Clinical Services

Our faculty and trainees provide a wide range of clinical services, including both psychological and medical treatments such as medications, cognitive and behavioral therapy, psychodynamic psychotherapy, group and family therapy, electro-convulsive therapy, and acupuncture.

Outpatient Clinical Care

We offer clinical care, teaching, and research focusing on specific clinical disorders and treatment techniques.


Disorder-Based Programs Forensic Psychiatry – The Law and Psychiatry Service provides expert, objective mental health consultation to the legal process, educates staff and trainees about legal issues that affect patients and clinicians, and teaches staff and trainees how to interact with the legal system.

Anxiety & PTSD - The Center for Anxiety and Traumatic Stress Disorders provides clinical care and consultation and conducts training and ongoing clinical and translational research in the areas of panic disorder, generalized anxiety disorders, social anxiety disorder and post-traumatic stress disorder. The Post-Traumatic Stress Disorder (PTSD) Research Laboratory focuses on the psychobiology of PTSD.Mood and Anxiety Disorders

  • Bipolar - Through direct clinical service and consultations, the Bipolar Clinic and Research Program serves local, national and international patients who have bipolar disorders. Direct clinical services include psychiatric evaluations, ongoing expert psychopharmacologic management, and evidence-based psychotherapies.

  • Depression - The Depression Clinical and Research Program engages in patient care, research and education. Its team of psychiatrists and psychologists care for hundreds of patients with depression and offer expert consultation to patients and families from around the world.

  • Obsessive-Compulsive Disorder (OCD) & Related Disorders –The Clinic consists of a treatment program and a research unit focusing on OCD, Body Dimorphic Disorder, Trichotillomania and Tic Disorders. The clinic aims to inform the public, advance research, and provide advanced clinical care and treatment for individuals with OCD and related disorders.

Substance Use Disorders

  • Center for Addiction Medicine - The West End Clinic treats adults with addiction and co-morbid psychopathology, including medically ill patients who also have substance use disorders. Also within the Center for Addiction Medicine (CAM), the Addiction Recovery Management Service provides treatment and recovery management services for youth under age 25 who are struggling with substance related problems, and their families.

  • Addiction Recovery Management Service - The Addiction Recovery Management Service (ARMS) provides treatment and recovery management services for youth under age 25 struggling with substance related problems, and their families. The service provides evaluation and consultation, individual youth treatment, family support services and case management services.

Thought Disorders

  • Psychosis & First Episode-The overarching goal of the clinical program is to provide state-of-the-art pharmacologic and psychosocial treatments that are fully integrated into a community-based treatment network. Major milestones have included the establishment of one of the nation’s first comprehensive clozapine clinics in 1990; a wellness program for the treatment of antipsychotic-induced obesity and smoking cessation in 1998.


Population Based Programs

  • Geriatric Psychiatry -- This general adult psychiatry practice focuses on Geriatric Psychiatry, including the diagnosis and treatment of mood and anxiety disorders, memory disorders, substance abuse and personality disorders. Treatment modalities include psychopharmacology, individual psychotherapy, group psychotherapy, psychosocial assessment and management, and family intervention. Through longitudinal cohort studies, the Gerontology Research Unit focuses on understanding the differences between normal aging, mild memory problems, and the onset of memory disorders such as Alzheimer’s disease (AD).

  • Perinatal and Women's Mental Health -- The Perinatal and Reproductive Psychiatry Program provides evaluation and treatment for women who suffer from mood and anxiety disorders associated with reproductive life events, including PMS, psychiatric illness during pregnancy, postpartum mood and anxiety disorders, and perimenopausal mood disturbances and associated symptoms.

  • Primary Care – The Primary Care Psychiatry Service serves as a liaison to the MGH Internal Medicine Associates and other primary care practices. The service is one of the first of its kind in the US, founded on the recognition that stress-related medical illnesses predominate in the primary care setting.


Medical Psychiatry Specialty Programs 

  • Eating and Weight Disorders - The Eating Disorders Clinical and Research Program offers outpatient services for patients with anorexia nervosa, bulimia nervosa, binge-eating disorder and disordered eating contributing to obesity. The program offers evaluation, consultation, and outpatient management services, and multidisciplinary care and multi-modal therapies is actively coordinated.

  • Burns/Trauma – The Burns and Trauma Consultation Service treats victims of burns and traumatic injuries, including victims of the 2003 Rhode Island “Station” nightclub fire, who suffer from a range of psychiatric disorders including post-traumatic stress disorder, addictions, depression and pre-morbid psychiatric conditions.

  • Cancer* (Breast, Brain, GU, GI, Head and Neck, Bone Marrow Transplant) – The Psychiatric Oncology Service brings high quality psychiatric care to the bedside of cancer patients so that psychiatric syndromes will not impede cancer care. As an outpatient psychiatric consultation service, the priority is to consider medical differential diagnosis, syndromes of anxiety, depression and cognitive impairment. The service is about to expand to provide services for cancer survivors.

