Adult Services

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The Department of Psychiatry and Behavioral Sciences at Duke University Medical Center is known nationally for providing state-of-the-art care based on treatments well supported by good solid science. We have a wide variety of clinics and clinicians that help adults 18 and older make smart changes to address problems with behavioral health, mental health, and/or substance use. Our experts evaluate, diagnose, and treat adults who are experiencing a variety of common (e.g., depression, anxiety, interpersonal problems, coping with stress, easily becoming upset, etc.) and less common (e.g., specific addictions, PTSD, borderline personality disorder) problems. We are a large group of experts dedicated to bringing the best available treatments to people today. We are different from most private practices in the community. Our large number of clinicians, wide scope of expertise, and high quality of experts places us in the front of the greater Triangle community as leaders in psychotherapy and medication management for behavioral healthcare needs.

How Duke Psychiatry and Behavioral Sciences Can Help

We are proud to offer compassionate and individualized care to our adult patients. Our expert clinicians represent a broad range of specialties and bring an unparalleled, comprehensive approach to treatment planning and continuing care. And because we are integrated with the internationally recognized Duke University Health System, we can easily make referrals within Duke’s network of providers.

Duke’s evidence-based treatments ensure that our patients receive the latest, safest and most effective therapies available. Our clinicians include leaders in mental and behavioral health research, who conduct studies to better understand and treat mental illnesses. In some cases, our patients may participate in these studies and benefit from the most leading-edge care possible. Visit DukeHealth.org for more information on current clinical research.

Services

Our psychiatrists, psychologists, counselors and social workers take a collaborative approach to caring for patients.

Our diagnostic and testing services include:
   • Diagnostic evaluations of psychiatric and substance use disorders
   • Second opinions
   • Psychological and Neuropsychological testing
   • Forensic psychiatry consultation

Our treatment services -- most available on an outpatient basis -- include:
   •  Cognitive behavioral therapies (CBTs)
   •  Dialectical Behavior Therapy (DBT)
   •  Motivational enhancement
   •  Supportive listening and problem-solving
   •  Couples and family therapy
   •  Medication management
   •  Outpatient substance abuse treatment
   •  Pain management
   •  Parenting training

Specialized Clinics

Our specialized adult mental health clinics include:

Behavioral Medicine – Our Behavioral Medicine Program addresses stress, psychological factors in disease, and behavioral approaches to the prevention, treatment, and rehabilitation of stress-related medical disorders. We strive to advance the scientific understanding of biological, social, psychological, and behavioral factors in human health and disease through research and education, and to apply this knowledge to the development of interventions for disease prevention, treatment, and rehabilitation. Our clinical services currently are directed at providing evaluations and treatment for patients being considered for solid organ transplantation at Duke.

Biofeedback and Pain Management Services – We seek to treat psychological and psychophysiological factors and processes that are associated with the onset, maintenance, and resolution of chronic pain. Our clinicians treat chronic pain in a number of disease states including low back and failed back surgery syndromes, fibromyalgia, sickle cell disease, headaches, neuropathic conditions, phantom limb pains, post-surgical pains, urological and gastric pains.

Brain Stimulation and Electroconvulsive Therapy (ECT) – Duke is a leader in the use of proven and emerging technologies to treat mental illnesses. Clinical services include Electroconvulsive Therapy (ECT), Transcranial Magnetic Stimulation (TMS), and Vagus Nerve Stimulation (VNS). Duke’s ECT Program provides this state-of-the-art therapy to people 18 and older. ECT may be used to treat patients suffering from severe affective (mood) disorders and medical illnesses for which other treatments have been ineffective. Our mental health specialists provide ECT three days a week, and offer a full range of diagnostic, consultative, evaluative, clinical, and case management services five days per week.

Cognitive Behavioral Research and Treatment Program – Our full-service psychotherapy clinic delivers sophisticated treatments for adult individuals and couples. We use cognitive behavioral therapies, mindfulness-based interventions, and dialectical behavior therapy to treat conditions such as:
   •  Mood disorders (e.g., depression, bipolar disorder)
   •  Anxiety disorders (e.g., social anxiety, PTSD, panic disorder, phobias)
   •  Personality disorders (e.g., borderline personality disorder)

Duke Addictions Program (DAP) and Substance Abuse Consult Liaison Program – Duke Addictions Program (DAP) and Substance Abuse Consult Liaison Program has over 20-year established history of providing evidence based addiction services. Our clinical services include comprehensive evaluations, medication management, and various types of therapy.

Duke University Hospital Substance Abuse Outpatient Program - The Duke University Hospital Substance Abuse Outpatient Program provides treatment for adults 18 and over with substance use and other mental health disorders. We work to help patients recover from and manage addictive disease, including that accompanied by co-occurring mental health disorders. Individual, Group, couples, and family therapy is offered on an outpatient basis and provided by two therapists licensed and trained in psychotherapy with specialties in substance use disorders. Medical Management of mental health disorders and/or cravings to help prevent relapse is available through referral by the treating therapist. Neither medical detoxification nor residential treatment is offered in this program, however, referral to outside facilities may be recommended following evaluation. Therapy is provided using a motivational approach and includes both traditional and more recent CBT models. For further information or to schedule an appointment for evaluation, please contact us at (919) 684-3850.

