Mental Health Care
That Meets You in Charleston
Board-certified psychiatrists and licensed therapists, integrated under one roof in Mt. Pleasant. Whether you're managing depression that hasn't responded to medication, anxiety, PTSD, ADHD, or something more complex, our Charleston team provides comprehensive psychiatric care and therapy — including TMS therapy, Spravato, EMDR, DBT, anger management, and veteran mental health services. Telehealth available statewide in South Carolina. Medicare, Medicaid, Tricare, and most insurance accepted.
Medicare, Medicaid, Tricare & Most Insurance Plans Accepted in Charleston
We verify your coverage and handle prior authorization for TMS and Spravato before your first appointment. You focus on getting better. We handle the paperwork.
Coverage varies by plan and medical necessity criteria. Call us for a benefits verification before your first appointment.
Board-Certified Psychiatrists Leading Your Care
Nate Upshaw, M.D.
With nearly two decades of clinical experience, Dr. Upshaw is among the most trained interventional psychiatrists in the Southeast. A former University of South Florida faculty member and VA psychiatrist, his deep expertise in TMS, ECT, and Spravato means patients with treatment-resistant depression have access to options that most practices simply don't offer.
Read full bio
Ajay Sood, M.D.
Dr. Sood has been caring for patients in the Lowcountry for more than 20 years. MUSC-trained with a dedicated fellowship in Child and Adolescent Psychiatry, he is one of the few psychiatrists in the Charleston area with genuine expertise across the full age range — from children navigating ADHD and anxiety to adults managing complex mood disorders and everything in between.
Read full bioPsychiatry & Behavioral Health in Charleston, SC
From a first psychiatric evaluation to advanced treatments like TMS and Spravato, our Charleston team provides the full range of outpatient psychiatric care and therapy for adults. Depression. Anxiety. PTSD. ADHD. Anger management. DBT. Couples counseling. Complex cases that haven't responded to standard care. We start by getting the diagnosis right, then build a plan around what you actually need.
Psychiatric Evaluation
Assessment & diagnosis
Medication Management
All diagnoses · telehealth available
TMS Therapy
FDA-cleared · non-invasive
Spravato® (Esketamine)
FDA-approved · treatment-resistant depression
EMDR Therapy
Trauma processing · PTSD treatment
Couples Therapy & Marriage Counseling
Relationships · communication
Individual Psychotherapy
CBT · DBT · grief · telehealth
Veteran Mental Health
Tricare accepted · PTSD · EMDR
Telehealth Psychiatry & Therapy
Available statewide in SC
Psychiatric Evaluation & Consultation
Every care plan at Turnwell Mental Health of Charleston starts here. Before any treatment begins, your board-certified psychiatrist conducts a thorough evaluation covering your symptom history, prior treatments, family background, and life circumstances. An accurate diagnosis is the foundation of a good plan. Second-opinion consultations are also available for patients who want an independent perspective on a current diagnosis or existing treatment approach.
Become a PatientBoard-certified psychiatrists accepting new patients in Charleston. Most patients are seen within a few days of reaching out.
TMS Therapy in Charleston, SC
If medications haven't worked, or haven't worked well enough, TMS therapy offers a different path forward. Transcranial Magnetic Stimulation uses precisely targeted magnetic pulses to stimulate the brain regions responsible for mood regulation, guided by detailed brain mapping rather than a one-size-fits-all approach. No pills, no anesthesia, no recovery time. Patients drive themselves home after every session.
TMS also strengthens the connection between two key brain networks involved in emotional resilience and self-regulation. That's why results tend to be both meaningful and lasting for many patients who had run out of other options.
Spravato® (Esketamine) in Charleston, SC
For people with severe depression when other treatments haven't delivered lasting relief, Spravato offers something different. Unlike antidepressants that target serotonin and can take weeks to work, Spravato acts on the brain's glutamate system and often brings meaningful relief within one to two days. When someone is truly struggling, that difference matters deeply.
