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Dr. Terrence Bethea

Psychiatry
19 years experience male

Locations

Office

About

Bio

Medical Director at The Hughes Center for Exceptional Children in Danville, VA. THC is a residential treatment facility for youths age 12-21 with an autism spectrum disorder or any other Axis I psychiatric condition with comorbid intellectual disability.

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

ADHD and Autism

Child Psychiatry

Languages spoken

English

Doctor Q&A

44 Answers
1 Agree
The number of answers this doctor has agreed with.
A 18-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Need urine culture: If the infection has spread to your kidneys, you need to get SPECIFIC treatment immediately. Your doctor needs to get a urine culture to find out exa... Read More
A female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Anxiety driven hives: Hydroxyzine is a reasonable intervention given that it works fairly well for anxiety. There are no known drug-drug interactions between Adderall (dex... Read More
A female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Evolution: Don't worry about calories. Eat 2-4 meals and 1+ snacks each day composed of fresh produce, whole grains, nuts, seeds, beans, nontoxic seafood, lean ... Read More
A 21-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Best stimulant featu: In single dose studies, Vyvanse did not cause any long-term side effects even at 250mg. Vyvanse (lisdexamfetamine) is a pro-drug. The med you take i... Read More
A 37-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Raspberry placebo: There really isn't any evidence that raspberry ketone provides any type of health benefit to people. Even the animal studies require doses that are 1... Read More
A 43-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Why cold turkey?: Discuss with your GYN about changing your hormone regimen. You have an interesting combination since the progesterone is likely turning down (if not ... Read More
A member asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Nature does well: Don't worry about calories. Healthy intake is 2-4 meals and 1+ snacks each day composed of fresh produce, whole grains, nuts, seeds, beans, nontoxic s... Read More
A female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Combination antihist: It is not clear that combining antihistamines produce better results. The only guarantee is usually more side effects. Cetirizine is effective at 10... Read More
A 34-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Medication timing: Waldryl (diphenhydramine) is a good antihistamine but sedating and effects last a few hours. You might consider a nonsedating antihistamine such as c... Read More
A 17-year-old male asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
ED for extraction: You need to have a doctor extract it. You can try forceful exhalation but you don't want to run the risk of having it slip farther down.
A 24-year-old male asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
OCD go slow and high: OCD (arguably anxiety disorders in general) are notorious for requiring higher doses and longer treatment for onset of benefit as well as maximum bene... Read More
A 21-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Clozapine: People that develop schizophrenia at an early age are often more difficult to treat. Clozapine remains the single most effective antipsychotic. In add... Read More
A 58-year-old male asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Opiate + benz = trou: It really is time for your PCP and specialist doctors to reconsider how they manage your pain and anxiety. Safe is a relative term. The combination ... Read More
A 23-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Menorrhagia: Abnormally heavy bleeding is one the most common reasons we use oral contraceptives. You should discuss your menses with your gynecologist who might ... Read More
A 32-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Ped dev eval: Your child needs an evaluation by a developmental behavioral pediatrician or pediatric neurologist or speech language therapist. If hearing is defini... Read More
A 23-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Olanzapine weight: Some drugs have shown efficacy preventing/reducing weight gain (metformin, amantadine) but it's been difficult to find a medicine that helps people lo... Read More
A 27-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
GYN ASAP: If you haven't changed any medications, it's likely just another cycle. If the symptoms are bothersome you should check with your gynecologist.
A 26-year-old male asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Stimulant nonrespons: FDA adult range goes to 72mg. I've consulted on adolescents taking up to 108mg. But I'm skeptical of high doses. Just as important are the target sy... Read More
A 18-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Common cause is UTI: Standard urinalysis is not as useful during your period for screening for UTI. Your gynecologist can still check for common STDs. You should see the... Read More
A 16-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
NSSI SIB: Cutting is a sign of your emotional distress. It doesn't always mean you need a hospital but it does mean you need help. Trust your doctor enough to t... Read More
A 73-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Not a great combo: Arguably the most serious shared side effect is leukopenia (low white blood cell counts) which could lead to increased risk of infection. I would expe... Read More
A member asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Limited evidence: Your best bet is to continue trials including some of the older drugs like tricyclics or nonSSRI such as bupropion, mirtazapine, etc. There are some ... Read More
