Shelby H.
October 9, 2025
I appreciate her honesty and how thoughtfully we worked through medication options. She listened carefully, acknowledged what I have been through, and helped me feel supported from the first visit.
Same-Day Virtual & Telehealth Appointments — North Carolina
Online psychiatrist now serving Apex & all of North Carolina

Licensed psychiatric providers, including PMHNPs, treating ADHD, anxiety, depression, PTSD, and more. Many patients are seen within 24 hours. Insurance accepted statewide.
Pinnacle Behavioral Health is a North Carolina psychiatric practice providing 100% virtual mental health care statewide. Licensed Psychiatric-Mental Health Nurse Practitioners (PMHNPs) treat ADHD, anxiety, depression, PTSD, bipolar disorder, and insomnia through secure telepsychiatry appointments. Patients can be seen the same day they request care, with no referral required.
The practice accepts most major insurance plans — including Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Medicare, NC Medicaid, and Tricare — and serves residents in Charlotte, Raleigh, Greensboro, Asheville, Durham, Winston-Salem, and every corner of North Carolina via telehealth.
Self-pay patients are welcome with transparent pricing: $179 for an initial psychiatric evaluation and $99 for follow-up medication management visits.
Adults with undiagnosed or undertreated ADHD
Comprehensive evaluation + medication management for focus, productivity, and daily functioning
People experiencing anxiety or panic
GAD, panic disorder, social anxiety, and health anxiety — including medication and follow-up care
Those managing depression
Major depression, dysthymia, seasonal affective disorder, and postpartum depression
Patients needing medication management
Ongoing psychiatric medication monitoring, adjustments, and refills without long wait times
North Carolinians in underserved areas
Rural and suburban communities without nearby psychiatric providers — all care is fully virtual
Busy professionals and students
Flexible scheduling, no commute, and same-day availability across NC cities and campuses
Most patients are seen within 24 hours — compared to the 4–8 week waitlist typical at traditional psychiatric practices in North Carolina.
Patients can book directly without going through a primary care physician first. Just select a time online and attend from home.
Pinnacle is credentialed with most major NC insurers, including NC Medicaid managed care plans — making care accessible at every income level.
Appointments are led by licensed Psychiatric-Mental Health Nurse Practitioners with advanced training in psychiatric diagnosis and pharmacotherapy.
Pinnacle serves all of North Carolina — from Charlotte and Raleigh to Asheville, Wilmington, and rural communities where local psychiatric care is unavailable.
No hidden fees. Initial evaluations are $179 and follow-up visits are $99 — affordable and predictable for patients without insurance or with high deductibles.
See available appointment times and request your visit online. Patients can book quickly here without scrolling to the bottom of the page.
Book online in just a few steps
Many patients are seen within 24 hours
Virtual care available across North Carolina
View open appointment times and book directly online.
Pinnacle Behavioral Health and Wellness provides secure telepsychiatry appointments throughout North Carolina, including Charlotte, Raleigh, Durham, Greensboro, Asheville, and rural communities.
Our providers treat ADHD, anxiety, depression, PTSD, bipolar disorder, and other mental health concerns through convenient virtual visits.
Average Patient Rating
Verified Reviews
Many Patients Seen Within
Virtual Care — No Office Visits Required
Virtual psychiatric care is available in major cities, college communities, and rural areas across North Carolina.
Specialized psychiatric care for common mental health conditions treated through telepsychiatry.
We are credentialed with many leading insurance providers across North Carolina.
We provide virtual psychiatric care throughout North Carolina, helping patients access treatment from home without the need to travel to an office.
Serving All of North Carolina
Virtual psychiatric care is available statewide — Charlotte, Raleigh, Durham, Greensboro, Asheville, Wilmington, and every community in between. No travel required.
Pinnacle Behavioral Health is a North Carolina-based psychiatric practice providing 100% virtual mental health care statewide. The practice is led by licensed Psychiatric-Mental Health Nurse Practitioners (PMHNPs) and specializes in ADHD evaluation, anxiety treatment, depression treatment, PTSD care, and psychiatric medication management via secure telehealth appointments.
Yes. North Carolina law allows fully virtual psychiatric care via telehealth. Pinnacle Behavioral Health serves patients throughout the state — from Charlotte and Raleigh to Asheville and Wilmington — with no in-person visit required. All appointments are conducted via secure HIPAA-compliant video.
Yes. Many patients are scheduled the same day or within 24 hours of requesting an appointment. Same-day telepsychiatry is available across North Carolina for ADHD, anxiety, depression, and medication management — no referral required.
Yes. Most major insurance plans cover telehealth psychiatric visits at the same rate as in-person visits. Pinnacle Behavioral Health accepts Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Humana, Medicare, NC Medicaid (including Healthy Blue, WellCare, Trillium Health, and Carolina Complete Health), and Tricare. Self-pay rates are $179 for an initial evaluation and $99 for follow-up visits.
Pinnacle Behavioral Health treats ADHD (adult and adolescent), generalized anxiety disorder, panic disorder, social anxiety, major depressive disorder, seasonal depression, postpartum depression, PTSD, bipolar disorder, insomnia, and OCD. All care is delivered via HIPAA-compliant video appointments accessible from anywhere in North Carolina.
A psychiatrist or psychiatric nurse practitioner can diagnose mental health conditions and prescribe medication. A therapist provides talk therapy and coping strategies but cannot prescribe. Many patients benefit from both — Pinnacle's providers can coordinate with your existing therapist for comprehensive care.
Your first appointment is a 45- to 60-minute evaluation via secure video. Your provider will review your current symptoms, mental health and medication history, family history, and how your condition is affecting your daily life. If medication is appropriate, a prescription is sent electronically to your preferred pharmacy the same day. Follow-up appointments are typically 20–30 minutes.
Read a few recent patient experiences with Pinnacle Behavioral Health and Wellness.
October 9, 2025
I appreciate her honesty and how thoughtfully we worked through medication options. She listened carefully, acknowledged what I have been through, and helped me feel supported from the first visit.
September 28, 2025
Positive experience and overall a great provider. I will continue to return. Thank you!
September 16, 2025
She was very knowledgeable, kind, patient, and generous. A pleasure to work with, and I look forward to my next visit.
Book your same-day telepsychiatry appointment, chat with us, or call now.