Both secondary rotations and electives are meant to diversify an intern’s training beyond their primary area of interest. Interns on the Adult Track are required to complete a one day per week secondary clinical rotation. Secondary rotations last for a full year and interns will receive supervision throughout their experience. We typically contact interns prior to the start of internship regarding the secondary rotations that are available for the year.
All interns have the option to select an elective which typically occurs on Wednesday mornings. The elective experience is meant to provide interns with options that are in addition to or different from their area of concentration. The electives may be relatively brief experiences (e.g., co-leading a time limited group) or be of longer duration (e.g., providing psychotherapy for 2 – 3 patients with specialized needs over the course of a year). In the case of electives, the intern will need to be making good progress on their primary rotation(s) in order to take advantage of these additional experiences. Participation in electives is at the discretion of the intern’s supervisors and the Director of Clinical Psychology Training.
Interns are encouraged to select from the opportunities noted below. Interns will receive supervision from their elective supervisor. Please note that not all secondary rotations/electives are available any given year.
Interns are strongly encouraged to participate in research activities. Clinical psychology interns may choose to independently investigate a research question under faculty supervision. This can involve secondary analysis of existing/archival data or, with their supervisor’s consent, adding a component to an existing project. Interns are also able to work as part of a faculty member’s research team.
Clinical Neuroscience and Psychotherapeutics Research Unit – Emil F. Coccaro, MD
Clinical Neuroscience Research Lab – Stephanie Gorka, PhD
Emotion Dysregulation/Mindfulness – Sophie Lazarus, PhD
EPICENTER – Nick Breitborde, PhD
First Episode Psychosis: Clinical and Translational Science – Aubrey Moe, PhD
Neuropsychology – Darrin Aase, PhD, Laura Boxley, PhD, Chris Nguyen, PhD
Phan Lab – K. Luan Phan, MD
Women’s Behavioral Health – Kristen Carpenter, PhD
The ADHD Assessment and Diagnosis elective will allow interns to enhance their skills regarding ruling out/in ADHD as a possible cause for impairing symptoms/behaviors. Interns will participate in monthly ADHD diagnosis meetings, where Dr. Barterian, an attending psychiatrist, and psychiatry residents will review comprehensive data for each patient. For patients presenting with too many complicating factors to be diagnosed via this meeting, interns will get the opportunity to complete a full psychological assessment, complete an integrated report, and provide patient feedback regarding treatment and academic accommodations (if applicable).
The consultation-liaison psychiatry service is a inter-professional team staffed by faculty psychiatrists, psychiatry residents, a social worker, and medical students. Interns will have the opportunity to provide consultations to hospitalized individuals who have been referred to the Department of Psychiatry and Behavioral Health based on the referring physician’s assessment that there is a need for a mental health intervention. Interns will learn to differentiate between delirium and other cognitive deficits that may be causing treatment interfering behaviors. They will play a major role in assessing if there is a need for pharmacological and/or psychological intervention and learn to prioritize those treatments that are available during a patient’s hospital stay.
Depending upon logistics, interns may have the opportunity to follow patients who were seen during their hospitalization as outpatients. Each patient who is seen on the service is staffed the same day by the team, providing the opportunity for inter-professional group supervision. Interns will also receive individual supervision from a faculty psychologist for those patients for whom they are the assigned mental health professional. This experience can be structured for up to six months or for a shorter period of time.
EPICENTER provides individuals early in the course of a psychotic illness with access to several evidence-based psychosocial interventions for psychosis: (i) Cognitive Behavioral Therapy; (ii) Family Psychoeducation; and (iii) Metacognitive Remediation Therapy. As an elective rotation, interns will be able to participate in the delivery of clinical services at EPICENTER or contribute to various research activities in progress. When possible, interns may also be able to complete assessment training at EPICENTER with regard to outcomes relevant to psychotic disorders, including measures of symptomatology, functioning, and quality of life.
