Your life is affected by a web of influences: your biology, psychological makeup, habits, relationships, social context, spirituality, and the experiences of your childhood. At Barrier Island Psychiatry, our clinicians partner with you to explore how these forces have shaped your present situation.
Your treatment starts with a single, essential step: telling your story. We recognize that most individuals do not fit perfectly within a single diagnostic category, and no label can capture the full complexity of your experience. You are much more than a diagnosis. The feelings and challenges you face may arise from a blend of biology, genetics, thought patterns, emotional processing, relationships, family background, work, finances, substance use, or broader social influences. Your unique personal history weaves these factors together in a way that is entirely your own.
Recognizing and attending to these biological, psychological, social, and spiritual factors is a key first move toward healing and growth. Instead of relying on rigid diagnostic categories, we begin by understanding your individual story and situation. This ensures your care is as distinctive as you are.
Making real improvements in your life often means considering different paths and fresh viewpoints. Although psychotherapy, medication, or both can provide support, the underlying source of your stress might stem from other aspects of your daily experience. Your work, home environment, personal relationships, spiritual life, eating patterns, fitness habits, sleep quality, health issues, use of substances, or other unnoticed stressors could all play a role in what you're facing.
At Barrier Island Psychiatry, our clinicians are here to guide you in identifying and addressing these factors. Together, we develop a personalized plan at our psychiatry practice in Summerville, SC that supports your growth, healing, and way forward.
At Barrier Island Psychiatry, our mission is to offer innovative, high-quality, comprehensive, accessible, evidence-based outpatient mental health treatment to our local community. When you walk through the front door, you enter a judgement-free zone where healing begins, all from a beautiful setting where privacy is paramount.
We're proud to put our patients first and always go the extra mile to serve our community with:
Psychiatric services should be available to everyone, regardless of their background.
We strive to treat all of our patients with respect and kindness to foster a truly healing experience.
We're dedicated to providing the best, most effective evidence-based care in South Carolina.
We help individuals take charge of their well-being by sharing knowledge about mental health, available therapies, and practical self-care tools.
Patient safety is at the heart of our care. We carefully oversee treatments, respond promptly to any concerns, and create a space where people feel protected and supported.
Now that you know more about our psychiatry practice in the Lowcountry, let's dive deeper into a few of the most popular and effective programs at Barrier Island Psychiatry.
Addiction is a complicated and deeply impactful condition that influences both the individual and those close to them. In addition to the physical and mental health challenges, addiction may result in the loss of employment, strained relationships, and a diminished sense of self. Yet it's important to remember that recovery is achievable, even when seeking support feels overwhelming.
At Barrier Island Psychiatry, our therapists bring genuine care and a personalized touch to every step of addiction recovery. During counseling for addiction and substance use, we work with each person to explore underlying issues and create a unique plan for progress. We recognize that substance use often stems from unresolved emotional struggles or mental health challenges like trauma, anxiety, or depression.
Thanks to our incredible team of vastly experienced therapists, we offer Individual Counseling and Group Counseling to address the underlying issues of substance abuse or other addictions. Your first meeting is a chance to get to know your therapist and talk about the changes you want to see in your life. Together, you'll set clear goals and map out a treatment plan, including the approach that fits you best and how often you'll meet.
We'll look at what situations, thoughts, or habits might be fueling your substance use or other addictive behaviors. Along the way, you'll learn ways to better understand yourself, handle difficult emotions, and communicate more openly when life gets stressful. With time, you will learn to take actionable steps toward true healing. Those steps may include:
If you're ready to move forward with your life to achieve an addiction-free future, addiction counseling at our psychiatry office in South Carolina can help. First, you've got to recognize what's going on and make the decision to get counseling. At Barrier Island Psychiatry, we're here to guide you on the most important journey of your life, every step of the way.
We strive to create a welcoming environment where you can openly explore your thoughts, feelings, and experiences. Our team of licensed therapists brings a wealth of experience supporting people from all walks of life as they navigate unique challenges.
