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Dr. Nicholas Stratas

Psychiatry
Raleigh, North Carolina, NC
62 years experience male

About

Bio

Limited practice of psychiatry specializing in thriving - individual, conjoint, family and group evaluation and psychotherapy, hypnosis, hypnotherapy; behavior therapy, psychosomatic therapy; goal/growth oriented,; forensic psychiatry; consultation and training, physician specialist, limited hours. Thriving Unlimited - Exploring and expanding personal and interpersonal experiences of thriving - private consultation – organization/executive development; human systems development, personal growth- individual, couples, families and organizations. Duke University Medical Center - Associate Consulting Professor of Psychiatry & Behavioral Sciences, University of North Carolina - Adjunct Professor Psychiatry, School of Medicine, Honorary staff; Wake Medical Center, UNC Rex Hospital, Holly Hi

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

Clinical Psychology

Holistic Medicine

Licenses

United States: North Carolina

Languages spoken

English, Greek

Doctor Q&A

210 Answers
123 Agrees
The number of answers this doctor has agreed with.
A 59-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Resume medication: Simply resume your Effexor, these symptoms should abate. Important to bring prescribed medications with you when traveling
A 59-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Stretch with no pain: Generally any stretching which causes pain is too much. Stretching should be comfortable thus stressing a muscle to the natural stretch then gently an... Read More
A 36-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Get: Get in touch with your body: yoga, relaxation & breathing exercises.
A 24-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Depends on medicatio: Some medications may be able to be stopped by decreasing the dose gradually - others may not depending on what is being treated.
A 21-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Insufficient data: This could be a variety of things - what else changes in that period, how long do these periods last, etc.
A 44-year-old member asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Not really: Effects of Buspirone (buspar) are relatively qhick i.e. Within days.
A 19-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Yes: Stress can produce tingling especially with hyperventilation- however there could be an underlying neurologic condition - check with your M.D.
A 43-year-old member asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Normal function: Is there is not an eating disorder present this is normal. The stomach and bowels are always working and sometimes are noisy - if this is the only iss... Read More
A 31-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Generally yes -: An interaction is always possible, not likely. Taking these drugs together might cause side effects of the antidepressant such as drowsiness, excess... Read More
A 34-year-old member asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Caution: Not a good idea to mix these. Ambioen has its own side effects even without alcohol.
A 31-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
More talk with doc: You need to speak further to your doctor especially about any mood, interest, weight, sleep, energy, guilt, concentration, thots of death problems. Fo... Read More
A 22-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Tricky subject: 1. If you are serious then you have a plan - if you tell whoever you are speaking with what your plan is you will get attention! if you are general - ... Read More
A 32-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Likely tolerance: If you are taking other meds they may get in the way. Not likely just from a cold except during that cold.
A 32-year-old member asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Drop the dose : Tapering down simply means reducing the dose - so cutting to 100 mgm/day for a few days, then 50 mgm for a few days and then stopping but speak to you... Read More
A 33-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Lo dose/cbt: Dose is too low speak with your doctor - also ssris for long haul and cbt-cognitive behavioral therapy with or instead of the meds.
A 28-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Yes: Sorry, I am sure you are distressed - At 4 y old this may be a transitional sign - however in view of the skin and pain issues ought to be seen
A 23-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Cbt: Psychotherapy - cbt and insight - will likely increase the chance of positive outcome. Also trial with other antidepressants may be appropriate depen... Read More
A 28-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Physical and mental: your body could have become so unaccustomed to meat that it reacted and your discovery of having eaten meat could have so rattled you that the vomitin... Read More
A 28-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Talk to your doc: A complex situation - abuse - no doc - physical trauma history - food distaste - need someone to look at all symptoms and do a good diagnostic about ... Read More
A 25-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Can be: The addition of such drugs can augment the action of the antidepressant. Need to be cognizant of the side-effects of Abilify (aripiprazole) - sometime... Read More
A 25-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Antipsychotics: Generally for schizophrenia antipsychotics are prescribed such as abilify, (aripiprazole) zyprexa - prozac, wellbutrin are antidepressants and may be ... Read More
