Generated by Rank Math SEO, this is an llms.txt file designed to help LLMs better understand and index this website. # Baghel Psychiatry, PLLC: Cash-pay psychiatry practice serving adults across North Carolina, led by Dr. Shantanu Baghel, a board-certified adult and forensic psychiatrist. Care is by video anywhere in North Carolina, with in-person visits in Wilmington by request. Services include psychiatric evaluation and medication management, supervised antidepressant tapering, testosterone replacement therapy, and medical weight loss under a flat $250 monthly membership. Forensic psychiatric evaluations and expert witness work are a separate service line billed hourly. ## Sitemaps [XML Sitemap](https://thebh.us/sitemap_index.xml): Includes all crawlable and indexable pages. ## Posts - [Brain Zaps: Why They Happen and What Actually Helps](https://thebh.us/blog/brain-zaps/): Brain zaps are a real antidepressant withdrawal symptom. A psychiatrist explains why they happen, how long they last, and why no supplement has ever fixed them. - [Zoloft Withdrawal: How Hard Sertraline Is to Stop and How to Taper Safely](https://thebh.us/blog/zoloft-withdrawal/): I'm a board-certified adult and forensic psychiatrist practicing in North Carolina. Sertraline is one of the most widely prescribed antidepressants in the United States, and it sits in the middle of the withdrawal difficulty range. It's mild enough that nobody warns you and hard enough to derail a fast taper. - [Cymbalta Withdrawal: Why Duloxetine Is So Hard to Stop and How to Taper Safely](https://thebh.us/blog/cymbalta-withdrawal/): I'm a board-certified adult and forensic psychiatrist practicing in North Carolina. Cymbalta withdrawal is one of the harder problems in psychiatry to manage, and duloxetine belongs with venlafaxine and paroxetine among the antidepressants that are difficult to stop. - [Is Semax Legal? What the FDA Panel Actually Voted On](https://thebh.us/blog/is-semax-legal-fda-status/): If you searched "is semax legal" this week, several pages on the first page of Google told you 503A pharmacies can compound it now. Those pages are wrong, and the difference is important if you're deciding whether to buy something from a website in the meantime. - [DSIP Peptide for Sleep: What a Psychiatrist Makes of Delta Sleep-Inducing Peptide](https://thebh.us/blog/dsip-peptide-sleep/): DSIP peptide arrives with a name that sounds like a promise: delta sleep-inducing peptide. Unlike a lot of what gets sold online, it has an actual human research record behind it, one that goes back to the 1970s and includes small trials in people with insomnia. - [TRT and Antidepressants: What Actually Interacts and What to Watch](https://thebh.us/blog/trt-and-antidepressants/): TRT and antidepressants get prescribed to the same men all the time, and the interaction checkers say there's nothing to report: no drug-drug interaction on file. The checkers are answering a narrow question, whether one drug changes the blood level of the other. Testosterone doesn't. - [How MDMA-Assisted Therapy Works, and Why the FDA Said No](https://thebh.us/blog/how-mdma-assisted-therapy-works/): How MDMA-assisted therapy works comes down to two questions the coverage usually keeps apart. What does the drug do to the brain's fear response? And if the trials were positive, why did the FDA say no? MDMA's effects are unmistakable from the inside, and that is exactly why the trials couldn't hide who got the drug. - [How Psilocybin Works in the Brain](https://thebh.us/blog/how-psilocybin-works-in-the-brain/): How psilocybin works in the brain comes down to five steps, and the evidence is better at some steps than others. - [MKUltra: The CIA’s Psychedelic Experiments and Informed Consent](https://thebh.us/blog/mkultra-cia-psychedelics/): Between 1953 and the early 1970s, the Central Intelligence Agency ran experiments that gave powerful drugs to people who never agreed to take them. The program was called MKUltra. Its subjects included prisoners, psychiatric patients, people who used drugs, the men lured into its safehouses, and, in at least one documented subproject, children. Most of them never knew what had been done to them. - [The History of Psilocybin: From Ancient Ritual to the Modern Lab](https://thebh.us/blog/history-of-psilocybin/): The history of psilocybin is the longest and best