Psychiatry and
Behavioral Sciences

Psychosomatic Medicine Service at Stanford University Medical Center

MISSION STATEMENT

We strive to improve physical and mental health through better understanding and bridging of the mind-body connection. We intend to reach this goal through the following tasks:


CLINICAL PROGRAMS

Psychosomatic Medicine (PM) is the area of Psychiatry concerned with the psychobiological care of the medically ill. This patient population includes persons of all ages and those cared for in specialized settings such as internal medicine, surgery, organ transplantation, and many others. Psychosomatic Medicine specialists, in addition to providing expert formal psychiatric consultation to medical and surgical patients in the general hospital, specialized hospitals and outpatient clinic settings, also train psychiatrists and non-psychiatrist healthcare providers (e.g., internists, neurologists, surgeons, nurses, physician assistants) in the recognition of normal and abnormal reactions to illness and appropriate psychological care of patients with such reactions.

Thus the Psychosomatic Medicine Service (PMS) functions both as a consultant and as part of the primary medical/surgical treatment team. Via conjoint rounds and teaching conferences (primary intervention), formal consultations (secondary intervention), and involvement in inpatient treatment and discharge planning (tertiary intervention), the PMS provides a comprehensive approach to the emotional, cognitive, and behavioral needs of the patient.

Consultation/Liaison Service: Inpatient Program

The Inpatient Psychiatric Consult -Liaison (C/L) Service provides a critical service to Stanford Hospital & Clinics (SHC) by enhancing the quality of patient care and offering medical colleagues consultation in all psychiatric aspects of patient management. The C/L Service provides consultation in all 16 medico-surgical units at SHC, providing an average of 1200 new consults per year. The services provided include:

Psychosomatic Medicine Clinic: Outpatient Program

The outpatient Psychosomatic Medicine Clinic (PMC) offers a number of services for patients usually referred by physicians in other medical specialties. These services include: evaluative sessions to assess for the presence of psychiatric disorders arising as a consequence of medical disorders or their treatment; psychological assessment for the appropriateness for transplantation and other surgical procedures (e.g., deep-brain stimulator for the treatment of Parkinson’s Disease; bariatric surgery, cosmetic surgery and others); psychopharmacological consultations; psychotherapy; and hypnosis training.

We have ongoing subspecialty clinics to provide specialized services to the following medico-surgical specialties: Internal Medicine & specialty services; General Surgery & specialty services; Neuropsychiatry; Solid Organ & Bone Marrow Transplantation; Composite Tissue Allotransplantation; the Positive Care Clinic (HIV/AIDS); and the Comprehensive Cancer Center.

Peer & Community Training

  1. Our educational program includes the Psychosomatic Medicine Interest Group designed to provide ongoing education to SHC faculty members and community mental health professionals interested in Psychosomatic Medicine. The PMIG takes place the 2nd Wednesday of every month. CE credits are available to interested faculty.

  2. Members of our full time faculty are constantly engaged in various professional and community (i.e., patient driven) educational venues and groups, providing education and training to fellow mental health professionals, other medical colleagues, and the community.

      • San Jose AIDS Education and Training Center (SJAETC) – Dr. McGlynn serves as Medical Director for the SJAETC faculty, a multidisciplinary team representing Stanford and other institutions focusing on providing HIV/AIDS education to community physicians and other healthcare workers.  
      • Stanford Methamphetamine Task Force – A research and community consortium under the direction of Dr. McGlynn, with the mission of reducing methamphetamine use and new HIV infections.
      • APM-Education & Annual Meeting Committees – Dr Maldonado serves as a standing member of both committees.
      • Dr Maldonado conducts educational teaching sessions for the following residency programs: psychiatry, internal medicine, surgery, emergency medicine, neurology, and anesthesia.

