Psychiatrists in 63123

Photo of Hattie DeBord - Better Days Psychiatry and Family Practice, Psychiatric Nurse Practitioner, PMHNP, FNP
Better Days Psychiatry and Family Practice
Psychiatric Nurse Practitioner, PMHNP, FNP
1 Endorsed
Saint Louis, MO 63123
Hattie DeBord is certified as a Psychiatric Mental Health Nurse Practitioner and a Family Nurse Practitioner with over 11 years’ experience working with pediatric and adult mental illness. She offers mental health services to patients aged 5 years and up.
Hattie DeBord is certified as a Psychiatric Mental Health Nurse Practitioner and a Family Nurse Practitioner with over 11 years’ experience working with pediatric and adult mental illness. She offers mental health services to patients aged 5 years and up.
(314) 949-3520 View (314) 949-3520
Photo of Shelah Radke, Psychiatrist, MD, JD
Shelah Radke
Psychiatrist, MD, JD
Saint Louis, MO 63123
I help clients with the diagnosis and treatment of a plethora of concerns, including (but not limited to) emotional, developmental, behavioral, and mental disorders of childhood and adolescence. I work with my clients to understand what their needs and goals are, and together we use this information to develop a personalized treatment plan. This approach empowers my clients to take an active role in their own care and can lead to more positive outcomes and greater overall satisfaction with the treatment process.
I help clients with the diagnosis and treatment of a plethora of concerns, including (but not limited to) emotional, developmental, behavioral, and mental disorders of childhood and adolescence. I work with my clients to understand what their needs and goals are, and together we use this information to develop a personalized treatment plan. This approach empowers my clients to take an active role in their own care and can lead to more positive outcomes and greater overall satisfaction with the treatment process.
(314) 907-3544 View (314) 907-3544
Photo of Jacob Cowan, Psychiatric Nurse Practitioner, NP
Jacob Cowan
Psychiatric Nurse Practitioner, NP
Affton, MO 63123
Are you struggling with Substance Use or Alcohol Use Disorders? Sana Lake Recovery Center is the place for you. At Sana Lake Recovery, we offer a full system of care without the long wait to see licensed providers. We understand that addiction treatment is not a one-size-fits-all solution, which is why we tailor your treatment plan to fit your unique needs.
Are you struggling with Substance Use or Alcohol Use Disorders? Sana Lake Recovery Center is the place for you. At Sana Lake Recovery, we offer a full system of care without the long wait to see licensed providers. We understand that addiction treatment is not a one-size-fits-all solution, which is why we tailor your treatment plan to fit your unique needs.
(636) 242-8061 View (636) 242-8061

More Psychiatrists Nearby

Photo of Melissa Fischer, Psychiatric Nurse Practitioner, MSN, PMHNP-B
Melissa Fischer
Psychiatric Nurse Practitioner, MSN, PMHNP-B
Saint Peters, MO 63376
Melissa Fischer is a Board-Certified Psychiatric Mental Health Nurse Practitioner in Missouri who has been practicing since 2013. Melissa offers very intense listening skills that assist her to create an accurate diagnosis leading to accurate treatment. She approaches clients as a team member, letting them know that their opinion matters. Melissa is not a dictator, but an active partner with the client. They are a team and will work it through together. Outside of work, Melissa enjoys playing piano and collecting postage stamps. Her greatest goal for treating family and clients is that she will positively touch lives.Melissa F
Melissa Fischer is a Board-Certified Psychiatric Mental Health Nurse Practitioner in Missouri who has been practicing since 2013. Melissa offers very intense listening skills that assist her to create an accurate diagnosis leading to accurate treatment. She approaches clients as a team member, letting them know that their opinion matters. Melissa is not a dictator, but an active partner with the client. They are a team and will work it through together. Outside of work, Melissa enjoys playing piano and collecting postage stamps. Her greatest goal for treating family and clients is that she will positively touch lives.Melissa F
(636) 782-3374 View (636) 782-3374
Photo of Ian Pearson, Psychiatrist, MD
Ian Pearson
Psychiatrist, MD
1 Endorsed
Creve Coeur, MO 63141
Hello! I am Dr. Ian Pearson and I can’t tell you how happy I am to make your acquaintance. I am a dual board-certified psychiatrist, and child and adolescent psychiatrist, who specializes in treating psychiatric disorders affecting children, teens and adults. This includes issues with attention and focus, school performance, depressed mood, obsessive thoughts and even issues with addiction. While this is not a comprehensive list, my job is to help my patients to manage their thoughts and emotions in a way to help them achieve their goals.
