Sydney Kiker

Hi, I'm so glad you're here

I’m Sydney. I’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. I view medication as one valuable tool among many. 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 don’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. Whether that's medication support, education, diagnostic clarity, or simply making space to be heard.

My areas of specialty include:

• Depression, anxiety, including panic attacks and social anxiety, OCD, PTSD, borderline personality disorder, and binge eating disorder.

• GeneSight® pharmacogenomic testing to understand how your unique genetic makeup may affect your response to medications

• ADHD assessment to bring clarity to symptoms that have gone undiagnosed

• Perinatal mental health with close follow-up during pregnancy and postpartum

• Autism spectrum disorder screening to identify those who may benefit from referral for evaluation

• Affirming care for LGBTQIA+ and neurodivergent adults

• 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.

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.

What to Expect in Your Sessions

✓ Pre-visit review

Before we meet, I’ll carefully review your completed questionnaire, which covers your psychiatric and medical history, current lifestyle habits, and treatment goals.

✓ 60-minute consultation

In our first session, I’ll take time to listen to your story. I’ll ask clarifying questions to understand better your background, current concerns, 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

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.

ADHD Testing

• Diagnosing ADHD is a process that unfolds over more than one visit. After gathering a detailed history in your initial visit, I'll send you and someone who knows you well rating scales to complete. If available, I will request relevant records.

•. At a follow-up appointment, we'll review everything together, and I'll share my formal impressions. From there, we'll build a treatment plan together.

•. One important note: 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.

Self-Pay Rates

Initial appointments: $200

> 31-minute follow-up appointments: $160

< 30-minute follow-up appointments: $120