A prospective resident may apply to one or more areas of emphasis within the APA-accredited Residency program. An area of emphasis is defined as a placement setting in either child/adolescent or adult psychology which serves as the primary site(s) of training for the Resident for the training year. The areas of emphasis are described below. Residents training in the specialty areas of Neuropsychology and the Anxiety Disorders Center are under the direction of the Director of Training and participate in the seminars with all Residents, although they are not currently part of the APA-accredited Postdoctoral Training Program.
The Institute of Living currently offers 6 APA-accredited positions, with 9 potential areas of specialty: (1) Adult Inpatient Psychology; 2) Child and Adolescent Inpatient Psychology; 3) Psychosis/Persistent Mental Illness; 4) Child and Adolescent School-Based Assessment and Treatment; 5) Health Psychology/Behavioral Medicine; 6) LGBTQ+ Gender Affirmative Care; 7) Psychological Assessment; 8) Family and Couples Therapy; and 9) Metacognitive Reflection and Insight Therapy.
Please note, we will be interviewing and accepting applications for all of these specialties, with 6 positions available. Decisions regarding admission will be determined based on goodness of fit with the applicant’s training goals and experience.
APA-Accredited General Clinical Psychology Area of Emphasis:
Adult Inpatient
The focus of the inpatient fellowship is on the delivery of brief, intensive treatment with patients admitted to our general adult inpatient psychiatric units in the role of Psychology Consultant. Within the inpatient hospital at IOL, there are 4 adult units and 3 child and adolescent units which are all serviced by the Inpatient Psychology Consultation Service. The Hartford area is richly diverse, allowing for advancement of cultural competence at the forefront of both patient and systemic interactions. Diversity and Equity are a focus within case formulation and treatment planning, while also being openly discussed in meetings and councils throughout the healthcare system. The consultation service acts as an adjunct and complement to the current treatment plan and can include the provision of individual psychotherapy, targeted interventions, individualized behavior plans, case conceptualizations, risk assessments, and treatment recommendations. The fellow acts as expert and consultant to the requesting treatment team.
The fellow works across all adult and older adult units and becomes part of the requesting interprofessional team which includes, Psychiatry, Social Work, Nursing, Recreation Therapy, Recovery Support Specialists and Mental Health Technicians. The requests typically involve assistance with highly complex, high risk, or high needs patients. The fellow is a key member of this consultation service and will be expected to quickly assume an independent level of functioning; therefore, applicants with psychiatric inpatient experience are highly desired. Applicants should also be comfortable with psychodynamic theories and Cognitive Behavioral Therapy. Fellows will facilitate both process-oriented and skills-based groups across multiple adult inpatient units. At times, these groups will be run independently and intermittently co-facilitated with interns and practicum students. This will provide in-vivo supervisory experience for the Fellow in addition to 30 minutes per week of supervised supervision of the inpatient Intern. Fellows participate in supervised research (4 hours reserved/protected weekly) that has generally focused on clinical topics related to their fellowship. Fellows present their research at the Psychology Department’s Research Day during the summer.
Child/Adolescent Inpatient
Child/Adolescent Inpatient Training is science-informed and will focus on the preparation for advanced practice competence in provision of brief inpatient treatment with children and adolescents presenting with a wide range of acute and severe psychopathology. The treatment model integrates empirically supported interventions, contemporary psychoanalytic object relations perspective and systems/family work.
Residents will develop advanced skills and experience in rapid psychodiagnostic and risk assessment, case formulation, and assessment with DSM-V diagnosis. In addition, Residents will develop advanced competency in consultation, treatment planning, and case management (when appropriate). Interventions used/developed during training include individual psychotherapy, group therapy, psychopharmacology, family therapy, milieu therapy, and behavioral/cognitive-behavioral/DBT techniques.
Residents will provide consultation through the Inpatient Psychology Consultation Service to the child and adolescent units throughout the duration of their training year. Depending on the consultation question and the clinical need, the resident will carry up to 3-5 consultations at a time. The consultation service acts as an adjunct and complement to the current treatment plan and can include the provision of individual psychotherapy, family therapy, specialized treatment interventions, individualized behavior plan and staff support plans, complex case conceptualizations, risk assessments, and treatment recommendations. Residents will work collaboratively with the multi-disciplinary treatment team to identify treatment needs and provide consultation. There is also the opportunity to provide consultation to the adult units when there is a need and interest.
