Clarity, Focus, and a Path Forward

ADHD Treatment for Children, Adolescents & Adults

Attention-deficit/hyperactivity disorder is more than difficulty focusing — it affects every area of life. We provide thorough evaluation and individualized treatment so you can thrive.

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Living with ADHD can feel like trying to tune into one radio station while every other channel plays at full volume. At Wellness Behavioral Health and Healing, we understand that ADHD is not a personal failing — it is a neurological difference that deserves expert, compassionate care. Zoe Karpee, PMHNP-BC, specializes in evaluating and treating ADHD across the lifespan, helping patients of all ages find clarity, build confidence, and unlock their full potential.

Understanding ADHD

What Is ADHD?

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition characterized by persistent, clinically significant patterns of inattention, hyperactivity, and/or impulsivity that interfere with functioning and development. Recognized by the DSM-5 as a chronic condition, ADHD affects approximately 8–10% of children and 4–5% of adults worldwide. It is not caused by poor parenting, lack of discipline, or low intelligence — it is rooted in differences in brain structure and dopamine regulation.

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition characterized by persistent patterns of inattention, hyperactivity, and impulsivity that interfere with daily functioning and development. It affects children and adults alike, and often goes undiagnosed — especially in women and girls.

ADHD is not a character flaw or a lack of willpower. It is a well-documented neurological condition with effective, evidence-based treatments. With the right support, people with ADHD can lead focused, fulfilling, and highly productive lives.

Common symptoms include difficulty sustaining attention, forgetfulness, disorganization, impulsive decision-making, restlessness, and trouble completing tasks — though presentations vary widely between individuals.

Our Approach

How Zoe Treats ADHD

Zoe begins with a comprehensive psychiatric evaluation to understand the full picture — your history, symptoms, daily challenges, and goals. Treatment is never one-size-fits-all. Depending on your needs, your plan may include medication management, behavioral strategies, lifestyle guidance, and coordination with therapists or educators. Zoe monitors your progress closely and adjusts your plan as your needs evolve.

Comprehensive psychiatric evaluation and diagnosis
Medication management when appropriate
Behavioral and organizational strategies
Coordination with schools, therapists, and families
Ongoing monitoring and plan adjustments

Signs & Symptoms of ADHD

ADHD presents differently in every person. Symptoms fall into two main categories — inattention and hyperactivity/impulsivity — and may vary by age, gender, and life circumstances. Common signs include:

Difficulty sustaining attention on tasks or activities

Frequent careless mistakes or overlooking details

Trouble organizing tasks, activities, or belongings

Easily distracted by unrelated thoughts or stimuli

Forgetfulness in daily activities and appointments

Fidgeting, restlessness, or difficulty staying seated

Talking excessively or interrupting others

Acting impulsively without considering consequences

Difficulty waiting for one's turn

Emotional dysregulation, frustration, or low self-esteem

Zoe Karpee, PMHNP-BC — psychiatric nurse practitioner

Zoe Karpee, NP, MSN, APRN, PMHNP-BC

Board-Certified Psychiatric Mental Health Nurse Practitioner · East Flat Rock, NC · Telemedicine Available

Meet Zoe

Ready to Get a Clear Diagnosis?

New patients are welcome. We serve East Flat Rock, NC and surrounding areas, with telemedicine available throughout the region.

Call (828) 316-5548Meet Your Provider

Find Calm. Reclaim Your Life.

Anxiety Treatment for Children, Adolescents & Adults

Anxiety is one of the most common — and most treatable — mental health conditions. You don't have to live in a constant state of worry or fear.

Call (828) 316-5548

Anxiety is your body's natural alarm system — but when that alarm never turns off, it stops protecting you and starts controlling you. At Wellness Behavioral Health and Healing, we help patients understand the roots of their anxiety and build lasting tools to manage it. Whether you experience constant worry, panic attacks, social fear, or physical symptoms with no clear cause, Zoe Karpee, PMHNP-BC, provides evidence-based, individualized care to help you find genuine relief.

Understanding Anxiety

What Is an Anxiety Disorder?

Anxiety disorders are the most common class of mental health conditions in the United States, affecting over 40 million adults. Unlike ordinary stress, anxiety disorders involve persistent, excessive fear or worry that is disproportionate to the situation and significantly impairs daily functioning. They are recognized by the DSM-5 as distinct clinical diagnoses — including generalized anxiety disorder (GAD), panic disorder, social anxiety disorder, and specific phobias — each with its own symptom profile and treatment approach.