documented of any psychedelic in medicine. That fact gets buried under a lot of vague language about ancient wisdom and sacred mushrooms. The real record is specific, and most of it can be dated to the year. - [GLP-1 and Alcohol: Do They Really Cut Drinking?](https://thebh.us/blog/glp-1-and-alcohol/): For some heavy drinkers, a GLP-1 quiets the drinking along with the weight. It works mostly in the ones who are also overweight, but the research on GLP-1 and alcohol is only a couple of years old. - [The FDA Peptide Vote of July 2026: What the Evidence Shows](https://thebh.us/blog/fda-peptide-ban-2026/): People are calling this the FDA peptide ban 2026. What's up for a vote is narrower: whether compounding pharmacies can make these seven from bulk powder. Nobody is outlawing the molecules. A no just takes them off the pharmacy menu. - [Semaglutide vs Tirzepatide vs Retatrutide: three generations of weight-loss drugs](https://thebh.us/blog/semaglutide-vs-tirzepatide-vs-retatrutide/): Patients ask me to compare semaglutide vs tirzepatide vs retatrutide: which is strongest, and whether it's worth waiting for the newest one. By weight lost, semaglutide takes off the least, tirzepatide more, and retatrutide the most. That order follows the pharmacology. Each drug acts on one more gut-hormone receptor than the one before, and more receptors means more weight lost. Whether the strongest drug is the right one for you is a different question, and often the answer is no. - [Weight Loss and Depression: An Honest Look at the Evidence](https://thebh.us/blog/weight-loss-and-depression/): Sometimes, for some people. Weight loss and depression are linked, but that link is easy to get wrong. When weight comes down in a structured way, depression often eases with it. Weight loss isn't an antidepressant, though. And after major weight loss, a small number of people face a real mental health risk. - [The FDA Peptide Decision of July 2026: What’s Actually Changing](https://thebh.us/blog/fda-peptide-compounding/): On July 23 and 24, 2026, an FDA advisory committee spent two days deciding whether seven peptides can be legally compounded for patients. Three of them, Semax, Epitalon, and BPC-157, are the ones I get asked about most weeks. The rules for FDA peptide compounding have already moved twice in three years, and this vote is the next step. - [PMDD vs PMS: How to Tell the Difference](https://thebh.us/blog/pmdd-vs-pms/): Most explanations of PMDD start by calling it severe PMS. That's where the confusion begins. The two share a trigger and a calendar, so it's easy to picture one sliding into the other as symptoms get worse. But premenstrual dysphoric disorder and premenstrual syndrome differ in kind. One is a common physiologic experience. The other is a psychiatric disorder defined by what it does to your life. - [PMDD and Suicidal Thoughts: Why the Risk Peaks Before Your Period](https://thebh.us/blog/pmdd-and-suicidal-thoughts/): PMDD and suicidal thoughts are linked far more tightly than most people, and many clinicians, realize. The risk concentrates in the days before menses, which shapes how it's treated. - [Natural Treatments for PMDD: What the Evidence Actually Supports](https://thebh.us/blog/natural-treatments-for-pmdd/): If you'd rather not start with a prescription, the good news is that several natural treatments for PMDD have real evidence behind them. The honest news is that the evidence is uneven. Some supplements have large, well-run trials. Others ride on reputation and not much else. And a few of the most popular recommendations are the ones the data supports least. - [PMDD Treatment: What the Science Actually Shows](https://thebh.us/blog/pmdd-treatment/): The most common thing women hear about premenstrual dysphoric disorder is that it's a hormone imbalance. Too much estrogen, not enough progesterone, or some version of that story. It's a clean explanation, and patients are often told to get their hormone levels checked to confirm it. Here's the problem. When you measure the hormones for PMDD treatment, they come back normal. - [Firearm Rights Restoration North Carolina: A Guide for NC Attorneys](https://thebh.us/blog/firearm-rights-restoration-north-carolina/): Firearm rights restoration North Carolina follows G.S. 14-409.42, which runs four paragraphs. It asks a district court judge to decide