Golzar Kouklan, Psy.D., LCP

PSY*****

**** ****** ******

Unit #7

San Diego, CA 92103

630-***-****

adavih@r.postjobfree.com

EDUCATION

Midwestern University, Downers Grove, IL (APA Accredited) 09/12 – 11/17 Behavioral Medicine Department

Degree: Doctor of Psychology in Clinical Psychology (Psy.D.) Loyola University Chicago, Chicago, IL 08/06-05/10 Bachelor of Science in Psychology

Minor: English

CLINICAL TRAINING EXPERIENCE

San Diego BrainWorks Psychology & Neuropsychology Services, P.C. 10/18-Present San Diego, CA.

Function as a licensed clinical psychologist in assessing clients seeking evaluations for multifarious issues including traumatic brain injury, concussion, learning disorders, ADHD, developmental disabilities, mild cognitive impairment, psychological/emotional disorders, among other medical complications

Conduct clinical intakes for the purposes of obtaining clarification of the reason for referral, com- prehensive background and developmental history, and premorbid etiologies

Explain testing procedures and objectives to subjects, and works with subjects to facilitate com- pliance with protocol and procedures and to ensure appropriate test completion

Review medical records, school records (e.g. IEPs, 504 plans, academic samples) and connect with collateral informants for data gathering

Administer one-on-one assessments to patients

Score and interpret raw data on tailored and flexible batteries

Understand psychometrics applied to psychological assessments

Manage behavioral/motivational problems that arise in the context of assessments

Writing reports and synthesizing components of background history, results, summary, and rec- ommendations

Ensure confidentiality of test results and recommendations; maintain the security of testing mate- rials

Communicate effectively with supervising psychologist regarding testing, scoring, and diagnostic formulation

Provide off-site neurocognitive/psychological assessments for substance abuse treatment facilities and residential treatment facilities

Evaluate participants in San Diego County's Welfare-to-Work program for learning disorders and/or intellectual developmental disorder for the purposes of providing appropriate academic and occupational accommodations

Maintaining knowledge of scientific research principles, practices, and protocols

Provide feedback sessions for all patients/constituencies in order to inform test results, diagnostic impressions, and recommendations

Alvarado Parkway Institute 09/17-09/18

Postdoctoral Fellow within the Psychology Department La Mesa, CA

Training encompassed a multitude of psychiatric inpatient setting clinical experiences which in- cluded but were not limited to the following:

o group therapy (psychoeducation and process)

o individual therapy (CBT, ACT, DBT, MI, TIC, MBSR) o psycho-diagnostic assessments

o neurocognitive evaluations

o assessment report-writing

o self-harm intervention plans/harm-to-others intervention plans o domestic violence screening and safety plans

o behavior modification plans

o crisis intervention

o curriculum development

o interdisciplinary treatment team collaboration and consultation o treatment planning

o resolving legal and ethical issues

o documenting necessity for treatment as well as treatment progression

Referral source for orders for complex/treatment-resistant patients to receive individual therapy

Participated in weekly Psychology leadership team meetings and oversaw and disseminated qual- ity assurance practices within the department

Led and facilitated monthly hospital core clinical team meetings for the purposes of improving internal processes within my assigned unit and improve performance outcomes

Assisted in quality improvement methodologies including assisted in implementing outcome- based practices within the Psychology department

Led/co-led department-wide morning meetings in order to ensure clinical care coverage and man- agement

Completed numerous stat psycho-diagnostic and/or neurocognitive evaluations for the purpose of aiding in diagnostic clarification and treatment recommendations including discharge planning

Mentored trainees in assessment-based practices including battery selection, scoring measures, interpretation of measures and overall results, as well as revising reports

Mentored predoctoral interns, marriage and family trainees, and counseling trainees on clinical cases including assisting in ethical decision-making (e.g. duty-to-warn, do-no-harm, APS man- dated reporting, CPS mandated reporting)

