McGeary, Donald DouglasSchool of Medicine |
|
|
My primary interests include interdisciplinary chronic pain intervention and military trauma. I am the Director of the Clinical Psychology Internship at UTHSCSA and am board certified in Clinical Health Psychology through the American Board of Professional Psychology. |
|
| 9/2015 - Present | Associate Professor | University of Texas Health Science Center at San Antonio, Psychiatry, San Antonio, TX |
| 1/2008 - Present | Adjunct Faculty | University of Texas at Arlington, Psychology, Arlington, TX |
| 8/2004 - Present | Part-Time Faculty | Our Lady of the Lake University, Psychology, San Antonio, TX |
| 6/2004 - Present | Adjunct Position | The University of Texas Southwestern Medical Center at Dallas, Anesthesiology and Pain Medicine, Dallas, TX |
| 1/2004 - Present | Adjunct Position | Texas State University, Psychology, San Marcos, TX |
| Year | Degree | Discipline | Institution |
| 2004 | Postdoctoral Fellowship | Clinical Health Psychology | Wilford Hall Medical Center Lackland AFB, San Antonio , TX |
| 2003 | PhD | Clinical Psychology | The University of Texas Southwestern Medical Center at Dallas Dallas , TX |
| 2003 | Internship | Clinical Psychology | The University of Texas Southwestern Medical Center at Dallas Dallas , TX |
| 1999 | Psychology; Minor: Germanic Languages (cum laude) | The University of Texas at Austin Austin , TX |
|
| 1998 | Postdoctoral Training | Student, Honors Program in Psychology | The University of Texas at Austin Austin , TX |
Assessment Skills- Trained and experienced in the administration, scoring, and interpretation of a variety of psychosocial and neuropsychological measures. Also very familiar with physical assessments often used in chronic pain treatment and research |
Special Skills-? Certified by the United States Air Force as a specialty provider for biofeedback. ? Specialty training in the use of biofeedback as an adjunct for the behavioral management of Fecal Incontinence. ? Proficient in the use of SPSS, Excel, Microsoft Word, Microsoft Access, Visual Basic, and Pascal. ? Trained in administration of the Structured Clinical Interview for the DSM-IV ? One year training in hypnosis. ? Eight years training and working in multiple biofeedback modalities. ? Education in genetics and immunology at the collegiate level. ? Fellowship trained in behavioral interventions for treating patients with: COPD, cancer, chronic pain, headache, fecal incontinence, insomnia, diabetes, tobacco dependence, Charcot-Marie-Tooth?s disease, overweight. ? Certified as a Habit-Reversal treatment specialist for Tourette?s Disorder. ? Trained in Prolonged Exposure and Cognitive Processing Treatments for Posttraumatic Stress Disorder. ? Nationally recognized expert in the assessment and management of military service-related polytrauma. |
Treatment Strategies- My clinical and research interests primarily involve developing and assessing multidisciplinary and interdisciplinary treatment strategies for a variety of chronic health conditions (most notably, musculoskeletal and neuropathic chronic pain). I have a strong interest in empirically-supported pain treatments involving strong behavioral self-management components (e.g., functional restoration), as well as the identification of factors that contribute to resiliency to mental and physical illness. The majority of my experience and expertise has been focused on chronic pain rehabilitation research and clinical work in multi- and interdisciplinary environments. I am also significantly interested in translational research (e.g., practical behavioral trials) focusing on adapting clinical research findings into functional clinical programs. Finally, I am skilled in multimodal biofeedback and am one of only a few professionals trained to provide fecal incontinence biofeedback training for the military. |
