Blog posts with the tag "Consultation"

Staff Perspective: The Curious Case of SGT B - Unpacking the Roles of Trauma, Insomnia, and OSA

By Diana Dolan  on 12.03.2025 10:00 am
Dr. Diana Dolan

Recently a case was shared with me in consultation that perked my ears up. He had a number of disruptions related to his sleep, including difficulty staying asleep, nightmares, a diagnosis of obstructive sleep apnea (OSA), and a history of two traumatic incidents. Worse, he had started grinding his teeth to the point of wearing through over the counter mouthguards. He was described as an “extreme case” that had failed prior evidence-based treatment and would not likely benefit from say Cognitive Behavioral Therapy for Insomnia (CBT-I).

Staff Perspective: Drs. Edna Foa and Sheila Rauch Give the Low Down on the New PE Manual

By Kelly Chrestman  on 01.01.2020 2:43 pm
Kelly Chrestman, Ph.D.

I recently had the privilege and pleasure to speak with Dr. Edna Foa, the Senior author and creator of Prolonged Exposure therapy, and to correspond with Dr. Sheila Rauch the newest member of the team, about the updated Prolonged Exposure Therapy for PTSD manual. I learned all about the new manual as well as some savory bits about relaxed breathing, imaginal exposure processing, and the future of PE treatment.

Staff Perspective: From the Horse’s Mouth - What You Should Know about Consultation

By Diana Dolan  on 24.05.2017 11:25 am

One key to both learning a new approach to treatment and maintaining our existing skills involves consultation, particularly for EBPs.  Don’t just take my word for it, research shows that consultation after a training workshop not only boosts providers’ subjective self-efficacy and intent to use the treatment (Ruzek et al, 2016), but also improves objective fidelity ratings as well (Webster-Stratton et al, 2014). 

Guest Perspective: Behavioral Health Consultation in Primary Care - Core Skills for Any Military Psychologist

By Katie Kanzler  on 10.05.2016 11:17 am

I was trained in the Primary Care Behavioral Health Consultation model (PCBH; Robinson & Reiter, 2016) while I was a pre-doctoral clinical psychology resident (intern) in early 2007. As a young U.S. Air Force (USAF) officer and clinician, I found the primary care rotation to be exciting and exhausting. However, as a colleague of mine says, the primary care bug bit hard and I was hooked! I enjoyed the fast-paced generalist environment and the need to be prepared for anything. After graduation, I was fortunate to continue doing part-time PCBH work until I separated from the USAF in 2015. The USAF calls their PCBH program the Behavioral Health Optimization Program, a.k.a. BHOP (USAF, 2014). I BHOPped along for a few years until I was certified as an official “mentor” by Patti Robinson in 2011. For three years thereafter, I trained residents in BHOP. I truly had no idea that the skills I learned during my residency rotation would prove so valuable not just in primary care clinics, but also in a variety of other military settings, including the deployed environment.

Staff Perspective: Evidence-Based Care: Why Are Providers So Resistant to Treatments We Don’t Know?

By Debra Nofziger  on 13.01.2016 10:52 am
Debra Nofziger, Psy.D.

While every provider may experience some initial discomfort with implementing an unfamiliar treatment, I am often surprised with how resistant many mental health providers are toward learning and implementing evidence-based treatments.  An article on this topic by Scott Lilienfeld and colleagues demonstrates this resistance, reasons for it, and potential ways to work through it.  I believe providers on all sides of this issue should read this article as a way to both consider another perspective and to clarify their own opinions.

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