Implemented a chronic pain evidenced-based group curriculum in two outpatient clinics totaling four groups/week in addition to providing chronic pain management in an individual therapy for- mat

Training encompassed a multitude of outpatient setting clinical experiences with patients with chronic and acute mental illness and/or substance abuse/dependence o group and individual therapy treatment for chronic pain o individual therapy treatment for chronic pain

Didactic trainings included topics related to diversity, ethical and legal concepts, therapeutic com- munication, psycho-diagnostic testing, neurocognitive testing trauma-informed care, assault/crisis response, CPR, burnout, and various models and theories of clinical practice such as CBT, DBT, ACT, psychological assessment, clinical documentation, risk assessments, etc.

Received one hour per week of face to face individual supervision with a primary clinical super- visor

Received three hours of group supervision per week by the primary clinical supervisor

Received and co-led one hour per week of supervision of psycho-diagnostic and/or neurocogni- tive assessments with the primary clinical supervisor Aurora Sinai Medical Center (APA Accredited) 09/16-09/17 Pre-doctoral Intern Milwaukee, WI

Trained in a 6-month rotation in neuropsychological assessment, encompassing the following du- ties: test battery formulation, test administration, clinical interviewing, scoring/interpretation of test results, formulating diagnostic impressions, providing treatment recommendations, report- writing, and providing feedback to patients

Received weekly supervision from a board certified clinical neuropsychologist on patient cases individually in addition to weekly didactic-based case presentations in a team-oriented format

Participated in a year-round women’s health minor rotation which encompasses providing triage and short-term/brief therapy services to women seeking both medical and/or behavioral health services in the women’s health clinic

Attended monthly staff meetings at the women’s health clinic in order to assist in developing a streamlined and clinically appropriate interventions in a triage environment

Facilitated a CPT-based group therapy protocol for opiate-addicted pregnant women with trauma/complex trauma backgrounds and will co-facilitate in a new cycle for a skills-based train- ing for the same population in January

Provided a multitude of direct clinical services to patients who evidence a wide range of psychol- ogy and medical disorders in the outpatient clinic: A. Assessment of psychological and behavioral components of physical and men- tal health to determine problems and strengths so as to plan prevention and/or treatment strategies

B. Utilized data from biological, psychological, social, systemic, developmental, and cultural aspects of health (including the use of standard psychometric in- struments relevant to the health field)

C. Incorporated quantitative outcome evaluation methods into service delivery models, so as to obtain relevant data regarding treatment effectiveness including psychological, affective, behavioral, and medical measures D. Provision of evidence-based psychological approaches for the prevention and treatment of common health and mental health problems. These interventions including individual and group therapy approaches as well as family, caregiver, and community education in conjunction with other health care professionals E. Provision of consultation services to other team members regarding specific as- pects of patient care, assisting with the psychological and behavioral aspects of presenting problems

Participated in weekly 1 hour of individual supervision for clinical cases and weekly 1-hour indi- vidual supervision in professional development topics

Participated in a formal weekly didactic sequence covering knowledge of the literature on evi- dence based treatments and a critical adaptation of the literature to a health-service oriented envi- ronment in addition to building competency in such topics as the effects of poverty and racism on mental health, the integration of mental health and physical health, trauma-informed care, the re- covery model of mental illness and substance abuse, ethical issues, and utilization of supervision

Participated in a formal weekly didactic sequence covering professional development topics in- cluding the practice of health serve psychology pertaining to the bio-psycho-social, cultural, and developmental aspects of behavior and how these factors affect health and behavior, disease pro- gression, treatment outcomes, wellness, and a variety of topics relevant to meeting the APA’s standards of competency in the field

Participated in monthly case collaboration meetings regarding high-risk cases with the behavioral health staff from various Aurora Health Care sites in addition to participating in the monthly in- ternship committee meetings

Participated in the formal educational offerings sponsored by ABHS, including the monthly Evi- dence-Based Behavioral Health Series as well as various half/full-day workshops offered throughout the year