| Date | Description | Institution | # Students |
| 11/2013 - Present | Special Topic | The University of Texas Health Science Center | |
| I have lectured on the following small group topics multiple times: On Becoming a Doctor Ethics On Death and Dying (Grief) Cultural and Economic Determinants of Health Care Utilization | |||
| 12/2011 - Present | Pre-Doctoral Student Supervision | UT Health Science Center San Antonio | |
Abstract |
| Jaramillo C, Eapen B, Robinson J, Amuan M, McGeary C, McGeary D, Pugh M. Traumatic brain injury and common comorbidities associated with prevalence and persistence post-deployment headaches among US veterans of Afghanistan and Iraq wars; 2014 May. (Brain Injury; vol. 28, no. 5-6). |
| Kidner CL, Mayer TG, Gatchel RJ, McGeary DD, Anagnostis C. Are gender, marital status or parenthood risk factors for outcome of treatment for chronic disabling spinal disorder; 2001 Feb. (The Spine Journal; vol. 3). |
Book Chapter |
| McGeary, D. D., McGeary, C. A., & Blount, T. H. Treating injury and chronic pain in military and veteran populations. In: In C. Bryan (Ed.). Handbook for Psychosocial Interventions for Veterans and Service Members. 2015. |
| McGeary DD McGeary CA. Military pain management. In: Ainspan ND Bryan C Penk WE. Handbook of Psychosocial Interventions for Veterans: A Guide for the Non-Military Mental Health Clinician. New York, NY: Oxford University Press; 2015. |
| McGeary, D., Gatchel,R., McGeary, C., & Escamilla, M. Chronic pain assessment. In: Andrasik, F., Goodie, J., & Peterson, A. Biopsychosocial Assessment in Clinical Health Psychology: A Handbook. New York: Guilford Press; 2015. |
| McGeary DD Gatchel RJ McGeary CA. Chronic Musculoskeletal Pain [in press]. In: Andrasik F Goodie J Peterson AL. Biopsychosocial Assessment in Clinical Health Psychology. 2014. |
| McGeary CA, McGeary DD. Disability in the military. In: R.J. Gatchel, I.Z. Shultz (Eds). Handbook of Musculoskeletal Pain and Disability Disorders in the Workplace. New York, NY: Springer Publishing; 2014. |
| McGeary DD, McGeary CA, Gatchel RJ. Managing chronic pain in the medical home. In: C.L. Hunter, C. Hunter, R. Kessler (Eds). Handbook of Clinical Psychology in Medical Settings: Evidence Based Assessment and Intervention (2nd Edition). New York: Springer Publishing; 2014. |
| McGeary DD McGeary CA. Professional education and training in the military. In: Moore BA Barnett J. Military Psychologists? Desk Reference. New York: Oxford University Press; 2013. p. 116-121. |
| McGeary DD, Brede E, McGeary CA, Seech T. Interdisciplinary treatment of chronic pain. In: A.L. Dougall, R. J. Gatchel (Eds). Ask The Experts: Chronic Pain. London, UK: Future Science Group; 2013. |
| McGeary DD McGeary CA. New trends in musculoskeletal disorders in the military. In: Gatchel RJ Schultz IZ. Handbook of Musculoskeletal Pain and Disability Disorders in the Workplace. 2013. |
| McGeary CA, McGeary DD. Occupational burnout. In: R.J. Gatchel, I.Z. Schultz (Eds). The Handbook of Occupational Wellness. New York: Springer Publishing; 2012. |
| Peterson AL, Hryshko-Mullen AS, McGeary DD. Clinical health psychology and behavioral medicine in military healthcare settings. In: Kennedy CH Zilmer EA. Military Psychology: Clinical and Operational Applications. 2012. |
| McGeary DD McGeary CA Gatchel RJ. Managing chronic pain in the medical home. In: Hunter CL Hunter C. Handbook of Clinica Psychology in Medical Settings: Evidence Based Assessments and Intervention (2nd Edition). 2012. |
| McGeary DD, Gatchel RJ. Chronic Musculoskeletal Pain. In: Andrasik F, Goodie JL. Biopsychosocial Assessment in Clinical Health Psychology. New York: Guilford; 2012. |
Journal Article |
| Moreno J, Kanzler K, Bryan C, McGeary C, & McGeary D. Socioeconomic factors contributing to pain and disability in a U.S. military sample [submitted] Disability and Rehabilitation 2017 Jan;. |