Residents will receive extensive training in group therapy; facilitating/co-facilitating around 8 groups per week across the child, pre-adolescent, and adolescent units. Training will focus on process-oriented and skills-based group psychotherapy with adolescents. Social-skills and process-oriented group therapies are provided for child units.
The amount of direct service will vary considerably based upon individual patient needs but on average, each patient will require a minimum of 30 minutes daily of direct contact individually and involve multiple family meetings (when doing a family therapy consultation) during the week. Additionally, an integral aspect of the Resident’s training is developing experience with and competence in milieu therapy; the Resident will support the Unit Psychologist in milieu management, crisis intervention, and staff education/training. There will be many opportunities to develop leadership skills through involvement in program development and implementation, unit-wide initiatives, and Trauma-Informed Care staff training.
Couple and Family Focus Psychology Postdoctoral Fellowship
The Couple and Family Focus Psychology Postdoctoral Fellowship at the Institute of Living provides specialized training in relational and systemic therapy across the lifespan, distinguishing itself through its intensive focus on couple and family dynamics rather than individual treatment. What makes this track unique is its integration of family systems work within medical and behavioral health contexts, particularly through collaboration with the Health Psychology Division and the Family Resource Center. Fellows gain expertise in evidence-based relational models like Emotionally Focused Therapy while working with couples and families navigating both relational challenges and medical conditions—a distinctive intersection not found in traditional psychology training programs.
The fellowship's specialized nature is evident in its emphasis on the relational unit as the primary focus of intervention, requiring fellows to develop advanced competencies in systemic assessment, family dynamics, and multi-person therapy modalities. Unlike general psychology fellowships at the hospital, this track centers on relationship distress, parenting concerns, and family adjustment to medical issues, preparing fellows specifically for practice as couple and family therapists within psychology. Fellows receive supervision from experts in family systems theory, have opportunities to develop psychoeducational materials for family resilience, and may supervise trainees—all while being embedded in a multidisciplinary medical setting that provides exposure to how families function within healthcare contexts. This combination of relational expertise and medical integration creates a specialized training pathway distinct from the broader individual-focused psychology programs at IOL.
Health Psychology
The Health Psychology program includes training in assessment, consultation, and brief interventions for medical patients, with a variety of potential medical areas including surgical and medical weight loss, cardiology, oncology, transplant, neurology, and men’s/women’s health.
The Department of Psychology at the Institute of Living/Hartford Hospital is pleased to accept applications for one, one-year postdoctoral residency positions in clinical psychology with an emphasis in health psychology, to begin in fall of 2025. The residency follows the scientist-informed model of training and is an area of emphasis of the one-year APA-accredited postdoctoral residency program at the Institute of Living. The intent of the training program is to further the resident’s growth as a clinical psychologist and to develop advanced competency within the area of clinical health psychology. While the residency will emphasize evidence-based practices, the resident will receive training from various theoretical models, providing a unique perspective on the integration of mind and body problems.
The primary aim of the residency is to provide experiences in clinical assessment and intervention to adult patients experiencing a wide range of medical and psychological problems. The position is outpatient-based and includes consultation and diagnostic interviewing, pre-surgical psychological evaluations, short-term psychotherapy and behavioral interventions, and group therapy. The resident is provided ample didactic experiences and opportunities for teaching and supervision. There is also a requirement for a research project to be completed during the course of the year. There is flexibility in terms of primary clinical area of focus, with possible opportunities in the following areas:
- Tallwood Men’s Health, being a critical team member in a multi-specialty center for comprehensive care that includes urology, oncology, cardiology, weight management and primary care.
- Hartford Hospital Inpatient Physical Medicine and Rehabilitation, caring for patients who are recovering from major illnesses, injuries or surgeries, helping them regain independence and quality of life
- Hartford Hospital Consultation Liaison service, providing psychological assessment and intervention to medically hospitalized patients
Applicants must have completed all requirements for the doctoral degree, including the completion of an APA-accredited predoctoral internship in clinical psychology. Preference is given to candidates with prior training and experience in health psychology, but this is not a requirement.
