Empowering Your Mental Wellness
Compassionate Experience That Adapts as Your Needs and Healing Evolve
Thoughtful, Evidence‑Based Treatment
For nearly five decades, Dr. James Payton, a board-certified psychiatrist, has been providing compassionate, individualized psychiatric care to both adults and adolescents throughout North Carolina. Dr. Payton listens to each patient, tailoring science-backed treatments to meet their unique needs.
'By carefully listening, I'll help you identify areas of anxiety, depression, and stress in your life. We'll then formulate a plan to reduce stress and improve your quality of life. This plan can involve medications, stress management skills, and reinforcement of positive feelings about yourself.'
~ James Bayard Payton, Psychiatrist, MD
Core Specialties
Services You Can Rely On
Comprehensive Evaluations
60‑ to 90‑minute, whole‑person assessments that clarify diagnosis and goals.
Medication Management
Thoughtful prescribing, adjustment, and close monitoring when research-based medication is appropriate.
Diagnostic Clarification
Consults focused on refining or confirming a diagnosis or treatment.
Long‑Term Treatment Planning
Ongoing 30, 45, or 60‑minute visits that evolve with your progress.
Telepsychiatry
Secure video or phone sessions.
Note:
Private‑pay only (insurance not accepted).
Substance‑use disorders are outside Dr. Payton's scope of practice.
Care Where You Are
Dr. Payton provides expert psychiatric care to patients across the globe through secure virtual sessions. Whether you're nearby in Asheville or connecting from another country, you can access personalized, high-quality mental health support. Flexible scheduling makes it easy to prioritize your well-being—no matter where you are. Request your appointment with Dr. Payton today.
