Internship Elective

Neuromodulation Clinic

PROGRAM DESCRIPTION:

The UCLA Neuromodulation Clinic provides in-depth consultation and treatment for patients with Major Depressive Disorder, Obsessive-Compulsive Disorder, tinnitus, and chronic pain conditions, including neuropathic pain and fibromyalgia. The Neuromodulation Clinic strives to assist clinicians in providing compassionate, high quality, evidence-based treatment for these difficult-to-treat neuropsychiatric illnesses. Available treatment options include Transcranial Magnetic Stimulation (TMS) treatments, Trigeminal Nerve Stimulation (TNS), and Transcutaneous Electrical Nerve Stimulation (TENS), among others. The goal of training is to provide the psychologist with an introductory experience in evaluation and brief intervention using neuromodulation techniques to a wide range of patients presenting to a psychiatry outpatient clinic.

DAY, TIME, AND LOCATION:

Flexible. TMS Treatment team meetings Mondays 11:45-1:15, Semel Institute 5th floor

Assessments and patient appts may occur throughout the week.

HOURS PER WEEK: ~5 hrs.

DURATION OF ELECTIVE: 4-6 months

FACULTY AND STAFF:

Andrew Leuchter, M.D.

Jon Lee, M.D.

Katharine Marder, M.D.

Sandra Loo, Ph.D.

TRAINING PROVIDED:

Trainees will have the opportunity to learn the following:

1) clinic coordination and diagnostic assessment of treatment refractory depression and other disorders amenable to neuromodulation treatment

2) factors that make a patient more or less appropriate for neuromodulation treatments

3) technical aspects of TMS treatment: magnet placement, appropriate settings for TMS treatment, treatment adjustments based on clinical response

4) readings and instructional content on neuromodulation treatments

DIVERSITY TRAINING:

The UCLA Neuromodulation Clinic serves clients from diverse racial/ethnic, socioeconomic, and cultural backgrounds. Patients visit the clinic from the local community, as well as distant national and international locations. Trainees may be provided with opportunities to work with clients who vary in age, gender, family composition, presenting problem, and language and cultural background. Multicultural training, including discussion of the presentation of depression, anxiety, and other presenting problems in different cultural contexts, is integrated throughout the training year. During individual supervision, trainees are encouraged to consider cultural, developmental, and familial factors that may be contributing to the client’s presentation, as well as the impact of the trainee’s own multicultural identity in their response to families. Specific guidance is provided in how to sensitively communicate assessment results, diagnoses, and recommendations to patients from diverse backgrounds.

SUPERVISION PROVIDED:

Method of Supervision: Direct Observation, Case Presentation

Format: Individual and Group

Hours Per Week: 1-2 (0.50 group, 0.50 individual)

Days and Times: Flexible

Names of Supervisor(s): Andrew Leuchter, M.D., Jon Lee, M.D., Katharine Marder, M.D.,

Sandra Loo, Ph.D.