Daniel D. Sewell, M.D.
200 West Arbor Drive
San Diego, CA 92103-8631
Phone #: 619-543-3772
FAX #: 619-543-7337
Dr. Sewell was born and raised in Des Moines, IA. He attended
public schools and graduated in the top 3% of his high school
class. He spent four years at Grinnell College in Grinnell, IA
where he graduated with honors with a BA in Biology. He
attended medical school at the University of Iowa in Iowa
City, IA. At graduation, he was given an award for student
service. He completed the first two years of his psychiatry
residency at the University of New Mexico in Albuquerque, NM.
He completed his psychiatry residency at the University of
California, San Diego and was awarded the Chairman’s prize for
research excellence during the psychiatry residency. Following
residency, he completed a fellowship in geriatric psychiatry
Dr. Sewell’s current research interests include: 1) the use of
the neuropsychological test, the Clock Drawing Test (CDT), to
distinguish older patients with major depression from older
patients with major depression and early dementia; 2)
unrecognized medical illness as the cause of behavioral
disturbance in patients with dementia; 3) the use of aroma
therapy to reduce agitation in patients with dementia; 4) sex,
aging, and dementia, 5) metoclopramide-associated tardive
dyskinesia; and 6) the use of atypical antipsychotic
medications in older patients.
He spent approximately 75% of his clinical hours working with
patients admitted to the Senior Behavioral Health Inpatient
Unit at UCSD Hillcrest Medical Center. About half of the
inpatients are experiencing severe behavioral disturbance as a
complication of dementia and about half are experiencing
problems with depression or anxiety but do not have dementia.
Occasionally, he treats older patients with bipolar disorder
or schizophrenia. He works closely with a multi-disciplinary
team that includes a geriatric internist, neuropsychologist,
social worker, occupational therapist, and nurses. His work
frequently includes family therapy. About 25% of his clinical
time is spent providing outpatient medication management and
long-term psychotherapy for adults of all ages.
- Sewell DD, Kodsi A, Caligiuri M, Jeste DV: Metoclopramide
and Tardive Dyskinesia. Biological Psychiatry 36:630-632,
- Sewell DD: Paranoid Disorders. In
Geriatrics review Syllabus, Book I. DB Reuben, TT Yoshikawa,
RW Besdine (ed.) New York, NY: Plenum, 1996.
- Sewell DD: Schizophrenia and HIV. Schizophrenia Bulletin,
22(3): 465-473, 1996.
- Ashley RV, Gladsjo A,
Olson R, Judd LL, Sewell DD, Rockwell E, Jeste DV: Changes in
Psychiatric Diagnoses from Admission to Discharge: Review of
the Charts of 159 Patients Consecutively Admitted to a
Geriatric Psychiatric Inpatient Unit. Department of
Psychiatry, University of California, San Diego and the VA San
Diego Healthcare System. General Hospital Psychiatry 23:3-7,
- Woo BKP, Daly JW, Allen EC, Jeste DV,
Sewell DD: Unrecognized Medical Disorders in Older Psychiatric
Inpatients in a Senior Behavioral Health Unit in a University
Hospital in San Diego. Journal of Geriatric Psychiatry and
Neurology, (in press).