University of Florida Department of Psychiatry College of Medicine University of Florida

Faculty -Gary R. Geffken, Ph.D.

Gary R. Geffken, Ph.D.
Associate Professor

Dr. Geffken is an Associate Professor of Psychiatry at the University of Florida, with additional academic appointments in Pediatrics and Clinical & Health Psychology. Dr. Geffken's teaching, research, and clinical practice is with children, adolescents, and adults. Dr. Geffken specializes in cognitive behavioral therapy. He also has special expertise in the psychological treatment of enuresis and obsessive compulsive disorder. Dr. Geffken has served as the President of the Florida Psychological Association. He has also served in leadership roles for continuing education for health care professionals at state and national levels.

Clinical Interests:

Dr. Geffken was the Program Director for two inpatient psychiatric pediatric programs: the Diabetes Project Unit for adolescents with difficult-to-manage diabetes and the Children Mental Health Unit for children with autism spectrum disorders. These inpatient programs were closed in December 2001 due to budget cuts and were restructured to be intensive outpatient programs. Dr. Geffken retained the role of Program Director for the intensive telehealth program; combining advances in technology with cutting edge treatment research in multidisciplinary approaches to adherence and health status in children and adolescents with difficult-to-manage-diabetes and their families.

Dr. Geffken also has special expertise in the psychological treatment of obsessive compulsive disorder for both adults and children. He directs the cognitive behavioral therapy of the Department of Psychiatry’s Regional Program for the Intensive Treatment of Refractory Obsessive Compulsive Disorder. This program operates on both an inpatient and outpatient basis, where patients with treatment refractory Obsessive Compulsive Disorder are seen on a daily basis. As well, Dr. Geffken also supervise a clinic conducting weekly or biweekly outpatient cognitive behavioral therapy for Obsessive Compulsive Disorder, Panic Disorder, and other anxiety related disorders.

Dr. Geffken also has special expertise in the psychological treatment of enuresis. He has conducted treatment outcome research on biobehavioral factors in the treatment of childhood enuresis.

Research and Scholarly Interests:

Dr. Geffken recently co-authored a book entitled: Child Health Psychology: Handbook of Measurement Techniques, published by Allyn and Bacon in 2000. He has published numerous scientific investigations and chapters primarily on the psychological and family factors related to juvenile diabetes. Secondary research and scholarly interests are represented by his scientific and scholarly publications in enuresis and Obsessive Compulsive Disorder, and other topics in child psychopathology. He has presented his work widely as can be seen on his C.V.

He reviews manuscript submissions in his clinical areas of interest for numerous professional journals. Journals he has reviewed for include: Cognitive Therapy and Research, Diabetes Care, Behavior Therapy, Health Psychology, Update on Children's Health Issues, Journal of Pediatric Psychology, Journal of Child Psychology and Psychiatry, Anxiety, Anxiety and Depression, Journal of Clinical Psychology in Medical Settings, Archives of General Psychiatry, Biological Psychiatry, Comprehensive Psychiatry, Journal of Personality and Social Psychology, Journal of Abnormal Psychology, Pediatric Diabetes, and the Journal of Autism and Developmental Disorders. He also has reviewed the book Practical Psychology for Diabetes Clinicians, grants for the Obsessive Compulsive Foundation, and the American Psychological Association Science Directorate Dissertation Awards.

Dr. Geffken maintains memberships in professional organizations including the American Diabetes Association, the American Psychological Association, the Society of Clinical Psychology, Society of Pediatric Psychology, Society of Clinical Child and Adolescent Psychology, the Division of Family Psychology, and the Association of Medical School Psychologists.

Educational Interests and Accomplishments:

Dr. Geffken teaches seminars in Cognitive Behavior Therapy and Behavior Therapy in Psychiatry. He also teaches a graduate level class in the Psychological Assessment of Children focusing on the assessment of child intelligence, personality, and behavior. to graduate students in Clinical and Health Psychology. He supervises a Clinical Psychology Rotation for inpatient and outpatient assessment and treatment with pediatric and psychiatric populations. As well, he has served on numerous Master’s Theses, and Dissertation committees as can be seen on his C.V. He also provides supervision of undergraduate research in psychology, as an affiliate faculty of University of Florida Psychology Department.

He teaches Psychiatry Resident Seminars on topics including psychological testing, cognitive-behavior therapy, juvenile diabetes, and enuresis. He is an attending for the Child and Adolescent Psychiatry Case Conference. He serves as a Faculty evaluator for oral examinations for medical student education.

