Personal Statement
I am a child and adolescent psychiatrist with experience in delivering guideline-based care for child and adolescent psychiatric disorders. I am the Medical Director of the Outpatient Psychiatry Clinics at Seattle Children’s, and have experience with training of staff to deliver guideline-based care. I also have health services training, including having obtained a Master of Public Health (MPH) in Health Services and participation in a Primary Care-Psychiatry Research Fellowship funded by the National Institutes of Health.
My clinical work includes treatment of outpatients and inpatients with a variety of mental health needs, and I provide telepsychiatry in our outpatient clinics. I have experience with collaboration with primary care providers to deliver care to pediatric patients, including serving as a consulting psychiatrist on the Partnership Access Line, which provides psychiatric consultation regarding mental health assessment and treatment to pediatricians and other primary care physicians throughout the state of Washington. I have expertise in the treatment of common mental health problems in a pediatric population.
My research has focused on mental health care for common psychiatric illnesses including depression and ADHD, and has included utilization of collaborative models of care and testing of interventions for youth with psychiatric diagnoses. I have been a co-investigator, with R01 PI Kathleen Myers, MD, for a study of guideline-based care provided by telepsychiatry for youth in rural communities with a diagnosis of Attention Deficit Hyperactivity Disorder.
Personal Statement
I am clinical psychologist and a Professor of Psychiatry and Pediatrics, and a clinical researcher specializing in ADHD throughout the lifespan. I direct the PEARL Clinic (Program to enhance attention, regulation, and learning) at Seattle Children’s. The PEARL Clinic is based on a multidisciplinary and collaborative care model which works closely with PCP’s who refer families to PEARL for evaluation and access to our behavioral group treatment programs and treatment recommendations. The PEARL clinic also provided multidisciplinary training for psychologists, psychiatrists, pediatricians, family medicine physicians, and medical students. The majority of my clinical work involves diagnostic evaluations and consultations for the parents, referring physician, and schools.
My research emphasis is on personalizing ADHD treatment, and determining how best to combine and sequence interventions throughout the lifespan for individuals with ADHD. I have assisted in the development of several stimulant and non stimulant medications, and participated in many clinical trials. Currently, we are conducting a study for parents with ADHD who have young children with ADHD symptoms where we are treating the parent with medication and behavioral parent training or behavior parent training. I am also investigating the relationship between genetic factors and ADHD treatment response.
Other areas of interest include sleep problems and overlap with ADHD, and novel treatments such as Trigeminal Nerve Stimulation (TNS) and augmentation strategies such as mindfulness and physical exercise or activity level.
Personal Statement
My primary interest is Graduate Medical Education and Faculty Development in Child and Adolescent Psychiatry. I was the program director for the Child and Adolescent Psychiatry residency at the UWSOM for 32 years. I am now the Director of Education and Faculty Development in the Division of Child and Adolescent Psychiatry. My clinical interests are in pediatric psychopharmacology, particularly re ADHD.
Personal Statement
I am Medical Director of Inpatient and Acute Mental Health Services at Seattle Children’s Hospital, where I provide clinical leadership and clinical care to patients with a broad range of diagnoses and presenting concerns in the Psychiatry and Behavioral Medicine Unit, Partial Hospitalization Program, and Emergency Department Mental Health program. I aim to provide high quality, family-focused, evidence-based care as part of a multidisciplinary team. I am highly involved in educating residents, fellows, and medical students, and serve as Associate Training Director for Inpatient Psychiatry for the child psychiatry fellowship program.
Personal Statement
My work focuses on the diagnosis and treatment of ADHD in adolescents and adults. As part of this work I conduct clinical trials evaluating school, community, and parent based treatments for teens with in attention, motivation, and executive function challenges. I also am an investigator on several longitudinal studies of ADHD, including the Multimodal Treatment of ADHD (MTA) study. I have authored or co-authored over 120 scientific papers on ADHD and wrote a book about how parents and professionals can empower teenagers with ADHD.
I also specialize in the application of Motivational Interviewing approaches to the treatment of ADHD and am a member of the Motivational Interviewing Network of Trainers (MINT). This for includes training clinicians in strategies to adapt psychotherapeutic and pharmacological treatment for patients with ADHD, to improve treatment engagement.
My research has been funded by the National Institute of Mental Health, Institute of Education Sciences, American Psychological Foundation, and Klingenstein Third Generation Foundation, I am actively involved in Children and Adults with Attention Deficit Hyperactivity Disorder (CHADD), serving on its professional advisory board, spokesperson team, and editorial advisory board for Attention Magazine. I currently serve as the Secretary of the American Professional Society of ADHD and Related Disorders, and am a member of the APSARD Adult ADHD Guidelines Task-Force.
For full information about my work, please see my
professional website.