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Johanna S. Kaplan, PhD, Lediya Dumessa, PhD, and Anna Villavicencio, PhD

The phrase “Failure to launch” has been used to describe the inability of young adults (ages 18- 34) to develop effective coping mechanisms with complicated, emerging stressors in their environment. Often, premorbid and/or current symptoms of anxiety and depression will mediate a successful transition. It is important to begin with a functional analysis to determine how unsuccessful contingencies emerged (e.g., if there were limited opportunities to learn how to successfully cope with failure early in life). It is also important to examine other facets of ineffective transition (e.g., patterns of avoidance, distress tolerance, emotion regulation skills, social skills, executive functioning skills such as time management and organization, and general functional life skills). As 70% report current adequate satisfaction in regards to returning or continuing to live with their parental figures (Sachs, 2010), it is important to examine contingencies in the family system. Families can assist in the generalization and reinforcement of skills. This workshop will present attendees with a review of cognitive-behavioral skills used in “failure to launch” treatment, discuss the benefits of using several treatment format modalities (e.g., individual, peer groups) and will discuss case examples and the specific application of cognitive-behavioral skills.

http://psychiatry.weill.cornell.edu/postdoctoral-psychology-fellowship-westchester

The Department of Psychiatry at NewYork-Presbyterian Hospital (NYPH) Westchester Behavioral Health Center in White Plains, New York is accepting applications for a 2-year postdoctoral psychology fellowship position available in our Child Outpatient Department.

The Child Track fellowship aims to prepare the next generation of scientist-practitioners for careers in clinical psychology and academic research. Fellows are based in the outpatient department where they engage in the evaluation and treatment (individual and group-based) of children and families presenting with a wide range of diagnoses. In consultation with a member of the psychology faculty, fellows develop individualized plans to address their specific training goals. Concentration opportunities in outpatient clinical work and research include the following:

CBT: Fellows will receive comprehensive supervision in CBT and other evidence-based treatment for a broad range of disorders. This includes opportunities for specialized training in:

• Exposure and Response Prevention (ERP) for OCD (and related disorders).
• Parent interventions including Parent Management Training (PMT) and Supportive Parenting of Anxious Childhood Emotions (SPACE).
• Fellows will both attend and are encouraged to contribute to the weekly CBT Seminar series which covers a wide range of topics and disorders relevant to mental health professionals.
• Fellows will participate in unique live therapy and supervision experiences in weekly “Anxiety Behind the Mirror” meetings. Here, live CBT and ERP sessions are viewed by fellows and faculty via a one-way mirror (or ZOOM).

DBT: Fellows will have the opportunity to gain experience in full-model DBT-A treatment.

• Fellows can receive direct supervision in the delivery of individual DBT treatment, phone consultation, skills training, and participation on an adherent consultation team.
• Fellows will also attend a foundations of DBT seminar series.

Family Therapy: Fellows will have the opportunity to gain specialized training and supervision in family therapy.

Additional Fee-for-Service Activities: Post-Doctoral Fellows can engage in the COPE-NYP program, which offers acute interventions to medical staff experiencing stress. Fellows are compensated for this work with a fee-for-service model. Furthermore, during their second year, interested fellows will receive mentorship on starting a private practice and will have an opportunity to practice privately in addition to their post-doctoral duties.

As a part of their experience, fellows may elect to work on one of the specialty inpatient units of the hospital (e.g., Children’s Unit, Adolescent Unit). Fellows who elect to rotate on these units will participate in program development, individual and group therapy, and development and supervision of psychology externs.

Our two-year training program allows post-doctoral fellows to engage in more specialized training during their second year. During the second year, post doctoral fellows have an

The Department of Psychiatry of Weill Cornell Medicine and NewYork-Presbyterian Hospital offer a variety of didactics for fellows in child and adolescent clinical psychology to enhance their training experience and engage in professional development (e.g., CBT, DBT, supervision seminar, women’s mental health, providing culturally responsive clinical care to diverse patient populations).

The faculty encourages fellows to participate in a clinical research elective which includes 20% protected time. Fellows may work with research mentors at either the White Plains or Manhattan campus. Please visit our website for details on clinical rotations, didactics, and research opportunities.