We recognize that reaching out for therapy is a personal and sometimes challenging step. Your comfort, privacy, and overall well-being are our highest priorities. No matter what you may be facing, be it anxiety, depression, relationship struggles, trauma, or something else, you can count on us to listen with empathy and offer steadfast support.
We tailor our therapeutic approach to you, drawing on proven methods and working together to uncover your individual strengths, needs, and aspirations. Our aim is to nurture a compassionate, open space where you can heal, grow, and gain deeper self-understanding. To accommodate the diverse needs of our patients, we offer a range of modalities, including:
Our therapists are trained to adapt their approach to your specific preferences and needs, and to help you develop the skills and insights that will enhance your quality of life. That's the Barrier Island Psychiatry difference.
If you have tried two or more antidepressants and continue to experience depressive symptoms, consult your healthcare provider to determine if you might have treatment-resistant depression. Spravato is the first and only nasal spray approved by the FDA for adults with treatment-resistant depression, and it can be used alongside or without an oral antidepressant. Spravato may help relieve depression symptoms when traditional antidepressants have not been effective for you.
Today's most widely prescribed oral antidepressants are believed to help alleviate depression by raising levels of neurotransmitters, such as serotonin, norepinephrine, and dopamine, in the brain regions that influence mood. Spravato, on the other hand, targets the N-methyl-D-aspartate (NMDA) receptor and is thought to operate differently from currently available oral antidepressants.
In a short-term clinical study involving adults with treatment-resistant depression, individuals who received Spravato and an oral antidepressant achieved a more significant decrease in depression symptoms after four weeks, compared to those given a placebo with an oral antidepressant. In a separate long-term study conducted after 16 weeks of therapy, those who continued using Spravato were less likely to see a return of depressive symptoms than those who discontinued treatment.
Some of the biggest benefits of this revolutionary therapy include:
Depression often creates persistent negative thinking patterns. Spravato helps the brain adapt and form new connections, making it easier to break free from these habits. This effect is why many people find esketamine helpful for overcoming depression and other mental health conditions.
Spravato is approved for adults with treatment-resistant depression, but some people also notice improvement in other mental health conditions, such as anxiety or OCD. As depression lifts, other symptoms may ease as well. While its approval is limited to depression, relief in other areas is sometimes reported during treatment.
Dissociation can bring old memories to the surface, both pleasant and difficult. This state allows people to process past events they may have avoided, helping them work through unresolved feelings. Rather than being a side effect, dissociation is often seen as a helpful way to address past traumas. Many people find relief after confronting difficult memories in this state, which is considered a key benefit of Spravato.
Curious whether Spravato could be the breakthrough treatment you need? At Barrier Island Psychiatry, we're here to help you find out. Contact our office today to learn more about this exciting, effective treatment for depression.
Overcoming opioid use disorder can be challenging, but recovery is within reach. Opioids include illegal drugs like heroin as well as prescription painkillers such as codeine, fentanyl, hydrocodone, methadone, morphine, and oxycodone. Addiction can begin after an injury or through recreational use, and millions struggle with its hold. For those seeking freedom from opioids, suboxone treatment can support lasting recovery by helping manage cravings and ease withdrawal symptoms.
Barrier Islands Psychiatry provides an outpatient program using suboxone to support individuals with substance addictions. Suboxone, which contains buprenorphine and naloxone, has helped countless men and women recover from substance abuse problems. Together, buprenorphine and naloxone create a balanced approach to opioid addiction treatment, relieving withdrawal symptoms while discouraging misuse.
Suboxone differs from opioids like heroin or oxycodone because it is a partial agonist. This means it stimulates opioid receptors enough to ease withdrawal but does not create a strong high. By attaching to these receptors in the brain and body, Suboxone helps minimize cravings and withdrawal symptoms, making relapse less likely.
