Psychiatry High Risk Program

Welcome to Upstate Medical University’s Psychiatry High Risk Program!  The Psychiatry High Risk Program provides up to 12 months of intensive and comprehensive evidence-based treatment for youths and young adults (ages 16 to 40) who struggle with suicidal thoughts or behaviors.  Conditions that commonly occur in high risk individuals and addressed through this program include depression, anxiety, borderline personality disorder, eating disorders, and addictions.  The program encompasses treatment based upon the most up-to-date understanding of the causes of these problems, including both neurocognitive and psychosocial contributions.

What to expect

 A careful and comprehensive assessment, including testing and diagnostic evaluation, is provided to tailor the treatment plan to individual needs. Core treatment principles within individual therapy sessions are based upon dynamic deconstructive psychotherapy, which has been shown to reduce depression and suicide-related behaviors in vulnerable individuals, and aims to rewire the brain to process emotions in healthier and more adaptive ways (see  Depending on assessed need, other treatments may be added, including family therapy sessions, twelve step, group psychotherapy, and/or medication management. In order to ensure that the highest quality and effective care are provided, the program includes an extensive quality assurance program, such as video-recording sessions and monitoring of progress through quarterly outcome assessments.


Psychiatric medications are sometimes helpful as an adjunct to therapy to reduce symptoms that contribute to suicide risk.  Patients have the option of receiving medication consultation and treatment either through the program or through an outside provider.  Note that controlled substances are not prescribed through the program since these can sometimes cause mood instability and worsen suicide-related behaviors.

Your Care Team

Carla Nita

Carla Nita, LCSW
Ms. Nita is a licensed clinical social worker with 17 years of experience in mental health settings providing counseling and psychotherapy to individuals from diverse socioeconomic backgrounds with various diagnoses, including substance use disorders, bipolar disorder, depression, autism, PTSD and personality disorders applying evidence-based treatments.

Robert Gregory

Robert Gregory, MD
Dr. Gregory is a Harvard-trained psychiatrist and professor at Upstate Medical University. He is a nationally recognized expert in borderline personality disorder, substance use disorders, and suicide prevention. He is the founder of dynamic deconstructive psychotherapy, a treatment listed on SAMHSA’s National Registry of Evidence-Based Programs and Practices.

Contact Us

For further information, or for an intake, please call:

(315) 464- 3130

Psychiatry High Risk Program
Suite 217, 600 East Genesee St.
Syracuse, NY 13210
For questions about billing or payment, call (315) 464-3117 or (315) 464-3265