Duke Psychosocial Treatment Clinic (PTC)


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The Duke Psychosocial Treatment Clinic (PTC) is committed to working with children, adolescents, and families seeking evidence-based assessment, diagnosis, and treatment services for a range of psychological or adjustment difficulties. The PTC functions collaboratively with the Psychopharmacology Clinic that provides medication management for children and adolescents.

We specialize in evaluating and treating anxiety and mood disorders, including generalized anxiety disorder, separation anxiety disorder, panic disorder, obsessive compulsive disorder (OCD), post-traumatic stress disorder (PTSD), school avoidance/refusal, phobias, depression, dysthymic disorder, and bipolar disorder. Our clinic has expertise in treating other difficulties, including selective mutism, hypochondriasis, tic disorders, Tourette's disorder, skin-picking, and trichotillomania (hair-pulling).

The initial evaluation at the PTC involves meeting with children, adolescents, and parents/guardians as part of an evidence-based assessment. The goal of the initial evaluation is to develop a comprehensive understanding of the presenting difficulties and guide individualized treatment recommendations. We also assist families with the coordination of care across physicians, teachers, and mental health providers.

Treatment services at the PTC are provided in both individual therapy and group therapy formats.

  • For individual therapy sessions, children/adolescents often meet one-on-one with the therapist to address the components of the individualized treatment plan. The therapist also will generally meet with parents/guardians for some portion of the time. The frequency and duration of therapy varies on several factors; however, a typical course of treatment usually begins by meeting once a week for a 50 minute session.
  • For group therapy sessions, children/adolescents typically meet in small groups of approximately 6-8 peers. These sessions are held once a week and groups generally meet for 8 consecutive weeks. Current PTC groups include the Social Anxiety Is Manageable (S-AIM) program, the Test Anxiety Is Manageable (T-AIM) program, and an Integrative Coping group.

Please contact Dr. Nicole Heilbron at 919-668-0397 for more information about individual or group therapy at the PTC.

If your family is interested in an integrative therapy group using cognitive behavioral therapy and yoga principles to help children with stress, anxiety or other psychological distress, please contact the PTC.