Child and Adolescent Psychology Track

The Child Psychology track will offer one position for the 2023-2024 training year. The intern provides services in outpatient and residential settings including the Outpatient Clinic of the Department of Psychiatry at DHMC, our community-based specialty clinic, Hanover Psychiatry, Pediatric Primary Care, and Mountain Valley Treatment Center. Interns also have the opportunity to collaborate with pediatric specialty care clinics (e.g., transgendered youth clinic, GI, sleep medicine).

These opportunities provide training in individual and group interventions, family therapy, and parent-management training for youth with a variety of concerns, including anxiety, depression, OCD, ADHD, ODD, elimination disorders, trauma-related disorders, and sleep problems.

Training includes guidance on providing evidence-based interventions, e.g., behavioral therapy, CBT, ACT, mindfulness-based interventions, parent training, family systems therapy, and functional family therapy. They also participate as integral members of an interdisciplinary team of psychologists and psychiatrists to provide brief evaluations, CBT, and consultations for medication management to youth ages 2-19.

This opportunity will allow interns to work side-by-side with a psychiatrist to provide care to individuals and families. A team consisting of an intern, psychiatry fellow, and the supervising psychologist meet following each clinical evaluation to discuss the patient’s needs and then present treatment options to the patient using a shared decision making model.

The Child Psychology track intern provides outpatient therapy and assessment services to the Dartmouth College community through Hanover Psychiatry, including individual and group interventions and comprehensive psychological evaluations to youth in the community. The intern will also provide services in Pediatric Primary Care, which provides exposure to an integrated care setting. Finally, the intern will spend one day per week at Mountain Valley Treatment Center where they will deliver group and individual exposure and response prevention for residential patients with severe anxiety, OCD and depression. Residents also often present with difficulties related to disordered eating (ARFID, orthorexia), body dysmorphic disorder, and body-focused repetitive behavior disorders.

Child track interns also have the opportunity to collaborate on ongoing research projects.

Clinical Training Sites

Outpatient Psychiatry at Dartmouth Hitchcock Medical Center

Dartmouth Hitchcock Medical Center (DHMC) is located in Lebanon, New Hampshire. DHMC is the regional academic medical center where faculty and trainees of Geisel School of Medicine at Dartmouth provide direct care to patients from throughout New England. The Outpatient Psychiatry Clinic at DHMC is maintained by the Department of Psychiatry to provide child and adult services and manage the hospital's psychiatric inpatient and partial hospitalization units. Psychiatric emergency services are provided through the hospital's emergency department. Approximately 10,000 patients per year receive some type of service from one of the Department's units at DHMC. Approximately 4,000 adults and 1,300 children receive outpatient medication management and psychotherapy per year. Adult Psychology track interns spend a substantial proportion of their training year providing services to the DHMC population. DHMC is also considered the academic home of the internship program, and serves at the educational hub for the program. Interns complete their didactic training elements at DHMC as well.

Hanover Psychiatry

Hanover Psychiatry, located in Hanover, New Hampshire, is a community-based psychiatric and psychological practice offering evidence-based treatment and evaluation, and is a division of the Department of Psychiatry. The practice frequently provides services to Dartmouth College students and faculty, as well as members of the surrounding communities. All clinicians practicing and supervising at Hanover Psychiatry are faculty of the Department of Psychiatry at Geisel School of Medicine at Dartmouth, resulting in a team of highly skilled professionals who remain abreast of best practices in mental health services.

In addition to offering clinical services, Hanover Psychiatry staff clinicians are also involved in research projects, teaching and supervising junior faculty, residents, and interns. Treatment approaches utilized at Hanover Psychiatry include cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), exposure and response prevention (ERP), mindfulness-based interventions, family-based treatment (Maudsley Approach), trauma-focused cognitive-behavioral therapy (TF-CBT), relapse prevention, parenting skills building, and psychopharmacology. The Child Track intern spends two days per week at Hanover Psychiatry.

Mountain Valley Treatment Center

Mountain Valley Treatment Center is a not-for-profit, short-term (60-90 days), residential program for adolescents (ages 13-20) suffering from debilitating anxiety, OCD and depression. Residents also often present with difficulties related to disordered eating (ARFID, orthorexia), body dysmorphic disorder, and body-focused repetitive behavior disorders. Interns will work with the Mountain Valley clinical and residential teams to co-lead CBT/ERP groups, participate in multidisciplinary team meetings, attend admissions committee meetings, and receive weekly supervision with the Clinical Director. Mountain Valley incorporates ACT in the treatment of anxiety and OCD, provides ongoing training for staff clinicians and residential team, and has a presence at various national conferences including ADAA, ABCT, and IOCDF.

Training Faculty (Child Psychology Track)

James T. Craig, PhD (University of Arkansas) – Dr. Craig joined the faculty of DHMC and Geisel School of Medicine in 2017. Dr. Craig uses behavioral and cognitive-behavioral approaches to treat children and adolescents presenting with conduct-related disorders, ADHD, sleep disorders, elimination disorders, anxiety, OCD and depression. He specializes in the treatment of aggressive, defiant and disruptive behaviors in children and adolescents. Dr. Craig’s research interests are in the areas of peer victimization, bullying prevention, and innovative treatments for children with aggressive and defiant behaviors that can be applied outside of traditional mental health care settings.

Timothy DiGiacomo, PsyD (Virginia Consortium Program) – Dr. DiGiacomo is a licensed clinical psychologist with comprehensive experience treating children, adolescents and adults with individual, group and family therapy, including utilizing CBT-based modalities for anxiety, depression and trauma. He serves as the Clinical Director for Mountain Valley Treatment Center and supervises the Child Track intern providing intensive exposure and response prevention (ERP) at the Center. He completed his training in ERP through the International OCD Foundation’s Advanced Behavior Therapy Training Institute.

Mary K. Jankowski, PhD (University of Vermont) - Dr. Jankowski has been a member of the faculty of the Department of Psychiatry for more than a decade. Her research interests involve improving care for traumatized children, youth and families and children affected by parental substance use disorders, implementing system change in large child serving sectors including children's behavioral health, child welfare and juvenile justice, and implementing and evaluating the effectiveness of trauma-informed care. Clinically, she specializes in treatment of trauma related disorders across the lifespan and teaches and supervises interns, postdoctoral fellows, and child psychiatry fellows.

Ellen K. Sejkora, PhD (University of Wisconsin-Milwaukee) – Dr. Sejkora is a pediatric psychologist with appointments in psychiatry and pediatrics. She joined the faculty at DHMC and Geisel School of Medicine in 2020. Dr. Sejkora sees patients through Dartmouth Health Children's with the psychiatry consultation/liaison service and pediatric ambulatory clinics. She currently works with medical teams for gastroenterology, neurology, cardiology, pulmonology, and the inpatient hospitalist service. Dr. Sejkora specializes in behavioral treatment of pediatric feeding disorders (failure to thrive, ARFID, g-tube dependency) and cognitive-behavioral interventions with patients with complex comorbid medical and psychosocial needs.

Caroline (Carrie) Shackett, PhD, NCSP (University of Massachusetts-Amherst) – Dr. Shackett joined the faculty of DHMC and Geisel School of Medicine in 2019. Dr. Shackett provides individual therapy to children and adolescents, utilizing behavioral and cognitive-behavioral approaches. She also provides psychoeducational and diagnostics assessments. She has training and expertise in functional behavioral assessments and interventions. Dr. Shackett is also a Nationally Certified School Psychologist and has worked in and consulted with schools on a variety of topics ranging from psychoeducational assessments to positive behavioral interventions and supports.