Psychiatry

When you or a loved is faced with an emotional or behavioral health issue or event, the biggest challenge can be an acceptance that you need help. For far too long, mental health issues have been stigmatized as “not normal,” “crazy,” and more. The truth is, over 40,000,000 Americans have an emotional/behavioral health issue (that’s more than the populations of New York and Florida combined!). Add in those with substance abuse issues, and it’s clear to see that those who may have one of any number of psychological disorders are far from being alone in their need for care.

Certus Psychiatric Care includes initial evaluation and consultation of your overall emotional health.

Our services and treatment options include:

  • psychotherapy
    An integrated part our treatment plan is Therapy. Our team of highly trained counselors will help you meet your specific and unique needs. Each case is different, and we will address each one appropriately. Goal Setting is critical in this process, and we’ll work with you to defining your goals for healthy living and finding balance in clear, direct language

     

    • cognitive behavioral therapy
    • psychodynamic therapy
    • couples therapy
    • dialectical behavioral therapy
  • medication management
    • No two people are the same, and you may react differently to medications than someone else. To help us improve your treatment options, we offer the GeneSight test. 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 treatment
    • One challenge many patients face is taking the right medication at the right time. This is often a crucial step in the recovery process that many either don’t pay attention to or simply can’t manage properly. At Certus, we are one of the few injection medication clinics in N.C. By coming to Certus and receiving injections of your medication, you’re ensuring that you are receiving the right medication 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 a number of 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 for treatment of 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
    • There is no question that alcohol and opioid addiction is rising. If you or loved one is in the midst of addiction, sometimes the addict (of whatever the substance) can only receive help when he or she decides they’re ready. When you are ready to accept help, know that Certus is here to help you with medical and consultive support.
  • televisit
    • Telemedicine is the process of providing health care from a distance through technology, using video conferencing. Our Patient Portal and phone App allows you to have a Telepsych consults just using your computer or smartphone and an internet connection. This new feature will allow patients who are unable to come to our practice or are in areas underserve by psychiatric services, now to enjoy the same psychiatric and therapy care as if they were at our office!

At Certus, we are a “stigma-free zone.”

You can come to us with peace-of-mind in knowing no one will stand in judgment of you. You won’t hear “what is wrong with you?!” You may hear “what has happened to you?!” or “how are you feeling?”

Our primary objectives are to evaluate your symptoms and develop strategies to help put you on a path to recovery and wellness.

Believe in WE, and together we will work to help you realize a better quality of life and improved mental wellness.

We commonly treat:

Anxiety Disorders
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
Bipolar I 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.
Dissociative Disorders
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.
Gender Dysphoria
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.
Neurocognitive Disorders
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.
Neurodevelopmental Disorders
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).
Other Mental Disorders
This group includes psychiatric disorders that are due to other medical conditions or that don’t meet all the requirements for any of the other psychiatric disorder groups.
Paraphilic Disorders
Many sexual-interest disorders are included in this group. Examples include sexual sadism disorder, voyeuristic disorder, and pedophilic disorder.
Personality Disorders
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.
Sleep-Wake 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 disorder.
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.
Our staff takes the time to get to know you, and we will work to assess signs and symptoms for a variety of mental health conditions in our initial evaluation. This discovery will entail exploring multiple aspects of your life, including biological, psychological and social factors. By getting a good understanding of each of these components, we can then formulate a thorough and thoughtful treatment plan tailored to your needs and goals.

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
If you or loved one is experiencing any of these symptoms, you should seek psychiatric evaluation right away. If you or loved one is in crisis and in need of immediate treatment, please seek assistance at a local hospital emergency department.