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I worked as a research nurse in rheumatology for a number of years. This field sparked curiosity about the coping issues facing those with chronic illness. To further this interest I obtained a Masters of Nursing degree from the University of Washington in 1991 and subsequently was certified as a nurse practitioner in psychosocial nursing. I have practiced as a psychotherapist and medication management provider since 1992 and have completed the certification programs of the Northwest Alliance for Psychoanalytic Study and the Center for Object Relations