Telepsychiatry · Asheville

Online Psychiatrist in Asheville, NC.

Board-certified care, delivered by telehealth, for adults in Western North Carolina.

A cash-pay telepsychiatry practice serving Asheville and the wider Western North Carolina. You see Dr. Shantanu Baghel, DO at every visit, with 45 to 60 minute appointments and most new patients seen within one to two weeks of the free consultation.

01 · Local context

Care, calibrated to Asheville.

Finding a psychiatrist in Asheville, NC has never been easy, and it's gotten harder. Western North Carolina is rural and underserved: two in five North Carolinians live in a federally designated mental health professional shortage area, and the mountains make that worse. Mission Hospital anchors the region, but outpatient psychiatry across WNC is thin, and telehealth has only partly closed the gap. Here, every visit is with Dr. Baghel, a board-certified psychiatrist, and most new patients are seen within one to two weeks.

The region is also still recovering from Hurricane Helene. The 2024 storm reshaped communities across the mountains, and the mental-health toll, grief, anxiety, trauma, and disrupted care, has outlasted the flooding. Documented need across WNC has risen since, while local providers remain stretched. Steady access to a psychiatrist, without a long drive on roads that are still being rebuilt, matters more here than it used to.

Asheville runs on tourism, hospitality, the arts, and a growing number of remote workers and retirees drawn to the mountains. Many here piece together income without employer health benefits, which makes flat cash-pay pricing easier to plan around. The terrain is the other factor: a drive from Waynesville or Black Mountain for a 45-minute visit can eat half a day. You take the appointment from home, or anywhere private in North Carolina.

Care is cash-pay and flat, $250 a month, with no insurance company setting your appointment length or your medication list. You get a full psychiatric evaluation of 45 to 60 minutes, a board-certified psychiatrist at every visit, and a plan that weighs mood, hormones, and metabolism together. If that's the care you've been looking for in Asheville, the first consultation is free.

How a first visit works

From Asheville, in four steps.

Care begins with a free conversation and moves to a full evaluation within a week or two.

  1. Schedule a free consultationA brief call to confirm the practice is the right fit.
  2. First full evaluationA 45 to 60 minute appointment to take a complete history and review any labs.
  3. Plan and labs reviewedA working diagnosis and treatment plan, with hormonal or metabolic workup where it's warranted.
  4. Follow-up cadence setRegular visits scheduled to the rhythm your treatment actually needs.
Areas served

Within Asheville and around it.

Across Buncombe, Henderson, Haywood, Madison, and Transylvania Counties, plus the rest of North Carolina by telehealth.

  • 01Downtown Asheville and Montford
  • 02West Asheville
  • 03North Asheville and Grove Park
  • 04Biltmore Village and Kenilworth
  • 05The River Arts District
  • 06Black Mountain and Swannanoa
  • 07Weaverville and Woodfin
  • 08Hendersonville and Fletcher
  • 09Waynesville and Brevard
One flat fee, $250 / month. Labs and medications billed separately. See what the fee covers
Questions from Asheville

Common questions.

01Do I need to be in Asheville to be seen?
You need to be physically located in North Carolina at the time of the appointment. Within NC, where you sit for the video call is up to you, your home, your office, anywhere private.
02How fast can I be seen?
Most new patients are seen for a full evaluation within one to two weeks of the free consultation. A small panel keeps that access consistent.
03Will I see Dr. Baghel, or a nurse practitioner?
Every appointment is with Dr. Baghel, board-certified in psychiatry and forensic psychiatry. There are no hand-offs to mid-levels between visits.
04Do you take insurance?
The practice is cash-pay. Itemized superbills are provided on request for those with out-of-network benefits who want to seek reimbursement directly from their plan. HSA and FSA accepted.
05What do you treat?
Depression, anxiety, ADHD, PTSD, bipolar II, OCD, sleep disorders, and treatment-resistant depression, with attention to hormonal and metabolic contributors. The practice also offers testosterone therapy, medical weight loss, peptide therapy, and forensic evaluation.
06Do you prescribe controlled substances by telehealth?
Yes, when clinically appropriate and permitted under current federal telemedicine rules for controlled substances. ADHD, anxiety, and related conditions are evaluated fully before any prescribing decision.

Begin

A free consultation for Asheville, with the physician.