Services
Five Lines of Care, One Physician
Psychiatry, hormones, and metabolism, treated as connected.
I run a cash-pay telepsychiatry practice for adults across North Carolina, and you see me, Dr. Shantanu Baghel, DO, at every visit. Every patient-facing line of care runs on a flat $350 monthly fee. Ketamine and Spravato sessions will be paid for separately. Forensic engagements are billed separately and described at the bottom of this page.
Patient Services, and One for Counsel
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Comprehensive psychiatry
I treat depression, anxiety, ADHD, PTSD, OCD, bipolar II, sleep problems, and treatment-resistant depression. The first evaluation runs about 60 minutes, and follow-ups run about 30 minutes. The services numbered 01.1 to 01.5 are part of this line of care.
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Depression treatment
I rule out medical causes of low mood first, then match treatment to how severe the depression is.
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Treatment-resistant depression
This is for depression that hasn't improved after two or more antidepressants. I review your past medications, diagnosis, and labs, then adjust the dose, switch medications, or add one.
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Ketamine and Spravato
I'm preparing to offer IV ketamine and Spravato (esketamine nasal spray) at my Wilmington office. Both may be options when two or more antidepressants haven't helped enough. Sessions will be paid for separately. The waitlist is open now.
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Antidepressant tapering
If you want to stop an antidepressant, I supervise a gradual dose reduction paced to your withdrawal symptoms.
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Anxiety treatment
I check for medical and substance causes first, then treat generalized anxiety, panic disorder, social anxiety, health anxiety, OCD, and PTSD.
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Testosterone therapy
I prescribe TRT after a full hormonal and metabolic workup, and I monitor it alongside your mood. Labs come first, then a plan.
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Medical weight loss
I prescribe GLP-1 and related medications when they're clinically indicated, and I monitor your mood alongside them.
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Peptide therapy
Peptides are now offered, including BPC-157, Semax, and non-injectable (topical) GHK-Cu. I prescribe one when a workup supports it.
From Consultation to a Plan
Every service here starts the same way: a free consultation, then a full evaluation on my next open date. For ketamine and Spravato, the free consultation adds you to the waitlist.
- Schedule a free consultationA free 15-minute call, by phone or video.
- First full evaluationA 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.
A Separate Engagement
Forensic psychiatric work runs on a different track. It serves attorneys and the courts and is billed hourly with a written engagement agreement. I offer it under my ABPN forensic certification.
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