The general clinics are primarily for evaluation of new patients with undiagnosed psychiatric disorders. It is used as an entry into the system and as one of the primary teaching services for the resident psychiatrist and medical students. Patients are evaluated in this program and will continue in the clinic for ongoing medication management and/or be referred to a specialty clinic or individual for additional therapies to treat the identified problems, for example, individual psychotherapy or group therapy.
The Adult Anxiety Clinic specializes in the evaluation, diagnosis, and treatment of adults with different types of anxiety disorders. A multidisciplinary team lead by a psychologist and psychiatrist reviews all cases in the clinic and provides integrated evidence-based treatment including medication management and cognitive-behavioral psychotherapy. The clinic is conducted in an outpatient setting but inpatient or more intensive treatment is arranged if necessary. Clinicians in this program have experience working with panic disorder, social anxiety, obsessive-compulsive disorder, generalized anxiety and worry, phobias and trauma. In addition, co-occurring disorders (e.g. depression, interpersonal problems) are also evaluated and treated. Cognitive-behavioral therapy involves multiple interventions such as education, self-monitoring, cognitive restructuring, exposure, response prevention, and relaxation. Medications are prescribed as appropriate and all providers work closely together to develop and execute an individualized treatment plan for each patient.
Recent research suggests that CBT is a highly effective treatment for many psychiatric diagnoses and medical conditions (e.g. depression, anxiety, health problems, etc.) The basic premise of CBT suggests that the way we think about something influences the way we feel and behave. Thus, if we aim to change distorted or dysfunctional thinking patterns, we will experience improvement in negative emotions, maladaptive behaviors, and other related problems.
In general, CBT is a short-term, focused, goal-oriented type of treatment that requires collaboration between patient and therapist. A thorough initial evaluation is conducted to assess and measure symptoms, identify problems, and determine treatment goals. Ongoing assessment during the course of treatment is utilized to measure improvement and to amend the treatment plan as necessary. Each session is focused on learning new skills and patients will be given many "homework assignments" to utilize these strategies in their daily life. Cognitive-behavioral interventions include but are not limited to education, self-monitoring, cognitive restructuring, relaxation, exposure, emotion regulation, interpersonal effectiveness, and stress management. Patient motivation and feedback are important in the success of CBT. While it requires a great deal of effort and hard work, the gains can be extraordinary and the skills are associated with improvement and prevention of relapse.
The CBT program at the University of Chicago provides assessment, diagnosis and empirically supported treatment for different disorders in adults. Treatment is provided by licensed clinicians and advanced trainees who have specialized training in CBT. If appropriate, referrals for medication are made and all providers work closely together to coordinate individualized care.
Patients who are hospitalized for a medical or surgical illness frequently experience emotional distress. This distress can add significantly to the patient's illness burden and impede recovery. Additionally, patients with pre-existing psychiatric illness may experience increased morbidity during an acute illness. The Consult-Liaison Psychiatry Service provides bedside evaluation and management of all medically ill hospitalized patients at the request of their primary physicians. The multidisciplinary C/L team is comprised of two attending psychiatrists (Drs. Tobin and Marcangelo) with certification in psychosomatic medicine, residents, medical students, and a social worker.
For outpatients with comorbid medical illnesses, two specialty programs exist in Transplant Psychiatry and Psychooncology. Dr. Michael Marcangelo runs the program in Transplant Psychiatry with one specialty outpatient clinic, liaison to liver, lung and cardiac teams. Dr. Tobin working with psychologist Amy Siston, Ph.D. provides psychosocial services to inpatient and outpatient cancer patients. Psychiatric consultation is also provided on a 24-hour basis to patients who present with psychiatric symptoms to the Emergency Rooms at the Medical Center.
Welcome to The University of Chicago Eating Disorders Program
Founded in 1998 by Dr. Daniel Le Grange and now under the leadership of Dr. Jennifer Wildes, The University of Chicago Eating Disorders Program is recognized internationally as a leader in eating disorders treatment and research. Our comprehensive outpatient program provides state-of-the-art assessment and treatment services to children, adolescents, and adults with a broad range of eating- and weight-related problems. These include:
- Anorexia nervosa
- Bulimia nervosa
- Binge eating disorder
- Avoidant restrictive food intake disorder (ARFID)
- Purging disorder
- Atypical eating disorders
- Bariatric surgery candidates
Meet our Team
Eating disorders require an interdisciplinary approach to treatment. Our team includes therapists, psychiatrists, and medical staff who work together to provide individualized patient care informed by the latest advances in eating disorders research.
The University of Chicago Eating Disorders Program provides comprehensive outpatient services to children, adolescents, and adults with eating disorders. Services include:
- Diagnostic evaluations
- Individual and/or family therapy
- Parent participation in the treatment of children and adolescents
- Medication consultations and management
To learn more about our clinical services, click here.
Researchers affiliated with The University of Chicago Eating Disorders Program conduct studies to help improve our understanding of eating disorders and their treatment. To learn more about our ongoing studies, click here.
