I am a licensed clinical psychologist in the University of Washington’s Department of Psychiatry and Behavioral Sciences, working in adult inpatient care within the Center for Behavioral Health & Learning. I bring specialized training in serious mental illness, inpatient psychiatric care, serving populations with comorbid substance use and/or medical complexity, and enjoy working collaboratively within multidisciplinary teams to optimize patient-centered care. I also bring a global public health background in improving service delivery and access in low-resource settings across Africa and Asia.
I graduated with a PsyD in clinical psychology from the University of Denver, after completing my pre-doctoral internship at Mt. Sinai/Elmhurst Hospital in New York. During this internship, I completed rotations in the adult inpatient unit, the child partial hospitalization program, psychiatric emergency room services, and the consultation-liaison psychiatric service, serving a patient population that is among the most ethnically and culturally diverse in the world. I am dedicated to providing high quality, empathetic, and innovative interventions to our inpatient population.
As a child and adolescent psychiatrist at the Child Study and Treatment Center, I am deeply inspired by the resilience of the youth we serve and by the collaborative spirit of our multidisciplinary teams. My work is grounded in curiosity, compassion, and respect for the complex systems that shape young people’s lives. My approach integrates evidence-based psychopharmacology with developmental and trauma-informed care, while always centering around the individual’s unique story and strengths. I value the relational and systemic dimensions of psychiatry: the interplay between family, community, and policy that influences recovery and growth. The multidisciplinary, relational model at CSTC reflects these values and continues to shape how I think about psychiatry: not only as a science, but as a deeply human endeavor.
I am an Acting Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington, primarily working clinically at Harborview Medical Center. I work with the Recovery Clinic, Intake and Brief Intervention Services (IBIS), the Behavioral Health Integration Program (BHIP), and Addiction Consult Service.
I am fellowship-trained in Addiction Psychiatry, and board certified in both general and addiction psychiatry by the American Board of Psychiatry and Neurology. My passion is providing excellent, compassionate and comprehensive psychiatric care to my patients regardless of background or resources. I believe quality healthcare is a human right for all people and am excited help make that a reality as part of the Harborview system.
Rie Sharky, MD, is a board-certified child and adolescent psychiatrist at the Child Study and Treatment Center through the Behavioral Health Administration of the Washington State Department of Social and Health Services. There she provides inpatient psychiatric care across developmental stages, with particular interest in working with the youngest youth and extensive experience caring for older children, adolescents, and transitional-age youth. She enjoys working with individuals of all ages and their families, especially in the context of complex medication regimens and significant psychosocial and systemic challenges.
Dr. Sharky is committed to improving outcomes for young people facing complex mental health needs and structural barriers to care. Her clinical approach emphasizes the development of meaningful, collaborative therapeutic relationships with youth and the caregivers and systems that support them.
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.
Dr. Sandel-Fernandez also studies the use of digital tools and AI in mental health research, training, and treatment. This currently includes: prediction of suicide risk from internet (Google, YouTube, and TikTok) use, a pilot of mobile suicide risk monitoring in UW primary care, and development of an AI-supported simulation training laboratory with simulated patients that trainees can use to hone their clinical skills.
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.
