The BTC Externship Program

Fall 2019- Spring 2020

Program Description

The Externship Program at the Behavior Therapy Center (BTC) provides unique and exciting opportunities to acquire the theory and practice of behavior therapy.  The Center, under the direction of Dr. Charles Mansueto, has received both local and national recognition as a leader in the treatment of obsessive-compulsive disorder, trichotillomania, and obsessive-compulsive spectrum disorders.  BTC also treats the range of clinical problems that most often present in outpatient mental health centers.  Both Masters and Ph.D.-level clinicians provide services to a predominantly middle-class population.  The Externship Program provides the Center with a means of offering lower cost services to those in need.  Two Externs per year are selected based on interest in behavior therapy, clinical experience, letters of recommendation, and in-person interviews.  

 Direct Provision of Clinical Services

Externs typically carry a caseload that requires 6-8 hours per week of direct clinical services. The weekly time commitment is approximately 16 hours.  Externs typically see clients on two or three days of the week and commit to at least one evening in the clinic if needed by clients.  Case assignments are based on Extern availability, interest in a particular case, and Center demands for lower cost services.  Externs work mainly with adults and occasionally adolescents in individual treatment.  However, opportunities exist to sit in on social anxiety groups for children and aid in their exposure work.  Externs often provide clinical services both in and out of the office, including visits to the clients' home.  Externs must own or have access to a vehicle.  Externs are expected to participate in in-vivo provision of clinical services in clients’ homes as requested by their supervisors. 


Supervision of cases will be provided in accordance with school requirements.  At a minimum, Externs receive one hour of individual supervision, two hours of group supervision, and any additional supervision as requested.  Formal supervision will be provided by licensed clinicians.  In addition, an “open door” policy provides opportunities for Externs to request supervision on particular cases from any Center staff member.  Depending on the case, Externs may also have the opportunity to work on a treatment team, which would involve consultation and supervision by other staff clinicians.

 In-house Seminar Series/Case Conference

In-house seminar series and case conference are held weekly for two and one-half hours every Friday from 11am to 1:30pm.  Externs and the clinical staff enjoy lunch (provided by BTC) and present cases and in-house seminars on a rotating basis.  Case conference provides ample opportunities for Externs to review their clinical work in a professional forum and to receive group input.  In addition Externs are exposed to the inner workings of a private practice and the treatment of individual cases by other staff members.

 Application Process

Interested students should submit a cover letter, resume/vita, and two (2) letters of recommendation.  Applications should be received by February 15, 2019 and can be mailed by postal to:

David Keuler, Ph.D.
Co-Director of Training

The Behavior Therapy Center of Greater Washington
11227 Lockwood Drive
Silver Spring, MD, 20901
Phone: 301-593-4040 ext. 114