whether a person whose involuntary commitment cost them their firearm rights is now, in the statute's words, "likely to act in a manner dangerous to public safety." Dangerousness is a clinical determination. Under this statute the petitioner carries the burden of proving it won't happen. - [What to Do When Your Antidepressant Isn’t Working](https://thebh.us/blog/antidepressant-not-working/): I'm Dr. Shantanu Baghel, a board-certified psychiatrist treating adults by telehealth across North Carolina. Working through exactly this decision is a large part of what I do in depression treatment. Here's how I think it through with patients, in the order I actually think it, when antidepressant not working. - [Metabolic Psychiatry: What The Evidence Actually Shows](https://thebh.us/blog/metabolic-psychiatry/): Metabolic psychiatry is the idea that mental illness is, for some people, partly a problem of how the body and brain make and use energy. The machinery that keeps a cell powered: insulin, inflammation, mitochondria, blood sugar. When that machinery struggles, the mind can struggle with it. - [Can a Psychiatrist Prescribe Weight Loss Medication in NC?](https://thebh.us/blog/can-a-psychiatrist-prescribe-weight-loss-medication/): Can a psychiatrist prescribe weight loss medication? Yes. - [Testosterone Augmentation for Depression: When It’s a Real Option, and When It Isn’t](https://thebh.us/blog/testosterone-augmentation-for-depression/): TRT is the treatment of confirmed hypogonadism. Testosterone augmentation for depression is the same medical treatment, framed by its goal: using TRT in a man whose depression is incompletely treated, with the expectation that correcting the deficiency may improve mood as part of the broader response. The medication is the same; the indication and the monitoring focus differ. - [Depression Treatment North Carolina: A Psychiatrist’s Guide](https://thebh.us/blog/depression-treatment-north-carolina/): Depression sends more adults to a psychiatrist than almost any other condition, and most of them leave the first visit with a prescription and not much else. In a short appointment, that's often all there's time for. - [Post-Acute Withdrawal Syndrome: Long Antidepressant Withdrawal Explained](https://thebh.us/blog/post-acute-withdrawal-syndrome/): That longer course has a name borrowed from addiction medicine: post-acute withdrawal syndrome, often shortened to PAWS. - [Fluoxetine Taper: Why Prozac Is the Easiest SSRI to Stop](https://thebh.us/blog/how-to-taper-off-fluoxetine/): I'm a board-certified adult and forensic psychiatrist running a cash-pay telehealth practice in North Carolina. When patients ask me how to taper off fluoxetine, the conversation runs the opposite way from the one I have about venlafaxine or paroxetine. Fluoxetine is usually the gentlest antidepressant to come off, and the same trait that makes it gentle is why it doubles as the tool for getting people off the brutal ones. - [Venlafaxine Withdrawal: Why Effexor Is So Hard to Stop and How to Taper Safely](https://thebh.us/blog/venlafaxine-withdrawal/): When venlafaxine withdrawal drags on well past the usual window, it can cross into post-acute withdrawal syndrome, the protracted tail of antidepressant withdrawal. - [Paroxetine Withdrawal: Why Paxil Is the Hardest SSRI to Stop and How to Taper](https://thebh.us/blog/how-to-taper-off-paroxetine/): I'm a board-certified adult and forensic psychiatrist with a cash-pay telehealth practice in North Carolina. Patients ask me how to taper off paroxetine more often than almost any other antidepressant, and the story tends to repeat. They cut the dose on the standard schedule, felt fine for a week, then got hit with dizziness, electric-shock sensations, and a churning gut, and were told the depression had come back. Usually it was withdrawal. Paroxetine, sold as Paxil, is the SSRI most likely to do this. - [Post-SSRI Sexual Dysfunction (PSSD): What It Is and Whether It Goes Away](https://thebh.us/blog/post-ssri-sexual-dysfunction/): I'm a board-certified adult and forensic psychiatrist in North Carolina. More than once I've heard a version of the same account: a patient comes off an antidepressant, and the sexual side effects never lift. The desire doesn't return, or the genitals feel oddly numb. When they raise it, they're often told it must be the depression. Post-SSRI