HOLLY SPRINGS, NC

it doesn't have to stay like this. 

Healing starts when someone finally listens.

Trauma-informed psychiatric care in Holly Springs, NC for people who have tried before and are ready to try again with a team that will actually take the time to understand them.

Not just their symptoms. Them.

it doesn't have to stay like this. 

Healing starts when someone finally listens.

Trauma-informed psychiatric care in Holly Springs, NC for people who have tried before and are ready to try again with a team that will actually take the time to understand them.

Not just their symptoms. Them.

Why People Choose Us


Care that's actually different

We Take Time

Your first visit is not a 20-minute intake. It is a real, unhurried conversation where we dig into your full history, listen to what you have been through, and work with you to understand what is actually going on. You will not feel like a number here.

Trauma-Informed, Always

Your symptoms did not come from nowhere. We look at the whole picture because your history, your experiences, and your life circumstances are not separate from your mental health. They are central to it. Context matters here and we never lose sight of that.

Veteran-Owned & Operated

This practice was founded by a combat veteran who has worked in psychiatry since 2011. We understand what it means to carry weight you were never supposed to carry alone, and we have a particular place in our hearts for veterans and military families navigating mental health care.

Consistent Care, Start To Finish

You will see the same provider at every visit. No starting over with a new face. No explaining your story to someone new. You are a partner in your care here, and we walk you through our thinking, the reasoning behind any recommendations, and what to expect.

Accessible Care, Whatever Your Situation

We are in-network with most major insurance plans, including Aetna, BCBS, Cigna, Tricare, UHC/Optum, and Medcost. If you are uninsured or out of network, we offer competitive self-pay rates and can provide a superbill for potential reimbursement. Getting the care you need should not be a financial obstacle. We will work with you to figure it out.

Why People Choose Us


Care that's actually different

We Take Time

Your first visit is not a 20-minute intake. It is a real, unhurried conversation where we dig into your full history, listen to what you have been through, and work with you to understand what is actually going on. You will not feel like a number here.

Trauma-Informed, Always

Your symptoms did not come from nowhere. We look at the whole picture because your history, your experiences, and your life circumstances are not separate from your mental health. They are central to it. Context matters here and we never lose sight of that.

Veteran-Owned & Operated

This practice was founded by a combat veteran who has worked in psychiatry since 2011. We understand what it means to carry weight you were never supposed to carry alone, and we have a particular place in our hearts for veterans and military families navigating mental health care.

Consistent Care, Start To Finish

You will see the same provider at every visit. No starting over with a new face. No explaining your story to someone new. You are a partner in your care here, and we walk you through our thinking, the reasoning behind any recommendations, and what to expect.

Accessible Care, Whatever Your Situation

We are in-network with most major insurance plans, including Aetna, BCBS, Cigna, Tricare, UHC/Optum, and Medcost. If you are uninsured or out of network, we offer competitive self-pay rates and can provide a superbill for potential reimbursement. Getting the care you need should not be a financial obstacle. We will work with you to figure it out.

Our Services


How We Can Help

We offer a range of psychiatric services for patients 5 years old and up, all built around one simple idea:
what does this person actually need?

Diagnostic Evaluation

A thorough, in-depth first visit designed to truly understand who you are, what you are experiencing, and what a real path forward looks like for you. This is where everything begins.

Medication Management

Finding the right medication is only the beginning. We stay with you through the process, adjusting as needed and staying genuinely accessible between visits because life does not always wait for your next appointment.

Ketamine and Spravato

For people whose depression has not responded to traditional antidepressants, ketamine infusions and Spravato offer a fundamentally different approach. These treatments can bring real relief in hours to days, not weeks. Administered safely in our clinic, fully monitored, and integrated with your broader care.

Substance Use Treatment

Recovery is not a straight line and judgment has no place here. We offer compassionate, medication-assisted support for alcohol and opioid use disorders alongside honest conversations about what has and has not worked before.

