Move Forward, Choose Arrive Mental Health
We provide Outpatient Psychiatric Medication Management and supportive therapy for patients 18 and over. We specialize in function. What do you need to be the person you want to be? We specialize in ADHD and also treat Depression, Anxiety, and PTSD. We prescribe, if indicated; antidepressants, stimulants, mood stabilizers, benzodiazepines (following FDA guidance), and other similar medications.
Meet Bryan
I'm interested in being part of my patients search for Mental Health and Happiness. North Carolina based and ready to explore what you're really looking for. This is a tough one in 2024 with most patients in survival mode. Are you depressed or depleted? My approach is collaborative, forward looking, and personalized. Some might say casual in a warm way. Your plan will include talk therapy, exercise, and nutrition. I am the psychiatric medication piece of that plan. Medicines alone are not going to get you where you want to be.
Now Open for telehealth and available January 2025 for in person visits.
At Arrive Mental Health, our patients' satisfaction is our top priority. We offer a welcoming and comfortable environment, personalized care, and convenient appointment scheduling to ensure that our patients receive the best possible experience.
Bryan takes about as many people off or on lower doses of psychiatric medicines then he does start or increase them. As an example, were you put on a high dose of antidepressant during a difficult time and now just feel empty? It might be less medicine that makes you feel better. My goal is "the right medicine at the right dose".
One practice niche seems to be working with adult females who are struggling with depression and anxiety related to functional difficulties- antidepressants haven't helped, we look to see its ADHD. Perimenopausal- a tough time no one talks about- we are going to see if this triggered ADHD and advocate for consideration of low dose HRT before antidepressants.
Will I need a separate therapist? Bryan does psychiatric medication management and forward looking supportive and solution based therapy. This is enough for some, others, especially those with a history of trauma would benefit from a separate therapist good with CBT, DBT, or EMDR. Others might benefit from a 'life coach'.
Using Insurance?
Arrive Mental Health is currently seeing North Carolina patients in network with most plans with Aetna, Cigna, and Blue Cross Blue Shield of NC. We do not take United, Medicaid or Medicare at this time, we are hopeful to add in the future. We utilize a company called 'Headway' to process insurance. They are great with answering insurance questions and are experts with getting you the right copay for telehealth.
Not using insurance or filing yourself. Book direct through the Clinic Portal
The reality is that it is sometimes just easier or more efficient not to use insurance. It doesn't make financial sense to pay full rates to meet an unreachable deductible. It might be better to book direct below and get same day payment rates for your visit. You will register and then can directly book an appointment.
Want to See if we are a good fit to work together on your mental health goals. Book a free 15 minute intro.
It is important our styles match up so please say hello if that increases your comfort with finding what you want in a provider.
Bryan is usually described as warm, casual, and caring. Bryan's led a couple different lives as a business major, an entrepreneur, a Trauma ICU nurse, a social entrepreneur, and now as Psychiatric Nurse Practitioner the past 10 years. Bryan can usually be found out on the Road, literally, as he is obsessed with completing an infamous Journey Run called 'The Last Annual Vol State'. 314 unsupported miles across Tennessee every July. But Bryan isn't very good as an ultra runner and has only made it 92 and 125 miles the past two years. "It isn't the success that helps me grow, it is when I struggle". Bryan has children off at the Kansas City Art Institute and at Appalachian State. He is married to Julia and you can usually find Bryan at the Chatham County Dog Park with his hound dog Jasper.
What We Don't Treat
Please see the right provider for your condition. This is an outpatient clinic and not appropriate for patients in an active crisis, those with an active substance use disorder, psychotic disorders, medical complexity, or intellectual related behavioral disabilities. Bryan can help with symptoms of those on the ASD Spectrum but if you want testing and wrap around services you should utilize the wonderful specialized services of the Chapel Hill TEACCH® Center.
Technological Innovation
Bryan is a national expert in inclusion and mental health technology. You can find his groundbreaking work at TransmissionMentalHealth.org (our 510c3 nonprofit). We currently use forms but think we can do better. Look for digital intakes to be incorporated into Arrive Mental health soon. Why is mental health so painful and boring?
Ryan Haight Act
Taking stimulants or anti anxiety medications (benzodiazepines)? A requirement that the patient see the provider in person before prescribing these medications was suspended during covid. This will probably be reinstated in some form in 2025. Some pharmacists are even now refusing to fill controlled substances if they think the person got the prescription from an 'online provider'. Arrive Mental Health is local to NC and in person visits will be available in Pittsboro and Chapel Hill. Telehealth is great. but your provider should be somewhat local in case the law changes.
Gender Treatment
Bryan appreciates gender identity and expression. Please be who you are and expect respect, care and understanding. That said, if you are looking for help with gender issues, Bryan is a medication management provider and doesn't think gender is something you treat with psychiatric medications. Bryan can help if depression or anxiety is a 'side effect' but a great therapist is your starting point and anchor point for treatment in this area.