Psychiatrists in 23229

Photo of David Krukiel, Psychiatric Nurse Practitioner, DNP, PMHNP
David Krukiel
Psychiatric Nurse Practitioner, DNP, PMHNP
Richmond, VA 23229
David Krukiel, PMHNP-BC is a doctorally prepared Board Certified Psychiatric Mental Health Nurse Practitioner. He received his Bachelor of Science in Health Studies from James Madison University and Bachelor of Science in Nursing from Bon Secours Memorial College of Nursing before pursuing his Doctorate of Nursing Practice from the Medical University of South Carolina. David has several years of healthcare experience working in various specialties, including intensive care, inpatient mental health, and nursing education. His interests include treating adults with anxiety, depression, bipolar, ADHD, and substance use disorders.
David Krukiel, PMHNP-BC is a doctorally prepared Board Certified Psychiatric Mental Health Nurse Practitioner. He received his Bachelor of Science in Health Studies from James Madison University and Bachelor of Science in Nursing from Bon Secours Memorial College of Nursing before pursuing his Doctorate of Nursing Practice from the Medical University of South Carolina. David has several years of healthcare experience working in various specialties, including intensive care, inpatient mental health, and nursing education. His interests include treating adults with anxiety, depression, bipolar, ADHD, and substance use disorders.
(804) 294-4313 View (804) 294-4313
Photo of DeeDee Brown, Psychiatric Nurse Practitioner, PMHNP
DeeDee Brown
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Richmond, VA 23229
My name is DeeDee Brown, and I’m a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with over seven years of experience working in behavioral health. I have had the privilege of supporting individuals across a wide range of settings—from inpatient psychiatric units to outpatient therapy clinics—and bring that depth of understanding into every encounter with my patients today.
My name is DeeDee Brown, and I’m a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with over seven years of experience working in behavioral health. I have had the privilege of supporting individuals across a wide range of settings—from inpatient psychiatric units to outpatient therapy clinics—and bring that depth of understanding into every encounter with my patients today.
(804) 589-4811 x791 View (804) 589-4811 x791
Photo of Anthony Santalucia, Psychiatric Nurse Practitioner, PMHNP
Anthony Santalucia
Psychiatric Nurse Practitioner, PMHNP
Richmond, VA 23229
My ideal client is an adult experiencing persistent mood symptoms, anxiety, trauma-related distress, psychosis, or substance use concerns that impact daily functioning. They may feel overwhelmed or frustrated by prior care and are seeking thoughtful, collaborative treatment. Their goals include symptom stabilization, improved sleep and energy, stronger daily routines, and better overall functioning through attention to lifestyle factors that support long-term mental wellness.
My ideal client is an adult experiencing persistent mood symptoms, anxiety, trauma-related distress, psychosis, or substance use concerns that impact daily functioning. They may feel overwhelmed or frustrated by prior care and are seeking thoughtful, collaborative treatment. Their goals include symptom stabilization, improved sleep and energy, stronger daily routines, and better overall functioning through attention to lifestyle factors that support long-term mental wellness.
(804) 589-5699 View (804) 589-5699
Photo of Jeffrey Semler, Psychiatric Nurse Practitioner, PMHNP
Jeffrey Semler
Psychiatric Nurse Practitioner, PMHNP
Richmond, VA 23229
I am a Psychiatric Nurse Practitioner with a rich background in mental health care. With years of experience as a Psychiatric Nurse in acute inpatient settings, I’ve developed a deep understanding of the complexities of mental health. I earned my MSN from VCU’s School of Nursing and have since focused my expertise on acute inpatient psychiatry as a PMHNP prior to transitioning to the outpatient setting.
I am a Psychiatric Nurse Practitioner with a rich background in mental health care. With years of experience as a Psychiatric Nurse in acute inpatient settings, I’ve developed a deep understanding of the complexities of mental health. I earned my MSN from VCU’s School of Nursing and have since focused my expertise on acute inpatient psychiatry as a PMHNP prior to transitioning to the outpatient setting.
(757) 899-4949 View (757) 899-4949
Photo of Emily League, Psychiatric Nurse Practitioner, MS, PMHNP
Emily League
Psychiatric Nurse Practitioner, MS, PMHNP