sexual dysfunction, or PSSD, is the clinical name for part of what they're describing, and the evidence that it's real has been building for more than a decade. - [HHS MAHA Psychiatric Overprescribing Action Plan: A Psychiatrist’s Read](https://thebh.us/blog/maha-psychiatric-overprescribing/): On May 4, 2026, the U.S. Department of Health and Human Services announced the MAHA Action Plan to curb psychiatric overprescribing. The MAHA psychiatric overprescribing plan, as the agency framed it, has several moving parts: a letter to clinicians, a payment change at Medicare, and a timeline toward formal federal guidance. The headline read like a political shot at psychiatry. The documents underneath it read like something the field has needed for a decade. - [Antidepressant Discontinuation Syndrome: A Psychiatrist’s Guide to Coming Off SSRIs and SNRIs](https://thebh.us/blog/antidepressant-discontinuation-syndrome/): Often, those symptoms are antidepressant discontinuation syndrome, and the taper schedule is what produced them. - [Competency to Stand Trial: A Guide for NC Attorneys](https://thebh.us/blog/competency-to-stand-trial-nc/): Competency to stand trial, what the North Carolina General Statutes call capacity to proceed, is a threshold question in every criminal case. It still gets less disciplined attention than almost any other. Some attorneys raise it the moment a client seems strange. Others miss it entirely when a client is quietly unable to assist counsel. Both errors cost the client something. - [Balancing Hormones and Mental Health: A Psychiatrist’s Guide for Men](https://thebh.us/blog/balancing-hormones-and-mental-health/): For a meaningful subset of these men, the missing piece is analyzing hormones and mental health. - [FDA Testosterone Idiopathic Hypogonadism: What the April 2026 Step Means for Men With Low Libido](https://thebh.us/blog/fda-testosterone-idiopathic-hypogonadism/): For men in North Carolina who have been told their testosterone is "low normal" or that their lab numbers do not technically qualify them for TRT despite real symptoms, the FDA testosterone idiopathic hypogonadism announcement matters. Over the next two to four years, the regulatory landscape that defines who is and is not a candidate for testosterone therapy is likely to shift. This article explains what the FDA actually did, what idiopathic hypogonadism is, what the evidence base looks like, what did not change on April 16, and what a sound clinical workup looks like in the meantime. - [Psychedelics for Mental Health: What the 2026 Evidence Actually Shows](https://thebh.us/blog/psychedelic-therapy-executive-order/): On April 18, 2026, President Trump signed a psychedelic therapy executive order directing federal agencies to accelerate research and access to psychedelic drugs for mental health conditions. The order allocates $50 million through ARPA-H to match state investments in psychedelic research, directs the FDA to expedite review of psychedelics already designated as Breakthrough Therapies, and establishes a Right to Try pathway for investigational compounds including ibogaine. Psilocybin and ibogaine remain Schedule I controlled substances under federal law, which means nothing is legally prescribable as of this writing. - [Treatment-Resistant Depression: What Your Psychiatrist Should Be Checking](https://thebh.us/blog/treatment-resistant-depression/): Treatment-resistant depression is not a diagnosis. It is a description of what has happened so far: a patient has tried two or more antidepressants at adequate doses for adequate durations without achieving remission. The term tells you nothing about why the medications have not worked. It tells you only that they have not. - [Chemical Imbalance and Depression: What the Science Actually Shows](https://thebh.us/blog/chemical-imbalance-depression/): The chemical imbalance depression theory is one of the most widely repeated explanations in medicine. Patients hear it from doctors. Pharmaceutical advertisements promoted it for decades. The premise is simple: depression results from low serotonin levels in the brain, and antidepressants correct that deficit. The explanation is intuitive, memorable, and almost entirely unsupported by the scientific evidence. - [Peptide Therapy With SSRIs and Stimulants: What a Psychiatrist Wants You to