Locations
Cenpatico Behavioral Health
Austin, TX
About
Bio
I am a board certified child, adolescent, and adult psychiatrist. After more than 20 years in clinical practice I moved into a Medical Director position with Cenpatico Behavioral Health in Austin, TX. Cenpatico specializes in managing behavioral health benefits for a variety of populations coveted under Medicaid and Medicare. I continue to maintain a limited clinical practice, and I am currently licensed to practice in TX, LA, FL, KS, NE, and WA. In addition to my medical work I enjoy reading and hiking. As a seminary graduate and ordained minister, I am also very interested in the interface between mental health and spirituality.
SpecialtiesDoctors 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.
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.
Child Psychiatry
Psychiatry
Licenses
United States: Florida, Texas
Doctor Q&A
482 Answers
833 Agrees
The number of answers this doctor has agreed with.
A member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Possibly: If your mother has bipolar disorder you are at a higher risk of having the same problem compared to the general population. At the same time, there is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
No: Aspetget's syndrome is not likely to be helped by over the counter treatments. However, the associated problems with attention span will sometimes be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Possible But Rare: There could be an increased risk but only in severe cases with serious medical complications arising from the anorexia.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 53-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Evaluation: A diagnosis of bipolar disorder is made mostly due to the presence of specific symptoms or characteristics. The diagnosis needs to be made by a qualif... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 18-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Look for Help: If your friend does have bipolar disorder it is important for him to get the help he needs. In your area their should be resources for help which are ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Slight Possibility: Zyprexa (olanzapine) can have a side effect of sedation which could cause some slowing of mental processes and affect performance on an IQ test. Howev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Depends: What you need to tell your children has a lot to do with the circumstances involved and the age and developmental level of your children. In general, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Possibly: It would be unusual for encopresis to occur only doing exercise, but depending on the age of the child, it sounds like there is some kind of loss of b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Yes: There are many psychiatrists who focus on treatment of abused children. Check with prospective psychiatrists about their expertise in this area.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Not Necessarily: There is not a consistent link between abortion and sex drive. However, abortion could be related to other stressful circumstances, and the presence o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 47-year-old male asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Perhaps - Need Info: It's always worthwhile to evaluate the current benefit and ongoing need for any treatment. The current need to the use of cipramil would depend on how... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Same, Different: The term anxiety disorder is a general category covering several types of problems. One of these is panic disorder, which is characterized by sudden, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Donor of What?: There are many ways to be a donor, so the answer needs to be based on what you are planning to donate.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Consistent Health: It is important for you to maintain consistent and healthy routines in terms of your nutrition and your overall health. Consistency over time is the k... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Mood Swings: By definition bipolar disorder requires the presence of either cycles of alternating mood or severe and debilitating mood swings. In unipolar depressi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Comfort: Self-stimulating behaviors are a variety of things that people engage in when they are uncomfortable or anxious in their environment. They can be auto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Not Sure: I have never heard of this specfic term, but i assume it is being used to refer to a lifestyle in which your sister seems to depend of procrastinating... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 23-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Not Really: You might be thinking of various habits that tend to go along with worrying aobut things. These habits are actually produced by anxiety, instead of be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Severity : Oppositional defiant disorder means that there is the persistent presence of severe defiance and temper outbursts for at least 6 months. The diagnosis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Various: In general, kids with tics tend to have more tics under the following conditions: illness, fatigue, stress (situations involving increased levels of a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Unusual: It is uncommon for a stutter to begin in adolescence. If this has happened it is likely related to increased stress or anxiety.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
For Some People: There is evidence that omega-3 can be helpful for the mood. However, it most likely to be helpful for mild depression or to help maintain a stable moo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Possibly: In severe cases of pmdd, some women will expereince suicidal thoughts. If you are someone you know is struggling with this it is iimportant to seek he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsAnswered >2 years ago
A 40-year-old member asked:
What is the reason why children develop tics, does it have to do with trauma or neurological damage?