A 40-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Maybe but treat: Still need to treat the low thyroid! if still feeling the same symptoms ask your doctor about the rest of your lab results, about depression.
A 49-year-old member asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Agree: This is unusual to emerge at your age. If no physiological findings perhaps psychological testing.
A female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Yes indeed: both the rush and changed heartbeats can be products of anxiety - certainly want a good physical evaluation clarifying cardiac, pulmonary and gastroin... Read More
A female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Can try others: SSRIs -sertraline, mirtazapine, citalopram, fluvoxamine, escitalopram SNRIs - duloxetine, venlafaxine, desvenlafaxine older group of TCAs, amitryptili... Read More
A 20-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Get a physical: A good physical with cardiac/pulmonary assessment will help you - if no cardiac/lung findings then this can be from a variety of causes, muscular, bon... Read More
A 43-year-old member asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
yes: Drumming repetitively with an accompanying monotone.
A 35-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Perhaps none?: Paroxetine is a long acting drug so missing doses will only decrease the level of the drug in your system. Xanax (alprazolam) should be used only acco... Read More
A 20-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
No: There are a variety of drugs for OCD and it is very unusual to not be able to find one which does not cause stomach irritation
A 36-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Fiber: Fiber in food or in capsules
A 44-year-old member asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
E, Omega-3, etc: Vitamins E, C, as well as Omega-3, Resveratrol, Milk thistle have all been cited in research studies as helpful in non-alcoholic fatty liver. Low carb... Read More
A 28-year-old member asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
No: This is a legal question and varies state to state so it requires an answer by an attorney in the state the resident resides.
A 56-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Melatonin ok: Melatonin wi Xanax and Zoloft is ok. However speak to your doctor about your continuing sleep problem. You maybe better off taking the Xanax just befo... Read More
A female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Not normal: Sounds like the fast resting heart beat started after starting on Wellbutrin. If so this is a side effect which needs to be reported immediately to yo... Read More
A 31-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Zoloft and pain: There have been reports of muscle pain with sertraline (Zoloft). Report to your prescriber.
A 43-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Very very very slo: Weaning off ssris such as citalopram is a long slow process. Start when feeling well reduce very very little at a time and only when you feel ready - ... Read More
A 56-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Not rare and: Getting depressed and anxious when ill is seen in people who are hard on themselves, drive themselves, Need to be kind to ones self- allowing one to b... Read More
A 30-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Perhaps (or not): If you are on adderall (dextroamphetamine and racemic amphetamine) daily and have not had any problems you can try the supplement and the most likely ... Read More
A 39-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Risky: In an article by Rossi and others in the journal Obstetrics and Gynecology of January 2011 they looked at more than 4700 IVF cycles/2500 couples, look... Read More
A 22-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Normal or pathologic: Generally anxiety comes with increase in BP/pulse and do not die. Anxiety in the human is like speed in the car. More important is what is your restin... Read More
A 26-year-old male asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Good thoughts!: Right about norepi rise with snri's. Some patients may indeed fell more anxious - however the majority feel less depressed and anxious - if you are e... Read More
A 32-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Yes: Fluoxetine brand name Prozac and other such drugs can take as much as 4 weeks to achieve adequate blood levels for full effect. Usually used for depre... Read More
A female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
No problem: sertraline and phenomethylpenicillin are two different drugs with no interaction so yes there should not be a problem taking them together
A 24-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Question?: “I have no thyroid” Do you mean normal tests - if so check back w your MD in case it was lo normal.
A 18-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Good question : Good question with your concern you might have depression. You may need an antidepressant or just talk therapy. Have you asked your prescriber? You ne... Read More
A 65-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Yes indeed: You are correct - there are anxiety relieving techniques and drugs - speak to your doctor, get a good physical and ask about stress relieving options
A 54-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Depends: depends on what other things are going on - a mini mental status by one of your MDs and review of medications should alert of you need to see a neurol... Read More
A 33-year-old female asked:
Dr. Nicholas Stratas
Psychiatry 62 years experience
Not likely depends: Not likely that you died - re out of body experience that depends on your belief system - if it includes this possibility then maybe - if not then unl... Read More

