He serves as Director of the Columbia University Clinic for Anxiety and Related Disorders (CUCARD) -Westchester, an outpatient clinic in Columbia University's Child and Adolescent Division that specializes in the treatment of anxiety disorders, obsessive-compulsive disorder (OCD) and related disorders in children, adolescents and adults. Dr. Puliafico specializes in the assessment and cognitive-behavioral treatment of anxiety, mood and externalizing disorders. His clinical work and research have focused on the treatment of pediatric OCD, school refusal, and adapting treatments for young children with anxiety.