ADHD Psychiatrists in North Carolina
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View Matthew Richter, MD

Matthew Richter, MD
Dr. Matthew Richter has experience practicing in outpatient and inpatient settings, as well as with military and confinement populations. He earned his medical degree from the Uniformed Services University of the Health Sciences and completed a psychiatry residency at Walter Reed National Military Medical Center, followed by a forensic psychiatry fellowship at the National Capital Consortium.
Dr. Richter fosters a safe, non-judgmental space where patients can explore their feelings and experiences freely, met with unconditional positive regard. He prioritizes active listening and deep empathy, ensuring each patient feels heard, understood, and valued as a unique individual throughout their treatment journey.
Initial sessions focus on a collaborative exploration of a patient’s history, current challenges, and core values, forming the foundation for a personalized treatment plan. Dr. Richter emphasizes shared decision-making, integrating therapeutic modalities—including medication when appropriate—while honoring patient autonomy and aligning with their vision for well-being.
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View Meghan Hebishi, DO

Meghan Hebishi, DO
Dr. Meghan Fahy Hebishi is double-board certified in General Psychiatry and Child and Adolescent Psychiatry. Originally from Delaware, Dr. Hebishi earned her medical degree from the Philadelphia College of Osteopathic Medicine in 2017. She also obtained a Master of Science in Biological Sciences from Drexel University and a Bachelor of Science in Biology from Juniata College. In 2017, Dr. Hebishi moved south and is happy to call North Carolina her home. She completed her internship at Campbell University/Harnett Health in 2018. She went on to complete a General Psychiatry Residency followed by a Fellowship in Child and Adolescent Psychiatry at East Carolina University Brody School of Medicine. Prior to joining Talkiatry in 2025, Dr. Hebishi was in private practice at North Raleigh Psychiatry in Raleigh, NC.
Dr. Hebishi is experienced in treating children, adolescents and adults. She utilizes medication management and psychotherapy in her clinical practice. Her areas of interest include ADHD across the lifespan, anxiety disorders, mood disorders (depression and bipolar disorder) and OCD. She is dedicated to building a collaborative relationship with patients and their families where shared-decision making is respected and encouraged. She is passionate about providing continuity of care to her patients as they navigate life's changes and challenges.
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View Irene Pastis, MD

Irene Pastis, MD
Dr. Irene Pastis is a board-certified psychiatrist who specializes in adult psychiatry. She completed residency training at East Carolina University in both internal medicine and psychiatry. After residency, she pursued her passion in psychiatry and stayed on as a clinical assistant professor in the department of psychiatry at East Carolina University. In this role she specialized in treating adults with mental illness in both the inpatient and outpatient settings. She has spent a considerable amount of time teaching residents and medical students and has published several papers focusing on the neuroscience pathways of mental health conditions. In her daily practice, Dr. Pastis focuses on evidence-based treatments utilizing the latest clinical guidelines and current approved treatments. In addition to medication management, she also incorporates psychotherapy in the treatment of mental health conditions. Dr. Pastis is passionate about taking a collaborative approach with her patients to help them reach their potential.
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View Luna Sanchez Rivera, MD

Luna Sanchez Rivera, MD
Dr. Luna Sanchez Rivera holds the position of Staff Psychiatrist at Talkiatry. After completing residency in 2016 at the Ponce Medical School Psychiatry Residency in Puerto Rico, she then moved to North Carolina to complete a subspecialty in Child and Adolescent Psychiatry at Duke University Health System. There, she transitioned into an assistant professor position, focused on structuring pediatric emergency psychiatric services, and helped support the consult and liaison pediatric service. Her years of experience have included working as an integrated care child psychiatrist within outpatient clinics at Duke University Health System, and she trained and worked as a staff psychiatrist at the Inpatient State Facility in North Carolina. She also served in the Dayton Children's Hospital outpatient clinics in Dayton, Ohio, the Appalachian Health System outpatient clinics in Linville, North Carolina, and more recently has been serving the Child and Adolescent inpatient population in Bangor, Maine. Dr. Sanchez Rivera has an approachable style aimed at providing a comprehensive evaluation for all age ranges and is comfortable managing various levels of diagnostic complexities. She provides supportive psychotherapy while using psychodynamic therapy skills to clarify her patient's constellation of symptoms, identify unifying themes and provide thorough psychoeducation throughout the process to drive positive outcomes. She integrates psychodynamic medication management approaches and is adept at family therapy interventions.
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View Lauren Morris, MD

