The Charak Center for Health and Wellness is open for appointments at all five offices Monday through Friday from 9:00am to 5:30pm. We are closed on Saturday and Sundays.
When are you open for appointments?
The Charak Center for Health and Wellness has five locations in Northeast Ohio. Please follow this link to access address and contact information.
What information do I need to set up my first appointment?
At Charak Center, we understand that making your first appointment is an important first step in your mental health and wellness. Our intake coordinators are available to guide you at 855.4CHARAK (855.424.2725).
If you are calling to make your first appointment, we will need your name, address, phone number, age, social security number, the type of service you are requesting, and your insurance card. The process is simple and it should only take about 10 minutes to complete. Patient registration forms can be found here and printed for completion prior to your first appointment. Or, you can come in 20 minutes before your appointment and fill them out at the office.
What will happen during my first appointment?
Your first appointment will give you the opportunity to provide our staff with the information they need to conduct a thorough and confidential assessment to help you. You will be asked several questions about yourself, and there are no “right” or “wrong” answers, just be open and honest and the process will go smoothly. Typically, your first appointment may be one of the longest as you may spend anywhere between 30 to 60 minutes with your clinician.
What do I need to bring to my appointment?
What if I cannot make it to my appointment in time?
At Charak Center, we understand that childcare isn’t always an option for everyone. However, it may not be appropriate for children to attend your appointment. It depends on why you are being seen. It’s best to call and ask to determine if you can be seen. Children cannot be left unattended in the waiting room, so if you need to reschedule, please give the office a call and we will gladly make a new appointment for you.
Can I bring my child to my appointment?
Always be prepared to provide your ID or driver’s license, current insurance card, and any changes to your address, telephone number or email.
What if I cannot get to my appointment on my own?
If you are running late by more than 15 minutes, please give us a call to reschedule your appointment. Or, if something has come up and you cannot make your scheduled appointment, give us a call and we will reschedule your appointment to a time that is more convenient.
The Charak Center offers free transportation to Medicaid clients. Our case managers are available to transport you to any of our offices. To schedule transportation please follow this link
What happens if I forgot my appointment?
While we understand that this happens from time to time, we cannot guarantee that you will be seen in a timely fashion if you miss your scheduled appointment. Give us a call and we will do our best to reschedule you, however, chronic missed appointments are frowned upon at the office.
If I am located out of state, can I be seen at your practice?
What is telemedicine or telepsychiatry?
Psychiatrists specialize in the diagnosis and treatment of mental, emotional, and behavioral disorders with the use of medication, neuromodulation and psychotherapy. Therapists, or psychotherapists, help clients to develop coping strategies, reduce the symptoms of mental illness, and develop better cognitive and emotional skills. Counselors help clients manage and overcome mental and emotional issues by developing treatment plans and creating coping strategies. Case managers help clients who are in difficult situations by locating services to assist them, providing guidance, advice, and creating plans for treatment or recovery.
What is the difference between a psychiatrist, therapist, counselor, and case manager?
Yes, we can see out of state residents at our practice. Just give our intake department a call, and they will guide you through the process of setting up your first appointment.
What is the process for telemedicine appointments?
Basically, these terms mean the same thing at the Charak Center. The purpose of telemedicine is to provide services via telecommunications technology
It’s really quite simple to access your appointment via your smart phone, tablet or computer. Simply visit our website and follow the telehealth prompts. If you need more assistance, one of our staff can help you through the process until you feel comfortable If you do not have technology at home, just let us know and we will make other accommodations.
Can I reach the doctor after hours?
Our answering service screens all calls after hours and in the event of an emergency can contact the doctor for you if you are unable to wait until the next morning.
Child and Adolescent Psychiatry
What services do you offer for children or adolescents?
My teens personality seems to have changed overnight, and I’m getting worried. What should I do?
If your teen suddenly stops eating and is making excuses not to be present during family meals, there may be cause for concern. A lack of appetite may be due to many things including stress and depression, body image, or pressure due to sports. Our trained professionals can identify if your teen’s reduced appetite could be a signal that something more is going on. Give us a call and let us provide a thorough assessment.
My teen doesn’t seem to be eating and has lost weight? Should I be worried about an eating disorder?
At the Charak Center, we understand that raising children today is more difficult than ever before. One out of every five children experience a mental disorder in a given year. Behavioral disorders are increasing, anxiety, ADHD, and depression are at all times highs, and body image and substance use disorders are also on the rise. We can help with innovative solutions that are quick and effective, and our team of trained professionals can provide the guidance you need to get your child back on track.
While teens tend to be moody due to many factors including hormonal changes, a parent should always take severe mood changes seriously. Seeing one of our trained counselors is an excellent first step to gauge what is going on. Sometimes it takes an outside influence for a teen to open up. There are so many factors that can influence mental health. Give us a call and let us determine exactly what is going on with your teen.
