Personal Statement
Over the last 25 years, my work has focused on relationships between stress and health in several risk groups (spouse caregivers of persons with Alzheimer’s disease, medical students, psychiatric/medical outpatients/inpatients, air traffic controllers, and camp counselors). We have developed and/or revised measures of medical student stress, caregiver burden, patient anger/dyscontrol, process coping, appraisal, neuropsychological function and physician awareness of patient problems. These measures have been used by university researchers, insurance companies, pharmaceutical companies in clinical trials, prisons, nursing homes/long term care, rehabilitation facilities, and public health organizations. These psychosocial and behavioral measures have been shown to predict and be predicted by physiological and cognitive measures. We have also focused on moderators of such relationships, such as gender, personality, and co-morbidities. We have used primarily multicohort long-term studies that allow for interactions between exposures to stressors, hard-wired vulnerabilities, and more temporal resources. We attempted to identify mechanisms that can be potentially altered to have long-term public health significance in persons under chronic stress. I have also attempted to isolate groups that are at high risk for negative outcomes. In a perfect world, interventions should be used to help all persons who have deleterious responses to stress, but society cannot afford this. For this reason, the identification of high risk groups is imperative for maximizing the effect of interventions.
My research program’s long range goal is to better understand the mechanisms by which chronic stress translates into physical, mental, or cognitive health problems. We are examining caregivers of spouses with AD and demographically-similar spouse non-caregivers across time and assessing the degree to which elevated depression, stress hormones, inflammation, and insulin resistance in caregivers predict cognitive decline in caregivers relative to non-caregivers. We are also attempting to replicate our earlier work that showed that chronic stress and chronic disease moderate each other’s physiological risks. For example, physiological dysregulation that is specific to a disease (e.g., metabolic syndrome with CHD, blood pressure reactivity with hypertension, and immune function with cancer history, HbA1c with diabetes) is exacerbated in caregivers with a chronic disease relative to non-caregivers with a chronic disease, but no such differences occur in caregivers versus non-caregivers without a chronic disease. Finally, we are examining a large cohort of older adults sampled from various U.S. communities in order to assess the influence of life stressors on long term cognitive function and potential mediators of such changes.
Personal Statement
My career goal is to give suicidal clients and their clinicians the best chance to succeed. I have been working in the area of health services, treatment development, and clinical trials research to prevent suicide for over 20 years. My graduate training was in community/clinical psychology and focused on achieving clinical ends through prevention and other systemic interventions in socio-culturally diverse populations. I have brought these perspectives into health services research. I have developed or adapted interventions to improve care and clinician willingness to work with suicidal patients including Caring Contacts, Dialectical Behavior Therapy (DBT), Collaborative Assessment and Management of Suicidality (CAMS), and Preventing Addiction Related Suicide (PARS). I have developed an adaptation of DBT, Accepting the Challenges of Employment and Self-Sufficiency (DBT-ACES), a program to assist psychiatrically disabled individuals find and maintain living wage employment. My research has been funded by NIMH, NIDA, the Department of Defense, American Foundation for Suicide Prevention, the Department of Veteran Health Affairs, and the State of Washington.
I am the director of the Center for Suicide Prevention and Recovery (CSPAR) whose mission is to promote the recovery of suicidal individuals and the effectiveness and well-being the clinicians and families who care for them by conducting rigorous and ecologically valid research, developing innovative interventions, improving policies, systems and environments of care, and providing expert training and consultation. CSPAR faculty and staff seek a deep understanding of the cultures and settings in which we work that leads to meaningful and effective interventions ready for implementation.
In addition to clinical research, I founded the Society for Implementation Research Collaboration (SIRC) and am the PI and Director of the Military Suicide Research Consortium Dissemination and Implementation core. These organizations focus on disseminating and implementing innovative, evidence-based interventions in the systems that need them. Beyond my research, I directed the Harborview Dialectical Behavior Therapy program at Harborview Medical Center 1996-2019, co-lead the UW DBT Training Program and have a long history of training and mentoring junior faculty, fellows, psychiatry residents, pre-doctoral psychology interns, undergraduate students, and post-baccalaureate trainees. I provide psychotherapy and consultation at the UWMC Outpatient Psychiatry Clinic.
Personal Statement
As a clinical and forensic psychiatrist, my professional roles include being the Director of the UW Center for Mental Health, Policy, and the Law; Associate Professor in the Department of Psychiatry; and a Staff Psychiatrist at the VA Puget Sound. I hold multiple board certifications: Psychiatry, Forensic Psychiatry, Brain Injury Medicine, and Sports and Performance Psychiatry. In addition to my medical training, I earned my law degree from the University of Washington.
As a member of the American Academy of Psychiatry and the Law (AAPL), I serve on the Ethics, Research, and Resident Education Committees and I twice earned AAPL’s Young Investigator Award. I am the Legal Digest Editor for the Journal of the American Academy of Psychiatry and the Law.