Psychological Assessment
This position involves advanced training in psychological assessment across the lifespan with emphasis on complex case conceptualization and differential diagnosis. Fellows are expected to complete two psychological assessments each week. For each case, the Testing Fellow is responsible for record review, clarifying the referral with the interdisciplinary treatment team, test battery selection, clinical interviewing with the patient (and family when applicable), administration of an integrated test battery, scoring, interpretation, report writing, and interactive feedback to the referring team, patient, and/or family. Supervision is provided for all aspects of the assessment process, and the Testing Fellow is expected to function with increasing independence as the year progresses. Depending on case complexity, the Testing Fellow receives approximately 1 to 3 hours of supervision per case.
The Psychological Testing Service receives referrals from nearly all programs within the Institute of Living, including our six inpatient units, Intensive Outpatient (IOP) and Partial Hospitalization (PHP) programs, and outpatient programs. On every case, the fellow serves as a specialized consultant to interdisciplinary treatment teams across levels of care and program specializations. Test batteries are individualized to the referral question but generally include a clinical interview, a brief cognitive and intellectual battery, self-report (and parent-report) measures, and performance-based assessments. There is a strong emphasis on personality assessment (PAI, MMPI, Millon) and performance-based measures (Rorschach and CAT/TAT). We recently switched to the R-PAS, and the primary supervisor has extensive experience with both Exner and R-PAS. Some prior Rorschach experience is required. Batteries sometimes include neuropsychological measures, and there are opportunities for autism assessment training across the lifespan, including the ADOS-2 and MIGDAS-2. Common referral questions include suicide and violence/threat risk, complex differential diagnosis, psychotic-spectrum disorders, personality pathology, the nature of mood disorders (e.g., depression versus bipolar), the ongoing impact of trauma, malingering, cognitive or intellectual functioning, and neurodevelopmental disorders.
In addition, the Testing Fellow carries at least two outpatient therapy cases throughout the training year, assigned based on the fellow’s needs and interests. As the year progresses, the fellow may build supervisory skills through tiered supervision of interns and practicum trainees, as well as by leading group didactic sessions. Elective experiences can be tailored to the fellow’s interests (e.g., neuropsychological testing, school-based assessment, health psychology, group therapy, or forensic work).
LGBTQ+ Gender Affirmative Care
The training program adheres to a science-informed model that actively integrates contemporary psychodynamic and cognitive-behavioral models. The focus of the LGBTQ+ fellowship will be a hybrid model where the fellow will provide LGBTQ+ gender-affirmative care within Young Adult Services (YAS) the Right Track Intensive Outpatient Program (IOP) in addition to helping with a Center for Gender Health Clinic that will initially run 2x/month with efforts to expand throughout the year.
The requests typically involve assistance with highly complex, high risk, or high needs patients. The fellow will become a part of the interprofessional team which includes Psychiatry, Social Work, Vocational Counseling, Case Management, and Recovery Support Specialists. The Right Track/LGBTQ Specialty Track IOP is a group-based therapy model that focuses on LGBTQ young adults (ages 16-26) who struggle with mental illness. The goals of the program are to help patients develop the ability to identify and modulate stress and stigma, strengthen family and family-of-choice connections, expand individual positive and creative coping skills, and capitalize on personal strengths. This is an IOP where the fellow will be expected to sit in/help with group programming 3 days per week, 3 hours per day (Monday, Wednesday, Thursday from 1-4pm). At times, these groups will be run independently and are intermittently co-facilitated with interns and/or practicum students. In addition, the fellow will be involved in intake assessments and team meetings. During the training year, the fellow will help design and run groups within the IOP group setting. In the past, topics have included: Process Groups related to LGBTQ+ issues/concerns, Mindfulness Series, Self-Compassion Series, and CBT/DBT Skills Training.
The Center for Gender Health Clinic will initially be a 2x/month specialty clinic for LGBTQ+ patients to receive several services which includes Psychology, Psychiatry, Primary Care/Infectious Disease, Endocrinology, and Case Management. The fellow will be expected to help assess patient’s readiness for gender affirming treatments, alongside a Licensed Clinical Psychologist. The fellow will also have opportunities to share their own voice and help be an essential part in building the Center for Gender Health here within Hartford HealthCare.
