Therapy & Psychiatry in North Carolina & Virginia

Individual Therapy & Medication Support

Affirming care for neurodivergent and LGBTQIA+ children, teens, and adults seeking clarity, regulation, and support that respects who they are.

icons-mental-health-03

Gain a clearer sense of what’s actually happening

icons-mental-health-02

Enhance emotional regulation & daily stability

icons-mental-health-04

Feel a more grounded & authentic sense of self

What’s actually going on with me?

You might be questioning whether this is anxiety, autistic burnout, trauma, or something else entirely. You want clarity and support without being rushed, dismissed, or boxed into a diagnosis that doesn’t fit.

Therapy may be a fit if you:

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Feel anxious, overwhelmed, or emotionally exhausted and cannot pinpoint why

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Wonder if this is anxiety, burnout, trauma, neurodivergence, or something else entirely

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Are tired of masking or pushing yourself just to get through the day

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Want clear explanations instead of vague reassurance or rushed answers

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Have tried therapy or medication before and felt misunderstood or dismissed

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Need care that respects your identity, autonomy, and pace

Therapy may be a fit if you:

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Feel anxious, overwhelmed, or emotionally exhausted and cannot pinpoint why

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Wonder if this is anxiety, burnout, trauma, neurodivergence, or something else entirely

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Are tired of masking or pushing yourself just to get through the day

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Want clear explanations instead of vague reassurance or rushed answers

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Have tried therapy or medication before and felt misunderstood or dismissed

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Need care that respects your identity, autonomy, and pace

What is Therapy & Medication Support?

Therapy and medication support are different tools that can be used on their own or together, depending on your needs. Care here focuses on understanding what you are experiencing first, then choosing the type of support that makes the most sense for you. Medication is never the starting point by default, and therapy is never rushed.

01

Psychotherapy

Psychotherapy focuses on understanding patterns, processing experiences, and building skills for emotional regulation and daily life. Sessions move at a pace that respects your nervous system and lived experience.

02

Medication Management

Medication management involves thoughtful evaluation and shared decision-making around psychiatric medication. Medication is approached as an option, not a requirement, and is adjusted collaboratively based on how it affects your daily life and well-being.

03

Integrated Care

Integrated care combines psychotherapy and medication support when helpful. This approach allows for a more complete understanding of how your mental health, nervous system, and daily functioning interact.

  • Psychodynamic therapy
    Explores how past experiences and relationships shape current patterns and emotional responses.

  • IFS (Internal Family Systems)
    Helps you understand and work with different parts of yourself in a non-judgmental way.

  • DBT (Dialectical Behavioral Therapy)
    Builds practical tools for emotion regulation, distress tolerance, and relationship stability.

  • TF CBT (Trauma Focused Cognitive Behavioral Therapy)
    Trauma-informed care that supports processing and integration of overwhelming experiences.

  • CBT I (Cognitive Behavioral Therapy for Insomnia)
    Targets sleep disruption through behavioral and cognitive strategies.

  • ERP (Exposure and Response Prevention)
    Structured support for OCD and anxiety-driven patterns that feel stuck or compulsive.

  • CBT AR (Cognitive Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder [ARFID])
    Specialized support for ARFID and restrictive eating patterns.

  • Children ages 5 and up

  • Teens navigating identity, stress, and emotional overwhelm

  • Adults experiencing anxiety, burnout, trauma, or nervous system dysregulation

  • Neurodivergent individuals seeking affirming and practical support

  • LGBTQIA plus individuals looking for care that respects identity and autonomy

  • Care here is grounded in respect, consent, and collaboration. Treatment is shaped around the whole person, not a diagnosis, and decisions are made together with your goals, values, and lived experience in mind.

    This approach to care is:

    • Neuroaffirming
      Your brain is not treated as something to “fix.” Differences in thinking, processing, and regulation are understood and respected.

    • LGBTQIA+ and gender affirming
      Identity is honored without question. Care is provided in a way that respects gender, sexuality, and self-expression.

    • Disability and chronic illness affirming
      Physical and mental health conditions are acknowledged without minimizing, blaming, or pushing unrealistic expectations.

    • Trauma and violence informed
      Care recognizes how trauma impacts the nervous system, emotions, and behavior, with an emphasis on safety and pacing.

    • Survivor centered
      You remain in control of your care. Treatment prioritizes choice, autonomy, and trust.

    • Sex positive
      Sexuality is approached without shame or judgment and discussed openly when relevant to your well-being.

    • Poly, kink, and relationship structure affirming
      Non-traditional relationship structures and identities are respected and supported without pathologizing.