| McGeary, CA, Blount, TH, Gatchel, RJ, Peterson, AL, Hale, W, & McGeary, DD. Interpersonal coping and pain management within the U.S. military Journal of Occupational Rehabilitation 2016 Jun;26(2):216-228. |
| Bryan, C.J., Kanzler, K.E., Grieser, E., Martinez, A., Allison, S., & McGeary, D. A shortened version of the Suicide Cognitions Scale for identifying chronic pain patients at risk for suicide (in press) Pain Practice 2016 Jan;. |
| McGeary CA, McGeary DD, Moreno J, & Gatchel R. Military chronic pain management and psychiatric comorbidity: Is better pain management the answer Healthcare 2016 Jan;4(3):38-38. |
| Jaramillo CA, Eapen BC, McGeary CA, McGeary DD, Robinson J, Amuan M, & Pugh MJ. A cohort study examining headaches among veterans of Iraq and Afghanistan wars: Associations with traumatic brain injury, PTSD, and depression Headache 2015 Dec;56(3):528-539. |
| Garcia HA, McGeary CA, Finley EP, Ketchum NS, McGeary DD, Peterson, AL. Burnout among psychiatrists in the Veterans Health Administration Burnout Research 2015 Jan;2(4):108-114. |
| Garcia, H., McGeary, C., Finley, E., Ketchum, N., McGeary, D., & Peterson, A. Evidence-based treatment for PTSD and VHA provider burnout: A preliminary study of the impact of Cogntivie Processing and Prolonged Exposure Therapies Traumatology 2015 Jan;21(1):7-13. |
| Garcia,H., McGeary,C., Finley, E., McGeary, D., Ketchum, N., & Peterson, A. The influence of trauma and patient characteristics on provider burnout in VA PTSD specialty programs Psychology and Psychotherapy: Theory, Research, and Practice 2015 Jan;. |
| MCGEARY CA, Garcia HA, McGeary DD, Finley EP. Burnout and coping: Veterans Health Administration posttraumatic stress disorder mental health providers Psychological Trauma: Theory, Research, Practice, and Policy 2014 Jul;6(4):390-397. |
| Peterson AL, Blount TH, McGeary DD. Stress and Psychological Resiliency Curr Top Behav Neurosci 2014 Mar;. |
| Garcia HA, MCGEARY CA, McGeary DD, Finley EP, Peterson AL. Burnout in veterans health administration mental health providers in posttraumatic stress clinics Psychological Services 2014 Feb;11(1):50-59. |
| Gatchel RJ, McGeary DD, McGeary CA, Lippe B. Interdisciplinary chronic pain management: past, present, and future American Psychologist 2014 Feb;69(2):119-130. |
| McGeary CA, Garcia HA, McGeary DD, Finley EP, Peterson AL. Burnout and coping: Veteran Health Administration posttraumatic stress disorder mental health providers Psychological Trauma: Theory, Research, Practice, and Policy 2014 Jan;6(4):390-397. |
| Garcia, H., McGeary, C., McGeary, D., Finley, E., & Peterson, A. Burnout in Veterans Health Administration mental health providers in posttraumatic stress clinics Psychological Services 2014 Jan;11(1):50-59. |
| McGeary DD, McGeary CA, Peterson AL, Seech T, Vriend C, Gatchel RJ. Healthcare utilization after interdisciplinary chronic pain treatment: Part II. Preliminary examination of mediating factors in the use of costly healthcare interventions Journal of Applied Biobehavioral Research 2013 Jan;18:24-36. |
| McGeary DD, McGeary CA, Gatchel RJ, Allison S, Hersh A. Assessment of research quality of telehealth trials in pain management: A meta-analysis Pain Practice 2013 Jan;13(5):422-431. |
| Kanzler KE McGeary DD Bryan CJ Morrow CE. Suicide ideation and perceived burdensomeness in patients with chronic pain Pain Practice 2012 Jan;12(8):602-609. |
| McGeary DD, McGeary CA, Peterson AL, Seech T, Vriend C, Gatchel RJ. Healthcare utilization after interdisciplinary chronic pain treatment: Part I. Description of utilization of costly healthcare interventions Journal of Applied Biobehavioral Research 2012 Jan;17(4):215-228. |
| McGeary DD McGeary CA Gatchel RJ Hersh A Allisaon S. Assessment of research quality of telehealth trials in pain management: A meta-analysis Pain Practice 2012 Jan;13:422-431. |
