Hoarding Psychiatrists in Buncombe County, NC

Lisa J Ryan
Psychiatric Nurse Practitioner, MSN, APRN, PMH NP
Verified Verified
1 Endorsed
Online Only
As a psychiatric nurse practitioner, my primary focus is to provide you with my full presence and deep care. This goal, along with the provision of state-of-the-art psycho-pharmacology offered in an atmosphere of acceptance and compassion, are best achieved, I believe, by working as a team. As we get to know each other, my desire is to hear you deeply–your past experience, your concerns, worries…and your joys and successes. It is within this alliance that, together, we will discover the best paths forward for you, be they a change in medication, lifestyle, the addition of psychotherapy, meditation or whatever else may be beneficial.
As a psychiatric nurse practitioner, my primary focus is to provide you with my full presence and deep care. This goal, along with the provision of state-of-the-art psycho-pharmacology offered in an atmosphere of acceptance and compassion, are best achieved, I believe, by working as a team. As we get to know each other, my desire is to hear you deeply–your past experience, your concerns, worries…and your joys and successes. It is within this alliance that, together, we will discover the best paths forward for you, be they a change in medication, lifestyle, the addition of psychotherapy, meditation or whatever else may be beneficial.

The Pisgah Institute is the largest, most comprehensive behavioral health practice in Western North Carolina. We are comprised of psychiatrists, psychiatric nurse practitioners, physician’s assistants, doctoral-level psychologists, licensed clinical mental health counselors who address a full range of mental health conditions. We provide consultation, medication management, and individual psychotherapy for children, adolescents, and adults. We are currently accepting new patients for in-person and virtual appointments.
The Pisgah Institute is the largest, most comprehensive behavioral health practice in Western North Carolina. We are comprised of psychiatrists, psychiatric nurse practitioners, physician’s assistants, doctoral-level psychologists, licensed clinical mental health counselors who address a full range of mental health conditions. We provide consultation, medication management, and individual psychotherapy for children, adolescents, and adults. We are currently accepting new patients for in-person and virtual appointments.

Key elements of good mental health care include (1) a solid bond between patient and psychiatrist, strengthened by open communication, mutual respect, and mutual trust; (2) involvement of spouse, or other close family member or close friend, in the treatment process; (3) coordination of care involving communication of psychiatrist with patient's primary care provider, and with other professionals, who provide care for the patient's emotional and physical needs.
Key elements of good mental health care include (1) a solid bond between patient and psychiatrist, strengthened by open communication, mutual respect, and mutual trust; (2) involvement of spouse, or other close family member or close friend, in the treatment process; (3) coordination of care involving communication of psychiatrist with patient's primary care provider, and with other professionals, who provide care for the patient's emotional and physical needs.

Affiliated Medical Group, PLLC is a private practice Psychiatric Group serving North Carolina and Florida. We have many years of combined experience working with people in a variety of settings. We have expertise in the treatment of a wide variety of psychiatric challenges across the lifespan, and we are ready to meet your needs.
Affiliated Medical Group, PLLC is a private practice Psychiatric Group serving North Carolina and Florida. We have many years of combined experience working with people in a variety of settings. We have expertise in the treatment of a wide variety of psychiatric challenges across the lifespan, and we are ready to meet your needs.
Online Psychiatrists

Catelyn specializes in psychotropic medication management. She has worked with a diverse client population, closely partnering with patients to create comprehensive treatment plans. She prides herself on actively listening to each concern and diligently following through to enable healthy outcomes. Catelyn's background enables her to treat an array of mental health concerns such as depression, anxiety, ADHD, Bipolar disorder, Schizophrenia, PTSD, insomnia, eating disorders, personality disorders, addictions, behavioral concerns in dementia, and more. Her induction into healthcare began with humble beginnings.
Catelyn specializes in psychotropic medication management. She has worked with a diverse client population, closely partnering with patients to create comprehensive treatment plans. She prides herself on actively listening to each concern and diligently following through to enable healthy outcomes. Catelyn's background enables her to treat an array of mental health concerns such as depression, anxiety, ADHD, Bipolar disorder, Schizophrenia, PTSD, insomnia, eating disorders, personality disorders, addictions, behavioral concerns in dementia, and more. Her induction into healthcare began with humble beginnings.

Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.

Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.

Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.

Jill Karelitz
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
4 Endorsed
Charlotte, NC 28210
Availability within 2 weeks! I offer both in-person and telehealth appointments to fit your busy schedule. I understand the challenges of balancing work, life, and self-care, so I strive to make mental health support accessible and stress-free.
With a personalized approach, I create tailored treatment plans that address your unique needs. I genuinely believe you have the strength to grow and heal, and my goal is to empower you on your journey.
Take control of your well-being, strengthen your relationships, and optimize your life—I’m here to support you every step of the way.
Availability within 2 weeks! I offer both in-person and telehealth appointments to fit your busy schedule. I understand the challenges of balancing work, life, and self-care, so I strive to make mental health support accessible and stress-free.
With a personalized approach, I create tailored treatment plans that address your unique needs. I genuinely believe you have the strength to grow and heal, and my goal is to empower you on your journey.
Take control of your well-being, strengthen your relationships, and optimize your life—I’m here to support you every step of the way.

I am a Physician Assistant (PA-C) and a graduate from Lenoir-Rhyne University. I discovered my passion for psychiatry during my clinical rotations and have since gained three years of experience in outpatient psychiatry. I am passionate about providing compassionate care and building a strong relationship with my patients. I recognize each person’s uniqueness and work collaboratively with my patients to develop a treatment plan best suited to individual needs.
I am a Physician Assistant (PA-C) and a graduate from Lenoir-Rhyne University. I discovered my passion for psychiatry during my clinical rotations and have since gained three years of experience in outpatient psychiatry. I am passionate about providing compassionate care and building a strong relationship with my patients. I recognize each person’s uniqueness and work collaboratively with my patients to develop a treatment plan best suited to individual needs.

Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
See more therapy options for Buncombe County
Hoarding Psychiatrists
What is the most effective treatment for hoarding?
Cognitive behavior therapy (CBT) has been well-studied in the treatment of hoarding. This type of therapy includes changing beliefs surrounding possessions, as well as learning how to discard items and reduce acquisitions. The hoarder may also gain much-needed organizational skills. Another useful therapy may be compassion-focused therapy, which can address emotion regulation and negative self-perception.
How long does therapy for hoarding take?
Although treatment can vary, most people demonstrate improvement after 23 sessions, with some showing improvement after just a few sessions. Researchers have developed a 26-session cognitive behavioral program. People who hoard may need “maintenance” sessions over the years if the problem arises repeatedly.
Are there medications for hoarding?
The more commonly-prescribed medications for hoarding are including antidepressants, including selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs). This can include drugs such as venlafaxine and paroxetine. And because hoarding disorder is related to obsessive-compulsive disorder, medications for OCD, such as clomipramine, may be effective for hoarding as well.
Can hoarding come back after treatment?
Hoarding is a chronic disorder and it can last throughout an individual’s lifetime. Regularly checking in with a psychotherapist can help manage symptoms long-term. A good therapist will help the person learn needed skills including decision-making, organization, and stress reduction. The patient will gain a better perspective and the need to cling to useless items will lessen.