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Behavioral Services

At FirstHealth of the Carolinas, our Behavioral Services Division provides multi-level, integrated services to assist patient in their recovery from the physical, emotional, social and spiritual effects of their illnesses while recognizing the right and dignity of the patients as individuals.

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OverviewDownload Brochure

This Section Includes:



Clinic Services 

Adult Services

  • Family Therapy
  • Depression
  • Anxiety
  • Relationship Difficulties
  • Grief & Loss
  • Stress Management
  • Addiction Disease Issues
  • Psychological Testing
  • Communication Difficulties
  • Professional Support Aftercare Program
  • Anger Management
  • Divorce/Remarriage
  • Trauma / PTSD Post Traumatic Stress Disorder
  • Chronic Illness
  • Medication Management
  • Attention Deficit/Hyperactive Disorder (ADD/ADHD)
  • Abuse Issues


Children & Adolescent Services

  • Behavioral Assessment
  • Psychological Testing
  • Depression
  • TF-CBT Trauma-Focused Cognitive Behavioral Therapy (ages 3-18)
  • Anxiety
  • ADHD & ADD
  • Oppositional Behavior
  • Substance Abuse
  • School Difficulty
  • Social Skills Training
  • Temper Tantrums
  • Adjustment to Parental Divorce/Remarriage
  • Abuse Issues



Intensive Outpatient Services/Partial Hospitalization Program

PHP and IOS offer treatment for those suffering from behavioral health disorders or experiencing overwhelming personal crises. Both programs are designed to help individuals understand their illness, reduce the impact of symptoms, and cope with challenging situational crises. Both the chemical dependency and psychiatric tracks have a setting that provides tools for recovery. The positive environment fosters support and change, allowing the client, whenever possible, to keep his/her job and maintain his/her home. PHP criteria for admission requires the patient to exhibit more acute symptoms, but is still an alternative to inpatient care.

Services Include

  • Care Planning 
  • Psychiatry
  • Group Therapy
  • Individual Therapy/Counseling
  • Family Education
  • Psycho Education Group
  • Case Management & Continuing Care Planning
  • Follow-up Care

To download a brochure about our Intensive Outpatient Services/Partial Hospitalization Program, please click here.



Adult Inpatient Psychiatric Services

 Serving adults 18 years and older; specialized services available for the older adult population.

 Services Include

• Medical Detoxification

• Dual Diagnosis Treatment

• Inpatient Psychiatric Treatment

• Voluntary / Involuntary Admissions

To download a brochure about out Inpatient Psychiatric Services, please click here.




Specialized programs

Crisis Intervention

Mindfulness-Based Stress Management Program; To download a brochure about our Mindfulness-Based Stress Management Program, please click here.

Professional Support Aftercare Program (PSAP); To download a brochure, please click here.

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)



Meet Our Team                                              

Mary T. Mandell, M.D.

Mary Mandell, M.D.

Mary Mandell, M.D., has been an outpatient psychiatrist with FirstHealth of the Carolinas since 2003. After earning her undergraduate and medical degrees from Emory University in Georgia, she completed a residency in psychiatry at the University of North Carolina at Chapel Hill, where she served as chief resident. A board certified psychiatrist, she specializes in treating patients (including physicians and other professionals) who have been diagnosed with mood and anxiety disorders. Dr. Mandell, who operated a private practice for three years before joining FirstHealth, received an Exemplary Psychiatrist Award from the National Alliance on Mental Illness (NAMI) in 2006. This national award is presented only to about 10 psychiatrists throughout the country each year.

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Mary E. Lunde, D.O.

Mary E. Lunde, D.O.

Mary Lunde, D.O., is a child and adolescent psychiatrist and an adult psychiatrist who received her undergraduate degree from Mankato State University in Minnesota.  She earned her medical degree from Nova Southeastern University in Fort Lauderdale, Florida, and completed her residency training in psychiatry and a fellowship in child and adolescent psychiatry at Mayo Clinic in Rochester, Minnesota.  After her training, she worked as a child and adolescent psychiatrist at Centracare Health System in St. Cloud, Minnesota, for eight years, doing both inpatient and outpatient psychiatry as well as rural psychiatry.  As a board certified adult and child and adolescent psychiatrist, she specializes in the treatment of children and adolescents in addition to adult patients who suffer from mental health conditions.  Her clinical interests include ADHD, depression, OCD, autism, bipolar disorders and anxiety.  At FirstHealth, she works primarily in the clinic, where she sees adults and children.

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Benjamin Ose, M.D.

Benjamin Ose, M.D.

Benjamin Ose, M.D., graduated from the University of North Carolina at Chapel Hill with an undergraduate B.A. in history and then completed medical school at the Medical College of Virginia in Richmond and a psychiatry residency at the University of Maryland-Sheppard Pratt. After his residency training, he worked with active duty service members, primarily from the 82nd Airborne Division, at Fort Bragg and subsequently served as medical director of A New Start Support Services in Clayton. Dr. Ose is certified by the American Board of Psychiatry and Neurology, and his clinical interests include mood and anxiety disorders as well as holistic mental health.

