U.S. doctors online nowAsk doctors free

Dr. James Wells

Psychiatry
Hillsborough, NC
45 years experience male

Locations

Office

Hillsborough, NC

Address

5024, Boulder Run Rd, Hillsborough, NC, United States
Directions

About

Bio

Born (11-23-1947) & raised in Greenville, NC - Eagle Scout at age 13. Scout camp counselor, 1962-1965. Have practiced Adult & Geriatric Psychiatry at Center For Creative Balance from 1982 - present. Education: UNC, Chapel Hill - MD,1977; Wake Forest University – BS Biology,1974; HM2, US Navy, 1968–1972; J.H. Rose High School – Keetch Distinguished Service Cup, 1966. Residency: Duke University Medical Center (DUMC), Durham Regional Hospital – Chief Resident in Psychiatry, 1981-1982; DUMC – Residency in Psychiatry, 1978-1982; DUMC - Internship in Psychiatry and Emergency Medicine, 1977-1978. Current Interests: Spending time with wife, children & grandchildren; Live jazz; Long-distance hiking & camping; Woodworking; Discussing, reading & writing about politics, theology, & medicine.

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

Doctor Q&A

167 Answers
106 Agrees
The number of answers this doctor has agreed with.
A 24-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Relatively safe: Nortriptyline is a medication that has been used for decades, can help headaches, and generally does not have the extreme adverse effects that you hav... Read More
A 32-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
If no alcohol, safe: It seems to me that taking the zopiclone now would not adversely interact with the other things you have described taking as long as you are not drink... Read More
A 59-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Inappropriate, not rape: As i see it, if nothing else happened, 18 yo asking 10-12 yo to take off her clothes was not rape, per se; and it was definitely very inappropriate ... Read More
A 24-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Medicines, lip licking?: Are you taking oral medications or supplements of any kind? Is this only in the winter or year around? Are your skin and hair also dry? Do you lick yo... Read More
A 32-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Most often wt gain: In my experience, wt gain ; decreased libido are frequently side effects of paxil; while weight loss, if it occurs, is usually only in the beginning, ... Read More
A 45-year-old member asked:
Dr. James Wells
Psychiatry 45 years experience
Usually not: Unless there are hormonal abnormalities, head size should be stable by late teens or early twenties.
A 20-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Yes: During clinical trials of Nexplanon there was reported a 5.5% incidence of depression with 1% of patients dropping out of the trial because of depress... Read More
A 25-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Can't be sure, and..: What parts of the temper issues of your mother and grandmother are inherited and what parts from environment are impossible to know for sure, but chan... Read More
A 38-year-old member asked:
Dr. James Wells
Psychiatry 45 years experience
Yes at .09; no at .9: If you mean 9 as in .009 or .09; but no if you mean .900 or greater.
A 68-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
How long what?: I do not understand what you are asking about magnesium and insomnia. Please say more.
A 50-year-old member asked:
Dr. James Wells
Psychiatry 45 years experience
Examination right away: Numerous lumps in your groin, some painful, probably indicate an infection but could be relatively benign or from a number of different potentially se... Read More
A 17-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Cannot see happening: Good for you that you will be 4 months clean before delivering your baby. I hope you are also avoiding alcohol, tobacco, and anything else that might ... Read More
A 25-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Taking SSRI?: Has anything changed that roughly coincides with the change in sexual sensitivity and ability to reach orgasm? If you are taking an ssri, that would e... Read More
A 26-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Alcohol not helpful.: It has been my experience that antidepressant medication does not work well, if at all, in the presence of alcohol. Also, as i see it, a combination ... Read More
A 17-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Dose may be too low: It could be that the dose is too low. Recommend discussing with your doctor a trial of a higher dose.
A 45-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Usually does subside: Neurontin (gabapentin) or Gabapentin frequently causes initial drowsiness that usually does subside over time (few weeks). I usually have people begi... Read More
A 37-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Panic does not kill: While it is not unusual for someone having an anxiety or panic attack to think they are dying and for their pulse and blood pressure to spike somewhat... Read More
A 46-year-old member asked:
Dr. James Wells
Psychiatry 45 years experience
Anxiety Induced: Not an official diagnosis, "emotional detachment" can describe someone who has trouble making emotional attachments with others, often due to anxiety ... Read More
A female asked:
Dr. James Wells
Psychiatry 45 years experience
Yes, and...: Being 13, in my experience, brings with it challenges as your body is rapidly maturing toward adulthood and your peers are often very competitive and ... Read More
A 19-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Balanced living: To improve general mental health, i recommend balanced living that includes a nutritious diet (to extent possible, try to avoid processed foods), 80 t... Read More
A 20-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
No temas! Live now!: As i see it, all people make sense all of the time; so your fear must be valid for you even though you have not described nature or parameters of your... Read More
A 37-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Yes, Zoloft (sertraline) may help: Concern about Effexor ; hypertension makes sense to me, and zoloft could be good alternative as the Effexor is very slowly tapered and stopped. I usua... Read More
A 25-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Salpingitis likely: You may be suffering from chronic salpingitis that is an inflammation or infection of your left fallopian tube. Frequent symptoms of salpingitis inclu... Read More
A 42-year-old member asked:
Dr. James Wells
Psychiatry 45 years experience
Perhaps: There have been many reports of people with tourette's having breath-holding episodes. It is my understanding that tourette's is frequently associated... Read More
A 28-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Need evaluation: Since this question was posted 17 hrs ago, an evaluation by a professional is indicated if you are having any persistent burning or other eye symptoms... Read More