I have served as an expert witness or consultant in legal cases involving criminal and civil competencies; criminal responsibility; malpractice; personal injury; sexual and gender harassment; and fitness for duty, among others. I teach courses in forensic mental health at the University of Washington and speak locally and nationally on topics related to psychiatry and the law.
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
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.
Thank you for your interest in learning more about me! My name is Dr. Ruth Varkovitzky (she/her) and I am a licensed clinical psychologist. I use a culturally sensitive evidence based approach in my clinical work; combining the best science while tailoring therapy to each individual. In the spirit of providing the highest quality of care possible, I am board certified in Behavioral and Cognitive Psychology by the American Board of Professional Psychology.
I specialize in providing therapy for trauma and sleep disorders, such as PTSD and insomnia. In addition, I offer a variety of treatments to address problems with depression, anxiety, and OCD. Supporting folks with these challenges is my passion; it’s an honor to work alongside my clients and see them heal and grow.
Public service has always been part of my journey, including collaboration with shelters for survivors of domestic violence, the Department of Veterans Affairs, the University of Washington Department of Psychiatry and Behavioral Sciences, and the Washington State Board of Psychologist Examiners. In addition to my passion for clinical work, I’ve enjoyed contributing to psychological science through academic and media publications. I established my private practice Renewal Psychology to offer my services to clients in Washington as well as the many state members of the Psychology Interjurisdictional Compact (PSYPACT).
Personal Statement
I am a clinical psychologist and mental health services researcher. My overarching research aim is to produce and promote use of research, evaluation, and continuous quality improvement that aids high-quality implementation of effective models of care in real world service settings, such as in schools, public mental health systems, and family-and youth-run organizations. My research can be summarized as falling into three categories: (1) Care coordination models for youth with the most complex behavioral health needs; (2) school mental health; and (3) public sector implementation of research-based practices. In each area, I co-direct national training and TA centers. For example the National Wraparound Implementation Center (www.nwic.org), provides support to dozens of states and localities internationally on Wraparound. The National Wraparound Initiative (www.pdx.edu) serves to mobilize our research and policy activities. Our Wraparound fidelity tools and data systems can be found at www.wrapinfo.org. With respect to school mental health, our interdisciplinary UW School Mental Health Assessment, Research, and Training (SMART) Center — www.smartcenter.uw.edu — currently has over a dozen federal grants as well as state, local, and foundation funding focused on how best to ensure that evidence for effective mental health intervention and prevention is translated into effective programming in schools. The SMART Center also hosts the school mental health supplement of the UW Department of Psychiatry’s SAMHSA-funded Northwest Mental Health Training and Technical Assistance Center (MHTTC). Check out our extraordinary array of resources at https://mhttcnetwork.org/centers/northwest-mhttc/northwest-mhttc-school-mental-health.
Personal Statement
Over the past 20 years, my research has focused on the genetics of schizophrenia and neurodegenerative disorders, particularly on the use of clinical phenotyping and innovative genomic technologies to elucidate the complex genetic architecture underlying schizophrenia and Alzheimer’s disease (AD). I served as the Director of the Geriatric Research, Education, and Clinical Center (GRECC) at the VA Puget Sound Health (VAPS) from 2011-2022, in order to focus on my research on Alzheimer’s Disease and related disorders. My current research interests are two-pronged: 1) develop machine learning models in VA’s vast electronic health records in order to assign ADRD probability scores in older Black and White Veterans; and 2) use mobile health devices to promote early diagnosis of dementia with Lewy bodies. In In these capacities, I direct multidisciplinary efforts to better understand the biology, genetics, etiology, prevention, and treatment of these disorders, and I provide clinical expertise for the differential diagnosis of neurodegenerative disorders and treatment of behavioral disturbances in dementias.
Personal Statement
Myra Parker, JD, PhD is an Associate Professor of Psychiatry and Behavioral Sciences, and Director of Seven Directions: A Center for Indigenous Public Health, based within the Center for the Study of Health and Risk Behaviors, University of Washington. She received her doctorate in Health Services at UW School of Public Health, and has been a member of the faculty since 2014.
Dr. Parker’s research and clinical interests include: (1) cultural adaptation of alcohol and drug interventions among American Indians and Alaska Natives (with a particular focus on tribal college drinking harm reduction), (2) development and testing of parenting interventions to support early childhood development in American Indian and Alaska Native communities, (3) co-morbidity of substance use with depression, suicide, trauma, and PTSD, (4) research capacity development, including ethical aspects of research, for tribal and urban Indian communities; and, (5) dissemination and translation of evidence-based prevention and intervention approaches at the individual, institutional, and community level, including policy development. She has worked with tribal and urban Indian communities across the United States on these topics.
