Dr. Sandel-Fernandez’s research is focused on predicting impulsive and risk behaviors as they occur in people’s daily lives. She has conducted numerous studies using ecological momentary assessment (EMA) and self-monitoring data from therapy to build person-specific models of symptom dynamics including self-harm, substance use, and suicide attempts.
Dr. Sandel-Fernandez often takes an idiographic (person-specific) analysis approach to answer the question of when in time a person is most at risk for engaging in behaviors they would like to avoid, based on their context, emotions, and personal triggers. Her career goal is to improve treatment outcomes by tailoring evidence-based care to people’s diverse symptom experiences.
Christina Warner, MD (she/her) is the attending psychiatrist for the Early Psychosis Clinic and Partial Hospitalization Program at Seattle Children’s Hospital. She has clinical expertise in mood disorders, psychosis spectrum disorders, First Episode Psychosis, chronic suicidality, mood dysregulation, neurodiversity, and Dialectical Behavior Therapy.
Dr. Warner is a Washington native and graduate of the Seattle Public School system with a vested interest in expanding access to high quality mental health care in her community.
I am a child and adolescent psychiatrist committed to improving outcomes for young people who face complex difficulties and systemic barriers. As a clinician, I aim to establish meaningful therapeutic relationships with young people and those supporting them, while also working to advocate for public policy and health systems that improve access to quality mental healthcare.
My main role includes providing inpatient care to older adolescents at the Child Study and Treatment Center through the Behavioral Health Administration, Washington State Department of Social and Health Services, and acting as training lead for psychiatry at this site. My clinical interests include the transition from adolescence to adulthood, the emergence of mood disorder and psychosis, early intervention for personality disorder, and developmental disabilities. I have academic interest in medical education, health service development, and the social determinants of mental health.
I am currently the Medical Director at the Garvey Institute Center for Neuromodulation and am providing leadership to help grow our portfolio in the area of Neuromodulation and Interventional Psychiatry. Before coming to the UW, I was the Muriel Harris Chair of Geriatric Psychiatry and Professor of Clinical Psychiatry at UCLA. While at UCLA, I held many administrative, clinical and teaching leadership positions including serving as Medical Director of Inpatient Geriatric Psychiatry, Chief of Staff of the UCLA Neuropsychiatric Hospital, Founding Faculty of the UCLA Neuromodulation Division, Medical Director of the ECT and Interventional Psychiatry Program, among others.
I recently became Editor-in-Chief of the Journal of ECT and Related Therapies, the official publication of the International Society of ECT and Neurostimulation. My research projects have included investigating various neuromodulation and interventional therapies and developing novel educational programs and curricula. I have an abiding interest in mentoring and helping faculty at the start of their careers and a commitment to fostering the advancement of women and underrepresented minority (URM) faculty in academic medicine.
Areas of clinical practice:
SLU at Fred Hutch Cancer Center and UW Diabetes Institute
My passion and background are working with individuals with serious medical conditions, primarily cancer but also other chronic health conditions. I split my clinical time between FHCC and UW Diabetes Institute. I also passionate about conducting research about existential distress and post-traumatic growth in oncology.
Clinical Approach:
I practice an interpersonal approach to psychotherapy, rather than solely structured one. I enjoy building a collaborative relationship with my patients to identify goals to work on in therapy. I really want our time together to be worthwhile. There’s only so much time and energy someone with a major illness has. I am a big fan of the spoon theory and don’t want to be wasting their spoons. I love to use humor, metaphor and stories. I also find it important to provide space and opportunities to discuss heavier topics related to prognosis, morality, grief and legacy. I enjoy supporting patients with meaning making and trying to answer difficult questions such as “What’s the meaning of all this? How can we help patients live well with what life is remaining?”
Personal History:
I have a small, supportive family with my partner and our dog. Growing up, I was close with my grandparents. My grandfather who lived with Parkinson’s disease for most of my life. Parkinson’s has a lot of physical symptoms, but also mood symptoms. Additionally, he also lived with chronic melanoma and prostate cancer. His health had a large impact on his life, our family, and how I now view quality of life during treatment and at end of life. He always faced challenges and changes in his functioning with humor and creative to continue to engage in active he enjoyed like travel, golf and a fancy meal. Around the time I started graduate school for psychology, he passed away. His legacy influenced me work with people who were living with serious medical conditions or acquired new disability. I want to help patients live with it instead of against it.
I am an Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington. I received my MD from the University of Arkansas for Medical Sciences, and completed my General Psychiatry Residency at the same institution. I completed a fellowship in Consultation-Liaison Psychiatry (formerly Psychosomatic Medicine) at the University of Washington. I have academic interests in the intersection of medicine and psychiatry, LGBTQ mental health and wellbeing, and medical education. I currently see patients at Harborview Medical Center’s Madison HIV Clinic.
I enjoy collaborating with patients and viewing their concerns through a holistic lens. I believe that transparent, integrated care is the most effective way to arrive at an accurate case conceptualization and treatment plan. My background in the neurosciences and medical psychiatry has offered me a comprehensive understanding of the biologic basis of psychiatric illness and the strength of the mind-body connection. My practice has span clinical, academic and research realms and afforded me opportunities to work with treatment-resistant depression, neuromodulation therapies, medical complexities and patients impacted by hormonal changes related to puberty, pregnancy, gender transitions and menopause. I enjoy learning from my patients and remain humbled by their resilience.
