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FALL 2016

Chairman's Message

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Mark Hyman Rapaport, MD

All of us at Emory wish you and your loved ones a happy and healthy holiday season and New Year. This Fall has been a very exciting time for us at Emory because we have successfully integrated over 32 new faculty members into the department. We have developed a new Division of Psychosomatic Medicine led by Raymond Young, MD and our game changing Treatment Resistant Depression Program is offering patients and their families new hope and new treatment options. Our faculty has continued to perform at exceedingly high levels and our new Vice-Chair for Research, Andrew Miller, MD, has determined that our department has received over $17 million in funding from the National Institutes of Health. However, our growth and the creation of these new programs could not have been accomplished without the tremendous generosity that you, our friends of the department, alumni, and adjunct faculty provided us. This support has taken many different forms including funds for helping to train individuals to be child psychiatrists and child psychologists, as well as funds that we have been able to devote to facilitate young researchers obtaining pilot data that has led to getting federal funding. Our adjunct faculty generously gives their time to help train the next generation of psychiatrists and psychologists. We would never be able to launch new programs like our exciting and important Treatment Resistant Depression Program without extensive support from the Atlanta community. So thank you for all that you do to help us help our patients and their families and the next generation of clinicians and clinician-scientists for our State of Georgia.


Connecting the Mind and the Body

Psychosomatic medicine expert Raymond Young, MD, FAPM, knows all too well the bidirectional interplay between body and mind. Now the Emory associate professor will be able to extend the reach of psychiatric care in non-psychiatric settings through his new role as Division Chief of Psychosomatic Medicine/Consultation Liaison Services for Emory Healthcare. He will be the first person to fill the new position.

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Raymond Young, MD, FAPM

"The role will allow me to bring more integrative consultative services to inpatient and outpatient settings through Emory Healthcare," says Dr. Young. In addition to offering consultative services when a particular patient appears to have psychiatric needs, Dr. Young aims to proactively embed psychosomatic medicine within different specialties, including neurology and bariatrics. In creating such interdepartmental relationships, Dr. Young may use his work with the Emory Transplant Center as a model. There, Dr. Young and Heather Greenspan, MD, have consulted about whether patients are suitable to be potential organ donors. They have also provided psychiatric treatment for common post-transplant psychiatric concerns including post-traumatic stress, substance abuse, and depression.

In his new position Dr. Young wants to expand educational opportunities for residents and fellows at Emory's inpatient and outpatient facilities. He also hopes to ensure that doctors and patients throughout Emory Healthcare all have the same access to Psychosomatic Medicine/Consultation Liaison Services—and that the services offered are uniform in quality and scope. This would prevent patients who show an array of confusing symptoms from falling through the cracks. "These patients often get kicked back and forth between neurology, a psychologist and a primary care physician," says Dr. Young. "People don't know how to treat them. But I'd like to see our program evolve so we can identify those patients who need our help more quickly."

Dr. Young is eager to collaborate with colleagues to begin work toward a more integrative Psychosomatic Medicine/Consultative Liaison Services specialty at Emory. "I'm excited to be in this new role," says Dr. Young. "I have a lot of ideas. I don't know what the future holds but I'm excited about it."


Treatment Resistant Depression Innovations

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Staff of the TRD Program

Approximately 33% of patients with a recurrent major depressive disorder fail two or more trials of pharmacological treatments which is defined as Treatment Resistant Depression ( TRD). The Emory TRD program is a consultation and referral service offering comprehensive evaluations for people who have complex and difficult-to-treat mood disorders. This program serves as a gateway into our innovative treatment and research programs.

The Emory TRD Clinic seeks to transform the care of mood disorders through an integrated, personalized, and science-driven approach. Patients, who are already engaged in treatment with a psychiatrist at Emory or in the community, are referred for an in-depth psychiatric consultation. Lisa G became a patient with the Emory TRD Clinic after experiencing periods of depression for most of her life. "When I got here, I finally understood that treatment resistant depression is an illness and it's a brain illness. There's something wrong with my brain. Otherwise, I'm just like everybody else."

