Email

terrif@bcm.edu

Positions

Associate Professor

Psychiatry & Behav Sciences
Baylor College of Medicine
Houston, TX US

Education

Fellowship at South Central Mental Illness Research Education and Clinical Center

06/2015 - Houston, Texas United States

Advanced Research Fellowship

Residency at Baylor College of Medicine

06/2013 - Houston, Texas United States

Clinical Psychology

PhD from University of Houston

05/2013 - Houston, Texas United States

Clinical Psychology

BA from Agnes Scott College

05/2006 - Decatur, Georgia United States

Psychology & Religious Studies

Certifications

Licensed Psychologist

Texas State Board of Examiners of Psychologists

Professional Interests

• Improving diagnostic practices for anxiety disorders
• Increasing access to evidence-based treatments for Veterans with anxiety, OCD, and PTSD

Professional Statement

My clinical and research work is focused on the identification, assessment, and treatment of anxiety disorders, posttraumatic stress disorder, and obsessive compulsive disorder. I use mixed qualitative and quantitative methods to evaluate the effectiveness and implementation of innovations in the delivery of evidence-based mental health care.

Websites

Selected Publications

• Fletcher TL, Hogan JB, Keegan F, Davis ML, Wassef M, Day S, Lindsay JA "Advances in Delivering Mental Health Treatment via Video to Home." Current Psychiatry Reports.2018;20: Pubmed PMID: 30032337
• Fletcher, T. L., Hundt, N. E., Kunik, M. E., Singh, H. & Stanley, M. A. "Accuracy of anxiety disorder not otherwise specified diagnosis in older veterans." Journal of Psychiatric Practice.2019;25:358-364. Pubmed PMID: 31505520
• Boykin, D. M., Keegan, F., Thompson, K., Voelkel, E., Lindsay, J. A., & Fletcher, T. L. "Video to home delivery of evidence-based psychotherapy to Veterans with posttraumatic stress disorder." Frontiers in Psychiatry.2019;10: Pubmed PMID: 31920747

Funding

Pilot Testing ERP for OCD Delivered via Video to the Home for Rural Veterans

Grant funding from South Central Mental Illness, Research, Education, and Clinical Center

This pilot grant examines video telehealth delivery of exposure and response prevention (ERP) for obsessive compulsive disorder (OCD) in Veterans. Primary outcomes include feasibility, acceptability, and preliminary outcomes (reduction in OCD symptoms), and examination of whether comorbid PTSD impacts treatment.

Anxiety Diagnostic Accuracy in VA Primary Care Mental Health Integration Settings: Identifying Barriers and Facilitators to Inform a Learning Health Care System

Grant funding from VA Health Services Research & Development

This grant uses mixed quantitative and qualitative methods to identify system-, provider-, and patient-level factors associated with diagnostic specificity for anxiety disorders in VHA mental health settings nationally.

A Pragmatic Trial of Brief CBT for Anxiety in VA Primary Care

Grant funding from VA Health Services Research & Development

This study will examine the effectiveness and implementation potential of a brief cognitive behavioral therapy program delivered either in-person or via VA Video Connect for Veterans with anxiety disorders treated in VHA primary care mental health integration clinics.