Richmond, VA 23229
Emily League, MSN, PMHNP, RN has over a decade of nursing experience at a major hospital system, including bedside and leadership roles within post-medical surgical care and neuroscience clinical areas. Emily is passionate about working with all individuals regardless of background and life events. She focuses on the individual as a whole and prioritizes holistic care approaches. She believes in building trusting and supportive relationships to ensure a strong provider-patient relationship. Emily recognizes the impact mental health has on physical and emotional well-being and, therefore, on an individual’s overall health.
Emily League, MSN, PMHNP, RN has over a decade of nursing experience at a major hospital system, including bedside and leadership roles within post-medical surgical care and neuroscience clinical areas. Emily is passionate about working with all individuals regardless of background and life events. She focuses on the individual as a whole and prioritizes holistic care approaches. She believes in building trusting and supportive relationships to ensure a strong provider-patient relationship. Emily recognizes the impact mental health has on physical and emotional well-being and, therefore, on an individual’s overall health.
(804) 531-5446 View (804) 531-5446
Photo of Benjamin Hanna, Psychiatric Nurse Practitioner, PMHNP
Benjamin Hanna
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Richmond, VA 23229
I am a board-certified Psychiatric Mental Health Nurse Practitioner with a deep commitment to supporting adults aged 18 and older. With over two decades of experience in mental health care, I bring a compassionate, holistic, and evidence-based approach to treatment.
I am a board-certified Psychiatric Mental Health Nurse Practitioner with a deep commitment to supporting adults aged 18 and older. With over two decades of experience in mental health care, I bring a compassionate, holistic, and evidence-based approach to treatment.
(804) 207-4215 View (804) 207-4215
Photo of Melissa Cramsey, Psychiatric Nurse Practitioner, PMHNP
Melissa Cramsey
Psychiatric Nurse Practitioner, PMHNP
Richmond, VA 23229
I began my career in the psychiatric field in 2013 as a RN working at a residential facility for children with behavioral and mental health issues. I then shifted to work in an acute inpatient setting with both adults and children/adolescents. I have been working as a Psychiatric Nurse Practitioner since 2021. I have dedicated my career to helping those with a variety of mental health difficulties and will continue to do so for many years to come.
I began my career in the psychiatric field in 2013 as a RN working at a residential facility for children with behavioral and mental health issues. I then shifted to work in an acute inpatient setting with both adults and children/adolescents. I have been working as a Psychiatric Nurse Practitioner since 2021. I have dedicated my career to helping those with a variety of mental health difficulties and will continue to do so for many years to come.
(804) 207-8426 View (804) 207-8426
Photo of Dr. Kemberly Clark, Psychiatric Nurse Practitioner, DNP, APRN
Dr. Kemberly Clark
Psychiatric Nurse Practitioner, DNP, APRN
Richmond, VA 23229
As a Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP), I understand the significance of trust and the impact is has on the outcomes we achieve together. I am fully aware that trust is not granted easily; it is earned through transparency, reliability, and consistently delivering exceptional results. My upmost priority is to earn your trust through my actions. words, and dedication to you as my client. Thank you for considering me as your Mental Health partner. I am genuinely excited about the opportunity to work with you and build a strong, trusting relationship.
As a Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP), I understand the significance of trust and the impact is has on the outcomes we achieve together. I am fully aware that trust is not granted easily; it is earned through transparency, reliability, and consistently delivering exceptional results. My upmost priority is to earn your trust through my actions. words, and dedication to you as my client. Thank you for considering me as your Mental Health partner. I am genuinely excited about the opportunity to work with you and build a strong, trusting relationship.
(804) 494-5106 View (804) 494-5106
Photo of Dr. Rashida Gray, Psychiatrist, MD
Dr. Rashida Gray
Psychiatrist, MD
1 Endorsed
Richmond, VA 23229
