Transgender Psychiatry Fellowship Program

The Transgender Psychiatry Fellowship (TPF) program is a one-year fellowship designed to train an individual in various aspects of transgender mental health care. Applicants to the TPF will have completed a residency in General Adult Psychiatry, licensed in New York State and are board eligible. Competency in LGBTQ-related mental health care is desirable.

The goal of the TPF is to teach the requisite knowledge involved in transgender medicine and surgery including transgender specific psychiatric evaluation and diagnostics, transgender-specific cultural sensitivity, hormone therapy, indications and contraindications for surgery. The fellow will see patients in the outpatient setting with various faculty, will carry a case load for acute and longitudinal care, will provide inpatient consultation, teach residents and medical students, provide different modes of treatment including psychopharmacology and psychotherapy. The fellow is expected to present a transgender-related topic during the psychiatry department grand rounds.

Curriculum

Direct Supervision

The fellow will receive direct clinical supervision from one of the attending on each case, consisting of individual or joint patient interview and subsequent discussion. Fellow will have both medication management and psychotherapy supervision for both acute and longitudinal cases.

Didactic Training

Fellow will participate in monthly lectures with expert faculty in the field of transgender health that have medical, surgical and psychiatric backgrounds. 

Weekly reading seminar including Journal Club.

Fellows are encouraged to participate in weekly psychosomatic fellows' seminar.

If you are interested in research, you may attend our weekly Research Fellows' Lecture Series to learn more about basic methodology and principles. You are also welcome to participate in other psychiatry research didactics.

Fellowship Expectations

At the end of the First Quarter, fellows should be able to:

  • Be culturally sensitive to transgender-related issues
  • Be proficient in diagnosing gender dysphoria
  • Learn the history and evolution of sexual and gender disorders in psychiatry
  • Understand the indications and contraindications to transgender surgery
  • Have basic familiarity in transgender-related hormone therapy
  • Work in interdisciplinary treatment teams
  • Perform pre-surgical psychiatric evaluations

At the end of the Second Quarter, fellows should be able to:

Perform all of the First-Quarter-Specific goals and objectives with increasing skill plus:

  • Be proficient in the pre- and postoperative management of transgender patients
  • Have basic familiarity of medication interactions and contraindications
  • Have basic knowledge of the physiological theories for gender dysphoria
  • Have basic knowledge of the psychological theories for gender dysphoria
  • Be familiar with civil rights movements and legislatorial changes affecting transgender patients

At the end of the Third Quarter, fellows should be able to:

Perform all of the above Quarter-Specific goals and objectives with increasing skill plus:

  • Provide education to interdisciplinary teams on transgender mental health care
  • Be proficient in providing education, support and therapy for family members and partners of transgender patients
  • Have comprehensive knowledge of community-based resources for transgender patients

At the end of the Fourth Quarter, fellows should be able to:

Perform all of the above Quarter-Specific goals and objectives with increasing skill plus:

  • Provide independent and comprehensive care to pre- and postoperative transgender patients

Team

Dr. Hansel Arroyo

Dr. Hansel Arroyo completed his training in psychiatry at The Mount Sinai Hospital while completing a psychoanalytic fellowship at the New York Psychoanalytic Institute. He completed his fellowship in Psychosomatic Medicine at The Mount Sinai Hospital, where he specialized in the treatment of patients with chronic medical conditions and HIV/AIDS. Dr. Arroyo’s career has focused on providing mental health services to under-served and marginalized populations. He is the Director of Psychiatry and Behavioral Medicine at the Institute for Advanced Medicine and Psychiatrist at the Center for Transgender Medicine and Surgery, and Assistant Professor of Psychiatry in the Icahn School of Medicine at Mount Sinai. Dr. Arroyo is dually board certified in Psychiatry and Neurology.

Dr. Elizabeth Albertini

Dr. Elizabeth Albertini completed her undergraduate education at Princeton University and her medical training at SUNY Downstate College of Medicine.  After four years of residency training in psychiatry at NYU Langone Medical Center and Bellevue Hospital, Dr. Albertini did an additional postgraduate fellowship in consult-liaison medicine at Icahn School of Medicine at Mount Sinai Hospital. Dr. Albertini is a psychiatrist specializing in consultation psychiatry, and general adult psychiatry including psychopharmacology and psychotherapy. She has a special focus in the comprehensive psychiatric evaluation and treatment for individuals and their families around issues of fertility options, pregnancy, perimenopause/menopausal and sexual problems. Dr. Albertini is an attending at the Institute for Advanced Medicine where she specializes in care for LGBT patients.