Suboxone is used widely by psychiatry practices in Summerville, SC because:
Suboxone offers a safer, more convenient option compared to treatments like methadone, which require administration at specialized clinics. Thanks to its lasting effects, Suboxone delivers consistent relief from cravings and withdrawal, making it easier for people to stick to their routines without needing multiple doses each day.
If you're sick and tired of prioritizing addictive drugs or medications over your peace of mind and prosperity, contact Barrier Island Psychiatry today to learn more about Suboxone. It could be the first step toward saving your life.
If you're struggling with depression that hasn't improved with medication or therapy, in-person Transcranial Magnetic Stimulation (TMS) might be a good fit. TMS is a non-invasive approach designed to target depression, especially when standard treatments have not worked. It's also sometimes used for conditions like anxiety, PTSD, OCD, and some chronic pain disorders. By sending magnetic pulses to brain regions connected to mood, TMS helps activate nerve cells and ease symptoms. This method offers a safe choice with few side effects, making it appealing for people who haven't had success with other options.
TMS Therapy is an in-office procedure shown to help with depression that hasn't responded to other treatments. This innovative anti-depression modality uses electromagnetic pulses to target areas of the brain involved in mood. By stimulating nerve cells, TMS can reduce symptoms of depression for people who haven't improved with medication or talk therapy.
For those new to TMS, the idea might seem daunting. It is sometimes mistaken for electroconvulsive therapy (ECT), which often causes side effects like memory loss. However, TMS and ECT are very different treatments. Perhaps most importantly, TMS is non-invasive and has minimal side effects. It's usually considered when other forms of treatment have not provided relief.
Patients at Barrier Island Psychiatry choose Transcranial Magnetic Stimulation because:
TMS offers help during both the early stages of treatment and for long-term care, supporting people as they manage depression and lower the risk of it returning.
TMS stands apart from most medications because it doesn't lead to widespread side effects such as weight gain or changes in sexual health. It also preserves your mental sharpness, so you can stay clear-headed and focused during therapy.
TMS offers a non-surgical, anesthesia-free way to treat depression. This procedure, approved by the FDA, has a strong track record for safety and comfort and rarely causes side effects. It's available to both teens and adults diagnosed with major depression.
TMS provides a drug-free approach that can be used alongside other therapies. Many patients at Barrier Island Psychiatry report that it delivers better results than medication by itself.
If you've tried to tolerate other depression medications, only to find yourself deeper in a hole, it could be time to find an alternative. Your future doesn't have to feel dull and meaningless. To start TMS treatment, give our office a call and request a TMS intake appointment.
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If you're looking for a psychiatry practice in Summerville, SC that truly puts patients first, it's time to contact our office in Charleston today. From the instant you arrive at our office, you'll be met with genuine warmth and kindness, stepping into a calm and supportive environment. Our purpose is to guide as many people as we can toward progress. We are driven to serve clients from all walks of life, offering the expertise, team, and accessibility needed to close service gaps and make every visit welcoming and inclusive.
At Barrier Island Psychiatry, we foster a nonjudgmental space and recognize the bravery it takes to seek positive change. You are invited to join us just as you are and receive encouragement from our caring therapists, who are committed to helping you leave each session feeling more hopeful and at ease. Contact our office today and let us know what you're dealing with and what you want for your future. We'll work hand-in-hand with you to help you overcome your mental health or addiction challenges, one hurdle at a time.Â
SUMMERVILLE, S.C. (WCIV) — A series of small earthquakes over the past week has startled residents across Summerville and parts of the Lowcountry, marking an unusually active stretch for an area that typically feels only a handful of noticeable tremors each year.Three earthquakes were confirmed near Summerville in just seven days, prompting concern, conversation, and questions about what’s happening beneath the ground, even though no injuries or major damage were reported.For many neighbors, the earthquakes came wit...
SUMMERVILLE, S.C. (WCIV) — A series of small earthquakes over the past week has startled residents across Summerville and parts of the Lowcountry, marking an unusually active stretch for an area that typically feels only a handful of noticeable tremors each year.