IOP & PHP
What is the intensive outpatient program (IOP)?
Our intensive outpatient programs (IOP) assists patients with addictions, depression, eating disorders, and other dependencies that do not require detoxification or round the clock supervision.
What is the partial hospitalization program (PHP)?
The partial hospitalization program, also known as our mental health day treatment program, is a therapy group which helps patients cope with their mental health challenges.
Is transportation provided for PHP?
The only insurance we can accept for our PHP program is Medicaid. At this time, no private pay insurance will approve group therapy.
What insurance plans are approved for PHP?
Yes, members of our mental health day treatment program are provided transportation to and from the program.
Addiction Treatment Program
What do you offer to assist individuals
struggling with addiction?
The Charak Center for Health and Wellness offers a therapy and a pharmacological treatment protocol that includes Suboxone and Vivitrol to assist opiate and alcohol dependent men and women with their recovery. The program involves 5 days of treatment and up to 16 weeks of group therapy depending on the individual and their needs.
What happens if I fail my drug test?
While we understand that our patients are doing their best, they must adhere to the contract that they sign in order to be successful.
What is the CCHW Serenity program and who does it help?
If you are struggling with mental health or addiction, and have tried everything to find relief, then this program is for you. Participants receive a comprehensive assessment and evaluation looking closely at psychotropic medications, counseling, substance abuse, and put together a plan for success tailored to your specific needs.
Billing & Insurance
How can I pay my bill?
Please call our billing department at 440.205.1008 at extension 2005.
Who do I call about questions concerning my bill?
Can I pay my bill over the phone?
We accept payments over the phone, through the mail, in person, or online via our patient portal.
Yes, call any one of our five offices during normal business hours from 9am to 5pm Monday through Friday, and we can accept your credit card payment over the phone.
Can I pay my bill online?
Yes, we offer online payments via our patient portal. Just log in and view your bill online. All major credit cards are accepted.
What types of insurance do you accept?
Yes, at the Charak Center, we are happy to accept credit card, check or cash for your appointments.
Can I be seen at your practice if I do not have health insurance?
At the Charak Center, we accept all major insurance carriers, Medicare and Medicaid. If you are unsure about what we accept, please go to this link.
What are clinical trials?
How can I participate in a clinical trial?
At the Charak Center, we take your mental health and wellness seriously. If you choose to participate in a clinical trial, rest assured that you are in good hands. Clinical trials are at the heart of all medical advances providing new ways to treat disease. Our clinical trials consist of new drug therapies or combination of drugs. The goal is to determine if a new treatment works. Our doctors conduct clinical trials according to strict rules that are set by the Food and Drug Administration (FDA). These rules make sure that people who agree to be in a study are treated safely.
To participate in one of our clinical trials, please call 877.463.9633, extension 3404.
Will I be compensated for participation in a clinical trial?
Yes, you will be compensated for your time and your travel during the study. The amount will vary depending on the trial you are participating in, and there will be no cost for the study medications provided. Transportation can be provided as well.
What happens after the clinical trial is complete?
You will continue to see their regular provider for clinical care, and they can continue to be seen after the study has completed. Part of the study has a follow up visit done after the study has completed. Varies from study to study.
Can anyone fill prescriptions through
the CCHW Pharmacy?
Yes, we can fill all active prescriptions for our patients.
Can I have all of my prescriptions filled through the CCHW pharmacy?
Can I have my prescriptions delivered to my home?
NO. We can only fill prescriptions for our CCHW patients at this time.
Yes. We provide prescription delivery directly to you home. Our delivery technicians practice safe, no touch delivery utilizing personal protective equipment (PPE), so that you don’t have to worry or leave your home.
What does the CCHW Pharmacy provide other than prescriptions?
The CCHW pharmacy also has a full line of vitamins, hand sanitizer, PPE products, over the counter smoking cessation products, and so much more. Our patients receive discounts on prescriptions and over the counter items. Just give them a call at 216.504.3646 for more information.
What is medication therapy management (MTM)?
MTM optimizes therapeutic outcomes for patients by performing a comprehensive medication review to identify, resolve, and prevent problems associated with medications, including adverse drug events. MTM helps patients resolve problems related to their medical care and to meet specific health goals. A plan is then developed to meet your goals.
What is Spravato Nasal Spray?
How does Spravato Work?
If you’ve struggled with depression and have tried two or more antidepressants without adequate relief, then Spravato may be the right choice for you. Give our office a call for an appointment to learn more about this new treatment for depression.
What does Spravato treat?
