Sutter Health

Department Chair

Site Lead and Psychiatrist

Self-Management of Depression

Depression is a complex illness, which presents in a myriad of ways and almost 60-70% people treated with antidepressants fail to achieve a symptom-free state when first treated with these medications. The treatment of depression cannot be pigeon-holed into one or two kinds of treatment modalities. Self-management is increasingly becoming the standard of care in people with long-standing medical conditions. Self-management puts one in the driver’s seat with regards to making choices regarding one’s health. However, treatment of depression has lagged behind in incorporating the concept of self-management with the most popular self-help paradigm on depression focusing mostly on cognitive-behavioral approaches. Self-management goes beyond the narrow perspective of self-help and addresses life style changes, social relationships, communication, problem-solving, and also includes elements of wellness and recovery.

Author and Blogger

Kaiser Permanente

Senior Physician

County of Humboldt

Medical Director

ProMedica

UPMC

Resident Physician

Central Institute of Psychiatry

Mahatma Gandhi Institute of Medical Sciences

House Officer

Harpreet S. Duggal, MD, FAPA, is a board-certified psychiatrist and an international expert on self-management of depression. He has practiced psychotherapy and psychopharmacology for over 20 years and has authored over one hundred articles in scientific journals. He is also a bestselling author of books on depression. Check out his blog on evidence-based strategies for self-management of depression and lifestyle psychiatry. The content on this platform or other social media sites should not be construed as treatment advice or a substitute for it.

Harpreet Duggal, MD, FAPA

Providence

As an Associate Program Director at the Alaska Family Medicine Residency, I work closely with residency leadership, ensuring that the residents meet and exceed ACGME training standards, and oversee the development, delivery, and evaluation of curricula related to behavioral health, transcultural-community medicine, and resident wellness. As the Behavioral Health Director, I supervise the integrated behavioral health services program at Providence Family Medicine Center, which serves as the continuity of care clinic for the medical residency.

Associate Program Director/Behavioral Health Director

Alaska Psychology Internship Consortium

As the Co-Training Director of the Alaska Psychology Internship Consortium, I work closely with Consortium leadership to ensure that our pre-doctoral interns meet the accreditation standards set by the American Psychological Association. Our training program is tailored to equip future psychologists with the skills to work effectively with underserved communities.

Co-Training Director

Alaska Native Tribal Health Consortium (ANTHC)

I am proud to have directed the first Tribal Federally Qualified Healthcare Center (TFQHC) in Alaska, which utilized state-of-the-art telehealth technology to expand access to evidence-based behavioral health services to every tribal health region of Alaska. During my tenure, I achieved several primary accomplishments, including overseeing the delivery of evidence-based services to over 700 people while achieving clinical outcomes that were 44% higher than the national benchmark for behavioral health services in the US while maintaining an over 90% client and staff satisfaction rating. Additionally, I oversaw the development of 32 Standard Operating Procedures detailing all aspects of clinical and administrative operations to support the clinic's hiring, training, and overall sustainability. I also oversaw clinic enrollment with the State Medicaid Office as a Tribal Federally Qualified Healthcare Center with an affiliated Behavioral Health Aide Health Professional Group, setting the clinic up for financial sustainability. 

As part of my additional duties, I oversaw the development and implementation of the clinic's strategic plan, managed a $2.1 million operational budget, and delivered evidence-based psychotherapy services, including Acceptance and Commitment Therapy (ACT) and Collaborative Assessment and Management of Suicide (CAMS). I also directed the Critical Incident Stress Management team and led campus critical incident responses.

Director of Behavioral Health Wellness Clinic

ANTHC brought me on to enhance the delivery of behavioral health services throughout the Alaska Tribal Health System. Among my primary accomplishments, I conducted a statewide assessment of tribal behavioral health needs, ensuring that program development was aligned with stakeholder needs, context, and culture. I also secured a 1.2 million-dollar budget, which was used to establish the first Tribal Federally Qualified Healthcare Center in Alaska, solely focused on delivering primary behavioral health services. In addition, I collaborated with statewide and organizational partners on various initiatives, such as State Medicaid enrollment, telehealth and billing systems, clinic marketing and branding, policy and procedure development, workflow development, and staff hiring. 
 
My additional duties included providing clinical services to regional Tribal Health Organizations as an ANTHC Rural Provider Network member, consulting with ANTHC Early Intervention Services on implementing trauma-informed interventions to improve health outcomes for individuals living with HIV, providing clinical training for predoctoral psychology interns, and consultation with healthcare providers living in remote areas of Alaska. Furthermore, I facilitated the statewide Pain and Opioid Management Project ECHO, directed the Critical Incident Stress Management team, and led the statewide emergency response to the COVID-19 pandemic.

Licensed Psychologist

University of Alaska Anchorage

I was a tenure-track faculty member in the UAA Department of Psychology. My responsibilities included teaching graduate-level courses, conducting research with external funding, and providing service to the university, profession, and community.

Assistant Professor of Psychology

I am a Licensed Psychologist committed to helping people build whole and meaningful lives and building systems that support people. I have worked in academia, tribal health, and primary care settings. My expertise includes the following:

•	Organizational leadership.
•	Healing-centered program development.
•	Clinical training and supervision.
•	Acceptance and Commitment Therapy.

In addition, I am a Registered Yoga Teacher with Yoga Alliance and regularly integrate yoga psychology into my professional practice. I enjoy tending to houseplants, spending time with friends and family, hiking, and traveling in my free time. Fun fact, I have traveled to all 50 United States and twelve countries. Interested in healthy aging, I am working my way to each of the original "blue zones" worldwide.

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The Battle

Harpreet Duggal, MD, FAPA

Rebecca Volino Robinson

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