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David C. Ruck, M.D.

David Ruck, M.D.

David Ruck, M.D., child, adolescent and adult psychiatrist, received his undergraduate degree from the United States Military Academy and his medical degree from Duke University. He completed his residency in psychiatry at Letterman Army Medical Center and a fellowship in child and adolescent psychiatry at the combined program at Letterman Army Medical Center and the University of California-San Francisco. While in the Army, Dr. Ruck served as training director and later program director for the Child and Adolescent Psychiatry Fellowship program at Eisenhower Army Medical Center. During Operation Desert Storm and two years later in Somalia, he deployed with the Army’s first active-duty Combat Stress Control Detachments. He worked in community mental health clinics in North Carolina and South Carolina for five years after retiring from the Army. Since 1999, Dr. Ruck has been in private practice, primarily seeing children, adolescents and their families in an outpatient setting. His clinical interests include ADHD and other disruptive behavior disorders, depression, bipolar disorders, anxiety and pervasive development disorders. He is board certified in general psychiatry as well as in child and adolescent psychiatry. At FirstHealth, he works with adults on the inpatient psychiatry service and with patients of all ages in the outpatient clinic.

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 Charlie L. Swanson, Jr., M.D.

Charlie L. Swanson, Jr., M.D. 

Charlie L. Swanson Jr., M.D., completed medical school at Indiana University. He later did his general psychiatry residency at Duke University and completed a fellowship in neuropsychiatry and schizophrenia research at the University of Pennsylvania. He has been a member of the faculty at the University of Pennsylvania, Duke University and the University of Alabama at Birmingham. Dr. Swanson’s clinical interests include inpatient and outpatient adult psychiatry, mood disorders, schizophrenia and neuropsychiatric conditions. A general adult psychiatrist, he is certified by the American Board of Psychiatry and Neurology.

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Roger Mitchel, M.S., PA-C

Roger Mitchel, M.S., PA-C

Roger Mitchel, M.S., PA-C, graduated from the University of Kentucky and was trained as a physician assistant at the Medical University of South Carolina. He did a postgraduate residency in general surgery and later completed another post-graduate residency in Emergency Medicine at the Los Angeles County-University of Southern California Medical Center in Los Angeles. After completing the ER residency, he joined the staff of Cigna Healthcare to work in the Department of Chemical Dependency. Mitchel spent the next eight-plus years working primarily with opiate-addicted individuals in the Los Angeles basin. He moved to Southern Pines in 1989 after spending a year in New Hampshire working in a private psychiatric hospital. Upon his arrival in Southern Pines, he joined the staff of the Dartmouth Clinic and worked in both the inpatient psychiatry unit and the Pinehurst Treatment Center. Since leaving the Dartmouth Clinic, he has worked with adult patients on an outpatient basis. He is certified by the National Commission on Certification of Physician Assistants.

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Lindsay Johannes, Ph.D.

Lindsay Johannes, Ph.D., received her bachelor’s degree in psychology from the University of North Carolina at Chapel Hill and then completed her doctoral degree in clinical psychology at Ohio University. She completed a postdoctoral fellowship at Nationwide Children’s Hospital in Columbus, Ohio. Dr. Johannes specializes in the treatment of children and adolescents, as well as adults experiencing mental health issues. Her clinical interests include ADHD, disruptive behavior disorders, mood disorders, anxiety, adolescent adjustment issues and behavioral management training with parents. Her clinical services also include cognitive and psychological assessment of children, adolescents and adults.

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Joel Monroe, Psy.D. 

Joel M. Monroe, Psy.D.

Joel M. Monroe, Psy.D., received his bachelor’s degree in psychology from Heidelberg University and obtained his doctoral degree in clinical psychology from the American School of Professional Psychology in Washington, D.C.  He completed his residency at Broughton Hospital and a postdoctoral fellowship in psychotic disorders at the Medical College of Georgia.  Dr. Monroe specializes in the provision of adult inpatient and outpatient psychological services, including individual and group psychotherapy, cognitive remediation and social skills training, and psychological and neurocognitive assessment. His clinical interests include schizophrenia and psychotic spectrum disorders, chronic mood disorders, psychosocial rehabilitation and recovery, personality disorders, neuropsychiatric conditions, and adult general mental health. He is a member of the American Psychological Association, the International Society for Psychological and Social Approaches to Psychosis, and the Society for Personality Assessment.   

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Catherine Major, MSN, FNP-BC, PMHNP-BC

Catherine Major, MSN, FNP-BC, PMHNP-BC

Catherine Major, MSN, FNP-BC, PMHNP-BC, graduated from George Mason University in Fairfax, Virginia, with a B.S. in Nursing and continued her education at Marymount University in Arlington, Virginia, earning a Master’s degree in Nursing with focus as a Family Nurse Practitioner.  After practicing as a Family Nurse Practitioner in Northern Virginia, she relocated to North Carolina, enrolled at the University of North Carolina Chapel Hill and completed the Psychiatric Mental Health Nurse Practitioner program. She is certified by the American Nurse Credentialing Center as a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner.

