Adult Services

Duke’s compassionate mental health experts evaluate, diagnose, and treat adults ages 18 and older who suffer from countless mental health conditions and concerns – from depression, anxiety, and substance abuse to family and marital issues, severe mental illness, and eating disorders.

Our specialized adult mental health programs include, but are not limited to:

Anxiety and Traumatic Stress Program

Our Anxiety and Traumatic Stress Program is an outpatient program that provides both clinical and research services. The program evaluates and treats the full range of anxiety and mood disorders, including:

  • Generalized anxiety disorders
  • Obsessive compulsive disorders (OCDs)
  • Panic disorders
  • Post-traumatic stress disorders
  • Social anxiety disorders (social phobia)
  • Specific phobias
  • Depressive disorders

Details

Attention-Deficit/Hyperactivity Disorder (ADHD) Program

This program provides comprehensive diagnostic evaluations for children, adolescents, and adults, including psycho-educational testing for learning disorders. Parent and child behavior management groups and child coping skills groups are available. A summer treatment program for middle school students is available to enhance academic learning strategies, group cooperation, and other skills for school success. The Duke ADHD program offers direct in-school consultation to teachers and other educational professionals.

Details

Biofeedback Services

Our specialists use the most advanced technology to help referred patients 12 and older gain control over their physiological responses to stress and pain, and master deep muscle relaxation. The program uses behavioral management techniques to help people suffering from conditions such as headaches, anxiety disorders, cardiovascular conditions, chronic pain, stress and Type A behavior. Patients typically are referred to us after traditional treatment methods have failed.

Details

Cognitive Behavioral Research and Treatment Program

Our full-service psychotherapy clinic delivers sophisticated treatments for adult individuals and couples. We use cognitive behavior therapies, mindfulness-based interventions, and dialectical behavior therapies to treat conditions such as:

  • Depression
  • Anxiety disorders, including post-traumatic stress disorder
  • Personality disorders, including borderline personality disorder

Details

Duke Addictions Program (DAP)

Our acclaimed program offers an integrated, comprehensive approach to substance abuse therapy for people who are dependent upon alcohol and/or drugs, including nicotine. We provide skilled, compassionate, and comprehensive care for the many issues intertwined with drug and alcohol addiction.

Details

Duke Psychiatry Specialty Clinic of Cary

Our psychiatrists combine the latest in research breakthroughs with compassionate care built upon decades of experience. We are leading the way in providing comprehensive mental health care in western Wake County, offering our patients at every life stage local access to a wide array of resources.

Eating Disorders

Our multidisciplinary team of specialists evaluates, diagnoses, and treats people suffering from eating disorders that include:

  • Anorexia nervosa
  • Binge eating disorder
  • Bulimia nervosa
  • Eating disorders not otherwise specified

Details

Electroconvulsive Therapy (ECT)

ECT is sometimes used to treat patients suffering from severe affective (mood) disorders and medical illnesses for which pharmacological approaches have been ineffective or unfeasible. ECT uses brief, controlled electrical currents to produce seizures in the brain. These seizures appear to cause biochemical changes which can reduce or eliminate symptoms.

Duke’s ECT Program is a world leader in providing this state-of-the-art therapy to people 18 and older. Our mental health specialists provide ECT three days a week, and we offer a full range of diagnostic, consultative, evaluative, clinical, and case management services five days per week.

Family Care Program (FCP)

The FCP works in partnership with the Durham County Mental Health Center to help Durham County women who are pregnant overcome drug addictions, and to serve young children of addicted women.

The FCP’s outpatient treatment approach is based upon a gender-specific, bio-psychosocial-spiritual model in which addiction is believed to result from biological vulnerability, psychological stress, spiritual emptiness, current social context, and, often, a history of abuse and neglect. This model:

  • Focuses on the woman’s role as a parent
  • Emphasizes group therapy as way for participants to develop supportive relationships with other women
  • Stresses community integration through intensive case management
  • Views relapse as a normal part of recovery rather than a source for shame

Details

Family Studies Program

Our team of mental health experts is trained in family treatment and specializes in issues such as:

  • Couples counseling
  • Family therapy
  • Education for parents of children and adolescents with behavioral problems
  • General therapy for enhancing family communication and problem solving

Details

Geriatric Psychiatry

Our team’s specialized training in the physical, emotional, and social needs unique to older patients enables us to provide a comprehensive and compassionate approach to the diagnosis and treatment of mental disorders in senior. These disorders include dementia, depression, anxiety, sleep disorders, and late-life schizophrenia.

Details

Inpatient Care

Patients suffering from severe mental illness or who are in mental or emotional crisis are sometimes best cared for in an inpatient setting. Duke clinicians provide experienced and compassionate mental health care to adults 18 and older in two inpatient facilities:

Psychiatry Outpatient Clinic

Staffed by resident-level psychiatrists who are supervised by Duke Medicine psychiatrists, the Psychiatry Outpatient Clinic serves adults who suffer from a wide range of psychiatric and emotional difficulties, including depression, anxiety disorders, bipolar disorder, post-traumatic stress, schizophrenia, and personality disorders. The clinic also offers social work services.

Sleep Disorders

Duke mental health specialists work with a multidisciplinary team to evaluate and treat patients with sleep issues that include:

  • Insomnia
  • Narcolepsy
  • Sleep apnea
  • Sleepwalking
  • Sleep terrors
  • REM behavior disorder

Details

Smoking Cessation

Our experienced counselors help participants decisively overcome their nicotine addictions and develop healthier lifestyles.

Details

Substance Abuse (Outpatient) Services

Staffed by specialized physicians, nurses, counselors and social workers, Duke’s outpatient Substance Abuse Treatment addresses both the physiological and psychological needs of patients suffering primarily from substance abuse disorders, but who may also be experiencing related conditions such as severe or chronic mental illness and adjustment disorders.

Phobia Treatment (Virtual Reality Therapy)

Our skilled practitioners use state-of-the-art technology to treat patients suffering from life-restricting phobias.

Details

Women’s Behavioral Health Program

We deliver a broad range of services for mental and physical health conditions and concerns that are unique to women -- from helping them adapt healthful behaviors and attitudes to providing treatment for serious emotional disorders.

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Opportunities for Research Participation

Please note that many of these specialized clinical programs also conduct ongoing mental health research trials that may be accessible to eligible and interested patients and families.

Appointments

To learn more about Duke’s mental health services for adults, or to schedule an appointment or get a referral, call 919-684-0100 locally or 888-ASK-DUKE (888-275-3853) toll-free, or e-mail us at psycinfo@mc.duke.edu.

Locations

This service is available at:

About This Page

Published: Sept. 12, 2006
Updated: Sept. 12, 2006
URL: http://www.dukehealth.org/Services/Psychiatry/Programs/AdultServices/index