- Adult Outpatient/Assessment Rotation (9 months)
Train as you Fight
Training at WAMC is designed to prepare Interns for the requirements of active duty service as a psychologist including the need to practice all of the major professional skills across a given week. Instead of training each of the major skills in separate rotation experiences, Interns will learn to balance all the skills of professional psychologists during the 9-month outpatient rotation in the same way that they will be expected to work as military psychologists following training.
Interns conduct behavioral health evaluations and follow-up treatment/disposition of Active Duty patients referred for a wide variety of presenting problems. Interns carry a caseload of individual psychotherapy patients, and will also engage in supervised outpatient experiences in group therapy. Interns learn how to assess and manage risk for self-directed and other-directed aggression on an outpatient basis, as well as how and when to move patients to more intensive or controlled treatment environments.
In addition, Interns conduct military-specific evaluations for a variety of purposes. These include Security Clearances, Command-Directed Behavioral Health evaluations, Fitness for Duty evaluations, and suitability screenings for Service Members seeking specialized assignments.
Interns also provide psychological testing for Active Duty patients and gain experience in providing a wide variety of testing feedback to various referral sources.
Finally, on this rotation, Interns also receive training and supervision in evidenced-based treatment models (PE, CPT, and CBT-I) from an onsite psychologist from the Center for Deployment Psychology. Interns are expected to carry at least three cases in which those evidence-based interventions are implemented.
Upon successful completion of the Adult Outpatient/Assessment Rotation, Interns will have the option of completing one or two of the following mini-rotations:
- Traumatic Brain Injury/Neuropsychology Rotation (mandatory)
Interns also spend between six-weeks (mandatory) and up to three months (optional) at the National Intrepid Center of Excellence (NICoE) satellite located at Fort Bragg. There they receive an introduction to neuropsychological principles, develop understanding of the basics of traumatic brain injury evaluation, and receive exposure to treating postconcussive symptoms for individual Service Members as well as in a group format. On this rotation, Interns also learn the fundamentals of cognitive assessment and report writing, under the supervision of a licensed clinical psychologist with training in neuropsychological assessment.
- Primary Care/Health Psychology (6 weeks; optional)
Interns work in a Primary Care clinic, practicing a collaborative population health approach to the treatment of various behavioral health concerns. Interns serve as consultants to Primary Care providers who rapidly evaluate patients’ symptoms and functioning. Interns address patients’ needs with regard to chronic health conditions and behavioral health concerns, and provide brief, targeted interventions and dispositional recommendations. Interns learn how to help patients increase their motivation for behavioral change. Problems addressed include anxiety, insomnia, weight reduction, treatment adherence, and lifestyle management. Optional topics include tobacco cessation, sex education, and diabetes/obesity management.
Interns in good standing may opt to work in the Intensive Outpatient Program (IOP)within a multidisciplinary treatment team, under the supervision of a licensed clinical psychologist . Interns provide psychological care to Service Members experiencing significant behavior health challenges. The IOP has two tracks: Trauma Resolution IOP, which emphasizes Cognitive Processing Therapy, and the Behavioral Health IOP, which employs a range of therapeutic skills including CBT, Motivational Interviewing, DBT, relaxation training, and mindfulness.