Lauren Morris, MD
Dr. Lauren Morris is a board-certified psychiatrist and a graduate of the Duke Psychiatry residency program. She is originally from NC - she studied Neuroscience at NCSU, and attended medical school at ECU. Dr. Morris's practice focuses on medication management, and incorporates insight-oriented therapy during visits. Dr. Morris takes a patient-centered evidenced based approach to psychiatry. Dr. Morris is joining the Talkiatry team after working as a staff psychiatrist at the Durham VA, where she also served as a consulting professor for the Duke psychiatry residency program. In her free time, Dr. Morris enjoys hiking and traveling.
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View Martha James, MD

Martha James, MD
Dr. Martha James is board-certified in general adult psychiatry and has more than twenty years of experience working with adults in a variety of mental health care settings including academia, inpatient psychiatric hospitals, outpatient clinics, university medical centers, VA medical centers, and community mental health settings. Dr. James received her medical degree from Duke University School of Medicine. She completed her psychiatric residency at the University of California, Los Angeles Neuropsychiatric Institute. Dr. James has experience treating adults with a variety of mental health problems including anxiety, mood disorders, trauma related disorders and psychotic disorders.
Dr. James is an experienced, open-minded psychiatrist who prioritizes empathy and understanding in her work. She recognizes that each individual's path to wellness is unique and strives to meet patients where they are in this process. Dr. James believes that while some individuals may benefit from treatment with medication management alone, psychotherapy is often important for treatment success. She encourages patients to participate in psychotherapy and believes a therapist can be a crucial part of the treatment team.
Dr. James uses a collaborative, patient-centered treatment approach with the goal of reducing mental pain and improving wellness so that patients are better able to pursue their unique personal and professional goals. She utilizes psychopharmacology, psychoeducation, and supportive and psychodynamic psychotherapy skills when working with patients.
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View Caitlin Tillberg, MD
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Caitlin Tillberg, MD
Dr. Caitlin Tillberg (she/her) is a board-certified psychiatrist. She has a BA in musicology and cognitive science from Oberlin College, an MD from Quinnipiac University in Connecticut, and completed general adult psychiatry residency at Duke University. Dr. Tillberg practices patient-centered and trauma-informed care, valuing patient autonomy and collaborative decision-making, acknowledging the burden many people carry from intersecting oppressions. She believes therapy is important � often equally important as medication, or more � and will work together with you to make a realistic treatment plan that will fit into your life. Dr. Tillberg also has a niche working with people with complicated relationships with their bodies, whether due to disordered eating, gender dysphoria, chronic illness/disability, or trauma. She welcomes LGBTQ+ patients, including trans and non-binary adults. She also enjoys working with patients with OCD, as well as autistic/neurodivergent adults (including those seeking adult autism evaluation). Please note Talkiatry is most appropriate for autistic patients with Level 1 (or case-by-case Level 2) support needs and who are verbal. Regarding eating disorders: Please note that for patient safety, per Talkiatry policy, Dr. Tillberg is unable to work with patients with current active anorexia nervosa or bulimia nervosa (or significant relapse in the last 6 months), or with patients requiring current regular medical or lab monitoring for complications of binge-eating disorder or ARFID. Bariatric surgery patients are welcome if medically stable. Patients with current disordered eating that does not rise to the level of a formal diagnosis of anorexia or bulimia, or with a past history of anorexia or bulimia in sustained remission, will be evaluated on a case-by-case basis at the first appointment. Dr. Tillberg looks forward to meeting you.
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View Bryan Morales, MD

Bryan Morales, MD
Dr. Morales is a board-certified psychiatrist who is dedicated to the bio-psycho-sociocultural model. This has been reflected in Dr. Morales' pursuit of treating patients suffering from diverse medical and psychiatric conditions, respective psychological mindedness, and varied socio-economic and cultural backgrounds. As an individual, Dr. Morales is fascinated by the human mind, its mechanisms to pursue goals, and the cyclical patterns seen in maladaptation and suffering. He believes in understanding patients' experiences and developing comprehensive treatment plans towards reconciliation. After completing his medical education at the East Carolina Brody School of Medicine, as a Brody Scholar, he subsequently completed psychiatry residency at Jackson Health System/University of Miami. Dr. Morales has had the opportunity to work with a diverse array of patients including high-functioning patients, veterans, trafficking victims, the severely mentally ill of low socio-economic status, and cancer patients across three distinct hospital systems via telemedicine and face-to-face interactions. His experience includes working with patients suffering from post-traumatic stress disorder, adjustment disorder, mood disorders, generalized anxiety disorder, panic disorder, and more. He honors active listening, analytic understanding, supportive psychotherapy techniques, and evidence-based and methodological treatment for patient care and actualization. His goal is to assist patients in navigating short- and long-term goals as well as improved quality of life. As a result, Dr. Morales focuses on medication management, which is offered in conjunction with supportive therapy, which is offered in 1-hour initial and 30-minute follow-up visits. Dr. Morales believes that appropriate patients can benefit from additional exploratory and self-actualizing therapy from other valued and specialized therapists to support targeted goals. He will not hesitate to recommend and promote consultations with therapists for such patients who are ready to pursue. Ultimately, Dr. Morales seeks to understand, validate, and treat patients in a collaborative therapeutic alliance.
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View Xiomara Nieves-Alvarado, MD

