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Sydneyย Kiker

PMHNP (she/her)10 years of experience
5.0 (41)
Warm
Authentic
Solution oriented

๐‡๐ข, ๐ˆ'๐ฆ ๐ฌ๐จ ๐ ๐ฅ๐š๐ ๐ฒ๐จ๐ฎ'๐ซ๐ž ๐ก๐ž๐ซ๐ž Iโ€™m Sydney. Iโ€™m 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 donโ€™t 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: โ€ข ๐ƒ๐ž๐ฉ๐ซ๐ž๐ฌ๐ฌ๐ข๐จ๐ง, ๐š๐ง๐ฑ๐ข๐ž๐ญ๐ฒ, ๐ข๐ง๐œ๐ฅ๐ฎ๐๐ข๐ง๐  ๐ฉ๐š๐ง๐ข๐œ ๐š๐ญ๐ญ๐š๐œ๐ค๐ฌ ๐š๐ง๐ ๐ฌ๐จ๐œ๐ข๐š๐ฅ ๐š๐ง๐ฑ๐ข๐ž๐ญ๐ฒ, ๐€๐ƒ๐‡๐ƒ, ๐Ž๐‚๐ƒ, ๐๐“๐’๐ƒ, ๐›๐จ๐ซ๐๐ž๐ซ๐ฅ๐ข๐ง๐ž ๐ฉ๐ž๐ซ๐ฌ๐จ๐ง๐š๐ฅ๐ข๐ญ๐ฒ ๐๐ข๐ฌ๐จ๐ซ๐๐ž๐ซ, ๐š๐ง๐ ๐›๐ข๐ง๐ ๐ž ๐ž๐š๐ญ๐ข๐ง๐  ๐๐ข๐ฌ๐จ๐ซ๐๐ž๐ซ. โ€ข ๐†๐ž๐ง๐ž๐’๐ข๐ ๐ก๐ญยฎ ๐ฉ๐ก๐š๐ซ๐ฆ๐š๐œ๐จ๐ ๐ž๐ง๐จ๐ฆ๐ข๐œ ๐ญ๐ž๐ฌ๐ญ๐ข๐ง๐  to understand how your unique genetic makeup may affect your response to medications โ€ข ๐๐ž๐ซ๐ข๐ง๐š๐ญ๐š๐ฅ ๐๐ž๐ฉ๐ซ๐ž๐ฌ๐ฌ๐ข๐จ๐ง ๐š๐ง๐ ๐š๐ง๐ฑ๐ข๐ž๐ญ๐ฒ with close follow-up during pregnancy and postpartum โ€ข ๐€๐ฎ๐ญ๐ข๐ฌ๐ฆ ๐ฌ๐ฉ๐ž๐œ๐ญ๐ซ๐ฎ๐ฆ ๐๐ข๐ฌ๐จ๐ซ๐๐ž๐ซ ๐ฌ๐œ๐ซ๐ž๐ž๐ง๐ข๐ง๐ ; to help identify individuals who may benefit from referral for evaluation โ€ข Affirming care for ๐‹๐†๐๐“๐๐ˆ๐€+ ๐š๐ง๐ ๐ง๐ž๐ฎ๐ซ๐จ๐๐ข๐ฏ๐ž๐ซ๐ ๐ž๐ง๐ญ ๐š๐๐ฎ๐ฅ๐ญ๐ฌ โ€ข 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

๐–๐ก๐š๐ญ ๐ญ๐จ ๐„๐ฑ๐ฉ๐ž๐œ๐ญ ๐ข๐ง ๐˜๐จ๐ฎ๐ซ ๐…๐ข๐ซ๐ฌ๐ญ ๐•๐ข๐ฌ๐ข๐ญ โœ“ Pส€แด‡-แด ษชsษชแด› ส€แด‡แด ษชแด‡แดก 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. โœ“ 60-แดษชษดแดœแด›แด‡ แด„แดษดsแดœสŸแด›แด€แด›ษชแดษด In our first session, Iโ€™ll take time to listen to your story. Iโ€™ll ask clarifying questions to understand better your background, current concerns, lifestyle habits, and what youโ€™re hoping to gain from treatment. Toward the end of the session, Iโ€™ll share my initial clinical impressions, possible diagnoses, and suggested areas of focus. Then together, weโ€™ll create a personalized treatment plan that aligns with your needs and preferences. โœ“ Oแด˜แด›ษชแดษดแด€สŸ สŸแด€ส™ แดกแดส€แด‹ แด€ษดแด… แด›แด‡sแด›ษชษดษข 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. ๐€๐ƒ๐‡๐ƒ ๐“๐ž๐ฌ๐ญ๐ข๐ง๐  โ€ข 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. โ€ข 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. โ€ข 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. โ€ข ๐˜–๐˜ฏ๐˜ฆ ๐˜ช๐˜ฎ๐˜ฑ๐˜ฐ๐˜ณ๐˜ต๐˜ข๐˜ฏ๐˜ต ๐˜ฏ๐˜ฐ๐˜ต๐˜ฆ: 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: โ€ข Medication management for ๐๐ž๐ฉ๐ซ๐ž๐ฌ๐ฌ๐ข๐จ๐ง, ๐š๐ง๐ฑ๐ข๐ž๐ญ๐ฒ, ๐ข๐ง๐œ๐ฅ๐ฎ๐๐ข๐ง๐  ๐ฉ๐š๐ง๐ข๐œ ๐š๐ญ๐ญ๐š๐œ๐ค๐ฌ ๐š๐ง๐ ๐ฌ๐จ๐œ๐ข๐š๐ฅ ๐š๐ง๐ฑ๐ข๐ž๐ญ๐ฒ, ๐Ž๐‚๐ƒ, ๐๐“๐’๐ƒ, ๐š๐ง๐ ๐›๐ข๐ง๐ ๐ž ๐ž๐š๐ญ๐ข๐ง๐  ๐๐ข๐ฌ๐จ๐ซ๐๐ž๐ซ. โ€ข ๐€๐๐ฎ๐ฅ๐ญ ๐€๐ƒ๐‡๐ƒ ๐š๐ฌ๐ฌ๐ž๐ฌ๐ฌ๐ฆ๐ž๐ง๐ญ to help bring clarity to symptoms that may have gone unrecognized or undiagnosed โ€ข ๐†๐ž๐ง๐ž๐’๐ข๐ ๐ก๐ญยฎ ๐ฉ๐ก๐š๐ซ๐ฆ๐š๐œ๐จ๐ ๐ž๐ง๐จ๐ฆ๐ข๐œ ๐ญ๐ž๐ฌ๐ญ๐ข๐ง๐  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. โ€ข ๐๐ž๐ซ๐ข๐ง๐š๐ญ๐š๐ฅ ๐๐ž๐ฉ๐ซ๐ž๐ฌ๐ฌ๐ข๐จ๐ง ๐š๐ง๐ ๐š๐ง๐ฑ๐ข๐ž๐ญ๐ฒ (or at-risk pregnant individuals), with close follow-up during pregnancy and postpartum โ€ข ๐€๐ฎ๐ญ๐ข๐ฌ๐ฆ ๐ฌ๐ฉ๐ž๐œ๐ญ๐ซ๐ฎ๐ฆ ๐๐ข๐ฌ๐จ๐ซ๐๐ž๐ซ ๐ฌ๐œ๐ซ๐ž๐ž๐ง๐ข๐ง๐ : While not a diagnosis, a screening helps identify individuals who would benefit from a comprehensive evaluation โ€ข ๐๐จ๐ซ๐๐ž๐ซ๐ฅ๐ข๐ง๐ž ๐ฉ๐ž๐ซ๐ฌ๐จ๐ง๐š๐ฅ๐ข๐ญ๐ฒ ๐๐ข๐ฌ๐จ๐ซ๐๐ž๐ซ 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. โ€ข 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. โ€ข Affirming care for ๐‹๐†๐๐“๐๐ˆ๐€+ ๐š๐ง๐ ๐ง๐ž๐ฎ๐ซ๐จ๐๐ข๐ฏ๐ž๐ซ๐ ๐ž๐ง๐ญ ๐š๐๐ฎ๐ฅ๐ญ๐ฌ โ€ข A note on fit: ๐˜๐จ๐ฎ๐ซ ๐ฌ๐š๐Ÿ๐ž๐ญ๐ฒ ๐ข๐ฌ ๐ฆ๐ฒ ๐ก๐ข๐ ๐ก๐ž๐ฌ๐ญ ๐ฉ๐ซ๐ข๐จ๐ซ๐ข๐ญ๐ฒ. 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. ๐ˆ๐Ÿ ๐ฒ๐จ๐ฎ'๐ซ๐ž ๐ฎ๐ง๐ฌ๐ฎ๐ซ๐ž ๐ฐ๐ก๐ž๐ญ๐ก๐ž๐ซ ๐ฆ๐ฒ ๐ฉ๐ซ๐š๐œ๐ญ๐ข๐œ๐ž ๐ข๐ฌ ๐ญ๐ก๐ž ๐ซ๐ข๐ ๐ก๐ญ ๐Ÿ๐ข๐ญ, ๐Ÿ๐ž๐ž๐ฅ ๐Ÿ๐ซ๐ž๐ž ๐ญ๐จ ๐ฌ๐ž๐ง๐ ๐ฆ๐ž ๐š ๐ฆ๐ž๐ฌ๐ฌ๐š๐ ๐ž.

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 ๐๐จ๐ญ๐ž ๐จ๐ง ๐ฌ๐ž๐ฅ๐Ÿ-๐ฉ๐š๐ฒ ๐Ÿ๐ž๐ž๐ฌ ๐Ÿ๐จ๐ซ ๐ฆ๐ž๐๐ข๐œ๐š๐ญ๐ข๐จ๐ง ๐ฆ๐š๐ง๐š๐ ๐ž๐ฆ๐ž๐ง๐ญ: Initial appointments: $200 I >31 minutes follow-up appointments: $160 I <30 minute follow-up appointments: $120

Location

Virtual sessions

Reviews and ratings

5.0 rating (41)11 reviews
September 22, 2026

Sydney is excellent! She is extremely knowledgeable, takes the time to learn about you and properly evaluate and assess. I highly recommend her!

Verified client, age 45-54Review shared after session 5 with Sydney
September 7, 2026

Sydney was really helpful and made me feel comfortable to open up and express my feelings, especially about taking medication. She really cares about accurately diagnosing patients. She also provides great ways to get a diagnoses from patients without triggering them

Verified client, age 25-34Review shared after session 2 with Sydney
March 24, 2026

She is very good at making me feel at ease and comfortable I feel like I can be authentic and honest with her.

Verified client, age 25-34Review shared after session 3 with Sydney

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