Anxiety disorders go beyond everyday stress and worry. They involve persistent, excessive fear or anxiety that is difficult to control and significantly impacts daily life — relationships, work, school, and physical health.

Common anxiety disorders include generalized anxiety disorder (GAD), social anxiety disorder, panic disorder, separation anxiety, and specific phobias. Many people experience more than one type simultaneously.

Symptoms can include racing thoughts, restlessness, muscle tension, sleep disturbances, avoidance behaviors, and physical symptoms like rapid heartbeat or shortness of breath. Left untreated, anxiety tends to worsen over time — but with proper care, most people experience significant relief.

Our Approach

How Zoe Treats Anxiety

Zoe takes a whole-person approach to anxiety treatment. After a thorough evaluation to identify the type and severity of your anxiety, she develops an individualized treatment plan that may include medication management, evidence-based therapeutic techniques, and lifestyle strategies. She works collaboratively with you to find the right combination of tools — and adjusts your plan as you make progress.

Thorough evaluation to identify anxiety type and triggers
Medication management when clinically appropriate
Evidence-based therapeutic strategies
Stress management and lifestyle guidance
Ongoing support and plan adjustments

Signs & Symptoms of Anxiety

Anxiety manifests differently depending on the type and the individual. Symptoms can be psychological, physical, or behavioral — and often overlap with other conditions. Common signs include:

Persistent, excessive worry that is hard to control

Restlessness, feeling on edge, or keyed up

Rapid heartbeat, chest tightness, or shortness of breath

Muscle tension, headaches, or stomach upset

Sleep disturbances — difficulty falling or staying asleep

Avoidance of feared situations, places, or people

Panic attacks — sudden surges of intense fear

Difficulty concentrating or mind going blank

Irritability or feeling easily overwhelmed

Social withdrawal or fear of judgment from others

Zoe Karpee, NP, MSN, APRN, PMHNP-BC

Board-Certified Psychiatric Mental Health Nurse Practitioner · East Flat Rock, NC · Telemedicine Available

Meet Zoe

You Don't Have to Live With Anxiety

New patients are welcome. We serve East Flat Rock, NC and surrounding areas, with telemedicine available throughout the region.

Call (828) 316-5548Meet Your Provider

Hope Is a Treatment Plan Away.

Depression Treatment for Children, Adolescents & Adults

Depression is not a weakness or a choice. It is a medical condition — and with the right care, recovery is possible.

Call (828) 316-5548

Depression can make even the simplest tasks feel impossible — and the hardest part is often asking for help. At Wellness Behavioral Health and Healing, we meet you exactly where you are. Zoe Karpee, PMHNP-BC, provides compassionate, evidence-based depression treatment that addresses the whole person — not just the symptoms. You deserve to feel like yourself again, and we are here to help you get there.

Understanding Depression

What Is Depression?

Major depressive disorder (MDD) is a serious, clinically recognized mood disorder characterized by persistent depressed mood and/or loss of interest or pleasure in nearly all activities, lasting at least two weeks and causing significant impairment in daily functioning. It is one of the leading causes of disability worldwide. Depression involves measurable changes in brain chemistry, neurotransmitter function, and neural circuitry — it is a medical condition, not a personal weakness or character flaw.

Depression (major depressive disorder) is a serious mood disorder that causes persistent feelings of sadness, hopelessness, and loss of interest in activities once enjoyed. It affects how you think, feel, and function — at home, at work, and in relationships.

Depression is one of the most common mental health conditions in the United States, affecting people of all ages. It is also highly treatable. Most people who receive appropriate care experience meaningful improvement in their symptoms and quality of life.

Symptoms may include persistent low mood, fatigue, changes in sleep or appetite, difficulty concentrating, feelings of worthlessness or guilt, and in severe cases, thoughts of self-harm or suicide. If you or someone you love is in crisis, please call or text 988 (Suicide & Crisis Lifeline) immediately.

Our Approach

How Zoe Treats Depression

Zoe provides a comprehensive evaluation to understand the nature and severity of your depression, including any contributing factors such as medical conditions, life circumstances, or co-occurring conditions. Treatment plans are individualized and may include antidepressant medication, psychotherapy referrals, lifestyle interventions, and close follow-up. Zoe monitors your response to treatment carefully and makes adjustments to ensure you are moving toward recovery.