Hello! I am Dr. Ian Pearson and I can’t tell you how happy I am to make your acquaintance. I am a dual board-certified psychiatrist, and child and adolescent psychiatrist, who specializes in treating psychiatric disorders affecting children, teens and adults. This includes issues with attention and focus, school performance, depressed mood, obsessive thoughts and even issues with addiction. While this is not a comprehensive list, my job is to help my patients to manage their thoughts and emotions in a way to help them achieve their goals.
(314) 912-0795 View (314) 912-0795
Photo of Laura Kastraba, Psychiatric Nurse Practitioner, MSN, PMHNP
Laura Kastraba
Psychiatric Nurse Practitioner, MSN, PMHNP
Saint Peters, MO 63376
She is adept at addressing a variety of conditions, including bipolar disorder, depression, psychosis/schizophrenia, sleep disorders/insomnia, postpartum depression/anxiety, grief, and obsessive-compulsive disorder. Laura’s comprehensive approach ensures that her patients receive care tailored to their unique needs. Laura is committed to serving diverse populations, including individuals with autism spectrum disorders, developmental disabilities, first responders, LGBTQ+ community members, military veterans, and women.She is adept at addressing a variety of conditions, including bipolar disorder, depression, psychosis/schizophrenia,
She is adept at addressing a variety of conditions, including bipolar disorder, depression, psychosis/schizophrenia, sleep disorders/insomnia, postpartum depression/anxiety, grief, and obsessive-compulsive disorder. Laura’s comprehensive approach ensures that her patients receive care tailored to their unique needs. Laura is committed to serving diverse populations, including individuals with autism spectrum disorders, developmental disabilities, first responders, LGBTQ+ community members, military veterans, and women.She is adept at addressing a variety of conditions, including bipolar disorder, depression, psychosis/schizophrenia,
(636) 689-2633 View (636) 689-2633
Photo of chileme U Ochulor, Psychiatric Nurse Practitioner, PMHNP
chileme U Ochulor
Psychiatric Nurse Practitioner, PMHNP
Saint Louis, MO 63108
Hello, I’m Chileme U. Ochulor, DNP, APRN, PMHNP-BC. I am a board-certified psychiatric mental health nurse practitioner and the founder of Primebridge Psychiatric Care LLC. I provide compassionate, evidence-based psychiatric care for adults and older adolescents in Missouri. I offer comprehensive evaluations, medication management, and supportive therapy tailored to your needs. I provide both in-person and telehealth appointments in a safe, nonjudgmental space where we work together toward emotional stability and improved daily functioning.
Hello, I’m Chileme U. Ochulor, DNP, APRN, PMHNP-BC. I am a board-certified psychiatric mental health nurse practitioner and the founder of Primebridge Psychiatric Care LLC. I provide compassionate, evidence-based psychiatric care for adults and older adolescents in Missouri. I offer comprehensive evaluations, medication management, and supportive therapy tailored to your needs. I provide both in-person and telehealth appointments in a safe, nonjudgmental space where we work together toward emotional stability and improved daily functioning.
(314) 228-5544 View (314) 228-5544
Photo of Bonnie Lee Applewhite, Psychiatrist, MD
Bonnie Lee Applewhite
Psychiatrist, MD
Saint Louis, MO 63110
Dr. Bonnie Applewhite provides personalized Adult Psychiatry services in an outpatient setting. Dr. Applewhite has studied at premiere medical institutions and continually strives to remain at the forefront of neuroscience and mental health treatment. Dr. Applewhite collaborates with every patient to realize their innermost potential. Treatment plans are developed with the lifestyle and goals of each patient in mind, while still pursuing maximum therapeutic efficacy.
Dr. Bonnie Applewhite provides personalized Adult Psychiatry services in an outpatient setting. Dr. Applewhite has studied at premiere medical institutions and continually strives to remain at the forefront of neuroscience and mental health treatment. Dr. Applewhite collaborates with every patient to realize their innermost potential. Treatment plans are developed with the lifestyle and goals of each patient in mind, while still pursuing maximum therapeutic efficacy.
(314) 207-0606 View (314) 207-0606
Photo of Brandyn Patel, Physician Assistant, DMSc, PA-C, CAQPsyc
Brandyn Patel
Physician Assistant, DMSc, PA-C, CAQPsyc
1 Endorsed
Serves Area
Hello! I'm Brandyn, a Psychiatric Physician Assistant, specializing in medication management. Whether you’re struggling with anxiety that leaves you feeling overwhelmed, depression that makes every day feel like a battle, PTSD that haunts your peace of mind, or Borderline Personality Disorder that makes relationships and self-understanding feel like a constant challenge—I’m here to help. I understand how difficult it can be to navigate these challenges, and I want you to know that you're not alone. My goal is to provide a safe, compassionate space where you can begin to explore and address the issues that are holding you back.