A 25-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Avoid too much of anything: Yes, it is my understanding that Dopamine or an opioid may be released with the fulfillment of an urge to buy; but there may be many other factors inv... Read More
A 25-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Previous PMS?: All the symptoms you described, dizziness, sleepiness, fatigue, sore breasts, light spotting before expected period, cramping, and backache, can all b... Read More
A 23-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Yes: I think of the difference between axis i and ii this way: axis i is for primary mental health problems like major depression and add that can occur s... Read More
A 44-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Time of day and dose: If you are on a Methadone take-home program, you may do better with taking it late in the afternoon or evening rather than in the morning. The only ot... Read More
A 35-year-old member asked:
Dr. James Wells
Psychiatry 45 years experience
Helps hyperactivity : Intuniv is extended release version of Guanfacine (tenex) that has the indication for treating hypertension but is also used "off label" for heroine w... Read More
A 41-year-old member asked:
Dr. James Wells
Psychiatry 45 years experience
About 2 days : I suspect that with normal kidney function, vyvanse (lisdexamfetamine) will be cleared in approximately two days following the last dose.
A 23-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Not normal, but...: Immature granulocytes when present in adults may be an early sign of bacterial infection, but the levels you list are very low and your other tests ar... Read More
A 43-year-old member asked:
Dr. James Wells
Psychiatry 45 years experience
Timing and amount: Alcohol is sedating, and Adderall (dextroamphetamine and racemic amphetamine) has opposite effect. Taking Adderall (dextroamphetamine and racemic amph... Read More
A 25-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Actually opposite: Zyprexa (olanzapine) is a bit more likely to cause prolactinemia than seroquel (quetiapine) and both are more likely to cause it than Abilify (aripipr... Read More
A 49-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Low-dose Abilify (aripiprazole): In my experience, a low dose of Abilify (aripiprazole) (2mg each morning, not to exceed 5 mg) is frequently the most effective and rapidly acting trea... Read More
A 31-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Not likely.: It is my understanding that in an otherwise healthy 31-year-old, a heart attack is extremely unlikely, and left arm pain at your age is probably from ... Read More
A member asked:
Dr. James Wells
Psychiatry 45 years experience
Uually contamination: Epithelial cells — cells that line your hollow organs and form your skin — when in urine may be a sign of a tumor, but my understanding is that most o... Read More
A 37-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Ignore: Breathe in, accept what is believed. Breathe out, validate and empathize without correction.
A 62-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Several options: In my experience, Pristiq (desvenlafaxine) and venlafaxin in whatever form have a more significant potential effect on blood pressure than most of the... Read More
A 36-year-old member asked:
Dr. James Wells
Psychiatry 45 years experience
Relapse/seizure risk: Suddenly stopping Abilify (aripiprazole) and Lamictal could cause a relapse with a worsening of the symptoms for which they were prescribed. Lamictal... Read More
A 44-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Medication effect?: Has this change in the quality of your orgasmic experience been recent? If so, have you changed in any way medications or supplements you may be takin... Read More
A 25-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
No known interaction: Piracetam, a cyclic derivative of GABA used to improve cognition among other things, does not to my knowledge interact adversely with Ritalin (methylp... Read More
A 46-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Desire for care: Though i certainly may be wrong in your situation, it seems to me that your wearing a diaper and sucking on a pacifier is probably not so much a fetis... Read More
A 34-year-old member asked:
Dr. James Wells
Psychiatry 45 years experience
Suggest OA ; LoseIt: Unless taking lithium, zyprexa, (olanzapine) remeron, prozac, or another medicine that may be increasing appetite ; craving for food, i expect you may... Read More
A 32-year-old female asked:
Dr. James Wells
Psychiatry 45 years experience
Constant or with sex: It is my understanding that there can be many causes for vaginal pain, and the list of potential causes can only be narrowed by knowing more about the... Read More
A 35-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Yes, usually okay.: Very low to almost no potential for problems from taking Valium and aspirin as you described for one week, though 5 mg of Valium twice a day rather th... Read More
A 30-year-old member asked:
Dr. James Wells
Psychiatry 45 years experience
Repetitive behavior: Ocd is generally characterized by repetitive behaviors that are difficult to stop despite being frustrating either to the person doing the behaviors o... Read More
A 36-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Ignore: Good ingestion from start contributes to good gestation and healthy baby at end.
A 36-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Ignore: Benefits of stretching most likely from practice, not perfection.
A 25-year-old male asked:
Dr. James Wells
Psychiatry 45 years experience
Acne possibly worse: It is my understanding that zyprexa can cause significant adverse effects on glucose metabolism. There is a significant risk for metabolic syndrome th... Read More

90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.

Ask doctors free
Answer emailed
in 24 hours or less

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

4
Recommendations
231
Thank you notes
Dr. Donald Jacobson
Dec 14, 2013
Dr. Wells is a welcome newcomer to Healthtap. His responses are backed by years of practice, keen awareness of psychopharmacology, and based In sound practical advice that only a seasoned practitioner...Read More
HealthTap member
Mar 30, 2015
Dr. Wells is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Wells is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! My doctor assured me that this was safe but a 2nd opinion always helps
HealthTap member
Your answer was very helpful! Thanks :) i experience the same it is very calming and changes mood completely;)
HealthTap member
Thank you, your answer was very helpful! Thank you for the info. No changes in meds or diet. may consult dr.

Education & Training

Medical/Graduate school

University of North Carolina School of Medicine, NC
Graduated 1977MD

Residency

DUKE UNIVERSITY HOSPITAL

Awards

Thought Leader, Third Place, North Carolina - Spring
2014
Top Psychiatrist, Third Place, North Carolina - Spring
2014
Most Influential, Third Place, Durham Region - Spring
2014

Affiliations

DUMC Clinical Faculty
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