Leadership and Service:

Dr. Geffken has served as the President of the Florida Psychological Association in 1997, the Secretary of the Florida Psychological Association in 1994-1995, and the Education Chair in 1992-1993. He was on the Board of Directors of Psychologists for the Florida Political Action Committee in 1997-1998. His leadership in the Florida Psychological Association has been recognized by an Award from the Psychologists of the Florida Political Action Committee in 1997, he received the Distinguished Psychologist Award from the Florida Psychological Association in 2001. On a local level he served as President of the North Central Chapter of the Florida Psychological Association in 1993, and Secretary in 1991.

Dr. Geffken also has served in leadership roles for continuing education for health care professionals at state and national levels. In 1996 he was Chair for the Committee for the Approval of Continuing Education Sponsors, which was the national committee recognizing or accrediting programs able to offer professional continuing education to psychologists.

He has served as the Program Chair for the Department of Psychiatry’s Grand Rounds Committee for the past 7 years, ensuring that physicians receive CME’s and psychologists receive continuing education credit for Psychiatry Grand Rounds. In terms of Continuing Medical Education he earned a Distinguished Service Award for Continuing Medical Education in 2000 from the University of Florida College of Medicine.

He is a Site Visitor for the American Psychological Association’s Committee on Accreditation. He has been an Ad-hoc Reviewer for Continuing Education Programs of Practice Directorate as established by the Board of Professional Affairs and the Committee for the Advancement of Professional Psychology. As well, he was a Commissioner for the Commission on Education and Training Leading to Licensure in Psychology.

Representative Publications:

Publications (since 2000)

Geffken GR, Zelikovsky N, Clark J, Silverstein JH, Drobes D. (2000). Poor metabolic control during menstruation and sexual abuse issues in an adolescent with diabetes. British Journal of Medical Psychology, 73, 561-565.

Boyar FZ, Filbrandta MM, Lossiea AC, Gray BA, Keller KL, Stalker HJ, Zori RT, Geffken GR, Mutch PJ, Edge P, Voeller KK, Williams CA, Driscoll DJ. (2001). A family with grand-maternally derived interstitial duplication of proximal 15q. Clinical Genetics. Dec;60(6):421-30.

Geffken G, Winter WE. (2001). Hardware and software in diabetes mellitus: Performance characteristics of hand-held glucose testing devices and the application of glycemic testing in patients’ daily diabetes management. Clinical Chemistry, 47(1), 11-15.

Zelikovsky N, MacNaughton K, Geffken GR. (2001) A review of choking phobia in children: Diagnosis, assessment, and treatment. Journal of Psychological Practice, 7(1), 23-32.

Gelfand K, Geffken G, Halsey-Lyda M, Muir A, Malasanos T. (2003). Intensive telehealth management of five at-risk adolescents with diabetes. J Telemed Telecare. 9(2):117-21.

Storch EA, Gerdes AC, Adkins JW, Geffken GR, Star J, Murphy T. (2004). Behavioral treatment of a child with PANDAS. J Am Acad Child Adolesc Psychiatry. 43(5):510-1.

Storch EA, Lewin AB, Geffken GR, Heidgerken AD, Stawser MS, Baumeister A, Silverstein JH. (2004). Psychosocial adjustment of two boys with gynecomastia. J Paediatr Child Health.40(5-6):331.

Gelfand K, Geffken G, Lewin A, Heidgerken A, Grove MJ, Malasanos T, Silverstein J. (2004) An initial evaluation of the design of pediatric psychology consultation service with children with diabetes. J Child Health Care. 8(2):113-23.

Storch EA, Lewin A, Silverstein JH, Heidgerken AD, Strawser MS, Baumeister A, Geffken GR. (2004) Peer victimization and psychosocial adjustment in children with type 1 diabetes. Clin Pediatr (Phila). 43(5):467-71.

Storch EA, Murphy TK, Geffken GR, Soto O, Sajid M, Allen P, Roberti JW, Killiany EM, Goodman WK. (2004) Psychometric evaluation of the Children's Yale-Brown Obsessive-Compulsive Scale. Psychiatry Res. 30;129(1):91-8.

Storch EA, Murphy TK, Geffken GR, Soto O, Sajid M, Allen P, Roberti JW, Killiany EM, Goodman WK. (2004) Further psychometric properties of the Tourette's Disorder Scale-Parent Rated version (TODS-PR). Child Psychiatry Hum Dev. 35(2):107-20.