Diversity is one of Weill Cornell Medicine and NewYork-Presbyterian Hospital’s core values and is essential to achieving excellence in patient care, research, and education. We welcome applications from candidates who share our commitment to fostering a culture of fairness, equity, and belonging. NewYork-Presbyterian Hospital is an Equal Employment Opportunity Employer, providing equal employment opportunities to all qualified applicants without regard to race, sex, sexual orientation, gender identity, national origin, color, age, religion, protected veteran or disability status, or genetic information. Trainees have an opportunity to participate in the Diversity, Equity, and Inclusion initiatives that are an ongoing effort to address systemic barriers to equitable care for diverse populations.

Requirements: Applicants must have a doctorate in Clinical Psychology from an APA-accredited program, evidence potential to participate in collaborative research (if considering the research elective) and be able to submit materials required to obtain the limited permit issued by the New York State Department of Education before the start date.

Application deadline: December 15, 2022

Start Date: September 1, 2023 (pending limited permit)

Fellowship Duration: One to two years

Benefits: Salary is $52,000.00 for the first year and $55,000.00 for the second year. As an employee of NYP, benefits include Aetna Health Insurance, and Cigna Dental insurance.

Application: Applicants should submit a current curriculum vitae, three letters of recommendation, and a letter of intent compiled into a single PDF document labeled with your last name, first initial, and application track (e.g., “Smith M Child Track”). In the letter of intent, applicants should specify they are applying to the child clinical psychology track, their career goals, a potential research mentor (if applicable), and their clinical training goals for the fellowship, including concentration areas of interest. Please address the letter of intent to Susan Evans, Director of Education at NewYork-Presbyterian Hospital/Weill Cornell Medicine and email the entire PDF file to Nina Huza, Staff Assistant at [email protected]. All interviews will be held virtually over Zoom.

Baylor College of Medicine is accepting applicants for a new, 1-2 year, clinically focused, Behavioral Health postdoctoral position. Clinical training activities within Baylor Medicine will be split between 2 multidisciplinary clinics: Stratos Integrated Health and the Post-COVID Care Clinic. 

Clinical training activities within Stratos Integrated Health will include:

1. Conducting initial and annual behavioral health evaluations for patients
2. Conducting brief, behavioral health interventions for patients to facilitate health behavior change
3. Collaborating care and consulting with Stratos team physicians in order to make referrals for specialized care
4. Developing integrated, behavioral health treatment plans with other members of the multidisciplinary wellness team
5. Attending interdisciplinary team meetings
6. Developing psychoeducation materials for dissemination to patients

Training activities within the Post-COVID Care Clinic will include:

1. Conducting initial psychiatric evaluations for patients referred for services
2. Making referrals to the skills and support psychotherapy group or other services when appropriate (psychiatry, community support groups, neurology/neuropsychology)
3. Leading weekly, virtual, evidence-based skills group to teach anxiety, depression, and pain management coping skills to manage symptoms
4. Collaborating care with patient treatment team to monitor progress and concerns.
5. Assisting in formalizing intervention for publication and dissemination.
6. Evaluating outcomes of the intervention for quality improvement and publication purposes.

In addition to clinical training activities, the postdoctoral associate will be invited to participate in monthly didactics, biweekly journal club, and in research activities within or outside of the department as relevant to the associate’s interests and professional goals. 

If interested in the position, please email Michelle Chang a cover letter and current CV. [email protected].

NW Anxiety Institute, a specialty outpatient clinic located in Portland, Oregon, is currently hiring full-time licensed clinicians (psychologist, therapist, social worker). The clinical team at NWAI provides a unique and collaborative approach to helping children, teens, and adults overcome OCD and anxiety disorders through individual, group, and intensive outpatient therapy. By tailoring treatment and adhering to evidence-based principles, clinicians are encouraged to infuse creativity and personality when striving to support individuals to “Stop Coping and Start Conquering” as they courageously change their relationship with anxiety. NW Anxiety Pediatrics, located only a block away, is a space dedicated to offering families and children seeking support for understanding and overcoming OCD and anxiety. Both clinics are housed in fully-restored and renovated historic craftsman homes from the early 1900’s, allowing for a professional, yet warm environment.

NWAI promotes a collaborative and energizing environment for all clinicians and staff, including daily clinical rounding, regular group and individual supervision, and opportunities for working jointly with patients. In addition to outpatient services, NWAI offers two intensive outpatient programs (adult & child/teen) where clinicians frequently share input and expertise to support one another throughout the treatment process. 