  • HIV/AIDS– The Infectious Disease Psychiatric Consultation Service is part of the MGH Division of Psychiatry and Medicine and helps medical doctors in the MGH Infectious Disease Clinic manage complex patients with psychiatric co-morbidities. This service provides evaluation and treatments as well as education to patients seen in the MGH Infectious Disease Clinic in a shared care model. Most patients served in the clinic are diagnosed with HIV-AIDS or with hepatitis C.

  • Neuropsychiatry – The Division of Psychiatry and Medicine has recently expanded its Neuropsychiatry Service with specialist psychiatry consultants available to see neurology outpatients with psychiatric co-morbidities, collaborate in research and participate in the teaching of residents.

  • Pain -- The OPD has recently been working with the Mass General Pain Center to better integrate psychiatric and addictions services into the Center. Together with the Pain Center, the department is in the process of recruiting a psychiatrist who will be dedicated to this area as many as three days per week.

  • Sexual Dysfunction - The Sexual Dysfunction Unit is dedicated to the management of male and female sexual disorders and sexual dysfunction. Individuals and couples are treated through a combination of medication and therapy. Multidisciplinary collaboration with other specialties (Urology, Gynecology, and Endocrinology) is sought on a case-by-case basis. Teaching and supervision is provided to interested trainees.

  • Transplant (Heart, Lung, Renal, Liver) – The Transplant Consultation Service is comprised of highly experienced psychiatrists who work on organ specific teams. Their primary responsibility is to evaluate all potential transplant recipients and all living potential donors. Transplant psychiatrists make essential contributions to the medical teams they serve and to the patients and families they treat.


Technique Based Programs

  • Behavioral Medicine - The Behavioral Medicine Service is comprised of an able staff of psychologists who possess expertise in cognitive and behavioral therapy. This service has a well-deserved reputation in clinical care and has conducted successful research focused on HIV, diabetes and ADHD.
  • Cognitive Behavioral Therapy - The CBT program is comprised of a team of 20 psychologists and interns, with program members specializing in the use of CBT for the treatment of a vast range of mental illnesses. The mission of the CBT Program is to inform and educate healthcare professionals, students, and the general public about CBT, further CBT research, and provide advanced clinical care to patients in the context of CBT.
  • Couples and Family Psychotherapy - The Family and Couples Program provides consultation, referral and therapy services for the OPD, as well as training for faculty, psychiatry residents and psychology interns.
  • Dialectical Behavior Therapy - The Dialectical Behavioral Therapy service provides patients with instruction in emotional regulation techniques that are rooted in cognitive behavioral and acceptance based strategies. The program at MGH offers four groups as well as individual services. This program has shown positive outcome data on measures of self harm, negative relationships, and emotional instability.
  • Group Psychotherapy - OPD offers a wide variety of groups including; psychodynamic/interpersonal, medical illness, older adult, special interest, young adult, and child and adolescent. The Center for Group Psychotherapy promotes the development of groups to meet the needs of the hospital community through training, publishing, and the development of treatment models.

  • Psychodynamic Psychotherapy - patients are engaged in a relationship with the clinician that allows both to explore the less conscious meanings of a patient's basic assumptions, and to try out better alternatives.
  • Psychological Testing - Psychological assessments include neuropsychological assessments, psychological (personality) assessments, and learning disorders assessments.

High Intensity Services

  • Urgent Care Clinic – The Psychiatry Urgent Care Clinic receives referrals primarily from the Acute Psychiatry Service and from outpatient primary care practices. In limited circumstances, the Urgent Care clinic also serves as a short-term bridge between discharge from the inpatient unit and planned follow-up care in the community. With conditions ranging from psychosis and bipolar disorder to substance abuse and mood/anxiety disorders, most patients present in crisis. They are seen for an average of two to three visits before disposition to long-term psychiatric care, or returned to their PCPs for ongoing care. The Urgent Care Clinic has become a valued site for residency training, not long for Psychiatry but for Primary Care Medicine.

  • Dual-Diagnosis Intensive Outpatient Program - West End Clinic opened an Intensive Outpatient Treatment Program in November 2005, providing services three and a half hours/day, five days/week. This program provides services to individuals in a group treatment format including a curriculum based psycho-education group followed by a process group. This program is for individuals diagnosed with primary substance or alcohol use disorders though most patients are dually diagnosed and have significant co-morbid medical conditions including pain, Hepatitis C, Liver disorders and HIV.

     

  • TAY IOP - The Transitional Age Youth Intensive Outpatient Program was opened in December of 2008 for patients between the ages of 18-25. This program is for Axis I or Axis II disorders. Psychiatric evaluation is standard and the treatment model is based on Matrix Model for Teens and Young Adults (Rawson et al, 1995). The program involves a 16 week treatment episode, with gradually decreasing intensity over the course of those 16 weeks. Treatment includes an early recovery skills group, a relapse prevention group