Frequently asked questions
The things you're wondering before you reach out.
Nervous about medication? Worried about being judged? Not sure if this is "bad enough" to ask for help? Start here. If your question isn't answered, send it to us.
Medication
About medication
The most common worries, and the honest answers.
How do I know if medication is right for me?
You don't have to know before you come in. We take an individualized approach and look at your history, your symptoms, your current risk factors and your past treatments to come up with a plan tailored to you. Sometimes that includes medication. Sometimes it's integrative support, therapy, or treating a medical cause that was driving your symptoms.
Will I always have to be on medication?
It varies. Some people can eventually come off medication. Some diagnoses require long-term medication to stay stable. Either way, we reassess together at every visit, and you'll never be left on something without a reason.
Can I take medication while pregnant or breastfeeding?
Often, yes. Many medications have well-studied options for pregnancy and breastfeeding. We review the evidence for your specific medication, weigh the risks of treating against the very real risks of untreated illness, and decide together, usually coordinating with your OB or midwife. Please never stop a medication suddenly on your own. More on pregnancy and medication.
I'm afraid of becoming dependent on medication.
That's a fair concern and worth saying out loud. Most medications we use for anxiety and depression are not habit-forming. For the ones that need more care, we talk through it plainly, start low, and have a plan for how and when to come off. You stay in charge.
What if I've tried several medications and nothing worked?
Then a fresh, thorough evaluation matters most. We look for medical contributors that may have been missed, revisit the diagnosis, and consider GeneSight genetic testing to see how your body processes different medications. More on integrative care.
Visits & telehealth
About your visits
How long is the first visit?
60 to 90 minutes. We don't do fifteen-minute first visits. What the evaluation covers.
How often will we meet?
Monthly until you're stable, then about every three months.
Where are you located, and do I have to come in person?
Our office is at 10027 Clayton Blvd, Suite C, Clayton, NC 27520. Most visits happen by secure video anywhere in North Carolina. In-person visits are available Monday through Thursday. How telehealth works.
Do you treat ADHD virtually?
Yes. More on ADHD care.
Is an in-person visit required for controlled substances?
Not at this time under current federal telemedicine rules. If the rules change, we'll put a compliance plan in place and let patients know well ahead of time.
Do I need a referral?
No. You can request an appointment directly.
Will you coordinate with my OB, therapist or primary care provider?
Yes, with your permission. Coordinated care is part of how we work.
Who we see
About fit
Do you see men as well?
Yes. Women's mental health is our specialty, and we see men and welcome them, including dads navigating postpartum depression.
What ages do you see?
Adults 18 and up.
Do I need to share your faith to be a patient?
No. Tiirini is open about her Christian faith, and it shapes the compassion she brings to her work, but your care is shaped around your values, not hers. Patients of every faith and none are welcome and receive the same evidence-based care.
Can faith be part of my care if I want it to be?
Yes. If your faith is part of your healing and you'd like it to be part of our conversations, we welcome that, alongside traditional treatment. Tiirini has written about this: I love God, I go to therapy, and I take my meds.
Is my situation "bad enough" to ask for help?
If it's affecting your days, your sleep, your relationships or how you feel about yourself, it's enough. You don't have to hit bottom to deserve care.
Which insurance do you take?
Aetna including the NC State Health Plan, Blue Cross & Blue Shield including Blue Home, Cigna, UnitedHealthcare/Optum, and Carolina Complete Health (NC Medicaid). We verify your benefits before your first visit.
What are your self-pay rates?
$325 for the initial evaluation and $185 for follow-ups.
Do you offer a sliding scale?
Not at this time.
What should I do in a crisis? R3 is not an emergency service. If you're in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline) or go to the nearest emergency room. Then let us know, so we can follow up with you.
Renewing minds · Restoring balance · Reviving hope
Ready to be heard?
Request an appointment and our care coordinator will reach out to verify your benefits and get you scheduled. Not ready yet? Call us, or send a question. No pressure.
R3 is not an emergency service. If you're in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room.