2025 Richmond Top Doc: Rashida Gray, MD Have you been searching for a psychiatrist who will listen and partner with you to improve your mental health? Are you feeling unsatisfied with your current treatment? Or, maybe you are looking for a specialist-trained physician to help you understand your mental health challenges and provide a path forward to improved mental well-being. If the above resonates with you, then Gray MD Psychiatry is the right choice for you. We can work together to help improve your depression, anxiety, insomnia, OCD, stress, or trauma.
2025 Richmond Top Doc: Rashida Gray, MD Have you been searching for a psychiatrist who will listen and partner with you to improve your mental health? Are you feeling unsatisfied with your current treatment? Or, maybe you are looking for a specialist-trained physician to help you understand your mental health challenges and provide a path forward to improved mental well-being. If the above resonates with you, then Gray MD Psychiatry is the right choice for you. We can work together to help improve your depression, anxiety, insomnia, OCD, stress, or trauma.
(804) 293-2519 View (804) 293-2519
Photo of Chrystal Doyle, Psychiatric Nurse Practitioner, MS, APRN, FNP-BC, PMHNP
Chrystal Doyle
Psychiatric Nurse Practitioner, MS, APRN, FNP-BC, PMHNP
Richmond, VA 23229
I have experience providing whole-person, trauma-informed, and gender-affirming care to children, adolescents, and adults with co-occurring medical and psychiatric issues. I work closely with clients to understand their concerns and develop a personalized plan. I use a range of treatment approaches, including brief therapy, behavioral change techniques, mindfulness, nutrition, prescription medication, and supplements to address mental health concerns. Intakes are typically 60-75 minutes and follow up visits vary from 20-45 minutes, depending on needs.
I have experience providing whole-person, trauma-informed, and gender-affirming care to children, adolescents, and adults with co-occurring medical and psychiatric issues. I work closely with clients to understand their concerns and develop a personalized plan. I use a range of treatment approaches, including brief therapy, behavioral change techniques, mindfulness, nutrition, prescription medication, and supplements to address mental health concerns. Intakes are typically 60-75 minutes and follow up visits vary from 20-45 minutes, depending on needs.
(804) 575-7058 View (804) 575-7058
Photo of Kate Tucker Tibbs, Psychiatric Nurse Practitioner, PMHNP
Kate Tucker Tibbs
Psychiatric Nurse Practitioner, PMHNP
3 Endorsed
Serves Area
I am Family Psychiatric Mental Health Nurse Practitioner with over 13 years of experience, providing medication management and adjunctive psychotherapy to children, adolescents and adults. I believe in a multifaceted collaborative approach to patient-centered care. My focus is on the whole person, including medical, emotional, social, and spiritual aspects. Medication management is just one element of a successful treatment plan and that supportive therapy and teaching coping strategies are valuable tools in treatment.
I am Family Psychiatric Mental Health Nurse Practitioner with over 13 years of experience, providing medication management and adjunctive psychotherapy to children, adolescents and adults. I believe in a multifaceted collaborative approach to patient-centered care. My focus is on the whole person, including medical, emotional, social, and spiritual aspects. Medication management is just one element of a successful treatment plan and that supportive therapy and teaching coping strategies are valuable tools in treatment.
(804) 376-5312 View (804) 376-5312
Photo of Kelly Shephard, Psychiatric Nurse Practitioner, PMHNP, BC
Kelly Shephard
Psychiatric Nurse Practitioner, PMHNP, BC
Serves Area
NOT Accepting New Clients at this time: I am a board-certified psychiatric mental health nurse practitioner with a special interest in working with adults experiencing life disruptions from anxiety, depression, stress, ADHD, and some mood disorders. I received my Bachelor’s in Science in Nursing from South University. After graduating from nursing school, I was an ER nurse for 8 years, where I experienced firsthand the gap between medical and psychiatric care, and how the mind/body connection is often ignored. These gaps encouraged me to pursue my PMHNP degree. I received my Master of Science in Nursing from Walden University.