Education and Training
The University of Chicago Eating Disorders Program provides a variety of clinical training opportunities through the Department of Psychiatry and Behavioral Neuroscience. To learn more, please visit the Department’s education page at, click here.
The program also provides opportunities for research training including an NIMH-funded postdoctoral fellowship in eating disorders research (T32 MH082761) and volunteer positions for undergraduate and graduate students. To learn more, please contact the Director, Dr. Jennifer Wildes, at email@example.com.
Appointments and Contact Information
For information about The University of Chicago Eating Disorders Program or to schedule an assessment, please contact Carolina Anaya at (773) 834-0362.
EATING DISORDERS LINKS
The Geropsychiatry Program specializes in the evaluation and treatment of older adults. The clinicians in the program conduct comprehensive psychiatric evaluations and develop individualized treatment plans based on current, evidenced-based therapies. All the common psychiatric problems in the elderly, including memory problems, depression, anxiety, sleep disturbance, substance use disorders, sleep disorders, and others, are assessed in a complete biopsychosocial manner. The Program is largely carried out in the outpatient setting, but inpatient hospitalization is available if appropriate. A full array of ancillary medical and neurological assessments is available where necessary. Treatment services include pharmacologic therapy, electroconvulsive therapy (ECT) as well as individual and family therapy.
The group program currently offers both time-limited and ongoing groups for the treatment of mood disorders in woman, chronic medical illness support, chronic psychosis support, anxieties disorders, and personality disorders.
The Neuropsychiatry Clinic offers diagnostic evaluation, treatment planning, referral and pharmacologic therapy for adults with psychiatric difficulties and co-existing neurological conditions including demyelinating diseases, encephalitis, movement disorders, neurodegenerative disorders, seizures, stroke, and traumatic brain injury. Such conditions may be associated with psychological or behavioral symptoms such as aggression, mania, anxiety, obsessions, compulsions, psychosis, depression, and self-injurious behaviors.
The Neuropsychiatric Consultation Service provides inpatient psychiatric consultation to patients admitted to Neurology or Neurosurgery services.
The Neuropsychological Service provides comprehensive assessment services for geriatric, adult and pediatric patients with evident or suspected cognitive or neuropsychiatric impairments.
Neuropsychological assessment involves a systematic evaluation of higher cognitive abilities, such as intelligence, academic skill, memory, language, attention, problem-solving abilities, and visual-motor skills as well as sensorimotor function and personality. Assessments can also assist family members or caregivers in making decisions about the person's independence, ability to work, rehabilitation potential, school placements or interventions, and other issues.
A comprehensive report summarizing our findings, including recommendations for potential treatments and the likely consequences of the patient's difficulties in daily functioning, is prepared for the referring physician. A feedback session with the patient and family can also be provided.
The Neuropsychological Service provides assessment and treatment recommendations for the follow conditions among others: suspected memory problems; cognitive and emotional effects of various neurological conditions such as, Alzheimer's disease, stroke, epilepsy, multiple sclerosis (MS), brain tumors and Parkinson's disease; effects of traumatic brain injury, differential diagnosis of dementia, alteration os mental status associated with medical conditions, attention-deficit disorders, learning and developmental disorders and various psychiatric diagnosis.
What is Obsessive-Compulsive Disorder (OCD)?
Obsessive-compulsive disorders are characterized by the presence of intrusive, unwanted thoughts and images which increase one’s anxiety and promote engagement in repetitive behaviors. Common themes of intrusive thoughts are: fear of physical or mental/emotional contamination, desire for symmetry, needing a “just right” feeling, fear of harming one’s self or others, concerns of sexual orientation or taboo thoughts, hoarding/saving obsessions, scrupulosity, preoccupation with physical health, and having a strong preference or strong dislike of certain words, numbers, or colors. Compulsions or repetitive behaviors which are aimed to “undo” or neutralize the intrusive thought can be performed physical or mentally, and often include: repeating behaviors, attempting to “undo” a thought, excessive reassurance-seeking, or avoidance of triggering situations. Both obsessions and compulsions cause significant distress and functional impairment.
What are Body-Focused Repetitive Behaviors (BFRBs)?
Trichotillomania and Excoriation Disorder are two types of BFRBs. Trichotillomania refers to the repetitive, uncontrollable pulling of hair from one’s body, and Excoriation Disorder is the recurrent, uncontrollable picking of one’s skin. Both disorders result in significant physical damage and emotional distress, as the behaviors are often difficult to curtail.
How are OCRDs treated at the University of Chicago?
In the OCRDC, we provide evidence-based treatment for adolescents and adults with OCD and BFRBs. Such strategies include exposure and response prevention, the “gold standard” treatment for OCD, as well as strategies to enhance emotion regulation and adaptive coping with stressors which promote vulnerability to OCD and BFRBs.
During an initial evaluation, we aim to assess symptom presentation, treatment goals, and the level of treatment appropriate for each person. We offer treatment ranging from sessions once per week to daily, intensive treatment. We also offer medication consultation and management.
