Frequently asked questions

A psychiatric-mental health nurse practitioner (PMHNP) is an advanced practice registered nurse who specializes in mental health care. PMHNPs are trained to diagnose and treat mental health conditions, prescribe medications, provide psychotherapy, and offer comprehensive psychiatric care to individuals of all ages.

Initial appointments usually last 45–60 minutes. Follow-up appointments are typically 20–30 minutes, depending on individual needs.

After your first visit, follow-ups are 20–30 minutes depending on the services, such as medication management and/or psychotherapy.

Yes. We’re in-network with Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and government insurances. Coverage varies by plan; call (910) 273-7572 to confirm your benefits.

Absolutely. We offer self-pay options. Please contact our office for current rates.

Yes, at our North Hills office: 4820 Six Forks Rd, Suite 100, Raleigh, NC 27609.

Yes. Virtual visits are offered statewide in North Carolina through a secure, HIPAA-compliant platform.

Children over 6, adolescents, and adults.

Go to portal.kareo.com (Tebra) and sign in with the email and password from your portal invitation. Ask our front desk if you need an invitation.

Spanish-language care with a Spanish-speaking provider is coming soon. Se habla español.

Call or text 988 (Suicide & Crisis Lifeline) or call 911. Our office and forms are not monitored for emergencies.

Spravato® (esketamine) is an FDA-approved nasal spray used to treat adults with depression that hasn’t improved with traditional medications. It works differently than standard antidepressants and is administered in-office under medical supervision.

Spravato may be a good option for adults who have tried antidepressants without enough relief and are experiencing treatment-resistant depression. We’ll help determine if it’s the right fit during your consultation.

Most antidepressants are taken daily and can take weeks to work. Spravato works differently in the brain and may help reduce symptoms more quickly for some patients.

You’ll relax in a comfortable, private setting in our North Hills office. Spravato is self-administered as a nasal spray under the supervision of your provider, and you’ll stay with us for monitoring afterward to ensure your safety and comfort.

Plan for at least 2 hours in the office. Under the Spravato REMS program, you’re monitored by our staff for at least 2 hours after each dose, until you’re ready to leave. Arrange a ride home: you can’t drive or operate machinery on treatment day, until the next day after a restful sleep.

At our practice, induction is twice weekly for 4 weeks. Maintenance is once weekly in weeks 5–8, then from week 9 either weekly or every 2 weeks, as your provider recommends. See the official Prescribing Information and Medication Guide.

Spravato sessions run between 9:00 AM and 6:00 PM. The latest session start time is 4:00 PM. Each session is about 2 hours; please arrive 15 minutes before your start time. Consultations and treatments are in person only at our North Hills office.

No. Per the FDA label, you should not drive or operate machinery until the next day after a restful sleep, so please arrange a ride home after every treatment.

Many plans cover Spravato. We’re in-network for Spravato with Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicaid. Coverage varies by plan; call (910) 273-7572 to confirm your benefits. Our team verifies your benefits and handles prior authorization.