NWAI has a strong presence among the Portland metro area school districts and community mental health service providers due to offering frequent trainings on addressing anxiety in youth and schools. A New York Times article, Why are more American teenagers than ever suffering from severe anxiety, features anxiety treatment programs including NWAI that provide evidence-based education and support for parents and anxious youth. Although not required, clinicians with interest in providing clinical presentations are encouraged and supported. 

The current position is perfect for a clinician who is passionate about working with those living with anxiety and excited to receive training on using CBT and exposure response prevention (ERP) in therapy. Training on the art of delivering exposure-based techniques is provided through a hands-on and supportive approach. NWAI offers a highly competitive salary, complete with a robust benefits package and opportunities for continuing education and professional development.

If interested, please send a cover letter and CV or resume to [email protected]. 

Essential Functions

• Provide individual and group therapy using CBT and ERP techniques
• Utilize validated outcome measures throughout treatment process
• Contribute substantively to an interdisciplinary approach and treatment of all NWAI clients (e.g., participate in weekly, scheduled clinic meetings and daily clinical roundings).
• Participate in on-going evidence-based specialty trainings
• Utilize electronic health record system (EHR) provided by NWAI for all clinical documentation
• Document all client correspondence within 24 hours
• Maintain licensure, malpractice insurance, and adhere to all Oregon state and National Board certification requirements

Minimum Qualifications:

• Licensed in Oregon
• Interest in becoming trained in Cognitive Behavior Therapy (CBT)
• Interest in treating anxiety disorders
• Experience with treating adolescents and adults

Preferred Qualifications:

• Proficient with delivering evidence-based treatment, (CBT, ERP) for anxiety disorders
• Experienced in diagnosing and treating Obsessive Compulsive Disorder (OCD)
• Skilled with treating pediatric population
• Spanish speaking

Employee Benefits:

• Medical & Dental Insurance
• Short Term & Long Term Disability Insurance
• Retirement planning
• 401(k) with Employer match
• Paid Time Off
• Tuition Reimbursement Program

NW Anxiety Institute, a specialty outpatient clinic located in Portland, Oregon, is currently hiring full-time licensed clinicians (psychologist, therapist, social worker). The clinical team at NWAI provides a unique and collaborative approach to helping children, teens, and adults overcome OCD and anxiety disorders through individual, group, and intensive outpatient therapy. By tailoring treatment and adhering to evidence-based principles, clinicians are encouraged to infuse creativity and personality when striving to support individuals to “Stop Coping and Start Conquering” as they courageously change their relationship with anxiety. NW Anxiety Pediatrics, located only a block away, is a space dedicated to offering families and children seeking support for understanding and overcoming OCD and anxiety. Both clinics are housed in fully-restored and renovated historic craftsman homes from the early 1900’s, allowing for a professional, yet warm environment.

NWAI promotes a collaborative and energizing environment for all clinicians and staff, including daily clinical rounding, regular group and individual supervision, and opportunities for working jointly with patients. In addition to outpatient services, NWAI offers two intensive outpatient programs (adult & child/teen) where clinicians frequently share input and expertise to support one another throughout the treatment process. 

NWAI has a strong presence among the Portland metro area school districts and community mental health service providers due to offering frequent trainings on addressing anxiety in youth and schools. A New York Times article, Why are more American teenagers than ever suffering from severe anxiety, features anxiety treatment programs including NWAI that provide evidence-based education and support for parents and anxious youth. Although not required, clinicians with interest in providing clinical presentations are encouraged and supported. 

The current position is perfect for a clinician who is passionate about working with those living with anxiety and excited to receive training on using CBT and exposure response prevention (ERP) in therapy. Training on the art of delivering exposure-based techniques is provided through a hands-on and supportive approach. NWAI offers a highly competitive salary, complete with a robust benefits package and opportunities for continuing education and professional development.

If interested, please send a cover letter and CV or resume to [email protected]. 

