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. No in-person visit required.
About Pinnacle Behavioral Health & Wellness
Pinnacle Behavioral Health & Wellness is a North Carolina–based psychiatric practice providing 100% virtual mental health care statewide. 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. All care is delivered via secure video appointments — no in-person visits required.
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:
Our team of board-certified Psychiatric Mental Health Nurse Practitioners provides compassionate, evidence-based psychiatric care across North Carolina via telehealth.
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 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 all of 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 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
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 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.
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 — with no in-person visit required. All appointments are conducted via secure HIPAA-compliant video.
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 through our website or via Zocdoc. 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:
Bipolar Disorder Treatment in North Carolina: What You Need to Know
Bipolar disorder is one of the most misunderstood mental health conditions — and one of the most treatable. If you or someone you love experiences dramatic mood swings that disrupt daily life, understanding the signs and available treatment options in North Carolina is the first step toward stability.
Get a Same-Day Psychiatric Evaluation
Concerned about bipolar symptoms? Our providers offer comprehensive evaluations statewide via telehealth. Insurance accepted.
Bipolar disorder is a mood disorder characterized by alternating episodes of mania (or hypomania) and depression. It is not simply mood swings from a bad day — the episodes last days, weeks, or months and significantly affect relationships, work, and physical health.
There are several types:
Bipolar I — at least one manic episode lasting 7+ days, often with depressive episodes
Bipolar II — hypomanic episodes (less severe than mania) plus depressive episodes
Cyclothymic Disorder — numerous periods of mild hypomanic and depressive symptoms over 2+ years
Signs and Symptoms of Bipolar Disorder
Manic/Hypomanic Episode Signs
• Unusually elevated or irritable mood
• Decreased need for sleep
• Racing thoughts or pressured speech
• Inflated self-esteem or grandiosity
• Impulsive, risky behavior (spending, driving)
• Increased goal-directed activity
Depressive Episode Signs
• Persistent sadness or hopelessness
• Fatigue and low energy
• Loss of interest in activities
• Difficulty concentrating
• Changes in sleep and appetite
• Thoughts of death or suicide
If you or someone you know is experiencing thoughts of suicide or self-harm, call or text 988 (Suicide and Crisis Lifeline) immediately, or go to your nearest emergency room.
How Bipolar Disorder Is Diagnosed
Diagnosis requires a thorough psychiatric evaluation — there is no blood test or brain scan that confirms bipolar disorder. A licensed provider will:
Review your full mood history, including past episodes you may not have recognized
Assess sleep patterns, energy cycles, and family history
Rule out medical causes (thyroid issues, substance use)
Use standardized screening tools like the MDQ (Mood Disorder Questionnaire)
Many people with bipolar disorder are initially misdiagnosed with depression, which is why specialist evaluation matters. At Pinnacle Behavioral Health and Wellness, our providers take a comprehensive approach to every evaluation.
Treatment Options for Bipolar Disorder in NC
Effective bipolar treatment typically combines medication, therapy, and lifestyle strategies. Our approach:
Mood Stabilizers
Lithium remains a gold standard for bipolar I. Valproate (Depakote) and lamotrigine (Lamictal) are also widely used, with lamotrigine particularly effective for depressive phases.
Atypical Antipsychotics
Quetiapine (Seroquel), aripiprazole (Abilify), and lurasidone (Latuda) are FDA-approved for bipolar episodes and are commonly prescribed alongside mood stabilizers.
Ongoing Medication Management
Bipolar disorder requires consistent follow-up to monitor medication levels, side effects, and mood stability. Our providers offer regular telehealth check-ins statewide.
Frequently Asked Questions
What does bipolar disorder feel like?
People describe it as living on an emotional roller coaster — periods of feeling "on top of the world" with boundless energy, followed by crashes into deep depression where getting out of bed feels impossible.
Can bipolar disorder be treated through telehealth in NC?
Yes. Evaluation, medication management, and monitoring appointments can all be conducted via HIPAA-compliant telehealth in North Carolina. Many patients prefer the convenience of not needing to travel to appointments.
How long does bipolar disorder treatment take?
Bipolar disorder is a long-term condition requiring ongoing management, but most patients achieve significant mood stability within weeks to months of starting appropriate medication.
Does insurance cover bipolar disorder treatment in NC?
Yes. Mental health parity laws require most insurance plans to cover bipolar disorder treatment the same as physical health conditions. We accept BCBS, Aetna, Cigna, UnitedHealthcare, Medicare, NC Medicaid, and Tricare.
Ready to Get Help for Bipolar Disorder in North Carolina?
Same-day telepsychiatry appointments. Insurance accepted. No referral needed.
Pinnacle Behavioral Health and Wellness provides bipolar disorder evaluation and treatment across North Carolina via telehealth, including Charlotte, Raleigh, Durham, Greensboro, Winston-Salem, Fayetteville, and surrounding communities.
