Personal Statement
I am a basic neuroscientist, a board-certified practicing psychiatrist, and an Assistant Professor of Psychiatry and Behavioral Sciences at the University of Washington Medical School. The goal of my research is to investigate the neural circuitry of cognitive, emotional and memory processing, particularly as it relates to the cerebellum, and illnesses affecting cerebellum including cognitive disorders, PTSD, TBI and dementia through the implementation of techniques in mouse behavioral genetics. In my clinical practice, I primarily see veterans with PTSD, mild cognitive impairment, and various forms of dementia in an outpatient clinic at the VAMC Puget Sound Geriatric Research, Education, and Clinical Center (GRECC) in Seattle. I have over 15 years of experience in basic science research with most of that time dedicated to the use of mouse models of neuropsychiatric disorders.
Throughout my training prior to and during graduate school, I gained background in many contemporary molecular and biochemical lab techniques, such as molecular cloning, protein biochemistry, protein crystal production, fluorometric measurement of protein kinetics, in vivo NMR spectroscopy, gene targeting, microarray genomics, immunohistochemistry, and mammalian cell culture. I have a foundation in mouse genetics, neural development, and behavior which I developed in Michael Georgieff’s lab by investigating the role of iron in developing pyramidal neurons of the mouse hippocampus. During graduate training, I also received cross-training in child psychological development. In graduate school, I developed two mouse models of nonanemic neuron specific iron deficiency: 1) a conditional knockout of the Slc11a2 gene, encoding the iron transporter DMT-1 in forebrain neurons, including hippocampal pyramidal neurons, and 2) a transgenic mouse with a reversibly inducible dominant negative (nonfunctional) form of the transferrin receptor expressed only in hippocampal pyramidal neurons. I utilized and implemented different versions of the Morris Water Maze to study learning deficits in these mouse models of perinatal brain iron deficiency, a condition that is often a consequence of diabetes during pregnancy.
During my residency training, I expanded my knowledge of neuropsychiatric disorders by directly evaluating and treating patients with neuropsychiatric disorders including PTSD, schizophrenia, Alzheimer’s disease, autism, major depression, substance abuse disorders, and personality disorders. I learned numerous pharmacological, neuromodulatory, and psychotherapeutic interventions and participated in the internally funded Neuroscience Research Track. I then received a NIMH career development award (K08) mentored by Larry Zweifel, Ph.D. In that position, I investigated interactions between catecholamines and the cerebellum in decision making, emotional and cognitive processing. In the 5 years I was in Dr. Zweifel’s lab, I learned many additional new techniques including use of viral vectors, in vivo electrophysiology, and several operant- and threat-based behaviors, and moved forward in my goal of becoming a physician scientist isolating important circuits underlying etiology of specific domains of behavioral function. This work culminated in my receiving an RO1 independent investigator award, without any gap in funding.
My current research utilizes mouse behavior, in vivo electrophysiological recordings, gene targeting, viral vectors, translational profiling, chemo- and optogenetic tools, site-specific intracranial viral vector injection, and protein chemistry. I am now forging my path as an independent investigator, and my primary goal is to understand cerebellar circuits as they relate to psychiatric and neurodegenerative illnesses and utilize this knowledge to inform and improve current and novel psychiatric illnesses, primarily in cognitive and emotional domains. As such, I am pursuing a multidisciplinary approach combining genetic, electrophysiological, pharmacological, and behavioral techniques.
Personal Statement
I came to the UW to train in psychosomatic medicine and to work in a complex comorbid population as a clinician and a teacher. Most medical and surgical patients served at Harborview will have psychosocial needs; often these are as critical to their recovery and health as somatic health problems. Working across disciplines is challenging but also clinically valuable, intellectually stimulating, and exciting to our trainees when we can address care in a more integrated and holistic manner. I like to focus my academic work on defining what the needs of Harborview’s clinical population are, and how our busy psychiatric consultation services can be best utilized to promote the health of our patients and our institutions.
As a psycho-oncologist at Fred Hutchinson Cancer Center (FHCC), I serve patients as a psychiatrist specializing in mental health issues arising during the course of cancer and hematologic diseases. My approach to care is person-centered, focusing on your story as a person as well as a patient, and combining psychotherapeutic and pharmacologic approaches to help you navigate your journey with medical illness.
I bring fellowship training in consultation-liaison psychiatry to understanding the interplay between medical conditions and mental health issues, and I believe that partnering with both patients and their medical teams is essential to create a successful plan of care. While I often oversee psychiatric medications during cancer treatment, I also have a background in supportive, psychodynamic, CBT-focused, and meaning-centered psychotherapy, and I incorporate psychotherapy elements into each appointment.
Within the field of psycho-oncology, my specific interests include working with palliative care populations, supporting existential issues that arise during journeys with cancer, and strengthening collaborative care models in oncology settings. I am also fortunate to teach outstanding UW psychiatry residents and fellows who complete clinical rotations at FHCC.
Personal Statement
My work focuses on the integration of mental health services and general medical care and on translating research on evidence-based mental health interventions into effective clinical and public health practice. I have published over 300 scientific papers and I am the recipient of numerous federal and foundation grants and awards for my research on integrated behavioral health care. I work with national and international organizations dedicated to improving behavioral health care for diverse populations. I have served as Senior Scientific Advisor to the World Health Organization and as an advisor to the President’s New Freedom Commission on Mental Health.