Dr. William McDonald leads the TRD steering committee which includes Drs. Helen Mayberg and Andrew Miller. The multidisciplinary team includes medical director, Dr. Patricio Riva Posse, psychiatrists Drs. Andrea Crowell and Adriana Hermida, clinical psychologist Dr. Rachel Hershenberg, as well as a nurse practitioner, social worker and patient care coordinator. The Emory team works collaboratively with the patients' treating psychiatrists by doing an extensive review of previous medical records, in-person patient and family evaluation, psychological testing as needed, and then providing detailed treatment recommendations. While the patient's overall psychiatric care remains under their treating psychiatrist, the TRD Clinic seeks to open up more tertiary care options. Often, psychiatrists refer patients for evaluation when trials of pharmacotherapy and talk therapy have not yielded results, making them appropriate for neuromodulation treatments offered at Emory such as transcranial magnetic stimulation (TMS) or electroconvulsive therapy (ECT). During the TRD evaluation, patients are also considered for Emory research and clinical trials focused on mood disorders. Both during and after treatment with Emory, patients are followed by their treating psychiatrists, who are encouraged to be in close communication with the TRD team.

“I probably would not be here today ( doing this interview) if I had not received treatment from Emory” says Lisa G. For more information, please go to: emry.link/trd.

     
 

The psychiatry residency program has implemented a new educational activity. In the Bite-Sized Teaching (BST) conference, four residents will give 8 minute talks related to the theme of the day followed by a Q&A. Each resident is paired with an attending coach to help develop the talk with the idea in mind of educating co-residents on important topics within psychiatry. Dr. David Halverson, Dr. Georgina Hartzell, Dr. John Mahler, and Dr. Emily Novik presented at our first conference in August on the topic of mood disorders. Our next BST conference is scheduled for Wednesday, January 18 at noon in the Education Suite.


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Please join us in congratulating Dr. Andrea Crowell and Dr. Jeff Rakofsky for being the two winners of the American Board of Psychiatry and Neurology Faculty Innovation in Education Award for Psychiatry. This is a very prestigious award and a tremendous honor for both of them. Only awards are given for Psychiatry annually and our graduates won both of them. Dr. Rakofsky also recently won the 2016 Dean's Teaching Award from the School of Medicine.


Filled with highly practical and medically sound guidance, The Modern Trophy Wife gives women the tools to strengthen, deepen or revitalize themselves and their relationships. Noted psychiatrists Dion Short Metzger, MD, and Ayo Afejuko Gathing, MD, are both renowned for their ability to speak with inspiring wisdom and humor on important matters of the heart, mind and spirit. Read more here: emry.link/trophywife.

Please send your accomplishments to Phyllis Rosen at prosen@emory.edu.


   
 
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Dr. Claire Coles, Director of the Maternal Substance Abuse and Child Development Clinic, discusses the latest drug epidemic to affect newborns: heroin. Watch more here: emry.link/bornaddicted.


 
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Dr. Barbara Rothbaum comments on her team's work in the article " Scuba, Parrots and Yoga- Veteran's Embrace Alternative Therapies for PTSD." Read more here: emry.link/ptsdalternative.

To learn more about the Emory Veteran's program Click here: emry.link/veteranpro.


 
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Dr. Andrew Miller tells us what we really need to know about inflammation and how it affects our mental health. Read more here: emry.link/inflamfacts.


 

This section will highlight different aspects of the Department of Psychiatry and Behavioral Sciences that people may not be aware of.


We are excited to be sponsoring the 2nd Annual Mark and Barbara Klein Mind-Body Conference on March 3-4, 2017 at Executive Park. This conference is entitled " Partners in Treatment Innovation for Functional Neurological Disorders: Patients , Families and Providers". To learn more about this conference click here: emry.link/2ndMindBody


Jordan Cattie PhD is one our new faculty members. She is currently launching an OCD Program in Psychiatry, including individual therapy, treatment groups, education and support groups for family members of individuals with OCD, as well as training opportunities for psychology and psychiatry trainees. You can learn more about this program here.


Dorian Lamis, PhD, will be participating in the Visiting Professor Program at Sapienza University of Rome, Italy in 2017. He will be working in the Department of Medicine and Psychology with his Italian colleagues on a research project entitled "Suicidal Behavior in Patients Diagnosed with Bipolar Disorder: A Cross-Cultural Comparison Study." This effort may provide pilot data for larger collaborative studies between the two universities investigating risk and protective factors for suicide among individuals diagnosed with a variety of psychiatric disorders.


Emory has a number of new clinical studies that are actively recruiting people seeking treatment as well as control participants. If you are interested in learning more, please click here.


 

Your support will help us to partner together for Atlanta and Beyond. To make a gift to the Department of Psychiatry please click here.

 
 
If you have any comments or suggestions please contact Phyllis Rosen LCSW at prosen@emory.edu