Know](https://thebh.us/blog/peptides-with-psychiatric-medications/): Combining peptides with psychiatric medications can raise some clinical questions. The honest answer depends on which peptide, which psychiatric medication, and which clinical scenario. Semax with an SSRI is a different question than Selank with an SSRI, which is a different question again than BPC-157 alongside a stimulant. Each combination has its own mechanism, its own evidence base, and its own monitoring requirements. - [Psychiatrist Sleep Medication Guide: Prescription Drugs, Peptides, and Supplements](https://thebh.us/blog/psychiatrist-guide-sleep-medications-peptide/): Sleep problems are one of the most common reasons patients come to a psychiatrist. Not because they tried a supplement and it failed, though many have. Finding the right psychiatrist sleep medication, peptide, or supplement is rarely about picking one item off a list. The question is rarely "what should I take to sleep." The question is what is actually driving the problem, and which intervention matches the driver. - [Incompetent to Stand Trial: What It Means and How It Works in North Carolina](https://thebh.us/blog/incompetent-to-stand-trial-north-carolina/): When a criminal defendant is found "incompetent to stand trial," the case does not end. The trial pauses. The person is typically placed in a psychiatric facility for treatment, and the court waits to see whether their mental state can be restored to the point where the trial can proceed. None of that is obvious from news coverage, which tends to treat the finding as an ending rather than a pause. This article is a plain-English walk-through of what the concept actually means, how the evaluation works, what a court does with the result, and how the process operates specifically in North Carolina. - [TRT in Wilmington NC: Telehealth Testosterone Therapy With Psychiatric Oversight](https://thebh.us/blog/trt-wilmington-nc/): Testosterone replacement therapy (TRT) in Wilmington is available through several paths: primary care, men's health clinics, and telehealth providers. Each has tradeoffs. This page is for men looking for TRT Wilmington NC care that includes psychiatric oversight, clean monitoring, and a clinician who treats the mood piece as part of the hormonal picture rather than an afterthought. - [Epitalon, Sleep, and the Aging Brain: What a Psychiatrist Wants You to Know](https://thebh.us/blog/epitalon-peptide-sleep-melatonin-telomeres/): Most of what's written about the epitalon peptide focuses on telomeres and longevity. The peptide's ability to activate telomerase and potentially slow cellular aging has made it a favorite in biohacking and anti-aging circles. But the clinical relevance that gets overlooked is more immediate and more practical: epitalon's effects on the pineal gland, melatonin production, and circadian rhythm. - [Low Testosterone and Depression: Why These Conditions Keep Getting Misdiagnosed](https://thebh.us/blog/low-testosterone-and-depression/): Low testosterone and depression share nearly identical symptom profiles. Fatigue, low motivation, irritability, poor concentration, disrupted sleep, decreased libido. Both conditions produce these symptoms, and the overlap is close enough that one is routinely mistaken for the other. - [GLP-1 Medications and Mental Health: What Your Psychiatrist Wants You to Know About Ozempic, Mounjaro, and Beyond](https://thebh.us/blog/glp-1-mental-health/): GLP-1 drugs like Ozempic and Mounjaro are known for weight and blood sugar. They also act on the brain, which makes them a psychiatric concern. Millions of patients are now on GLP-1 receptor agonists for diabetes and weight loss. These medications are being prescribed across primary care, endocrinology, obesity medicine, and increasingly through telehealth platforms and specialty clinics. That prescribing is clinically appropriate. The gap is on the psychiatry side: most psychiatrists don't ask about GLP-1 use, aren't trained to monitor for the psychiatric effects of these medications, and may not realize that a significant portion of their caseload is now taking drugs that cross the blood-brain barrier and act on reward, mood, and appetite circuitry. - [Forensic Psychiatric Evaluations in North Carolina: A Guide for Attorneys](https://thebh.us/blog/forensic-psychiatric-evaluation-nc/): Most NC attorneys