVA Faculty and Employee Assistance Program, and the Virginia Department of Motor Vehicles.

The Behavioral Medicine Center also houses a Pediatric Psychology Service, dedicated solely to serving youth with chronic and acute medical conditions, including GI conditions (e.g. encopresis, chronic constipation, functional abdominal pain), cancer and blood disorders, diabetes, and other endocrine disorders.  The Pediatric Psychology Service provides specialized evaluations for children with elimination disorders and those who are facing transplantation.  Additionally, the Pediatric Psychology Service provides outpatient psychotherapy for youth facing challenges related to their medical condition, including depression, anxiety, non-adherence to medical regimens, adjustment difficulties, phobias, and grief/loss.  Referrals come from various Pediatric subspecialties at UVA, including Hematology/Oncololgy, Gatroenterology, Transplant, and Endocrinology, as well as from pediatricians in the community.

Adjacent to the Behavioral Medicine Center is the Center for Behavioral Medicine Research, a renovated 2,000 square foot space that facilitates efficient integration of clinical work and research projects. Our research team has a long, successful track record in securing NIH-, non-profit, and industry-funded grants. Fellows may spend up to 20% of their time on clinical research in one or more of the focus areas listed below. They may also have the opportunity to pursue their own small original research projects if desired. More specific information about clinical, research, and educational opportunities is provided below.

Clinical Focus (70%)

The fellow will participate in a broad range of clinical training experiences with children and adults with psychiatric and medical comorbidities (e.g., obesity, GI conditions, insomnia and other sleep disorders, headache, cancer and blood disorders, and diabetes). Common presenting problems include anxiety disorders, mood disorders, adjustment disorders, grief, and trauma. Clinical experiences will take place in an outpatient setting and includes  short- and long-term psychotherapy as well as rotations in specialty evaluations, including pediatric elimination disorders evaluations, pre-surgery evaluations for bariatric surgery candidates, and pediatric pre-transplant evaluaitons.  Fellows may also have the opportunity to conduct driving evaluations for patients with dementia and other disorders that affect driving ability, using neurocognitive tests and driving simulator assessment.

The fellowship adheres to the scientist-practitioner model of training; therefore, fellows are encouraged to use empirically-supported interventions in their work with patients.  Psychotherapy services are provided using a primarily cognitive-behavioral orientation with both adult and pediatric populations, although other approaches are integrated when appropriate.  Fellows typically receive training and experience in clinical supervision with more junior trainees, such as graduate students, as well as psychiatry residents.

Educational & Professional Development (10%)

The Program Director schedules meetings for the postdoctoral fellows across sub-specialty areas during the academic year to discuss administrative issues and professional development.

There are numerous opportunities for educational and professional development, including:

  • Grand Rounds in Psychiatric Medicine
  • Clinical Case Conferences
  • Behavioral Medicine Clinic Didactic and Guest Speaker Program
  • Individual and Group Supervision
  • Sleep Lab Seminar/Case Conference
  • Neuropsychology Seminar and Journal Club
  • Monthly Psychology Fellows Meeting
  • Introduction to Clinical Investigation, a six-month course offered for fellows and new faculty through the UVA School of Medicine
  • Participating in the Clinical Training and Supervision of Graduate Practicum Students

 

Research Focus (20%)

Fellows may spend up to 20% of their time participating in research during the fellowship. Areas of research being conducted in the Center for Behavioral Medicine Research include:

 

  • The psychobehavioral effects of diabetes on individuals and their families
  • Continuous glucose monitoring, artificial pancreas, and psychobehavioral factors related to use of diabetes technology
  • Fear of Hypoglycemia in patients with diabetes and their families
  • Driving safety as it relates to aging, diabetic hypoglycemia, ADHD, Traumatic Brain Injury (TBI), medications, etc.
  • Assessment of basic perceptual, motor, and cognitive skills relevant to driving with a virtual-reality driving simulator

 

Fellows will also have the opportunity to develop small, original research projects in one of the current areas of research, or a closely related area in which the fellow has a strong interest.

 

Core Faculty

  • Linda Gonder-Frederick, Ph.D. (Behavioral Medicine Director of Training & Clinic Director)
  • Daniel J. Cox, Ph.D., ABPP-Clinical Psychology (Director, Center for Behavioral Medicine Research)
  • Jaclyn Shepard, Psy.D.
  • Karen Ingersoll, Ph.D.

Current Fellows

  • Allison Splaun, Ph.D.

 

APPLICATION DEADLINE: April 1 or until the position is filled.

Behavioral Medicine - Currently accepting applications for 2015-2016

Driving Lab – not currently accepting  applications

____________________________________________________________

DIRECT INQUIRIES AND MATERIALS TO:

Jaclyn Shepard, Psy.D.
Behavioral Medicine Center
Department of Psychiatry and Neurobehavioral Sciences
University of Virginia Health System
P. O. Box 800223
Charlottesville, VA 22908-0223
jas8rw@virginia.edu