    • Anti-oppressive and decolonizing
      Care acknowledges how systems, power, and social context affect mental health, rather than placing blame on individuals.

    • Health at Every Size (HAES) aligned and anti-diet
      Health is not measured by weight. Care does not promote dieting, weight stigma, or body shaming.

    • Thoughtful deprescribing when appropriate
      Medication is regularly reviewed, adjusted, or reduced when it no longer serves your goals or well-being.

01

Psychotherapy

Psychotherapy focuses on understanding patterns, processing experiences, and building skills for emotional regulation and daily life. Sessions move at a pace that respects your nervous system and lived experience.

02

Medication Management

Medication management involves thoughtful evaluation and shared decision-making around psychiatric medication. Medication is approached as an option, not a requirement, and is adjusted collaboratively based on how it affects your daily life and well-being.

03

Integrated Care

Integrated care combines psychotherapy and medication support when helpful. This approach allows for a more complete understanding of how your mental health, nervous system, and daily functioning interact.

  • Psychodynamic therapy
    Explores how past experiences and relationships shape current patterns and emotional responses.

  • IFS (Internal Family Systems)
    Helps you understand and work with different parts of yourself in a non judgmental way.

  • DBT (Dialectical Behavioral Therapy)
    Builds practical tools for emotion regulation, distress tolerance, and relationship stability.

  • TF CBT
    Trauma informed care that supports processing and integration of overwhelming experiences.

  • CBT I (for insomnia)
    Targets sleep disruption through behavioral and cognitive strategies.

  • ERP
    Structured support for OCD and anxiety driven patterns that feel stuck or compulsive.

  • CBT AR
    Specialized support for ARFID and restrictive eating patterns.

  • Children ages 5 and up

  • Teens navigating identity, stress, and emotional overwhelm

  • Adults experiencing anxiety, burnout, trauma, or nervous system dysregulation

  • Neurodivergent individuals seeking affirming and practical support

  • LGBTQIA plus individuals looking for care that respects identity and autonomy

  • Care here is grounded in respect, consent, and collaboration. Treatment is shaped around the whole person, not a diagnosis, and decisions are made together with your goals, values, and lived experience in mind.

    This approach to care is:

    • Neuroaffirming
      Your brain is not treated as something to “fix.” Differences in thinking, processing, and regulation are understood and respected.

    • LGBTQIA+ and gender affirming
      Identity is honored without question. Care is provided in a way that respects gender, sexuality, and self-expression.

    • Disability and chronic illness affirming
      Physical and mental health conditions are acknowledged without minimizing, blaming, or pushing unrealistic expectations.

    • Trauma and violence informed
      Care recognizes how trauma impacts the nervous system, emotions, and behavior, with an emphasis on safety and pacing.

    • Survivor centered
      You remain in control of your care. Treatment prioritizes choice, autonomy, and trust.

    • Sex positive
      Sexuality is approached without shame or judgment and discussed openly when relevant to your well-being.

    • Poly, kink, and relationship structure affirming
      Non-traditional relationship structures and identities are respected and supported without pathologizing.

    • Anti-oppressive and decolonizing
      Care acknowledges how systems, power, and social context affect mental health, rather than placing blame on individuals.

    • Health at Every Size (HAES) aligned and anti-diet
      Health is not measured by weight. Care does not promote dieting, weight stigma, or body shaming.

    • Thoughtful deprescribing when appropriate
      Medication is regularly reviewed, adjusted, or reduced when it no longer serves your goals or well-being.

Therapy & Psychiatry in North Carolina & Virginia

How Therapy & Medication Can Help

Care here focuses on understanding first, then support that fits you, not the other way around.

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Improve emotional regulation and reduce chronic overwhelm

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Decrease the need to mask in order to function day to day

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Support identity exploration without pathologizing or pressure

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Build more stable relationships with yourself and others

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Increase clarity, self-trust, and confidence in daily decision-making

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Make sense of overlapping experiences like anxiety, burnout, trauma, or neurodivergence

Therapy is a form of self-love.

Free consultations are available virtually for clients in North Carolina and Virginia. This is a brief, low-pressure conversation to talk through what you’re experiencing, what you’re hoping for, and whether working together feels like a good fit.

LGBTQIA+ Psychiatry in North Carolina & Virginia

Are You Facing Any Of These Challenges?

You may feel mentally and physically exhausted, shut down, or unable to function the way you used to. Tasks that once felt manageable now feel impossible, and rest does not seem to restore you.

This may show up as racing thoughts, tension in your body, difficulty sleeping, or a sense of being on edge most of the time. Sometimes the anxiety has a clear cause. Other times, it does not.