Essential Functions

• Provide individual and group therapy using CBT and ERP techniques
• Utilize validated outcome measures throughout treatment process
• Contribute substantively to an interdisciplinary approach and treatment of all NWAI clients (e.g., participate in weekly, scheduled clinic meetings and daily clinical roundings).
• Participate in on-going evidence-based specialty trainings
• Utilize electronic health record system (EHR) provided by NWAI for all clinical documentation
• Document all client correspondence within 24 hours
• Maintain licensure, malpractice insurance, and adhere to all Oregon state and National Board certification requirements

Minimum Qualifications:

• Licensed in Oregon
• Interest in becoming trained in Cognitive Behavior Therapy (CBT)
• Interest in treating anxiety disorders
• Experience with treating adolescents and adults

Preferred Qualifications:

• Proficient with delivering evidence-based treatment, (CBT, ERP) for anxiety disorders
• Experienced in diagnosing and treating Obsessive Compulsive Disorder (OCD)
• Skilled with treating pediatric population
• Spanish speaking

Employee Benefits:

• Medical & Dental Insurance
• Short Term & Long Term Disability Insurance
• Retirement planning
• 401(k) with Employer match
• Paid Time Off
• Tuition Reimbursement Program

I am suffering for IBS for a while, it passes in daily life after several weeks or months but the issue here is; I live in different town for a seven years and ı am 25 years old. After ı move to my hometown again after seven years, when ı try to spend the night in any other house except mine ı suffer from regular IBS symptoms again. Or when ı try to travel somewhere else it occurs again. I trapped in my local area this year and this cause me lose several values in my life. I’m seeking help and lacking several information about how to fix that travel and comfort issues. I’d be flattered if you help me or give any kind of advice that I can do. Thank you.

Answer: ADAA member Dominique Apollon, LPC

First off, thank you for sharing such a stressful experience. It takes incredible strength and determination to address such challenges and I applaud you for taking steps to control something that often feels so “out of our control.” Life transitions can cause us a significant amount of stress and anxiety. Stress and anxiety that manifests in our body and impacts our ability to function in certain situations or during specific interactions.

Irritable Bowel Syndrome or (IBS) can exaggerate the situational changes that we experience in our day to day life, often making it difficult to cope. According to an article published in the World Journal of Gastroenterology, IBS involves the the brain and gut, and as with anxiety, these symptoms can cause us to experience intense distress. In regards to your specific question, I would be curious to know if you have any fears about your IBS flaring up if/when you leave your home? If so, I would explore why those fears exists? Do you find yourself anticipating a flare-up prior to leaving your home? What is making you feel trapped? Accessibility to a bathroom or lack of? If so, taking actions such as doing research prior to going to a specific destination in order to reduce the fears associated with traveling. Here are 6 things I would recommend in reducing symptoms of anxiety and stress as it relates to your IBS symptoms:

• Relaxation techniques, such as progressive muscle relaxation and diaphragmatic breathing (helps allow your body to “stand down”), visualization (to help distract the mind).
• Focus on things in your control (researching acess to bathrooms, etc.)
• Mindfulness/Meditation
• Improve Sleep
• Journal to help in identifying stress, ways of managing it and documenting improvement
• Psychoeducation - learn about IBS and ways to better understand how it is effected by stress and anxiety. Here are two helpful resources:  
  • Overcoming Irritable Bowel Syndrome - ADAA resource
  • AboutIBS.org

I hope this helps to answer your question!

About Dominique

Answer: ADAA member Paul Greene, PhD

It certainly can be! But it is not a substitute for professional help.

Many people find that online support groups can be very helpful for emotional difficulties like anxiety or depression. It can be extremely comforting knowing that there are others out there who share the same problem! Another way in which online support groups can be useful is that you can learn helpful strategies there for coping with anxiety or depression. If they've worked for others, maybe they will work for you too.

However, it's important to know that anxiety disorders and depression are conditions that typically respond well to treatment. Do not mistake participating in an online group for receiving actual treatment (helpful as the groups can be). One great thing that I've seen people get from online groups is inspiration from stories of those who have overcome the same problem by seeking therapy or medication.

Unfortunately, there can be a downside to such groups. For people with obsessive compulsive symptoms, participating in the group can itself become a ritual that worsens symptoms. Also sometimes people in these groups recommend approaches or strategies that are not helpful, or strategies that have worked well for them but would be counterproductive for you. In my opinion, these disadvantages of online support groups are real limitations on how useful they are. 

In summary, online support groups can certainly be helpful, but have some downsides and are no substitute for getting professional treatment.

About Paul