Duke Psychiatry at Civitan Building

2213 Elba St
Durham, NC 27705

Duke University Hospital Outpatient Department NC 27705

About Duke Psychiatry at Civitan Building

Duke University Hospital Outpatient Department offers hospital-based clinics to treat adults with substance abuse and mental health problems. Duke University Hospital Outpatient Department is located in Durham, NC.

Duke University Hospital Outpatient Department includes the Duke Family Care Program that offers treatment services for pregnant women that desire to have a drug-free baby or women who want to strengthen their family relationships or also for those who want to regain custody of a child. Duke Family Care Program also helps women to connect with other agencies in case they need residential treatment or day care for their children.

Duke Psychiatry at Civitan Building is part of the Duke University Hospital Outpatient Department and it offers treatment services for adults struggling with mental health disorders including diagnostic assessments, psychiatric medication management, and cognitive behavior therapies (CBT) in order to help them recover from conditions such as depression, anxiety or personality disorders. All the therapies are clinically proven and assure to reduce symptoms while giving the patients a better quality of life.

Latest Reviews

Andrew McKinney
1 month ago on Google
1
genuinely one of the most traumatizing interactions I've ever had with a medical professional. years later, I still think about it and have panic attacks. I hope the state shuts you down.
N_M Dez
1 year ago on Google
1
RE: Provider Marisa Smith: I'd have happily given her 10 stars; unil now. I had considered her a caring provider. One of the rare ones that allow their clients to participate in their own care, listens not hears, asks valuable & thought-provoking questions. At my last appointment, I got very upset; our opinion regarding the next step in my tx were in contrast. I abruptly ended the session in frustration. Next? I get a call from administrative staff that I am being handed off to another clinician...then lied about the reasoning until I called her on it. Relationships of all kinds can be ended by either party. Those words should have come from her. Extremely unprofessional. I've never experienced such passiveness from anyone in my 40 years of doing this dance. It's like your spouse's best friend letting you know youre being divorced. All respect & trust vanished.
HP
4 years ago on Google
1
In the past, this clinic was wonderful. Around 2016/2017 I received care from very compassionate professionals who seemed to love their work. However, this is not the case anymore. The clinic is shifting from long term care to short term care. This decision is coming from people up top who have no involvement in your care. If you will need therapy longer than a few months, just go somewhere else. Employee moral could not be any lower.

Location

Accepted Insurance

Duke Psychiatry at Civitan Building works with several private insurance providers and also accepts private payments when possible, Please contact to verify your specific insurance provider.

Call now to check and verify your insurance

800-985-8516
Question iconWho Answers?

Other Forms of Payment

Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.

Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.

Financial aid can take many forms. Centers may have grants or scholarships available to clients who meet eligibility requirements. Programs that receive SAMHSA grants may have financial aid available for those who need treatment as well. Grants and scholarships can help you pai for treatment without having to repay.

Sliding scale payments are based on a client's income and family size. The goal is to make treatment affordable to everyone. By taking these factors into account, addiction recovery care providers help ensure that your treatment does not become a financial burden to you or your family, eliminating one barrier to care.

Medicare is a federal program that provides health insurance for those 65 and older. It also serves people under 65 with chronic and disabling health challenges. To use Medicare for addiction treatment you need to find a program that accepts Medicare and is in network with your plan. Out of pocket costs and preauthorization requirements vary, so always check with your provider.

Military members, veterans, and eligible dependents have access to specific insurance programs that help them get the care they need. TRICARE and VA insurance can help you access low cost or no cost addiction and mental health treatment. Programs that accept military insurance often have targeted treatment focused on the unique challenges military members, veterans, and their families face.

Medicaid is a state based program that helps lower-income individuals and families pay for healthcare. Medicaid covers addiction treatment so those enrolled can use their coverage to pay for rehab. When a program accepts Medicaid the client often pays very little or nothing out of their own pocket.

Addiction Treatments

Levels of Care

outpatient iconOutpatient
Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.
inpatient iconInpatient Rehab
aftercare iconAftercare
12-step icon12-Step
12 step programs are based on a model of life-long recovery and are rooted in peer support and spiritual development. Regular attendance at 12 step meetings is the cornerstone of treatment, as is the selection of a peer sponsor to guide participants through the steps of recovery. These steps are based on non-denominational spiritual principles and are designed to foster self-awareness, forgiveness, acceptance, and accountability. Specialized programs are widely available, including programs for teens, seniors, and families.

Treatments

The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.

There are many types of drug rehab in North Carolina. To receive treatment for addiction, you can choose from many inpatient and outpatient programs. Often, participants start with detox and work through a full continuum of care that continues with ongoing support for long-term recovery.

