General Clinical Psychology - Psychosocial Treatment Clinic
sub-specialty psychotherapy

Evidence-Based Treatment of Mood and Anxiety Disorders

The Evidence-Based Treatment of Mood and Anxiety Disorders rotation is housed within the Psychosocial Treatment Clinic (PTC) in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine.

The goal of the rotation is to provide training in evidence-based treatments for mood and anxiety disorders including cognitive behavior therapy, Acceptance and Commitment Therapy, compassion-focused therapies, and mindfulness-based therapies. The population served is adults ranging in age from 18-75 years, presenting with mood disorders, anxiety disorders, and adjustment disorders, among others. In addition to individual therapy, fellows who are interested have the opportunity to conduct group therapy.

Supervision

1 hour of weekly individual supervision is provided

Faculty/Supervisors

(some of whom supervise in any given year)

DBT Emphasis Area

Fellows who chose to be a part of the Dialectical Behavior Therapy (DBT) area of emphasis will have the opportunity to work within a close-knit Team providing Comprehensive DBT and Adjunctive Skills Training to a diverse group of patients in an outpatient setting. The Stanford Adult DBT Team includes nine faculty members Intensively Trained through Linehan's Behavioral Tech (behavioraltech.org) with years of additional didactic and clinical experience in DBT. Additionally, team members have various specializations in Trauma, Substance Use Disorders, Eating Disorders, Psychosis, Family Systems, and work with LGBTQ+ identified patients and individuals from other marginalized groups. Fellows have the opportunity to develop skills with Phase I and Phase II DBT, including trauma integrations such as DBT-PE, DBT-PTSD, and population specific adaptations such as DBT-SUD or DBT for Binge Eating as well as co-lead in specialized LGBTQ+, Intersectional, or Graduate Groups in addition to women's and gender inclusive Skills groups. Phase II and III work can also include integrations such as ACT and Compassion Focused Therapy.

The team’s passion for DBT creates a dynamic and supportive learning environment. In addition to weekly individual and group supervision, fellows participate in the weekly Consultation Team. Team meetings provide an opportunity to receive additional support for clinical cases and professional development, and to learn from each member of the faculty. Fellows are highly valued members of the DBT team and manage a complex and dynamic case-load that is tailored to individual training needs.

Training opportunities include: Providing Comprehensive DBT - individual therapy, skills group, telephone coaching, and weekly consultation team meetings Carrying a diverse caseload of individual DBT patients, including Phase I & Phase II Skillful assessment and management of risk, including suicidal behavior and NSSI Co-facilitating DBT Skills Group with Faculty (LGBTQ+, Intersectional, Women's, Gender Inclusive, Graduate Group) Participation in weekly Consultation Team Specialized training in DBT-PE, DBT-PTSD and collaboration with other specialty groups such as Eating Disorders, Addiction Medicine, and THRIVE Supervision provided by Faculty with Linehan BTech Intensive Training in DBT Additional DBT didactics may be provided.

Supervision

1 hour of weekly individual supervision, additional supervision when running groups

Additional Training/Didactics

weekly DBT consultation group

Faculty

Eating Disorders Rotation Description

The Adult Eating Disorders Program within the Psychosocial Treatment Clinic in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine is accepting applications for a one-year postdoctoral fellowship position.

The Adult Eating Disorders rotation is housed within the Department of Psychiatry and Behavioral Sciences’ larger Post-doctoral Fellowship Program. Our mission is to provide efficient, efficacious treatment for individuals with eating disorders while supporting clinician and trainee professional development and well-being. The Eating Disorder Fellow will partake in the responsibilities and educational opportunities of the general fellowship and receive specialty clinical training in eating disorders across the diagnostic spectrum for diverse clientele. Specifically, the fellow will receive advanced training and direct experience in eating disorders including: education, supervision, and practice of evidenced-based treatments for eating disorders delivered in a variety of modalities and formats including individual, group, family, and couples-based treatment, as desired; eating disorder assessment; consultation; mentorship; and multidisciplinary collaboration. The population served is adults, ranging in age from 18-75 years, who may present with a wide range of disordered eating concerns and co-occurring conditions. The fellow will also have access to one hour weekly individual supervision; one hour weekly multidisciplinary group supervision as part of case consultation; grand rounds; as well as eating disorder seminars and didactic training (both in-person and online). Although the position is primarily clinical, research opportunities may be available, including participation in research team meetings. Generally, the patient load will be 50% eating disorder cases (~10 cases) and 50% mood/anxiety disorder cases (actual percentages may vary depending upon individual interest areas).

Supervision

1 hour of weekly individual supervision is provided. Group supervision is also provided at a weekly 1 hour multidisciplinary eating disorder team case consultation meeting.

Other training/didactic activities

Grand rounds, eating disorder seminars and didactic training (in-person and online), and, as desired, research lab meetings.

Prior training necessary?

Qualified applicants will have a strong background in Clinical / Counseling Psychology and have completed their doctoral training and internship at APA-accredited programs by the start of the fellowship year. Preference will be given to applicants with prior clinical or research experience in eating disorders, although this is not required.

Our commitment to diversity and anti-racism

Our clinic is committed to delivering evidence-based treatments for EDs using a weight inclusive approach with individuals of all gender identities, sexual orientations, race/ethnicities, and religious practices. We are committed to anti-racist practices as they affect our attendings, supervisees, trainings, and patients.

Faculty/Supervisors

Couples and Family Therapy Clinic

The rotation in the Couples and Family Therapy Clinic concentrates first on acquiring and mastering the fundamental systemic assessment and treatment skills that most family therapists draw upon. Our training model comfortably represents differing theoretical orientations that include structural, emotionally focused, intergenerational, and psychoeducational approaches to couples and family treatment.