You may feel emotions very intensely or have trouble coming back to baseline after stress. This can include shutdowns, meltdowns, irritability, or feeling emotionally flooded without knowing why.

  • You may be questioning who you are beneath expectations, roles, or survival strategies. Masking may feel necessary to get through the day, but deeply exhausting over time.

Past experiences may still live in your body, even if you have talked about them before. You may notice hypervigilance, avoidance, dissociation, or feeling disconnected from yourself or others.

Living in a body that requires ongoing care can impact mood, energy, self-trust, and identity. You may be navigating grief, frustration, or burnout related to accessibility, pain, or limitations.

You may be curious about medication, unsure if it is helping, experiencing side effects, or wanting support reviewing or adjusting what you are currently taking.

If you are experiencing any of these challenges, working with an affirming and compassionate psychiatric provider can make a meaningful difference. Dr. Ward offers virtual therapy and medication support for LGBTQIA+ and neurodivergent children, teens, and adults across North Carolina and Virginia.

Start building the life you deserve.

Book a free 15-minute introductory call to see if this approach feels supportive and aligned for you. There’s no pressure to decide, just space to ask questions and get clarity.

About drmrhpgwrd

Why Work With Meriah Ward

Meriah Ward, DNP, FNP-BC, PMHNP-BC

(they/them)

“Healing is not linear. Progress includes setbacks, and that does not mean you are failing."

Meriah’s work is grounded in the belief that healing should never require masking, overexplaining, or fitting into someone else’s definition of “normal.” Their care is collaborative, thoughtful, and paced to your needs, not rushed or one-size-fits-all.

As a neurodivergent provider, Meriah brings both clinical expertise and lived understanding to their work. Clients often share that they feel genuinely seen here, not analyzed, minimized, or pushed toward quick fixes that do not fit their reality.

Meriah integrates psychotherapy, psychiatric care, and holistic support to help you build clarity, regulation, and confidence in your daily life. Medication is approached as an option, not a requirement, and decisions are always made together with respect for your autonomy.

Years in Practice
0 +
Patients Served
0 +
Board Certifications
0
MY Approach

What to Expect

A collaborative process that prioritizes understanding, consent, and care that evolves with you over time.

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Understanding

We take time to understand your full story including your history, neurotype, identity, and what has or has not helped before. Care here starts from a place of being truly understood.

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

THE WORK

Together, we address patterns, trauma, and sources of overwhelm at a pace that respects your mind and body. Therapy and medication work collaboratively only if it aligns with you.

ChatGPT_Image_Oct_14__2025__02_47_36_PM-removebg-preview

Ongoing Support

You build tools for regulation and daily functioning so progress lasts beyond sessions. Healing is supported over time, not treated as something to rush through or outgrow.

LGBTQ & Neurodivercence Psychiatry

Frequently Asked Questions

  • CA: Out of network with insurance. Self-pay only.

  • NC:  Healthy Blue NC (Medicaid, Children and Families Specialty Plan), Cigna, Oscar Health Plan, Optum (BH Complete Commercial, MAMSI OneNet PPO, Medicare, MAMSI Worker Compensation, DSNP, PHP Medicaid, NC Exchange, and UBH General), Medicare, and Railroad Medicare. We also accept Quest as a supplement plan for Medicare and Medicaid, and Coventry Health (affiliated with Aetna), plus employer sponsored small group plans under BCBS, Optum, or Cigna. Medicaid is also listed as applied for individual participation, and AmeriHealth Caritas and Aetna are applied and contract signed.

  • VA: Quest Behavioral Health, Aetna, CareFirst BlueCross BlueShield, Carelon, Independence Blue Cross Pennsylvania, Horizon Blue Cross and Blue Shield of New Jersey, and Cigna

  • Superbills can be provided for reimbursement.

Yes, all appointments are conducted via secure telehealth.

Standard appointments are 30 to 60 minutes, with time dedicated to your unique needs each visit.

Each 30 minute session is $150. Each 60 minute session is $300. With no additional fees for paperwork, including letters, FMLA paperwork, disability paperwork, etc..

I combine clinical expertise with lived experience to create affirming, low-demand care that honors your authentic self.

Weekly sessions are generally best for making progress and meeting therapy goals. However, session frequency is adjusted based on your needs and availability. While it’s hard to predict the number of sessions needed, we aim to help you achieve results quickly and create lasting change.

How To Get Started

If you’re ready to get started, you can use the button below to book an appointment or free consultation online.

Log in to your account to book an appointment.

Follow me on Instagram

Contact me through the form to answer your questions, book an appointment or to learn more.