Anxiety Psychiatrists in North Carolina
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Finding a psychiatrist for Anxiety who takes UnitedHealthcare can be overwhelming and time-consuming. We’ve fixed that.
Talkiatry has 45+ board-certified clinicians licensed in North Carolina who specialize in Anxiety. We partner with UnitedHealthcare and only match you with in-network clinicians.
You’ll work with your clinician to build a treatment plan that helps you manage anxiety symptoms and move through daily life with more ease.
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View Jessica Grimes, DO

Jessica Grimes, DO
Dr. Jessica Grimes is a board-eligible child and adolescent and adult psychiatrist. She is originally from Sylva, NC. She earned a bachelor's degree in religion and minored in biology at The University of the South in Sewanee, TN. She graduated cum laude and was inducted into the order of the gownsmen, an honor society. She earned her doctorate from the West Virginia School of Osteopathic Medicine in Lewisburg, WV. Dr. Grimes completed a traditional rotating internship through WVSOM at Our Lady of Bellefonte Hospital in Ashland, KY and completed residency training in psychiatry at Lake Erie College of Osteopathic Medicine in Erie, Pennsylvania. While in residency, she earned a master's degree in medical education from LECOM. She completed a fellowship in child and adolescent psychiatry at the University of South Carolina School of Medicine, Greenville. During her second year of fellowship at USC-Greenville, she received the "Child & Adolescent Psychiatry Fellow of the Year� award.
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View Shari Sengupta, MD

Shari Sengupta, MD
Dr. Shari Sengupta attended the University of OK as a National Merit Scholar and went on to graduate with her MD from Eastern Virginia Medical School. She specialized in Adult Psychiatry at the University of NC Hospitals where she was a chief resident. She received psychotherapy training in insight-oriented and cognitive-behavioral approaches and trained at the Psychoanalytic Institute of the Carolinas. She has 18 years of experience providing medication management and psychotherapy in both private practice and community mental health settings and over 10 years of experience in telepsychiatry providing care to underserved communities. Dr. Sengupta has experience treating a variety of mental health concerns but has a particular interest in depression, anxiety, and mental health in the perinatal period. Her practice focuses on medication management from a holistic perspective. She believes that mental health is the cornerstone of overall well-being and that treatment is a collaborative journey toward improved health and function in life, work, and relationships. She offers culturally sensitive treatment to people from all backgrounds and sexual orientations. As a staff psychiatrist at Talkiatry, her treatment approach focuses on medication management informed by a background in psychotherapy.
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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 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 Amrish Pipalia, MD

Amrish Pipalia, MD
Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.
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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 Michele Schaefer, MD

Michele Schaefer, MD
Background and credentials
Dr. Schaefer is a board-certified adult psychiatrist with over 16 years of experience. She earned her medical degree from the University of Nebraska Medical Center in Omaha, NE, and completed her adult psychiatry residency at Oregon Health and Science University in Portland, OR. She then specialized further by completing a forensic psychiatry fellowship at Yale University. She has worked as a staff psychiatrist at Atrium Health System for over 16 years.
Treatment approach
Dr. Schaefer’s practice primarily focuses on medication management, which she offers in conjunction with supportive therapy and elements of cognitive-behavioral therapy (CBT). She takes a patient-centered and collaborative approach, ensuring that treatment is tailored to each individual’s needs. If additional therapy is required, she may recommend working with a therapist as part of a comprehensive care plan. Her primary focus areas include depression, anxiety disorders, and obsessive-compulsive disorder (OCD).
What you can expect in a first visit
During the first visit, patients can expect a thorough psychiatric evaluation, where Dr. Schaefer carefully assesses their symptoms, treatment history, and mental health goals. She works collaboratively with patients to develop a personalized treatment plan, which may include medication management and therapy recommendations. Follow-up visits are typically 30 minutes and focus on monitoring progress, adjusting treatment as needed, and ensuring the best possible patient outcomes.
Why Talkiatry?
We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.
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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 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 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 Cedric Skillon, MD

Cedric Skillon, MD
Dr. Cedric Skillon is a board-certified adult psychiatrist with over 20 years of experience. Dr. Skillon’s clinical expertise includes treating adults with depressive disorders, bipolar disorders, anxiety disorders, substance -related and addictive disorders, and trauma related disorders. Dr. Skillon has worked in a variety of mental health care settings including academia, community mental health centers, and a substance use treatment center.
Dr. Skillon grew up in Detroit, Michigan. He obtained his Bachelor of Science from the University of Michigan. He received his medical degree from Wayne State University. He completed a General Psychiatry Residency at University Health Center of Pittsburgh, Western Psychiatric Institute and Clinic
Dr. Skillon combines a wealth of knowledge and experience with a compassion for meeting the patient “where they are” in their healing process. He believes in allowing the patient to feel heard in every session. He fully explains the risk and benefits of each treatment option. Then in collaboration, he and his patient agree on the next step to take towards the patient’s treatment goals.
Dr. Skillon is dedicated to providing hope and healing in a trusting environment. He combines empathy with a patient centered, and evidence-based approach in helping patients reach their treatment goals.
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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 Grace Smith, LCSW

