We recognize the importance of balanced training, not only between psychological and biological therapies, but also between traditional psychoanalytic therapy and newer empirical therapies. We believe that every resident should master the tools of cognitive behavioral, dialectic behavioral, and interpersonal therapy, as well as established psychodynamic therapies. We provide excellent training experiences and ample opportunities to practice each of these therapies. In fact, few other programs provide the breadth of psychotherapy training available at the University of Michigan.
Through a series of 6-month intensive psychotherapy mentorships, we provide residents with extensive introductions to cognitive behavioral therapy (CBT), dialectic behavioral therapy (DBT), interpersonal therapy (IPT), and couples and family therapy. Residents receive didactics, supervision, and clinical experience in each of these therapies, frequently in conjunction with their outpatient clinic assignments. At the end of training, residents are well equipped to work independently with each of these therapies.
Cognitive Behavioral Therapy (CBT)
The CBT mentorship occurs in PGY-3, generally in conjunction with assignment to the Anxiety Disorders Clinic. The mentorship provides instruction and group supervision in the therapy, complimenting theoretical understanding with practical application of CBT. The clinic provides opportunities to evaluate and treat new patients under the direction of individual faculty members skilled in the therapy. Residents complete this mentorship with extensive experience and a high level of comfort doing CBT independently.
Dialectic Behavioral Therapy (DBT)
The DBT mentorship occurs in PGY-3, generally in conjunction with assignment to the Personality Disorders Clinic. The mentorship provides instruction and group supervision in the therapy, providing an excellent adjunct to their didactic and clinical experience with the personality disorders. The Personality Disorders Clinic provides residents with both group and individual DBT treatment experience. Both new and continuing patients are involved in treatment, giving residents the opportunity to initiate DBT and participate in on-going therapy. Residents completing this mentorship are well prepared to provide DBT independently and show a high degree of comfort with this patient population.
Interpersonal Therapy (IPT)
The IPT mentorship occurs in PGY-3, giving residents experience in this empirically-validated short-term therapy, especially in the treatment of major depressive disorder. Residents select IPT patients from their new evaluations and continuity clinics. The mentorship provides them with didactics and group supervision to build their understanding of both theory and practice of the therapy. At the end of this mentorship, residents have the tools necessary to perform IPT independently and are able to apply IPT principles to other therapy cases.
Couples and Family Therapy
The Couples and Family Therapy mentorship is given during PGY-4. Residents identify patients from their new evaluations and continuity cases. The mentorship provides didactics and group supervision to compliment individual supervision provided by faculty for each case. Residents gain both competence in this therapeutic modality and insight into the interpersonal dynamics and couples and families.
Advanced Clinical Skills
Although not focused on a particular therapeutic style, the Advanced Clinical Skills mentorship allows residents to perfect their interviewing skills through a series of observed patient interactions, videotaped interviews, and “mock board” type experiences. Residents emerge from this PGY-3 experience feeling confident in the quality of their interviewing techniques.
Psychoanalytic Psychotherapy Training
Psychoanalytic training begins with introductory material in PGY-1, then formal didactics, individual supervision, and clinical cases in PGY-2. Residents are encouraged to discuss not only their on-going psychodynamic therapy cases with their supervisors, but also psychodynamic issues arising in the context of inpatient, consultation/liaison, and emergency care. Residents add to these experiences a continuing weekly case conference during PGY-3 and PGY-4. PGY-4 also includes the Psychoanalytic Mentorship with additional didactics, case discussion, and group supervision. This combination of activities provides a strong theoretical background, ample opportunity for case discussion, and longitudinal exposure to the clinical experience of psychoanalytic therapy.
The Department of Psychiatry enjoys a close association with the Michigan Psychoanalytic Institute, which provides faculty supervision, didactic instruction, and enrichment seminars for residents. The residency program and the Psychoanalytic Institute have collaborated to create an opportunity for interested residents to begin formal psychoanalytic training, including didactics, personal psychoanalysis, and training analysis, while still in residency, beginning in PGY-4. In addition, the program provides both time and funding for residents to participate in Institute seminars and programs.