About Our Clinical Program
At the Obsessive-Compulsive and Related Disorders Program, we study and treat obsessive-compulsive disorder (OCD) and related conditions, including tic disorders, body dysmorphic disorder, hoarding, skin picking, and trichotillomania. We specialize in multidisciplinary, evidence-based treatment that is sensitive to each patient’s unique needs, and our experts are committed to providing excellent patient care, training our future clinical and research leaders, and pursuing cutting-edge research studies with the goal of providing more effective treatments for OCD and related disorders.
Our multidisciplinary team is composed of pediatric and adult psychiatrists, psychologists, residents, post-doctoral fellows, and doctoral-candidate externs. The directors of our team are acknowledged clinical and research experts in the fields of OCD, tics, and related disorders who are committed to providing outstanding care to all patients in our program.
Comprehensive Diagnostic Evaluations
Our team provides comprehensive clinical assessments designed to produce individualized and developmentally-appropriate diagnostic and treatment recommendations. Evaluations consist of a detailed clinical interview as well as standardized assessments to determine the range and severity of symptoms. In addition, we offer specialized multidisciplinary evaluations and consultations for those who are currently in treatment but who have not responded to conventional therapies.
The goal of our outpatient services is to provide sensitive and specific treatments that are informed by accurate and thorough diagnostic evaluations. We provide evidence-based psychotherapeutic and pharmacological treatments and work closely with patients and their families to ensure that the treatments we offer are responsive to the needs of our patients. The basis of our psychotherapeutic treatments is cognitive-behavioral therapy (CBT), with exposure and response prevention (ERP) at the core of many of our treatments. The frequency of psychotherapy sessions ranges from one to four meeting per week with the length of sessions ranging from 45 to 75 minutes. Sessions are held in our clinical offices and also outside the office, as indicated. Our team also offers home visits as a part of our treatment services. For our pediatric patients, we strongly encourage family involvement. If you are also working with one of our psychopharmacologists, he or she will communicate closely with your behavioral therapist to ensure that we provide coordinated and comprehensive treatment.
Within the OCD and Related Disorders Program at Mount Sinai, we have lower fee treatment options provided through the child psychiatry outpatient clinic and the adult psychiatry outpatient clinic, For children and teens, in our Anxiety and Related Disorders Track (ARdT) child psychiatry fellows and psychology doctoral students (externs) provide diagnostic evaluations and empirically supported treatment for OCD and related disorders, including tic disorders, body dysmorphic disorder, and trichotillomania. In a parallel program for adult patients, adult psychiatry residents and psychology doctoral students provide diagnostic evaluations and empirically supported care for this same constellation of disorders. All clinical services are offered at a reduced fee, fees that can be further adjusted in cases of hardship. Our patients come from diverse backgrounds and have a wide range of symptoms and a range of symptom severity. Clinical fellows, residents and externs, who spend the year in our program, conduct the evaluations and provide longitudinal evidence-based treatments, including medication management and cognitive-behavioral therapy. Evaluations and treatment incorporate parents, spouses and caregivers, as appropriate for each patient. We will also liaise with previous and current clinical providers and the child's school, if and when indicated. Evaluations typically consist of up to three clinical sessions, including structured assessments such as the Y-BOCS and CY-BOCS. Dr. Dorothy Grice, director of the program, meets each new patient during the evaluation process. Residents, fellows and externs are closely supervised by the OCD program faculty and we approach patient care as a clinical team.
Deep Brain Stimulation
Deep brain stimulation (DBS) is available for adults with persistently severe and markedly treatment-refractory OCD. The Federal Drug Administration recently approved DBS for the treatment of OCD under its Humanitarian Device Exemption program.
The Research Program
Our Research Program focuses on the onset, neurobiology, genetics, and treatment of OCD and related conditions with the goal of discovering the causes of these disorders and providing the basis to develop more effective therapies.