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

4
Recommendations
276
Thank you notes
Jan 26, 2015
Dr. Stratas has signicantly influenced for the better the treatment of mental illness in NC and beyond. All of us who practice psychiatry in NC owe Dr. Stratus a great debt. Thank you, Dr. Stratas!
HealthTap member
Mar 30, 2015
Dr. Stratas is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Stratas is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for the response but i realize bzds CAN be addicting but anything can, even clonidine or robitussin I don't abuse them never have this regimen as always worked for me. Ive nvr had wd frm bzds.
HealthTap member
what i meant was,(tulp).it stands 4 transurethral,laser,procedure..it's the same procedure as classic (turp), except done with a laser..it was done in 2015 btw..thank you anyway 4 the advice.
HealthTap member
This was very helpful. Thanks! Agreed. She's had exacerbations of asthmatic bronchitis because of it, but only she can make the decision to stop smoking.

Education & Training

Medical/Graduate school

University of Toronto, CANADA
Graduated 1957MD

Residency

Thriving Unlimited

Awards

, Life Fellow: American Public Health Association, Life Fellow: American Society of Clinical HypnosiFellow: American College of Forensic Psychiatry, Fellow: The American Orthopsychiatric Association, Fellow: American Academy of Pain Management, Diplomate: International Academy of Behavioral Medicine, Counseling and Psychotherapy Life Fellow: Pan American Medical Association, Approved Consultant: American Society of Clinical Hypnosis, Life Member: American Medical Association, University of Toronto, Faculty of Medicine Society, 1956-1957, Governor Dan K. Moore, North Carolina, 1968, Governor Robert W. Scott, North Carolina, 1970, American Psychiatric Association, 1970, Tarheel of the Week, The News and Observer, Raleigh, NC, 1973, Who’s Who in America Marquis, 1976-Present, Who’s Who in Medicine and Health Care, Marquis, 1977-Present, Who’s Who in the Biobehavioral Sciences, Marquis, 1982-Present, Governor James B. Hunt, North Carolina, 1984, Who’s Who in Executives and Professionals, Marquis, 1994-Present, Who’s Who in the World, Marquis, 1995-Present, Who’s Who in America, Marquis, 1995-Present, Who’s Who in Science and Engineering. 2006- present, Top Doctors in America, Center for Studies, Washington, DC, 2000-present, America’s Top Psychiatrists, Consumers’ Research Council of America, Washington, DC, 2003-present, 2005 Individual Healthcare Professional Award Winner, NC Coalition for Persons Disabled by Mental Illness, International Professional of the Year 2006, International Biographical Center, Cambridge, England
Top Psychiatrist , First Place, North Carolina - Winter
2013
Top Psychiatrist , Third Place, North Carolina - Summer
2013

Affiliations

Wake County, North Carolina, and American Medical Associations, Life North Carolina and American Psychiatric Associations, Distinguished Life Fellow North Carolina and American Public Health Associations, Life Fellow, Emeritus Member Virginia, North Carolina, and American Society of Clinical Hypnosis, Fellow, Approved Consultant) International Society of Hypnosis, Royal Society of Health (Emeritus Fellow) Academy of Psychosomatic Medicine (Life Fellow) Pan American Medical Association (Diplomate, Life Member) Association for the Advancement of Psychotherapy (Retired) American Association for the Advancement of Science (Retired) Canadian Psychiatric Association (Retired) Society for General Systems Research (Retired) Alcoholism Professionals of North Carolina (Retired) American Association of Psychiatric Administrator (Retired) American Association of Behavioral Therapists (Retired) North Carolina and American Biofeedback Society (Diplomate – Retired) American Academy of Behavioral Medicine (Diplomate – Retired) American Orthopsychiatric Association (Fellow – retired) American College of Forensic Psychiatry (Fellow) Society for Professional Well-Being (Retired) American Academy of Pain Management (Fellow) American Academy of Psychiatry and the Law Hellenic American Psychiatric Association The Academy of Organizational and Occupational Psychiatry (Retired)
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less