The Integrative Behavioral Medicine Program at the Icahn School of Medicine at Mount Sinai is excited to announce CBTH4Fatigue, NCI-funded research education program.
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CBTH = Cognitive-Behavioral Therapy (CBT) + Hypnosis (H)

  • The goal of this NCI-funded education research program is to evaluate the effectiveness of a new course designed to train psychosocial care providers in cognitive-behavioral therapy (CBT) and hypnosis, and how they can be used in combination (CBTH) to help women with breast cancer manage their radiotherapy-related fatigue.
    • Specifically, we want to understand the effects of CBTH training on psychosocial care providers’ CBTH knowledge, skills, and real world clinical practice.
  • CBTH4Fatigue is a blended learning course, which combines self-paced, online modules with a 3-day Live Workshop in New York City! Our next Live Workshop is being held this Fall (November 22nd - 24th, 2019).
    • The course is taught by leading experts in hypnosis, cognitive-behavioral therapy, common factors, and radiation oncology.
  • This course is appropriate for any licensed, or license-eligible, psychosocial care provider who might work with women undergoing breast cancer radiotherapy as part of their clinical work, and who has an interest in learning more about CBTH4Fatigue.
    • The program is suitable for providers with any level of CBT and Hypnosis experience, from beginners to those who want to learn our particular integration of these two techniques.
  • For more details on the course, including program faculty, course content and materials, upcoming Live Workshops, and FAQs, please review the tabs above.
  • Note, the course is free of charge. To thank you for your time and effort in helping us evaluate the success of the course, you will be reimbursed for your participation and for completing course evaluations.
  • If after reading more about the course, you are interested in applying, please click the “Apply Now” button to the right and you will be on your way to working with some of the leading experts in this field.
  • We look forward to working with you soon!

The CBTH4Fatigue training program will be delivered in a blended learning format, offering both an E-Learning component and a three-day Live Workshop. E-Learning will provide you with a thorough introduction to CBTH theory and practical delivery. After completing E-Learning, you’ll attend a three-day Live Workshop at the Icahn School of Medicine at Mount Sinai in Manhattan focused on practical skills and personalized feedback.

E-Learning

  • Modules focused on Hypnosis, Cognitive-Behavioral Therapy, Therapeutic Metacompetencies (alliance, empathy, expectancies, and cultural competency), and Breast Cancer Radiotherapy taught by our expert faculty.
  • Modules include video lectures, role-plays, enrichment activities, and skill evaluations.
  • Self-paced, to make it as convenient for you as possible.

Live Workshop

  • The workshop includes the opportunity to interact with our faculty; watch experts demonstrate CBTH techniques; practice the techniques yourself; receive real-time, personalized feedback; and, interact with peers and colleagues in small group exercises.
  • At least two Live Workshops are offered per year. Our next Live Workshop will be held from November 22nd - 24th.

Post-Course Certificate

  • After completing E-Learning and a workshop, you will receive a PDF Certificate of Completion.

Course Feedback

  • Throughout the training program, and at three and six months after your workshop attendance, we’ll ask you to provide us with feedback on course satisfaction and on your use of CBTH in clinical practice.
  • Post-course feedback assesssments are all brief and online.
  • Your feedback will help us to improve and refine the course, and will shape future dissemination of the CBTH4Fatigue training program.

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Dr. Montgomery (click for CV) is an internationally recognized leader in the field of clinical hypnosis, with a specialty in hypnosis for cancer care. He has published clinical trials on hypnosis in the breast cancer setting in the top cancer journals (e.g., JNCI, JCO). He has been funded for his hypnosis research by the National Cancer Institute and the American Cancer Society, is a popular presenter on hypnosis at professional conferences and grand rounds across the world, and has been featured regularly in popular media (e.g., New York Times, Wall Street Journal, Good Morning America). He is a past president of the American Psychological Association’s Society for Psychological Hypnosis (Division 30) and has also held office in the Society for Clinical and Experimental Hypnosis. At Mount Sinai, Dr. Montgomery is an Associate Professor in the Department of Population Health Science & Policy, Director of the Center for Behavioral Oncology, Director of the Integrative Behavioral Medicine Program, and Director of Psychological Services at Mount Sinai’s Dubin Breast Center. As a licensed clinical psychologist, Dr. Montgomery also uses hypnosis extensively in his clinical practice to help individuals manage the symptoms and side-effects associated with cancer and its treatment. Dr. Montgomery is the director of the CBTH4Fatigue training program, and he is excited to be sharing his experience with you through the hypnosis modules. He is an avid Mets fan, loves 80’s music, and is excited to discuss these with you as well!


