Ashley Hughes, PMHNP-FNP
Phone 704-610-6434
Mental Health Conditions Treated
At Aligned Psychiatric Care we treat a wide variety of mental health concerns in children, adolescents, and adults. Each evaluation helps us create a treatment plan that fits your life, supports your goals, and aligns with your values — combining clinical expertise with compassionate guidance.
We understand that mental health concerns can impact every aspect of daily life, relationships, work school and overall well-being. Our approach is individualized, collaborative, and focused on understanding the full picture of each patient’s emotional and physical health.
We provide care for a wide range of psychiatric conditions through in-person appointments in Cornelius and telehealth visits throughout North Carolina, including the Lake Norman region and surrounding communities.

ADHD
ADHD can affect focus, organization, motivation, emotional regulation, time management, and daily functioning in both children and adults. Many adults with ADHD describe chronic overwhelm, difficulty starting tasks, mental clutter, forgetfulness, procrastination, or feeling constantly behind despite trying hard to stay organized. In children and adolescents, symptoms may affect school performance, confidence, behavior, and emotional regulation.

OCD
Obsessive-compulsive disorder (OCD) may involve intrusive thoughts, repetitive behaviors, reassurance seeking, checking behaviors, contamination fears, perfectionism, or distressing mental rituals that become difficult to control. OCD symptoms can significantly affect daily life, relationships, concentration, and emotional well-being. Treatment may include psychiatric evaluation, medication management, and coordination with therapy approaches such as Exposure and Response Prevention (ERP).

Depression
Depression does not always look the same from person to person. Symptoms may include low motivation, fatigue, irritability, sadness, emotional numbness, hopelessness, poor concentration, sleep changes, appetite changes, or loss of interest in normal activities. Some individuals continue functioning outwardly while quietly struggling internally. Treatment focuses on understanding emotional symptoms within the larger context of medical history, stress, sleep, lifestyle, and overall function.

Anxiety Disorders
Anxiety can affect both emotional and physical well-being. Symptoms may include excessive worry, racing thoughts, panic symptoms, muscle tension, irritability, overthinking, sleep disruption, restlessness, or feeling constantly on edge. Some individuals experience high-functioning anxiety while continuing to manage work, school, parenting, or daily responsibilities despite feeling internally overwhelmed. Treatment may include psychiatric evaluation, medication management, and supportive care.

Insomnia and Sleep Concerns
Sleep and mental health are closely connected. Difficulty falling asleep, staying asleep, racing thoughts at night, non-restorative sleep, or disrupted sleep schedules can worsen anxiety, mood symptoms, concentration, and emotional regulation. Treatment focuses on understanding contributing factors such as stress, anxiety, depression, ADHD, medications, medical history, and lifestyle patterns while developing a plan that supports healthier sleep and overall mental wellness.

Bipolar Disorder
Bipolar disorder can involve periods of depression as well as episodes of elevated mood, increased energy, impulsivity, decreased need for sleep, irritability, or racing thoughts. Symptoms may vary significantly between individuals and can affect relationships, work, sleep, emotional regulation, and daily functioning. Treatment focuses on careful diagnostic evaluation, medication management, mood stabilization, and long-term support aimed at improving emotional stability and quality of life.

PTSD and Trauma Related Disorders
Trauma can affect emotional health, sleep, concentration, relationships, and the nervous system long after difficult experiences occur. Symptoms may include hypervigilance, anxiety, panic symptoms, irritability, emotional numbness, intrusive memories, sleep disruption, or feeling constantly “on edge.” Treatment focuses on creating a safe, individualized approach that considers both emotional and physical symptoms while supporting stabilization, coping skills, and overall mental wellness.

Panic Disorder
Panic attacks can feel intense and frightening, often causing symptoms such as chest tightness, rapid heart rate, dizziness, shortness of breath, shaking, nausea, or feelings of losing control. Some individuals begin avoiding situations or environments due to fear of another panic attack occurring. Treatment may include psychiatric evaluation, medication management, education about the nervous system and panic response, and strategies aimed at reducing the frequency and severity of symptoms.