Pediatric OCD & Tourette Specialty Clinic


Carol Mathews

Carol Mathews M.D.

Psychiatry Chair & Professor

Director, Center for OCD, Anxiety, & Related Disorders

A. Required rotation, beginning in academic year 2017-2018, in the first and second year of training at UF Health Springhill Health Center requiring 10% of the resident’s time. Three hours is devoted to direct patient care and one hour to a collaborative care conference with child psychiatry and medical psychology.

B. Faculty consists of 1 full-time psychiatrist

C. Residents see new and follow up patients for evaluation, diagnosis and treatment in the outpatient setting. Faculty is present on site.

D. Patients are children, adolescents and transitional age youth under 25 years.

E. Following are the goals and objectives of this rotation:

Goal: To provide high quality outpatient care to children and adolescents with OCD, tics, and related disorders, with priority on safety and use of interventions with established effectiveness.


Patient Care

  • Obtain an accurate history, customized to the patient’s complaints.
  • Obtain information that is sensitive and not readily offered by the patient.
  • Incorporate clinical practice guidelines for treating patients.

Medical Knowledge

The resident will

  • read and familiarize themselves with the AACAP practice parameters for OCD and tic disorders.
  • describe the epidemiology, etiology, comorbidities, risk factors, and course of illness for OCD and tic disorders.
  • describe the mechanism of action and metabolism of psychopharmacological agents used to treat OCD and tic disorders in children and adolescents.
  • describe how development influences the psychopathology of OCD and tics.
  • identify cognitive behavioral therapy (CBT) and exposure response prevention (ERP) techniques for treating OCD and tic disorders.

Systems based practice

The resident will

  • Know the relative costs of care and reimbursement for children with OCD and tic disorders
  • Recognize cultural and community differences that may impact patient care
  • Participate in interdisciplinary conferences with medical psychology to discuss patient cases

Practice based learning

The resident will

  • Regularly seek and incorporate feedback to improve performance
  • Identify self-directed learning goals and periodically review them with faculty


The resident will

  • Demonstrate professionalism by arriving in a timely and prepared manner for outpatient clinic, with appropriate dress and demeanor
  • Complete clinical assignments in a timely manner
  • Demonstrate respectful behavior with others

Interpersonal and Communication Skills

The resident will

  • Communicate effectively with patients using developmentally appropriate language
  • Communicate effectively with other healthcare providers to coordinate patient’s care
  • Complete clinic notes in a timely manner