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Dr. Doyle (click for CVis an internationally recognized expert in Rational Emotive Behavior Therapy (REBT), the type of cognitive-behavioral therapy (CBT) used in the CBTH4Fatigue course. Dr. Doyle trained under Dr. Albert Ellis, the founder of REBT, and is currently the Director of the Albert Ellis Institute (AEI), which conducts research and provides continuing education for mental health professionals, self-help workshops for the public, and affordable psychotherapy and psychological assessment. AEI and its Affiliated Training Centers have trained more than 13,000 professional psychotherapists around the world. Beyond her role as Institute Director, Dr. Doyle is also Director of Clinical Services and a practicing psychologist at AEI where she uses REBT to help individuals with a broad range of emotional and behavioral difficulties. Dr. Doyle is co-author of A Practitioner’s Guide to Rational Emotive Behavior Therapy, 3rd edition, and co-editor of The Journal of Rational-Emotive & Cognitive-Behavior Therapy. Dr. Doyle has been featured regularly in popular media (e.g., ABC’s 20/20, Channel 2 and Channel 11 News, The New York Times, U.S. News and World Report, and The Wall Street Journal). Dr. Doyle will be leading the CBT/REBT modules in the CBTH4Fatigue training program, and she is looking forward to sharing her expertise in this therapeutic technique. Dr. Doyle believes she has the cutest dog on the Upper East Side with a wardrobe to show for it. She is super excited to show everyone how right she is about her biased opinion.


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Dr. Constantino (click for CVis an internationally recognized expert in psychotherapy process, outcome, and integration with adults. His focus is on understanding patient, therapist, and relational processes that influence psychosocial treatments, and on the development and systematization of therapeutic interventions that address pantheoretical principles of clinical change, such as treatment expectations and the therapeutic alliance. Reflecting this expertise, Dr. Constantino is immediate past-President of the North American Society for Psychotherapy Research, and his work has been recognized with awards including the American Psychological Foundation’s Division 29 (Psychotherapy) Early Career Award, fellow status (awarded in 2009) in the American Psychological Association (APA) and Division 29 of APA, and APA Division 29’s 2013 Distinguished Publication of Psychotherapy Research Award. Dr. Constantino’s primary appointment is as Professor of Clinical Psychology at the University of Massachusetts Amherst where he directs his Psychotherapy Research Lab, teaches psychotherapy courses, supervises clinicians, and treats patients. Dr. Constantino has published both theoretical and empirical work in leading journals, and he has received both internal and external grant support for his research. Dr. Constantino will be leading the Metacompetencies modules in the CBTH4Fatigue training program, and he is looking forward to teaching more about how these make the difference between therapy being done, and therapy being done well.


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Dr. Green (click for CVis an Associate Professor of Radiation Oncology at the Icahn School of Medicine, and a practicing radiation oncologist whose clinical practice is dedicated to the treatment of patients with breast cancer. She and her colleagues offer breast cancer treatment using state of the art radiation treatment techniques, customized to each individual, focusing on optimizing treatment outcomes while minimizing any normal tissue toxicity. Dr. Green’s clinical research is focused on optimizing the quality of life of patients undergoing breast cancer radiation therapy. She has collaborated with Dr. Montgomery and other CBTH4Fatigue team members (e.g., Julie Schnur, Ph.D., Madalina Sucala, Ph.D., Matt Dillon, B.S.) on several studies (ACS and NCI-funded) evaluating behavioral interventions to manage radiotherapy-related side effects, including the fatigue trial which is the foundation for this course. She continues to work with the team to develop and implement specific interventions to minimize or prevent decreases in QOL. Dr. Green has also been cited in popular media including USA today and HealthDay. Dr. Green will be leading the module focused on breast cancer radiotherapy in the CBTH4Fatigue training program.


