BRIDGE to INTEGRATED Living
BRIDGE to AFFECTIVE Wellness
1028 LEE ANN DRIVE, SUITE 60
CONCORD, NC 28025
980-272-1908
Psychiatrist - Concord, NC
“At Bridge to Integrated Living and Bridge to Affective Wellness, comprehensive approaches are applied to each patient, as every patient has an individual set of biological and psychosocial factors.”
NATHAN CARTER, MD
Nathan Carter, MD is a graduate of Howard University College of Medicine.
Residency - Wake Forest University in 2012.
Fellowship - Addiction Psychiatry - University of Texas, Southwestern, in 2013.
In 2014 was one of the first psychiatrists to practice at Atrium-Davidson’s Dual Diagnosis unit.
Currently at Novant Health Presbyterian Medical Center. There In 2019, Dr. Carter pioneered use of intramuscular ketamine, for treatment resistant depression, in hospitalized psychiatric patients.
Bridge to Affective Wellness - treatment resistant depression with Spravato.
Bridge to Integrated Living for dual diagnosis/substance use disorders
In 2021, Dr Carter and his partner welcomed twin girls in the world. He enjoys martial arts, reading and poker in his free time.
Dr Carter has received board certifications in Psychiatry, Addiction Psychiatry and Addiction
Medicine.
ABOUT OUR OFFICES
Our offices are located in Concord, NC, at 1028 Lee-Ann Drive Northeast, Suite 60.
When you come into the building, take the elevator to the ground level and walk to your left.
Exciting news! Effective 2/17/2024, Bridge to Affective Wellness, PLLC, in network with Blue Cross Blue Shield Health Insurance.
Providing empathic, evidence-based approach in assessment and treatment.
What Is Integrated Living?
There are various dimensions of what most people would consider in determining a healthy mindset. The bio-psychosocial model, used by most physicians, examines biological, psychological and social factors:
Biological factors are comprised of inherited dysfunctions (family history of illness), ongoing concurrent illness (general medical conditions, substance abuse) or underlying psychiatric disorders.
Psychological factors include a person’s cognition, thoughts and behaviors, which may contribute to psychiatric conditions.
Social factors such as where and with whom a person resides, employment (for example, being unemployed, or happily employed), marital status, and financial factors.
At Bridge to Integrated Living, we consider all facets of a client’s livelihood in formulating an all encompassing treatment plan for development and maintenance of a healthy psyche.
ACCEPTING PATIENTS! Exciting news! Effective 2/17/2024, Bridge to Affective Wellness, PLLC, in network with Blue Cross Blue Shield Health Insurance. In 2022, Bridge to Affective Wellness, PLLC, was formed. Affect, as defined by Merriam-Webster, is "a set of observable manifestations of an experienced emotion. Treatment resistant depression or other mood disorders may not respond to just one medication. If you or a love one have taken two or more antidepressants or have adverse reactions to the medications causing discontinuation, without response, treatment resistant depression may be the case. For the past 50 years antidepressant medications have mainly focused on serotonin/norepinephrine brain systems; we have discovered use of ketamine for treatment resistant depression. We are treating patients with treatment resistant depression with Spravato, which obtained FDA indication for such in 2019.
What Is Affective Wellness?
DUAL DIAGNOSES TREATMENT
Why Integrated Treatment Is Most Effective in Dual-Diagnosis Treatment.
Integrating all aspects of psychiatric illness has been found to have a more robust effect than treating illnesses using sequential treatment, or one disorder at a time. If a patient is suffering from anxiety, in addition to alcohol abuse, sequential treatment would involve inpatient or outpatient detoxification, and then treatment of anxiety. Integrated treatment uses medications and or psychotherapy to treat recovery from alcohol, with simultaneous treatment for the underlying anxiety. This scenario is an example of a patient suffering with a dual diagnosis. In order to best effectively “bridge” all aspects of a patient’s life, an integrated approach is utilized.
The following list contains additional examples of disorders, but is not limited to the areas of treatment provided at Bridge to Integrated Living:
ALCOHOL USE DISORDERS – Outpatient treatment suitable for individuals that do not require inpatient detoxification for stabilization. Treatment may be suitable to involve FDA approved medications and non-FDA approved medications in reducing cravings to drink alcohol.
OPIOID USE DISORDERS – Treatment involving suboxone, an opioid partial agonist, which acts as a bridge to sobriety for individuals with opioid illness. Includes induction to suboxone treatment, ensuring patients are referred to individual/group psychotherapy, and routine testing for continued abuse of opiates or other illicit substances. Suboxone treatment at the Carter Institute will involve bi-weekly visits initially, until both the patient and psychiatrist feel that stabilization has begun. Routine urine drug testing affords both the patient and provider with information regarding continued sobriety.
STIMULANT USE DISORDERS – Cocaine, psychostimulants (Adderall, Vyvanse), methamphetamines.
HALLUCINOGENS – Patients using hallucinogens including, but not limited to, Ecstasy, Nitrous Oxide, PCP, and DHT, among other drugs, may be assessed and treated accordingly.
PATHOLOGICAL GAMBLING – Some medications have proven effective in treatment of pathological gambling along with treatment of co-occurring or subsequent mental illness.
COMPULSIVE OVEREATING/BINGE EATING – Medications may be utilized once patient has been assessed. New studies have found effectiveness of medications in decreasing binge behaviors.
Providing empathic, evidence-based approach in assessment and treatment.
RATES & TREATMENT FEES
Bridge to Integrated Living, PLLC
Initial Psychiatric Evaluation – $300
Follow up Medication Management – $200
Suboxone Induction – $300
Suboxone Follow up medication management – $200
Spravato treatment - $400
Prescription refill outside of scheduled appointment – $100
No call/no show for appointment – $100
FMLA/Disability paperwork - $40
Bridge to Affective Wellness, PLLC
Psychiatric Evaluation - $350
Spravato treatment - $400
Fee for service – Bridge to Integrated Living, PLLC is “out of network” for all insurance payments. Payment is due at the time of service. An invoice will be provided to patients to submit to their insurance company, if applicable.
ACCEPTING PATIENTS!
Exciting news! Effective 2/17/2024, Bridge to Affective Wellness, PLLC, in network with Blue Cross Blue Shield Health Insurance.
To set up an appointment with one of the top psychiatrists in Concord, NC, call us today at 980-272-1908 or fill out the contact form below.