Duke Child & Family Study Center –This collection of programs provide diagnostic evaluations and an array of ongoing treatments for children, adolescents, families, and adults including individual and/or evidence-based psychological therapies. The clinic programs include: 

Attention Deficit Hyperactivity Disorder (ADHD) Program – This program provides comprehensive diagnostic evaluations for children, adolescents and adults, including psycho-educational testing for learning disorders. Parent and child behavior management groups and child coping skills groups are available. 

Duke Center for Eating Disorders – Our multidisciplinary team of specialists evaluates, diagnoses, and treats people of all ages who suffer from eating disorders, including anorexia nervosa, binge eating disorder, bulimia nervosa, and others. 

Family Studies Program and Clinic – Our team of mental health experts are trained in treating families, and specialized in issues such as couples counseling, family therapy, parent education for parents of children and adolescents with behavioral problems, and general therapy for enhancing family communication and problem solving. 

Psychosocial Treatment Clinic – 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. 

Program in Child Affective and Anxiety Disorders (PCAAD) – We provide the highest level of expert care to children and adolescents suffering from a variety of anxiety and affective (mood) disorders through our innovative research program.
 

Family Care Program (FCP) – FCP provides outpatient treatment to help pregnant or mothering women overcome drug addictions and be the best parents possible. We also provide services to the children of these women. Our treatment approach is based upon a gender-responsive model in which addiction is believed to result from biological, psychological, social, and spiritual vulnerabilities, which often include a history of trauma, abuse, or neglect. 

Forensic Psychiatry – Psychiatrists, psychologists, and other professionals on the Duke faculty are available to offer evidence-based forensic consultation to legal professionals.

Geriatric Behavioral Health – Geriatric psychiatrists and psychologists have specialized training in the physical, emotional, and social needs of older patients that allows for a comprehensive approach to diagnosis and treatment. Co-existing medical illnesses, medications, family issues, social concerns, and environmental issues are integrated into a comprehensive program of care.

Infertility Support – Coping with infertility and infertility treatments can be stressful. While undergoing treatment, we recognize that you may experience a variety of emotions and challenges, including sadness, anxiety, anger, confusion, self-doubt, guilt, indecision, social isolation, marital problems, and sexual difficulties. Duke Psychiatry and Behavioral Sciences offers psychological support through the Duke Fertility Center for women and couples coping with infertility. Our specialist offers a variety of services, including fertility counseling; individual, couples, and group psychotherapy; grief and loss counseling; treatment decision-making consultation; crisis intervention; and third-party reproduction assessment (for couples needing donor egg, donor sperm, or a gestational carrier).

Inpatient Care – Patients suffering from mental illness or who are in mental or emotional crisis are sometimes best cared for in an inpatient setting. Duke clinicians provide experienced and compassionate mental health care to adults 18 and older in two inpatient facilities: Duke University Hospital Williams Inpatient Psychiatric Unit and Durham Regional Hospital.

Mood Disorders – The Mood Disorders Program provides specialty evaluation and treatment of adult patients with mood disorders and mixed mood/anxiety disorders. Patients may be diagnosed with a range of disorders including bipolar disorder, major depression, dysthymia, panic and generalized anxiety disorders, organic mood disorder, and severe adjustment disorders.

Neuropsychology – The Clinical Neuropsychology Service (CNS) provides comprehensive cognitive assessments to adult patients ages 16 and over. Patients with known or suspected central nervous system injury or illness may be evaluated to assist in diagnosis, or to delineate cognitive and functional status.

Phobia Treatment (Virtual Reality Therapy) – Our skilled practitioners use state-of-the-art technology to treat patients suffering from life-restricting phobias.

Duke Psychiatric Outpatient Clinic (DPOC)- A hospital-based outpatient clinic, the DPOC features a large multidisciplinary team of clinical social workers, resident-level psychiatrists supervised by Duke Medicine psychiatrists, and psychiatric nurse practitioners. The DPOC offers diagnostic assessments with development of a comprehensive plan for mental health care within the broader Duke Medicine system. Psychiatric medication management is available with the resident-level psychiatrists and psychiatric nurse practitioners. These clinicians may also provide short-term psychotherapy or partner with the clinical social workers to provide this service. Clinical social workers are available to provide non-medication assessments and short-term psychotherapy. If long-term (more than 10 session) psychotherapy is needed the assessing clinician will provide a referral to an appropriate provider. The DPOC is a generalized practice addressing a wide range of psychiatric and emotional difficulties. Prior to being scheduled, patients will be asked a few questions to ensure that DPOC is the appropriate fit for care.

Sleep Disorders – Duke mental health specialists work with a multidisciplinary team to evaluate and treat patients with sleep issues that include insomnia, narcolepsy, sleep apnea, sleepwalking, sleep terrors, and REM behavior disorder.

Women's Behavioral Health – We deliver a range of services for mental and physical health conditions and concerns that are unique to women, including perinatal and reproductive psychiatry.

 

Affiliated Programs

Central Regional Hospital – Central Regional Hospital provides inpatient psychiatric care for children, adolescents, and adults.

Duke Integrative Medicine – Duke Integrative Medicine focuses on the individual, and how cutting edge medical research and the powerful impact of knowledge, choices, and spirit can transform health and healing. Their team of experienced health psychology professionals offer a wide variety of services to help address individual issues, lower anxiety and stress, treat depression and other mood disorders, increase daily relaxation, and make healthy changes in important lifestyle behaviors like eating, exercising or smoking.

Durham VA Medical Center – Durham VA Medical Center provides health care services, including mental health care, to veterans in central and eastern North Carolina.