The primary format for supervision is small group supervision, where fellows present couples or families for videotaped and live consultation. In this context, fellows have the opportunity to observe each other and work together as a lively, supportive clinical team. From a teaching point of view, careful attention is paid to systemic case formulation, treatment choices and overall strategy, the identification and resolution of clinical impasses, and development of the therapist’s use of self in therapy. In addition, a range of supervision and consultative models are explored. We have use of a studio equipped with one-way mirror, and sessions are routinely videotaped.

Didactics are woven into the training, and fellows are provided with comprehensive readings in couples and family therapy that provide a solid conceptual, practical, and intensive introduction to couples and family therapy. We will consider the conceptual, diagnostic, and technical challenges that clinicians frequently encounter when working with couples and families. In doing so, fellows be exposed to the major founders of and contributors to the field as well as current evidence-based approaches to couples and family treatment. Finally, applications of the family-systems approach across mental health and medical settings will be addressed.

During the rotation, each fellow can expect to see several cases, varying across presenting problem, and couple and family composition (e.g., race, ethnicity, sexual orientation, gender identity, socioeconomic status, and family developmental stage). The usual caseload for the Couples and Family Therapy Clinic fellows is one to two couples or families at a time.

Supervision

1 hour of weekly group supervision

Supervising Faculty

High Performance Athletes Emphasis Area

This track focuses on treating the Stanford's Varsity athlete population. The track is very well-suited to a Fellow interested in treating mood and anxiety disorders, but it is unique in that it is also an opportunity to learn to work with the unique issues facing college age students generally and student athletes in particular. Student athletes (SAs) are unique in terms of the varied and complex stressors they encounter. For example, the SAs manage an extremely demanding schedule of academics and sport requirements. They have different identity issues than the general student population: these concerns often arise when they face injury or retirement from their sport. They manage unique interpersonal issues, both with their teammates and coaches. You would be doing approximately 8-10 hours of individual therapy per week in the Psychosocial Treatment clinic, but would also interact with our terrific team of providers which includes Sport Psychologists, Psychiatrists and Sleep disorder specialists. Depending on your interest, there are opportunities to do some projects and clinical work in the Sports Medicine Clinic. Overall, it is a really well-rounded and rewarding experience to work with these SAs. They are extremely bright and motivated. We have bi-weekly treatment team meetings that are collaborative and provide opportunity to collaborate on cases and other disciplines like psychiatry.

Supervision

1 hour of weekly individual supervision

Other Training/Didactics

biweekly team meetings

Faculty

OCD and related disorders

The OCD and related disorders emphasis specializes in individual cognitive behavioral treatments and group treatments for OCD and related disorders including hoarding disorder, body dysmorphic disorder, trichotillomania, and participation in ongoing NIMH, foundation, donor and industry sponsor funded research studies.

Postdoctoral fellows see patients with OCD and related disorders, anxiety, and/or depressive disorders in the Stanford Psychosocial Clinic and participates in supervisions and didactics organized by Stanford’s Clinical Psychology Adult Program. This aspect of the rotation is flexible in terms of patient populations the fellow is most interested in, and supervision is tailored to each fellow’s unique needs and goals. Postdoctoral fellows also work with the Rodriguez Translational Therapeutics Lab. In the Lab, fellows see clinical research participants for Exposure and Response Prevention Treatment, and provides clinical assessments, included but not limited to YBOCS and SCID 5 – Research Version. 

Faculty

PTSD Emphasis Area (mini or major emphasis area)

The Adult PTSD Clinic provides evidence-based treatment to patients age 18 and older who are diagnosed with Post-Traumatic Stress Disorder. Patients under the age of 18 are referred to the Child and Adolescent Early Life Stress Clinic and those at imminent risk of suicide are more appropriate for the Dialectical Behavior Therapy Program. Patients in the Adult PTSD Clinic receive individual evidence-based treatment for PTSD. The treatments offered are Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy (PE), Narrative Exposure Therapy (NET), ACT for Trauma, and Written Exposure Therapy (WET).

Fellows who complete a primary rotation in the PTSD Clinic will see approximately 3 to 5 individual trauma patients, co-lead a PTSD group and conduct PTSD Clinic evals in TAC. The rest of their time will be spent seeing patients in the psychosocial treatment clinic. Fellows who complete a secondary rotation in the PTSD Clinic will see 1 to 2 individual cases and co-lead a PTSD group. Post-doctoral fellows receive one hour of individual supervision weekly. In addition, fellows will be expected to attend a bi-weekly consultation team meeting.

Faculty

La Clinica Latina at the Department of Psychiatry and Behavioral Sciences serves individuals 18+ who identify as Latin-American/Hispanic, and/or are monolingual/bilingual Spanish speakers.

We are a multi-disciplinary clinical team consisting of psychology and psychiatry. We offer a culturally-informed approach to evidence-based mental health care. Services include medication management and psychotherapy for mental health concerns affected by cultural issues, such as experiences of discrimination, family conflict, culture shock, and mental health stigma. These may include symptoms of depression, anxiety, trauma, and interpersonal difficulties.

Training includes building competence in culturally-informed, evidence-based treatments for a range of clinical presentations, weekly supervision, and bi-weekly multi-disciplinary clinical team meetings for discussion of cases and presentations. We also coordinate trainings provided by team members, and visiting national and international trainers. All services and clinical operations are primarily (but not exclusively) conducted in Spanish.

Faculty