Sep 20, 2019 | Psychiatry
Timothy Brennan, MD, Director of the Addiction Institute at Mount Sinai St. Luke’s and Mount Sinai West, and Yasmin Hurd, PhD, Director of the Addiction Institute of Mount Sinai.
In August, Mount Sinai St. Luke’s and Mount Sinai West launched the Addiction Consultation and Evaluation Service (ACES) to address the growing need for addiction-specific support for physicians, nurse practitioners, and physician assistants caring for general medical and surgical inpatients.
Due to the opioid crisis, in recent years general medicine and surgery clinicians have been reporting an uptick in patients with addiction-related conditions, such as abscesses due to intravenous drug use, as well as patients requesting treatment for addiction. ACES was established to serve as a resource in these situations by providing prompt, evidence-based recommendations for the full range of addiction pathology, including complex withdrawal syndromes and other manifestations of substance use disorders. Since the soft launch on August 1, ACES has handled 18 consults.
ACES is currently led by Timothy Brennan, MD, Director of the Addiction Institute at Mount Sinai St. Luke’s and Mount Sinai West. The team is made up of addiction medicine fellows and addiction psychiatry fellows, and six attending physicians in two-month rotations: Prameet Singh, MD, the Site Chair for Psychiatry at MSSL and MSW; Annie Levesque, MD, Medical Director of the Opioid Treatment Program at MSW and Associate Director of the Fellowship in Addiction Medicine Program at the Icahn School of Medicine at Mount Sinai; Manassa Hany, MD; Anil Thomas, MD, Director of the Addiction Psychiatry Fellowship Program; and David Lehman, MD.
Addiction medicine is the newest member of the American Board of Medical Specialties, and hospitals and health systems are now focused on integrating addiction medicine providers into their various clinical service lines. Less than one percent of hospitals and health systems nationwide have a service like ACES, but the field is evolving quickly and organizations are adapting accordingly with their own versions. “Historically, addiction care was provided outside of the hospital by non-credentialed providers,” said Dr. Brennan. “Our goal with ACES is two-fold: to support our medical and surgical colleagues by optimizing addiction care for their patients, and also to help destigmatize addiction care and incorporate it into the fabric of other hospital services.”
Sep 16, 2019 | Psychiatry
In July, two new postdoctoral fellows began a two-year psychology fellowship to study psychosis, suicide, and major mental illness in veterans at the Mental Illness Research, Education and Clinical Center (MIRECC) at the James J. Peters VA Medical Center (JJPVAMC) in the Bronx, in partnership with the Department of Psychiatry at the Icahn School of Medicine at Mount Sinai.
In this fellowship, individualized, mentored research and clinical training is combined with a state-of-the-art curriculum that emphasizes research methods, statistics, epidemiology, mental health systems, quality improvement methods, education, and service delivery. In collaboration with their mentors, the fellows will develop and implement a research project, publish and present findings, participate in grant writing, and utilize the latest technology for educational activities and clinical service delivery. The mentorship team includes MIRECC faculty members, as well as other faculty from the Icahn School of Medicine at Mount Sinai.
Emily Edwards, PhD
Dr. Edwards received her PhD in clinical psychology from CUNY Graduate Center / John Jay College and completed a predoctoral fellowship with the Intensive Outpatient DBT program at Yale-New Haven Hospital. Dr. Edwards has provided DBT in a variety of settings, including private practice, psychiatric inpatient, and intensive outpatient. Her research focuses primarily on treatment and theory for people with emotion processing and emotion regulation difficulties. She is especially interested in adapting treatments for individuals with severe personality disorders and for forensic contexts. Dr. Edwards will be working with Erin Hazlett, PhD, and Joseph Geraci, PhD, LMHC.
Molly Gromatsky, PhD
Dr. Gromatsky received her PhD in clinical psychology from Hofstra University and completed a predoctoral internship at Northport VA Medical Center in Northport, New York. Her clinical experience has primarily involved providing DBT in a variety of settings to adults, young adults, adolescents, and their families. She is also proficient in ACT, CBT, motivational interviewing, PE, and CPT. Dr. Gromatsky’s research interests include identifying predictors and better understanding the etiology of suicide among veterans. She is particularly interested in the role of risk and resiliency factors associated with suicide, and hopes to assist in the development of screening tools to inform effective outreach interventions and treatment development. Dr. Gromatsky will be working with Dr. Hazlett.
Sep 16, 2019 | Psychiatry
From left: Erin Hazlett, PhD, Philip Szeszko, PhD, and Marianne Goodman, MD.
In August, Marianne Goodman, MD, Erin Hazlett, PhD, and Philip Szeszko, PhD, all faculty staff at the James J. Peters VA Medical Center (JJPVAMC) in the Bronx and the Icahn School of Medicine at Mount Sinai, were awarded two new grants in suicide prevention.
