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. We provide 100% virtual mental health care. Our providers are licensed Nurse Practitioners. They treat ADHD, anxiety, depression, PTSD, and more through secure video visits.
Patients are seen the same day they request care. No referral is required.
The practice accepts Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Medicare, NC Medicaid, and Tricare. Patients across North Carolina can be seen via telehealth. This includes Charlotte, Raleigh, Greensboro, Asheville, Durham, Winston-Salem, and every corner of the state.
Self-pay patients are welcome. Pricing is simple. An initial evaluation costs $179. Follow-up visits cost $99.
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. Traditional psychiatric practices in North Carolina typically have 4–8 week waitlists.
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. Care is 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. That includes Charlotte, Raleigh, Asheville, Wilmington, and rural communities where local psychiatric care is unavailable.
No hidden fees. An initial evaluation costs $179 and follow-up visits cost $99. This is 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.
We serve patients across all of North Carolina. This includes Charlotte, Raleigh, Durham, and Greensboro. We also serve Asheville and many rural towns.
Our providers treat ADHD, anxiety, and depression. We also treat PTSD, bipolar disorder, and other concerns. All visits are done by secure video from home.
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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.
Explore popular self-check tools and local psychiatry guides. These include regional pages and core treatment pathways patients use to compare care options across North Carolina.
Review common adult ADHD signs and learn when to book a full evaluation.
Understand bipolar symptoms, diagnosis, and treatment options available statewide.
A local guide to psychiatric care, ADHD treatment, and telepsychiatry in Charlotte.
Resources, crisis lines, and same-day psychiatry options for Durham County patients.
A practical guide for college students who need faster care beyond campus counseling.
Virtual therapy and medication support for Monroe, Rockingham, Kings Mountain, and nearby towns.
Regional telepsychiatry coverage for Wilmington, Jacksonville, Greenville, and coastal communities.
Mental health access for small towns and underserved communities across rural NC.
See how same-day telepsychiatry works for new evaluations, urgent follow-up, and medication support.
Learn when therapy, medication management, or a combined care plan makes the most sense.
Compare psychiatry, therapy, and medication support when you need care close to home.
Use our symptom guide to review warning signs and decide when to reach out for help.
Find same-day telepsychiatry in North Carolina by city, county, or region — no referral needed.
Step-by-step guide: verify insurance, compare providers, and book a same-day appointment.
We provide virtual psychiatric care throughout North Carolina. Patients access treatment from home. No travel to an office is needed.
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). It specializes in ADHD, anxiety, depression, PTSD, and psychiatric medication management via secure telehealth.
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. No in-person visit is 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, and Tricare. NC Medicaid plans accepted include Healthy Blue, WellCare, Trillium Health, and Carolina Complete Health. Self-pay rates are $179 for an initial evaluation and $99 for follow-up visits.
Pinnacle Behavioral Health treats ADHD, anxiety disorders, depression, PTSD, bipolar disorder, insomnia, and OCD. Adult and adolescent patients are seen. All care is delivered via HIPAA-compliant video appointments 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 symptoms, mental health history, medication history, and family history. They will also ask how your condition affects 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.