Locations
Office
Lebanon, TN
My office hours
Thursday: 9:00am - 5:00pm
Show morePhone
Insurances accepted
Aetna
Amerigroup
Blue Cross Blue Shield Of Tennessee
Cigna
HealthSpring
Medicare
Tricare
About
Bio
I am a psychiatrist who believes that the best treatments involve collaboration between the doctor and the patient. I believe that everyone has the capacity to improve the quality of their life. I am here to help your work at getting better!
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
Doctor Q&A
98 Answers
41 Agrees
The number of answers this doctor has agreed with.
A 38-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Not related: The only effect of taking both close together is an increased risk of sedation.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Yes: The two compounds should not interact with each other. However, both can be sedating.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
NO: Ibuprofen is not a medication that will be tested for during a drug screen
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Several Possibilities: You may have depression, or you could be having trouble with your thyroid. I would suggest consulting a physician for a thorough exam.
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Yes: Your therapist may not send you to the ER for every suicidal thought. He or she will assess your entire situation before making a recommendation.
Y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 47-year-old male asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Unusual: If metformin causes cardiac symptoms, it is more likely to cause a lower heart rate. However, the anxiety you are experiencing can cause elevated hea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Yes: For some patients, there can be a hang over effect which may cause increased sedation after taking Ativan (lorazepam).
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Opiate: It is an opiate. . Some urine drug test kits only test for natural opiates. In that instance it may not since it is a synthetic opiate. However mo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Psychotherapy: Personality Disorders are rigid ways of coping with life that cause distress. You can learn new ways of coping in psychotherapy.
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Very: In comparison to a urinalysis drug test, cocaine, PCP, opiates, and methamphetamine have proven hair analysis far more effective than urine testing in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 51-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
A LOT!: Catatonia is a sign of severe mental illness. Patients with catatonia are not thinking clearly. Sometimes they take minutes to answer a simple quest... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Personality Disorder: Some personality disorders may cause a person to become overly attached to others, fear rejection and display attention seeking behavior.
On the other... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Over sedation: If you take a sleeping pill in addition to excessive alcohol, you could become oversedated. Some combinations could lead to confusion or trouble brea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
NO: Modafinil is usually not associated with liver problems
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 29-year-old male asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
There are choices: There are antidepressants that are not metabolized by 2D6. Zoloft, Celexa, Lexapro, (escitalopram) Luvox are a few.
However, knowing that you are an ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 39-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Primary Care/Psych: If you had an evaluation in the ER and there was no cardiac problems, I would start with your Primary Care Physician. He/She can screen for metaboli... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Yes: Yes it is possible. Your doctor may have you wait and retest or he/she could perform a blood test which is more sensitive.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Yes: I hope you mean that you are taking Concerta in the morning and the Diphenhydramine at night!.
Many patients take a sleep aid if their Concerta caus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Valerian: You could try valerian. However, if you have been on celexa (citalopram) for a while, you might ask your doctor about switching antidepressants. Som... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
NORMAL: IT would be normal for you to have an erection when thinking about sex. If you have semen in your urethra it may be discharged during a bowel movem... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 36-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Not sure: I am not sure what your question is. Are you asking if you should consult a doctor about getting treatment for depression and anxiety? If so, the a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
About 4 hours: The half life of Ativan (lorazepam) means it usually has effects lasting 4 hours.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A 24-year-old male asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Take it: If Ativan (lorazepam) has helped before, I would try it again. If this happens frequently, I would talk to your doctor about a more long term prevent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
No: Sertraline is not addicting in the sense that you will have physical withdrawal when you stop taking it.
I recommend that you participate in psychothe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
YES: at this age, I would not try to extinguish any behavior that is not interfering with your child's ability to learn or function. I would focus on teach... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Ability vs Memory: Aphasia is a problem specifically of language. It is usually caused by damage to specific areas of the brain. The person may be able to understand ot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
STOP: If you are having a negative experience, why keep doing it?!