Drs. Goodman and Hazlett are the principal investigators on a study entitled “CTBI: Traumatic brain injury-induced inflammation effects on cognitive evaluations and response inhibition: Mechanisms of increased risk for suicidality.” This Collaborative MERIT Award involves a three-site study that will use the new 3T MRI scanner at the JJPVAMC to examine brain activation during impulsivity tasks in veterans with mild traumatic brain injury (mTBI) with and without suicide attempts. A VA site in New Jersey will do similar work using an animal model of mTBI, and a VA site in Indianapolis will examine impulsivity and inflammatory biomarkers in the same groups of veterans as the JJPVAMC.
Dr. Szeszko is the Principal Investigator on a study entitled “Predicting suicidal behavior in veterans with bipolar disorder using behavioral and neuroimaging based impulsivity phenotypes.” He will investigate two neural circuits tapping state measures of rapid response inhibition and choice impulsivity, respectively, using functional magnetic resonance imaging to predict suicidal behavior longitudinally over one year in veterans with bipolar disorder. This study will also investigate novel measures of crossing white matter fiber arrangement comprising these circuits and their relationship to impulsivity.
These renewable grants are known as VA MERIT Awards and provide funding for four years. Drs. Goodman and Hazlett also have three other suicide prevention MERIT awards, bringing the current portfolio of grants focusing on suicide prevention at the JJPVAMC to a total of four.
“We are thrilled that our neuroimaging research program is thriving in terms of its focus on the neurobiology of suicidal behavior,” said Dr. Hazlett, research career scientist at the JJPVAMC. These studies received initial support from the JJPVAMC’s Mental Illness Research, Education and Clinical Center, Mental Health Patient Care Center, and Erik Langhoff, MD, PhD, director of the JJPVAMC.
Updated on Jun 30, 2022 | Psychiatry
The Department of Psychiatry at the Icahn School of Medicine at Mount Sinai has a stellar 2019-2020 roster.
The Department of Psychiatry at the Icahn School of Medicine at Mount Sinai has put together a fantastic lineup for the 2019-2020 Grand Rounds season—check out the list below.
September 10
Mary Jeanne Kreek, MD, Rockefeller University
September 17
Emil F. Coccaro, MD, University of Chicago
September 24
Ami Klin, PhD, Emory University School of Medicine
October 1
David A. Lewis, MD, University of Pittsburgh
October 8
Yasmin Hurd, PhD, Icahn School of Medicine at Mount Sinai
October 15
Chantal Kemner, PhD, University Medical Center Utrecht
October 22
Glenn N. Saxe, MD, Hassenfeld Children’s Hospital at NYU Langone Medical Center
October 29
Donald C. Goff, MD, NYU Langone Medical Center
November 5
Walter Kaye, MD, University of California, San Diego
November 12
Nelson B. Freimer, MD, University of California, Los Angeles
November 19
Rachel Yehuda, PhD, Icahn School of Medicine at Mount Sinai
December 3
Moriah E. Thomason, PhD, NYU Langone Medical Center
December 17
Edythe D. London, PhD, University of California, Los Angeles
January 7
Kathleen Brady, MD, PhD, Medical University of South Carolina
January 21
Jacob A. S. Vorstman, MD, PhD, The Hospital For Sick Children / University of Toronto
January 28
Sarah Lisanby, MD, Columbia University
February 4
Frances R. Levin, MD, Columbia University
February 25
Carrie Bearden, PhD, University of California, Los Angeles
March 3
Scott Woods, MD, Yale School of Medicine
March 10
Elliot Hong, MD, University of Maryland School of Medicine
March 17
Justin Baker, MD, PhD, McLean Hospital / Harvard Medical School
March 24
Peter Falkai, MD, Ludwig Maximilian University of Munich
April 7
Andrew McIntosh, MD, University of Edinburgh
April 14
Antonello Bonci, MD, National Institute on Drug Abuse
May 5
Bryan H. King, MD, MBA, UCSF Weill Institute for Neurosciences
May 12
David Nutt, DM, FRCP, FRCPSYCH, FSB, FMEDSCI, Imperial College
June 23
Catherine Monk, PhD, Columbia University
Updated on Jun 30, 2022 | Psychiatry
Marianne Goodman, MD, Professor of Psychiatry at the Icahn School of Medicine at Mount Sinai, with her patient, Wilfredo Santos. Photo courtesy of Medical Media, JJP (Bronx) VA Medical Center.
On June 1, Marianne Goodman, MD, Associate Director of the U.S Department of Veterans Affairs’ New York Mental Illness Research Education Clinical Center of Excellence (MIRECC) and Director of the MIRECC’s Suicide Prevention and Treatment Research Program, was honored by Congressman Jose E. Serrano (D-NY) with a flag flown over the U.S. Capitol.
