The training of child psychiatry fellows in psychotherapy is an
important goal of this program. This program places emphasis on
psychotherapy modalities that have been shown to have the
greatest empirical support in pediatric populations.
This means that the greatest level of experience fellows will
obtain are in the variants of Cognitive Behavior Therapy (CBT)
including Parent Behavioral Training, Exposure and Response
Prevention, Skills Training, and similar programs.
Fellows are also taught to function as what we call Family Wellness Coaches where they work with all members of a family to enhance involvement in a variety of health promotion activities including mindfulness training, music and sports lessons, positive parenting techniques, sleep hygiene, and good nutrition, among other things.
Child and adolescent psychotherapy patients are assigned
beginning in the PGY4 year. The minimum expectation is to carry
at least 2 patients during their PGY4 year and 4 in the PGY5
year, including one family.
It is also taught in this fellowship that the designation of
outpatient visits as "psychopharm versus psychotherapy" is, to
some degree, artificial. This training program does not support the idea of child psychiatrists performing short “med checks. Fellows will be taught to incorporate psychotherapy principles and techniques into all patient visits
to minimize psychiatric impairment and to promote wellness.