Laura Miller, MD, Head <strong>of</strong> <strong>the</strong> Women’s Mental Health Services DivisionWomen's Mental Health Services DivisionThe Women's Program specializes in treatingwomen with psychiatric disorders, particularly disordersrelated to <strong>the</strong> menstrual cycle, infertility,menopause, gynecologic disorders, sexual abuseor assault, and eating disorders.The Women's Division is nationally recognized for<strong>the</strong> use <strong>of</strong> psychotropic medication and ECT duringpregnancy. The Women's Inpatient Service treatswomen who are pregnant or postpartum; patientsreceive both psychiatric and obstetric services aswell as educational groups on nutritional needsand medication during pregnancy, recognizing andmanaging labor, family planning, and parenting.The Women's Outpatient Clinic provides pharmaco<strong>the</strong>rapy,individual psycho<strong>the</strong>rapy, and grouppsycho<strong>the</strong>rapy.The Parenting Assessment Team (PAT) providescomprehensive assessments <strong>of</strong> parenting capabilityfor mentally ill parents who are alleged perpetrators<strong>of</strong> child abuse/neglect. There is also aParenting Clinic for women with major mental illnesswho have preschool children. The Clinic providesmedication management, a psychoeducationalgroup, and parenting support/rehabilitation. TheWomen's Consultation Service provides psychiatricconsultation for women patients with reproductiveand gender-related issues. TheConsultation Service provides services to <strong>the</strong><strong>Department</strong> <strong>of</strong> Obstetrics and Gynecology as wellas o<strong>the</strong>r departments and divisions within <strong>the</strong><strong>Department</strong> <strong>of</strong> <strong>Psychiatry</strong>.The Eating Disorders Clinic <strong>of</strong>fers a full spectrum<strong>of</strong> services for those suffering with an eating disorder.Anorexia nervosa, bulimia nervosa, and compulsiveovereating are treated with a multidisciplinaryapproach.PGY-2 residents work in a multidiciplinary team <strong>of</strong>psychologists, psychiatrists, social workers, andmental health counselors. This 3-month rotationsatisfies part <strong>of</strong> <strong>the</strong> required inpatient training,which includes daily clinical rounds with <strong>the</strong> attendingpsychiatrist, weekly individual supervision,weekly treatment planning meetings, weekly caseconferences, weekly community meetings withattending supervision, didactic lectures/seminarsand specific readings. A PGY-4 elective is availablewhich is tailored to <strong>the</strong> resident's needs.10
Neuropsychiatry DivisionThe Neuropsychiatry Division has several clinical components.It is a multidisciplinary specialty division which <strong>of</strong>fers <strong>the</strong> latestdiagnostic techniques for assessing psychiatric disorders and<strong>the</strong> cognitive and behavioral problems that affect patients withdementia, epilepsy, brain tumors, and o<strong>the</strong>r neurologic disorders.Treatment <strong>of</strong> <strong>the</strong>se patients includes methods to reducestress on family and significant o<strong>the</strong>rs.The outpatient programconsists <strong>of</strong> medication management clinics, psycho-educationaland support groups, and comprehensive extensive diagnosticevaluations.The Neuropsychiatry consultation service <strong>of</strong>fers neuropsychiatricassessment to neurology, neurosurgery, and physicalmedicine and rehabilitation services. The NeuropsychologyService <strong>of</strong>fers comprehensive neuropsychological testing toadults and children. The Neuropsychiatry Inpatient service providestreatment for patients with developmental disabilities,traumatic brain injury, and o<strong>the</strong>r consequences <strong>of</strong> neurologicdisease.Moises Gaviria, MD, Chief <strong>of</strong> NeuropsychiatryResidents rotate for two months through Neuropsychiatry in <strong>the</strong>irPGY-1 or three months in PGY-2 / PG-3 year. Both inpatient andoutpatient experience occurs. Elective rotation for PGY-4 residents is available. The resident evaluates one to three newpatients per week on <strong>the</strong> service, develops comprehensive treatment plans with <strong>the</strong> collaboration <strong>of</strong> <strong>the</strong> treatment team,and acts as <strong>the</strong> primary physician in charge for <strong>the</strong> patient. During morning report medical, behavioral, psychiatric, andneurological problems <strong>of</strong> <strong>the</strong> patients are discussed. Team meetings encompass patient management and discussion <strong>of</strong><strong>the</strong> treatment plan as well as informal teaching. Residents participate in <strong>the</strong> case conference on <strong>the</strong> unit.Fellowship in Women’s Mental HealthA one-year fellowship in Women’s Mental Health for physicians who have completed at least threeyears <strong>of</strong> psychiatry residency training is <strong>of</strong>ferred. The fellowship takes place within <strong>the</strong> Women’sServices Division, winner <strong>of</strong> <strong>the</strong> American PsychiatricAssociation’s Gold Achievement Award for innovative mentalhealth services. The Women’s Services Division provides mentalhealth services for women with reproductive and gender-relatedproblems, such as premenstrual dysphoria, pregnancy-related illness,parenting problems, menopausal mood disorders, eatingdisorders, and post-traumatic stress disorder. The didactic experienceincludes formal case studies during <strong>the</strong> Women’s HealthTutorial, a Mental Health Forum in which fellows give one presentationto faculty and staff and various lectures and forums onwomen’s health issues in <strong>the</strong> medical center. Fellows are encouragedto participate in some research or scholarly activity relatedto women’s health. It can consist <strong>of</strong> a written case report, literaturereview, coauthoring a book chapter or journal article, assistingin an ongoing research project, or conducting an independentresearch project under supervision. Fellows anticipating a careerin academic psychiatry will be encouraged to submit a paper forpublication and/or presentation at a national conference.Ellen Astrachan Fletcher, PhD,(left) and Pamela Wiegartz, PhD(right), Women’s Division facultymembers11