NOT Accepting New Clients at this time: I am a board-certified psychiatric mental health nurse practitioner with a special interest in working with adults experiencing life disruptions from anxiety, depression, stress, ADHD, and some mood disorders. I received my Bachelor’s in Science in Nursing from South University. After graduating from nursing school, I was an ER nurse for 8 years, where I experienced firsthand the gap between medical and psychiatric care, and how the mind/body connection is often ignored. These gaps encouraged me to pursue my PMHNP degree. I received my Master of Science in Nursing from Walden University.
(804) 391-0139 View (804) 391-0139
Photo of Kristen Hayes, Psychiatric Nurse Practitioner, PMHNP
Kristen Hayes
Psychiatric Nurse Practitioner, PMHNP
Serves Area
Currently Accepting New Patients & Immediate Availability for psychiatric medication management. I am privileged to provide care to patients across the lifespan and intersections of identity with a primary focus on those 14 years of age and up. Through in-person and virtual appointments in an outpatient setting, I treat various mental health conditions and emotional challenges with a clinical focus on depression, anxiety, PTSD, OCD, bipolar disorder, ADHD, personality disorders, schizophrenia, and other mood disorders.
Currently Accepting New Patients & Immediate Availability for psychiatric medication management. I am privileged to provide care to patients across the lifespan and intersections of identity with a primary focus on those 14 years of age and up. Through in-person and virtual appointments in an outpatient setting, I treat various mental health conditions and emotional challenges with a clinical focus on depression, anxiety, PTSD, OCD, bipolar disorder, ADHD, personality disorders, schizophrenia, and other mood disorders.
(804) 538-3128 View (804) 538-3128
Photo of Dorothy Irene Parker, Psychiatric Nurse Practitioner, PMHNP
Dorothy Irene Parker
Psychiatric Nurse Practitioner, PMHNP
5 Endorsed
Serves Area
Dot is passionate about client advocacy and providing holistic care that considers all aspects of health to achieve overall well-being. She believes care should be personalized to meet the unique needs and experiences of individuals. She provides a warm, nonjudgmental, and encouraging environment to help anyone looking for a safe space to achieve mental health wellbeing.
Dot is passionate about client advocacy and providing holistic care that considers all aspects of health to achieve overall well-being. She believes care should be personalized to meet the unique needs and experiences of individuals. She provides a warm, nonjudgmental, and encouraging environment to help anyone looking for a safe space to achieve mental health wellbeing.
(804) 607-8182 View (804) 607-8182
Photo of Ryan Ernest, Psychiatric Nurse Practitioner, PMHNP
Ryan Ernest
Psychiatric Nurse Practitioner, PMHNP
Serves Area
Children, teens and adults, who may be dealing with symptoms of depression, anxiety, ADHD, trauma, or mood disorders. Whether you have been through the ringer with medication trials in the past, or this is your first attempt at medications, I will be here to guide you through the process.
Children, teens and adults, who may be dealing with symptoms of depression, anxiety, ADHD, trauma, or mood disorders. Whether you have been through the ringer with medication trials in the past, or this is your first attempt at medications, I will be here to guide you through the process.
(804) 567-8837 View (804) 567-8837
Photo of Lis Collins - Mountain Psychiatry, Psychiatric Nurse Practitioner, RN, MS, PMHNP, -BC
Mountain Psychiatry
Psychiatric Nurse Practitioner, RN, MS, PMHNP, -BC
4 Endorsed
Serves Area
For many people struggling with mental health issues, psychiatry leaves them feeling unseen and stuck in a frustrating loop, never getting the attention, focus, and depth of care they deserve. I help uncover and treat the root causes of their mental health issues, so they can build a strong foundation for mental wellness and break their reliance on medications. Offering functional, integrative, and conventional psychiatry to children, adolescents and adults. Providing thorough psychiatric assessments, alternatives to medications, and holistic, high-touch care.
For many people struggling with mental health issues, psychiatry leaves them feeling unseen and stuck in a frustrating loop, never getting the attention, focus, and depth of care they deserve. I help uncover and treat the root causes of their mental health issues, so they can build a strong foundation for mental wellness and break their reliance on medications. Offering functional, integrative, and conventional psychiatry to children, adolescents and adults. Providing thorough psychiatric assessments, alternatives to medications, and holistic, high-touch care.
(804) 207-4235 View (804) 207-4235
Photo of Carleen A DiMeglio, Psychiatric Nurse Practitioner, RN, MSN, PMHNPBC, PMH-C
