Women, regardless of their lifestyles, have a wide range of responsibilities and challenges – earning a living, raising children (sometimes on their own), providing care to extended family members, participating in community activities, as well as dealing with loss and change. Juggling multiple roles – such as wife, mother, worker and caretaker – can be frustrating. Sometimes, these roles may become overwhelming and difficult to manage without support and help.
The Department of Psychiatry and Psychology recognizes that women have unique needs. Our programs and services are designed to address women's needs with compassion and understanding.
Do You Need Help?
If you are experiencing any of the following problems or situations, professional help would be beneficial:
- Depression or post-partum depression
- Pre-menstrual syndrome (PMS)
- Mood swings related to menopause or other hormonal changes
- Attention deficit disorder (ADD)
- Panic disorder
- Marital or family conflict or tension
- Difficulty dealing with the problems a child or loved one may be having
- Alcohol and drug use
- Career stress
- Difficulty balancing work and family responsibilities
- Managing a personal chronic illness or that of a loved one
Professional help can make the difference between continuing unproductive patterns and finding new ways to solve problems.
How We Can Help
The Department of Psychiatry and Psychology at the Cleveland Clinic helps women meet daily challenges and cope with problems. Services offered include:
- In-depth assessment
- Individual therapy
- Couples’ counseling
- Family and group therapy
- Medication management
- Biofeedback and stress management
- Occupational therapy (job coaching) to support better working relationship
Adults with ADHD may have difficulty following directions, remembering information, concentrating, organizing tasks or completing work within time limits. If these difficulties are not managed appropriately, they can cause associated behavioral, emotional, social, vocational and academic problems. The following behaviors and problems may stem directly from ADHD or be the result of related adjustment difficulties.
- Chronic lateness and forgetfulness
- Low self-esteem
- Employment problems
- Difficulty controlling anger
- Substance abuse or addiction
- Disorganization - having difficulty organizing and keeping attention to tasks
- Low frustration tolerance
- Chronic boredom
- Difficulty concentrating when reading
- Mood swings
- Relationship problems
These behaviors may be mild to severe, and can vary with the situation or be present all of the time. Some adults with ADHD may be able to concentrate if they are interested in or excited about what they are doing, while others may have difficulty focusing under any circumstances. While some adults with ADHD look for stimulation, others avoid it, sometimes becoming isolated in their attempt to reduce the distress associated with over-stimulation.
Some adults with ADHD are negative when dealing with others, sometimes becoming withdrawn and even anti-social. Others may seem overly social, unable to be alone or sit quietly. Although most people don't outgrow ADHD, they do learn to adapt. If the difficulties associated with ADHD are managed appropriately throughout their lives, people with ADHD can learn to develop personal strengths and become productive and successful.
How We Can Help
In-depth assessment, treatment planning, medication management, individual therapy, education and family support are all necessary to help the adult with ADHD function in new ways and build his or her self-esteem. Because ADHD is often associated with other conditions (such as specific learning disabilities, anxiety and mood disorders, obsessive compulsive disorder and chemical dependency), in-depth assessment is the first step in developing a comprehensive, customized treatment plan.
An Assessment at Cleveland Clinic Includes:
- A review of childhood and academic history
- A thorough medical and family history
- Psychiatric examination
- Interviews with family members, if necessary
- Psychological testing, if necessary
- Assessment for chemical dependency, as needed
Make an Appointment
To schedule an appointment with the Department of Psychiatry and Psychology, please call 216.636.5860 or 866.588.2264.
Biofeedback equipment is used to aid in learning total body relaxation. It is also used to gain control over aspects of physiological functioning which result in problems of tension and physical pain. The stress management aspects of the program include talking about how stress may influence emotional and physiological reactions in your life and learning how to cope effectively with the usual stressors in everyday life.
Many people feel that their lives are too hurried or fast-past, yet lack an understanding of what it means to slow down, relax, or "take it easy". You may feel a need to have more control over your life in this regard but not know how to take an occasional break from your fast-paced schedule. Learning to make time for yourself is a new kind of education. The ability to achieve states of deep relaxation, and the skill of reducing tension in many daily situations are personal resources which you may want to develop. You are not abnormal if you need training in order to relax. Learning to relax is like learning any other skill, we often need a coach to help in the learning process. Learning a new skill requires four conditions:
- The ability or potential to make the response.
- Motivation to learn.
- Positive reward for learning.
- Getting feedback on making the right response
Biofeedback facilitates learning by giving precise, immediate information about muscle tension, heart rate, etc., as a person attempts to relax. People are "stressed out" in ways that lead to:
- Physical symptoms.
- Feelings of tension and anxiety
- Performing tasks badly
- Bad habits, such as overeating, alcohol consumption, or smoking in an attempt to reduce stress.
- Difficulties in their relationships.
