PSYCHOTHERAPY
Dr. Paula Ravitz
Acting Head of Program/Division
Tel: 416-586-4800 x7500 Fax: 416-586-8654
Email: zindel_segal@camh.net
1. Essential components of a selective rotation in this program/division must include:
The Psychotherapy Program offers senior selective rotations to senior residents that consist of a central
programmatic component and components that can be tailored to the particular areas of interest of the
individual resident, at that resident's specific training site. The overall objectives of these rotations are to
provide advanced, intensive and extensive academic and clinical training in the psych.-therapies.
Each resident will participate in the central programmatic components which include; the weekly Advance
Psychotherapy Seminar series, which begins with the Advanced Course in Integrative Therapy offered by Dr.
Greben; submission of a detailed clinical case report of a psychotherapy case; ' and identification of an
academic, psychotherapy focus to be studied in depth, resulting in a suitable presentation for Grand Rounds
and/or the Annual Research Day.
Residents can determine the particular psychotherapy focus that they will emphasize. Residents will gain
intensive experience in the application of a specific psychotherapeutic modality or, broader, extensive
experience in the application of a range of contemporary psychotherapeutic modalities. Specific patient foci can
also be established, such as trauma patients or psychosomatic patients. Excellent training opportunities
centering on supervised clinical work, are available in long-term dynamic psychotherapy, brief dynamic
psychotherapy, cognitive behavioral therapy, interpersonal therapy, dialectical behavioural therapy, cognitive
behavioral analysis system of psychotherapy (CBASP), integrative psychotherapy, couple/family therapy, child
and adolescent psychotherapy, and group psychotherapy. Educational research in the area of psychotherapy
training and the process of supervision may also be a priority. Opportunities also exist for a focus on
psychotherapy and the humanities.
Residents will participate in theory, research and clinical seminar series in the respective modalities they are
studying, Development of a research focus, or participation in ongoing research is strongly encouraged and
may include the areas of comparat0e psychotherapy outcomes; efficacy of specific, manualized treatments with
specific diagnostic populations; evaluation and treatment of trauma patients; cost effectiveness; and education.
2. Experiences in senior selective rotation in this program/division could include:
In recognition of the fact that psychotherapy senior selective rotations may be modality based, residents may
profitably blend their psychotherapy senior selective rotation with collaborative programs or divisions, in order
to gain experience in the application of the psychotherapies with particular patient populations, and in different
settings. This reflects the integral role of the psychotherapies in the contemporary practice of psychiatry.
Supervision will be provided both by Psychotherapy Program faculty and the faculty of the respective
collaborative program or division. Senior selective positions in psychotherapy may be blended with the
Divisions of General Psychiatry or Child and Adolescent Psychiatry, or, with the Programs in Psychosomatic
Medicine, Schizophrenia, Mood Disorders, Addiction Psychiatry, Forensics or Women's Mental Health. Clarity
of focus is essential in blended positions to ensure that adequate academic concentration is maintained.
Psychotherapy: Senior Selective - Page 1 of 4
3. Hospital/training sites where selective rotation is offered:
Psychotherapy senior selective training is available at the following locations: CAMH, Mount Sinai Hospital,
University Health Network, Sunnybrook and Women's College Health Sciences Centre, and St. Michael's
Hospital. Dedicated psychotherapy senior selective rotations are available at all sites. Specific blends are
available at designated sites, reflecting priorities and concentrations of excellence.
Alternative person for interviews with senior residents seeking selective rotations:
Name: Dr. Paula Ravitz
Telephone: 416-586-4800 x7500
Psychotherapy: Senior Selective - Page 2 of 4
Clinical Senior Selective
Psychotherapy Program - Integrative Therapy
Dr. Paula Ravitz
416-535-850
PRavitz@mtsinai.on.ca
Senior Selective rotations designed to develop expertise in an integrative approach to psychiatric care can be
arranged with the Psychotherapy Program, or on a blended basis. Such rotations provide Proficiency level
clinical training in Integrative Therapy. As well, residents are asked to select a specific clinical, educational
or research focus to add academic depth to their selective.
Typical settings include general psychiatric services which assess patients with a broad range of problems
from an integrative perspective. Clinical skills which can be honed under direct observation and supervision
by an experienced integrative supervisor include advanced interviewing, formulation, management planning,
individualized short-term or ongoing treatment, resolution of therapeutic impasses, integrated treatment of
specific disorders, and combined treatments incorporating psychotherapy and pharmacotherapy. Primary
supervision is provided by faculty sanctioned by the Integrative Therapy subcommittee; further supervision
in specific modalities is encouraged, and can be organized in advance, or on a case-by-case basis.
Residents can be based at any site or combination of sites with the clinical and supervisory resources required
to provide a suitably advanced integrative learning experience. Trainees are expected to complete the
Advanced Course in Integrative Therapy and Advanced Psychotherapy Seminar presently offered at Mt.
Sinai Hospital.
Psychotherapy: Senior Selective - Page 3 of 4
Clinical Senior Selective
Psychotherapy Program - DBT
Dr. Carmen Wiebe 416-5358501 x2368 or
Carmen_Wiebe@camh.net
1. Full model: Residents who wish to learn the DBT model may join the DBT team in the BPD Clinic for a
12-month rotation of at least 1.5 days per week. The minimum requirements would be to attend the DBT
Consultation Team meetings from 2-4pm on Thursdays, co-facilitate a two-hour DBT Skills Group every
week, and treat two patients in DBT individual therapy, each for one hour per week. The amount of afterhours phone availability for the individual therapy patients would be negotiated. Residents who wish to
spend more than 1.5 days per week could take on more individual patients, and/or could be involved in DBT
assessments and BPD consultations. There might also be opportunities to be involved in training health
professionals in DBT. This experience would meet the Royal College requirements for “Advanced
Competence” in DBT.
2. Partial model: Residents who wish to spend 6 months in the BPD Clinic would not be able to learn DBT
per se, since it is a full-year programme. However, in six months a resident could facilitate at least one group
and/or offer DBT-informed individual psychotherapy to one or two patients. The amount of after-hours
phone availability for the individual therapy patient(s) would be negotiated. The time commitment would be
a minimum of one half-day per week. Residents who wish to spend more than one half-day per week could
also be involved in DBT assessments, BPD consultations and possibly training health professionals in DBT.
This experience would meet the Royal College requirements for “Proficiency” in DBT.
3. Research: A 6- or 12-month selective in psychotherapy research focusing on DBT or DBT-informed
treatments could be arranged, either on its own or in combination with a clinical selective.
Psychotherapy: Senior Selective - Page 4 of 4