About
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.
Psychiatry
Languages spoken
English
Doctor Q&A
36 Answers
1 Agree
The number of answers this doctor has agreed with.
A 41-year-old male asked:
Dr. Nicole Dickensanswered
28 years experience
Liver: Difficult to really say. Have you had the pancreas , kidneys and gallbladder evaluated. And to be honest I think you have been very fortunate thus far... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. Nicole Dickensanswered
28 years experience
Ear reddened: Would have it looked at to make sure it hasn't gotten infected
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Anger: Not sure what type of anger presentation you are speaking of. However, given the limited info provided I would recommend an eval by a mental health pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Breaking up : 1. Tactfully 2. In person in a neutral environment ( have a close friend nearby) 3. Alert police if you feel in danger 4. Then have no further conta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 20-year-old female asked:
What are the chances of being pregnant if on birth control, an antibiotic, and psychiatric medicine?
Dr. Nicole Dickensanswered
28 years experience
Med interactions: Some meds can negatively impact the effectiveness of other meds. For example some antibiotics can decrease the efficacy of oral contraceptives. Which ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Coldrex and Lexapro (escitalopram): Should be fine if just for a few days and no other medical problems. But would always consult with your doctor or your local pharmacist before combin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Sleep: Very severe sleep deprivation over a prolonged period of time can absolutely result in one experiencing hallucinations. But we are not talking about n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Sleep: Would practice good sleep hygiene, warm milk and a turkey sandwich (both contain tryptophan) can cause sedation, no naps during the day, avoid foods... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 16-year-old male asked:
Dr. Nicole Dickensanswered
28 years experience
Prazepam effects: Most common effects of medications within this class are sedation and dizziness.
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Focalin (dexmethylphenidate): Focalin (dexmethylphenidate) is a stimulant with amphetamine like effects used to treat Attention Deficit Disorder. It can have adverse effects includ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. Nicole Dickensanswered
28 years experience
Going crazy: I would recommend seeing your doctor for a full exam and work up getting an answer will make you feel better
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Seroquel (quetiapine): Common side effects associated include but not limited to sedation, weight gain, headache, dizziness. More serious adverse effects are increases in ch... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 25-year-old male asked:
Dr. Nicole Dickensanswered
28 years experience
Unprotected sex: I would strongly suggest you go to the doctor to rule out an infection or an STD. And in the future wear condoms
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 16-year-old male asked:
Dr. Nicole Dickensanswered
28 years experience
Am I unhappy: Enjoying to do solo activities does not mean one is unhappy. If one had been social but now is more withdrawn and isolative to the point that it is i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 57-year-old female asked:
Dr. Nicole Dickensanswered
28 years experience
Low dose Prozac (fluoxetine) : If still symptomatic and if normally medication sensitive it's reasonable to start at a low dose with the goal of titrating slowly to a standard thera... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Psychotic episode: There is not actually a particular event that can precipitate a psychotic break. Would strongly suggest your going to see a mental health professional... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 48-year-old male asked:
Dr. Nicole Dickensanswered
28 years experience
Risk of nicotine: Not quite sure of your question. Nicotine exposure daily can pose a health risk. Risk would depend on route, amount, and length of exposure
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 50-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Bullying : Bullying can be a form of emotional and verbal abuse. Severe bullying for some can be quite traumatic and even result in PTSD. Seeing a therapist and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Day treatment: A simplified version of the truth. Example going to counseling to learn more about yourself to have a better quality of life. As you work in treatment... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
St. John's wort: Would advise against because both impact serotonin and the two together can significantly raise its level. In some instances leading to Serotonin Synd... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 32-year-old female asked:
Dr. Nicole Dickensanswered
28 years experience
Rapid heart rate: Underlying medical illnesses, stress, caffeine, medications, drugs, alcohol, just to name a few
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 31-year-old male asked:
Dr. Nicole Dickensanswered
28 years experience
No desire for sex: First would rule out any medical conditions
that can affect libido. Then might explore ways to enhance mental intimacy as a precursor to other forms... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 17-year-old male asked:
Dr. Nicole Dickensanswered
28 years experience
Lexapro (escitalopram): Not necessarily because no two people respond the same way. But if worried about weight then would be proactive by eating balanced healthy meals and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 39-year-old male asked:
Dr. Nicole Dickensanswered
28 years experience
Lexapro (escitalopram): Yes given no other medical problems and on no other meds. But before stopping you should contact your doctor to discuss the problems you are having. R... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 22-year-old male asked:
Dr. Nicole Dickensanswered
28 years experience
SSRI side effects: Sexual dysfunction is often reported with ssri's. Not all patients experience this side effect. However, if encountered it is possible to add another ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Medication half-life: Every medicine has a different half-life. Not a one size fits all.
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Alcohol and meds: Alcohol is a CNS depressant and can itself cause or worsen depression of which the meds listed are prescribed to treat. It's sort of like a dog runnin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 36-year-old male asked:
Dr. Nicole Dickensanswered
28 years experience
Antibiotic: There are numerous antibiotics that would be safe. However, of course every illness has its own prescribed regimen. Also if a hepatic impaired patient... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 53-year-old female asked:
Dr. Nicole Dickensanswered
28 years experience
Alcohol and meds: Some meds can interfere with the enzymes necessary to breakdown alcohol thereby leading to an increase in the amount of acetaldehyde that is produced.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Mental illness: Not technically cause mental illness. But can lead to presentation of symptoms associated with various mental illnesses. For example manifest as mood ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
To go or not go : Well first it would depend on what is going on. If you are at risk to harm yourself or someone else, or are severely impaired in your ability to care ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Nicole Dickensanswered
28 years experience
Blepharospasm : What you are describing is called blepharospasm and can be due to things such as stress and caffeine.
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Nicole Dickensanswered
28 years experience
Increase depression: Depression could be worsening would suggest following up with your doctor for assessment and recommendations
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Concerta: Concerta is a stimulant with amphetamine properties which could have major adverse effects at any dose. Especially in individuals with underlying heal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. Nicole Dickensanswered
28 years experience
Silent sufferer: Your friend is likely suffering from Post Traumatic Stress Disorder. Would suggest seeking out Grief or Trauma counseling. There are even support grou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Nicole Dickensanswered
28 years experience
Skin after shot: Please give more clarification, what sort of problem are you noticing
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsAnswered >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.
2
Recommendations
24
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Dickens is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Dickens is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful!
HealthTap member
Thank you, your answer was very helpful!
HealthTap member
Thank you, your answer was very helpful!
Education & Training
Medical/Graduate school
Creighton University School of Medicine, NE
Graduated 1995MD
Awards
Top Psychiatrist , First Place, Louisiana - Summer
2014
HealthTap Founding Doctor
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