Three earthquakes were confirmed near Summerville in just seven days, prompting concern, conversation, and questions about what’s happening beneath the ground, even though no injuries or major damage were reported.
For many neighbors, the earthquakes came without warning. Shirlene, a mom and longtime Summerville resident of 35 years, said the experience was frightening, unlike anything she remembers feeling before.
“That was scary,” she said. “Because it made the house move, and the sound was so loud.”
She recalled being shaken awake as her home shifted.
“I was scared. I was afraid — especially the house shift and my bed,” Shirlene said. “And the sound — it was really scary.”
Other residents reported similar experiences, describing houses shaking for several seconds and loud noises that sounded like explosions. One neighbor’s Ring doorbell camera even captured audio from the moment the earthquake struck, with a booming sound clearly audible in the recording.
Jessica, another Summerville resident, said she felt and heard one of the quakes while at work. “I happened to be working at the library, and I was just exiting the bathroom when I felt this shaking and heard it too,” she said. “I thought, ‘Well, that’s not the HVAC.’”
According to officials, the most recent quake was recorded early Monday morning in Dorchester County near the Kings Grant area. That tremor measured a magnitude 1.6. Before that, a stronger 2.9 magnitude earthquake struck late Saturday night, just before 10:40 p.m., rattling homes across the Tri-County area. Its shallow depth made it more noticeable to residents, even though experts classified it as minor.
The first quake in the series occurred Tuesday afternoon, measuring magnitude 2.3. Residents reported shaking and loud noises, but no damage.
Local civil and structural engineer Gene Brislin, who also lives in Summerville, says the earthquakes are the result of stress being released deep beneath the Earth’s surface. “We are in a bad spot,” Brislin explained. “As stresses build up, the crack gets a little bigger, there’s some stress relief, and we get vibrations. That’s what happened in Summerville.”
Brislin says tectonic plates, massive slabs of rock beneath the Earth’s surface, are constantly moving. Most of the time, that movement goes unnoticed. But along cracks in the Earth’s crust, known as fault lines, plates can become stuck. One of those fault lines runs through the Lowcountry. As stress builds and is released in smaller bursts, residents may feel minor earthquakes.
“The threshold for the smaller ones to occur in terms of stress is much lower,” Brislin said. “In my opinion, the more smaller ones we have, the better off we are.”
Experts stress that these minor earthquakes are not necessarily a sign of a larger event to come.
“Many times, it’s not indicative of some bigger event that’s going to occur,” Brislin said. “It’s just a sign of this bad spot that we’re in.”
Brislin says helicorders are devices used to record seismic signals from a seismometer. Each line of data represents a specific time interval, allowing for the visualization of seismic activity over time.
Officials say South Carolina experiences dozens of earthquakes each year, most of them too small to be felt. While the recent activity has drawn attention, there are no reports of injuries or significant damage.
Still, emergency officials encourage residents to:
Some neighbors said the recent shaking prompted them to double-check their insurance policies, just in case. The recent earthquakes have also renewed discussion at the State House. State Rep.Gil Gatch says the activity highlights the importance of awareness, especially for people living near fault lines.
“I filed this bill wanting people to just be aware,” Gatch said. “We have dozens and dozens of mini earthquakes that nobody ever knows happen because nobody can really feel them.”
Gatch is the main sponsor of House Bill 3227, which would require insurance companies to notify policyholders about the availability of earthquake insurance, particularly for those living in fault-line areas. The bill has been referred to the Committee on Labor, Commerce, and Industry. Gatch says he hopes lawmakers will act before a more damaging earthquake occurs.
While the recent earthquakes have been unsettling for many, experts emphasize there is no immediate cause for concern.
“These smaller earthquakes are really just signs of where the weak spots in the Earth’s crust are,” Brislin said. For now, neighbors like Shirlene say they’re relieved no one was hurt, but they’ll be paying closer attention the next time their house creaks or the ground feels unsteady.
