Summary
Our multifaceted team of psychiatrists, therapists and behavioral specialists helps patients with mental health and chemical dependency issues. We offer adults and adolescents both outpatient and inpatient care at specialized facilities located in southwest Virginia.
About the department
Virginia Tech Carilion Partnership
The Fralin Biomedical Research Institute at VTC, headed by neuroscientist Michael Friedlander, Ph.D., is growing rapidly and incorporates large and well-funded initiatives in functional neuroimaging, health behavior research, addictions and interventional psychiatry. We are developing close linkages in each of these evolving domains and working to ensure that our patients are provided access to cutting-edge care and interventions, including transcranial magnetic stimulation.
Mission Goals Strengths

Our mission is to advance the mental and physical health of our communities, and to become an internationally recognized pioneer of clinical excellence through the dedicated integration of education, discovery and recovery.

What will psychiatry look like in the years ahead? At Carilion, the Department of Psychiatry and Behavioral Medicine is not only transforming the way care is conceived of and delivered for our patients, but we are working to train and shape the physicians and thought leaders of tomorrow through our work with the Virginia Tech Carilion School of Medicine and the Fralin Biomedical Research Institute at VTC.

By integrating our services into specialty clinics, primary care offices and community-based agencies, we are able to hone in on the best ways to treat mental illness and substance abuse disorders within our region.

In addition, Carilion’s vast network allows us to reach out to those in rural communities through our tele-psychiatry program via emergency psychiatry, inpatient psychiatry, ambulatory care, consultation and tele-therapy.

As we prepare to meet the challenges of the future of medicine, we are actively recruiting new faculty. If you’re interested in learning about the possibility of joining us in this endeavor, please contact us. You will find a warm welcome and an opportunity to grow an extraordinary career.

Message From Leadership

Robert Lee Trestman, Ph.D., M.D., joined Carilion in April 2017 as chair of Psychiatry. Dr. Trestman is a nationally recognized expert in psychiatry and population health and has an extensive background in education and research.

Dr. Trestman previously was a tenured professor of medicine and psychiatry at the University of Connecticut School of Medicine, with a joint appointment as professor of nursing. He served as executive director of Correctional Managed Health Care (CHMC), a division of the University of Connecticut Health Center. In this role, he led a health system that provided global health care to all inmates within the Connecticut Department of Correction. Prior to that, he served in numerous academic and leadership roles at the University of Connecticut, Mount Sinai Medical Center and the Bronx Veterans Affairs Medical Center.

Dr. Trestman has authored more than 180 peer-reviewed articles and other publications, and is the senior editor of the first textbook in the field of correctional psychiatry, the Oxford Textbook of Correctional Psychiatry. Dr. Trestman is the co-developer of START NOW, a skills-based psychotherapy in use in five countries. Dr. Trestman has given over 150 regional, national and international invited presentations. He is the chair of the APA Council on Healthcare Systems & Financing, chair-elect of the American Hospital Association’s Behavioral Health Council, chair of the Research Committee of the American Academy of Psychiatry and the Law Institute for Education and Research, and chairs of the American Association of Chairs of Departments of Psychiatry’s Clinical Enterprise Committee.

Education and Training

  • Mount Sinai Medical Center: Internship and Residency
  • University of Tennessee: M.D.
  • University of Tennessee: Ph.D.
  • Carnegie Mellon University: B.S.
Message From Leadership Image or Video
image
Doctor Robert Trestman
Caption

Robert L. Trestman, Ph.D., M.D.
Chair of the Department of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine
Senior Vice President and Chair of Psychiatry and Behavioral Medicine, Carilion Clinic

Department Specs
Two inpatient psychiatric care facilities:
* Carilion Medical Center (Roanoke, Va.)
* 35 adult beds
* 14 child and adolescent beds
* Carilion New River Valley Medical Center (Christiansburg, Va.)
* 36 adult beds
Dept Spec Program Size
42 faculty
32 residents
Dept Spec Services
Interventional psychiatry to include ECT (electroconvulsive therapy), TMS (transcranial magnetic stimulation), ketamine/Spravato treatment and vagal nerve stimulation (VNS)
Addiction treatment, including OBOT (office-based opioid treatment) for those suffering from an opioid use disorder
Pain management
Collaborative care
Psycho-oncology
Virtual outpatient psychiatric consultation with primary care
Dept Spec Specialties within Department
Adult Psychiatry
Geriatric Psychiatry
Child and Adolescent Psychiatry
Addiction Psychiatry
Youtube Ids
d7jlK-8O7vw
Overview

Our faculty numbers more than 60 individuals housed in multiple locations in the Carilion Clinic system and at the Salem Veterans Affairs Medical Center (VAMC). Our residency program focuses on research competence and scholarship, key elements in developing the skills necessary for the future psychiatric physician. Our work incorporates evidence-based psychotherapy training and decision support in psychopharmacology. We foster an interprofessional approach to care delivery and work closely in the development and implementation of evidence-based practice as a standard of care. We’re at the beginning of a transformative process: Carilion Clinic has committed major funding to help build new facilities for our department.