Storch EA, Lewin AB, Silverstein JH, Heidgerken AD, Strawser MS, Baumeister A, Geffken GR. (2004) Social-psychological correlates of peer victimization in children with endocrine disorders. J Pediatr. 145(6):784-9.

Geffken GR, Storch EA, Gelfand KM, Adkins JW, Goodman WK. (2004) Cognitive-behavioral therapy for obsessive-compulsive disorder: review of treatment techniques. J Psychosoc Nurs Ment Health Serv. 42(12):44-51.

Storch EA, Heidgerken A, Adkins J, Cole M, Murphy T, Geffken GR. (2005). Peer victimization and the development of Obsessive-Compulsive Disorder in adolescence: A case report. Depress Anxiety, 21(1):41-44.

Storch EA, Murphy TK, Geffken GR, Sajid M, Allen P, Roberti JW, Goodman WK. (2005). Reliability and validity of the Yale Global Tic Severity Scale. Psychological Assessment, 17(4):486-491.

Storch EA, Heidgerken AD, Geffken GR, Lewin AB, Ohleyer V, Freddo M, Silverstein JH. (2006). Bullying, regimen self-management, and metabolic control in youth with type 1 diabetes. J Pediatrics, 148(6):784-787.

Geffken GR, Storch EA, Duke D, Lewin A, Monaco L, Goodman WK. (2006). Hope and coping in family members of patients with obsessive compulsive disorder. J Anxiety Disorders, 20(5):614-29.

Hirsh A, O’Brien K, Geffken G, Adkins J, Goodman WK, Storch EA. (2006). Intensive cognitive-behavior therapy for an elderly patient with obsessive-compulsive disorder and comorbid medical conditions. Amer J Geriatric Psych, 14(4):380-1.

Storch EA, Murphy TK, Bagner DM, Johns N, Baumeister A, Goodman WK, Geffken GR. (2006). Reliability and Validity of the Child Behavior Checklist Obsessive-Compulsive Scale. J Anx Disorders, 20(4):473-85.

Storch EA, Larson M, Shapira NA, Ward HE, Murphy TK, Geffken GR, Valerio H, Goodman WK. (2006). Clinical predictors of early fluoxetine treatment response in obsessive-compulsive disorder. Depress Anxiety, 23(7):429-33.

Storch EA, Ledley DR, Lewin AB, Murphy TK, Johns NB, Goodman WK, Geffken GR. (2006). Peer victimization in children with obsessive-compulsive disorder: relations with symptoms of psychopathology. J Clin Child Adolesc Psychol, 35(3):446-55.

Adkins JW, Storch EA, Lewin AB, Williams L, Silverstein JH, Malasanos T, Geffken GR. (2006). Home-based behavioral health intervention: Use of a telehealth model to address poor adherence to type-1 diabetes medical regimens. Telemed J E Health, 12(3):370-2.

Storch EA, Murphy TK, Lewin AB, Geffken GR, Johns N, Jann KE, Goodman WK. (2006). The Children’s Yale-Brown Obsessive Compulsive Scale: Psychometric Properties of Child- and Parent-Report Formats. J Anx Disorders, 20(8):1055-1070.

Goodman WK, Storch EA, Geffken GR, Murphy TK. (2006). Obsessive-compulsive Disorder In Tourette Syndrome. J Child Neurol, 21(8):704-14.

Storch EA, Murphy TK, Geffken GR, Mann G, Adkins J, Merlo LJ, Duke D, Munson M, Swaine Z, Goodman WK. (2006). Cognitive-Behavioral Therapy for PANDAS Related Obsessive-Compulsive Disorder: Findings from a Preliminary Wait-List Controlled Open Trial. J Am Acad Child Adolesc Psychiatry, 45(10):1171-1178.

Storch EA, Bagner DM, Geffken GR, Adkins JW, Murphy TK, Goodman WK. (2006). Sequential cognitive-behavioral therapy for children with obsessive-compulsive disorder with an inadequate medication response: a case series of five patients. Depress Anxiety, 2006 Oct 16; [Epub ahead of print].

Storch EA, Merlo LJ, Lehmkuhl H, Grabill KM, Geffken GR, Goodman WK, Murphy TK. (2006). Further Psychometric Examination of the Tourette's Disorder Scales. Child Psychiatry Hum Dev. 2006 Nov 29; [Epub ahead of print].