Because Spravato can cause temporary sedation and dissociation, it is administered right here in our Charleston-area office under full medical supervision. Most patients follow twice-weekly sessions for four weeks, then transition to a maintenance schedule based on their response.
Insurance verified before your first appointment. Medicare, Medicaid, Tricare and most major plans accepted.
Become a PatientDepression, Anxiety, PTSD, ADHD, Addiction & More
Our Charleston team has particular experience with conditions that are difficult to treat or haven't responded to standard approaches. If you've tried medication, therapy, or both without lasting improvement, that's the kind of patient we're built to care for.
ADD / ADHD
ADHD testing and treatment in Charleston SC for adults, including comprehensive diagnostic evaluations, stimulant and non-stimulant medication management, and behavioral strategies. An accurate ADHD diagnosis requires more than a screening questionnaire — our psychiatrists conduct thorough assessments that account for co-occurring conditions like anxiety, depression, and sleep disorders. Telehealth ADHD follow-up available throughout South Carolina.
Addiction & Substance Use Disorders
Integrated psychiatric care for alcohol use disorder, opioid use disorder, and other substance use conditions alongside any co-occurring mental health diagnoses.
Anxiety Disorders
Our anxiety therapists and psychiatrists in Charleston treat generalized anxiety disorder, social anxiety, panic disorder, and phobias. Anxiety treatment options include CBT, DBT, medication management, and TMS therapy, which is FDA-cleared for anxiety and available on-site.
Bipolar Disorder
Comprehensive psychiatric care for bipolar I, bipolar II, and cyclothymia including mood stabilizer management, psychoeducation, and coordinated therapy.
Depression & Treatment-Resistant Depression
When antidepressants haven't worked, or have worked but stopped, there are clinically proven alternatives. Our Charleston clinic offers TMS therapy and Spravato specifically for treatment-resistant depression, alongside medication management and individual therapy. A different approach often produces a different outcome.
Anger Management
Anger management counseling in Charleston for adults who want to understand the patterns behind reactive anger and build healthier responses. Our therapists work collaboratively to develop lasting emotional regulation skills, not just short-term coping strategies.
OCD & Obsessive Behaviors
TMS therapy is FDA-cleared for OCD and available at our Charleston clinic. We also offer CBT with Exposure and Response Prevention (ERP), the evidence-based gold standard for obsessive-compulsive disorder.
PTSD & Trauma Recovery
PTSD treatment at our Charleston clinic includes EMDR therapy, trauma-focused CBT, and psychiatric medication management. EMDR is recognized by the APA, WHO, and VA as a frontline treatment for PTSD because it addresses trauma at its source rather than managing symptoms around it. Tricare accepted for veterans and active-duty service members.
Schizophrenia & Psychotic Disorders
Careful, long-term psychiatric management for schizophrenia, schizoaffective disorder, and related conditions, with close medication oversight and coordinated care as your needs evolve.
Grief & Loss
Grief is not a disorder, but when it persists and begins affecting sleep, relationships, or daily function, it can develop into clinical depression or anxiety. Our therapists in Charleston provide a structured, unhurried space to process loss. Psychiatric care is available alongside therapy when needed.
Veteran Mental Health
Tricare-accepted psychiatric care for veterans and active-duty service members in Charleston. Our clinicians understand military culture and the particular reluctance that often comes with seeking mental health support. Services include PTSD treatment, EMDR therapy, and medication management. Accepting new patients.
Self-Harm Recovery
Compassionate, non-judgmental care for individuals in recovery from self-harm behaviors. We work collaboratively to understand the underlying distress and build lasting, healthy coping strategies alongside your broader treatment plan.
DBT Therapy
Dialectical Behavior Therapy in Charleston at Turnwell helps adults develop concrete skills for managing intense emotions, reducing impulsive or self-destructive behaviors, and building stronger interpersonal relationships. DBT is particularly effective for borderline personality disorder, chronic emotional dysregulation, and patients who haven't responded well to traditional talk therapy alone.
