Psychiatrist in Concord, NC
“At Bridge to Integrated Living, a comprehensive approach is 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. Initially he matriculated at the University of Minnesota, Twin Cities in Radiology, however after the passing of his mother in 2008, he decided to follow his passion in psychiatry. He graduated from Wake Forest University in 2012. He graduated fellowship in Addiction Psychiatry at the University of Texas, Southwestern, in 2013. Initially after graduation he continued to practice in the
inpatient setting in Texas, however in 2014 he moved to Charlotte, NC, and was one of the first psychiatrists to practice at Atrium-Davidson’s Dual Diagnosis unit. Currently he is practicing at Novant Health Presbyterian Medical Center in addition to private practice at Bridge to Integrated Living, PLLC in Concord, NC.
Dr Carter has continued to provide care for inpatient and outpatient care of psychiatric illnesses. In 2019, he pioneered use of intramuscular ketamine, for treatment resistant depression, in the inpatient setting.
In private practice, he is currently treating patients with
treatment resistant depression with Spravato.
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
ABOUT OUR OFFICE
Our office is 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.
We believe various components of life dictate how we feel, behave, and interact with other people. Genetics, or family history, predispose individuals to various psychiatric illnesses. Psychosocial elements, including conditions where we are born and raised, family interactions, education and employment also play a significant role in psychiatric illness.
At the Bridge to Integrated Living, we provide integrated treatment of all the entities in which patients are having difficulties. Integrated treatment, with psychotherapy and/or pharmacological tools, has been found to lead to improved outcomes. In some instances, medications may help to reduce cravings to abuse substances, along with treatment of any underlying psychiatric illness.
- Dual Diagnosis (Co-occurring disorders) - Careful review of onset of illnesses, with treatment focused identification of initial offending illness, which may precipitate use of substances in an effort to self medicate. Treatment of all identified derangements in an integrated method (treatment focusing on all underlying illnesses), versus parallel (multiple different physicians treating each problem) or serial method (treatment of acute alcohol withdrawal then treatment for underlying depression/anxiety.
In addition to the treatment options listed previously, we also provide specialized treatment plans for:
- Alcohol Use Disorders
- Binge Eating
- Generalized Anxiety Disorder
- Opioid Use Disorders
- Pathological Gambling
- Post-partum Depressive Disorder
- Stimulant Use Disorder
At Bridge to Integrated Living, we understand that treating some of these disorders may require immediate attention. In light of these specific circumstances, we are devoted to making treatment options as available as quickly as possible. Sometimes emergencies arise, and we want to ensure that we are not only providing the best possible treatment, but also delivering it in a timely manner.
We also believe in treating illnesses from a two-step approach (integrated treatment). If a patient’s affliction surrounds anxiety as well as substance abuse, we do not treat each disorder individually. Instead of handling illnesses and disorders one at a time, we tackle both simultaneously, as this has been shown to be a much more effective treatment method. We combine medication in addition to psychotherapy procedures to aid in our patients’ treatment and recovery process.
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. Mood Disorders may be complicated, treatment resistant, and require new or unconventional treatments to obtain a response. 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.
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, which most physicians use for assessments, 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. And lastly, social factors such as where and with whom a person resides, employment (for example, being unemployed, or happily employed), marital status, and financial factors. While not all factors are easily modified, consideration should involve deciding which type of treatment should be used. 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.
Depression, Bipolar Disorder, Anxiety Disorder, Attention Deficit Hyperactivity Disorder, Post Traumatic Stress Disorder, Substance Abuse Disorders, and select cases of Psychotic Disorders.
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.
Coming soon!! Bridge to Affective Wellness, PLLC will be accepting most major healthcare coverage plans. September 2022!
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.
In order to best effectively “bridge” all aspects of a patient’s life, an integrated approach is utilized.
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.