EXPERT
Dr. R. Nicole Sims, M.D.
Psychiatrist
Dr. R. Nicole Sims is a psychiatrist practicing in Colorado Springs, CO. Dr. Sims is a medical doctor specializing in the care of mental health patients. As a psychiatrist, Dr. Sims diagnoses and treats mental illnesses. Dr. Sims may treat patients through a variety of methods including medications, psychotherapy or talk therapy, psychosocial interventions and more, depending on each individual case. Different medications that a psychiatrist might prescribe include antidepressants, antipsychotic mediations, mood stabilizers, stimulants, sedatives and hypnotics. Dr. Sims treats conditions like depression, anxiety, OCD, eating disorders, bipolar disorders, personality disorders, insomnia, ADD and other mental illnesses.
Dr. R. Nicole Sims, M.D.
- Colorado Springs, CO
- Indiana University School of Medicine
- Accepting new patients
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No change after OCD medication?
OCD antidepressant dosing is usually higher than prescribed for depression or anxiety. Medication and talk therapy combined will be far more effective than medication alone. Treatment READ MORE
OCD antidepressant dosing is usually higher than prescribed for depression or anxiety. Medication and talk therapy combined will be far more effective than medication alone. Treatment response varies; however, it isn’t uncommon for OCD treatment to take more time to achieve a reduction in symptoms. Don’t give up on treatment!
Tapering off diazepam?
It’s not uncommon to have withdrawal anxiety when tapering off a benzodiazepine. Please follow up with your provider about your concerns. Sometimes slowing down the process can READ MORE
It’s not uncommon to have withdrawal anxiety when tapering off a benzodiazepine. Please follow up with your provider about your concerns. Sometimes slowing down the process can help manage the anxiety.
At what age do we tend to feel the least depressed?
Unable to generalize an answer to that question.
When should you see a doctor about anxiety?
The reason why you are feeling anxious is important in determining the duration of your symptoms. Seeking medical attention depends on how disruptive anxiety is in your daily life. READ MORE
The reason why you are feeling anxious is important in determining the duration of your symptoms. Seeking medical attention depends on how disruptive anxiety is in your daily life.
Anxiety medication that doesn’t cause sexual dysfunction or weight gain?
Medications with serotonergic properties can have these side effects. Buspirone can be used for anxiety reduction and low-dose antihistamine for panic attacks. Wellbutrin isn’t READ MORE
Medications with serotonergic properties can have these side effects. Buspirone can be used for anxiety reduction and low-dose antihistamine for panic attacks. Wellbutrin isn’t known to have these side effects but is not usually the best medication for anxiety.
What is the most energizing antidepressant?
Wellbutrin is the most activating in my clinical experience.
Should I stop taking antidepressants before pelvic surgery?
Unless there is a specific reason your surgeon would want you to discontinue use, there is no reason to stop the medication.
Where can I get subutex prescribed to me?
Providers have to have special training to prescribe buprenorphine. https://www.samhsa.gov/medication-assisted-treatment/find-treatment/treatment-practitioner-locator. Here is READ MORE
Providers have to have special training to prescribe buprenorphine. https://www.samhsa.gov/medication-assisted-treatment/find-treatment/treatment-practitioner-locator. Here is a link to help you with your search.
Quetiapine and Paxil side effects?
Side effects should dissipate within the first 4-7 days. If not, then you aren’t tolerating the medication(s). Follow up with your provider if you have concerns.
How to manage anxiety about the covid vaccine?
Supportive counseling may help.
What is first line treatment for panic attacks?
This depends on the severity and frequency of panic attacks. For occasional panic attacks, a rescue medication can be used such as hydroxyzine or low dose benzodiazepine. If the READ MORE
This depends on the severity and frequency of panic attacks. For occasional panic attacks, a rescue medication can be used such as hydroxyzine or low dose benzodiazepine. If the panic attacks are daily, severe, and associated with generalized anxiety, the treatment of choice would be an antidepressant. Therapy can also be an option to develop coping strategies to help with anxiety/panic attack reduction.
How does a family recover after someone commits suicide?
Recovery is different for everyone. Supportive counseling, whether it is individual or group, can be helpful.
Do many psychopaths have disordered personalities?
Psychopathic tendencies overlap considerably with narcissistic and antisocial personality disorders.
How long does therapy take for anxiety?
Minimum “dose” of therapy should be 20 weekly sessions. Depends on the severity of anxiety and whether or not the patient is also taking medication.
Hope this helps!
Hope this helps!
Should antidepressants cause weight gain?
Some antidepressants are known for weight gain more than others. Zoloft, Celexa, and Paxil come to mind. Wellbutrin is not known to cause weight gain. Depends on the patient and READ MORE
Some antidepressants are known for weight gain more than others. Zoloft, Celexa, and Paxil come to mind. Wellbutrin is not known to cause weight gain. Depends on the patient and it’s not easy to predict which medications will cause this problem.
Hope this helps!
Hope this helps!
What medications can cause mood changes?
Many medications can cause mood changes. Common ones would be steroids, birth control, anti-seizure medications, opioids, benzodiazepines, stimulants and antidepressants.
Hope READ MORE
Many medications can cause mood changes. Common ones would be steroids, birth control, anti-seizure medications, opioids, benzodiazepines, stimulants and antidepressants.
Hope this helps!
Hope this helps!
How long does alcohol induced depression last?
Alcohol-induced depression will continue as long as you continue to drink alcohol. It is challenging to determine the duration of symptoms with abstinence, but factors that will READ MORE
Alcohol-induced depression will continue as long as you continue to drink alcohol. It is challenging to determine the duration of symptoms with abstinence, but factors that will prolong recovery are how much you have been drinking and for how long. Sobriety and recovery support with improve the outcome.
Hope this helps.
Hope this helps.