Getting Started with a Psychiatrist in Charleston Is Simpler Than You Think
The hardest part of getting help is often making that first call. Once you do, our team moves quickly. Most new patients are seen within a few days of reaching out. We verify your insurance, handle prior authorization for TMS and Spravato, and take care of the logistics before your first appointment. You show up. We handle the rest.
What to Expect When You Reach Out
Contact Us
Call (843) 868-2005 or complete our online intake form. Someone from our team will follow up within one business day.
Insurance Verification
We confirm your coverage and handle prior authorization for TMS and Spravato so there are no surprises before you start.
Psychiatric Evaluation
Your psychiatrist takes a thorough history — symptoms, prior treatments, current medications, and relevant life context — before recommending any course of treatment.
Personalized Treatment Plan
Your plan may include medication management, TMS, Spravato, EMDR, couples counseling, DBT, or individual therapy, coordinated and adjusted as you progress.
What Patients Say About Turnwell Charleston
Verified Google reviews — Turnwell Mental Health of Charleston
I highly recommend Turnwell Mental Health! Shannon is the best therapist! She has helped me cope and still cope through this wild journey of life. I'm deeply grateful! If anyone needs a therapist I always suggest Shannon and Turnwell!
I wanted to thank y'all so much for making me feel appreciated and understanding what's going on with me. Never down talking or judging.
Best place in town to go to for your mental health. Super friendly and welcoming environment. You can tell they are there because they care and not just a paycheck, and that makes a world of difference.
Accepting new patients across Charleston, Mt. Pleasant, and the Lowcountry. Most patients are seen within a few days of reaching out.
Become a PatientFind Us in Mt. Pleasant, SC
Located in Charleston at 600 Seacoast Pkwy, conveniently serving patients from throughout the greater Charleston area including Mount Pleasant, Summerville, Goose Creek, North Charleston, and the Lowcountry.
Turnwell Mental Health of Charleston
600 Seacoast Pkwy, Suite 200Mt. Pleasant, SC 29464
Serving Mt. Pleasant, Charleston & the Lowcountry
Our clinic sits on Seacoast Parkway in Mt. Pleasant, accessible to patients throughout the greater Charleston area. We provide full-spectrum psychiatric and therapy services with the personalized attention a larger health system rarely delivers. Accepting new patients from Charleston, Mount Pleasant, Summerville, Goose Creek, and the Lowcountry.
Primary Service Areas
Extended Service Areas & Telehealth
Emergency Services Policy
Turnwell of Charleston is an outpatient clinic and does not provide emergency or crisis services. If you are experiencing a psychiatric emergency, call 911, go to your nearest ER, or call or text 988.
View Local Emergency ResourcesControlled Substance Policy
Turnwell provides controlled substance prescriptions at the discretion of the provider in accordance with legal regulations. Patients must take medications exactly as prescribed and attend all scheduled monitoring appointments.
View Controlled Substance PolicyQuestions About Mental Health Care in Charleston
Answers to the most common questions about our psychiatrists, therapists, advanced treatments, and what to expect when you reach out. You can also call (843) 868-2005 before your first visit.
Is there a psychiatrist in Charleston SC accepting new patients?
Is TMS therapy available in Charleston SC?
Is Spravato (esketamine) available in Charleston?
Does Turnwell Charleston offer telehealth psychiatry?
Do you offer couples therapy and marriage counseling in Charleston?
Do you treat veterans and accept Tricare in Charleston?
Is DBT therapy available in Charleston SC?
Does Turnwell Charleston accept Medicare or Medicaid?
Is there a counseling center in Charleston SC that also offers psychiatry?
Does Turnwell Charleston offer veteran mental health care?
A Psychiatrist in Charleston Is Ready to Help
Most patients are seen within a few days of reaching out. Schedule a confidential consultation with our clinical team to discuss your symptoms, your history, and whether advanced psychiatric care in Charleston is right for you.