Sydneyย Kiker
๐๐ข, ๐'๐ฆ ๐ฌ๐จ ๐ ๐ฅ๐๐ ๐ฒ๐จ๐ฎ'๐ซ๐ ๐ก๐๐ซ๐ Iโm Sydney. Iโm a psychiatric nurse practitioner providing telehealth to adults across Virginia. At this time, I am accepting patients for medication management only. My goal, however, is never to just write a prescription and send you on your way. My goal is to be a long-term partner in helping you achieve a life that feels meaningful and manageable. I do this by implementing individualized treatment plans that support your growth and overall well-being. I view medication as one valuable tool among many. I blend the best of both medication and other evidence-based interventions to create a treatment plan that's as unique as you are. That might include medications, lifestyle changes, and therapy. I donโt believe in one-size-fits-all care. You are not a diagnosis or a checklist. I respect you as a whole person, and that's how we'll approach your care: collaboratively, at your pace, meeting you where you are. Whether that's medication support, education, diagnostic clarity, or simply making space to be heard. My areas of specialty include: โข ๐๐๐ฉ๐ซ๐๐ฌ๐ฌ๐ข๐จ๐ง, ๐๐ง๐ฑ๐ข๐๐ญ๐ฒ, ๐ข๐ง๐๐ฅ๐ฎ๐๐ข๐ง๐ ๐ฉ๐๐ง๐ข๐ ๐๐ญ๐ญ๐๐๐ค๐ฌ ๐๐ง๐ ๐ฌ๐จ๐๐ข๐๐ฅ ๐๐ง๐ฑ๐ข๐๐ญ๐ฒ, ๐๐๐๐, ๐๐๐, ๐๐๐๐, ๐๐จ๐ซ๐๐๐ซ๐ฅ๐ข๐ง๐ ๐ฉ๐๐ซ๐ฌ๐จ๐ง๐๐ฅ๐ข๐ญ๐ฒ ๐๐ข๐ฌ๐จ๐ซ๐๐๐ซ, ๐๐ง๐ ๐๐ข๐ง๐ ๐ ๐๐๐ญ๐ข๐ง๐ ๐๐ข๐ฌ๐จ๐ซ๐๐๐ซ. โข ๐๐๐ง๐๐๐ข๐ ๐ก๐ญยฎ ๐ฉ๐ก๐๐ซ๐ฆ๐๐๐จ๐ ๐๐ง๐จ๐ฆ๐ข๐ ๐ญ๐๐ฌ๐ญ๐ข๐ง๐ to understand how your unique genetic makeup may affect your response to medications โข ๐๐๐ซ๐ข๐ง๐๐ญ๐๐ฅ ๐๐๐ฉ๐ซ๐๐ฌ๐ฌ๐ข๐จ๐ง ๐๐ง๐ ๐๐ง๐ฑ๐ข๐๐ญ๐ฒ with close follow-up during pregnancy and postpartum โข ๐๐ฎ๐ญ๐ข๐ฌ๐ฆ ๐ฌ๐ฉ๐๐๐ญ๐ซ๐ฎ๐ฆ ๐๐ข๐ฌ๐จ๐ซ๐๐๐ซ ๐ฌ๐๐ซ๐๐๐ง๐ข๐ง๐ ; to help identify individuals who may benefit from referral for evaluation โข Affirming care for ๐๐๐๐๐๐๐+ ๐๐ง๐ ๐ง๐๐ฎ๐ซ๐จ๐๐ข๐ฏ๐๐ซ๐ ๐๐ง๐ญ ๐๐๐ฎ๐ฅ๐ญ๐ฌ โข A note on fit: Your safety is my highest priority. Conditions such as bipolar disorder, schizophrenia, active substance use disorders, and anorexia/bulimia, as well as symptoms such as aggression or self-harm requiring crisis support, typically need a level of monitoring and resources beyond what my practice can provide.
First session
๐๐ก๐๐ญ ๐ญ๐จ ๐๐ฑ๐ฉ๐๐๐ญ ๐ข๐ง ๐๐จ๐ฎ๐ซ ๐ ๐ข๐ซ๐ฌ๐ญ ๐๐ข๐ฌ๐ข๐ญ โ Pสแด-แด ษชsษชแด สแดแด ษชแดแดก Before we meet, I will email you an intake questionnaire and my practice policies. This pre-visit review helps ensure we are a good match and that I am able to meet your needs. If any concerns arise, I will reach out to discuss them with you before your appointment, out of respect for your time and financial investment. โ 60-แดษชษดแดแดแด แดแดษดsแดสแดแดแดษชแดษด In our first session, Iโll take time to listen to your story. Iโll ask clarifying questions to understand better your background, current concerns, lifestyle habits, and what youโre hoping to gain from treatment. Toward the end of the session, Iโll share my initial clinical impressions, possible diagnoses, and suggested areas of focus. Then together, weโll create a personalized treatment plan that aligns with your needs and preferences. โ Oแดแดษชแดษดแดส สแดส แดกแดสแด แดษดแด แดแดsแดษชษดษข Depending on your needs, we may incorporate standardized rating scales to clarify diagnosis or track symptoms, order lab work to inform medication choices, or request relevant records from past providers. ๐๐๐๐ ๐๐๐ฌ๐ญ๐ข๐ง๐ โข Diagnosing ADHD is a process that unfolds over more than one visit. It begins with a clinical interview during our first appointment, where I'll gather a detailed history. After that visit, I'll send standardized rating scales for you and someone who knows you well to complete. I may also request relevant records. โข At your second appointment, I will use the DIVA-5 to complete a diagnostic interview with your for ADHD in adults. This takes approximately 60-90 minutes. โข At a follow-up appointment, we'll review everything together, and I'll share my formal diagnostic impressions. From there, we'll build a treatment plan tailored to your needs. โข ๐๐ฏ๐ฆ ๐ช๐ฎ๐ฑ๐ฐ๐ณ๐ต๐ข๐ฏ๐ต ๐ฏ๐ฐ๐ต๐ฆ: ADHD can be difficult to assess accurately in the context of active substance use. Daily cannabis use in particular can affect cognitive functioning and medication response, making it challenging to evaluate or treat ADHD while use is ongoing.
Strengths
I offer a deeply personal, inclusive, and collaborative approach to care. My professional philosophy is profoundly shaped by my own lived experiences. Growing up gay within a conservative religious environment during the '90s and 2000s, meant grappling early on with questions of identity, stigma, and self-acceptance. Later, as a single parent, I sought out therapy for myself. Sitting on the client side of the therapeutic relationship was transformative, not just personally, but professionally. It taught me firsthand the true weight of vulnerability, the mechanics of building trust, and the impact of authentic connection. Today, I draw on those insights to ensure my patients feel genuinely seen, safe, and supported. These experiences are at the heart of my practice. I strive to create a space where all parts of you are welcome. I believe healing happens in relationship, and I bring both clinical expertise and lived experience to support you in that process.
Ideal clients
I'm passionate about supporting adults navigating a wide range of mental health challenges. My areas of specialty include: โข Medication management for ๐๐๐ฉ๐ซ๐๐ฌ๐ฌ๐ข๐จ๐ง, ๐๐ง๐ฑ๐ข๐๐ญ๐ฒ, ๐ข๐ง๐๐ฅ๐ฎ๐๐ข๐ง๐ ๐ฉ๐๐ง๐ข๐ ๐๐ญ๐ญ๐๐๐ค๐ฌ ๐๐ง๐ ๐ฌ๐จ๐๐ข๐๐ฅ ๐๐ง๐ฑ๐ข๐๐ญ๐ฒ, ๐๐๐, ๐๐๐๐, ๐๐ง๐ ๐๐ข๐ง๐ ๐ ๐๐๐ญ๐ข๐ง๐ ๐๐ข๐ฌ๐จ๐ซ๐๐๐ซ. โข ๐๐๐ฎ๐ฅ๐ญ ๐๐๐๐ ๐๐ฌ๐ฌ๐๐ฌ๐ฌ๐ฆ๐๐ง๐ญ to help bring clarity to symptoms that may have gone unrecognized or undiagnosed โข ๐๐๐ง๐๐๐ข๐ ๐ก๐ญยฎ ๐ฉ๐ก๐๐ซ๐ฆ๐๐๐จ๐ ๐๐ง๐จ๐ฆ๐ข๐ ๐ญ๐๐ฌ๐ญ๐ข๐ง๐ to understand how your unique genetic makeup may affect your response to medications. This helps us identify the safest, most effective treatment options for you. โข ๐๐๐ซ๐ข๐ง๐๐ญ๐๐ฅ ๐๐๐ฉ๐ซ๐๐ฌ๐ฌ๐ข๐จ๐ง ๐๐ง๐ ๐๐ง๐ฑ๐ข๐๐ญ๐ฒ (or at-risk pregnant individuals), with close follow-up during pregnancy and postpartum โข ๐๐ฎ๐ญ๐ข๐ฌ๐ฆ ๐ฌ๐ฉ๐๐๐ญ๐ซ๐ฎ๐ฆ ๐๐ข๐ฌ๐จ๐ซ๐๐๐ซ ๐ฌ๐๐ซ๐๐๐ง๐ข๐ง๐ : While not a diagnosis, a screening helps identify individuals who would benefit from a comprehensive evaluation โข ๐๐จ๐ซ๐๐๐ซ๐ฅ๐ข๐ง๐ ๐ฉ๐๐ซ๐ฌ๐จ๐ง๐๐ฅ๐ข๐ญ๐ฒ ๐๐ข๐ฌ๐จ๐ซ๐๐๐ซ evaluation and evidence-based guidance on pharmacological management. While psychotherapy is the cornerstone of BPD treatment, I may consider medication to address specific symptoms. I work collaboratively with each patient to determine whether medication could meaningfully support their overall care. โข Therapeutic approaches integrated into medication management appointments, including solution-oriented and supportive counseling, collaborative goal-setting, and practical strategies to change patterns that aren't working. โข Affirming care for ๐๐๐๐๐๐๐+ ๐๐ง๐ ๐ง๐๐ฎ๐ซ๐จ๐๐ข๐ฏ๐๐ซ๐ ๐๐ง๐ญ ๐๐๐ฎ๐ฅ๐ญ๐ฌ โข A note on fit: ๐๐จ๐ฎ๐ซ ๐ฌ๐๐๐๐ญ๐ฒ ๐ข๐ฌ ๐ฆ๐ฒ ๐ก๐ข๐ ๐ก๐๐ฌ๐ญ ๐ฉ๐ซ๐ข๐จ๐ซ๐ข๐ญ๐ฒ. High-acuity conditions such as bipolar disorder, schizophrenia, active substance use disorders, and eating disorders such as anorexia and bulimia, as well as individuals currently experiencing symptoms such as aggression or self-harm requiring crisis support, typically require an intensive level of outpatient monitoring, multi-provider coordination, and crisis services beyond what my practice can provide. ๐๐ ๐ฒ๐จ๐ฎ'๐ซ๐ ๐ฎ๐ง๐ฌ๐ฎ๐ซ๐ ๐ฐ๐ก๐๐ญ๐ก๐๐ซ ๐ฆ๐ฒ ๐ฉ๐ซ๐๐๐ญ๐ข๐๐ ๐ข๐ฌ ๐ญ๐ก๐ ๐ซ๐ข๐ ๐ก๐ญ ๐๐ข๐ญ, ๐๐๐๐ฅ ๐๐ซ๐๐ ๐ญ๐จ ๐ฌ๐๐ง๐ ๐ฆ๐ ๐ ๐ฆ๐๐ฌ๐ฌ๐๐ ๐.
Treatment methods
Supportive
I incorporate therapeutic approaches within medication management appointments, including solution-oriented and supportive counseling, collaborative goal-setting, and practical strategies to change patterns that aren't working. Please note that I am not currently accepting therapy-only patients. Providing the weekly or biweekly appointment availability I feel is necessary when starting therapy is not something I am able to offer at this time. If you are looking for dedicated therapy services, I'd be happy to refer you to another provider. I ๐๐จ๐ญ๐ ๐จ๐ง ๐ฌ๐๐ฅ๐-๐ฉ๐๐ฒ ๐๐๐๐ฌ ๐๐จ๐ซ ๐ฆ๐๐๐ข๐๐๐ญ๐ข๐จ๐ง ๐ฆ๐๐ง๐๐ ๐๐ฆ๐๐ง๐ญ: Initial appointments: $200 I >31 minutes follow-up appointments: $160 I <30 minute follow-up appointments: $120
Location
Virtual sessions
Identifies as
Top specialties
Other specialties
Doesn't specialize in
Licensed in
- VirginiaLicense 0024173877