Psychiatrist in Concord, NC
“At the 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
I was born and raised in Chicago, Illinois, “the Windy City.” I attended the University of Minnesota (95-00) BS obtained, in Minneapolis, then Howard University (00-04) where I obtained my medical degree. Deferred radiology residency from 2004 to 2005 to care for mother. University of Minnesota, Twin Cities – Radiology resident (05-08)
Psychiatry residency - Wake Forest University in Winston Salem, North Carolina (09-12). Addiction psychiatry fellowship - University of Texas Southwestern in Dallas – Addiction Psychiatry Fellowship.
At UT Southwestern, I learned about treating patients with addiction diagnoses, in conjunction with co-occurring general psychiatric illnesses. An integrated approach is found to provide a more robust effect, in treatment of dually diagnosed individuals, where the patient as a whole is considered.
I obtained Board Certifications in General Psychiatry, Addiction Psychiatry, and Addiction Medicine.
ABOUT THE DOCTOR
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, a comprehensive approach is applied to each patient, as every patient has an individual set of biological and psychosocial factors.
Conditions including, but not limited to Depression, Bipolar Disorder, Anxiety, Substance Abuse, Binge Eating Disorder, and Pathological Gambling may be treated at Bridge to Integrated Living. Most times patients will have difficulties with a combination of disorders, needing an integrated approach to treatment. Based on experience and evidence, an integrated method of treatment works superiorly to treatment which isolates treatment to one or two entities at a time.
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.
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
GENERAL PSYCHIATRIC EVALUATION
Initial Psychiatric Evaluation – $300
Follow up Medication Management – $200
Suboxone Induction – $300
Suboxone Follow up medication management – $200
Alcohol/Substance Abuse Court Mandated Evaluations – $250
Telepsychiatry Evaluations for Established Patients – $250
Prescription refill outside of scheduled appointment – $100
No call/no show for appointment – $100
Fee for service – Our office 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.
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.