| McGeary DD, McGeary CA, Gatchel RJ. A comprehensive review of telehealth for pain management: Where we are and the way ahead Pain Practice 2012 Jan;12(7):570-577. |
| Kanzler KE, Bryan CJ, Morrow CE, McGeary DD. Suicide ideation and perceived bursdensomeness in patients with chronic pain Pain Practice 2012 Jan;12(8):602-609. |
| McGeary DD, Mayer TG, Gatchel RJ. High pain ratings predict treatment failure in chronic occupational musculoskeletal disorders J Bone Joint Surg Am 2006 Feb;88(2):317-325. |
| Proctor TJ, Mayer TG, Gatchel RJ, McGeary DD. Unremitting health-care-utilization outcomes of tertiary rehabilitation of patients with chronic musculoskeletal disorders J Bone Joint Surg Am 2004 Jan;86-A(1):62-69. |
| Protas E, Mayer T, Dersh J, Keeley J, Gatchel R, McGeary DD. Relevance of aerobic capacity in the treatment of chronic work-related spinal disorders Spine 2004 Jan;29:2158-2166. |
| Mayer TG, Gatchel RJ, Keeley J, McGeary DD, Dersh J, Anagnostis C. A randomized clinical trial of treatment for lumbar segmental rigidity Spine 2004 Jan;29:2199-2205. |
| Gatchel RJ, McGeary DD. Cochrane-collaboration-based reviews of health- care interventions: are they unequivocal and valid scientifically, or simply nihilistic? The Spine Journal 2003 Jan;2:315-319. |
Not Specified |
| Finley EP, Garcia HA, Ketchum NS, McGeary DD, McGeary CA, Stirman SW, Peterson AL. Utilization of evidence-based psychotherapies in Veterans Affairs posttraumatic stress disorder outpatient clinics Psychol Serv 2015 Feb;12(1):82-82. |
Federal |
|
| Funding Agency | National Institute of Health |
| Title | Establishing Efficacy of a Functional Restoration-Based CAM Pain Management Program in a Combat Injured Veterans Population |
| Status | Active |
| Period | 7/2014 - 7/2019 |
| Role | Principal Investigator |
| Grant Detail | This study uses a tested functional restoration model that incorporates the use of complementary and alternative medicine techniques to reduce pain disability in a Veterans population suffering chronic pain. This study focuses upon reducing opioid use and increasing functioning. |
| Funding Agency | Department of Defense |
| Title | The Efficacy of 90-minute vs. 60-minute sessions of Prolonged Exposure for PTSD: A Randomized Control Trial in Active Duty Military Personnel (PI: Foa) |
| Status | Active |
| Period | 7/2015 - 7/2019 |
| Role | Co-Investigator |
| Grant Detail | This study will utilize a randomized controlled trial to compare the efficacy of 90-minute vs. 60-minute sessions of Prolonged Exposure in a military population. |
| Funding Agency | NCCAM |
| Title | Establishing efficacy of a functional-restoration CAM pain management program in a combat injured veterans population |
| Status | Active |
| Period | 7/2014 - 6/2019 |
| Role | Principal Investigator |
| Grant Detail | This funded R01 application is in response to RFA-AT-14-003, "Clinical trials and interventional studies of non- pharmacological approaches to managing pain and co-morbid conditions in U.S. Military personnel, Veterans, and their families." Rates of chronic pain have steadily increased among service members deployed for Operations Enduring Freedom (OEF), Iraqi Freedom (OIF), and New Dawn (OND). A 2009 study found that the majority of Veterans with chronic pain also report psychiatric concerns like depression and posttraumatic stress disorder (PTSD), which contribute to decreased treatment response and increased risk of chronic opioid use. A recent study in the San Antonio Veterans Integrated Service Network (VISN 17) found that hydrocodone is the single most commonly prescribed medication in the VISN. Furthermore, 40% of Veterans taking opioid medication use it for more than 3 months. For Veterans with comorbid pain and psychiatric symptoms (referred to as "polymorbid" Veterans), long-term opioid use (using opioid medication for 20 out of 30 days each month for 3 or more months) can be particularly hazardous. Chronic opioid use among polymorbid Veterans has been linked to poor rehabilitation outcomes, abuse of other substances, and death (especially among polymorbid Veterans prescribed benzodiazepine medications for comorbid PTSD). The NIH Announcement describes the urgent need for non-medication pain management programs that can meaningfully address chronic pain management and opioid use. To be effective in a polymorbid Veteran population, a chronic pain program needs to be (a) relevant to military populations, (b) based on evidence derived from military pain and polymorbid trauma samples, and (c) designed to overcome known obstacles to chronic opioid use among military pain patients (stigma, lack of alternative pain management resources). Our research team was designed to address these criteria based on collaboration between experience military pain management e |
| Funding Agency | Department of Defense |
| Title | STRONG STAR (South Texas Research Organizational Network Guiding Studies on Trauma And Resilience - CAP) - Alan Peterson, PIAwarded Sub-Project: Randomized Clinical Trial of Cognitive-Behavior Therapy for Posttraumatic Headache |
| Status | Active |
| Period | 9/2013 - 8/2018 |
| Role | Principal Investigator |
| Grant Detail | The award was funded under the STRONG STAR CAP as project #7 and was the first to be funded. |
| Funding Agency | U.S. Army Medical Research & Materiel Command, PH/TBI Research Program |
| Title | Clinical Effectiveness Trial of In-Home Cognitive Processing Therapy for Combat-Related PTSD (PI: Peterson) |
| Status | Active |
| Period | 9/2012 - 8/2017 |
| Role | Co-Investigator |
| Grant Detail | The purpose of this study is to conduct a randomized clinical trial to evaluate the clinical and cost effectiveness of in-home cognitive processing therapy (CPT) delivered face-to-face or with tele-behavioral health compared to standard in-office care for Service Members and Veterans with combat-related posttraumatic stress disorder (PTSD). |
| Funding Agency | Air Force Research Laboratory |
| Title | Trends and trajectories of opioid misuse in the MHS |
| Status | Active |
| Period | 1/2015 - 1/2017 |
| Role | Co-Investigator |
| Grant Detail | The major goal of this project is to examine population-based opioid prescribing rates by a variety of demographic/military characteristics, individual-level opioid misuse risk indicators, and factors associated with this opioid misuse risk. |
| Funding Agency | Defense Medical Research and Development Program |
| Title | Evaluation of Suicidality, Cognitions And Pain Experience (ESCAPE): Implications for CBT in Military Populations |
| Status | Complete |
| Period | 1/2010 - 12/2014 |
| Role | Co-Principal Investigator |
| Grant Detail | We identified cognitive mechanisms underlying suicidality in military chronic pain sufferers in order to improve treatments for suicidality and chronic pain. Manuscripts in preparation. |
State |
|
| Funding Agency | Texas Department of State Health Services |
| Title | Texas MATCH: Centralized Training Project for Severe Mental Illness |
| Status | Active |
| Period | 9/2012 - 8/2017 |
| Role | Co-Investigator |
| Grant Detail | |
| Funding Agency | UT Health San Antonio |
| Title | Conjoint Therapy for Pain Management: A Pilot Study |
| Status | Active |
| Period | 3/2016 - 8/2017 |
| Role | Co-Investigator |
| Grant Detail | UT Health San Antonio Clinical Investigator Kickstarter Grant to collect pilot data on Conjoint Therapy for Pain Management in a sample of 10 patients. This intervention incorporates partners into a 10-session functional restoration-informed protocol to promote pain management, physical functioning, and couple`s satisfaction. |