Dr. Ronald E. Hellman

Dr. Ronald E. Hellman was Director of the LGBT Affirmative Program of South Beach Psychiatric Center in New York City, providing affirmative care to LGBT individuals. He has published numerous articles and research papers in the areas of sexual identity development, and LGBT health care and programming. He co-edited the Handbook of LGBT Issues in Community Mental Health, and authored LGBT related chapters in: Gay Life (Doubleday), The Initial Psychotherapy Interview: A Gay Man Seeks Treatment (Elsevier), The LGBT Casebook (American Psychiatric Publishing), and the Handbook of Community Psychiatry (Springer). Dr. Hellman is a Distinguished Life Fellow of the American Psychiatric Association, and the recipient of various awards including the Mental Health Achievement Award of the Gay and Lesbian Psychiatrists of NY, the Moffic Award for Ethical Practice in Community Psychiatry, the Babbott Award for Distinguished Service to the Medical Profession, the NAMI-NYS Diversity Awareness Award, and the American Psychiatric Foundation 2013 Award for Advancing Minority Mental Health.  Dr. Hellman is currently an Associate Professor of Psychiatry at the Center for Transgender Medicine and Surgery.

Max Lichtenstein

Dr. Max Lichtenstein completed medical school at St. Georges University and General Psychiatry Residency and Chief Residency at SUNY Downstate in Brooklyn, NY. He then completed a Psychosomatic Medicine Fellowship at Icahn School of Medicine – Mount Sinai specializing on HIV psychiatry, transplant psychiatry, psycho-oncology and transgender psychiatry. Throughout his career he has focused on providing psychiatric services to the LGBTQ community as well as those who are living with HIV. Dr. Lichtenstein has been integral in providing ongoing education, locally and at national, on HIV neurocognitive disorders and transgender health. He has been a leader in providing service at the HEAT clinic in Brooklyn which services HIV positive and transgender teens and young adults. Dr. Lichtenstein is board certified in Psychiatry and Neurology

Dr. Elizabeth Berk

Dr. Elizabeth Berk is a New York State licensed clinical psychologist. She is currently an attending psychologist at the Mount Sinai Institute for Advanced Medicine and an Instructor of Psychiatry at the Icahn School of Medicine. Dr. Berk holds a BA from Sarah Lawrence College and a MA and PhD in Clinical Psychology from The New School. She completed her internship at Mount Sinai Beth Israel and continued her clinical training with a postdoctoral fellowship at Mount Sinai St. Luke's, where she specialized in treating individuals with co-morbid medical and mental health diagnoses. Dr. Berk focused her training experience at Rainbow Heights Club, one of the first psychosocial treatment programs created specifically for the LGBTQ community. Dr. Berk continues to be dedicated to serving the unique needs of the LGBTQ community by providing competent, compassionate care. 

Dr. Berk has been trained in various modalities including cognitive behavioral therapy (CBT), motivational interviewing, dialectical behavior therapy (DBT), harm reduction, brief relational therapy, supportive therapy and psychodynamically-oriented therapies.  She is also proficient in neurocognitive and psychological testing.

Dr. Clayton Guthrie

Dr. Clayton Guthrie received his doctorate in clinical psychology from the Graduate School of Applied and Professional Psychology of Rutgers University. He went on to complete his postdoctoral studies at the New York University Postdoctoral Program in Psychotherapy and Psychoanalysis. Dr. Guthrie joins the CTMS after working fourteen years as a supervising psychologist at the Peter Krueger Clinic at Mount Sinai-Beth Israel Hospital where he worked with individuals with HIV and Hepatitis-C. He has cared for transgender patients for the past twelve years.

Monica Cepin, LCSW

Ms. Cepin is the mental health social worker for Mount Sinai’s Institute for Advanced Medicine. She obtained her Master of Social Work from Hunter University School of Social Work with a focus on individual and family psychotherapy. Ms. Cepin’s career has focused on providing mental health care and case management services to underserved populations including undocumented, immigrant, Latinos, and the LGBTQ community. She has over 11 years of experience serving the HIV/AIDS community, including HIV testing, counseling, and multiple therapeutic modalities. She is a NYS licensed clinical social worker.

Zil Goldstein

Zil Goldstein is a nurse practitioner and a transgender activist working to promote better health care in marginalized communities. Zil Goldstein is the Program Director of the Center for Transgender Medicine and Surgery. Ms. Goldstein provides education and training in transgender-competent care for providers and residents throughout the Health System. She is a published author on transgender and sex worker health and is a nationally recognized leader in both fields.