Most people find us in the middle of something — a child whose teacher keeps sending notes home, a promotion that arrived with insomnia attached, a discharge date that came and went and left a strange quiet behind. What they usually do not know is which kind of appointment to ask for. This guide walks through every service we offer at Greene Mental Wellness PLLC, who each one helps, and how to pick a starting point without guessing.
We are a Black-owned, veteran-owned psychiatric practice in Wake Forest, North Carolina, and we see patients both in our office and by secure telehealth anywhere in the state. Everything below is available in either format unless noted.
1. Psychiatric medication management
Medication management is the backbone of the practice and the right entry point for most adults. It begins with a full psychiatric evaluation: your history, current symptoms, sleep, medical conditions, past medication trials, family history, and what you actually want your life to look like six months from now.
How it helps. We treat anxiety, depression, bipolar disorder, ADHD, insomnia, PTSD, mood disorders, and substance-use disorders. Good medication management is not a prescription pad — it is careful diagnosis, a starting dose chosen with your history in mind, and regular follow-up to adjust based on what you report. Side effects are treated as data, not as something to endure quietly.
Who it is for. Anyone who has never been evaluated, anyone whose current regimen has stopped working, and anyone who wants a second opinion on a diagnosis that never quite fit.
2. ADHD testing with the Qb Test
Qb Testing is the most widely used FDA-cleared objective test for ADHD, available here for ages 6 through 60. It measures attention, impulsivity, and motor activity during a structured task and compares your results against a norm group matched for age and sex.
How it helps. Checklists rely on memory and self-perception, both of which are unreliable when you have spent years compensating. Objective data answers the question people most want answered: is this actually ADHD, or is it anxiety, sleep debt, depression, or trauma wearing an ADHD costume? The test also gives a baseline, so a repeat test on medication shows whether treatment is working rather than only whether it feels like it is.
Who it is for. Children whose school performance does not match their ability, adults diagnosed late or never, and anyone who needs documentation for school or workplace accommodations. Qb Testing is performed in our Wake Forest office because it uses calibrated equipment.
3. Anxiety and depression treatment
Anxiety and depression care combines diagnostic clarity, medication where it helps, and coordinated therapy. We treat generalized anxiety, panic, social anxiety, health anxiety, major depression, persistent low mood, postpartum mood changes, and the burnout that high-achieving professionals often mistake for a personal failing.
How it helps. Anxiety and depression travel together more often than not, and treating one while ignoring the other stalls progress. We look at the whole picture — sleep, thyroid and hormones, substance use, grief, workload — before deciding what to change first. Between visits, skills matter: our guides to relaxation techniques and box breathing are the exercises we hand patients most often.
4. Veterans mental health
Veterans care is personal here. Dr. Catina Greene served eleven years in the U.S. military before founding this practice, and that shapes how these visits go. You will not spend the first appointment explaining what a deployment cycle is or why the transition out was harder than the service itself.
How it helps. We work with PTSD, moral injury, hypervigilance, sleep disruption, TBI-related concerns, substance use, and the identity loss that follows separation. Spouses and family members carry part of this too, and they are welcome in care. Telehealth matters especially here — it removes the drive, the waiting room, and the parking lot pause that keeps a lot of veterans from walking in.
5. Child and adolescent care
Child and adolescent care covers children, teens, college and graduate students, and young adults. Kids are not small adults — symptoms show up as irritability, stomachaches, school refusal, and shrinking social worlds long before anyone uses the word anxiety.
How it helps. We evaluate carefully, involve families without talking over the young person, coordinate with schools when accommodations are needed, and prescribe conservatively with clear follow-up. Where ADHD is on the table, Qb Testing gives parents something more solid than a teacher's impression.
Therapy, and how the pieces fit together
Shamira Smith, LMFT provides licensed marriage and family therapy within the practice, and our psychiatric providers coordinate with her or with an outside therapist you already trust. Medication and therapy are not competing options; for most conditions the combination outperforms either alone. Meet the full clinical team on our team page, or read more about the practice's story on the about page.
Choosing where to start
If you are unsure, book a psychiatric evaluation. It is the widest door — the visit itself sorts out whether the next step is medication, testing, therapy, or simply better sleep and a follow-up in six weeks. If focus is the central question and you want objective answers, start with Qb Testing. If you are a veteran and have been putting this off for years, start with a telehealth visit from your own house.
Practical details
We accept most major North Carolina insurance plans, Carelon, and most NC Medicaid plans. Our office is at 833 Wake Forest Business Park, Suite F, Wake Forest, NC 27587, and we serve Wake Forest, Raleigh, Rolesville, Youngsville, Franklinton, Louisburg, Durham, and Cary — plus anyone physically located in North Carolina by telehealth. Call (919) 230-1419 or request an appointment online. You can also browse all services in one place.