Xiomara Nieves-Alvarado, MD
Dr. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.
Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.
Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.
Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.
Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.
In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”
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View Anthony Finch, MD
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Anthony Finch, MD
Dr. Anthony Finch is a graduate of the New York-Presbyterian Hospital/Weill Cornell Medical Center General Psychiatry residency and the Duke University Geriatric Psychiatry fellowship programs; he is board certified in Psychiatry by the ABPN. Dr. Finch was born and raised in New York and now lives in North Carolina. Dr. Finch specializes both in psychiatric medication management and various forms of psychotherapy. He believes that effective psychiatric treatment requires attention to multiple domains, including the establishment of a strong doctor/patient relationship, the development of a sound understanding of who the patient is as an individual, and a comprehensive assessment of spiritual and biological factors contributing to mental health. As such, Dr. Finch's practice includes both pharmacological and psychotherapeutic interventions that aim to treat the whole person on an individualized basis. He sees patients of all ages, specializing in older adults, and treats all psychiatric conditions. Dr. Finch received the 2023 Distinguished House Staff Award from the New York Weill Cornell Medical Center Alumni Council; this is awarded to one graduating house staff member from each department annually for excellence during training. He has conducted research on depression and PTSD, published a number of papers in peer-reviewed journals, presented posters at conferences, and written a chapter for a book on medical education. He practices in both English and German.
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View Mona Ismail, MD

Mona Ismail, MD
Dr. Ismail is double board-certified by the American Board of Psychiatry and Neurology in both Adult Psychiatry and Child and Adolescent Psychiatry. She earned her medical degree from Cairo University, where she also completed her neurology residency at Cairo University Hospitals. Following this, she pursued psychiatric training at New York Medical College at St. Vincent’s Hospitals, where she was appointed Chief Resident and recognized as Resident of the Year.
Dr. Ismail further specialized with a fellowship in Child and Adolescent Psychiatry at UMDNJ/Rutgers Robert Wood Johnson Medical School. Her career includes multiple leadership roles, notably serving as Chief of the Child and Adolescent Partial Hospital Programs (PHP) at Rutgers University in Newark, NJ, where she provided direct care to young patients. She has also held Medical Director positions across various clinical settings, including child and adolescent inpatient units, outpatient programs, and intensive outpatient services for both adolescents and adults with mental health and co-occurring substance use disorders.
An active educator, Dr. Ismail has been a teaching faculty member, delivering lectures and providing supervision and evaluations for medical residents and child and adolescent psychiatry fellows. Her academic contributions extend to research, where she has served as a principal investigator on multiple studies.
Throughout her career in leadership and teaching, Dr. Ismail maintained an integrative private practice in New Jersey, serving residents of the NJ and NY metropolitan areas before relocating to North Carolina.
Dr. Ismail is passionate about integrative medicine, which combines evidence-based alternative therapies with conventional treatments to optimize outcomes. Her approach focuses on promoting overall wellness, keeping both the body and mind in harmony.
During the diagnostic evaluation, Dr. Ismail will review your medical history and past treatments to develop a comprehensive, personalized treatment plan that prioritizes your overall wellness. In addition to medication management, she incorporates supportive, cognitive, or psychodynamic psychotherapy during follow-up visits, as time allows. When appropriate, she may also recommend referrals to specialized psychotherapists to address your individual needs as part of a holistic treatment approach.
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View Natalia Roque, MD