Leadership Profile
Captioned Image
Display Images First
Off
News
News Block
image
Carilion Clinic logo
Header
Notes from the Chair
Summary
Notes from Dr. Robert Trestman, Chair, Psychiatry and Behavioral Medicine
Add Link or Upload FIle
News Block
image
Carilion Clinic Logo
Header
Grand Rounds Video 11/5/2020
Summary
Dr. Trestman's presentation on The Impact of Structural Racism, COVID-19 and Childhood Trauma on Pediatric Mental Illness
Add Link or Upload FIle
News Block
image
Carilion Clinic Logo
Header
Psych News - February 2021
Summary
News and happenings in the Department of Psychiatry and Behavioral Medicine
Add Link or Upload FIle
News Block
image
Carilion Clinic Logo
Header
Department Highlights - February 2021
Summary
February's highlights
Add Link or Upload FIle
News Block
image
Carilion Clinic logo
Header
Psych News - January 2021
Summary
News and happenings in the Department of Psychiatry and Behavioral Medicine
Add Link or Upload FIle
News Block
image
Carilion Clinic Logo
Header
Psych News - December 2020
Summary
News and happenings in the Department of Psychiatry and Behavioral Medicine
Add Link or Upload FIle
News Block
image
Carilion Clinic Logo
Header
Psych News - November 2020
Summary
News and happenings in the Department of Psychiatry and Behavioral Medicine
Add Link or Upload FIle
News Block
image
Carilion Clinic logo
Header
Psych News - October 2020
Summary
News and happenings in the Department of Psychiatry and Behavioral Medicine
Add Link or Upload FIle
News Block
image
Carilion Clinic logo
Header
Psych News - Sept. 2020
Summary
News and happenings in the Department of Psychiatry and Behavioral Medicine
Add Link or Upload FIle
News Block
image
Carilion Clinic Logo
Header
Psych News - August 2020
Summary
News and happenings in the Department of Psychiatry and Behavioral Medicine
Add Link or Upload FIle
News Block
Publications
Our Technology
Additional Technology Info
Research
Research Summary
Research and scholarly pursuit are mainstays of the Department of Psychiatry and Behavioral Medicine. In addition to research mentorship and guidance involving medical students, psychiatry residents and fellows, faculty participate in discovery projects that revolve around translational science consistent with our colleagues at the Fralin Biomedical Research Institute at VTC. These collaborations emphasize biological, behavioral and clinical measures that contribute to the ever-expanding scientific literature in understanding neuropsychiatric illness as well as normal behavior.
additional html blurb

Educational research and scholarly activity focus on development and implementation of new curricula, assessment tools and methods of tracking outcomes and career choice.

The department remains active in clinical trials with community volunteers and Carilion Clinic patients from child to geriatric individuals. Clinical areas of compound/product development include autism, mood disorders, substance use disorders, dementia and psychosis on both an inpatient and outpatient basis.

The department is also actively involved in adapting existing models of psychotherapy to new populations with particular goals of identifying predictive markers of success.

Finally, population health research strategies and continuous latest-treatment algorithms are the ultimate goal as the department seamlessly seeks to combine measurement-based care (MBC)/patient-rated outcome measures (PROMs).

Faculty
Contact and Careers
Job Postings
FAQs
FAQs Html

CONNECT

CONNECT is the section within the Carilion Clinic Department of Psychiatry and Behavioral Health that provides assessment, triage and referral services for those in need of psychiatric and substance abuse assistance. A 24-hour service, CONNECT comprises experienced psychiatric nurses and licensed, master’s-level psychiatric social workers and counselors. Assessments are performed for all patients in the Emergency Departments of the extended Carilion Clinic system, either face-to-face or through video technology. Recommendations for appropriate levels of care are screened with a psychiatrist, and CONNECT facilitates the disposition.

CONNECT receives over 8,000 calls per month, including requests for resources, crisis calls and bed requests from all over Virginia. It is responsible for managing the admissions and throughput of patients to the psychiatric units at Carilion Roanoke Memorial Hospital and the Carilion New River Valley Medical Center, facilitating telepsychiatry consults and performing chemical dependency consults on medical inpatients.

START NOW

START NOW integrates research, theory and clinical experience. It is designed to be a strengths-based approach, focusing on an accepting and collaborative clinical style. At the same time, this approach places the primary responsibility for change on the participant. This intervention was also designed to take into account the pragmatic factors of a variety of care delivery settings, which frequently face limited treatment resources. Learn more.

The Carilion Clinic Addiction Task Force

Vision: A vibrant and healthy community free of health-impairing addictions.

Mission: To coordinate and facilitate Carilion's efforts to address the health-impairing addictions in our communities.

Learn more.

Is Subspecialty
Off
Education
Residencies Intro
Residents will train in Carilion Clinic’s Department of Psychiatry and Behavioral Medicine, which offers group and individualized treatment in outpatient and inpatient settings in the Roanoke and New River Valleys. We have been ACGME accredited since 1991.
Residencies

Psychiatry Residency

Is Fellowship
Off
Is Fellowship Accredited
Off
Hero Image Categories
Building
Hero Image Selection
Option 3
Summary
Residents will train in Carilion Clinic’s Department of Psychiatry and Behavioral Medicine, which offers group and individualized treatment in outpatient and inpatient settings in the Roanoke and New River Valleys. We have been ACGME accredited since 1991.
Fellowships Intro
Our program at Carilion Clinic gives our fellows exposure to innovative research in the fields of behavioral health and neuroscience.
Fellowships

Child and Adolescent Psychiatry Fellowship

Is Fellowship
On
Is Fellowship Accredited
On
Hero Image Categories
Non-Surgical
Hero Image Selection
Option 1
Summary
The Child and Adolescent Psychiatry training program teaches the medical knowledge and clinical skills child psychiatrists require to practice with excellence.
Resident Testimonials

Addiction Medicine Fellowship

Is Fellowship
On
Is Fellowship Accredited
On
Hero Image Categories
Building
Hero Image Selection
Option 3
Summary
text
Faculty
Specialty Group
Program Director
Specialty Group
Obstetrics and Gynecology Specialist