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Nicole Hochhausen Keedy, PhD

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Specializes in: Psychology
Professional interests include: LGBT issues, short-term therapy, panic disorder, and more.
200 Mercy Drive Suite 201
Dubuque, IA 52001

Nicole Hochhausen Keedy, PhD is a psychologist in Dubuque, IA specializing in psychology. Nicole Hochhausen Keedy, PhD is affiliated with MercyOne.

View Provider's Full Profile (563) 584-3500

Office Locations

MercyOne

200 Mercy Drive Suite 201
Dubuque, IA 52001
(563) 584-3500
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988 West 3rd Street Suite 203
Dubuque, IA 52001
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Some issues Nicole Hochhausen Keedy, PhD can help you with:

Anxiety

Anxiety is a generic name given to a variety of conditions characterized by unusual amounts of fear and worry, especially unrealistic fears and tension. People who suffer from anxiety often are aware that their fears are irrational, but that knowledge does not make the feeling of being scared and anxious go away. To qualify as anxiety, symptoms must last for 6 months or more and interfere with the way a person lives their daily life. Some cases may be mild, where, for example, a person simply avoids certain situations. Other cases can be severe enough to be disabling.

Some of the specific conditions covered under the general label of anxiety include:

  • Generalized anxiety disorder
  • Obsessive-compulsive disorder
  • Phobias
  • Post-traumatic stress disorder
  • Social phobia
  • Panic disorder

Collectively, anxiety disorders are the most common mental health issues diagnosed in the United States -- even more common than depression. Women are more likely than men to be diagnosed with anxiety, and it is extremely common for a person with anxiety to have another illness at the same time, such as depression, a physical illness, or substance abuse.

Treatment for anxiety usually involves medication and psychotherapy together. Medications used may include antidepressants (which also work for anxiety), anti-anxiety medications, or beta blockers (which can be used to control the physical symptoms of anxiety). Psychotherapy can be useful to teach patients new ways of thinking and reacting so that they can manage their feelings of worry and fear. Support groups can also be very effective for anxiety, and they can be a form of treatment themselves for social phobias. Stress management, relaxation techniques, and meditation all help reduce feelings of anxiety or of being out of control. Finally, having a strong support network of family and friends is an excellent way to help manage the difficulties of life with anxiety.

Cognitive-Behavioral Therapy (CBT)

Cognitive-behavioral therapy, or CBT, is a form of psychotherapy or treatment for mental illness. It comes in a variety of methods, but the basic concept behind all CBT is the same -- thoughts cause feelings, which cause actions. If someone wishes to change problematic behaviors or emotions in their lives, they need to start by changing their thoughts. CBT examines ideas and looks for patterns that may be causing harmful actions. The therapist helps patients modify those thought patterns and, in doing so, helps them feel better and cope more effectively.

CBT is one of the most widely studied forms of psychotherapy, and it has been shown to be extremely effective for a variety of mental illnesses. Some of the issues that respond well to CBT include mood disorders, personality disorders, eating disorders, substance abuse, sleep disorders, and psychotic disorders. In some cases, CBT has been shown to be as effective or even more effective than medication. One of the interesting things that the scientific study of CBT has shown is that CBT actually changes the way the brain works, physically improving its function.

CBT differs from traditional psychotherapy in a few key ways. One of the most important distinctions is the emphasis on the power and responsibility of the patient in CBT. The patient will be encouraged to be the one asking the questions in CBT therapy, and most patients are assigned homework to complete outside of therapy sessions. There is a concept in CBT that everyone has power the power to change how they feel, even if they cannot control the situation, and this can be very empowering for patients. Because of this power shift, the therapist-client relationship is not as critical to success in CBT as it is in other modes of therapy. Patients should still get along well with their therapists, but they do not need a deep, dependent emotional connection to them. Finally, because CBT often treats a specific issue or problem, it is usually shorter in duration than traditional therapy. While some therapies may continue for years, CBT lasts on average just 16 sessions.

