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.
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.
Five lines of care, all by telehealth.
Comprehensive psychiatry
Depression, anxiety, ADHD, PTSD, bipolar II, OCD, and supervised antidepressant tapering. 45 to 60 minute appointments.
iiTestosterone therapy
TRT with a full hormonal and metabolic workup, monitored alongside mood and energy.
iiiMedical weight loss
Physician-led GLP-1 and metabolic care, integrated with psychiatric monitoring.
ivPeptide therapy
Physician-supervised peptides through accredited 503A compounding, available once federal rules allow.
Attorneys in Asheville: forensic psychiatric evaluations are available as a separate engagement.
From Asheville, in four steps.
Care begins with a free conversation and moves to a full evaluation within a week or two.
- Schedule a free consultationA brief call to confirm the practice is the right fit.
- First full evaluationA 45 to 60 minute appointment to take a complete history and review any labs.
- Plan and labs reviewedA working diagnosis and treatment plan, with hormonal or metabolic workup where it's warranted.
- Follow-up cadence setRegular visits scheduled to the rhythm your treatment actually needs.
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
Common questions.
01Do I need to be in Asheville to be seen?
02How fast can I be seen?
03Will I see Dr. Baghel, or a nurse practitioner?
04Do you take insurance?
05What do you treat?
06Do you prescribe controlled substances by telehealth?
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