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About Dr. Sadak

My name is Tatiana!


I am a Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with a PhD focused in geriatric psychiatry and neurodegenerative disorders (dementias). I love clinical work, because it gives me opportunities to listen to meaningful life-stories, to learn with and from my patients and to be a witness to their recovery and progress towards well-being. My treatment methods adapt and evolve to meet your dynamic needs at different stages of your healing.

I maintain a clinical practice with focus in geriatric psychiatry and dementia. There are few psychiatric providers that focus their work on helping people who are living with dementia who struggle with psychiatric symptoms and on helping caregivers of persons with dementia.  I was fortunate to train with Dr. Soo Borson, an internationally known geriatric psychiatrist and former director of the
UW Memory Disorders ClinicDr. Borson continues to mentor my research and to provide case consultation. I combine my passsion for clinical practice with a full time appointment as an Associate Professor of Geriatric Mental Health and a Director of Undergraduate Education at the University of Washington School of Nursing.  You can find my academic credentials hereI have extensive experience in general psychiatry that ranges from a psychiatric private practice to working as an attending at several hospitals (Navos, Fairfax). I am skilled at working with a variety of diagnoses ranging from depression and anxiety disorders, to bipolar, borderline personality and dissociative identity disorders and schizophrenia. My patients have awarded me with 5/5 stars in on-line reviews.  You can read patient comments here

I am truly passionate about caring for older adults that struggle with psychiatric symptoms. These symptoms usually become more complex and more treatment resistant with each decade of life. Increased burdens of ill health, grief/loss and loneliness frequently exacerbate psychiatric symptoms. In my experience, older adults greatly benefit from having opportunities to tell their stories, to meet with other like-minded peers and to increase socialization and exercises. My clinical practice, research and teaching are focused on developing evidence based interventions for patients with dementia and their caregivers.
please click here to learn more UW Featured Clinician - Dr.Sadak

Education and Training:   
  • Translational Nutrogenomics Certification
  • Re-Code Reversing Cognitive Impairment Certification
  • Advanced Clinical Training in psychiatry and neurodegenerative disorders
  • Cambia Health Foundation, Sojourn's Leadership Scholar in Palliative Care
  • Career Development Award Robert Wood Johnson Foundation Nurse Facutly Scholar

  • Post-Doctoral Fellowship JAHF and Athlantic Philanthropies.  Research in developing Caregiver Activation for Dementia Interventions and Goal attainment Scaling tools
  • Doctor of Philosophy (PhD) Nursing and Geriatric Neurodegenerative Disorders: University of Washington
  • Pre-Doctoral Fellowship: Hartford Foundation.  Research in dementia multimorbidity (co-existence of chronic medical illnesses, psychiatric symptoms and dementia diagnoses)
  • Post-Graduate Advanced Psychiatric Residency: UW Memory Disorders Clinic (mentored by Dr. Soo Borson)
  • Cambridge Who’s Who Among Executive and Professional Women in the field of Research, Medicine and Health Care
  • DeTornyay Center for Healthy Aging Executive Commetee Member
  • Masters in Nursing Sciences and Psychiatric Mental Health Nurse Practitioner Degree: University of Washington
  • Mastery of Psychopharmacology Program: Neuroscience Education Institute
  • BA in Psychology: Seattle Pacific University
My Philosophy of Care:
My main goals are to work in close partnership with patients to:
  • Promote optimal mental and physical health and well-being
  • Focus on wellness, prevention and minimizing avoidable complications
  • Address impaired ability to function that is related to psychiatric, emotional and physiological distress
  • Help coping with emotional stress related to illness, pain, disability and loss
  • Utilize holistic approaches to symptom management, therapy, and psychopharmological interventions with broad focus on:
    • Interpersonal
    • Organizational
    • Sociocultural
    • Spiritual
    • Environmental circumstances
    • Mental and emotional well-being
My primary goals in working with older adults are:
  • To avoid psychiatric hospitalizations 
  • To minimize medications by using optimal medication combinations at lowest effective doses
  • To provide supportive therapy and sufficient time to tell their stories
  • To facilitate opportunities for group work and increased socialization
  • To encourage increased physical activity
 What Would Make Our Therapeutic Relationship a Success:
  • Mutual respect
  • Openness to try new things
  • Commitment to change
  • Willingness to nurture an honest and comfortable collaborative relationship
My Approach to Psychotherapy:

I believe that fundamental mission of psychotherapy is to assist people with:
  • Re-connecting with self
  • Promoting interpersonal growth and awareness
  • Developing self-sustaining skills to manage obstacles
  • Buffering stress in order to avoid neural compromise
  • Reinstating healthy neural functioning
  • Instilling optimism and hope for the future
I use eclectic multimodal approach that combines elements of:
  • Cognitive Behavioral and Problem Solving Therapy
  • Dialectical Behavioral Therapy
  • Motivational Interviewing
  • Mindfulness Therapy
  • Neuro-Psychology
  • Energy-psychology
  • Biofeedback (em wave technology)
  • Hypnosis
  • Dynamic Psychotherapy
    My Approach to Psychopharmacology (Medications):
  • I believe that medications can help achieve a state of body and mind that allows patients to better benefit from psychotherapy
  • I use conservative prescribing practices that are complimented and supported by psychotherapy
  • My experience:
    • Several years of both inpatient and outpatient prescribing experience
    • Developed and taught geriatric pharmacology, psychiatry and neuroscience curriculums at the University of Washington School of Nursing
    • Facilitated pharmacological clinical trials at the Seattle Veteran’s Hospital
    • Co-authored several peer-reviewed publications
Populations Served:
Adults and older adults, specialise in dementia care and caregiver support.



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