General Evaluation and Short-Term Treatment Clinic

The UCSF Child & Adolescent Psychiatry General Evaluation and Short-Term Treatment Clinic (GESTT) provides multidisciplinary consultative assessments within a developmental framework of children and adolescents with emotional, behavioral, and cognitive difficulties. GESTT provides outpatient clinic-based consultations for families that focus on achieving diagnostic clarity and developing treatment plans that are shared with the referring pediatric service with the goal of addressing the mental health needs in pediatric care settings.

GESTT is a multidisciplinary team that includes child and adolescent psychiatrists, nurse practitioners, and pediatricians, as well as trainees from diverse programs at different levels of training.

Clinic faculty

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Caitlin Costello, MD

Medical Director, GESTT Clinic
Assistant Clinical Professor of Psychiatry, UCSF

As the medical director, Dr. Costello oversees the overall administration of GESST and our affiliated training program.

Dr. Costello completed her medical school and general psychiatry at Johns Hopkins University in Baltimore. She completed her child and adolescent psychiatry fellowship at the New York-Presbyterian Hospital of Columbia and Cornell Universities, as well as a forensic psychiatry fellowship at UCSF. Her clinical interests include OCD, tic disorders, and ADHD, as well as advancing health policy and trainee program development..

Shawna Mitchell Sisler, MS, MA, MAPP, RN, PHN, CPNP-PC, PMHS

Shawna Mitchell Sisler, MS, MA, MAPP, RN, PHN, CPNP-PC, PMHS

Clinical Director, GESTT Clinic
Pediatric Nurse Practitioner, Child and Adolescent Psychiatry

Shawna Sisler's time is evenly split as a clinician with the rapid assessment team and as our lead for GESST daily operations.

Shawna completed her RN and MS training at the UCSF and holds additional masters degrees in positive psychology from the University of Pennsylvania and counseling psychology from Santa Clara University. Her clinical interests include ADHD, mood disorder, and anxiety disorders.

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Yuriy Dobry, MD

Supervising Physician, GESTT Clinic
Assistant Clinical Professor of Psychiatry, UCSF

Dr. Dobry completed his general psychiatry residency at the Mount Sinai School of Medicine, and child and adolescent psychiatry fellowships at the Stanford University School of Medicine. His clinical and academic interests include mood and anxiety disorders in children and adolescents. Additionally, he is interested in the clinical and didactic education of residents and fellows.



For an appointment, please call our intake and referral service at (415) 476-7000.