who need a forensic psychiatric evaluation NC don't know whether they need a psychiatrist or a psychologist. They retain whichever name comes up first, and the distinction doesn't surface until cross-examination exposes the gap. - [Can You Own a Gun After a Psychiatric Hold in North Carolina](https://thebh.us/blog/gun-rights-after-psychiatric-hold-nc/): If you or someone you know has been through an involuntary commitment in North Carolina, one of the first questions that comes up after discharge is about gun rights after psychiatric hold NC. Can you still legally own a firearm? Can you buy one? Can you get a concealed handgun permit? The answers depend on exactly what happened during the commitment process, which statutes apply, and whether you pursue a legal restoration. This article explains how federal and North Carolina law interact, what triggers the firearm prohibition, and what the restoration process actually requires. - [Involuntary Commitment in North Carolina: What Families Need to Know](https://thebh.us/blog/involuntary-commitment-nc/): Involuntary commitment NC is one of the most confusing and emotionally overwhelming legal processes a family can face. When a loved one is in psychiatric crisis, the questions come fast: What happens next? Who decides? How long will they be held? What rights do they have? North Carolina's involuntary commitment (IVC) process is governed by NC General Statutes Chapter 122C, but the statute reads like it was written for attorneys and hospital administrators. This guide breaks it down for the people who actually need it: families, patients, and anyone trying to understand what happens when the state intervenes in a mental health crisis. - [ADHD: Pathophysiology, Treatment Mechanisms, and Emerging Research](https://thebh.us/blog/adhd-neuroscience-treatment-emerging-research/): Attention deficit hyperactivity disorder is one of the most common psychiatric conditions in adults, and one of the most poorly understood. Roughly 4.4% of U.S. adults meet criteria for ADHD, but the majority were never diagnosed as children. Many spend years cycling through treatments for anxiety or depression before anyone thinks to evaluate for ADHD. For adults seeking ADHD treatment NC providers offer varying levels of depth, and understanding what the condition actually involves at a neurological level is the first step toward getting the right diagnosis. - [ADHD Evaluation in NC: How to Get Tested as an Adult](https://thebh.us/blog/adhd-evaluation-north-carolina/): Most adults with ADHD were never diagnosed as children. They spent years being called smart but careless, or told they just needed to try harder, and they built a life out of workarounds until the workarounds stopped holding. That break usually comes with a stretch that outruns the coping, a demanding job, a new baby, a role with no built-in structure. An ADHD evaluation is how you find out whether ADHD is what's actually behind it. ## Pages - [Supervised Antidepressant Tapering and Deprescribing in North Carolina](https://thebh.us/antidepressant-tapering-north-carolina/): Board-certified psychiatrist. Hyperbolic tapers, honest timelines, flat $250 a month. Telehealth across NC. - [Cancellation and No-Show Policy](https://thebh.us/cancellation-policy/): Free 15-minute consultation. A consultation is a screening call. It doesn't establish a doctor-patient relationship, and no treatment or prescribing happens on it. There's no charge for the call, and no charge if you miss it. If you can't make it, cancel from your confirmation email. After two consultations booked and missed without notice, any further one has to be arranged by phone at (910) 612-6015. - [Good Faith Estimate](https://thebh.us/good-faith-estimate/): You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. - [Booking](https://thebh.us/book/) - [Peptide Therapy](https://thebh.us/peptide-therapy-north-carolina/): Baghel Psychiatry offers peptide therapy North Carolina patients can access via secure telehealth from anywhere in the state. Dr. Shantanu Baghel is a board-certified psychiatrist credentialed with 503A compounding pharmacies that meet PCAB accreditation and USP 797 standards for sterile compounding. When peptides are legally available for compounding, the infrastructure to prescribe and monitor them is already in place. - [Home](https://thebh.us/): When