Psychiatric Services

Lois Nicholson, Certified Psychiatric Clinical Nurse


Ms. Nicholson earned her Master of Science in Nursing from Case Western University, Frances Payne Bolton School of Nursing. She also earned her certification in Adult Psychiatry as a Mental Health Clinical Nurse Specialist, as well as a certification to prescribe.

Lois Nicholson has been providing care for adults for 30 years in both patient and outpatient settings. She has extensive experience in treating adults with depression, bipolar disorder, anxiety, OCD, addiction and co-occurring disorders. Lois does not treat ADD/ADHD. Ms. Nicholson has worked closely with psychiatrists and clinicians in providing a comprehensive and successful treatment plan.



What is a Psychiatric Nurse Practitioner? 


A Psychiatric Nurse Practitioner is also sometimes referred to as Mental Health Nurse Practitioner. Very similarly to a Psychiatrist, Psychiatric Nurses are one of only a few mental health professionals who may prescribe psychiatric medication, conduct physical examinations, order and interpret laboratory tests and electroencephalograms, and may order brain imaging studies. They can act as a therapist, as well as treat symptoms with the appropriate medication.



How is a Psychiatric Nurse Practitioner Different from a Counselor?


Psychiatry is different from counseling primarily in that Psychiatric Nurses deal with the medical aspects of mental health and prescribe medications to help patients manage symptoms and feel better, while counselors can spend more time with clients working to help them learn why they feel they way they feel, and to find solutions. They both have their strong suits, and go hand-in-hand a lot of times for an overall effective and smooth treatment plan.



Medication Management


The advancements in medications related to mental health and well-being have been unbelievable over the past decade. Many of these medications allow people to live fuller and richer lives; however, it is important to understand that in most cases, a behavioral health issue cannot be “fixed” simply by taking a pill. Common illnesses like depression and anxiety can be helped by medication, but the issues that lead to the problem often require medication and therapy to resolve.

To help yourself manage psychotropic medications, or drugs that are capable of altering your mind (common in mental health treatment), it is important to know the risks associated with them. Knowing what is working for you can help you better communicate with your provider.

Taking medications on time and regularly is another thing that people struggle with. Set alarms or write notes and leave them where you would find them to help you remember to take your meds. Starting a new medication can seem intimidating, but the more knowledge you have about them in general, and specifically to you, the better of an experience you will have.


Avenues is accepting applications for Child and Adolescent Psychiatrists in the Medina and Fairlawn locations.

Please submit your curriculum vitae to our practice owner at or fax at (330) 725-5177.