Carleen A DiMeglio
Psychiatric Nurse Practitioner, RN, MSN, PMHNPBC, PMH-C
1 Endorsed
Serves Area
Medications are just a piece of the puzzle- but they can be a very critical and life changing piece for many. I believe every person knows their body and lived experience better than anyone else and thus the decision to be on psychotropic medication must be based on a strong partnership between the patient and the prescriber. Evidence-based care, trauma-informed care, respect, and empathy are guiding principles of my practice model. I also own River Road TMS, LLC. Transcranial Magnetic Stimulation (TMS) is a non-invasive, non-medication FDA cleared option for Major Depressive Disorder and OCD (adjunctive treatment).
Medications are just a piece of the puzzle- but they can be a very critical and life changing piece for many. I believe every person knows their body and lived experience better than anyone else and thus the decision to be on psychotropic medication must be based on a strong partnership between the patient and the prescriber. Evidence-based care, trauma-informed care, respect, and empathy are guiding principles of my practice model. I also own River Road TMS, LLC. Transcranial Magnetic Stimulation (TMS) is a non-invasive, non-medication FDA cleared option for Major Depressive Disorder and OCD (adjunctive treatment).
(804) 494-5767 View (804) 494-5767
Photo of Dr. Hillary Gary, Psychiatrist, MD
Dr. Hillary Gary
Psychiatrist, MD
Serves Area
Dr. Gary is trained in treating patients across the lifespan and is committed to fostering healing through empathy, evidence-based practices, and shared decision-making. She is especially passionate about supporting individuals within the LGBTQIA+ community. Outside of work, Dr. Gary enjoys painting, gardening, hiking, and traveling—activities that enrich her compassionate and holistic approach to care.
Dr. Gary is trained in treating patients across the lifespan and is committed to fostering healing through empathy, evidence-based practices, and shared decision-making. She is especially passionate about supporting individuals within the LGBTQIA+ community. Outside of work, Dr. Gary enjoys painting, gardening, hiking, and traveling—activities that enrich her compassionate and holistic approach to care.
(804) 597-3861 View (804) 597-3861
Photo of Saundra Trouslot - LifeStance Health - Richmond, Psychiatric Nurse Practitioner, MSN, PMHNP
LifeStance Health - Richmond
Psychiatric Nurse Practitioner, MSN, PMHNP
Serves Area
Saundra L. Trouslot, NP Saundra L. Trouslot is a Nurse Practitioner in Virginia who has been practicing since 2019. She has a Master of Science in Nursing (Psychiatric Mental Health Nurse Practitioner) from Walden University, a Master in Public Health in Occupational Health Nursing from the University of North Carolina, and a Bachelor of Science in Nursing from Colorado Mesa University.
Saundra L. Trouslot, NP Saundra L. Trouslot is a Nurse Practitioner in Virginia who has been practicing since 2019. She has a Master of Science in Nursing (Psychiatric Mental Health Nurse Practitioner) from Walden University, a Master in Public Health in Occupational Health Nursing from the University of North Carolina, and a Bachelor of Science in Nursing from Colorado Mesa University.
(804) 403-8406 View (804) 403-8406
Photo of Nicole Edwards-Hamilton, Psychiatric Nurse Practitioner, APRN
Nicole Edwards-Hamilton
Psychiatric Nurse Practitioner, APRN
Serves Area
Dr. Nicole Edwards Hamilton, DNP, PMHNP-BC, holds a Doctor of Nursing Practice degree specializing in Psychiatric Mental Health Nurse Practitioner. With over 24 years of nursing experience, Nicole is deeply passionate about supporting individuals struggling with psychotic disorders, including schizophrenia. She understands the complexities of these conditions and strives to provide comprehensive care that improves both symptom management and overall functioning. She is committed to providing compassionate, patient-centered mental health care to individuals in need.
Dr. Nicole Edwards Hamilton, DNP, PMHNP-BC, holds a Doctor of Nursing Practice degree specializing in Psychiatric Mental Health Nurse Practitioner. With over 24 years of nursing experience, Nicole is deeply passionate about supporting individuals struggling with psychotic disorders, including schizophrenia. She understands the complexities of these conditions and strives to provide comprehensive care that improves both symptom management and overall functioning. She is committed to providing compassionate, patient-centered mental health care to individuals in need.
(804) 390-8637 View (804) 390-8637