Natalia Roque, MD
Dr. Natalia Roque is a psychiatrist who received her BA in Biology from the University of Chicago and her medical degree from Loyola University Chicago Stritch School of Medicine. She returned to the University of Chicago to complete her psychiatry residency, where she served as Chief Resident of the outpatient psychiatry clinics and was a member of the Diversity, Equity, and Inclusion Committee. She has experience treating patients across inpatient, outpatient, and consultation-liaison psychiatry settings, with additional training in treatment-resistant depression, trauma, neuropsychiatry, ECT, ketamine, geriatric psychiatry, student counseling, LGBTQ+ mental health, women’s mental health, and culturally sensitive care.
Dr. Roque believes in building a strong therapeutic alliance grounded in empathy, respect, and curiosity. She values collaboration and open communication, ensuring that patients feel like active partners in their care. Her goal is to create a safe, supportive space where individuals feel understood as whole people, not defined solely by their symptoms. She also prioritizes incorporating cultural background and social determinants of health, including financial stressors and systemic barriers into treatment planning.
In her work, Dr. Roque begins by taking time to understand each patient’s unique story, experiences, and goals. She approaches care through a trauma-informed lens and with cultural sensitivity to ensure treatment feels safe, respectful, and relevant. Her process integrates evidence-based approaches, including psychodynamic therapy and cognitive behavioral therapy (CBT), while tailoring care plans to meet both clinical needs and patient preferences. Dr. Roque regularly checks in on progress, invites feedback, and adjusts treatment collaboratively to support an ongoing, responsive therapeutic process.
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View Siera Kirkland, MD

Siera Kirkland, MD
Dr. Siera Kirkland is an adult general psychiatrist. She is a diplomate of the American Board of Psychiatry and Neurology. She has been practicing for 8 years. Dr. Kirkland focuses on collaborative and evidence-based care. She believes it is imperative to form a therapeutic relationship with each individual and work together as a team to formulate the best treatment plan. Her passion is to educate, empower, and support. She specializes in medication management and brief psychotherapy .Dr. Kirkland received her medical degree from Ross University School of Medicine. She completed her residency at The Cleveland Clinic Akron General and Summa HealthSystem in her hometown of Akron, OH. Upon completion of residency, she relocated to Charlotte, NC to start her career as the Lead Psychiatrist at Novant Health Psychiatric Associates- Matthews. Dr. Kirkland has experience in treating various patient populations. Her areas of focus have been perinatal and postpartum depression and anxiety. She has also worked with adults with co-occurring substance use disorders. Special interests include women's health and minority mental health disparities.For established patients of Dr. Kirkland, call 917-634-5311 to schedule an appointment and let the care coordinator know you are an established patient.
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View Melody Santos, MD

Melody Santos, MD
Dr. Melody Santos is dual-trained in Internal Medicine and Psychiatry, with experience in both outpatient and inpatient settings. She served as Chief Resident and Deputy Chief Resident in East Carolina University’s combined residency program, where she led academic and clinical initiatives. Dr. Santos has published research on topics including adult ADHD and metabolic psychiatry, with presentations at national conferences. She earned her MD from the American University of the Caribbean and a BS in Biology with a minor in Jazz Piano from the University of Tampa. A native Spanish speaker, she is active in community service and church-based outreach.
Dr. Santos values open and clear communication, creating a safe, non-judgmental space where patients feel heard and respected. She blends traditional and innovative approaches, including metabolic psychiatry and dietary strategies, to support wellness. Her care is culturally sensitive and patient-centered, always tailored to each individual’s needs and values. Through empathy and education, she empowers patients and fosters resilience.
Dr. Santos begins with a thorough assessment of each patient’s medical, psychiatric, and lifestyle history. She collaborates with patients to build personalized, evidence-based treatment plans that reflect their goals and preferences. Her holistic care model considers social, cultural, and environmental influences, and she ensures consistent follow-up to adjust care as needed, promoting informed, long-term wellness.
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View Caitlin Meyer, MD

Caitlin Meyer, MD
Dr. Caitlin Meyer is a board-certified in adult psychiatry with experience in a wide variety of psychiatric disorders including depression, anxiety, women's mental health, and ADHD. Dr. Meyer's practice is focused on medication management with supportive therapy offered in 30-minute follow-up visits. Dr. Meyer received her medical degree from the University of Texas Southwestern Medical Center in Dallas, Texas, where she received the North Texas Society of Psychiatric Physicians' Award for outstanding medical student in Psychiatry. She pursued her residency in adult psychiatry at Brown University in Providence, Rhode Island, with particular interest and training in child, adolescent, and young adult Psychiatry. After completing training, Dr. Meyer worked with children and adults in a variety of treatment settings including Community Mental Health Centers and hospitals, providing inpatient, residential and outpatient services. Prior to joining the Talkiatry team, Dr. Meyer participated in psychiatric research developing new treatment methods for complex psychiatric disorders. Dr. Meyer enjoys treating patients across the lifespan from young adulthood through senior care. She sees each patient as a unique individual and works together with her patients to develop a treatment plan specific to their needs and goals.
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View Stacey DiMartino, MD