Post-Traumatic Stress Disorder (PTSD)

Post-traumatic stress disorder (PTSD) is a mental health disorder that people may develop after experiencing or witnessing a traumatic event. PTSD causes recurring nightmares, flashbacks, and disturbing memories about the traumatic event. It is frequently triggered by particularly intense and life-threatening incidents. For example, someone involved in a serious car accident may have severe anxiety about the accident months or even years later. War veterans and people involved in armed conflict are particularly prone to developing PTSD. In decades past, PTSD was called shellshock and was used to describe the negative emotions that soldiers endured from war. Today, medical professionals who treat PTSD recognize that it can occur in all types of people and can result from all types of traumatic incidents. It is not known exactly why some people develop PTSD, although PTSD frequently arises from:

  • Accidents
  • Sexual or physical assault
  • Combat
  • Childhood abuse
  • Domestic abuse
  • Natural disasters
  • Torture and kidnapping

People who have experienced significant and repeated trauma are more likely to develop PTSD. Those who have disorders like depression or a family history of depression may also be more prone to PTSD. PTSD symptoms typically begin one month to one year following the traumatic event. There are four main categories of PTSD symptoms:

  • Intrusive memories: Intrusive memories include unwanted memories, feelings of reliving the traumatic event, distressing nightmares, and emotional disturbances from triggers (signs that serve as reminders of the traumatic event). Intrusive memories can lead to elevated heart rate, anxiety, combativeness (fight), withdrawal (flight), and many other responses.
  • Avoidance: Avoidance is an attempt to avoid speaking or thinking about an upsetting event. People with this response might also try to avoid certain people or locations that prompt memories of an event.
  • Changes in physical and emotional reactions: These changes may include difficulty sleeping, hypervigilance, self-destructive behavior, and feelings of guilt and irritability.
  • Alterations in cognition and mood: Alterations can cause negative self-beliefs, depression, shame, and detachment from others.

The intensity and frequency of these symptoms can vary over time. PTSD symptoms may suddenly return after disappearing for years. Many PTSD patients find treatment helps to gradually reduce their symptoms over time.

The most common treatments for PTSD are psychotherapy and oral medications. Psychotherapy for PTSD can include cognitive therapy (therapy to change thought patterns), exposure therapy (therapy to confront memories of the traumatic incident) and eye movement desensitization and reprocessing therapy (EMDR). EMDR integrates exposure therapy with guided eye movements to help patients confront and process their trauma. Certain oral medications may help with PTSD, such as antidepressants and anti-anxiety medications. Self-care, support groups, and relaxation may also benefit those with PTSD.

The path to overcoming PTSD can be long and challenging and people with PTSD can benefit greatly by seeking professional treatment from a mental health care provider. Treatment can reduce PTSD symptoms, provide essential coping strategies, and improve one's quality of life.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Nicole Hochhausen Keedy, PhD treated as a psychologist in Dubuque, IA during 2012 were mental health therapy and diagnostic evaluation.

Volume of procedures performed by Nicole Hochhausen Keedy, PhD for Medicare patients.

diagnostic evaluation 24
mental health therapy 206

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Nicole Hochhausen Keedy, PhD treated as a psychologist in Dubuque, IA during 2013 were mental health therapy.

Volume of procedures performed by Nicole Hochhausen Keedy, PhD for Medicare patients.

mental health therapy 179

2013 Medicare Patient Data

Information about Medicare patients treated by Nicole Hochhausen Keedy, PhD.

Gender
Male 22
Female 57
Age
From 65 to 74 25
From 75 to 84 0
85 and over 0
Less than 65 27

Conditions of Medicare patients treated by Nicole Hochhausen Keedy, PhD in 2013

Hypertension 51
High Cholesterol 46
Stroke 0
Ischemic Heart Disease 14
Depression 72
Chronic Kidney Disease 16
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 23
Dementia 22
Cancer 0

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Nicole Hochhausen Keedy, PhD treated as a psychologist in Dubuque, IA during 2014 were mental health therapy.

Volume of procedures performed by Nicole Hochhausen Keedy, PhD for Medicare patients.

mental health therapy 155

2014 Medicare Patient Data

Information about Medicare patients treated by Nicole Hochhausen Keedy, PhD.