A 29-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Supplements: Sure but it would be best to figure out individually if either supplement works alone before combining them. The data for high quality CLA at appropri... Read More
A 24-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
ENT: You need to see the ear-nose-throat doctor immediately. Benign conditions would be that you are producing copious cerumen (ear wax) that is runny/cle... Read More
A female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Remember medicine: Medication needs to be a daily routine like brushing your teeth. Ideally you would synchronize your med with an activity that occurs with the same fr... Read More
A 24-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Stimulant tinnitus?: For better or worse, tens of millions of people have been on stimulant therapy. We've been using stimulants since the 50s for weight loss and then su... Read More
A member asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Too many sedatives: Without knowing the exact regimen my best comment is to note that care must be taken when using multiple medications with sedative effects. I assume ... Read More
A 49-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Ice, Rest and Antiinflammatories: In general if there is pain only AFTER the activity, cryotherapy (ice/cold) 10-20min for 3-4 times should help. Make sure to avoid direct skin contac... Read More
A 20-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Breaking the fast: Try reducing the size of your breakfast and the pace. Your stomach jsut may not be ready when you wake. A lot of people have this issue. But you shou... Read More
A 47-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
No problem: Likely just a friction phenomenon. You can try a barrier (lotion/cream) moisturizer but the old school mantra holds . . . no pain, no itching, no dis... Read More
A 28-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
OCD diagnosis: If you are really concerned about OCD and the impact on your life, I would recommend you consult a local psychiatrist. Here is a link to the Yale Bro... Read More
A 23-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Highly unlikely: The mechanism of antipsychotic-induced weight gain appears to have no connection to formulation. It's not totally clear that it's even related to dos... Read More
A 19-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Heel-toe expert only: First, you should not use meds that have not been prescribed to you for a specific condition. I don't understand what 0.25mg Xanax (alprazolam) can h... Read More
A 29-year-old male asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Sweat leads to smell: Any surface of our body that is warm, dark, and wet . . . is going to smell eventually. But there is no such thing as dry and smelly. If the typical... Read More
A 38-year-old male asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Jittery much?: Dexedrine stimulates (hopefully) the front part of your brain by blocking the reuptake and increasing the release of norepinephrine and dopamine. Cym... Read More
A 39-year-old male asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Eat and be merry: Active culture yogurt w/ nice protein such as Greek or Aussie style. Kefir is a good choice too. You can freeze the yogurt or kefir to make a cold t... Read More
A 44-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
GI or water: In my experience, constipation and diarrhea are more common side effects from phentermine than water retention. Instead of adding another drug, my fi... Read More
A 34-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Preconception meds: The research data is pretty spartan. Off the top of my head I would say methotrexate (psoriasis, cancer) and possibly because they deplete folate (fo... Read More
A member asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Daddy's baby: Let's go with the medical answer first. Aside from tears to perineum or other issues, intercourse isn't medically contraindicated. But you just had ... Read More
A female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Where's the yeast?: Miconazole is 'probably' OK. We just don't have any evidence that it does anything bad during breastfeeding. But the golden rule for pregnancy and l... Read More
A 42-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Be careful: Antibiotics should only be given by a doctor for a particular person. I'm glad your brother is feeling better. The majority of infections are viral ... Read More
A 31-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Quetiapine for what?: Quetiapine is highly suspect as a PRN regardless of the interval. I know some physicians use it for sleep and anxiety but given the potential side ef... Read More
A 32-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
See your doctor NOW: You need immediate evaluation by internal medicine. Go today don't wait. Outside of maybe low dose aspirin, there is no evidence that ANY pain medica... Read More
A 42-year-old female asked:
Dr. Terrence Bethea
Psychiatry 19 years experience
Dose duration matter: Cross-tapering antidepressants is often done to prevent negative side effects from coming off a medicine. Even a medicine that isn't working well eno... Read More

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

2
Recommendations
31
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Bethea is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Bethea is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thanks!! I'm scared being on so many now I can't handle anymore prob!
HealthTap member
Thank you, your answer was very helpful! Thanks we certainly don't want her injure it any more. Thanks
HealthTap member
Your answer made me feel good! Thanks :)

Education & Training

Medical/Graduate school

University of North Carolina School of Medicine, NC
Graduated 2003MD

Residency

UNIVERSITY OF NORTH CAROLINA HOSPITAL
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