Conflicts of Interest Disclosure Statement
Ron Sterling, M.D. (206-784-7842) -- Updated November 1, 2018
Conflicts of Interest Disclosure Statement
Dr. Sterling's mission is to be a provider of unbiased, state-of-the-art, and professional information and services. To read more about Dr. Sterling, please go to his biography page.
Financial and Funding Affiliations
In the interest of full disclosure of any possible conflicts of interest, Dr. Sterling submits the following statement, which he declares to be true, correct and updated as of the date noted above.
Dr. Sterling has no financial or funding affiliations at this time. Dr. Sterling's primary income sources are a fee-for-service, sole-practitioner, private practice of psychiatry in Bellevue, Washington, USA, and sales of books and other written content. He is also receiving social security benefits payments.
Pharmaceutical and Biomedical Organizations
No funds of any type, whatsoever, are generated from any third-party links provided on this Web site or any of Dr. Sterling's Web sites.
Dr. Sterling is not partnered with nor part of any group practice, insurance network, corporation, or governmental entity.
Dr. Sterling does not have any arrangements with, and will not consider any arrangements with manufacturers of pharmaceutical or biomedical products, or any of their affiliates, distributors, or representatives. This has been true since 2001.
Insurance Corporations, Preferred Provider Networks, Medicare
Dr. Sterling does not accept nor utilize sample medications. In addition, Dr. Sterling does not return phone calls from nor does he meet with sales or distribution representatives. This has been true since 2001.
Dr. Sterling attends conferences and engages in required continuing medical education (CME) courses. Many of such CME courses are subsidized by or funded in part by pharmaceutical and biomedical corporations. Dr. Sterling does not obtain any financial benefit from attending such conferences or CME courses and does not accept funding for any expenses related to any such conferences or CME courses.
Dr. Sterling does not participate in any investment strategies that involve health care, pharmaceutical, and biotechnology companies. He has no investments in any pharmaceutical, medical or biomedical entities.
Dr. Sterling is not part of any organization and does not participate in any health maintenance or preferred provider health insurance plans. He receives no payments, whatsoever, from any insurance corporations or their affiliates for professional services that he renders to clients, unless a client whose evaluation and treatment expenses are provided for the client under the terms of a disability or accident insurance.
Dr. Sterling has "opted out" of Medicare and, thus, not only does he not receive any payments from Medicare, he cannot bill them, nor may his clients who may be Medicare eligible. This limitiation also applies to all Medicaid related coverages, which have been expanded under the Affordable Care Act in such a way that some recipients are not aware that their healthcare insurance is Medicaid-based.
No third-party advertising exists on the DearShrink.com or any affiliated Web site owned and operated by Dr. Sterling. Any third-party links to which users may be directed if they choose to utilize such links are posted for education and information only. Their inclusion on DearShrink.com or affiliated Web sites should not be interpreted in any way as an endorsement. Any advertising existing on any linked third-party Web sites is the sole responsibility of those Web sites and they do not generate any income for Dr. Sterling, whatsoever.
Participation in Marketing Surveys
Dr. Sterling has, and may continue to, participate in marketing surveys that are periodically available to physicians. Such marketing surveys generally consist of answering lengthy questions about medication and practice preferences and are usually conducted by a marketing corporation or an affiliate. Dr. Sterling has received payments from such organizations for time spent on answering the questions found in such surveys. In Dr. Sterling's opinion, such surveys do not influence his practice in any way. In fact, it is more likely that Dr. Sterling influences the outcome of such surveys and provides a "check and balance" to generally biased marketing agendas by participating in such surveys.
Participation in Targeted Conferences
Dr. Sterling has, and may continue to, participate in conferences that are subsidized by not-for-profit organizations, foundations, or governmental entities. Such participation is contingent on Dr. Sterling's determination that his participation will be for the purpose of providing professional and unbiased information about the subject matter of the conference. Dr. Sterling discloses the following with respect to such conferences:
Diagnostic and Therapeutic Biases and Modalities
- He was paid by the Geriatric Mental Health Foundation (an honorarium and expenses) for attending a roundtable that discussed the stigma and discrimination of geriatric mental illness and health care in Los Angeles on January 29 and 30, 2004.
Dr. Sterling is neither a "pill-pusher" nor a "therapy-pusher." His mission when he first meets with a client is to use his extensive knowledge base and experience to assist in finding out how much of what might be troubling a client is related to environmental, social, psychological and biological causes. Among other things, this requires taking a comprehensive history which includes an extended family history.
Since 2011, Dr. Sterling has specialized in the diagnosis and treatment of what is currently called Adult Attention Deficit Hyperactivity Disorder. From 2008 to the present, he has read and analyzed approximately 25,000 pages of primary literature. He reported his findings in two editions of his book, Adult ADD Factbook -- The Truth About Adult Attention Deficit Disorder -- one published in 2011 and one in 2013.
With respect to biases related to any particular approved medications for the enhancement of dopamine (unfortunately, unscientifically called "stimulants"), Dr. Sterling has none. From his extensive reading and experience, it is clear to him that there is no one best medication for optimizing working memory for everyone who may require some significant change in working memory function. It varies from person to person and as yet cannot be predicted. The key to finding the correct medication and the correct dosing schedule is to test each medication, if necessary, to find the one that produces no significant side effects and is neutral or positive for any pretreatment sleep difficulties. Once it is found and fine-tuned, it is very rarely interchangeable with some other different dopamine enhancer.
Dr. Sterling is a licensed physician in Washington State and can prescribe appropriate medications, if needed.
Dr. Sterling has no biases about treatment modalities and is experienced in psychological consultation and therapies using cognitive behavioral, learning, transactional analytic, psychodynamic, and interpersonal frameworks for understanding current difficulties and for making changes. He believes that a consultative, teamwork atmosphere is the best for facilitating new awareness and personal growth. All strategies for treatment, including the use of medications, are developed in collaboration with his clients.
Dr. Sterling is not on the staff of any hospital. He does not recommend or offer electroconvulsive therapy or transcranial magnetic stimulation.