Child & Adolescent Psychiatry
Family Psychiatric Solutions
A commitment to your behavioral well-being and a comprehensive approach to care is at the core of what we do at Family Psychiatric Solutions, PLLC
About Family Psychiatric Solutions
Our Philosophy
Family Psychiatric Solutions, PLLC is dedicated to providing you with the absolute best in comprehensive, evidence-based management of all behavioral health concerns.
At each visit, Dr. Tinney will perform an individualized assessment of you, your family, and your behavioral health needs. She strives to use medication ONLY WHEN NECESSARY. Her holistic approach includes assessing your emotional and physical well-being, and she will regularly communicate with your Primary Care Provider or other individuals involved in your health maintenance when asked to do so.
Family Psychiatric Solutions
Services
Adult Psychiatry
Dr. Tinney’s goal is to provide a comprehensive approach to behavioral issues common in the adult population, including but not limited to Depression, Anxiety, ADHD, Psychotic Disorders, Substance use, and eating issues.
Child Psychiatry
Dr. Tinney is a Board-certified Psychiatrist with specialized training in Child & Adolescent Psychiatry. She takes care of patients with the same symptoms/disorders seen in adults, but she also has expertise in Autism Spectrum Disorders/Neurodivergence populations and Bipolar Disorder.
Parent Coaching
Dr. Tinney will work with you and your family to better understand the behaviors that often result from hidden emotions or unresolved conflicts.
Psychotherapy
Dr. Tinney helps individuals, families, and couples explore and manage their thoughts, emotions, and behaviors to improve mental well-being.
Board Certified Psychiatrist
Meet Dr. Tinney
Dr. Tinney is a Board Certified Psychiatrist who completed a specialized fellowship in Child & Adolescent Psychiatry. Dr. Tinney has expertise and conducts research in Autism, ADHD, and Bipolar Disorder. She has advanced training in the management of children and adolescents with anxiety, depression, disruptive behaviors, eating disorders, and substance abuse. She also manages these conditions in adults with experience in Suboxone treatment for opiate dependence.
Dr. Tinney is actively engaged in the Triangle Community as a Medical Director for several organizations, in addition to serving as consulting faculty in the Duke University Department of Psychiatry. Her mission is to provide evidence-based, culturally competent care while improving mental health awareness in the community. Her treatment approach uses a variety of interventions in medication and stress management, including cognitive behavioral therapy, dynamic therapy, individual psychotherapy, play psychotherapy, family therapy, cognitive testing, and psycho education.
Dr. Tinney is a “medication minimalist,” which means that she only provides medications when necessary, while supporting evidence-based alternative interventions. She believes in providing total person care. She supports and encourages close collaboration with Primary Care and therapy providers, creating a comprehensive treatment approach highlighting the multiple facets of an individual’s emotional, spiritual, and educational needs.
Education
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Fellowship: Child & Adolescent Psychiatry, University of North Carolina – Chapel Hill
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Internship/Residency: Psychiatry, University of North Carolina – Chapel Hill
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Medical School: University of North Carolina – Chapel Hill School of Medicine
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Undergraduate: Wake Forest University
Experience
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Medical Director: BHM Healthcare, Upward Change Health Services
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Physician Consultant/Expert Testimony: Managed Care
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Faculty: Duke Assistant Consulting Professor, UNC Adjunct Faculty
Frequently Asked Questions
Telephone: (919)-342-8870
Fax: (888)-935-2271
Email: qtinney@familypsychiatricsolutions.com
We are considered as an “out-of-network” provider for all insurance companies. This means that you pay the full amount at the time of the service. You then submit a claim and your insurance will reimburse you a percentage of the fee depending on your plan and benefits.
We will provide you a receipt containing all of the necessary information for you to file the claim, but we do not file it on your behalf. You can call your insurance or visit their website to find the claim forms. Then usually, you attach the receipt that we provide and they mail a check to you directly. If you have questions, you can bring the form to your appointment, or if you want me to complete the forms outside of the appointment, this will be billed at the rate listed in the fee schedule.
We are an “out-of-network provider so we do not collect a co-pay. Instead the full amount is due at the time of service.
The biggest difference is the length of time. A short appointment usually a 99214 code is approximately 25 minutes long and a long appointment is approximately 40 minutes with a code of 99215. If you have another therapist and I am mainly focusing on medications, then a short appointment is usually sufficient. However even if you have a therapist and you are acutely having some problems that may require longer to fully discuss and make a treatment plan, then a longer appointment is more appropriate. If I am your main therapist and I am also managing medications then the 50 minute appointment with the additional code of 90833 is usually the most appropriate.
These forms of communication are known as “indirect” patient care and most doctors would estimate approximately 1 to 3 hours per day are spent providing these services. Since many doctors do not directly bill for these services they either raise the cost of their office appointments or limit their availability to you in order to make-up for the lost revenue. I do not believe that is fair to do this and instead follow the policy of a simple charge per service utilized and that charge is based on an hourly rate. If you do not use these services then you are not paying for them in hidden inflated appointment costs. However if you need these services then I am available to you. Please note that insurance companies usually do not pay for these indirect patient care services so in accordance with our financial policy your credit card on file will be charged at the time of the service for phone calls, emails, letters, etc. I do not bill for communications related to scheduling, billing, or other non-clinical questions. If you ever have a question about which types of communications are being billed please contact us.
We accept Visa, MasterCard, American Express, and Discover. We also accept cash and check. Please note there is a return check fee. If you are paying with credit card, we will keep a credit card on file that will be billed for services provided outside of the office such as emails, phone calls, and letters.
Dr. Tinney utilized telemedicine platforms for 10 years prior to COVID-19 and with the pandemic she converted to a 100% telemedicine practice. There are no in-person appointments. As long as the patient has a strong internet connection/cellular reception the telemedicine appointment affords the same evaluation and management rapport that you would find in a traditional office setting. The added bonus is no lost time in commuting to the office so that patients can continue balancing busy schedules and prioritizing mental health!
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. You will receive the explanation of fees with your welcome packet.
Consultations
Dr. Tinney is happy to provide consultations for clients and clinicians as needed. Please get in touch with the office at 919-342-8870 to schedule a visit.