John Travis Peterson, 38, of Summerville, was the operator of Cane Bay Tire and Auto LLCSUMMERVILLE, S.C. —A South Carolina business owner is accused of continuing to operate his business without a license and threatening an official investigating his business.According to the South Carolina Department of Revenue, John Travis Peterson, 38, of Summerville, was the operator of Cane Bay Tire and Auto LLC, whose retail license was revoked in June 2025.Peterson was arrested on Monday and...
John Travis Peterson, 38, of Summerville, was the operator of Cane Bay Tire and Auto LLC
SUMMERVILLE, S.C. —
A South Carolina business owner is accused of continuing to operate his business without a license and threatening an official investigating his business.
According to the South Carolina Department of Revenue, John Travis Peterson, 38, of Summerville, was the operator of Cane Bay Tire and Auto LLC, whose retail license was revoked in June 2025.
Peterson was arrested on Monday and charged with four counts of furnishing a false tax document and one count each of operating without a retail license, making a threat, and simple assault.
According to warrants, when SCDOR employees returned to the business to provide revocation orders and violation documents to Peterson, Peterson gave a false name and signed the documents using this name on multiple occasions.
He is also accused of making threats and assaulting an SCDOR employee in an attempt to force them to leave the business’s location.
The following is taken from the warrant:
"When the defendant received the written violation, he became enraged, tearing up the notice and telling the victim and his subordinate to leave. The victim and his subordinate left that building and headed towards another building situated on the property to investigate a claim the defendant made of that building being a separate business. Before the victim could get to the front door of the other building, the defendant positioned himself in front of the victim, blocking his access.
"The defendant raised his voice at the victim stating 'I told you to leave. You are going to leave, or I will forcibly remove you.' The defendant kept repeating the phrase 'you are going to leave, or I will force you to leave.'
The defendant is also accused of pushing the SCDOR employee repeatedly with his chest and belly while yelling.
If convicted, Peterson faces a maximum penalty of one year in prison and/or a fine of $5,000 for each count of furnishing a false tax document, 30 days in jail and/or a $500 fine for each of the assault and threat counts, and 30 days in jail and/or a fine of $200 for the charge of operating without a retail license.
SUMMERVILLE — A train derailment the morning of Jan. 10 prompted fears of a potential toxic chemical spill and led authorities to temporarily issue a shelter-in-place directive, which was then lifted by mid-afternoon.A Norfolk Southern train derailed at 9:51 a.m. at 2450 West 5th North St., the local name for U.S. Highway 78, near industrial truck manufacturer KION North America’s Summerville plant.Authorities shut down Highway 78 on the northern end of town, from Industrial Road to Jedburg Road. Dorchester County F...
SUMMERVILLE — A train derailment the morning of Jan. 10 prompted fears of a potential toxic chemical spill and led authorities to temporarily issue a shelter-in-place directive, which was then lifted by mid-afternoon.
A Norfolk Southern train derailed at 9:51 a.m. at 2450 West 5th North St., the local name for U.S. Highway 78, near industrial truck manufacturer KION North America’s Summerville plant.
Authorities shut down Highway 78 on the northern end of town, from Industrial Road to Jedburg Road. Dorchester County Fire Chief Tres Atkinson said that hazmat teams from Norfolk Southern and around the region assessed the scene.
“We have determined that there's no immediate danger to the public other than immediate areas that we’ll be working to mitigate the cars that have come off the track,” he said.
Atkinson said the scene was turned over to Norfolk Southern for remediation and asked area residents to “give those people room to work and do their job and get actual scene cleaned up.”
He noted that the fire department is “maintaining a presence on scene with Norfolk Southern” in case of an emergency.
Though the shelter ordered lifted, officials encouraged residents to avoid the area. Highway 78 will “remain closed for the duration of the incident,” a Facebook post from the Dorchester County Sheriff’s Office said.
Atkinson said the highway would remain closed overnight and that Norfolk Southern had estimated the cleanup would be done “sometime in the morning” Jan. 11.
