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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 20-year-old male asked:
Dr. James Fox
Psychiatry 16 years experience
Yes, but...: Yes, it may be prescribed just as a sleep aid, but there are many better choices. Melatonin, Trazodone, Benadryl are safe alternatives. Restoril, Amb... 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
Both: Both are serious illnesses. Neither is a favorable diagnosis.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
None: Do not take Ativan (lorazepam) if you are afraid it will show up on a drug test. If you are trying to beat a drug test, that is a problem. Be honest... 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
Withdrawal?: Do you mean, when do withdrawal symptoms kick in? If you have been tapered off the medication in a thoughtful way, then you shouldn't experience with... 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
Depends: That is a question for your prescribing doctor. For some people, it may be too much. For others, it may be helpful. Everyone responds uniquely.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Ask your doctor: Urine drug tests are important in helping ensure patients are compliant with certain treatments. I would encourage everyone to be committed to their ... 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
Several problems: Effexor (venlafaxine) may be used to treat depression or anxiety. Alcohol may make depression worse and may hinder one's ability to cope w/ anxiety. ... 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
A lot: Citalopram is an ssri meaning that it causes increased amounts of serotonin in the brain. Mirtazapine is in its own unique class. Notably, Mirtazapin... 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
Neither: Any stimulant may decrease your appetite but should not be used for weight loss.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old female asked:
Dr. James Fox
Psychiatry 16 years experience
Withdrawal: You would go into withdrawal which can be very uncomfortable - diarrhea, pain, flu-like symptoms. Talk to your doctor about tapering the medication sl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Consult your doctor: There is no interaction but there is an additive effect of sedation. Ask you doctor about what is right for you.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Not likely: Soma (carisoprodol) is not specifically tested for. However, i wonder about the motivation of this question. Soma (carisoprodol) can be mis-used. Ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-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 43-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Long enough: I would worry less about how long meth stays in your body than i would be about actually using meth. Please get help w/ addiction. Aa and na are a g... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. James Fox
Psychiatry 16 years experience
TMS, ECT: Also, consider transcranial magnetic stimulation (TMS) or electroconvulsive therapy (ECT).
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Many things: It could be depression. But really, you should see a family doctor as a first step to get a full evaluation and proper referral.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Less effective: It's possible the medication may be less effective.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Shouldn't: It shouldn't affect your menstrual cycle. However, your menstrual cycle should be the least of your worries if you are using meth.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
See a psychiatrist: Coming off the medicine yourself? Seeing a doctor? Replacing the medication with another? I suggest seeing a psychiatrist you trust to fully answer yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Goals: You don't have to feel like doing something in order to do it. Try to set small, attainable goals. People often get overwhelmed if they think too big.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Treats Depression: The brain is an electric organ as much as it is a chemical one. Tms "activates" a specific part of the brain which relieves depression. It is safe an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old female asked:
Dr. James Fox
Psychiatry 16 years experience
Safety Concerns: If a person is suicidal or depressed to the point of not caring for themselves (not eating, not bathing, hearing voices, paranoid), they are in danger... 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
Varies: 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 t... 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
Good combo: Some studies suggest that effexor (venlafaxine) and remeron work better together than independently. vyvanse, i'm less enthusiastic about as i feel it... 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
May be subjective: You may find that 10mg Librium is not as effective as 10mg of valium since they are not equivalent. However, such medications are prescribed based on... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Yes: Both make you very sleepy and reduce your ability to breathe. Combining the two could be lethal. Seroquel (quetiapine) is often used to treat mood di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. James Fox
Psychiatry 16 years experience
New Psychiatrist: Sounds like you have had a difficult time recently. And that you don't have a good therapeutic relationship with your psychiatrist if you are seeking... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 77-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Insomnia: Withdrawal symptoms are typically the opposite of what the medication is intended to do. You may have insomnia if you stop Lunesta (eszopiclone) abru... 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
For depression: Rtms is very well tolerated and may work when medications do not. In one study, about 60% get better w/ the treatment and about 40% have no symptoms o... 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
History: The first thing to do is to take a careful history of the patient and family. What symptoms does the patient have? Is there a history of dementia, str... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. James Fox
Psychiatry 16 years experience
No: As already mentioned, Suboxone will never show up on a standard urine drug screen. However, it sounds like our husband has a serious opioid addiction... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old male asked:
Dr. James Fox
Psychiatry 16 years experience
Brain Stimulation: Is it the doctor who does tms who does not recommend it? I don't understand why it wouldn't be recommended. If not tms, you may consider ECT (elect... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
ECT: I can't say for sure, but electroconvulsive therapy (ECT) is the most powerful tool we have to treat severe depression and it can have positive, altho... 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
Different: Wellbutrin (bupropion) does not cause weight gain and it does not have sexual side effects. It does carry a small but increased risk for seizures and... 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
Risk: The goal of light therapy treatment for sad is to mimic the amount of light that you would experience in the summer. Sunlight has it's maximum intens... 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
Here are a few: Hypertension (up to 2% of people), increased cholesterol levels, constipation, diarrhea, nausea, vomiting, dry mouth, loss of appetite, dizziness, hea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Not so fast: Smoking marijuana may occasionally lead to symptoms of paranoia or other psychotic symptoms. In fact, if you carry a certain gene, you are highly lik... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Genes + environment: Bipolar disorder is as heritable as diabetes. You may be more at risk due to having two parents with the disorder. Keep a regular sleep/wake cycle. ... 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
Treatment options: Ptsd can be effectively treated using exposure and response prevention therapy as well as medications in the class of ssris and/or seroquel (quetiapin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. James Fox
Psychiatry 16 years experience
Sometimes longer: It depends how many episodes of depression you've had. Depression fundamentally alters brain structure. The more bouts of depression one has, the mo... 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
Maybe: It is thought that it is the resultant response of the brain to increased serotonin levels (and not simply increased serotonin alone) that leads to im... 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
Exposure: While medications may help treat symptoms associated with ptsd, exposure and response prevention therapy is likely to have longer lasting and enduring... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Yes and yes: Yes medications can sometimes help with anger issues to the extent that they may calm you down or level things out. Some medications that may be used... 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
Abuse potential?: Theoretically, there is less abuse potential with vyvanse (lisdexamfetamine). But in the end they are both stimulants and either may be effective. O... 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
Bad Idea: If you are having problems with abilify, (aripiprazole) tell your doctor and plan a safe taper off the medication and replace it with something else. ... 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
Progressive: Dementia is a progressive illness of the brain effecting one's memory, concentration, and planning (abstract thinking). Progressive means that the il... 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
More than Rx'd: Benzo abuse is when a person takes more than the prescribed amount of medication in order to get the same effect they were once having. The most abus... 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
It depends: It depends what kind of medication you are taking. Seroquel (quetiapine) is sometimes used to treat anxiety and it is known to cause bizarre dreams a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. James Fox
Psychiatry 16 years experience
Not causal: People who are depressed will often experience an increase in anxiety due to their depression. They are related, but i would not say that anxiety, pe... 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
3 differences: Generally speaking, there are three things that differentiate typical from atypical depression. In atypical depression, people often sleep too much, ... Read More
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
354
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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