Pinnacle Behavioral Health & Wellness — Same-Day Telepsychiatry in North Carolina

Virtual psychiatric care statewide for ADHD, anxiety, depression, PTSD, bipolar disorder, and medication management. Insurance and Medicaid accepted. Community behavioral health hubs in Denton and Troy.

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About Pinnacle Behavioral Health & Wellness

Pinnacle Behavioral Health & Wellness is a North Carolina–based psychiatric practice providing virtual mental health care statewide plus community behavioral health hubs in Denton and Troy. Founded by Afi Kpakossou, PMHNP-BC, the practice is staffed by board-certified Psychiatric Mental Health Nurse Practitioners who specialize in evidence-based evaluation and medication management for adults and adolescents across North Carolina.

We offer same-day and next-day telehealth appointments for ADHD evaluation, anxiety treatment, depression treatment, PTSD care, bipolar disorder management, insomnia treatment, and psychiatric medication management. All appointments are conducted via secure, HIPAA-compliant video — accessible from Charlotte, Raleigh, Greensboro, Durham, Wilmington, Asheville, Fayetteville, and every other city and county in North Carolina.

We accept most major insurance plans including Blue Cross Blue Shield of NC, Aetna, Cigna, UnitedHealthcare, Humana, Medicare, and NC Medicaid (Healthy Blue, WellCare, Trillium Health, and Carolina Complete Health). Tricare is also accepted. Self-pay rates are available.

Our Psychiatric Services

Pinnacle Behavioral Health offers a full range of outpatient telehealth psychiatric services for adults and adolescents throughout North Carolina. Care is delivered via secure video appointments statewide, with in-person visits available at the community behavioral health hubs in Denton and Troy.

  • ADHD Evaluation and Treatment — comprehensive adult and adolescent ADHD assessments, diagnosis, and medication management including stimulant and non-stimulant options
  • Anxiety Treatment — evidence-based care for generalized anxiety disorder (GAD), panic disorder, social anxiety disorder, and health anxiety
  • Depression Treatment — evaluation and medication management for major depressive disorder, seasonal affective disorder (SAD), and postpartum depression
  • PTSD Treatment — trauma-informed psychiatric care and medication management for post-traumatic stress disorder
  • Bipolar Disorder Treatment — mood stabilization, medication management, and ongoing psychiatric support for bipolar I and bipolar II disorder
  • Insomnia Treatment — evaluation and treatment of chronic insomnia and sleep disturbances with both behavioral and pharmacological approaches
  • Psychiatric Medication Management — ongoing prescription refills, medication adjustments, and collaborative monitoring for stable patients
  • Psychiatric Evaluation — thorough 45- to 60-minute initial evaluations covering mental health history, current symptoms, and treatment planning

Mental Health Conditions We Treat

Our providers are experienced in diagnosing and treating a wide range of psychiatric conditions via telehealth in North Carolina, including:

  • ADHD (Attention-Deficit/Hyperactivity Disorder) — adult and adolescent ADHD, inattentive type, hyperactive-impulsive type, and combined presentation
  • Anxiety Disorders — generalized anxiety disorder, panic disorder, social anxiety, health anxiety, and agoraphobia
  • Depression — major depressive disorder, persistent depressive disorder (dysthymia), seasonal depression, postpartum depression
  • PTSD (Post-Traumatic Stress Disorder) — trauma-related symptoms, hypervigilance, flashbacks, avoidance, and nightmares
  • Bipolar Disorder — bipolar I, bipolar II, and cyclothymic disorder with mood stabilization and medication management
  • OCD (Obsessive-Compulsive Disorder) — intrusive thoughts, compulsive behaviors, and obsessive thinking patterns
  • Insomnia and Sleep Disorders — chronic insomnia, sleep-onset difficulties, and sleep maintenance problems
  • Panic Disorder — recurrent panic attacks, anticipatory anxiety, and avoidance behaviors

Meet Our Providers

Our team of board-certified Psychiatric Mental Health Nurse Practitioners provides compassionate, evidence-based psychiatric care across North Carolina via telehealth.

Afi Kpakossou, PMHNP-BC

Afi Kpakossou is a board-certified Psychiatric Mental Health Nurse Practitioner and founder of Pinnacle Behavioral Health & Wellness. She specializes in ADHD evaluation and treatment, anxiety, depression, PTSD, and psychiatric medication management for adults and adolescents in North Carolina. Afi provides all care via HIPAA-compliant telehealth and is dedicated to accessible, culturally sensitive psychiatric care statewide.

