Dr. James Fox

Psychiatry
Charleston, SC
16 years experience male

Locations

MUSC, Department of Psychiatry

Charleston, SC

Address

67 President St, Charleston, SC
Directions

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Psychiatry

Languages spoken

English

Doctor Q&A

163 Answers
148 Agrees
The number of answers this doctor has agreed with.
A 32-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
In moderation: This can be a healthy thing to do if it helps to remind you to turn things off. But if you find yourself repeatedly having to turn back and check, th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
No: No, depression won't make you itch. But those who are depressed often more aware of what they are thinking and feeling, both emotionally and physical... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Hardly: Only in so far as it is a precursor to melatonin (and serotonin). It also carries the risk of causing eosinophilia-myalgia syndrome. And serotonin c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 66-year-old female asked:
Dr. James Fox
Psychiatry 16 years experience
Options: There are some academic centers (emory, musc, among others) which have done studies with implanting deep brain stimulators to treat depression in the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Be careful: Be careful of st. John's wort. The potency of herbals are not regulated by the fda so you really don't know how much you're getting. Further, sjw ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Doesn't work: Essentially, it means that the drug is ineffective for the intended treatment. If you're talking about "drug resistant" bacteria, it means that the a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
IDS-SR: The inventory of depressive symptomatology - self report (ids-sr) is a very good tool for assessing depression severity. The assessment is open to th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 62-year-old male asked:
Dr. James Fox
Psychiatry 16 years experience
Yes: Actually, a single pulse of tms when you are having an aura can abort a migraine. There is an fda-approved product out right now which will do just t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Good question: Sedation is not a common side effect of abilify (aripiprazole). You may be tired due to depression. It's hard to say. Abilify, (aripiprazole) alone... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. James Fox
Psychiatry 16 years experience
Not so simple: Stimulating different 5ht receptors will have different effects. 5ht1a receptors will alleviate depression and anxiety. 5ht2a and c may induce anxiet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Depends: The weight gain, as you know, is a common side effect from zyprexa (olanzapine). I am not a familiar with the symptoms you are having coming off the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Prazosin: Also, prazosin (a medication for blood pressure) is effective in reducing nightmares, particularly in people with ptsd. It is not sedating, but it is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Retrograde Amnesia: Memory loss w/ ECT is more likely to impair recent memories than ingrained ones. The more "fresh" the memory, the more likely it may be lost. It is no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Intolerance to Meds: Ect is a safe and very effective treatment for depression. Rates of major depressive disorder are about the same in the elderly as the rates in young... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Yes: Yes, it is normal for others to be affected by a loved one with ptsd. It is best to be supportive to the extent that you encourage the individual to g... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Prazosin: Also, prazosin (a medication for blood pressure) is very effective in reducing nightmares, particularly in people with ptsd. It is not sedating, but i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. James Fox
Psychiatry 16 years experience
Yes, but: Yes, i believe there is a biological reason for this, but there haven't been sufficient studies to truly understand the mechanism. The serotonin hypo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. James Fox
Psychiatry 16 years experience
Be careful: Carbamazepine has significant effects on liver metabolism and may even reduce the blood levels of seroquel (quetiapine). There are others to try firs... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
That depends: The maximum recommended dose is 200mg but everyone responds to medication differently and the benefits of the medication must be weighed against the s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Metabolic Syndrome: I'm glad you're feeling better. About a third of people who start zyprexa (olanzapine) will develop weight gain, diabetes, and high cholesterol as we... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
No: It is not common to lose bladder control with pseudo-seizures. That is more likely to occur with seizures. Pseudo seizures often occur due to a stre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Anti-anxiety: Ativan (lorazepam) is a medication used to treat anxiety, panic attacks in particular. It is in a class of medications known as benzodiazepines which... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Treats depression: Ect treats depression - about 60% of those who receive treatment are not depressed at the end of treatment. During the procedure, patient's are put to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Depends on med: Different medications have different side effects. Ssris are most known for weight gain, nausea, headache, and sexual side effects. Wellbutrin (bupro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Caution: Wait 2 weeks after most ssris or 5 weeks if you were taking prozac (fluoxetine). You could start it sooner, but you would run the risk of developing ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Need more info: What's the effect of a magnetic field on what? Is is from an mri, a medical device, a homemade device, the earth's magnetic field, a refrigerator magn... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Definitely: If left untreated, the stress of college may worsen your symptoms.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