Storch EA, Murphy TK, Fernandez M, Krishnan M, Geffken GR, Kellgren AR, Goodman WK. (2007). Factor analytic study of the Yale Global Tic Severity Scale. Psychiatry Res. 149(1-3):231-7.

Storch EA, Stigge-Kaufman D, Marien W, Sajid M, Jacob ML, Geffken GR, Goodman WK, Murphy TK. (2007). Obsessive-Compulsive Disorder in Youth with and without a Chronic Tic Disorder. Depress Anxiety, 2007 Mar 7; [Epub ahead of print].

Storch EA, Geffken GR, Merlo LJ, Mann G, Duke D, Munson M, Adkins J, Grabill K, Murphy TK, Goodman WK. (2007). Family-based cognitive-behavioral therapy for pediatric obsessive-compulsive disorder: comparison of intensive and weekly approaches. J Am Acad Child Adolesc Psychiatry, 46(4):469-478.

Storch EA, Merlo LJ, Larson MJ, Fernandez M, Jacob ML, Geffken GR, Grabill K, Murphy TK, Goodman WK. (2007). Family Accommodation in Pediatric Obsessive-Compulsive Disorder. J Am Acad Child Adolesc Psychiatry, 36(2):207-216.

Grabill K, Merlo L, Duke D, Harford KL, Keeley ML, Geffken GR, Storch EA. (2007). Assessment of obsessive-compulsive disorder: A review. J Anxiety Disord. 2007 Feb 3; [Epub ahead of print]

Geffken GR, Williams LB, Silverstein JH, Monaco L, Rayfield A, Bell SK. (2007). Metabolic control and nocturnal enuresis in children with type 1 diabetes. J Pediatr Nurs, 22(1):4-8.

Storch EA, Lehmkuhl H, Geffken GR, Touchton A, Murphy TK. (2007). Aripiprazole augmentation of incomplete treatment response in an adolescent male with obsessive-compulsive disorder. Depress Anxiety. 2007 Mar 5; [Epub ahead of print]

Storch EA, Merlo LJ, Lack C, Milsom V, Geffken GR, Goodman WK, Murphy TK. (2007). Quality of Life in Youth with Tourette’s Syndrome and Chronic Tic Disorder. J Clin Child Adoles Psychology, Jun 36(2):217-227.

Storch EA, Merlo LJ, Bengtson M, Murphy TK, Lewis MH, Yang MC, Jacob ML, Larson M, Hirsh A, Fernandez M, Geffken GR, Goodman WK. (2007). D-Cycloserine Does Not Enhance Exposure-Response Prevention Therapy in Obsessive-Compulsive Disorder. Internat’l J Clin Psychopharm, 22:230-237.

Ohleyer V, Freddo M, Bagner DM, Simons LE, Geffken GR, Silverstein JH, Storch EA. (2007). Disease-related stress in parents of children who are overweight: relations with parental anxiety and childhood psychosocial functioning. J Child Health Care. Jun;11(2):132-42.

Keeley ML, Storch EA, Merlo LJ, Geffken GR. (2007). Clinical predictors of response to cognitive-behavioral therapy for obsessive-compulsive disorder. Clin Psychol Rev. 2007 Apr 29; [Epub ahead of print]

Storch, E. A., Geffken, G. R., & Murphy, T. K., (Eds.) (2007). Handbook of Child and Adolescent Obsessive-Compulsive Disorder. Lawrence Erlbaum Inc. N.J.

Merlo, L., Storch, E.A. & Geffken, G.R. (2007). Assessment of pediatric Obsessive Compulsive Disorder. In E.A. Storch, T.K. Murphy, & G.R. Geffken (Eds.). Handbook of Child and Adolescent Obsessive Compulsive Disorder. Lawrence Ehrlbaum Inc., New Jersey.

Storch, E.A., O’Brien, K., Adkins, J.A., Merlo, L.J., Murphy, T.K., & Geffken, G.R. (2007). Cognitive behavioral Treatment for pediatric Obsessive Compulsive Disorder. In E.A. Storch, T.K. Murphy, & G.R. Geffken (Eds.). Handbook of Child and Adolescent Obsessive Compulsive Disorder. Lawrence Ehrlbaum Inc., New Jersey.

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Mark S. Gold, M.D.
Dizney Eminent Scholar Distinguished Professor and Chair

Department of Psychiatry

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