Dr. Stephanie Clarke is a Licensed Clinical Psychologist and Clinical Instructor of Psychiatry and Behavioral Sciences at the Stanford University School of Medicine. Dr. Clarke is an expert in the treatment of suicidal and self-harming adolescents, with additional expertise in evidence-based treatment of trauma and eating disorders in adolescents. She received her doctoral degree in the Developmental Psychopathology and Clinical Sciences program at the University of Minnesota in 2015 under the mentorship of Dante Cicchetti, PhD, and she completed her internship at Cambridge Health Alliance/Harvard Medical School. She completed her post-doctoral fellowship at Stanford University School of Medicine, where she spent two years working with suicidal and self-harming adolescents in the Crisis Clinic and Adolescent DBT Program. She currently provides DBT to high-risk adolescents in Stanford’s Adolescent DBT Program and the DBT Intensive Outpatient Program, RISE, a collaboration between Stanford and Children’s Health Council, a community clinic. She is currently in charge of training and supervision of psychology trainees at RISE, and has co-authored several publications on adolescent suicide, self-harming behavior, and DBT.
Clinical Instructor, Psychiatry and Behavioral Sciences - Child and Adolescent Psychiatry
Internship:Cambridge Health Alliance (2015) MA
Fellowship:Stanford University Child and Adolescent Psychiatry Fellowship (2018) CA
PhD Training:University of Minnesota Medical School - Twin Cities (2015) MN
Fellowship:Stanford University School of Medicine (2016) CA
- Self-Injurious Behavior Textbook of Suicide Risk Assessment and Management edited by Gold, L. H., Frierson, R. L. American Psychiatric Association Publishing. 2020; 3rd: 305–317
- Management of Suicidal Youth Clinical Handbook for the Diagnosis and Treatment of Pediatric Mood Disorders edited by Singh, M. American Psychiatric Publishing. 2019; 1: 391–422
Recent advances in understanding and managing self-harm in adolescents.
Adolescent suicide is a serious public health problem, and non-suicidal self-injury (NSSI) is both highly comorbid with suicidality among adolescents and a significant predictor of suicide attempts (SAs) in adolescents. We will clarify extant definitions related to suicidality and NSSI and the important similarities and differences between these constructs. We will also review several significant risk factors for suicidality, evidence-based and evidence-informed safety management strategies, and evidence-based treatment for adolescent self-harming behaviors. Currently, dialectical behavior therapy (DBT) for adolescents is the first and only treatment meeting the threshold of a well-established treatment for self-harming adolescents at high risk for suicide. Areas in need of future study include processes underlying the association between NSSI and SAs, clarification of warning signs and risk factors that are both sensitive and specific enough to accurately predict who is at imminent risk for suicide, and further efforts to sustain the effects of DBT post-treatment. DBT is a time- and labor-intensive treatment that requires extensive training for therapists and a significant time commitment for families (generally 6 months). It will therefore be helpful to assess whether other less-intensive treatment options can be established as evidence-based treatment for suicidal adolescents.
View details for DOI 10.12688/f1000research.19868.1
View details for PubMedID 31681470
- Safety Planning and Risk Management Evidence-Based Treatment Approaches for Suicidal Adolescents American Psychiatric Association Publishing. 2019: 63–84
- Other Treatments: Eye Movement Desensitization and Reprocessing (EMDR) and Dialectical Behavior Therapy (DBT) Assessing and Treating Youth Exposed to Traumatic Stress American Psychiatric Publishing. 2019
Borderline personality characteristics and treatment outcome in cognitive-behavioral treatments for PTSD in female rape victims
2008; 39 (1): 72–78
Many studies report that comorbid borderline personality pathology is associated with poorer outcomes in the treatment of Axis I disorders. Given the high rates of comorbidity between borderline personality pathology and posttraumatic stress disorder (PTSD), it is essential to determine whether borderline symptomatology affects PTSD treatment outcome. This study examined the effects of borderline personality characteristics (BPC) on 131 female rape victims receiving cognitive-behavioral treatment for PTSD. Higher BPC scores were associated with greater pretreatment PTSD severity; however, individuals with higher levels of BPC were just as likely to complete treatment and also as likely to show significant treatment response on several outcome measures. There were no significant interactions between type of treatment and BPC on the outcome variables. Findings suggest that women with borderline pathology may be able to benefit significantly from cognitive-behavioral treatment for PTSD.
View details for DOI 10.1016/j.beth.2007.05.002
View details for Web of Science ID 000257419000008
View details for PubMedID 18328872
View details for PubMedCentralID PMC2970917
The Impact of Clergy-Perpetrated Sexual Abuse: The Role of Gender, Development, and Posttraumatic Stress
JOURNAL OF CHILD SEXUAL ABUSE
2008; 17 (3-4): 329–58
The literature on clergy-perpetrated sexual abuse suggests that there are two modal populations of survivors: boys and adult women. We review what is known about trauma and post-traumatic stress disorder following sexual abuse and explore the different treatment needs for these two survivor groups. For children, clergy-perpetrated sexual abuse can catastrophically alter the trajectory of psychosocial, sexual, and spiritual development. Depending on the age at which abuse occurred, adult clients may present with clinical issues that are more appropriate for a younger developmental stage. Additionally, the symptoms of traumatic stress may be misunderstood when clients conceptualize their abuse as an "affair" or "consensual" relationship. We discuss empirically supported treatments for post-traumatic stress disorder and potential adaptations for the needs of clergy-perpetrated sexual abuse survivors.
View details for DOI 10.1080/10538710802329940
View details for Web of Science ID 000207708700009
View details for PubMedID 19042605
A Theoretical Foundation for Understanding Clergy-Perpetrated Sexual Abuse
JOURNAL OF CHILD SEXUAL ABUSE
2008; 17 (3-4): 301–28
Incorporating elements from broadband theories of psychological adaptation to extreme adversity, including Summit's (1983) Child Sexual Abuse Accommodation Syndrome, Finkelhor and Browne's (1986) Traumagenic Dynamics Model of sexual abuse, and Pyszczynski and colleagues' (1997) Terror Management Theory, this paper proposes a unified theoretical model of clergy-perpetrated sexual abuse for future research. The model conceptualizes clergy-perpetrated sexual abuse as the convergence of interactive processes between the clergy-perpetrator, the parishioner-survivor, and the religious community.
View details for DOI 10.1080/10538710802329874
View details for Web of Science ID 000207708700008
View details for PubMedID 19042604
Intimate partner psychological aggression and child behavior problems
JOURNAL OF TRAUMATIC STRESS
2007; 20 (1): 97–101
The present study examined the relationship between intimate partner psychological aggression and children's behavior problems in a community sample of families (N = 470 children). The results showed that psychological aggression experienced by the mother has adverse effects on children's externalizing and internalizing behavior problems over and above the effects of physical aggression. The association between psychological aggression and child behavior problems was partially mediated by maternal distress. Exposure to psychological aggression appears to have unique direct and indirect adverse effects on children.
View details for DOI 10.1002/jts.20193
View details for Web of Science ID 000244981300010
View details for PubMedID 17345649