Became knowledgeable in the core competencies for inter professional practice by including an understanding of the values and ethics of other health professions, the roles and responsibilities of the different disciplines, and the development of skills in inter-professional communication and team integration for a more comprehensive understanding of the benefits of collaborative patient healthcare

Completed specialty medical service rotations in 3-month intervals in consultation/liaison psy- chology and bariatric evaluations for the bariatric program

Participated in a minor rotation in primary care psychology services Advocate Illinois Masonic Medical Center-Behavioral Health Services 07/15-06/16 Advanced Therapy Extern Chicago, IL

Provided psychotherapeutic services (i.e., individual, group, and family therapies) to a multicul- tural, multi-ethnic community mental health clinic

Coordinated and provided case management services in regards to an array of patient needs in- cluding finding resources, referrals, and consulting with other healthcare providers, family mem- bers, and/or school officials for the purposes of comprehensive care

Consulted with an individual supervisor as well as a group supervisor on a weekly basis regarding patient care as well as developing my psychotherapy skills and competence in evidence-based practices

Developed my professional competence in attending to and addressing diversity and individual differences in patient case consultation

Upheld codes of professional conduct and ethics

Participated in weekly didactic seminar and extern training

Conducted general and crisis management intake clinical interviews on a weekly basis

Completed weekly documentation requirements including progress notes, clinical assessments, diagnosis documents, treatment plans, crisis management documentation, and level of risk docu- mentation

Consulted with colleagues and clinic staff members regarding patient care

Engaged in administrative duties including scheduling patients, making attempts at outreach via telephone and mail as well as accommodating scheduling needs for transfer patients Riverside Medical Center 07/14-06/15

Mixed Therapy/Assessment Extern Kankakee, IL

Administered neuropsychological assessments to patients seeking referrals for complaints of mi- graines or headaches, pre-stroke signs such as weakness on one side of body, numbness, visual loss, slurred speech, difficulty with balance, epilepsy (Seizures), multiple sclerosis, Parkinson's Disease or related symptoms such as tremors, slow movement, frequent falls, Alzheimer's Dis- ease, dementia, memory loss or cognitive impairments, neuropathy, neuromuscular disorders, gait abnormalities, as well as evaluating the interaction between physical and psychiatric issues

Wrote neuropsychological reports that included the results of the assessments, explained the cau- sality of the symptoms, diagnosed cognitive impairments and psychological disorders, and pro- vided recommendations in assisting the patients in receiving the appropriate treatment

Administered cognitive assessments to patients on the inpatient rehabilitation unit in order to as- sist patients in order to determine cognitive status in order to assist the patient with receiving ser- vices for cognitive deficits/impairments due to a variety of diagnoses including, but not limited to: stroke (CVA), spinal and joint surgeries, head injuries, amputees, neurological disorders (Par- kinson’s, multiple sclerosis, among other movement disorders to name a few), and cardiac cases

Wrote cognitive assessment reports on the rehabilitation unit that included the results of the as- sessment, explained the patients’ level of impairment, and provided recommendations in assisting the patient in making adaptations to their deficits

Administered psychological testing to children, adolescents, and adults at a private practice asso- ciated with my supervisor in order to clarify autism spectrum disorders, emotional, behavioral and psychological disorders

Wrote psychological reports for the patients at the private practice that included diagnoses for dis- ability and educational purposes

Conducted brief therapy sessions with patients on the rehabilitation unit in order to support the patients with their physical, emotional, and mental health

Wrote therapy notes on patients on the rehabilitation unit whom are seen for therapy

Conducted monthly group therapy for inpatient and outpatient Stroke Support Group members whom have experienced a stroke covering various topics such as risk factors, medication mainte- nance, emotional regulation, and education about stroke recovery

Administered cognitive assessments to patients on the mental health unit in order to assist in clar- ifying differential diagnoses between psychiatric disorders and cognitive impairments