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Elizabeth Manley, MSN, R.N., C.S.

Elizabeth Manley, MSN, R.N., C.S.

Elizabeth Manley, MSN, R.N., C.S., holds a bachelor’s degree in nursing from State University of New York at Plattsburgh and a master’s degree in psychiatric/mental health nursing from the University of North Carolina at Chapel Hill. She is board certified as a clinical nurse specialist in adult psychiatric/mental health nursing, and has been a clinic psychotherapist at FirstHealth of the Carolinas since 1995. Her areas of additional training are codependency, eating disorders, women’s issues, mind/body approaches, mood disorders and family systems, and eye movement desensitization and reprocessing treatment for trauma. She coordinates the FirstHealth Mindfulness-based Stress Management Program.


Liz Harry, MSW, LCSW

Liz Harry, MSW, LCSW

Liz Harry, MSW, LCSW, earned bachelor’s degrees in both social work and sociology and received her master’s degree in social work from Barry University in Miami Shores, Fla., in 1999. She has more the 20 years of experience in the mental health field, working as a counselor, case manager, therapist and clinical supervisor, and she was certified in Critical Incident Stress Management in 2004. She is experienced in working with children, adolescents, teens, adults and couples. She has worked in the fields of substance abuse in a long-term residential program in Florida, and has continued to work with patients who are dual-diagnosed and have chronic mental illness as well as those with marital problems, trauma/abuse issues, adjustment disorders and other behavioral issues


Robert Peterson, LPC

Robert Peterson, LPC

Robert Peterson, LPC, a licensed professional counselor, brings a strong background in work with children and adolescents through both psychological testing and counseling service provided by Child Protective Services in Texas.  He also worked with individuals, couples and families as a therapist for Jewish and Family Services in San Antonio.  He has a master’s degree in counseling psychology from Our Lady of the Lake University in San Antonio. His specialties include therapeutic interventions with adolescent issues, parenting, childhood trauma, men’s issues, and the effects of the military on individuals and famililies, including PTSD.


Ellen Starnes, MSW, LCSW, LCAS

Ellen Starnes, MSW, LCSW, LCAS

Ellen Starnes, MSW, LCSW, LCAS, Since 1992, Ellen has provided psychiatry and chemical dependency group and individual therapy for FirstHealth Moore Regional Hospital Behavioral Outpatient Services. She attended East Carolina University, where she received her MSW. Ellen is currently N.C. board certified as LCSW and LCAS . Her specialties include all types of mental health disorders, marriage and family counseling, depression and anxiety, chemical dependency and individuals with military-related disorders.


Danny Williams, LCSW 

Danny Williams, LCSW

Danny Williams, LCSW, has 23 years of experience and training in the mental health field, including 20 years of experience in emergency behavioral health assessment. He holds an M.A. in Marriage and Family Counseling from Southwestern Baptist Theological Seminary.

Before joining the FirstHealth behavioral clinic team, he served as provider network operations director, day treatment director, and child and family therapist for the Sandhills Center. He also assisted with after-hours emergency mental assessments and dispositions for FirstHealth.

Williams is experienced in addressing the emotional and behavioral needs of children, adolescents and their families as well as in emergency/crisis assessments for all age groups.


Shelwilbed O. “Billy” Wray, NCC, CAS, LCPC, LCAS, AADC, COL CA USAR 

Shelwilbed O. “Billy” Wray, NCC, CAS, LCPC, LCAS, AADC, COL CA USAR

Shelwilbed O. “Billy” Wray, NCC, CAS, LCPC, LCAS, AADC, COL CA USAR, has a B.S. degree in psychology from Jackson State University and a master’s degree in community and agency counseling from Delta State University, both in Mississippi.  He completed a clinical internship specializing in the treatment of impaired professionals at COPAC, also in Mississippi.  His clinical experience spans 23 years with a focus on the treatment of addictive disorders including alcohol, drugs and eating disorders for which he holds national and international certifications and state licenses. His professional background includes clinical experiences in one of the country’s top 10 treatment centers in Southwest Florida, The Willough at Naples; clinical contract work for a large defense contractor, SAIC, in Germany; and as clinical director of an adolescent treatment center in South Carolina.  Mr. Wray has worked at all levels of care including inpatient and partial hospitalization. He provides therapy in intensive outpatient groups (including therapy for chemical dependency), professional support aftercare groups, individual therapy and couples therapy. He also has a private practice in Pinehurst. 



Contact Information & Locations

For more information or to make an appointment or to make an appointment with our Behavioral Services Clinic, call (910) 715-3370


Behavioral Services Clinic
Specialty Centers Building
35 Memorial Drive
Pinehurst, NC 28374


For more information of to make a referral to our Intensive Outpatient Services or Partial Hospitalization Program, call (910) 715-1523.


For transfers or direct admissions to Inpatient Psychiatry at FirstHealth Moore Regional Hospital in Pinehurst, call the FirstHealth Transfer Center at (910) 715-BEDS (715-2337). Clinical information will be requested about the patient.



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