Stacey DiMartino, MD
Dr. Stacey DiMartino is a board-certified psychiatrist with over 20 years of experience. She received her undergraduate education at the University of Rochester and her medical degree from the State University of New York at Buffalo, where she also completed her residency.
Her approach is individualized and focuses on collaborative care with shared decision-making. Dr. DiMartino specializes in the treatment of adults with a wide range of mental health concerns, including posttraumatic stress disorder, depressive disorders, anxiety disorders, and bipolar disorders. She has enjoyed working with veterans for over 19 years at the VA Healthcare System.
Her style of practice incorporates medication management and supportive psychotherapy with an emphasis on whole health wellness. She will provide a thorough assessment of your mental health needs and formulate a comprehensive treatment plan. She assists with bolstering insight, enhancing intrinsic coping skills, and attaining life goals. Dr. DiMartino enjoys spending time with family, including her rescue dogs, who may sometimes make a special guest appearance during appointments. She looks forward to meeting with you and working together on achieving a fulfilling, well-balanced life.
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FAQs
How does Talkiatry work?
Talkiatry is an online psychiatry practice designed to make high-quality mental health care more accessible. We’re 100% virtual, in-network with major insurance plans, and first appointments are typically available in days.
To get started, you’ll complete a quick online assessment to tell us what you’re looking for. We’ll match you with psychiatrists who are licensed in your state, in-network with your insurance, and experienced in treating your concerns. You’ll choose the clinician you’d like to work with.
Your first visit is an in-depth evaluation where your psychiatrist will listen, provide a diagnosis, and work with you to create a treatment plan tailored to your goals and preferences. You’ll continue seeing the same clinician over time, adjusting your plan as your needs evolve. Our team is always here to help with scheduling, insurance, and questions about your care.
Do you provide therapy?
Care at Talkiatry starts with psychiatry. If you already have a Talkiatry psychiatrist, they can refer you to one of our therapists if you’ve decided together that therapy is the right next step. However, you can’t see a Talkiatry therapist if you aren’t already seeing one of our psychiatrists.
What should I do if I’m having an emergency?
Talkiatry does not provide emergency care. If you or someone you know is in crisis, please visit your nearest emergency room, call 911, or call or text the Suicide and Crisis Lifeline at 988.
How much will my visit cost?
The majority of our visits cost patients $25 or less after insurance*, but your exact out-of-pocket cost depends on your plan. The best way to get a clear estimate is to contact your insurance provider directly. Here’s what to ask them:
- Do I have mental health benefits that include outpatient psychiatry?
- Is Talkiatry in-network for my plan?
- What’s my copay or coinsurance for outpatient psychiatry visits?
- Do I have a deductible? If so, how close am I to meeting it?
- Do I have an out-of-pocket maximum? If so, how close am I to reaching it?
- Are virtual or telehealth psychiatry visits covered the same as in-person care?
- Is prior authorization required for outpatient psychiatry?
- Can you provide a cost estimate for an in-network psychiatry visit using CPT code 99204?
- Can you provide a cost estimate for an in-network psychotherapy visit using CPT code 90833?
*Includes all patient costs from 9/24-9/25: copayment, deductible, coinsurance, and $0 payments. Excludes missed appt. fees. Your medical visit costs can vary depending on insurance coverage.
What if I don’t want to take medication?
Psychiatrists are medical doctors, and medication is often part of how they treat mental health conditions. At Talkiatry, your psychiatrist will start by listening and discussing your options with you. Medication is always your choice, but if it’s not something you’re open to considering, we may not be the best fit for ongoing care at this time.
How do I know if Talkiatry can help me?
Talkiatry provides virtual, in-network psychiatric care for people struggling with mild to moderate mental health issues. Here’s what we can help with:
- Anxiety
- ADHD (attention-deficit/hyperactivity disorder)
- Bipolar disorder
- Child & adolescent care
- Depression
- OCD (obsessive-compulsive disorder)
- Pregnancy & postpartum care
- PTSD (post-traumatic stress disorder)
- Substance use disorder
Our goal is to connect you with the best possible care for you. At your first visit, your doctor will confirm whether Talkiatry is the right fit. If they recommend in-person or higher-level care, they’ll guide you to the appropriate resources.
What if my insurance changes from Cigna?
Insurance changes are common, and we’re here to help. Talkiatry is in-network with thousands of plans. If your insurance changes, reach out to a Care Coordinator to update your information and confirm your coverage by calling 833-351-TALK (8255).
Do I still take the assessment if I’m already diagnosed with ADHD? 
Yes. Our online assessment is an important part of how we match you with the right psychiatrist. Your first visit will include a thorough evaluation so your psychiatrist can confirm your diagnosis and tailor your treatment plan to your current needs.
More ways we can support you
Our Cigna clinicians in North Carolina can also help with:
