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Dr. James Saccomando

Psychiatry
Boise, ID
21 years experience male

Locations

North End Psychiatry & Associates

Boise, ID

Address

1423 W. Franklin Street, Boise, ID
Directions

My office hours

Wednesday: 1:00pm - 4:00pm
Show more

Fax

(208) 345-2212

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

Child Psychiatry

Doctor Q&A

43 Answers
19 Agrees
The number of answers this doctor has agreed with.
A 34-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Found a Couple Names: Desensitization or exposure therapy focuses on changing your response to the object or situation that you fear, and may be helpful for specific phobia... Read More
A 40-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Timing: In adhd, concentration problems are all the time in multiple situations. In depression, concentration problems occur only during episodes of depressi... Read More
A 42-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Yes: A hangover is an early withdrawal from alcohol. The symptoms are mostly the opposite of intoxication. This is true of just about all substances. Th... Read More
A 37-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
There are a few uses: Benztropine is an anticholinergic drug used to reduce the side effects of antipsychotic treatment, such as pseudoparkinsonism and dystonia. It is also... Read More
A 45-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Stop It: I would recommend talking to your doctor first before getting off of an antidepressant. However, Prozac (fluoxetine) has a very long half-life (how q... Read More
A 48-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
It wouldn't hurt: I don't know exactly what the eye medications are so it's difficult to say exactly. But if you're going to take medications abroad, make sure you hav... Read More
A 34-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
I think if varies: I think it varies by the doctor. There are definitely some doctors that do not prescribe these medications enough. For example, about 7 years ago wh... Read More
A 39-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Melatonin and Light: Melatonin is an over-the-counter supplement you can use to reset your biological clock. Taking it signals your brain that it is "night" so you can fa... Read More
A 30-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
No: Schizoaffective disorder is similar to schizophrenia. In schizoaffective disorder, though, there are also times when there is mania and/or depression... Read More
A 39-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
No: Dysthymia is relatively more frequent in females.
A 48-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Depends: Amitriptyline may alter the drug levels of other medications that you are taking. This can be dangerous if levels are too high or lead to problems if... Read More
A 41-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Yes: If you take Adderall (dextroamphetamine and racemic amphetamine) as prescribed, you should never be able to build a tolerance. Every morning, the Add... Read More
A 39-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Insight: Occasionally, the line can be blurry. However, basically, an obsession is a thought you know doesn't make sense and a delusion is a fixed false belie... Read More
A 42-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
17 states and DC: There are 17 U.S. States that have legalized medical marijuana. You can look the list easily on google.Com on the internet. There are rules that mus... Read More
A 44-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
There are a few uses: Benztropine is an anticholinergic drug used to reduce the side effects of antipsychotic treatment, such as pseudoparkinsonism and dystonia. It is also... Read More
A 47-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Maybe: Weight gain is listed as a possible side effect, but weight loss is listed too. Depression itself can also cause weight loss or weight gain.
A 46-year-old male asked:
Dr. James Saccomando
Psychiatry 21 years experience
Definitely: People with personality disorders are more likely to have co-existing psychiatric disorders like depression, anxiety, psychosis, and substance issues.... Read More
A 44-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Same as each alone: Xanax (alprazolam) is a benzodiazepine which acts about the same in the brain as alcohol. Using the two together is like using extra alcohol or extra... Read More
A 42-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Yes: Skipping Adderall is not going to hurt you. You just don't get the positive effect that day. Wellbutrin, (bupropion) on the other hand, needs to be ... Read More
A 46-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Maybe: All psychiatric medications will be present in breast milk. The amounts are very small, but definitely present. However, when considering this, you ... Read More
A 34-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Found a Couple Names: Xyrophobia: the fear of razor blades, straight razors, and/or other shaving devices, also the fear of shaving or being shaved. I also found aichmoph... Read More
A 36-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Possibly: One thing i've leaned as a psychiatrist is that just about anything is possible. I suspect that in starting Abilify (aripiprazole) you may have stopp... Read More
A 40-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
A few things: Red flags include poor eye contact, speech delays, not seeking comfort if scared or hurt, not liking to be held, odd movements that are symmetric on t... Read More
A 46-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Behavior Therapy: Desensitization or exposure therapy focuses on changing your response to the object or situation that you fear, and may be helpful for specific phobia... Read More
A 36-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Get Help!: What you're describing could be symptoms of posttraumatic stress disorder (ptsd) or possibly a psychotic disorder. See your doctor asap. There are m... Read More
A 34-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
An SSRI: Usually, we start with one of the selective serotonin reuptake inhibitors (ssris). These include fluoxetine (prozac), sertraline (zoloft), paroxetine... Read More
A 44-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
A medical cause: Despair is an awful thing to feel. We know there are a number of medical problems that can cause someone to feel that way even though there have been... Read More
A 31-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Psychotherapy: Family therapy would be great to help examine the entire family system, but often, some family members are not willing to go. Individual therapy coul... Read More
A 36-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Up to 12 hours: Short-acting Focalin (dexmethylphenidate) lasts 4-6 hours. Focalin (dexmethylphenidate) xr should last up to 12 hours.
A 45-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Not very common: Prozac (fluoxetine) is supposed to be weight neutral. I have seen people gain and lose weight on it, but i suspect the weight change is from changes ... Read More
A 33-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
It depends: The dosages of benzodiazepines depend somewhat on the size of the person and whether or not they have a tolerance to the drug. Also, there are some g... Read More
A 42-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Desensitization: Desensitization or exposure therapy focuses on changing your response to the object or situation that you fear, and may be helpful for specific phobia... Read More
A 21-year-old female asked:
Dr. James Saccomando
Psychiatry 21 years experience
Yes: First, if you feel you may be in danger, go to an er immediately. If not, see the doctor who prescribed the sertraline asap. Unfortunately, every me... Read More
A 31-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Several Things: Psychotherapy is very helpful. Other things like exercise, healthy diet, and even light have been shown to be helpful.
A 32-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Kinda: Not feeling remorse manifests in several physical conditions. For example, people that have no remorse will maintain a normal heart rate and not pers... Read More
A 36-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Long low mood: Dysthymic disorder (or dysthymia) is a disorder where you have a low mood for at least 2 years straight (1 year for kids) and some other symptoms of d... Read More
A 40-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Somewhat: We don't use notripytline as much as we used to, but it is still a good drug. Selective serotonin reuptake inhibitors (ssris) are the most prescribed... Read More
A 35-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Lots of things: Originally, Risperidone was prescribed for psychosis in schizophrenia, but now we use it for other things: mood stabilization, aggression in autism, ... Read More
A 36-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Several ways: First, it's not a happy pill. It should not change your personality. At low doses, it helps with anxiety, rumination, and just letting go of problem... Read More
A 42-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
You shouldn't: As healthy people age, there are some small decreases in memory, but much smaller than most people would think. The word "exhausted" in your question... Read More
A 34-year-old female asked:
Dr. James Saccomando
Psychiatry 21 years experience
Nothing terrible: Sedation is #1 but it's milder than its cousin clonidine. Intuniv is a form of Guanfacine which originally was a blood pressure med. This means it c... Read More
A 31-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Average 8-10 years: On average, once diagnosed with alzheimer's dementia, the life expectancy is about 8-10 years. However, it can be up to 20 years.
A 42-year-old member asked:
Dr. James Saccomando
Psychiatry 21 years experience
Not usually: Pamelor (nortriptyline) can cause weight gain. However, depression can cause weight loss or weight gain so treating depression can possibly cause the... Read More

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

2
Recommendations
128
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Saccomando is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Saccomando is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Ive been taking xanax.& klonopin for 17yrs.im on 4mg currently,thank u
HealthTap member
Thank you, your answer was very helpful! Thank you so much for your answer !
HealthTap member
Thank you, your answer was very helpful! Thank you for your help

Education & Training

Medical/Graduate school

Vanderbilt University School of Medicine, TN
Graduated 2001MD

Residency

UNIVERSITY OF IOWA HOSPITAL & CLINICS
Completed 2005

Awards

HealthTap Founding Doctor

Affiliations

Idaho Psychiatric Association
American Psychiatric Association
Idaho Medical Association
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