Spravato is a medication used along with an antidepressant for treatment resistant depression in adults. It is administered via a nasal spray twice a week for the first four weeks. It is then taken once a week or once every two weeks.
Is Spravato covered by Insurance?
Spravato targets the NMDA receptors in the brain and is believed to work differently than currently available oral antidepressants.
While every insurance carrier is different, we can assist you with getting Spravato approved, and there may be out of pocket costs associated with your treatment.
What are the side effects of Spravato?
Side effects may include increased blood pressure, problems with thinking clearly, bladder problems, sedation, suicidal thoughts, and dissociation.
Suboxone / Vivitrol Treatment for Opioid Addiction
What is Suboxone Used for?
Is Suboxone the same as Methadone?
Suboxone binds tightly to the same receptors in the brain as opiates such as heroin, morphine and oxycodone. This binding blocks intoxication with these other drugs and prevents cravings. Suboxone allows individuals to transition back from a life of addiction to a life of relative normalcy and safety.
How does Suboxone Work?
Suboxone is a controlled medication sublingual tablet or film used to assist patients recovering from opiate addiction. Suboxone lowers the risk of fatal overdose by 50%.
Can overdose occur with Suboxone?
Suboxone is approved to treat opioid dependence only, whereas methadone is used to treat chronic pain and opioid addiction.
It is difficult to overdose on Suboxone alone. When people overdose while taking Suboxone it is almost always because they are mixing it with sedatives such as benzodiazepines or medicines that slow breathing.
What is Vivitrol?
Vivitrol is another excellent choice as an opioid antagonist to treat individuals addicted to opioids such as heroin, morphine and oxycodone. Vivitrol is a once monthly injection, which is convenient for patients.
How does Vivitrol work?
Vivitrol greatly reduces cravings for narcotics by providing a 50% reduction. Vivitrol is an excellent choice for alcohol withdrawal and abstinence.
Transcranial Magnetic Stimulation (TMS)
What does TMS treat?
Transcranial magnetic stimulation, also known as repetitive transcranial magnetic stimulation, is a noninvasive form of brain stimulation in which a magnetic field is used to stimulate nerve cells in the area of the brain that controls mood. These magnetic pulses have a positive effect on the brain’s neurotransmitter levels, making long-term remission from depression possible. TMS is typically used when other depression treatments have not been effective.
What is TMS therapy?
What is a typical TMS session like?
TMS is approved by the Food and Drug Administration to treat individuals with severe depression who have not responded to medications. TMS is also being used off label for PTSD, OCD, Tinnitus, and other mood disorders, however this is not covered by insurance.
During a TMS session, you will recline comfortably in the treatment chair. A small magnetic coil is placed lightly on your head. You will then hear a clicking sound and feel a tapping sensation on your head as the coil painlessly stimulates nerve cells in the region of your brain involved in mood control and depression. Patients typically listen to music or audio books while they are receiving treatment. You are then able to resume normal activities following the treatment and can drive yourself to and from sessions.
How long does TMS take to start working?
Compared to most antidepressants, which usually take about six weeks to show results, TMS works quickly. Patients report changes in mood starting as early as the first week of treatment.
Who administers TMS?
What are the side effects of TMS?
TMS therapy involves a series of treatment sessions. Treatment sessions vary in length depending on the TMS coil used and the number of pulses delivered but typically last around 30 – 40 minutes. Patients receive TMS 5 days a week. A typical course of TMS is 4 to 6 weeks. However, this can vary depending on an individual’s response to treatment.
How long is a TMS procedure?
TMS is prescribed by a physician trained in administering the treatment protocol and the initial motor threshold. The treatment itself is administered by an experienced technician under the supervision of the physician.
Who cannot get TMS therapy.
TMS is well-tolerated and associated with few side-effects. The most common side-effect is headaches. These are mild and generally diminish over the course of the treatment. Over-the-counter pain medication can be used to treat these headaches.
Patients with any type of non-removable metal in their heads (with the exception of braces or dental fillings), should not receive TMS. Failure to follow this rule could cause the object to heat up, move, or malfunction, and result in serious injury or death. The following is a list of metal implants that can prevent a patient from receiving TMS:
Aneurysm clips or coils
Stents in the neck or brain
Deep brain stimulators
Electrodes to monitor brain activity
Metallic implants in your ears and eyes
Shrapnel or bullet fragments in or near the head
Facial tattoos with metallic or magnetic-sensitive ink
Other metal devices or object implanted in or near the head
Can I receive TMS if my insurance plan does not cover it?
At Charak Center, we will make every attempt to receive a prior authorization from your insurance carrier for TMS treatment. However, if all attempts are unsuccessful, then you can still receive TMS through our self-pay program. Price per treatment will vary depending on your diagnosis and the severity of your condition. Please give us a call to set up a consultation.