Psychotherapy Training

In depth training in psychotherapy begins in the PG1 year and builds throughout the 4 years of training at UCSD. During the first year, Interns are taught basic principles of interviewing, communication and supportive psychotherapy in a weekly seminar that runs through the entire year.

During the second year, residents are assigned at least two long-term psychotherapy patients and provide on-going supportive psychotherapy in their psychiatry primary care clinics. They also act as co-therapists in group and family meetings on various inpatient rotations. In addition, residents attend 2 psychiatry seminars each week: Cognitive & Behavioral Psychotherapy and Foundation of Psychotherapy. Each resident is provided regular supervision with seasoned psychotherapists from our clinical faculty. Finally, all residents participate in an experiential process group.

The third year is a full-time, entirely outpatient year. An advance seminar in Insight Oriented Psychotherapy as well as seminars on other psychotherapy modalities compliment intensive supervision to provide residents with state-of-the-art didactics. Residents treat patients in individual and group psychotherapy, and also participate in treatment of several patients as part of multidisciplinary teams.

In the fourth year of training, residents are encouraged to continue psychotherapy with at least 4-6 patients from previous year, but many residents elect to devote considerably more effort to psychotherapy. Residents receive supervision from senior psychotherapy faculty and attend an advanced workshop on Intensive Short-Term Dynamic Psychotherapy as well as a Continuous Case Conference (if the senior class chooses to have one on any given year) and/or a History of Psychotherapy Colloquium.

In addition to the core activities, interested residents can take advantage of several psychotherapy enrichment activities. These include attending symposiums and conference in and out of San Diego, a number of special interest groups led by senior clinical faculty (e.g., psychoanalysis, cognitive behavioral therapy, short-term – dynamic psychotherapy), an advanced psychodynamic psychotherapy elective taught by the San Diego Psychoanalytic Association, and no-cost individual psychotherapy available to all residents.

By the end of training, all residents should be competent in the following 5 psychotherapies: supportive, dynamic, cognitive behavioral, short-term and integrative.

PSYCHOTHERAPY EXPERIENCE

PGY1

  • Inpatients

PGY2

  • Weekly experiential group
  • > 2 Outpatients psychotherapy patients
  • Primary Care Psychiatry Clinic (30 patient case load) or specialty outpatient clinic
  • 2 supervisors weekly - At least one "dynamically" oriented
  • Co-lead ADTP group 2-3 months

PGY3

  • 6-8 hours Individual Therapy
  • Case load of 150 patients for medical management, collaborative treatment, and variety of psychotherapies
  • Co-lead > 1 outpatient group
  • Couples and family therapy
  • Continue experiential group (optional)
  • Continue Primary Care Psychiatry Continuity Group (optional)
  • 3 hours weekly supervision

PGY4

  • Recommend 4-6 hours psychotherapy
  • Other elective experiences (including Primary Care Psychiatry Continuity Clinic (other Specialty Clinics, etc.)
  • Experiential Group (optional)
  • 2-3 hours supervision

PSYCHOTHERAPY DIDACTICS

PGY1

  • Weekly Seminar- Interviewing, Communication and Supportive Psychotherapy

PGY2

  • Weekly CBT seminar
  • Weekly Foundations of Psychotherapy seminar

PGY3

  • Marital Therapy – 1hr
  • Couples – 4hrs
  • Family Therapy – 6hrs
  • Psychoanalytic Therapy–– 20hrs
  • Group Therapy – 10hrs
  • Integrative-Dynamic therapy-20hrs

PGY4

  • Short-term Dynamic Psychotherapy – 8 sessions
  • Other didactics – selected by PGY-4’s on basis of their own preferences (e.g., Continuing Case Conference, History of Psychotherapy)