Gender
Male 13
Female 35
Age
From 65 to 74 0
From 75 to 84 15
85 and over 0
Less than 65 19

Conditions of Medicare patients treated by Nicole Hochhausen Keedy, PhD in 2014

Hypertension 63
High Cholesterol 54
Stroke 0
Ischemic Heart Disease 0
Depression 75
Chronic Kidney Disease 23
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 35
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Nicole Hochhausen Keedy, PhD treated as a psychologist in Dubuque, IA during 2015 were mental health therapy.

Volume of procedures performed by Nicole Hochhausen Keedy, PhD for Medicare patients.

mental health therapy 154

2015 Medicare Patient Data

Information about Medicare patients treated by Nicole Hochhausen Keedy, PhD.

Gender
Male 32
Female 76
Ethnicity
Non-Hispanic White 108
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 40
From 75 to 84 0
85 and over 0
Less than 65 40

Conditions of Medicare patients treated by Nicole Hochhausen Keedy, PhD in 2015

Hypertension 74
High Cholesterol 69
Stroke 0
Ischemic Heart Disease 0
Depression 72
Chronic Kidney Disease 24
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 35
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Nicole Hochhausen Keedy, PhD treated as a psychologist in Dubuque, IA during 2016 were mental health therapy.

Volume of procedures performed by Nicole Hochhausen Keedy, PhD for Medicare patients.

mental health therapy 135

2016 Medicare Patient Data

Information about Medicare patients treated by Nicole Hochhausen Keedy, PhD.

Gender
Male 18
Female 46
Age
From 65 to 74 28
From 75 to 84 0
85 and over 0
Less than 65 24

Conditions of Medicare patients treated by Nicole Hochhausen Keedy, PhD in 2016

Hypertension 50
High Cholesterol 50
Stroke 0
Ischemic Heart Disease 0
Depression 75
Chronic Kidney Disease 22
Asthma 22
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 23
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Nicole Hochhausen Keedy, PhD treated as a psychologist in Dubuque, IA during 2017 were mental health therapy.

Volume of procedures performed by Nicole Hochhausen Keedy, PhD for Medicare patients.

mental health therapy 182

2017 Medicare Patient Data

Information about Medicare patients treated by Nicole Hochhausen Keedy, PhD.

Gender
Male 15
Female 49
Ethnicity
Non-Hispanic White 64
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 31
From 75 to 84 0
85 and over 0
Less than 65 16

Conditions of Medicare patients treated by Nicole Hochhausen Keedy, PhD in 2017

Hypertension 61
High Cholesterol 59
Stroke 0
Ischemic Heart Disease 23
Depression 75
Chronic Kidney Disease 30
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 30
Dementia 19
Cancer 0

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Nicole Hochhausen Keedy, PhD treated as a psychologist in Dubuque, IA during 2018 were mental health therapy.

Volume of procedures performed by Nicole Hochhausen Keedy, PhD for Medicare patients.

mental health therapy 142

2018 Medicare Patient Data

Information about Medicare patients treated by Nicole Hochhausen Keedy, PhD.

Gender
Male 15
Female 27
Ethnicity
Non-Hispanic White 42
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 18
From 75 to 84 11
85 and over 0
Less than 65 13

Conditions of Medicare patients treated by Nicole Hochhausen Keedy, PhD in 2018

Hypertension 43
High Cholesterol 67
Stroke 0
Ischemic Heart Disease 0
Depression 75
Chronic Kidney Disease 31
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 0
Dementia 33
Cancer 0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Nicole Hochhausen Keedy, PhD treated as a psychologist in Dubuque, IA during 2019 were mental health therapy.

Volume of procedures performed by Nicole Hochhausen Keedy, PhD for Medicare patients.

mental health therapy 124

2019 Medicare Patient Data

Information about Medicare patients treated by Nicole Hochhausen Keedy, PhD.