Comprehensive psychiatric evaluation
Medication management and antidepressant therapy
Referrals to therapists and counselors as needed
Lifestyle and wellness guidance
Regular follow-up and treatment monitoring

Signs & Symptoms of Depression

Depression affects people differently, and symptoms can range from mild to severe. They may develop gradually or appear suddenly. Common signs include:

Persistent sad, empty, or hopeless mood most of the day

Loss of interest or pleasure in activities once enjoyed

Significant changes in appetite or weight

Insomnia or sleeping too much

Fatigue or loss of energy nearly every day

Feelings of worthlessness or excessive guilt

Difficulty thinking, concentrating, or making decisions

Psychomotor agitation or slowing (visible to others)

Withdrawal from friends, family, and social activities

Recurrent thoughts of death or suicide — call/text 988 if in crisis

Zoe Karpee, NP, MSN, APRN, PMHNP-BC

Board-Certified Psychiatric Mental Health Nurse Practitioner · East Flat Rock, NC · Telemedicine Available

Meet Zoe

Take the First Step Toward Feeling Better

New patients are welcome. We serve East Flat Rock, NC and surrounding areas, with telemedicine available throughout the region.

Call (828) 316-5548Meet Your Provider

Care That Understands Your Whole Story.

Women's Mental Health Care in East Flat Rock, NC

Women face unique mental health challenges across every stage of life — from adolescence through menopause and beyond. We provide specialized care that honors your full experience.

Call (828) 316-5548

Women's mental health is shaped by a complex interplay of biology, hormones, relationships, and life experiences that are uniquely their own. At Wellness Behavioral Health and Healing, Zoe Karpee, PMHNP-BC, brings specialized training and genuine empathy to every appointment. Whether you are navigating postpartum depression, PMDD, anxiety, trauma, or the emotional weight of midlife transitions, you will find a safe, non-judgmental space where your full story is heard — and your care reflects it.

Women's Mental Health

Mental Health Through Every Stage of a Woman's Life

Women experience mental health conditions at significantly higher rates than men for many diagnoses, including major depression, generalized anxiety disorder, PTSD, and eating disorders. This disparity is driven by a combination of hormonal biology, reproductive transitions, social stressors, and higher rates of trauma exposure. The DSM-5 and clinical research recognize several conditions that disproportionately or exclusively affect women — including premenstrual dysphoric disorder (PMDD), perinatal depression, and postpartum psychosis — requiring specialized clinical knowledge and a gender-informed approach to care.

Women experience mental health conditions at higher rates than men for many conditions — including depression, anxiety, PTSD, and eating disorders — and often face unique biological, hormonal, and social factors that shape their mental health across the lifespan.

Hormonal transitions — puberty, the menstrual cycle, pregnancy, postpartum, perimenopause, and menopause — can significantly affect mood, cognition, and emotional wellbeing. Conditions like premenstrual dysphoric disorder (PMDD), postpartum depression, and perinatal anxiety require specialized understanding and care.

Women are also more likely to experience trauma, domestic violence, and caregiver burnout — all of which carry significant mental health implications. Zoe provides a safe, non-judgmental space where women can be fully heard and receive care that reflects their whole story.

Our Approach

How Zoe Supports Women's Mental Health

Zoe brings specialized training and deep empathy to women's mental health care. She understands the hormonal, relational, and social dimensions of women's mental health and integrates that understanding into every evaluation and treatment plan. Whether you are navigating postpartum depression, PMDD, anxiety, trauma, or the emotional challenges of midlife transitions, Zoe provides individualized, evidence-based care in a compassionate and confidential environment.

Specialized care for perinatal and postpartum mental health
PMDD evaluation and hormonal mood management
Trauma-informed psychiatric care
Perimenopause and menopause mental health support
Individualized medication and therapeutic planning

Signs & Symptoms to Watch For

Women's mental health concerns can present differently than they do in men, and are sometimes dismissed or misattributed to hormones or stress. Common signs that warrant evaluation include:

Persistent sadness, hopelessness, or emotional numbness

Severe mood changes tied to the menstrual cycle (PMDD)

Depression or anxiety during or after pregnancy

Difficulty bonding with a newborn or intrusive thoughts postpartum

Mood swings, irritability, or brain fog during perimenopause

Persistent anxiety, panic attacks, or social withdrawal

Flashbacks, nightmares, or hypervigilance following trauma

Disordered eating patterns or distorted body image

Exhaustion, burnout, or feeling unable to cope with daily demands

Feeling unseen, unheard, or dismissed by previous providers

Zoe Karpee, NP, MSN, APRN, PMHNP-BC

Board-Certified Psychiatric Mental Health Nurse Practitioner · East Flat Rock, NC · Telemedicine Available

Meet Zoe

You Deserve Care That Sees the Whole You

New patients are welcome. We serve East Flat Rock, NC and surrounding areas, with telemedicine available throughout the region.

Call (828) 316-5548Meet Your Provider