See Dr. Mefford's profile on Healthgrades.

With over two decades of experience in adult psychiatry, I provide comprehensive, physician-direct care focused on diagnostic clarity and long-term stability. Initial evaluations are 90 minutes, allowing time for careful assessment and patient education. This is a direct-pay practice (insurance is not accepted), structured to support thoughtful, individualized treatment without unnecessary frequency or administrative barriers.


A common barrier to getting evaluated for adult ADHD isn't doubt about whether something's wrong — it's finding the time. Many adults putting off an evaluation are doing so specifically because they're busy: demanding jobs, family obligations, or travel that makes a mid-day in-person appointment hard to fit in.
Telehealth removes that barrier without cutting corners on the evaluation itself. Dr. Mefford's virtual appointments are the same 90-minute format as in-person visits at the Mt. Pleasant office — same depth of history-taking, same attention to ruling out overlapping conditions like anxiety or depressive symptoms that can mimic or mask ADHD.
For patients based in or around Charleston, Mt. Pleasant, or elsewhere in South Carolina, telehealth also means follow-up appointments don't require repeated drive time. That flexibility often makes the difference between staying consistent with a treatment plan and letting months slip by between check-ins — which, for ADHD care in particular, can stall progress.
If a busy schedule has been the main thing standing between you and getting evaluated, telehealth may be the practical fix.


Feedback adapted from public patient reviews

 “The ADHD care truly changed my life — thorough, responsive, and supportive.” 

     

 “Excellent, professional, patient, kind, and extremely knowledgeable psychiatrist.” 

     

 “Extended appointments made a huge difference. I never felt rushed.” 

     

 “Compassionate care with real attention to detail.” 

     

 “A cut above the rest.”