Fred Amematsro, PMHNP-BC

Fred Amematsro is a board-certified Psychiatric Mental Health Nurse Practitioner at Pinnacle Behavioral Health & Wellness. He specializes in ADHD, bipolar disorder, depression, anxiety, PTSD, and schizophrenia spectrum disorders. Fred conducts psychiatric evaluations and medication management visits via telehealth for patients throughout North Carolina.

Serving All of North Carolina

Because our psychiatric services are delivered via telehealth, we serve patients across every region of North Carolina — from the mountains to the coast. You can see a provider from the comfort of your home, office, or anywhere with a stable internet connection.

We also operate two Pinnacle Community Behavioral Health Hubs — physical locations where patients can connect with a provider in a private room, with staff on hand to help:

  • Denton Community Behavioral Health Hub — 56 W Salisbury St, Suite H, Denton, NC 27239, serving Davidson County and surrounding rural communities, with a Pinnacle provider onsite every Tuesday
  • Troy Community Behavioral Health Hub — 348 North Main Street, Troy, NC 27371, serving Troy, Montgomery County, and surrounding rural communities

We serve patients in major cities and metro areas including:

  • Charlotte and the greater Charlotte metro area including Concord, Gastonia, Mooresville, and Monroe
  • Raleigh, Durham, Chapel Hill, and the Research Triangle region
  • Greensboro, Winston-Salem, High Point, and the Triad region
  • Wilmington and the coastal NC region including Jacksonville and New Bern
  • Fayetteville, Fort Liberty, and surrounding Cumberland County
  • Asheville and western North Carolina
  • Durham and surrounding Triangle communities
  • Cary, Apex, and Wake County suburbs

We also serve patients in Coastal NC, the Triad region, and the Charlotte metro region, as well as many other cities including Burlington, Kannapolis, Rocky Mount, Wilson, Goldsboro, Greenville, Huntersville, Hickory, and Concord.

Insurance We Accept

Pinnacle Behavioral Health accepts most major insurance plans. Telehealth psychiatric visits are typically covered at the same rate as in-person visits. We accept:

  • Blue Cross Blue Shield of North Carolina (BCBS NC)
  • Aetna
  • Cigna / Evernorth
  • UnitedHealthcare / UHC / Optum
  • Humana
  • Medicare (Original Medicare and Medicare Advantage)
  • NC Medicaid — including Healthy Blue, WellCare, Trillium Health, and Carolina Complete Health
  • Tricare (for active-duty military, veterans, and their families)

Self-pay rates are $179 for an initial psychiatric evaluation and $99 for follow-up medication management visits. No referral is required to schedule an appointment.

Frequently Asked Questions

What is Pinnacle Behavioral Health & Wellness?

Pinnacle Behavioral Health & Wellness is a North Carolina–based psychiatric practice providing virtual mental health care statewide plus community behavioral health hubs in Denton and Troy. 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.

Can I see a psychiatric provider online in North Carolina?

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 — by secure HIPAA-compliant video, and in person at the community behavioral health hubs in Denton and Troy.

Can I book a same-day psychiatric appointment in North Carolina?

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.

Does insurance cover telepsychiatry in North Carolina?

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.

What mental health conditions does Pinnacle Behavioral Health treat?

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.

What should I expect at my first psychiatric appointment?

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.

How is a psychiatrist different from a therapist?

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.

Do I need a referral to see a psychiatric provider at Pinnacle?

No referral is required. You can book directly online on our website. Same-day and next-day appointments are often available. Simply select a provider, choose a time that works for you, and complete your intake forms online before your appointment.

Mental Health Resources & Blog

Our blog covers a wide range of mental health topics including ADHD symptoms and treatment, anxiety management, depression signs and recovery, medication guides, sleep health, and telehealth tips. Recent articles include:

  • ADHD in Adults: Signs, Symptoms, and Treatment Options
  • How to Get ADHD Medication in North Carolina
  • Anxiety vs. ADHD: How to Tell the Difference
  • What Is Telepsychiatry and How Does It Work?
  • Best ADHD Medication for Adults: Stimulants vs. Non-Stimulants
  • Signs of Depression: When to See a Psychiatrist

Pinnacle Behavioral Health & Wellness | Same-Day Telepsychiatry in North Carolina

Phone: (336) 828-2599 | Email: contact@pinnaclebhw.com

Serving patients across all of North Carolina via HIPAA-compliant telehealth. Insurance and Medicaid accepted.