Student and Resident Behavioral Health
Welcome! The Medical College of Wisconsin recognizes its students and residents work hard, long and responsibly. We are aware the demands of education training and service to patients can produce a variety of stressors for individuals and their families. Student and Resident Mental Health Services provides a comprehensive program to meet these professional and personal mental health needs. We value your dedication and hope you find these resources helpful.
Schedule an Appointment
Awkward Silence Presents: Seize the Awkward
Having a conversation about mental health might be uncomfortable, but it can make all the difference.
View the Awkward Silence Presents: Seize the Awkward | Friendship & Mental Health | Ad Council video today!
Beat Stigma. Start the Conversation.
Do you have a hard time finding the right words when talking to someone who is struggling? Reference these helpful examples (PDF) for your future conversations.
David J. Cipriano, PhD
Associate Professor
Psychiatry and Behavioral Medicine
Director, Student and Resident Behavioral Health
(414) 955-8954 | Pager number: (414) 314-5562
View list of Milwaukee-based Student Organizations.
SilverCloud, a Self-Guided Mental Health Resource for Students
SilverCloud is a free, digital mental health resource available to all MCW students. The program offers readings that focus on a variety of topics including anxiety, depression, stress, or insomnia. Each program can be customized to focus on topics relevant to you. This can include improving sleep, managing worries about the future, coping with grief, building self-esteem, and more. In addition to self-guided readings, you will receive regular check-ins from a Froedtert Health coach who checks in on your progress.
To get started, visit the SilverCloud website and use your @mcw.edu email to register or login to an existing account.
SilverCloud is a supportive tool, but its content is not intended to be a substitute for professional mental health advice, diagnosis or treatment. If you need specific advice or assistance, please contact your medical provider.
Wellbeing Resources & Topics
Take Your Mental Health Vitals: Self Assessment Tools
The Stress and Depression Questionnaire is a valuable tool to help you connect with resources if you are struggling with depression or anxiety. It is completely anonymous, but at the same time interactive because a member of our clinic will respond if need be. The instructions at the site will explain further.
Sleep
Sleep-Related Fatigue in Medical Training
Presentation by David J. Cipriano, PhD
Happenings
Free or low-cost events for students
- Milwaukee Art Museum After Dark
- Milwaukee Art Museum Free First Thursdays
- Milwaukee Public Museum Free First Thursdays
- Milwaukee County Zoo Family Free Days
- Milwaukee Symphony Orchestra Student Discount
- Milwaukee Brewers Student Nights
- Jazz in the Park (Thursdays, 5-9 p.m. from the end of May through the end of August)
- Chill on the Hill (Tuesdays, 6:30-8:30 p.m. from June through August)
- $5 Movie Tuesdays at Marcus Theaters
View the Faculty Affairs Wellbeing Newsletter - Wellness Events Calendar (this is an intranet site that requires a user ID and password)
Licensure Application Questions
The AMA has been advocating with state medical boards for appropriate language to be used on state licensure applications. This includes asking only about current impairment in practicing medicine versus probing questions about history or hypothetical situations. The Medical College of Wisconsin is striving to reduce stigma around mental health and to increase care-seeking among our trainees, staff and faculty. Click on the link to see a representation of current states' licensing questions on mental health. Ask your advisor or a trusted mentor if you have questions about how to answer such questions.
Test Anxiety
Two components of anxiety
It seems like life as a student is one constant round of testing and assessment. Whether it is Step, course exams or shelf exams, the stress of being evaluated can sometimes make it a challenge to do your best.First of all, most failures of memory on tests are failures of retrieval - not of encoding or storage. That means that it's in there, you just need to find the right key words or search words to find it. This is difficult to do when your anxiety is high. The anxiety has two components: physiological and cognitive. Both of these components take a lot of practice and that practice should take place in conditions similar to the actual test. Take practice tests under such conditions (sitting at a desk, timed, lights on, appropriately dressed, etc.). Then you can practice slowing down the physiological arousal as well as the negative thoughts.
The first step is to slow down the physiological activation.
This is happening in the autonomic nervous system, particularly the sympathetic branch. Activating the parasympathetic branch (for all intents and purposes, the vagal nerve) is the classic antidote to sympathetic arousal. Deep breaths stimulate the vagal nerve (at least the branch of it that runs down our chest) - not to mention the benefits of increased oxygen intake. Rocking stimulates the vagal nerve, and some say that placing your tongue on the roof of your mouth, right above the front teeth does too. Of course, any mindfulness meditation can counter autonomic arousal as well.The second component is the cognitive one.
These are the negative thoughts that often go like this: "If I fail this test, I'll fail this course. And if I fail this course, I'll fail medical/graduate/pharmacy school…” Or, some sort of horriblizing like that. This is what interferes with retrieval and you will have to learn to challenge these thoughts. Examples of healthy self-talk to counter the negative are: "I'm smart enough to have gotten this far...Residencies are placing less emphasis on test scores and are thinking more holistically....I know of people who did not achieve their goal Step 1 score and who are still perfectly happy with their path and career in medicine….One test does not capture the creativity, planning and organization that it takes to be a good researcher."
Surviving Step 1
Study tips from Dr. Cipriano
As you enter your dedicated study time for Step 1, I thought a quick primer in cognitive-behavioral therapy (CBT) is in order. Simply put, you’ve got to challenge the negative thinking!
For example:
Fear: "I need to learn all this material and it is too much."
Challenge: "I have the ability to focus my mind in a helpful direction right now. I have a study plan and I can focus intentionally on just the bit of information I need to take in today. I already know a lot of this information.”
Fear: "My whole future depends on this score."
Challenge: "I can only give my best possible performance without sacrificing my sanity. There are many potential options for me in medicine and any of them will offer me the professional fulfillment and challenge that I seek."
Fear: "I can’t stop worrying about what score I will get."
Challenge: "Worrying about the future outcome will not change that outcome, but in fact distracts me from focusing. I know how to study, I’ve been doing it my whole life. Anything else is a ‘later worry’ and just interference with the task at hand."
Fear: "My Step score is the only thing that matters."
Challenge: "If the Step score meant everything, it would be the only thing that would be required. Residencies are using a more wholistic approach to admissions these days. I have many other opportunities to shine."
More Study Tips from Dr. Cipriano
Contact Us/Crisis Support Lines
Milwaukee
General: (414) 955-8900
Intake Team
(414) 955-8933
studentresidentbh@mcw.edu
Emergencies
During Business Hours
(414) 955-8933
Emergencies
1 (833) 927-1860 ComPsych (students only)
After Business Hours
(414) 805-6700
Green Bay
Counseling services available in partnership with St. Norbert College
(920) 403-3045
Central Wisconsin
Counseling services available in partnership with Elmergreen and Associates
(715) 845-7175
24/7 Support - Provided by Resources Outside of MCW
Support available at no cost through the National Suicide Prevention Lifeline
(800) 273-8255
Suicide and Crisis Lifeline: 988
The Crisis Text Line
Provides Free Crisis Support via Text Message:
-Text START to 741741
-Additional information and support available on their website
Green Bay - Family Services of NE Wisconsin
Crisis Support Line
(920) 436-8888
Milwaukee County Behavioral Health Division
Crisis Support Line
(414) 257-7222
(414) 257-6300 (for hearing impaired)
Wausau - North Central Health Care
Crisis Hotline
(715) 845-4326
(800) 799-0122
The Trevor Project
LGBT Intervention and Suicide Prevention Hotline
(866) 488-7386
Physician Support Line
Psychiatrists helping physicians and medical students navigate the many intersections of our personal and professional lives.
(888) 409-0141
Physican Support Line website