Wrote cognitive assessment reports in order to explain the results as well as provided diagnoses and recommendations

Advocate Christ Hospital 04/14-07/14

Diagnostic Extern Oak Lawn, IL

Administered cognitive and emotional assessments to patients on the Adult Surgical Heart Unit and Medical Intensive/Cardiac Care Unit in order to assist the patients’ cardiac care

Attended weekly staffings in order to assist the treatment team in catering to the patients’ needs

Collaborated with a multidisciplinary team of physicians, nurses, and social workers in order to support the patients

Provided therapeutic and emotional support to patients in the heart, lung, and kidney transplant programs

Conducted weekly process group therapy sessions on the mental health unit Neurobehavioral Medicine Consultants, Ltd. 07/13-03/14 Diagnostic Extern Carol Stream, IL

Completed a training period in administration and scoring of neuropsychological tests through both direct observation and practice

Received continuous supervision of test administration, scoring, and interpretation

Received supervised experience in planning test selection, implementing, interpreting, writing up, and communicating results of neuropsychological evaluations using a broad range of tests and procedures

Conducted assessments of neuropsychological disorders resulting from brain related disorders including traumatic brain injury, concussions, and other neurological diseases and conditions

Evaluated the impact of emotional disorders (e.g., depression and anxiety) on neuropsychological functioning

RESEARCH EXPERIENCE

Virtual Reality Medical Center (VRMC) 05/18-Present Research Volunteer San Diego, CA

PIs: Dr. Mark Wiederhold and Dr. Brenda Wiederhold Research Supervisor: Dr. Vrajeshri Patel

Assisted in written proposal of virtual reality (VR) and microsensors in the rehabilitation of sub- jects with acute injuries/chronic pain

Assisted in compiling pre-/mid-/post-measures of psychological and physiological functioning as well as targeting perception of pain

Assisted in developing a data collection log that assesses the impact of pain on motor, physiologi- cal, and psychological functions with mediating variables including microsensors and VR

Assisting in amending/revising subject-based protocols

Trained in biofeedback device and software utilization and interpretation PROFESSIONAL ORGANIZATIONS/CONFERENCES

Member of San Diego Psychological Association (SDPA): Early Career Psychologist (ECP) Committee

Member of California Psychological Association (CPA): Divisions 1 (Clinical and Professional Practice), 2 (Education and Training), 5 (Clinical Psychopharmacology), and 8 (Neuropsychol- ogy)

Member of American Psychological Association (APA): Divisions 12 (Clinical Psychology), 19

(Military Psychology), 40 (Neuropsychology), and 38 (Healthy Psychology +Women’s Health Interest Group)

Member of National Register of Health Service Psychologists (credentialing in progress)

Member of Society for Health Psychology (SfHP)

Member of Association of Psychologists in Academic Health Centers (APAHC) and website ad- ministrator

Member of the American Academy of Clinical Neuropsychology

Associate level member of American Diabetes Association (ADA)

Attained the certificate of completion for the ADA-APA Mental Health Care Provider Education Program in August 2018

Completed the Neuroscience for Everyday Practice: Connect Brain Science with Clinical Strate- gies for Emotional Regulation, Stress, Depression, Anxiety, Trauma, ADHD, and Chronic Pain workshop facilitated by PESI in April 2018

Attended workshops and volunteered for SDPA at the CPA Convention in April 2018

Attended workshops in the 2013 American Academy of Clinical Neuropsychology (AACN) in Chicago, IL and the 2013 Illinois Psychological Association (IPA) Annual Convention HONORS

Awarded the Midwestern University Community Service Scholarship 06/2013

Dean’s List every semester at Loyola University 2006-2010

Awarded Loyola University’s Murphy Scholarship 2007-2010 OTHER

Fluent in Farsi

Proficient in Microsoft Office Suite

Proficient in SPSS software

Certified in Nonviolent Crisis Intervention

Certified in Cardiopulmonary Resuscitation

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