Metacognitive Reflection and Insight Therapy (MERIT) Fellowship
The Institute of Living offers a specialized 1-year postdoctoral fellowship in Metacognitive Reflection and Insight Therapy (MERIT) for individuals with psychotic disorders. This evidence-based, recovery-oriented training focuses on enhancing metacognitive capacity—or "thinking about thinking"—in persons with schizophrenia spectrum disorders and other serious mental illness. Fellows carry a caseload of 8-10 individual outpatient psychotherapy cases, learning to deliver MERIT's eight core therapeutic elements including engaging in therapeutic dialogue, eliciting narrative episodes, discussing interpersonal processes, and facilitating metacognitive knowledge application. Training emphasizes comprehensive assessment using the Metacognition Assessment Scale-Abbreviated (MAS-A) and tailoring interventions to match patients' current functioning levels.
A distinctive feature of this fellowship is the dual focus on clinical excellence and teaching dissemination. Fellows co-facilitate educational seminars for psychology interns, psychiatry residents, and staff while gaining experience with complex presentations including treatment-resistant psychosis, co-occurring disorders, and trauma histories. The program includes at least 4 hours of protected weekly research time for supervised activities related to MERIT and metacognitive processes, with opportunities to investigate recovery outcomes, explore effectiveness with specific populations, or develop delivery innovations. Fellows work with faculty mentors on projects contributing to the evidence base and present their research at the department's annual Research Day.
Treatment of Psychotic and Persistent Mental Illness
The Psychosis/Persistent Mental Illness fellow is integrated in the greater fellowship cohort through meetings and seminars but focuses on psychosis across levels of acuity and throughout the lifespan.
The focus of this fellowship is to immerse the fellow in work that focuses on treating individuals with psychosis across levels of acuity presenting with heterogeneity in symptom and at varying levels of onset (e.g., high-risk, first-episode, chronic). As such, the fellow will work with individuals with serious and persistent mental illness/psychosis in a variety of settings, such as our Schizophrenia Rehabilitation Intensive Outpatient Program, our Young Adult Potential track for First Episode intervention, and/or our Adult Inpatient units. The fellow will also have the option to carry an outpatient caseload of individuals suffering from psychotic illness across the lifespan.
Work at the Schizophrenia Rehabilitation Program (SRP) focuses on individual, group and family therapy, case management, cognitive remediation and psychoeducation for participants with chronic psychosis. The SRP also conducts and incorporates the latest research on the treatment and rehabilitation of schizophrenia to develop a best practice model for assessment and intervention. Research in the program includes vocational and cognitive interventions and outcomes, behavioral interventions and psychopharmacological interventions.
Work at the Potential track of the Young Adult Intensive Outpatient Program offers the opportunity for individual and group intervention for young adults in their first episode of psychosis. Both SRP and Potential programs offer the opportunity to conduct diagnostic and functional assessments in support of research and clinical interventions.
Work in the inpatient unit will include provision of consultative services to inpatient multidisciplinary treatment teams, individual therapy, group therapy, family therapy, and case management.
There will also be opportunities to work with our adolescent psychosis program (ASAP) wherein the fellow will be exposed to those individuals presenting with at-risk or prodromal symptomatology, or our Adult Day intensive outpatient program, where patients have a wider range of serious and persistent mental illness. Across settings, the fellow will facilitate both process-oriented and skills-based groups, be involved in individual and family treatment modalities, consult and work as part of various interdisciplinary teams, and be exposed to clinical research with these populations.
The Hartford area is richly diverse, allowing for advancement of cultural competence at the forefront of both patient and systemic interactions. Diversity and Equity are a focus within case formulation and treatment planning, and are openly discussed in meetings and councils throughout the healthcare system.
School-based Psychological Assessment and Psychotherapy
The Grace Webb School is our on-site therapeutic school that provides elementary, middle, and high school programming. The school and the outpatient clinics serve the regional and local community, which includes very ethnically, racially, and socioeconomically diverse populations. In addition to providing academic programming, Grace Webb School also provides individual and group psychotherapies to the students, and a broad spectrum of psychiatric diagnoses (mood; anxiety; psychosis, autism; trauma-related; personality) is represented.