No: 2nd generation anti-psychotic medications (like clozaril, zyprexa, seroquel, rispderal, and to a lesser extent geodon, abilify, saphris (asenapine) an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. James Fox
Psychiatry 16 years experience
Find Your Purpose: Find your purpose in life. Give your life meaning. This is one of the hardest and sometimes most elusive things to do. Sometimes we go through life... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Hard to say: What you describe could be a result of (1) dementia, (2) medication side effects or (3) depression which may be difficult (but possible) to detect. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Brain Connectivity: Think of the brain consisting of an inner core where our most basic emotions and impulses lie and an outer layer consisting of rational thought that c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Yes: You will typically find access to ECT (electroconvulsive therapy) at major academic institutions in your state. Since ECT requires an anesthesiologis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
No: No. Bactrim (sulfamethoxazole and trimethoprim) has sulfa in it.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
See a doctor: I'm worried by the phrase, "extreme abdominal swelling". You need to see a doctor who can examine you and find out what's going on.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Long enough: Long enough for you to test positive on a urine drug screen and lose your job leading to more Cocaine use. Stay away from drugs. Go to na or aa.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
St john's wort: St john's wort is known for changing liver metabolism and interacting with all kinds of medications, including prozac (fluoxetine).
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Go to Emergency Room: 1. Get those white dots checked out - have a doctor look at them. 2. Stop using meth. There are many support groups out there.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Not really: It's only medical use is in certain procedures, such as rhinoplasty because it has numbing properties and vasoconstriction properties. It has no use i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. James Fox
Psychiatry 16 years experience
?: Tough question to answer without your history. It is certainly not a first line treatment for gad, but it has been used for a variety of anxiety-rela... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. James Fox
Psychiatry 16 years experience
No: There is not an interaction in the sense that the presence of one drug will cause increased amounts of the other or is more likely to increase certain... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
For depression: TMS is a treatment for depression. It is very well tolerated and may work when medications do not. In one study, about 60% get better w/ the treatment... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Long enough: Long enough for you to test positive on a urine drug screen and lose your job leading to more marijuana use. Stay away from drugs.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Never: I worry about the person who asks, "when can i drink again." it indicates that they may have an alcohol addiction. I would ask yourself why you are ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Some: Abilify (aripiprazole) is in a class of medications known to cause weight gain and sometimes diabetes and high cholesterol. Abilify (aripiprazole) it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Not sure: Your question is incomplete. Klonopin (clonazepam) may lower your blood pressure as it may reduce anxiety. It is not a blood pressure medication, ho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Stop using meth: But a better solution for treating "meth bumps" is to stop using meth!
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
SNRI vs SSRI: Effexor (venlafaxine) increases two different neurotransmitters in the brain (serotonin and norepinephrine) whereas zoloft increases just serotonin. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Too many: Dont' be one of them. Get help. Go to an aa meeting.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Yes there is hope: Most people struggling with addiction have 9 or more quit attempts before having a period of sustained sobriety. Don't give up. Be honest with your ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Doubtful: Weight gain is not a likely side effect.
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
355
Thank you notes
HealthTap member
Feb 18, 2014
Dr. Fox is an intelligent and empathetic psychiatrist. I highly recommend him for his diverse knowledge and thinking outside the box. He works hard and it shows.
HealthTap member
Mar 30, 2015
Dr. Fox is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Fox is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
I appreciate your response. I don't see why I need to be on anything. I am 54, Adhd, if I am hyper, my house will be clean. yes! Thank you.
HealthTap member
Thank you so much Doc. Thats great info and advice Thanks 4 caring I will follow up with my dr and go walking lol cheers
HealthTap member
Thank you, your answer was very helpful! I just read a few questions back that there is NO generic for Lexapro.

Education & Training

Medical/Graduate school

Medical University of South Carolina College of Medicine, SC
Graduated 2007MD

Residency

MUSC MEDICAL CENTER

Awards

Top Doctor, First Place, Charleston Region, SC - Summer
2013
Thought Leader, First Place, Charleston Region, SC - Summer
2013
Top Psychiatrist , First Place, South Carolina - Summer
2013
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