RESEARCH & SCHOLARLY ACTIVITIES

The attending physician members of the Psychosomatic Medicine team have been involved in a number of research projects throughout the years including:

1992 – 1993           Psychiatric Profiles of Patients with Spinal Disorders.
1994 – 1995           Psycho-Neurophysiology of Conversion Disorders.
1994 – 1995           The Psychophysiology of Conversion Disorder.
1994 – 1995           Effect of Single-Session Hypnosis on Smoking.
1995 – 1996           Research Network on Mind-Body Interactions.
1995 – 1996           Hypnotic Analgesia in Cancer Patients.
1997                       Incidence of Extra-Pyramidal Symptoms (EPS) Associated with the Use of IV vs.
                                 PO/IM Haloperidol in Agitated, Non-Psych Inpatients in the General Hospital.
1997 – 1998           Recognition, Diagnosis and Management of Delirium in ICU and Critical Care
                                  Unit Patients.
1997 – 1999           An Evaluation of Group Psychotherapy for People with HIV.
1998 – 1999           Psychiatric Sequelae of Bone Marrow Transplantation.
1999 – 2001           Difficult to Extubate Patients: Organic Vs. Functional Disorder: Natural History
                                 and Pharmacological Protocols.
2000 – 2001            Extra-pyramidal Symptoms: A New Diagnostic Scale.
2002 – 2003            A Comparison of Lorazepam Versus Diazepam in the Treatment of
                                  Alcohol Withdrawal.
2001 – 2006            ICU Delirium: Can Dexmedetomidine Reduce Its Incidence?
2006 – 2008            Methamphetamine and HIV Prevention in Santa Clara County.
2007 – 2009            Development of the Stanford Integrated Psychosocial Assessment for
                                  Transplantation (SIPAT) - A New Tool for the Assessment of Solid Organ
;                                 Transplant Candidates
2008 – 2009            Validity and Inter-rater Reliability of the Stanford Integrated Psychosocial
                                  Assessment for Solid-Organ Transplantation (SIPAT)
2009 – 2010            The Pharmaco-economics of Dexmedetomidine for Postoperative sedation
                                  Following Cardiac Surgery.

Current research projects include:

2010 – 2012             Melatonin for Delirium Prevention Study in Elderly Orthopedic Patients
2010 – 2011             Prevalence and Factors Associated with Delirium in BMT patients.
2010 – 2012             Trial of Aromatase Inhibition in Lymphangioleiomyomatosis (LAM) Role:
                                   Neuropsychiatric Consultant, for the SHC site.
2011 – 2014             SAWS: The Stanford Alcohol Withdrawal Scale – A new tool for the prediction
                                   of moderate to severe alcohol withdrawal.
2011 – 2014             SIPAT as predictor of Medical and Psychosocial Functioning
                                  after Transplantation.
2011 – 2014             Novel Methods for the Prevention & Treatment of Alcohol Withdrawal
                                   Syndromes: Beyond Benzodiazepines.

Fellows and residents are welcomed to participate in any ongoing projects and are mentored if they choose to start new projects. In fact, many residents become active members of our research team and many others collaborate in writing scientific papers and/or poster presentations at local and national meetings. Recent examples include (names of trainees in bold):

What follows is a partial list of our faculty’s selected publications:

Back to Top

FACULTY

José Maldonado, M.D., FAPM, FACFE
Program Director

José Maldonado, MD, FAPM, joined the Stanford faculty in 1993 and became Medical Director of the Psychosomatic Medicine Service in 1995. He received his medical degree at Ponce School of Medicine and his psychiatric training at Temple University, in Philadelphia. He completed additional training in Forensic Psychiatry at Temple University, and a fellowship in Consultation-Liaison/Neuropsychiatry at New England Medical Center/Tufts University, in Boston.

For more information about Dr. Maldonado and all other faculty members involved with this program please visit the faculty website:

http://psychiatry.stanford.edu/education/Faculty-pmfp.html

Contact Us

Mailing address:
Psychosomatic Medicine Service
Department of Psychiatry
Stanford University
401 Quarry Road, Suite 2317 
Stanford, CA 94305

Back to Top

Stanford Medicine Resources:

Footer Links: