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McGeary, Donald Douglas PhD

School of Medicine
Psychiatry
210-567-5454
mcgeary@uthscsa.edu

My primary interests include interdisciplinary chronic pain intervention and military trauma. I am an Associate Professor in the Department of Psychiatry and Vice Chair for Research and Associate Professor in the Department of Rehabilitation Medicine. I also maintain a joint appointment of Clinical Assistant Professor in the Department of Family and Community Medicine.

Appointments Education Expertise Teaching Publications Grants

12/2018 - Present	Associate Professor and Vice Chair for Research and Vice Chair for Research	UT Health San Antonio, Rehab Medicine, San Antonio, TX
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

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.

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: C. Bryan (Ed.). Handbook for Psychosocial Interventions for Veterans and Service Members. 2015. p. 199-207.

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 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.

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 CA, McGeary DD. Occupational burnout. In: R.J. Gatchel, I.Z. Schultz (Eds). The Handbook of Occupational Wellness. New York: Springer Publishing; 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

McGeary, C., McGeary, D, Shah, D., Nagpal, A., Peterson, A., Monson, C., Blount, T. Conjoint therapy for the treatment of chronic pain: A descriptive pilot study of couples? needs Clinical Medicine Review 2018 Jul;.

Peterson AL, Resick PA, Mintz J, Young-McCaughan S, McGeary DD, McGeary CA, Velligan DL, Macdonald A, Mata-Galan E, Holliday SL, Dillon KH, Roache JD, Williams-Christians I, Moring JC, Bira LM, Nabity PS, Hancock AK, Hale WJ for the STRONG STAR Consortium. Design of a clinical effectiveness trial of in-home cognitive processing therapy for combat-related PTSD Contemporary Clinical Trials 2018 Jan;73:27-35.

Kanzler KE, Pugh J, McGeary DD, Hale W, Mathias C, Kilpela L, Karns-Wright T,Robinson P, Dixon S, McCracken L. Mitigating the Effect of Pain Severity on Activity and Disability in Patients with Chronic Pain: The Crucial Context of Acceptance (In Press) Pain Medicine 2018 Jan;.

Finley EP, Warzinski S, Tami C, Pugh MJ, McGeary D, Penney LS, Potter JS. Implementing Prescription Drug Monitoring and Other Clinical Decision Support for Opioid Risk Mitigation in a Military Healthcare Setting: A Qualitative Feasibility Study Journal of the American Medical Informatics Association 2017 Jun;25(5):515-522.

Kazanis W, Pugh MJ, McGeary DD, Tami C, Bebarta V, Finley EP, Potter JS. Opioid use patterns among active duty service members and civilians: 2006-2014. [In press] Military Medicine 2017 Jan;183:e157-e164.

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 Pain Practice 2017 Jan;17(3):371-381.

Finley EP, Garcia A, Rosen K, McGeary D, Pugh MJ, Potter JS. Evaluating the Impact of Prescription Drug Monitoring Program Implementation: A Scoping Review BMC Health Services Research 2017 Jan;17(1).

McGeary CA, Moreno, Jose, McGeary DD, Kanzler K, Bryan, Craig. Socioeconomic factors contributing to pain and disability in a U.S. military sample [submitted] Disability and Rehabilitation 2017 Jan;.

McGeary, C. A., Blount, T. H., Gatchel, R. J., Peterson, A. L., Hale, W., & McGeary, D. D. Interpersonal coping and pain management within the U.S. military Journal of Occupational Rehabilitation 2016 Jun;26(2):216-228.

McGeary, DD, McGeary CA, Nabity, P, Villarreal, R, Kivisalu, T, & Gatchel, RJ. Improving stress reduction and wellness in interdisciplinary chronic pain management: Is transdisciplinary care a better option? Journal of Applied Biobehavioral Research 2016 Jan;21(4):205-215.

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,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;.

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.

Gatchel RJ, McGeary DD, McGeary CA, Lippe B. Interdisciplinary chronic pain management: past, present, and future American Psychologist 2014 Feb;69(2):119-130.

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 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.

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.

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, 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.

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.

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.

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.

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

Srinivasan M, Torres JE, McGeary DD, Nagpal AS. Complementary and alternative (CAM) treatment options for women with pelvic pain Current Physical Medicine and Rehabilitation Reports 2020 Jan;.

McGeary CA, Nabity PS, Reed D, Cobos B, McGeary DD. A test of the fear avoidance model to predict chronic pain outcomes in a polytrauma sample [In Press] Neurorehabilitation 2020 Jan;.

Song, K., Wang, C., McGeary, D., Jaramillo, C., Eapen, B, Amuan, M., McGeary, C., Potter, J., & Pugh, M.J. Five-year Pain Intensity and Treatment Trajectories of Post-9/11 Veterans with Mild Traumatic Brain Injury The Journal of Pain 2020 Jan;.

Torres JA, Nagpal AS, Iya A, McGeary DD, Srinivasan. Interventional treatment options for women with pelvic pain [In Press] Current Physical Medicine and Rehabilitation Reports 2020 Jan;.

Kerns RD, Brandt CA, Peduzzi P, Antonelli M...McGeary DD. NIH-DoD-VA Pain Management Collaboratory Pain Medicine 2019 Jan;20:2336-2345.

Moore BA, Hale WJ, Nabity PS, Koehn TR, McGeary DD, Peterson AL. A Retrospective, Epidemiological Review of Hemiplegic Migraines in a Military Population Military Medicine 2018 Jan;184:781-787.

Moreno JL, Nabity PS, Kanzler KE, Bryan CJ, McGeary CA, McGeary DD. Negative life events (NLEs) contributing to psychological distress, pain, and disability in a US Military sample Military Medicine 2018 Jan;184:e148-e155.

Kanzler KE, Robinson PJ, McGeary DD, Mintz J, Potter JS, Munante M, Lopez EJ, Dougherty D, Hale WJ, Velligan DI. Rationale and design of a pilot study examining Acceptance and Commitment Therapy for persistent pain in and integrated primary care clinic Contemporary Clinical Trials 2018 Jan;66:28-35.

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	DoD
Title	Resolving the burden of low back pain in military service members and veterans: A multi-site pragmatic clinical trial
Status	Active
Period	1/2018 - 1/2024
Role	Co-Principal Investigator
Grant Detail	Study of psychologically informed PT for low back pain
Funding Agency	DoD
Title	Targeting Chronic Pain in Primary Care Settings Using Integrated Behavioral Health Consultants
Status	Active
Period	1/2018 - 1/2024
Role	Principal Investigator
Grant Detail
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 - 8/2021
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 (PI: Don McGeary, PhD)
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	National Institute of Health
Title	Secondary Analysis of Existing Databases in Traumatic Brain Injury to Explore Outcomes Relevant to Medical Rehabilitation (PI MJ Pugh)
Status	Active
Period	9/2016 - 8/2018
Role	Co-Principal Investigator
Grant Detail	This study examines the trajectories of chronic pain and pain comorbidities (depression, TBI, medical conditions, and medication usage) within Iraq/Afghanistan Veterans using VA services.
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).
State
Funding Agency	UT Health San Antonio
Title	Conjoint Therapy for Pain Management: A Pilot Study (Co-PIs: Tabatha Blount; Cindy McGeary)
Status	Complete
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

Year	Degree	Discipline	Institution
2004	Postdoctoral Fellowship	Clinical Health Psychology	Wilford Hall Medical Center Lackland AFB, San Antonio , TX
2003	Internship	Clinical Psychology	The University of Texas Southwestern Medical Center at Dallas Dallas , TX
2003	PhD	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

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

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