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Water: Drink plenty of water and eat bland things like bananas, soup and crackers.
If your withdrawal is severe, I would suggest going to an ER.
It is possib... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Yes: it will show up as an opiate.
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
See a doctor soon: Opiate medications can cause severe constipation. You may develop a blockage if it is not treated.
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A 29-year-old male asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Not necessarily: About 45% of Pristiq (desvenlafaxine) is excreted unmetabolized by 72 hours post dose. The rest is metabolized by CYP3A4 which is a liver enzyme. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Possibly: There are few medications which have been extensively studied in pregnant women.
Any medication use during pregnancy should be discussed with your do... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Allergy: Someone who is allergic, has had a previous negative reaction or side effect.
Also anyone who does not have a condition for which it is indicated.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years agoMerged
A 41-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Don't know: I can't tell you how to convince your doctor to keep you as a patient. I can tell you that on a urine screening, there are meds that can give false p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
NO: It's the not the kind of alcohol that is tested for. However, I would not recommend that it be ingested.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A 27-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Yes: Are you asking if the medication will be effective now? the answer is yes. If you are asking if ADD medications will affect fibromyalgia, then the a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Somewhat: It can help slow down the symptoms of dementia but it does not cure it.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Yes: Taking the low dose of klonopin for anxiety will give the Zoloft (sertraline) time to become effective. If 50mg is not helping enough with your anxie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Yes: If you have significant depression it may be helpful. There are only a few antidepressants with studies in teens and children. As with all antidepr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Similar: They are similar and both are now generic.
I use a glove analogy: When a drug is manufactured, right and left handed gloves are created in the same am... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 20-year-old male asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Yes: L- Theanine affects primarily the neurotransmitter GABA while Zoloft (sertraline) affects primarily Serotonin. There should not be much interaction. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
See below: Psilocin has a high affinity for the 5-HT2A serotonin receptor in the brain, where it mimics the effects of serotonin.
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Several Ways: You can be assessed to ensure that there is not a medical reason for depression. Depression is a brain illness that causes you to have negative thoug... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Yes: Of course your can drink it the day before the test. However, it may or may not result in any different results.
The best course of action is to be s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Yes: Yes they can if they are unable to keep themselves safe at home.
I would encourage you to talk to your family or someone who can help you make a safet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Unknown: Rohypnol is not legal in the United States and is not commercially available.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Anatomy: This means that on an MRI or CT scan, the cortex of the brain in the frontal area and parietal area is thinner than the average person. The vertex m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Anxiety Disorder: Sounds like you have an anxiety disorder. I suggest you contact a therapist who can coach you on some ways to handle your anxiety. Once you start f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Depends: Donnatal (phenobarbital atropine hyoscyamine and scopolamine) contains phenobarbital which can show up in a drug screen that tests for barbiturates.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 49-year-old male asked:
Dr. Cynthia Rectoranswered
Psychiatry 31 years experience
Probably the same: Studies show that these agents are fairly similar in effectiveness overall. There isn't any data comparing side effects. If you are trying to choose... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k 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.
2
Recommendations
75
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Rector is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Rector is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! My cardio is leaving and I don't know who I'm getting as a replacement but I am sure they'll say I don't need them.
HealthTap member
Thank you, your quick reply made me feel good! I suspect aspergillosis + others. Just don't know how to start thanks
HealthTap member
This was very helpful. Thanks! Semen in urethra during bowel movement every time sounds abnormal. Pls. advice!
Education & Training
Medical/Graduate school
University of Missouri-Columbia School of Medicine, MO
Graduated 1992MD
Residency
VANDERBILT UNIVERSITY HOSPITAL
Awards
Thought Leader, Second Place, Nashville Region - Spring
2015
Top Doctor, Second Place, Nashville Region - Spring
2015
Top Psychiatrist, Second Place, Tennessee - Spring
2015
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