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The Practice of Clinical Health Psychology Robin Perkins, Ph.D. Clinical Psychologist and Program Director Archbold Integrative Medicine Center.

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The Practiceof Clinical HealthPsychologyRobin Perkins, Ph.D.Clinical Psychologistand Program DirectorArchbold Integrative Medicine Center

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Health Psychology:The aggregate of specific educational, scientific, and professional contributions of the discipline of psychology to the promotion and maintenance of health, the prevention of illness, and identification of etiologic and diagnostic correlates of health, illness, and related dysfunctions.

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Titles: Behavioral MedicineMedical PsychologyPsychosomatic MedicineHealth Psychology

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Requirements: Ph.D. in Clinical PsychologyPrefer Specific graduate training and graduate clinical internship in Health PsychologyState License in Psychology

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Areas of Work:Academic InstitutionsMedical Centers / HospitalsResearch InstitutionsPrivate PracticePrimary Care Practices

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Top Three Professional Activities:Clinical Practice 65%Research 55%Teaching / Supervision 50%

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Primary Employment Settings:Educational 55%Service Delivery 42%Industry / Government 9%(Houston, 1988 Health Psychology Survey)

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Primary Care PracticesBetween 50% and 70% of a physician’s normal caseload consists of patients whose medical ailments are significantly related to psychological factors.

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Primary Care PracticesAnxiety and depression were among the 6 most common conditions seen in family practice.

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Clinical Focus: services.Individual PsychotherapyCoping SkillsTreatment Compliance IssuesBehavior ChangeAffective DisordersGrieving / Loss Issues

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Group Psychotherapy services.Support GroupsPain Management GroupsBehavior Change GroupsCoping Skills, etc.

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Psychological Evaluation services.TestingNeuropsychological EvaluationsConversion Disorder / PseudoseizuresAffective DisordersPersonality EvaluationsTransplantationPain Evaluations

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Psycho-educational Teaching services.Stress Management GroupsLifestyle Changes: smoking, diet, safe sex, etc.

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Family Therapy services.Education

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Specific Areas of services.Clinical FocusCardiology Lifestyle Change CABG Surgery Pain Management Anxiety associated with internal cardiac defibrillators

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Neurology services. Traumatic Brain Injury Dementia Spinal Cord Injury Rehabilitation Chronic Terminal Disease

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Pain Management services. Candidates for Opiates Coping Skills Depression Lifestyle Changes Family System

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Smoking Cessation services. Lifestyle Changes Lifestyle MaintenanceStress Management Lifestyle Changes Covers Every Diagnostic Category

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Organ Transplantation services. Coping Skills Treatment Compliance Support SystemsAnxiety /DepressionCancer Pain Management Anticipatory Nausea Lifestyle Changes Body Disfigurement Social Support End of Life Issues

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Diabetes services. Treatment Compliance Developmental Issues Dementia Lifestyle Changes Loss IssuesPulmonary Diseases Treatment Compliance Lifestyle Changes Depression / Anxiety