Many of those suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, bipolar disorder, depression, or anxiety disorders. Rehab and other substance abuse facilities treating those with a dual diagnosis or co-occurring disorder administer psychiatric treatment to address the person's mental health issue in addition to drug and alcohol rehabilitation.

A combined mental health and substance abuse rehab has the staff and resources available to handle individuals with both mental health and substance abuse issues. It can be challenging to determine where a specific symptom stems from (a mental health issue or an issue related to substance abuse), so mental health and substance abuse professionals are helpful in detangling symptoms and keeping treatment on track.

Opioid rehabs specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.

Programs

adult-program thumbnail image
Adult Program
Adult rehab programs include therapies tailored to each client's specific needs, goals, and recovery progress. They are tailored to the specific challenges adult clients may face, including family and work pressures and commitments. From inpatient and residential treatment to various levels of outpatient services, there are many options available. Some facilities also help adults work through co-occurring conditions, like anxiety, that can accompany addiction.
young-adult-program thumbnail image
Young Adult Program
Young adulthood can be an exciting, yet difficult, time of transition. Individuals in their late teens to mid-20s face unique stressors related to school, jobs, families, and social circles, which can lead to a rise in substance use. Rehab centers with dedicated young adult programs will include activities and amenities that cater to this age group, with an emphasis on specialized counseling, peer socialization, and ongoing aftercare.
military-program thumbnail image
Military Program
Serving in the military is both mentally and physically challenging, and can result in trauma that persists even after combat ends. Military programs are tailored to the specific and often complex needs of active duty personnel, veterans, and military families. Clients often access these programs through the U.S. Department of Veterans Affairs (VA).

Clinical Services

Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). CBT has been proven effective for recovering addicts of all kinds, and is used to strengthen a patient's own self-awareness and ability to self-regulate. CBT allows individuals to monitor their own emotional state, become more adept at communicating with others, and manage stress without needing to engage in substance abuse. Duke University Hospital Outpatient Department personalize the treatment according to each patient needs but it usually includes weekly 45-minute therapies.

Dialectical Behavior Therapy (DBT) is a modified form of Cognitive Behavioral Therapy (CBT), a treatment designed to help people understand and ultimately affect the relationship between their thoughts, feelings, and behaviors. DBT is often used for individuals who struggle with self-harm behaviors, such as self-mutilation (cutting) and suicidal thoughts, urges, or attempts. It has been proven clinically effective for those who struggle with out-of-control emotions and mental health illnesses like Borderline Personality Disorder.

Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.

In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.

Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.

Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.

Routine tasks are difficult for someone experiencing addiction. Daily skills deteriorate, which makes it harder to achieve recovery. That's why drug rehab programs in North Carolina reteach basic life skills. This gives you the tools you need to manage daily life without returning to substance use.

Amenities

  • car iconPrivate Transportation
  • home-setting iconResidential Setting
  • private-room iconPrivate Rooms

Accreditations

The Substance Abuse and Mental Health Services Administration (SAMHSA) is a branch of the U.S. Department of Health and Human Services. Established in 1992 by congress, SAMHSA's mission is to reduce the impact of substance abuse and mental illness on American's communities.

SAMHSA Listed: Yes

State Licenses are permits issued by government agencies that allow rehab organizations to conduct business legally within a certain geographical area. Typically, the kind of program a rehab facility offers, along with its physical location, determines which licenses are required to operate legally.

State License: North Carolina

Contact Information

Phone icon (919) 684-0100
Building icon

2213 Elba St
Durham, NC 27705

Reviews of Duke Psychiatry at Civitan Building

3.1/5 (10 reviews)
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Overall Experience
Date Submitted
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Google Reviews

3.1 (10 reviews)
Andrew McKinney
1 month ago
1

genuinely one of the most traumatizing interactions I've ever had with a medical professional. years later, I still think about it and have panic attacks. I hope the state shuts you down.

N_M Dez
1 year ago
1

RE: Provider Marisa Smith: I'd have happily given her 10 stars; unil now. I had considered her a caring provider. One of the rare ones that allow their clients to participate in their own care, listens not hears, asks valuable & thought-provoking questions. At my last appointment, I got very upset; our opinion regarding the next step in my tx were in contrast. I abruptly ended the session in frustration. Next? I get a call from administrative staff that I am being handed off to another clinician...then lied about the reasoning until I called her on it. Relationships of all kinds can be ended by either party. Those words should have come from her. Extremely unprofessional. I've never experienced such passiveness from anyone in my 40 years of doing this dance. It's like your spouse's best friend letting you know youre being divorced. All respect & trust vanished.