In addition to helping individuals with specific problems, our group is available for helping organizations in ways to enhance productivity, health, happiness, and quality of life. To this end we offer on-site training seminars, consultations, and lectures in the following areas:
- Stress Management
- Effective Communication
- Enhancing Self-Esteem
- Assertiveness Training
- Managing Difficult People
- Goal Setting and Visualization
- Peak Performance
- Reducing Anger, Aggravation and Type A Behavior
- Regaining Control of Your Life and Time
- Coping With Change
Make An Appointment
We see patients who refer themselves or are referred by a family member or friend, by their family physician, a community agency or other Cleveland Clinic personnel. To make an appointment or referral during business hours (8:00 a.m. to 5:00 p.m.), please call: 216.444.6115 or 800.223.2273 ext. 446115.
Former Patients call: 216.444.5812 or 800.223.2273 ext. 45812
24-Hour Help Line
For 24-hour information and referral advice, please call 216.444.8739 or 800.223.2273 ext. 48739.
The Cleveland Clinic Center for Behavioral Health has added the Intensive Outpatient Program (IOP) to our extensive service offerings. This comprehensive, adult behavioral health program, which is conveniently delivered at Lutheran and Marymount hospitals, has been created to address the unique needs of patients who can benefit from more concentrated services while maintaining active lives in the community.
Innovative Program Design
The IOP has been designed to treat adults who are suffering from mood disorders and varying levels of depression but are still functioning in their daily lives. Our supportive, caring and structured approach allows us to help our patients reduce mood disorder symptoms, regain their lost confidence and achieve greater levels of functioning. Overall, we aim to help our patients return to work, resume their daily activities and restore their role as a contributing member of their family and community.
The IOP is an ideal fit for those who need additional support beyond a weekly therapy session. The program is available three or four days per week and requires attendance for three and a half hours each day. The program is generally four to six weeks in duration, but may be shortened or extended based on a patient’s individualized needs, treatment plan and assessment results.
The hallmark of the IOP is our commitment to delivering highquality, personalized behavioral health care. Our first step in treating a new patient is to conduct a complete psychosocial assessment to determine their personal goals for completing the program. This comprehensive tool also enables us to evaluate the patient’s symptoms, personal and family psychiatric history and suicide risk. We also use the assessment to measure family support and identify stressors and individual strengths.
Other features of the program include:
- Individualized medical monitoring by a nurse
- Individualized coordination of medical and behavioral monitoring with each patient’s private physician
- Transparent and frequent communications with referring physicians, including regular patient progress reports
- Group therapy focused on illness management as well as behavioral and emotional life skill development
- Family support and discharge planning
Group size, which generally ranges from eight to 12 patients, is limited to 15 participants to ensure that patients receive the personal attention of our staff.
Our program staff is a team of experienced licensed independent social workers, counselors and psychiatric nurses who have access to the treating psychiatrists.
Our patients consistently rate our program’s overall quality as excellent.
Flexible Program Schedule
To accommodate our patients’ independent lifestyles, we deliver a flexible program schedule with daytime and afternoon sessions. Our daytime programs are held from 9 a.m. to 12:30 p.m. and our afternoon sessions from 1:15 to 4:45 p.m. The number of days the program is held each week varies by location.
Convenient Service Locations
The IOP is delivered at two of Cleveland Clinic’s most accessible regional hospitals, Lutheran and Marymount. The Lutheran IOP is held four days per week during the morning hours; the Marymount IOP is held three days per week during the morning and four days per week in the afternoon hours.
Marymount Hospital also offers a dual-diagnosis program, a co-occurring disorders program, and integrated treatment of patients with concurrent substance abuse and mental health conditions.
Referral and Contact Information
To refer a patient to our IOP program or to obtain more information about sessions at each location, please contact the following:
Electroconvulsive Therapy (ECT)
Electroconvulsive therapy (ECT) is a procedure in which electric
current is carefully applied to the brain to trigger a seizure. It is
typically used to treat patients who are suffering from a number of
psychiatric conditions, especially severe depression and catatonic
(rigid, unmovable) states. It works by relieving symptoms that are
not responsive to other treatments.
Is it time to consider ECT?
ECT is a safe, effective and FDA-approved treatment. Although it
is most commonly used to treat the often painful and debilitating
consequences of severe or treatment-resistant depression, it is also
used to treat certain neurologic, psychotic and manic symptoms.
ECT is one of the fastest ways to relieve symptoms in severely
depressed or suicidal patients, in patients who suffer from mania,
and in other mental illnesses. It is generally used as a treatment
option in the following circumstances:
- Severe depression is unresponsive to other forms of therapy
- When a patient doesn’t tolerate the side effects
of psychiatric medications
- In older patients who are taking multiple medications for other
illnesses and who are not able to take additional medications
- When a patient is so ill that his or her life is in danger
- Those who have been successfully treated with ECT in the past
- In patients who pose a severe threat to themselves or others,
and it is dangerous to wait until medications take effect
For more information, please download our ECT flyer below.
Understanding Electroconvulsive Therapy ECT
Specialists from Cleveland Clinic’s Center for Behavioral Health perform ECT at Lutheran Hospital and
at Marymount Hospital, Cleveland Clinic hospitals.
To make an appointment or refer a patient for ECT at Lutheran Hospital, please call 216.363.2297.
To make an appointment or refer a patient for ECT at Marymount Hospital, please call 216.587.8335.