All course materials will be provided to you directly. The materials in this course include:

  • A full set of lecture videos by our expert faculty.
  • Video role-plays, to demonstrate CBTH skills in practice.
  • Relevant readings pertaining to each topic area, all downloadable online.
  • The CBTH4Fatigue therapist manual and patient workbook.
  • Assorted brief assessments to allow you to practice and refine your knowledge and skills associated with each module, including quizzes, role-plays, and scenario-based learning.
  • Optional enrichment activities to allow you to further delve into each topic area.
  • A Twitter feed to provide updates on emerging topics of interest (e.g., conferences, workshops, publications). 

To compensate you for your time and effort in participating in our research education program, including taking the course and filling out the associated assessments, you will receive reimbursement. For more details on the reimbursement (e.g., timing, amount) please click “Apply Now” and refer to the consent document.

Additionally, upon completion of all five modules and the Live Workshop, you will receive, via email, a certificate of completion for the CBTH4Fatigue course.


Why focus on radiotherapy-related fatigue?

  • Nearly half of women with breast cancer will undergo radiotherapy as part of their treatment
  • Fatigue is one of the most common side effects of breast cancer radiotherapy
  • Cancer-related fatigue can take a severe toll on quality of life

Why Learn CBTH?

  • Cognitive-behavioral therapy is recommended as a fatigue management strategy by national practice guidelines (NCCN, ASCO)
  • Hypnosis is an evidence-based psychotherapeutic technique that has been used in the management of cancer-related symptoms and side effects (including fatigue) for over 200 years
  • In our RCT of 200 women undergoing breast cancer radiotherapy, the combination of cognitive-behavioral therapy and hypnosis (CBTH) reduced fatigue during, and for up to 6 months after, radiotherapy

Use the arrow buttons to scroll through the modules


1. What is the evidence supporting CBTH?
Dr. Guy Montgomery (Course Director) and colleagues conducted a randomized clinical trial (n=200) of CBTH versus an attention control condition [click here to access the publication]. They found that CBTH helped patients manage fatigue both during breast cancer radiotherapy and for up to 6 months after.

2. How long is the course?
Each of the four modules should take approximately one hour to complete, the Live Workshop will be three days, and the post-course evaluations should take less than 20 minutes each.

3. Do I have to complete each module in a single sitting? Or can I take my time?
Go at your own pace! You can stop and start the course whenever you want. Your progress through the course will be saved, so you’ll know where you left off.

4. Is there a charge or fee to take the course?
No, you will not be charged for taking the course.

5. Will I be reimbursed for my participation in the training program?
Yes, to compensate you for your time and effort in participating in our course, and filling out the associated assessments, you will be reimbursed. For more details on the reimbursement (e.g., timing, amount) please click “Apply Now” and refer to the consent document.

6. Do I need to be online at specific times?
No, you do not have to be online at specific times. You can access the course whenever and wherever it is convenient for you.

7. Can international trainees (non-US) participate?
Yes! Just fill out the application linked on the main course page.

8. What equipment do I need?
An internet connection and an internet browser such as Safari, Firefox, or Chrome.

9. Are there eligibility requirements in order to register?
Yes. Participants in this training program must be licensed or license-eligible psychosocial care providers. No prior training in CBT or Hypnosis is required.

10. How do I access the CBTH4Fatigue course?
Once we confirm your eligibility, we will send you an email with all the information you will need to access the course.

11. Is customer service available?
Yes! Our research team is typically available 9:00AM to 5:00PM Eastern Standard Time on business days. However, we will try our best to get back to you as quickly as possible, typically within 72 hours.

12. If I have problems logging into the course, what should I do?
Please contact the program staff using the button on the 'Contact' tab and they will be able to help you.

13. Can I get documentation that I participated in this training?
Participants will receive a PDF Certificate of Completion once they complete both the E-Learning and live workshop components.

14. Does CBTH4Fatigue offer continuing education credits?
At this time, the CBTH4Fatigue course does not award continuing education credits. However, if this changes, we'll update this section accordingly.

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