Gender
Male 18
Female 35
Ethnicity
Non-Hispanic White 53
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 29
From 75 to 84 0
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Nicole Hochhausen Keedy, PhD in 2019

Hypertension 58
High Cholesterol 72
Stroke 0
Ischemic Heart Disease 23
Depression 75
Chronic Kidney Disease 30
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 32
Dementia 26
Cancer 0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Nicole Hochhausen Keedy, PhD treated as a psychologist in Dubuque, IA during 2020 were mental health therapy.

Volume of procedures performed by Nicole Hochhausen Keedy, PhD for Medicare patients.

mental health therapy 56

2020 Medicare Patient Data

Information about Medicare patients treated by Nicole Hochhausen Keedy, PhD.

Gender
Male 13
Female 13
Ethnicity
Non-Hispanic White 26
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0

Conditions of Medicare patients treated by Nicole Hochhausen Keedy, PhD in 2020

Hypertension 54
High Cholesterol 69
Stroke 0
Ischemic Heart Disease 0
Depression 75
Chronic Kidney Disease 0
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 0
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Nicole Hochhausen Keedy, PhD treated as a psychologist in Dubuque, IA during 2021 were mental health therapy.

Volume of procedures performed by Nicole Hochhausen Keedy, PhD for Medicare patients.

mental health therapy 155

2021 Medicare Patient Data

Information about Medicare patients treated by Nicole Hochhausen Keedy, PhD.

Gender
Male 11
Female 37
Age
From 65 to 74 32
From 75 to 84 0
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Nicole Hochhausen Keedy, PhD in 2021

Hypertension 60
High Cholesterol 71
Stroke 0
Ischemic Heart Disease 27
Depression 75
Chronic Kidney Disease 33
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 35
Dementia 0
Cancer 29

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Nicole Hochhausen Keedy, PhD treated as a psychologist in Dubuque, IA during 2022 were mental health therapy.

Volume of procedures performed by Nicole Hochhausen Keedy, PhD for Medicare patients.

mental health therapy 127

2022 Medicare Patient Data

Information about Medicare patients treated by Nicole Hochhausen Keedy, PhD.

Gender
Male 16
Female 24
Age
From 65 to 74 18
From 75 to 84 0
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Nicole Hochhausen Keedy, PhD in 2022

Hypertension 65
High Cholesterol 75
Stroke 0
Ischemic Heart Disease 0
Depression 55
Chronic Kidney Disease 0
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 28
Dementia 0
Cancer 30

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Nicole Hochhausen Keedy, PhD for Medicare patients.

The highest averages for the top procedures that Nicole Hochhausen Keedy, PhD treated as a psychologist in Dubuque, IA were mental health therapy and diagnostic evaluation.

diagnostic evaluation 24
mental health therapy 146

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Nicole Hochhausen Keedy, PhD.

Gender
Male 15
Female 36
Ethnicity
Black / African American 0
Asian / Pacific Islander 0
Non-Hispanic White 26
Hispanic 0
Native American / Alaskan Native 0
Other 0
Age
75 to 84 2
85 and over 0
Less than 65 12
65 to 74 20

Average of Total of Conditions of Medicare patients treated by Nicole Hochhausen Keedy, PhD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Nicole Hochhausen Keedy, PhD treated were depression, high cholesterol, hypertension and diabetes.

Hypertension 52
High Cholesterol 57
Stroke 0
Ischemic Heart Disease 7
Depression 65
Chronic Kidney Disease 19
Asthma 2
Osteoporosis 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 21
Atrial Fibrillation 0
Cancer 5
Dementia 9

Education & Training

She is certified by the Board Certification: Psychology, National Register of Health Service Psychologists and has a state license in Iowa.

Board Certification: Board Certification: Psychology, National Register of Health Service Psychologists

Licensed In: Iowa

Affiliations & Hospitals

Nicole Hochhausen Keedy, PhD is associated with these hospitals and organizations:

MercyOne

Ratings & Reviews

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Biography

Dr. Nicole Keedy practices psychology in Dubuque, IA. These areas are among her clinical interests: coping with life changes, cognitive-behavioral therapy (CBT), and short-term therapy. She is professionally affiliated with MercyOne. Dr. Keedy has an open panel in Dubuque, IA according to MercyOne.

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