How do I learn more information about being treated through the OCRDC at the University of Chicago?
If you’re interested in learning more about the services offered through the OCRDC at the University of Chicago, please contact the Director of Behavioral Interventions, Dr. Lindsay Brauer, Ph.D. (firstname.lastname@example.org; 773-702-2285). We accept many insurances, which can be verified by contacting our intake office (773-702-3858).
The Personality Disorders Clinic is designed to provide evaluation and treatment services to adults with a personality disorder. Personality disorder remains poorly understood by medical science and is often inappropriately stigmatized by clinicians and laypersons. Because personality disorder usually is diagnosed along with other disorders such as PTSD and depression, treatment is not focused exclusively on personality disorder. Dr. Lee's research program is on the co-occurrence of trauma and personality disorder, as this co-occurrence seems to be associated with more severe symptoms and diminished response to psychiatric medications. Although not a research clinic, an emphasis is made on up-to-date clinical care based on an evolving scientific understanding of personality disorder.
The Psychiatry and Law Program provides clinical evaluation and record review for a wide variety of legal and insurance issues. The clinicians in the program (psychiatrists and psychologists) work as expert witnesses and consult to attorneys in cases where psychiatric issues are raised. This may be in the setting of criminal cases to address questions such as fitness to stand trial, state of mind at the time of the crime, or mitigating circumstances in sentencing. Civil issues include medical malpractice; personal injury with allegations of mental health injuries; decision-making capacity, competence, and guardianship; and fitness for duty or other independent medical evaluations for legal or insurance purposes.
The Psycho-Oncology Clinic at the University of Chicago provides evaluation, treatment, and referral for patients who develop psychiatric symptoms in the context of co-morbid cancer diagnosis or treatment. Referrals are accepted from all providers of cancer care to patients receiving cancer services at the University of Chicago. Pharmacological, psychological and social treatments are available for patients with mood and anxiety disorders, psychosis and neurocognitive effects of treatment.
The Refractory Psychosis Program provides consultation to individuals and programs seeking recommendations for management and treatment of psychotic disorders, like schizophrenia and schizoaffective disorders, resistant to treatment. The program also offers ongoing medication management for patients with psychotic disorders who do not need a system of care to provide psychosocial rehabilitation. Diagnostic procedures like neuropsychological testing, brain imaging, and blood tests may be part of the evaluation.
Courage to Quit® is a group-based smoking cessation program for adults. The program is led by Master’s and PhD-level therapists and provides evidence-based methods, including behavioral skills, self-monitoring, cognitive skills, and medication information for helping individuals learn how to lead a healthy, smoke-free lifestyle. Program leaders work closely with participants to help them learn about tobacco addiction and identify and implement a personalized treatment plan for quitting smoking or reducing tobacco use. Individual sessions can be arranged, if warranted, depending on scheduling availability. Most patients are advised to start in the Courage to Quit® group for at least one month as a first step.
Groups currently meet for 75 minutes at the University of Chicago’s Duchossois Center for Advanced Medicine (DCAM), 5758 S. Maryland, 6th floor, Room 6601 (next to Supportive Oncology, 6F). The current schedule (2018) is as follows:
- Mondays—11:45am – 1:00pm
- Fridays—10:15am – 11:30am
To get scheduled: Contact Psychiatry Intake, 773.702.3858
The substance use and addictive behaviors program at the University of Chicago offers a wide range of treatment services for substance use, compulsive, and impulse control disorders. We provide state of the art assessment and treatment of substance use (alcohol, drugs), tobacco use (smoking cessation), and impulsive behavior (gambling, trichotillomania, skin picking, sexual addiction, and kleptomania). The length and type of treatment are based on the needs of the client, and both psychotherapy and medication management services are available. Our goals are flexible and may include helping a client to achieve sobriety, prevent relapse, manage stress, identify triggers and high-risk situations, learn new coping skills, and become familiar with local support groups.
Appointments may be scheduled between 9:00 am and 5:00 pm Monday through Friday. To schedule an appointment, please contact intake services at 773-702-3858.
The Transplant Clinic is designed for patients who are receiving solid organ transplants here at the University of Chicago Hospitals. Patients receive pre-transplant assessments as part of their overall evaluation for transplant, psychiatric care while waiting for a transplant, and ongoing medication management after transplant. The clinic focus is on mood disorders, anxiety disorders, and substance use disorders, but comprehensive care for all psychiatric disorders in the transplant patient is provided. Patients include liver, lung, heart, and kidney transplant candidates and recipients.
This program serves as a secondary and tertiary care resource for Treatment Resistant Mood Disorders (TRMD). The program offers a comprehensive evaluation and therapies targeting those who have not responded to more than one preceding trial of antidepressants and/or mood stabilizers. Patients referred for ECT would almost always fit in this category. Therapies include medication management, cognitive behavioral therapy, ECT and recommendations for other therapies not currently available at the UCMC, like transcranial magnetic stimulation or deep brain stimulation.