APPIC Program Code: 141315
One intern will be selected for this concentration.
Rotations
- Duke Center for Eating Disorders Clinic (2 days)
- Duke Counseling and Psychological Services (2 days)
- Child Psychiatry Consult-Liaison Service (1 day)
Rotation Descriptions
The Duke Center for Eating Disorders (DCED) treats conditions in which a trusting and responsive relationship to oneself and particularly to one’s body is disrupted.
In addition to treating individuals with eating disorders such as anorexia nervosa, bulimia nervosa, Avoidant/Restrictive Food Intake Disorder (ARFID), and binge eating disorder, our focus includes the treatment of other psychosomatic disorders such as pediatric pain and medical conditions (e.g., children and adolescents with musculoskeletal disorders).
An overriding value in our work is helping individuals to feel seen and understood as their authentic selves. To that end, we work closely with families so that all identities and perspectives can be supported by the individuals closest to them. We have a weekly didactic seminar and weekly team meeting with psychiatrists and specialists in family medicine, social work, adolescent medicine, and psychology to discuss challenging cases and coordinate care.
We treat individuals from the ages of three and up so interns can self-select the developmental stages they are comfortable working with or use this as an opportunity to try their skills with a new age group. Interns may also participate in consult/liaison services at Duke hospital with patients with problematic eating or feeding presentations.
New research and developments in the center include an NIMH clinical trial for five- to nine-year-olds with ARFID; a parent group for parents of transgender or gender diverse teens; an online middle school group for ARFID; and the study of DukeLine, an anonymous mental health text support line for college students. Work with DukeLine also provides trainees with the opportunity to supervise undergraduate mental health coaches.
Supervisors
Duke Counseling and Psychological Services (CAPS) provides a comprehensive range of psychological and psychiatric services to support students in managing psychological and social difficulties, with an immediate goal of strengthening their abilities to succeed in the University’s undergraduate, graduate, professional, and allied programs. Duke University is a privately supported institution with an enrollment of 17,499 students who come from 50 states and 124 foreign countries.
The University provides a stimulating learning environment in its ten colleges and schools: Trinity College of Arts and Sciences, School of Law, Divinity School, Graduate School, School of Medicine, School of Nursing, Nicholas School of the Environment and Earth Sciences, Pratt School of Engineering, Sanford School of Public Policy, and Fuqua School of Business.
Training emphasizes experiential clinical learning and incorporates evidence-based intervention approaches, including solution-focused brief therapy, CBT, DBT, and ACT. Training experiences include brief assessment, crisis intervention, individual and group psychotherapy, outreach, workshops, advocacy, and mental health consultation.
Service activities are balanced with individual and group supervision, seminars, clinical consultation teams, and professional development activities. Seminars will cover topics relevant to the clinical population, including identity and development, cultural considerations, mood and anxiety disorders, eating and body image concerns, executive functioning challenges, among others.
CAPS affirms and provides opportunities to increase awareness and knowledge of human diversity at the micro and macro levels of intervention. Training activities are designed to promote the acquisition of critical thinking skills related to individuals, environments, cultures, and systems and to develop culturally responsive psychological interventions.
Supervisors
- Leigh Spivey-Rita, PhD (CAPS Site Training Director)
- Chantal Gil, PsyD
- John Mitchell, PhD
The Child Psychiatry Consultation-Liaison (CL) service at Duke Children’s Hospital is a multidisciplinary team that includes psychologists, child psychiatrists, social work case manager, residents, fellows and medical students. The CL team serves patients throughout the Children’s Hospital with a broad range of conditions.
Consultations are initiated by members of a child’s medical or surgical team. Common reasons that consultation may be requested from psychology include:
- Adjustment to illness
- Coping with acute or chronic pain
- Assessment of emotional or behavioral concerns
- Family coping and support
- Treatment adherence
The intern may participate in initial consults or follow-up care for patients being followed on the service. All of the patients seen by a member of the CL team have been admitted as inpatients to the Children's Hospital.
If continuing mental health services would be helpful after a patient is discharged from a medical floor, they may be referred within Duke or provided with referrals for providers closer to home. Interns may have the option to provide outpatient therapy should the patient’s care remain within Duke.
Supervisors
A study led by Duke University researchers reveals that children often experience more fear around food than their parents realize, highlighting the need for better understanding and earlier detection of Avoidant Restrictive Food Intake Disorder (ARFID) in children.