See more therapy options for 23229

How does your Psychiatrist compare?

Number of Psychiatrists in 23229

20+

Average cost per session

$200

Psychiatrists in 23229 who prioritize treating:

83% Depression
83% Anxiety
72% Trauma and PTSD
69% Bipolar Disorder
66% Medication Management
62% ADHD
52% Sleep or Insomnia

Average years in practice

14 Years

Top 3 insurances accepted

100% Aetna
95% Cigna and Evernorth
76% BlueCross and BlueShield

How Psychiatrists in 23229 see their clients

86% In Person and Online
14% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in 23229?

The Psychology Today Directory enables users to search specifically for psychiatrists by selecting the provider type from the drop-down menu, and filtering results by city, zip code, or the psychiatrist's name. The search results feature detailed profiles that outline each professional's treatment approach, areas of expertise, credentials, fees, payment options, and accepted insurance. Results include both psychiatrists (MDs) and psychiatric mental health nurse practitioners (PMHNPs), who hold advanced practice nursing degrees. Users can refine their search for a specific type of psychiatric provider using the "Provider Type" filter.

What is the difference between a psychiatrist and a psychologist?

Psychiatrists are medical specialists dedicated to understanding, diagnosing, and treating brain disorders and mental health conditions. As physicians, they are trained to identify the often subtle biological factors underlying mental disorders and to monitor how mental health treatments may impact other physical conditions, such as heart disease. Psychiatrists are licensed to prescribe medication and typically conduct shorter sessions that focus on medication management rather than intensive psychotherapy.

In contrast, psychologists are particularly attuned to the impact of early experiences on development, behavior, emotions, and cognitive processes. They often take a holistic approach to assessing and treating clients, considering aspects of personality and social functioning. Although psychologists cannot prescribe medication, they are frequently skilled in administering psychological tests—such as IQ tests, personality assessments, and behavioral evaluations—to assess an individual's functioning. Psychologists often engage in longer, more psychotherapy-focused sessions compared to psychiatrists.

What is a psychiatric nurse practitioner and what is the difference with a psychiatrist?

A psychiatric mental health nurse practitioner (PMHNP), also known as a mental health nurse practitioner or psychiatric nurse practitioner, is an advanced practice registered nurse (APRN) who has completed advanced training in psychiatric care, earning at least a master’s degree in psychiatric nursing. To become Board-Certified (PMHNP-BC), psychiatric nurse practitioners must also pass a national exam that tests their clinical psychiatric knowledge.

Like psychiatrists, PMHNPs are trained to assess, diagnose, and treat mental health conditions. However, PMHNPs and psychiatrists differ in their training experience. While PMHNPs can complete their credentialing requirements (full bachelor's and master's degree training) in as few as 6 years, psychiatrists often spend upwards of 12 years to complete their bachelor's, medical doctorate degree, and residency training requirements. Because of training differences, some states require PMHNPs to be supervised by or enter into a collaborative agreement with a physician in order to prescribe medication.

When deciding to work with a psychiatrist or PMHNP, clients should consider factors such therapeutic fit, cost, and availability. Psychiatrists may have more substantial training in treating more severe psychiatric conditions, as well as in providing more specialized treatment services, such as child psychiatry. However, psychiatrists may be inaccessible to some clients, as their cost and availability may be prohibitive. It can often be easier for clients to find a PMHNP with openings for new clients when compared to psychiatrists, and PMHNPs may also offer lower cost treatment options for clients looking to minimize out-of-pocket costs.