This was requested by one of her patients, Wilfredo Santos, who had written to Congressman Serrano to ask how to honor Dr. Goodman and the VA team for their dedication to preventing suicide in veterans via the Project Life Force (PLF) program. Congressman Serrano suggested the June 1 flag ceremony, and on August 16, the patient presented her with the flag that was flown and the accompanying dedication letter. “You often hear negative news being published about the VA, specifically related to suicide,” Mr. Santos said. “But we don’t recognize the hard work and achievements of our providers, which is why I wanted to honor Dr. Goodman. Sometimes we need to recognize good work in the news.”
PLF is one of several suicide prevention projects at the New York MIRECC. It brings veterans with recent histories of suicidal thinking and completed suicide plans together in groups for safety planning and skills training. The program incorporates elements from dialectical behavior therapy, and emphasizes building interpersonal relationships with friends, family, and the treatment team. It also includes gun safety education and recommends a mobile app to help them stay on track with their safety plans.
As they move through the program, veterans update their safety plans with the new skills they learn in therapy. While group therapy is common for treating PTSD and anger, it is typically not used for suicidal patients because the prevailing belief has been that suicidal patients mixing and discussing their thoughts could actually increase risk. However, Dr. Goodman’s group has found that at least with veterans, the effect is the opposite. “Veterans no longer feel alone,” she said. “They feel someone understands their impulses and urges.”
Dr. Goodman has worked with Mr. Santos for the last 10 years, and he believes that she saved his life through PLF. “With PLF, we communicate with other veterans in the room to offer support and generate ideas on how to distract yourself so that you don’t hurt yourself,” he said. “We truly use our suicide safety plans and make them part of our everyday lives.”
“The flag and the dedication on Capitol Hill are an incredible honor,” said Dr. Goodman. “It’s a great feeling to know that our work is helping veterans find meaning and purpose in their lives.”
Updated on Jun 30, 2022 | Psychiatry
The 2019 Computational Psychiatry Course speakers.
On July 29-30, the Department of Psychiatry hosted the 2019 Computational Psychiatry Course at The Metropolitan Museum of Art with support from the Icahn School of Medicine at Mount Sinai and IBM Research. The first day opened with a speech from René Kahn, MD, PhD, Chair of Psychiatry and Behavioral Health at the Icahn School of Medicine at Mount Sinai. He addressed the promise of computational models in psychiatry: we understand psychiatric disease more than ever, but we have no cures, and to create cures we need new ideas, large samples, and new techniques—enter computational psychiatry. He emphasized the predictive clinical utility of these models, such as predicting onset of psychosis in high-risk subjects, predicting treatment response, and predicting course of illness. The keynote addressed was given at the end of the second day by Matthew Botvinick, MD, PhD, Director of Neuroscience Research at DeepMind, on deep reinforcement learning. “Deep reinforcement learning is not an architecture or even really an algorithm, ” he said. “It’s a framework, and a huge amount of variability and diversity can be explored within it.”
The rest of the course lectures are listed below.
Day 1: Theory
Theoretical Approaches to Function and Dysfunction
Peter Dayan, PhD, Max Planck Institute for Biological Cybernetics
Computational and Algorithmic Accounts of Inference and Choice—Inference About States
Chris Mathys, MSc, MSc, PhD, Scuola Internazionale Superiore di Studi Avanzati
Model-Free and Model-Based Learning
Nathanial Daw, PhD, Princeton University
Social Exchange Games to Study Human Behavior
Read Montague, PhD, Virginia Tech
Trial-by-Trial Model Fitting
Yael Niv, PhD, Princeton University
Modelling Example: A Line by Line Lesson
Yael Niv, PhD, Princeton University
Natural Language Processing for Brain Disorders
Guillermo Cecchi, PhD, IBM Research
Computationally-Relevant NIH Funding Opportunities
Michele Ferrante, PhD, National Institute of Mental Health
Panel Discussion
Jean Zarate, PhD, Nature Neuroscience
Participants:
Daniela Schiller, PhD, Icahn School of Medicine at Mount Sinai
Yael Niv, PhD, Princeton University
Sonia Bishop, PhD, University of California, Berkeley
Rick Adams, PhD, University College London
Matthew Botvinick, MD, PhD, DeepMind
Day 2: Application
Brain Computations in Schizophrenia
Rick Adams, PhD, University College London
Autism Spectrum Disorder
Becky Lawson, PhD, University of Cambridge
Depression
Robb Rutledge, PhD, University College London
Anxiety and Decision-Making Under Uncertainty
Sonia Bishop, PhD, University of California, Berkeley
Neural Computations in the Aftermath of Trauma
Daniela Schiller, PhD, Icahn School of Medicine at Mount Sinai
Addiction
Xiaosi Gu, PhD, Icahn School of Medicine at Mount Sinai
Deep Phenotyping
Read Montague, PhD, Virginia Tech
