Lauren E. Szkodny, PhD

Nancy Trottier, MSW, LICSW, is a licensed clinical social worker specializing in psychiatry, affiliated with Dartmouth Health. With a graduate degree in social work from the University of Vermont, she has been part of the Dartmouth community since 2015, serving as an instructor in psychiatry at the Geisel School of Medicine. Her practice includes providing comprehensive mental health support through various Dartmouth Health locations, including the Dartmouth Hitchcock Medical Center and the Dartmouth Hitchcock Clinics in Lyme, NH. Trottier is dedicated to advancing health equity and improving patient care within the community. Generated from the website

My specialty, Physical Medicine and Rehabilitation, is dedicated to improving quality of life for patients by helping to maintain or improve their function over time. My core objective is to help people lead better lives through coordinated, non-surgical treatment of muscle, joint and spine problems. I listen with great care and intention to my patients to better understand the problem, its effects on their lives and their goals for treatment. I perform a thorough, hands-on physical examination to help establish a diagnosis. I then work collaboratively with my patient and others to create an individualized treatment plan for treatment and prevention. Treatments are carried out by the patients themselves or with the help of a team of providers that I help to coordinate. The team may consist of other physicians or other health professionals. I provide guidance for physical and occupational therapy programs and perform targeted manual therapy and fluoroscopic and non-fluoroscopic injections. By seeing patients as a whole, rather than by simply addressing their symptoms, I empower my patients to manage their own medical problems and help them stay as active as possible at any age. An interdisciplinary approach I believe strongly in the value of an interdisciplinary approach to medicine and to problem solving, in general. This approach is integral to the practice of Physical Medicine and Rehabilitation. Health care, like the world around us, is changing rapidly. Such change demands flexible thinking and the ability to collaborate with others who offer fresh perspective and new ways of seeing. These skills are critical to the creative problem solving needed to meet the challenges that we face as professionals and caregivers. I believe that the future belongs to those who are able to think creatively, work collaboratively and integrate solutions from outside of the discipline in which we have historically been trained. I feel fortunate to practice a medical specialty that embraces the interdisciplinary mindset and to work alongside nurses, surgeons, anesthesiologists, therapists and social workers in the Center for Pain and Spine where I have the opportunity to apply this approach daily for the benefit of my patients. Rehabilitation is, by nature, positive and forward-looking. I help patients improve their quality of life by meeting goals that they have set, based upon what is important to them in their daily lives. These goals and the treatment methods used to achieve them are as varied as the patients I see, but the process is always very rewarding for me.

Lucy J. Pilcher, MSW, LICSW is a licensed independent clinical social worker specializing in psychiatry, affiliated with Dartmouth Hitchcock Medical Center in Lebanon, NH. She joined the department in 2019 and has a strong educational background, including a Master of Social Work from the University of Denver. Her professional experience includes internships in social work and nursing home settings in England, enhancing her expertise in providing comprehensive mental health care. Pilcher is committed to supporting patients through various challenges, reflecting her dedication to the field of social work. Generated from the website