McGeary, Donald Douglas PhDSchool of Medicine |
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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. |
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| 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 |
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| 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 | |
Federal |
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| 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 | 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 | 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. |
State |
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| 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. |
| 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 | |