We train residents in psychotherapy through a variety of clinical, didactic, and experiential learning modalities. We teach the full spectrum of psychotherapies: from intensive short-term to long-term, from psychodynamic to cognitive-behavioral, from individual to group, and from couple to family oriented. UCLA also has an active Psychiatric Clinical Faculty Association with an extensive roster of volunteer faculty who help teach psychotherapy (www.psychiatricfaculty.org). In addition, Los Angeles has several psychoanalytic institutes that offer supplementary short and long-term training programs.
Clinical training1. Resident Psychotherapy Clinic:
The UCLA/NPH Resident Psychotherapy Clinic provides a venue for our residents to treat patients using long-term psychodynamic psychotherapy as the primary modality, without the presence of a supervising psychiatrist during the sessions. UCLA faculty (mainly volunteer members of the Psychiatry Clinical Faculty Association) will supervise residents for at least one hour per week using process notes and/or other reporting techniques such as video/audiotapes from the psychotherapy session, in individual or group settings. Prior to graduation, residents will need to have seen at least two patients for long-term psychotherapy, meaning two patients that have been seen for 42 sessions within a one-year period. Residents typically begin seeing patients during their third year, but can begin as early as intern year. There is no limit to the number of patients residents can see for long-term psychodynamic psychotherapy, and most residents exceed the required two long-term patients.
2. Therapy Clinic Rotations:
A number of psychotherapy clinic rotations are available to 3rd and 4th year residents to enhance their psychotherapy training. These clinics span the spectrum of known psychotherapies. The following represents a sampling of these clinics:
- Anxiety Disorders Clinic—Cognitive Behavioral Therapy (CBT) for Anxiety Disorders
- Prolonged Exposure Therapy Clinic—Individual therapy for PTSD
- Borderline Personality Disorders (BPD) Clinic—Mentalization-Based Therapy for BPD
- Cognitive Behavioral Therapy Clinic—CBT for Mood and Anxiety Disorders
- OCD Intensive Treatment Program—CBT for severe OCD
- Interpersonal Therapy Clinic (IPT)—Individual therapy
- Marriage and Family Therapy Clinic—Couples and family therapy
- Couples Therapy Clinic—Couples therapy
- Intensive Short-Term Dynamic Psychotherapy (ISTDP) Clinic—Individual therapy
- Adult Eating Disorders Clinic—Group therapy
- Smoking Cessation Clinic—CBT
The psychotherapy curriculum begins early in the 2nd year, introducing residents to core concepts in the following subjects:
- Psychodynamic theory
- Development and Attachment theory
- Personality Disorders and Therapy options
- Cognitive Behavioral Therapy for Anxiety
Throughout the 3rd year, the curriculum delves into more detail with advanced lecture series covering:
- Psychodynamic Psychotherapy
- CBT for Depression, Complicated Grief, Panic disorder, OCD, PTSD, Complicated Anxiety
- Family and Couples Therapy
- Interpersonal Psychotherapy
- Intensive Short Term Psychotherapy
In the 4th year, residents continue learning advanced topics, such as:
- Modern Ego Psychology
- Recent Advances in Psychotherapy Research
- Spirituality Based Psychotherapy
- Psychotherapy for Adoptees
- Advanced CBT
- Evidence Based Psychodynamic Psychotherapy
- Kleinian Psychotherapy
- Transference-Focused Psychotherapy for BPD
- Relational Psychology
- Dialectic Behavioral Therapy
Experiential learning1. Resident Psychotherapy Experience
The UCLA Psychiatrv Clinical Faculty Association (www.psychiatricfaculty.org ) offers low-cost, long-term individual psychotherapy for interested residents. This is not a requirement, but we strongly support and encourage residents to participate in this unique training opportunity. It is available to all residents, but most residents begin in their 2nd or 3rd year when they have more flexibility in their schedule. Professionally, we develop as psychotherapists by experiencing treatment from the perspective of a patient. Personally, we learn about ourselves and have a valuable source of support during a time in our lives that is both exciting and challenging.
2. Process Group
The combination of personal and professional development continues in class process groups. Each residency class has the opportunity to meet for a weekly process group, facilitated by a volunteer member of the PCFA. These groups serve as a forum both for understanding group processes and for supporting each other through the ups and downs of residency.
Psychiatric Clinical Faculty Association (PCFA)
Psychiatry residents at UCLA have the benefit of unfettered access to two world-class faculty. One is the full-time academic faculty of the Department of Psychiatry. The other is the Psychiatric Clinical Faculty Association. The PCFA is a group of 400-plus distinguished psychiatrists, most with full-time clinical practices, and many of whom are psychoanalysts affiliated with one of Los Angeles’ psychoanalytic institutes.
As psychodynamic psychotherapy can only be learned experientially under the tutelage of experienced supervisors, the supervision experience is essential to resident learning. During the 3rd and 4th year, each resident works intensively with volunteer supervisors from the PCFA, typically two per resident. Our supervisors do more than teach us about psychotherapy; by meeting with us in their offices and being present for us as mentors and advisors, they expand our horizons and provide an invaluable source of insight into life after residency.
Los Angeles has several psychoanalytic institutes that offer additional short and long-term training programs, with facilitated access for residents both during and after training.