Believe in WE,
At Certus, we offer several evidence-based mental health services.
Dr. Giesla Kohl is a board-certified psychiatrist who the Certus practice. She and her team of psychiatric healthcare professionals are here to help you or a loved one realize the best outcomes possible.
All new patients receive an in-depth evaluation and consultation that will work to lay the groundwork for your recovery process. Please keep in mind that recovery is a process. It may take weeks or even months for significant progress to be made.
Our team of certified counselors will help you meet your specific and unique needs. No two people are alike, and we will work to create your own personalized path to recovery.
- Acceptance and commitment therapy (ACT)
- Alpha-Stim™ Electro-Therapy
- Cognitive Behavioral Therapy (CBT)
- Couples Therapy
- Dialectical Behavior Therapy (DBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Motivational Interviewing (MI)
- Relapse Prevention Therapy (RPT)
- Solution-Focused Therapy also called Solution-Focused Brief
- Therapy (SFBT)
- Trauma-Focused Cognitive Behavioral Therapy( TFCBT)
- Click here to learn more
- Sometimes, medication is a necessary course of action to help you overcome or kick-start the process of helping you achieve better mental health.
- One medication may help a person thrive, and side effects can worsen than the treatment for someone else.
- To help us improve your treatment options, we offer GeneSight testing. By examining how your DNA responds to specific medications, this simple, painless test lets us know which medications may not work for you, so you can get back to feeling like yourself again. To learn more, click here.
INJECTION MEDICATION MANAGEMENT
Taking the right medication at the right time is often crucial in the recovery process that many either don’t pay attention to or simply can’t manage properly. That’s when regularly scheduled injections make the most sense.
Our Winston-Salem office is one of the few injection medication clinics in N.C.
Injections of your medication ensure you receive it at the right time for the maximum benefit. Plus, the additional medical oversight may work to your advantage in keeping you on the path better outcomes.
Some of the medication we offer through injection therapy include:
- SUBLOCADE – This medication is approved for the substance abuse treatment of moderate to severe opioid use disorder in patients who have initiated treatment with a transmucosal buprenorphine‑containing product, followed by dose adjustment for a minimum of 7 days.
- VIVITROL – We are one of the very few medical practices in Winston-Salem to use Vivitrol. This new once-a-month injection helps to reinforce your recovery to prevent opioid or alcohol relapse after detox. To learn more, click here. We also employ several other medically-based and consultative treatments for substance abuse.
- ARISTADA – This is a prescription medicine given by injection by a healthcare professional and used to treat schizophrenia. This medication is not approved for patients under the age of 18. Click here to learn more.
- INVEGA TRINZA – This medication is designed to treat schizophrenia in adults and adolescents (12-17 years of age).
- ABILIFY MAINTENA – This medication is used to treat schizophrenia and different forms of depression.
SUBSTANCE ABUSE MEDICATION MANAGEMENT
There is no question that alcohol and drug addiction is rising. The COVID-19 pandemic hasn’t helped.
When you are ready to accept help, know that Certus is here to help you with medical and consultive support. Click here to learn more.
Note that we can only offer treatment to those who come to us of their own free will. If you or a loved one is in a crisis and needs help right away, call 9-1-1 or seek emergency assistance immediately!
Conditions We Commonly Treat
Anxiety involves focusing on bad or dangerous things that could happen and worrying fearfully and excessively about them. Anxiety disorders include generalized anxiety disorder (GAD), panic disorder, and phobias (extreme or irrational fears of specific things, such as heights).
Bipolar Disorders are often seen as periods of excessive excitement, activity, and energy followed by periods of depression or anger. Bipolar II Disorder is a bipolar spectrum disorder characterized by at least one episode of hypomania and at least one episode of major depression. Diagnosis for bipolar II disorder requires that the individual must never have experienced a full manic episode.
Depression & Depressive Disorders
Depression is often characterized by feelings of extreme sadness and worthlessness, along with reduced interest in previously enjoyable activities. Examples include major depressive disorder and premenstrual dysphoric disorder (PMDD), which is more severe than the more widely known premenstrual syndrome (PMS). PMS is not classified as a psychiatric disorder.
Disruptive, Impulse-Control and Conduct Disorders
People with these disorders show symptoms of difficulty with emotional and behavioral self-control. Examples include kleptomania (repeated stealing) and intermittent explosive disorder.
These are disorders in which the person’s sense of self is disrupted, such as dissociative identity disorder and dissociative amnesia.
Feeding and Eating Disorders
These psychiatric disorders are disturbances related to eating, such as anorexia nervosa, bulimia nervosa, and binge eating disorder.
These disorders stem from the distress that goes with a person’s stated desire to be a different gender. The diagnostic criteria in this group differ somewhat among children, adolescents, and adults.
These psychiatric disorders affect people’s ability to think and reason. The disorders in this group include delirium as well as disorders of thinking and reasoning caused by such conditions or diseases as traumatic brain injury or Alzheimer’s disease.
The many psychiatric disorders in this group usually begin in infancy or childhood, often before a child starts school. Examples include attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, and learning disorders.
Obsessive-Compulsive and Related Disorders
People with these disorders experience repeated and unwanted urges, thoughts, or images (obsessions) and feel driven to taking repeated actions in response to them (compulsions). Examples include obsessive-compulsive disorder (OCD), hoarding disorder, and hair-pulling disorder (trichotillomania).
Many sexual-interest disorders are included in this group. Examples include sexual sadism disorder, voyeuristic disorder, and pedophilic disorder.
A personality disorder involves a lasting pattern of emotional instability and unhealthy behaviors that seriously disrupt daily living and relationships. Examples include borderline, antisocial, and narcissistic personality disorders.
Schizophrenia Spectrum and Other Psychotic Disorders
Psychotic disorders cause detachment from reality. People with these diagnoses experience delusions, hallucinations, and disorganized thinking and speech. Schizophrenia is probably the best known of these illnesses, although detachment from reality can sometimes affect people with other psychiatric disorders.
These are severe sleep disorders, including insomnia disorder, nightmare disorder, sleep apnea, and restless legs syndrome.
Somatic Symptom and Related Disorders
A person with one of these disorders may have distressing and incapacitating physical symptoms with no clear medical cause. (“Somatic” means “of the body.”) Examples include illness anxiety disorder, somatic symptom disorder (previously known as hypochondriasis), and factitious disorder.
Substance-Related and Addictive Disorders
People with these diagnoses have problems associated with excessive use of alcohol, opioids (for example, oxycodone and morphine), recreational drugs, hallucinogens, and six other types of drugs. This group also includes gambling disorders.
Trauma- and Stressor-Related Disorders
These psychiatric disorders develop during or after stressful or traumatic life events. Examples include posttraumatic stress disorder (PTSD) and acute stress disorder.
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Signs That You Need to Seek Help
- Marked changes in your personality
- Inability to cope with problems and daily activities
- Strange ideas or delusions
- Excessive anxiety
- Prolonged feeling of sadness
- Marked changes in eating or sleeping patterns
- Thinking or talking about suicide
- Extreme highs and lows
- Abuse of alcohol or drugs
- Excessive anger or hostility towards others
- Violent behavior towards others or pets
- Irrational fears