ADHD Testing

Getting answers should not cost extra. We include computerized ADHD testing at no additional charge with your initial visit so you leave with clarity instead of more questions.

Our Services


How We Can Help

We offer a range of psychiatric services for patients 5 years old and up, all built around one simple idea:
what does this person actually need?

Diagnostic Evaluation

A thorough, in-depth first visit designed to truly understand who you are, what you are experiencing, and what a real path forward looks like for you. This is where everything begins.

Medication Management

Finding the right medication is only the beginning. We stay with you through the process, adjusting as needed and staying genuinely accessible between visits because life does not always wait for your next appointment.

Ketamine and Spravato

For people whose depression has not responded to traditional antidepressants, ketamine infusions and Spravato offer a fundamentally different approach. These treatments can bring real relief in hours to days, not weeks. Administered safely in our clinic, fully monitored, and integrated with your broader care.

Substance Use Treatment

Recovery is not a straight line and judgment has no place here. We offer compassionate, medication-assisted support for alcohol and opioid use disorders alongside honest conversations about what has and has not worked before.

ADHD Testing

Getting answers should not cost extra. We include computerized ADHD testing at no additional charge with your initial visit so you leave with clarity instead of more questions.

Katie was a complete life saver! We would not have made it through our crises without her help. She saw us the day we called her and continued to help us whenever we needed it, be it day or night. She truly cared about our situation and gave us the guidance and information we needed to get the results we needed. I cannot thank her enough.

Family Member of a Patient

Katie has helped me so much, it's not even funny. I was having trouble at work and my marriage was rocky. I started seeing her, completed testing and figured out what the problems were. She put me on a correct medication and regimen, and it has made me the best me I can be. At work, in my marriage, just all around and I am forever grateful.

Current Patient

Katie was a complete life saver! We would not have made it through our crises without her help. She saw us the day we called her and continued to help us whenever we needed it, be it day or night. She truly cared about our situation and gave us the guidance and information we needed to get the results we needed. I cannot thank her enough.

Family Member of a Patient

Katie has helped me so much, it's not even funny. I was having trouble at work and my marriage was rocky. I started seeing her, completed testing and figured out what the problems were. She put me on a correct medication and regimen, and it has made me the best me I can be. At work, in my marriage, just all around and I am forever grateful.

Current Patient

Meet Us


Get To Know Our Team

We are a small, intentional team.

We each chose this work because we believe people deserve real care from someone who actually listens. We would love the chance to be that for you.

Kristi Barr, PA-C

Kristi has been a certified physician assistant since 2002 and found her calling in psychiatry in 2012. She is known for her warm, unhurried approach and her ability to make patients feel comfortable from the very first visit. 

Katie Macaluso, PA-C

Katie has been working in psychiatry since 2011, with experience spanning crisis care, inpatient, detox, rehab, and outpatient settings. She founded this practice in 2023 because she kept seeing the same gap: patients who needed to be heard, not just prescribed. She is a combat veteran, a mother, and someone who genuinely believes that most people are carrying far more than they should ever have to carry alone.

Meet Us


Get To Know Our Team

We are a small, intentional team.

We each chose this work because we believe people deserve real care from someone who actually listens. We would love the chance to be that for you.

Kristi Barr, PA-C

Kristi has been a certified physician assistant since 2002 and found her calling in psychiatry in 2012. She is known for her warm, unhurried approach and her ability to make patients feel comfortable from the very first visit. 

Katie Macaluso, PA-C

Katie has been working in psychiatry since 2011, with experience spanning crisis care, inpatient, detox, rehab, and outpatient settings. She founded this practice in 2023 because she kept seeing the same gap: patients who needed to be heard, not just prescribed. She is a combat veteran, a mother, and someone who genuinely believes that most people are carrying far more than they should ever have to carry alone.

You don't have to have it all figured out before you reach out.

You just have to be willing to take one small step.

You don't need to know exactly what is wrong or have the right words to describe it.  We will meet you where you are and help you find your way forward from that point.