Kasandra Jenkins, a Norfolk Southern spokesperson, said a tank car involved in the derailment carries chlorobenzene, a toxic chemical, but was empty.
Mayor Russ Touchberry posted a video to the town’s Facebook page informing residents of the derailment and cautioning them to avoid the area. He told the Summerville Journal Scene, a Post and Courier affiliate paper, that he was told the train was “carrying a small amount” of chlorobenzene and there was “potential” for a leak, which is why the shelter-in-place was issued.
Chlorobenzene, a flammable liquid, is widely used as a solvent, degreaser and chemical intermediate in producing dyes, pharmaceuticals and pesticides. It affects the central nervous system with prolonged exposure.
Sheriff’s office spokesperson Steven Wright said Highway 78 will reopen once the impacted railroad tracks reopen. Until then, he said, deputies will be patrolling the area to make sure nobody gets too close to the scene.
“We all have that curiosity sense, but it really delays the process if there are citizens trying to see what's going on,” Wright said. “So, we just encourage people to stay away through the area until it is clear and everything's back up.”
Many of the industrial businesses in the area are regularly closed on Saturdays. Dorchester Paws, which is down the road from the derailment site, operated normally. Adoption Supervisor Jimmie Tedder said that while there wasn't a major impact, animals were kept inside most of the day as a precaution.
When Joslyn Scahill, an office manager at Inspire Gymnastics on Industrial Road, spoke to The Post and Courier around 4 p.m., the sound of train horns could be heard through the phone.
"Did you hear that? I guess it's moving again," Scahill said.
The derailment happened a mile-and-a-half away from the gym. Classes were happening at the time as road closures made getting in and out of the area more difficult.
"It was scary when everyone's phones went off because of the emergency alert," Scahill said. "It said to shelter in place because of an active incident. A lot runs through your mind when you read that. You think of active shooter situations, not a train derailment."
County spokesperson Erin Pomrenke told The Post and Courier that officials aim to “provide the most relevant, accurate information to residents, especially in situations with public safety concerns.” She noted that after the initial alert went out, more updates were posted on the county’s social media pages and provided to media outlets.
“After incidents occur, such as today’s incident, the County assesses approaches to continue to provide our residents with quality service and communication,” she said.
Norfolk Southern’s most-famous train derailment was Feb. 3, 2023, near East Palestine, Ohio. That incident involved 38 derailed cars. The train was carrying toxic chemicals and caught fire. Residents within a one-mile radius were evacuated. Norfolk Southern had to remove more than 167,000 tons of soil and more than 39 million gallons of water from the site due to pollution from the derailment.
A lawsuit filed February 2025 claims that seven residents, including a baby, died as a result of the toxic disaster. The National Transportation Safety Board blamed a defective wheel bearing for the accident.
A 2023 Federal Railroad Administration examination of Norfolk Southern’s safety record over 10 years documented 163 derailments and an average of two hazardous material leaks per year.
For example, a Norfolk Southern train accident in Rossville, Tenn., train yard released about 500 gallons of maelic anhydride, a chemical that can damage eyes and the respiratory tract. The report said that in 2018, a 16-car Norfolk Southern derailment in Loudonville, Ohio, released 30,000 gallons of hazardous liquified petroleum gas into the air.
Norfolk Southern had two train derailments last year.
In February, 20 cars derailed near Attica, Ohio, and leaked alcohol and ethanol, though the local sheriff’s office said there was no public danger. In August, about 10 Norfolk Southern cars derailed near Harrisburg, Pa. The city’s fire chief said there were no hazmat dangers and no injuries.
The Federal Railroad Administration has warned the industry about the dangers of a trend toward smaller crews and longer trains. The latter cause more wear on tracks and are more difficult for a crew to manage.
On Jan. 9, about 12 cars from a Union Pacific train derailed near the Texas-Louisiana border. News organizations report there were no HAZMAT spills.