The Resident working in the Grace Webb School will have the opportunity to carry child and adolescent cases in school and provide individual, group, and family psychotherapies. The Resident will also engage in crisis intervention, develop consultation skills, and conduct cognitive and personality testing to children and adolescents. The Resident will complete an average of two to three comprehensive assessments each month. Testing referrals include psychodiagnostic evaluations for school planning and placement team meetings. Residents work closely with psychiatrists, other psychologists, teachers, and social workers within the service. Students are typically enrolled for the full academic year, and as such the Residents have the opportunity to provide longer-term therapy. There is also the option of the Resident becoming involved in elective training opportunities throughout the IOL's outpatient clinics.
Cases are conceptualized in supervision from contemporary psychodynamic and behavioral perspectives. Integration of psychodynamic, family systems, and cognitive- behavioral conceptualizations with DSM-V diagnosis is emphasized. Training focuses on advancing the Resident’s skills in case conceptualization, intervention, assessment, and consultation, as well as professional development goals. Residents also participate in supervised research (4 hours reserved/protected weekly) that has generally focused on clinical topics related to their training. Residents present their research at the Psychology Department’s Psychology Research Day during the summer.
Applicants should have clinical experience with children and adolescents with significant mental health issues, preferably with some experience in milieu-based settings. Applicants should have competence in psychological testing, including at least some training or experience with projective testing.
Non-Accredited Specialty Tracks
Clinical Neuropsychology Fellowship
(https://instituteofliving.org/health-professionals/division-of-neuropsychology/education)
The Clinical Neuropsychology Residency is a member of the Association of Postdoctoral Programs in Clinical Neuropsychology (APPCN) and is structured to meet Houston Conference and APA Division 40 Guidelines for training in neuropsychology with a goal of preparing fellows for board certification. The program collaborates with the Departments of Psychiatry and Psychology at Hartford Hospital and the Institute of Living, as well as the Departments of Neurology and Neurosurgery at Hartford Hospital.
In accordance with Houston Conference guidelines, the Resident receives intensive training in the science and practice of clinical neuropsychology including opportunities for assessment, intervention, and research. We carry two postdoctoral Residents, starting on alternate years. Training differs across the two years in content, population, autonomy and to a degree, complexity, though the training program will flex to meet each fellow’s individual training needs.
Areas of emphasis include inpatient medical work, with referrals from neurology and PM&R, including stroke, traumatic brain injury, and brain tumor, as well as referrals of medically complex patients from other hospital departments (e.g., internal medicine, cardiology); outpatient evaluations in a general clinic, a movement clinic, and a memory care center; and inpatient neuropsychological evaluations within the psychiatry service, with questions related to differential diagnosis (often of dementia), ongoing impact from an established CNS insult (often TBI or CVA), or to acquire a cognitive profile in individuals who have serious mental illnesses such as schizophrenia or bipolar disorder. Trainees also are involved in our late career assessment service, neurosurgery, clinically focused research, and interact with Residents from across the campus.
Cognitive Behavioral Therapy
The Anxiety Disorders Center (ADC) at the Institute of Living/Hartford Hospital invites applications for a one-year postdoctoral fellowship (with an option for a second year, to be determined mutually) beginning in Fall 2025. The ADC is a combined clinical and research unit specializing in cognitive-behavioral therapy (CBT) for anxiety, obsessive-compulsive, and mood-related problems, and applied research on the nature and treatment of these disorders.
We are inviting applications for a postdoctoral fellow who will spend approximately 75% time providing clinical services, and approximately 25% time participating in research activities. We are recruiting for one fellow position. There is flexibility on if the position will be primarily focused on work with adult patients, adolescent and children, or a combination of the two based on applicant interest. Clinical duties will include assessment and outpatient cognitive-behavioral therapy, including intensive behavior therapy in our new Anxiety Disorders Center Intensive Outpatient Service. Our Intensive Outpatient Program (IOP) offers specialized treatment for adults (18+) struggling with anxiety-related conditions.
Research activities may include serving as a study therapist or independent evaluator, writing articles, or conducting data analyses. Numerous opportunities exist for independent basic or applied research as well. Although extensive research experience is not required, the ideal candidate will demonstrate adherence to the scientist-practitioner model, enjoys working in a research-rich environment, and seeks opportunities to connect clinical and research activities. All postdoctoral fellows at the Institute of Living complete and present on a year-long research project. Other duties may include supervision of graduate clinicians and conducting workshops and trainings.
Qualifications include a doctoral degree in clinical psychology (APA accredited) and experience with cognitive-behavioral interventions for anxiety-related disorders.