Personal Statement
I am a board-certified Consult-Liaison psychiatrist at UW Medical Center – Montlake and the General Internal Medicine Clinic, as well as a Clinical Associate Professor in the Department of Psychiatry and Behavioral Sciences.
When working with patients, my goal is to understand their life history and personalities in addition to their medical and psychiatric conditions. I am also involved in teaching UW medical students as well as practicing mental health providers across the state.
I earned my M.D. from the University of Florida, Gainesville, then completed residency at the University of Michigan and a fellowship at Northwestern University. My interests include treatment of psychiatric conditions in medically ill patients, collaborative care, quality improvement, delirium, and medical education.
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.
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
I am a licensed clinical psychologist in Washington State. I am the Director of the University of Washington School of Medicine’s Psychology Internship Program which is accredited by the American Psychological Association’s Office of Program Consultation and Accreditation. And, I conduct research on health and risk behaviors across the lifespan. Specifically, I have conducted research in the areas of college student alcohol use, young adult gambling behavior, and co-morbidity of substance use and mental health/risk behaviors (i.e. risky sexual behaviors). I have extensive experience working with college students/young adults, military/veteran, and minority/diverse populations. I am also interested in mental health issues including depression, anxiety, and PTSD. I maintain an active clinical practice in the areas of mental health issues with patients diagnosed with hematological and oncological illness and have clinical responsibilities at the Fred Hutchinson Cancer Center. I also provide clinical supervision for psychology residents and psychology practicum students at Fred Hutchinson Cancer Center as well. Overall, my professional aspirations are to improve the public health through empirically-supported psychological interventions and providing mentorship to diverse trainees to expand the reach of psychology.
I am grateful to be a lifelong University of Washington Husky. Training at the UW has afforded me the chance to learn from world class educators, clinicians, and researchers. I’ve learned from excellent mentorship that focusing on what you are passionate about is critical to professional satisfaction and success. For me, working with individuals experiencing co-occurring mental health and substance use disorders reminds me of the amazing resiliency that lies within us all. As a clinician educator at the VA Puget Sound, I am humbled at the trust both patients and trainees place in me everyday. It is a privilege to be part of this amazing place.
Personal Statement
I am a national expert on collaborative care and specifically, on training teams to implement and deliver mental health treatment in primary care settings. My passion for translating complex research ideas into practical real-world applications began when I received my MD and PhD in Anatomy and Neurobiology as part of the Medical Scientist Training Program at the University of California at Irvine.
I am currently a Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington where I have developed additional expertise in suicide prevention training, mental health workforce development, adult learning best practices, and mentorship. I am the Co-Director of the AIMS Center (Advancing Integrated Mental Health Solutions) and Director of the UW Integrated Care Training Program for residents and fellows.
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.