HP
4 years ago
1

In the past, this clinic was wonderful. Around 2016/2017 I received care from very compassionate professionals who seemed to love their work. However, this is not the case anymore. The clinic is shifting from long term care to short term care. This decision is coming from people up top who have no involvement in your care. If you will need therapy longer than a few months, just go somewhere else. Employee moral could not be any lower.

Ruby Lioness
4 years ago
5

MrP (Novatone)
5 years ago
5

Ok, for one, it seems many of the people here that write reviews don't have any idea how psychiatrist do their jobs. And furthermore, you don't give a negative review because you couldn't figure out there is a parking garage next to the building.I am seeing Arkady Millard, who has been great at listening to me and understanding my scenario. She has been tremendously helpful, and has given me confidence in the Duke system. Yes, sometimes you have to try different things, for those of you out there that think you get a magic wand and a solution the first time. Mrs./Miss Millard is really a gem and an asset to the Duke Psychiatry system. I cannot thank her and the Duke system enough for existing and having staff that can empathize with what some people may be experiencing. Yes, medical systems can be "cookie cutter"; you can't have a perfectly individualized plan all of the time and medicine works this way everywhere in the U.S. Duke just does it with passion and empathy and this brings me to a level of comfort I seldom feel at other places. Thank you!!! Especially Arkady!

Aiden Hawley
5 years ago
5

Allen Botnick
6 years ago
2

Pro is great charity care program to keep cost down. Cons I found were that in both individualized and group therapies they tend to do cookie cutter psychology that puts people through set symptomatic treatments that emphasize symptoms while ignoring causal factors. This gives patients a false sense of security that they are receiving effective care when they aren't. This model benefits them so that they have patients to train their residents and can conduct research studies but lets patients slip through the cracks and promotes slow or ineffective treatment. Group interpersonal therapy ignored individual problems over one year duration. Individual therapy ignored areas the therapist wasn't trained in (depersonalization, child of a narcicistic parent). Ok for short term problems, depression/anxiety/anger but I wouldn't trust them for chronic ones because treatment isn't individualized enough. For example, I came in as a child of a narcicistic parent and had my background completely ignored and dumped into ineffective individual then group therapy then DBT therapy then recommended for autism screening! I saw patients that went for years without making progress (Bipolar and someone with a phobia against working). I wouldn't trust them to get at the root causes of someone's problem, only provide symptomatic care (like a bad physician). Probably best if you know you need a specific treatment regimen like CBT therapy for depression or DBT mindfullness therapy for suicidality. Parking costs are expensive unless you have a disabled placard, then there is free parking behind the building. Non disabled can get a parking discount at the gift shop in the hospital across the street-$4 for the whole day.

Response from the owner6 years ago
Jeff, thank you for taking the time to share your feedback with us. If you would like to speak with one of our Patient Advocates to share more details, please send us an email to DUHSPVR@duke.edu.
Charles Waldron
6 years ago
1

I brought a blind man and his guide dog in for his appointment.. Parking is a nightmare under these circumstances. We parked in the garage and nowhere is there any directions as to how to get to the Civitan Bldg. Apparently there is meter parking somewhere in the vicinity of the bldg. but nothing in the instructions tells you where that parking is located. In addition the building faces a four lane street and no cross walks are conveniently available and I am not about to walk a blind person and guide dog across Elba under these circumstances, if that is where the parking is located. I would like to suggest to the powers that be that they address these issues but I don't know who they might be.

Response from the owner6 years ago
Hi Charles, thank you for taking the time to share your feedback with us and we are sorry you had a bad experience parking and accessing our building. We will be happy to share your feedback with the appropriate leadership for this location. If you would like to speak with someone about your concerns, please send us an email to DUHSPVR@duke.edu.
Jennifer Chonillo
6 years ago
5

This place is a godsend. They have a variety of doctors that can help you with whatever problem you are having. My doctor in particular is very awesome. For the following reasons:1. He talks to me on basically a equal level.2. He always says what he suggests we try as part of my therapy plan, but he then asks me if I would like to try it. This is important because by giving me the choice instead of lording over me, it makes it more likely that I will try it with an open mind.3. He's really super nice to me.4. He's not judgemental of the things that I tell him about. He just asks if that's working for me. Oftentimes we find out it isn't and he suggests an alternative idea in that regard.Your experience may be different depending upon the physician you get but they have a variety of new and seasoned professionals there to help you with your life goals.

Jasmyne Bergeron
6 years ago
5

Group and individual therapy. Great place to progress.

Mary Heine
6 years ago
1

A truly horrible place. Just stay away!

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