a plan is involved, a share of every week goes to prior authorizations, formulary substitutions, and denied claims. I'd rather put that time into appointments. - [Services](https://thebh.us/services/): Baghel Psychiatry offers psychiatry services in North Carolina built around how men actually experience these problems; not as separate issues, but as connected pieces of the same puzzle. Depression that turns out to be low testosterone. Weight gain driven by metabolic dysfunction and psychiatric medication side effects. Brain fog that no amount of sleep fixes. Dr. Baghel evaluates and treats the full picture because he is trained to see it. - [Psychiatrist Charlotte NC](https://thebh.us/psychiatrist-charlotte-nc/): Board-Certified Psychiatrist • TRT • Medical Weight Loss • Forensic Evaluations - [Psychiatrist Asheville NC](https://thebh.us/psychiatrist-asheville-nc/): Board-Certified Psychiatrist • TRT • Medical Weight Loss • Forensic Evaluations - [Medical Weight Loss](https://thebh.us/medical-weight-loss/): Baghel Psychiatry offers medical weight loss North Carolina patients can access from anywhere in the state via secure telehealth. We prescribe and monitor GLP-1 medications including semaglutide and tirzepatide; the active ingredients in Ozempic, Wegovy, Mounjaro, and Zepbound. - [Forensic Psychiatry](https://thebh.us/forensic-psychiatrist-north-carolina/): Board-certified forensic psychiatrist. Fellowship-trained. $400/hour flat rate for all services. - [About](https://thebh.us/dr-shantanu-baghel-psychiatrist/): Board-Certified Psychiatrist • Forensic Specialist • Based in Wilmington, NC - [Testosterone Replacement Therapy (TRT)](https://thebh.us/trt-therapy/): I'm a board-certified psychiatrist in North Carolina. TRT telehealth is one of the services I offer, alongside psychiatry and medical weight loss, and I prescribe and manage testosterone by video for adult men anywhere in the state. - [Medication Management Psychiatrist in North Carolina](https://thebh.us/psychiatry-services/): I'm Dr. Shantanu Baghel, a board-certified psychiatrist practicing across North Carolina, in person and by video. I take a small number of patients at one flat fee of $250 a month, and I'm accepting new ones now. - [Psychiatrist Winston-Salem NC](https://thebh.us/psychiatrist-winston-salem-nc/): Board-Certified Psychiatrist • TRT • Medical Weight Loss • Forensic Evaluations - [Psychiatrist Wilmington NC](https://thebh.us/psychiatrist-wilmington-nc/): Finding a psychiatrist in Wilmington, NC usually means a wait. If you've been calling around, you already know how it goes. The waitlists are long and the first opening is months out. - [Psychiatrist Raleigh-Durham NC](https://thebh.us/psychiatrist-raleigh-durham-nc/): Every appointment here is with Dr. Shantanu Baghel, DO, board-certified by the American Board of Psychiatry and Neurology in psychiatry and in forensic psychiatry. He does the evaluation, writes the prescriptions, and handles the follow-ups. For patient seeking a psychiatrist Raleigh-Durham NC, you see the same doctor at every visit. - [Psychiatrist Greensboro NC](https://thebh.us/psychiatrist-greensboro-nc/): Cone Health carries most of the region's inpatient and outpatient volume, Guilford County runs a 24-hour center on Third Street, and the private practices off Dolley Madison Road are largely full. That's most of behavioral health in Greensboro, and if you've been calling around you already know how it goes. - [Contact Us](https://thebh.us/contact-us/): Ready to contact a psychiatrist in North Carolina who takes the time to listen? Baghel Psychiatry offers free initial consultations via secure, HIPAA-compliant telehealth. Whether you need psychiatric care, testosterone replacement therapy, medical weight loss, or a forensic evaluation, you can reach Dr. Baghel directly using the options below. - [Blog](https://thebh.us/blog/): Evidence-based articles from a board-certified psychiatrist in North Carolina - [Privacy Policy](https://thebh.us/privacy-policy/): This Privacy Policy explains how Baghel Psychiatry, PLLC ("Baghel Psychiatry," "we," "us," or "our") handles information collected through our website at thebh.us (the "Site"). We are a cash-pay telepsychiatry practice serving adults in North Carolina, led by Shantanu Baghel, DO, board-certified in psychiatry and forensic psychiatry.