Grace Smith, LCSW
Grace is a LCSW, and LISW-CP licensed in Florida, North Carolina, and South Carolina. She holds a Bachelor of Science in Family and Consumer Sciences with a specialization in Nutrition from Solusi University in Zimbabwe and a Master of Social Work in Clinical Practice from Andrews University in Berrien Springs, MI. Grace has 20 years of experience providing mental health and psychotherapy services to diverse populations in various settings, including telehealth, outpatient care, residential programs for youth and adults, Assertive Community Treatment, foster care, inpatient units, intensive in-home services, and private practice. Her approach is individualized, solution-focused, holistic, and goal-oriented, emphasizing clients' strengths and fostering a positive, affirming perspective. Grace specializes in treating individuals facing anxiety, depression, trauma, low self-esteem, mood instability, anger, unresolved emotional challenges, relationship difficulties, and life transitions. She works with adults, couples, and families. Grace's therapeutic techniques include counseling for emotional and personal growth, fostering purpose and meaning, and empowering self-esteem. Grace draws on evidence-based practices tailored to each client's needs, including Trauma-Informed Care, CBT, Trauma-Focused CBT, Motivational Interviewing, Collaborative Problem Solving, Positive Behavior Support, and Family Systems approaches.
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View Luke Romanow, MD

Luke Romanow, MD
Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison. Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private forensic psychiatry practice that conducts mental health evaluations for the legal system. Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy. Dr. Romanow incorporates treatment focusing on the importance of exercise, diet, and good sleep habits as a part of comprehensive mental health care.
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View Zaccaheaus Adams, LMHC

Zaccaheaus Adams, LMHC
Zaccaheaus (Zacc) Adams is a licensed clinical counselor in both Maryland and North Carolina. Zacc graduated from the University of North Carolina at Pembroke with his master's in clinical mental health counseling. He has been effective in providing therapy for many presenting concerns such as depression, anxiety, self-esteem/confidence, trauma, career conflicts, and relationship issues. Zacc has extensive experience working with adolescents, adults, couples, friends, and families. He aims to create a warm and inviting environment that will allow clients to further develop growth and empowerment within themselves. Zacc uses an integrative therapeutic approach to meet each client where they are in each session.
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View Natalie Cummings, MD

Natalie Cummings, MD
Dr. Natalie Cummings is a board-certified adult psychiatrist, and board-eligible geriatric psychiatrist. She obtained her medical degree from the University of North Carolina at Chapel Hill, and completed her residency training in psychiatry at the University of Miami Miller School of Medicine and Jackson Memorial Hospital. She then went on to complete her geriatric psychiatry fellowship at Icahn School of Medicine at Mount Sinai Beth Israel. During her fellowship, Dr. Cummings participated in Mount Sinai's Visiting Doctors Program, providing patient-centered and compassionate care to homebound elder adults in New York City. She also received training at Coler Rehabilitation and Nursing Care Center on Roosevelt Island during her fellowship, and presented at the American Association for Geriatric Psychiatry annual meeting. During her training, Dr. Cummings gained extensive experience providing psychiatric care to various patient populations in multiple patient care settings, including in the outpatient clinic, inpatient unit, and emergency department. Following her training, Dr. Cummings worked at New York Presbyterian's Gracie Square Hospital, serving first in the position of float psychiatrist, providing care to patients on every inpatient psychiatric unit (including the young adult/college student program, Orthodox Jewish program, psychotic disorders program, crisis-stabilization program, dual focus program, and Asian Psychiatry program), before transitioning to an established psychiatric attending for the older adult program. During her time at Gracie Square Hospital, Dr. Cummings received the Physician of the Year Award, and served as a Clinical Assistant Professor of Psychiatry at Weill Cornell Medicine. She worked closely alongside staff psychologist, social workers and nurses to provide multidisciplinary, collaborative care to patients suffering from a variety of mental health conditions. Dr. Cummings primarily focuses on medication management and supportive psychotherapy, but has extensive training in utilizing various therapy modalities, including cognitive behavioral therapy, interpersonal therapy, reminiscence therapy, and psychodynamic psychotherapy. When appropriate, Dr. Cummings will refer for more extensive psychotherapy and/or collaborate with your established psychotherapist for comprehensive care. Dr. Cummings strongly believes that addressing psychosocial and interpersonal factors (including relationship health, economic stressors, social isolation and loneliness) is as essential as pharmacologic management in treating mental health conditions. She has particular experience and interest in treating older adults and those suffering from memory disorders, but provides treatment for a variety of psychiatric conditions including depression, anxiety, bipolar disorder, obsessive-compulsive disorders, trauma-related disorders and substance use disorders. Dr. Cummings is a member of the American Psychiatric Association and American Association for Geriatric Psychiatry.
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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 United Healthcare?
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 anxiety?
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 UnitedHealthcare clinicians in North Carolina can also help with:
