Sydney Kiker

(she/her)

PMHNP, 10 years of experience
Warm
Authentic
Intelligent
VirtualAvailable

Hi, I am so glad you are here. I’m Sydney. I’m a psychiatric nurse practitioner providing virtual care to adults across Virginia. I specialize in treating ADHD, depression, anxiety, PTSD, OCD and related disorders (e.g. body-focused repetitive behaviors), binge eating disorder, and behavioral addiction (e.g. problematic internet use, gambling disorder, gaming disorder, or compulsive shopping). I welcome clients seeking an LGBTQIA+ provider. I also offer ADHD assessments for diagnosis and treatment. At this time, I am only accepting clients looking for a medication management provider. My goal, though, is not just to prescribe medication and send you on your way. My goal is to be a long-term, trusted partner in helping you achieve a happy and fulfilling life. I do this by implementing individualized treatment plans that support your growth and overall well-being. I’m not anti-medication, but I am thoughtful about its use. I blend the best of both allopathic medicine and evidence-informed interventions to create a treatment plan that’s as unique as you are. That might include medications, lifestyle shifts, and therapy. I don’t believe in one-size-fits-all care. You are not a diagnosis or a checklist. You’re a whole person, and I meet you as such. Our work together is collaborative. I’ll always meet you where you are, whether that’s with medication support, psychoeducation, diagnostic clarity, or simply making space for you to process and be heard. We’ll work together to make choices that feel right for you, at your pace and on your terms.

Get to know me

In our first session together, here's what you can expect

What to Expect in Your First Visit ✓ Pre-visit review 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. ✓ 60-minute consultation In our first session, I’ll take time to listen to your story. I’ll ask clarifying questions to better understand your background, current concerns, lifestyle habits, and what you’re hoping to gain from treatment. Toward the end of the session, I’ll share my initial clinical impressions, possible diagnoses, and suggested areas of focus. Then together, we’ll create a personalized treatment plan that aligns with your needs and preferences. ✓ Optional lab work and testing We may order labs to better inform your care and optimize medication choices, if appropriate. We may also request records from past providers if needed. ADHD Testing Diagnosing ADHD is a process that unfolds over more than one visit. After our first appointment, I'll send you rating scales to complete. I will sometimes request past records or have someone close to you complete rating scales as well. We'll go over everything together at a follow-up before I share any formal impressions. One important note: ADHD is difficult to assess accurately in the context of active substance use. Daily cannabis use in particular can affect cognitive functioning and how someone responds to medication, so I'm not able to evaluate or treat ADHD while that's ongoing.

The biggest strengths that I bring into our sessions

I offer a deeply personal and inclusive approach to care. I’m a gay ex-Mormon, and my journey has shaped how I show up in this work. Growing up gay in a conservative religious environment during the '90s and 2000s meant grappling early on with questions of identity, stigma, and self-acceptance. Later in life, after leaving the Mormon church and seeking support as a single parent, I sought out therapy for myself. That experience was transformative, not just personally, but professionally. Being on the client side of the therapeutic relationship taught me firsthand what it means to feel vulnerable, to build trust, and to experience authentic connection with a provider. 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.

The clients I'm best positioned to serve

I'm passionate about supporting adults navigating a wide range of mental health challenges. My areas of specialty include: • Medication management for depression, anxiety, OCD and related disorders (including body-focused repetitive behaviors such as skin picking and hair pulling), PTSD, binge eating disorder, and behavioral addictions (such as problematic internet use, gambling disorder, gaming disorder, and compulsive shopping) • ADHD assessment and medication management • Autism spectrum disorder screening. While I don't conduct full autism evaluations, screening can be a meaningful step toward self-understanding and help you decide whether a formal evaluation feels right for you • Therapeutic approaches integrated into medication management appointments, including person-centered and solution-oriented counseling, motivational interviewing, supportive counseling, lifestyle guidance, and behavioral interventions • Affirming care for LGBTQIA+ and neurodivergent adults To make sure every client gets the level of care they deserve, my practice is best suited for those who: • Don't have a current or historical experience of psychosis, bipolar disorder, or manic episodes • Aren't navigating an active substance use disorder • If seeking an ADHD evaluation, aren't engaging in regular concurrent substance use (such as cannabis use throughout the day), as this can affect the accuracy of cognitive assessment If you're unsure whether we're a good match, I'm always happy to chat before booking.

Specialties

Top specialties

Other specialties

Depression

I identify as

Serves ages

Licensed in

Accepts

Location

Virtual

My treatment methods

Motivational Interviewing

I incorporate therapeutic approaches within medication management appointments, including person-centered, solution-oriented, and supportive counseling, motivational interviewing, lifestyle changes, and behavioral interventions. Please note that I am not currently accepting therapy-only clients. 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.

, 31 ratings

9 ratings with written reviews

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 25-34
Review shared after session 3 with Sydney

February 22, 2026

Very easy to talk to and setup a plan with. I really enjoyed my session.

Verified client, age 35-44
Review shared after session 1 with Sydney

February 20, 2026

Sydney is great! She is super attentive and understanding. I really appreciated that she validated my experiences and was open to exploring the different diagnoses I thought I had. She also provides a wealth of super useful information so that you are able to make the best informed decision!

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