Michelle T. Toshima, PhDMichelle T. Toshima, PhD
Multiple Sclerosis, Pain Management, Psychology
Anxiety, Behavioral Medicine, Chronic Pain, Counseling - Illness/Disability, Depression, Grief, Group Therapy, Health Maintenance, Health Promotion, Loss/Bereavement, Major Disabilities Rehab., Mental Health, Mood Disorders, Multiple Sclerosis, Psychotherapy, Stress and Anxiety, Stress Management
- Accepting Children: No
- Accepting New Patients: Yes
- Accepting Medicare: Yes
- Accepting Medicaid/DSHS: No
Medicare, Bill Insurance, Visa, Mastercard, American Express, Discover Card, Cash, Check, Payment Plan, Sliding Fee ScaleInsurance Accepted:
Contact this office for accepted insurance plans.
Diversity is what makes our society unique. In my work with patients, I help patients recognize and celebrate their unique strengths and abilities, often in the face of enormous physical, cognitive, and emotional challenges. My work with patients and families is collaborative in nature, working as a team to address short and long term goals. The ultimate goal of my work with patients is to assist them in achieving their most optimal functioning which then leads to a happier, healthier, and more productive life.Personal Interests
I enjoy spending quality time with my husband and two children. We have had many memorable, not always "Kodak-like" moments, on our many outdoor adventures (sailing, hiking, biking, skiing) as well as urban escapades (movies, bowling, sporting events, roller blading to 70's-80's tunes with disco ball aglow). For my own peace of mind and balance, I indulge in reading, jogging, cooking, listening to music, and consuming chocolate.Medical School
University of California, San Diego/San Diego State UniversityResidency
University of Washington Medical CenterFellowship(s)
University of Washington Medical CenterLanguages:
American Psychological Association
The Winter Blues is fairly common in northern latitudes where the days become shorter and there is reduced sunlight. The Winter Blues is often characterized by feeling irritable or gloomy, having less energy, sleeping more but not feeling more rested, and eating more, often with cravings for carbohydrates. So what can one do to prevent the Winter Blues?
April is National Stress Awareness Month so it seems appropriate to look at the impact of stress on people living with MS and to become more aware of what one can do to better manage one’s reaction to the inevitable stressors in life.
There is a growing body of research that suggests there is an association between stress and an increased risk of MS exacerbations and the development of new lesions in patients with MS. A group of Dutch researchers followed 73 patients with RRMS and found that those patients who reported a major stressful event were 2.2 times more likely to have an MS exacerbation in the following four weeks. In 2006, a group of U.S. researchers followed 36 people with MS and found that after experiencing a major life stress, those MS patients were 1.6 times more likely to develop a new lesion in the next eight weeks.2 The same group of researchers reported that the MS patients with good coping strategies could reduce this risk.
The exact mechanism by which stress increases the risk of MS exacerbations and the development of new brain lesions is not entirely clear, but what is known is that stress affects the body’s ability to regulate the inflammatory response, and in patients with MS and other autoimmune disorders, inflammation occurs when ...
Seattle, WA 98122
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