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Various Reasons: Somtimes kids develop tics for no clear reason. Tics are more likely in children who have other problems related to anxiety and adhd. Also, some neuro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsAnswered >2 years ago
A 63-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Antidepressant: Wellbutrin's primary action is on a chemical in the brain called dopamine. It also has impacts on other chemicals, but it is thought to have it's main... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Seek Help Quickly: Decreased sleep often accompanies increasing manic symptoms. If you are experiencing that much trouble sleeping, you need to get in touch with your ph... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 23-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Get Evaluation: It sounds like you have seen a change and that you are struggling with your emotions. If you are having thoughts of death, or thoughts of harming/kill... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Possibly: This is not common, but Depakote will occasionally cause increased depression, and by extension, suicidal thoughts.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 50-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Genetic Influence: There are possible genetic risk factors involved with anorexia, but genetics do not explain the whole picture. It is by no means guaranteed that your ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 16-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
They Can Be: Motor tics can occur more commonly in families. However, there are many situations in which this is not the case.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Some Help with Meds: The motor and vocal tics associated with tourette's are usually controlled to some extent by medications. Thie treatment usually does not completely c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Not Exactly: It would be too specific to say that suicidal thoughts can be an inherited trait. However, there is some genetic risk with various mood disorders, and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Not Necessarily: These may occur in the same person but one does not automatically go with the other.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Possibilities: In some pregancies the doctor will recommend genetic testing to see if there is evidence of any concerning problems, including possible mental retarda... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 28-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Possible: There are no guarantees, but people who were emotionally abused as children are at an increased risk of becoming emotional abusers.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Born With: The likelihood of having dyslexia is something that is internal or within the individual. However, the severity or expression of dyslexia is definitel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 19-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Possible: Bipolar disoder can cause a variety of problems with sleep and mood. However, the "falling asleep everywhere" is not a common problem with bipolar dis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
There Are Risks: Lithium should only be used during pregnancy if the risk of stopping it outweighs the possible risks to the baby. There are risks of congenital proble... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 68-year-old female asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Possible: Atenolol can cause a possible side effect of depression. This may be more likely if you also have a known history of depression. It is important to ta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
216 viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Often: People with autistic spectrum problems have difficulties taking in cues from their environment, interpreting this information, and then responding in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Talk to Physician: You will want to talk to whomever is currently prescribing your medications. I hope that you have been in regular contact with that provider so that h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Possibly: Stimulant medicines such as Adderall (dextroamphetamine and racemic amphetamine) can sometimes have side effects relarted to increased moodiness, agit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Mixed Picture: Kids or adults with adhd are often "high ennergy" people which can be helpful in certain situations. They may also look at things in slightly differen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Pica: Pica is the ingestion of non-food materials, or substances with little or no nutritional value. Pagophagia is considered to be a type of pica - it is ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Possibly: Nightmares can occur for many possible reasons, but stress is certainly one possible cause.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Intimidation: Bullying usually refers to behaviors in which one person tries to control another person thorugh the use of intimidation. This often takes the form of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Not Unusual: Adjustment disorder is a term used to refer to strong emotional or behavioral reactions to stressful situations. It is not uncommon, but it does refer... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Depends on Type: It would be very rare for a "small" injury to cause death. However, if the injury is in the right (or wrong) place, this could occur. Also, frequent s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Not Usually: This is an extremely difficult condition to treat, because the person involved (usually a parent) gains a high level of psychological satisfaction by ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. William Holmesanswered
Child Psychiatry 36 years experience
Probably Not: When you are in the middle of a panic attack, there is usually an increase in heart rate. However, this increase does not usually continue after the p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
6
Recommendations
643
Thank you notes
Mar 18, 2014
It's clear that Dr Holmes is a very knowledgeable and compassionate physician. A great asset to Health Tap!
Dec 2, 2013
Accurate, caring responses to patients' questions. A sound and experienced physician.
Apr 7, 2013
Answers patient's questions in a timely manner. Very knowledgeable!
HealthTap member
This was very helpful. Thanks! They test monthly for all drugs but they also text for the Suboxone to make sure I'm taking it. I got upset over the xanax. he said don't worry bout the xanax. Handed ...Read More
HealthTap member
I usually just have cereal for breakfast, but I will experiment. Perhaps I'd feel better with fruit and oatmeal. Thanks for helping me think of something I've overlooked!
HealthTap member
Thank you, your answer was very helpful! Very clear. There was one symptom I hadn't seen before, at least the way you put it - lack of initiation of movement/activity.
Education & Training
Medical/Graduate school
University of Texas Medical Branch School of Medicine, TX
Graduated 1987MD
Residency
UNIVERSITY OF TEXAS MEDICAL BRANCH GAL
Completed 1990
Awards
Top Child Psychiatrist , First Place, Texas - Summer
2014
Most Influential Doctor, Second Place, Austin Region - Summer
2014
Top Child Psychiatrist , First Place, Texas - Fall
2015
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