Can a psychiatrist or a PMHNP prescribe medication?

The Psychology Today directory features two primary types of psychiatric professionals: psychiatrists and psychiatric mental health nurse practitioners (PMHNPs). Both are generally authorized to prescribe psychiatric medications. In 28 states, PMHNPs have full practice authority, allowing them to provide the complete spectrum of psychiatric care, including independent medication prescribing and management. In other states, however, PMHNPs are required to work under the supervision or in collaboration with a physician to prescribe medication. Both psychiatrists and PMHNPs may also offer additional services, such as psychotherapy, counseling, and care coordination, for clients seeking psychiatric care.

Do psychiatrists or PMHNPs offer therapy?

Both psychiatrists and psychiatric mental health nurse practitioners (PMHNPs) are generally trained in a number of treatment modalities, including traditional psychotherapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), pharmacotherapy, and, occasionally, various somatic therapies. Typically, psychiatrists and PMHNPs make a diagnosis and determine a course of treatment based on chemical or biological factors, using lab tests, brain scans and physical and psychological evaluations.

While psychotherapy may be used in the first session to aid in diagnosis, it is not typically utilized in subsequent visits. In fact, after the introductory session, most psychiatry sessions may only be 15-20 minutes in length and are largely focused on medication management; this is frequently the case for both psychiatrists and PMHNPs. However, medication providers who do not offer psychotherapy usually work collaboratively with psychologists and other mental health clinicians who do offer these services, and they can refer clients seeking more traditional psychotherapy services to their care.

How do I know if I need a psychiatrist, a PMHNP, or a therapist?

It is not always easy to know which type of mental health practitioner to choose. Many people are unaware of the root of their mental or behavioral problem and may be unaware of the differences in support provided by various mental health professionals. One way many people learn which type of care is best for them is by seeing their primary care provider (PCP) first. Depending on the nature and severity of the symptoms, the PCP may review their medical history and provide guidance or a referral to the appropriate type of provider.

A referral to a psychiatrist or PMHNP is most often made when a client is in need of psychiatric medication management or assessment. These professionals are specifically trained to prescribe psychiatric medications, when necessary, for a client; however, they generally do not provide supportive psychotherapy on an ongoing basis. A therapist or psychologist, in contrast, can provide supportive psychotherapy but is unable to prescribe medications. Because of their unique roles, some clients see both a medication prescriber (either a psychiatrist or PMHNP) and a therapist at the same time to address their psychiatric concerns holistically. Many psychiatrists and psychologists are very open to referring clients to other professionals if unable to meet the client's needs or if they think the client could use additional support from a different type of professional.

Do I need a referral to see a psychiatrist or a PMHNP?

A referral to a psychiatrist or psychiatric mental health nurse practitioner (PMHNP) is often not required. However, consulting your primary care physician (PCP) first can be beneficial and may streamline the process of getting the care you need. Your PCP can help determine whether psychiatric care is necessary or if another type of mental health support might be more appropriate. Additionally, some insurance plans require a PCP referral to cover part or all of the costs associated with seeing a specialist. Obtaining a referral can also expedite the appointment process, particularly in areas with provider shortages or for clients seeking specialists in fields like child psychiatry.

Is everyone in the Psychology Today Therapy Directory a licensed professional?

Yes, all professionals listed in the Psychology Today Therapy Directory are licensed to provide mental health services in the state(s) where they practice. The directory includes a variety of providers such as psychiatrists, psychiatric mental health nurse practitioners (PMHNPs), physician assistants, psychologists, social workers, and counselors. Each provider must hold a valid license issued by their state regulatory body to be listed. In addition, Psychology Today offers a verification process for certain providers, signified by a 'Verified' symbol next to their profile. This badge indicates that the provider’s primary credential or license has been independently verified by Psychology Today.