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Adult
Outpatient Services
Overview
of Adult Outpatient Services
The UNC Department of Psychiatry has a long-standing
commitment to excellence in each of our
three vital missions: clinical service,
teaching, and research. In all of these
areas, our tradition of integrating biological
and psychosocial perspectives is emphasized.
One of our objectives is to provide a comprehensive
array of clinical services that span the
entire spectrum of psychiatric illness.
One of the ways that this is done is through
psychological services.
It
is important to note that one or many forms
of treatment can be used to help manage
a person’s problems and symptoms.
One of the goals of psychological treatment
is to provide a person with a variety of
tools that can be used to cope with their
problems and symptom. This type of treatment
is tailored to the individual, and tries
to maximize a person’s natural abilities
and skills. It is used in collaboration
with the person’s other health care
providers and medications to achieve optimal
management of his or her symptoms.
Acute
Diagnostic And Treatment Clinic
The
Acute Diagnostic and Treatment Clinic (ADTC)
is a general adult psychiatric clinic that
is staffed by teams of faculty and resident
psychiatrists. Patients may self-refer to
the clinic or their physician or therapist
may refer them. The ADTC provides comprehensive
outpatient evaluation and treatment for
adult psychiatric patients.
Services
take place five days a week and are divided
into half-day modules. Teams of faculty
and resident psychiatrists, social workers,
and medical students staff each half-day
module. Rooms with 2-way mirrors are available
for observation and teaching. Patients may
be seen for diagnostic screening, consultation,
and /or for ongoing care. Incorporated into
the ADTC are a Geropsychiatry clinic and
a consultation/liaison specialty clinic.
Often patients may be appropriately referred
to other clinics such as STEP or Medwell,
or may be referred for concurrent care in
the Psychotherapy Education Clinic, Crisis
Clinic or Group Therapy Clinic. It is important
to note that one or many forms of treatment
can be used to help manage a patient’s
problems and symptoms. One of the goals
of psychiatric treatment is to provide a
variety of tools that may be used to cope
with their problems and symptoms. Treatment
is tailored to the individual in order to
maximize and individual’s natural
abilities and skills. We collaborate with
the patient’s other healthcare providers
to achieve optimal management of his or
her symptoms.
For
appointments call: 919-966-5217
Cognitive
Behavioral Therapy
What
is Cognitive Behavioral Therapy? The basic
principle of cognitive behavioral therapy
(CBT) is that what a person believes affects
his or her emotions and behavior. Cognitive
behavioral therapy focuses on the inter-relationships
between a person’s thoughts (cognitions),
actions (behaviors), and feelings (affect)
and the role that they play in a person’s
symptoms, functioning and quality of life.
By focusing on these three components, changes
can be made in how a person thinks, acts
and feels about his or her difficulties.
Research
studies have shown that CBT is an effective
treatment for a wide range of psychiatric
illnesses and symptoms including panic disorder,
depression, generalized anxiety disorder,
simple phobias, obsessive-compulsive disorder,
social phobia, posttraumatic stress disorder
and agoraphobia. Cognitive behavioral therapy
is helpful in helping couples with relationship
problems including some types of sexual
dysfunction. CBT and help individual learn
stress management and relaxation techniques,
as well as anger management skills. Certain
medical conditions can also be assisted
with CBT including migraine and tension
headaches, chronic pain, irritable bowel
syndrome, hypertension and TMJ.
For appointments call: 919-966-5217
Individual
Therapy
Individual
CBT is typically brief (6-20 sessions) and
highly goal oriented. The relationship between
the individual and the therapist is collaborative
in the both work together to identify maladaptive
thought and behavior patterns and to develop
a new set of health cognitions and effective
coping skills. This is a accomplished by
a variety of techniques including self-monitoring,
questioning, self-disclosure, education,
role playing, modeling, exposure to feared
or avoided situations, stress management/relaxation
training and homework assignments.Call
the Cognitive Behavior Therapy (CBT) Program
Information line: 919-966-3115
CBT
For Individuals With Psychotic Disorders
This
service offers individual, family, and group
treatment for psychotic disorders. Treatment
is cognitive-behavioral in orientation.
Testing and consultation is available upon
request.
Please contact David Penn, Ph.D. 919-843-7514
for more information.
Dialectical
Behavior Therapy
Dialectical Behavior Therapy (DBT)
is a form of cognitive-behavioral therapy
that emphasizes behavior change and Eastern
ideas of meditation and acceptance. The
treatment consists of 4 modules - mindfulness
(being in the moment), interpersonal effectiveness
(communication skills), emotion regulation,
and distress tolerance (coping skills).
These skills are designed to enhance self-awareness,
problem solving abilities, and self-soothing
behaviors.
Please
ask your doctor to complete a referral
form
on your behalf if you are interested in
the Dialectical Behavior Therapy (DBT)
skills
training class that we offer.
The
Psychotherapy Education Clinic
The
Psychotherapy Education Clinic provides
individual psychodynamic psychotherapy.
Resident psychiatrists meet with their patients
at least once a week to explore internal
conflicts that may contribute to their psychiatric
condition. The treatment course may last
months or years. Referrals to this clinic
are generally made through the Adult Diagnostic
and Treatment Clinic.
For appointments call: 919-966-5217
The
Family Therapy Team
The
Family Therapy Team provides a chance for
whole families to work together on problems
of concern. Two therapists, with the back
up of the Team behind a one-way mirror,
meet with families on a weekly basis to
give families fresh perspectives and new
ways to communicate with each other. In
this way, everyone in the family system
has a chance to hear others' thoughts and
feelings and to be heard themselves. Families
work on a variety of problems with the Team,
from the misbehavior of a young child to
the illness or loss of another family member.
Any time there are changes in a family that
affect all other members, family therapy
can be useful in finding a new way of relating
to each other.
Appointments
are made through referral from professionals
in the community, or through contact
with
Elisabeth Scott, LCSW, Clinical Social
Work Specialist in the Psychiatry Department,
at: 919-966-6825.
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