Medication Management

Low Country Counseling offers Psychiatric Evaluations and Medication Management Services for children and adults. Help is available for those seeking Mental Health treatment for Depression, Anxiety, Bipolar Disorder, ADHD, Postpartum Support, and other emotional or behavioral concerns.

We are a Recovery-Oriented practice with a specialization in Substance Use Disorders. Our practitioners are mindful of occurrences of Dual Diagnoses and work through this lens during evaluation.

“Dual Diagnosis” means that some people have both Mental Health conditions, such as panic, anxiety, bipolar disorder, etc., and also a Substance Use Disorder, including Alcoholism. Our practitioners focus on best practices to deliver treatment that supports anyone in recovery of an addiction.

Intake appointments occur prior to a Psychiatric Evaluation to screen for risk factors such as addiction, eating disorders, self-harm, developmental concerns for children, and Postpartum Anxiety, Depression, or Psychosis. Screening is conducted in an effort to promote optimal Mental Health and safety.

Psychiatric care works well in conjunction with counseling and can optimize coping skills, stabilization, and emotional work done in therapy sessions. Established clients are eligible for this service. Those already established in therapy, or anyone new who chooses both Therapy and Psychiatric Services will complete an intake with their established therapist.

** We also welcome anyone with their own therapist outside of Low Country Counseling. New clients who ONLY want Psychiatric Services will meet with a therapist for an Intake Assessment prior to meeting with Ashley Lewis to help the prescriber make informed decisions.

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Dr. Bih Bikelle

Medical Director

Dr. Bih Bikelle provides medical oversight and supervision as our Medical Director. She is board certified by the American Board of Psychiatry and Neurology and a distinguished fellow of The American Psychiatric Association.

Dr. Bikelle has kept up with current and innovative behavioral health treatment protocols and guidelines and has a wealth of experience practicing in several settings including inpatient psychiatric facilities, intensive outpatient programs, medical facilities as a consultant, substance abuse treatment centers and private practice. She is an active member of the American Society of Addiction Medicine and trained and certified in Electroconvulsive Therapy.

She possess insight and experience for those seeking help for Mental Health and Substance Use issues. Dr. Bikelle is especially passionate about treating women’s issues including Pregnancy and Postpartum concerns.

Ashley Lewis, MSN, CPNP, PMHNP-BC

Psychiatric Nurse Practitioner

Ashley Lewis provides psychiatric care including evaluations, follow-up, and medication management for children and adults (ages 0-65). She is double board certified as a pediatric and psychiatric mental health nurse practitioner.

Ashley is also fellowship trained in child health and development and certified in perinatal mental health through Postpartum Support International in addition to her instruction as a Psychiatric Mental Health Nurse Practitioner. Her background spans multiple settings to include the neonatal intensive care unit, pediatric primary and specialty care, developmental/behavioral pediatrics, and psychiatric private practice.

She provides care for anyone experiencing mental health conditions including anxiety, depression, bipolar disorder, postpartum issues, ADHD, emotional/behavioral problems, as well as other areas of concern. Ashley includes brief supportive therapy in addition to psychiatric evaluations and medication management services in order to provide a well-rounded, compassionate, and evidenced-based approach to delivering care.


Therapy and Treatment Options

Click on a service below for more details.

Medication Management

Recovery Services

Individual Services

Family Services

Group Services

Online Services

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