Interns interested in this elective or minor rotation will have opportunity for training in assessment, diagnosis, conceptualization, and treatment of sleep-wake disorders such as insomnias and circadian rhythm disorders. The primary treatment modalities used are typically Cognitive Behavior Therapy for Insomnia (CBT-I) and Brief Behavior Therapy for Insomnia (BBT-I). The experience may also offer opportunity for training in provision of behavioral health support for sleep-disorder comorbidities such as CPAP desensitization, hypnotic medication discontinuation / tapering, and parasomnias. Shorter-term elective experiences within the service may include shadowing of individual / group psychotherapy sessions, co-facilitation of group psychotherapy, or shadowing of sleep medicine physicians or fellows.
Interns will have the opportunity to participate in MBCT groups as part of an elective experience. MBCT is an empirically supported intervention developed by Zindel Segal, Mark Williams, and John Teasdale, based on Jon Kabat-Zinn’s Mindfulness-Based Stress Reduction program. It was developed to facilitate recovery from depression and prevent future relapse, and is based on cognitive-behavioral principles and practices and eastern mindfulness practices. Interns must commit to at least two 8-week group cycles in order to participate. The experience consists of guided readings and supervision on the theoretical background of the treatment, one round of group participation as a “participant-observer,” followed by the opportunity to co-lead the group.
The purpose of this elective is to educate interns regarding the utility of outpatient neuropsychological assessment in an academic medical center. Interns will specifically learn how to administer and interpret standard neuropsychological tests, conduct diagnostic interviews with psychologically/medically complex adults, and write informative clinical reports with tailored recommendations. Common referrals include the assessment of cognitive concerns secondary to neurodegenerative diseases, major medical illnesses, or developmental disorders. We also commonly assess transplant and deep brain stimulation patients. This elective will be most useful for future psychologists who plan to work with medically ill and/or older adults.
The Nisonger Center provides diagnostic and evaluation services for individuals with suspected developmental disabilities (including autism) aged 12 months through 22 years of age. Interns will have the opportunity to participate in an interdisciplinary diagnostic interview and observe standardized assessments and feedback sessions. The nature of the observation can be flexible based on the interest and experience of the intern. In this elective, interns will have the opportunity to observe interdisciplinary evaluations in one of three clinics. The Interdisciplinary Diagnostic Clinic, which evaluates children 12months through 5 years of age meets in Wednesday mornings (2nd. 3rd, 4th Wed) and afternoons (1st Wed). The School Age Autism and Developmental Clinic, which provides interdisciplinary evaluations for individuals 5 up to 12 years of age meets on Thursday afternoons. The Transition-Age Clinic, serves individuals aged 13-22 years of age meets on Tuesday mornings.
This elective will provide interns with an opportunity to increase knowledge and skills related to the epidemiology, assessment, diagnosis, conceptualization and treatment of chronic pain and related psychiatric and substance use comorbidities. Interns will work to integrate brief psychotherapy, relaxation and behavior modification into patients’ pain management. The assessment and treatment goals aim to restore function in physical and social areas. Additionally, if desired, interns would have opportunity to conduct pre-surgical psychosocial evaluations prior to implantable therapy procedures. Depending upon logistics of this opportunity, interns will be involved in the initial intake and treatment planning, and possibly providing treatment through individual psychotherapy.
Interns will have the opportunity to assess, diagnose, conceptualize and treat tobacco use disorders and any related psychiatric conditions. Interns will learn to adapt interventions based on related physical health comorbidities and will increase knowledge of the latest tobacco products as well as nicotine replacement therapies. Treatment modalities are based in CBT and MI principles and may include coaching patients’ use of web and mobile-based interventions.
The Sport Psychologists devote their time to either outpatient treatment in Sports Medicine (Dr. Carter) or in OSU Varsity Athletics (Dr. Houle) where activities include mental health counseling and teaching mental skills for peak performance to teams and other groups. In this elective, interns observe and deliver mental skills presentations. Depending on the interns’ interest and experience in the athletic culture, interns may have the opportunity to provide ADHD assessment as needed.
The intern interested in this elective will have the opportunity to co-lead an evening group therapy for adults with executive function deficits with the primary diagnosis of ADHD. The group runs for 12 sessions, typically on Wednesdays from 6:00pm until 7:30pm usually in the spring. The group follows the evidence-based CBT program developed by Mary Solanto, Ph.D. Interns will become proficient at coaching effective time management and organizational skills which are essential for those individuals diagnosed with ADHD and are applicable beyond the ADHD diagnosis.