Hello! I'm Brandyn, a Psychiatric Physician Assistant, specializing in medication management. Whether you’re struggling with anxiety that leaves you feeling overwhelmed, depression that makes every day feel like a battle, PTSD that haunts your peace of mind, or Borderline Personality Disorder that makes relationships and self-understanding feel like a constant challenge—I’m here to help. I understand how difficult it can be to navigate these challenges, and I want you to know that you're not alone. My goal is to provide a safe, compassionate space where you can begin to explore and address the issues that are holding you back.
(573) 273-4292 View (573) 273-4292
Photo of Bryan N Sewing, Psychiatrist, DO
Bryan N Sewing
Psychiatrist, DO
Saint Louis, MO 63141
I work with children, adolescents, and adults struggling with autism, ADHD, anxiety, mood disorders, and other related conditions. Many seek clarity after years of uncertainty and missed diagnoses. With over 20 years of clinical experience—including seven years serving as faculty at WashU Medicine, where I focused exclusively on autism diagnostic evaluations— I understand the complexity of autism and other co-occurring conditions. I provide accurate diagnoses and thoughtful, individualized treatment plans to help patients function more confidently at home, school, work and in relationships.
I work with children, adolescents, and adults struggling with autism, ADHD, anxiety, mood disorders, and other related conditions. Many seek clarity after years of uncertainty and missed diagnoses. With over 20 years of clinical experience—including seven years serving as faculty at WashU Medicine, where I focused exclusively on autism diagnostic evaluations— I understand the complexity of autism and other co-occurring conditions. I provide accurate diagnoses and thoughtful, individualized treatment plans to help patients function more confidently at home, school, work and in relationships.
(314) 931-5652 x101 View (314) 931-5652 x101
Photo of Michelle Cooley, Psychiatric Nurse Practitioner, APRN
Michelle Cooley
Psychiatric Nurse Practitioner, APRN
Town And Country, MO 63017
Michelle has a special focus on individuals recently discharged from psychiatric hospitals and those undergoing court-ordered treatment. She combines her expertise in medication management with evidence-based interventions such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and mindfulness techniques. These approaches allow her to support patients in developing practical strategies to manage symptoms, improve daily functioning, and enhance overall well-being. Outside of her professional work, Michelle enjoys learning, creating peaceful spaces, and spending time recharging with family and nature.Michelle
Michelle has a special focus on individuals recently discharged from psychiatric hospitals and those undergoing court-ordered treatment. She combines her expertise in medication management with evidence-based interventions such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and mindfulness techniques. These approaches allow her to support patients in developing practical strategies to manage symptoms, improve daily functioning, and enhance overall well-being. Outside of her professional work, Michelle enjoys learning, creating peaceful spaces, and spending time recharging with family and nature.Michelle
(314) 248-8698 View (314) 248-8698
Photo of Narissa Marasso, Psychiatric Nurse Practitioner, MSN, PMHNP-B
Narissa Marasso
Psychiatric Nurse Practitioner, MSN, PMHNP-B
Saint Louis, MO 63122
Narissa obtained her Bachelor of Science in Nursing from Missouri Western State University, and her Master’s of Science in Nursing from Maryville University. She is a member of the Sigma Theta Tau International Honor Society of Nursing. Narissa is also a Certified Diabetes Care and Education Specialist (CDCES) and has extensive experience working with clients who struggle with co-occurring mental health conditions of Type 1 Diabetes. Narissa has worked in urgent care, emergency rooms, geriatric, adult, and adolescent acute behavioral health units throughout St Louis SSM Hospitals.
Narissa obtained her Bachelor of Science in Nursing from Missouri Western State University, and her Master’s of Science in Nursing from Maryville University. She is a member of the Sigma Theta Tau International Honor Society of Nursing. Narissa is also a Certified Diabetes Care and Education Specialist (CDCES) and has extensive experience working with clients who struggle with co-occurring mental health conditions of Type 1 Diabetes. Narissa has worked in urgent care, emergency rooms, geriatric, adult, and adolescent acute behavioral health units throughout St Louis SSM Hospitals.
(314) 794-5562 View (314) 794-5562
Photo of Brenda Bush - Innovative Mental Health Services, Psychiatric Nurse Practitioner, FNP-C, PMHNP
Innovative Mental Health Services
Psychiatric Nurse Practitioner, FNP-C, PMHNP
Saint Louis, MO 63141
Brenda Bush is a dual Certified Nurse Practitioner in Family and Psychiatric Mental Health. Her focus is Psychiatric Mental Health and Primary Care Adult medicine. Brenda has been a nurse for 30 years and a Nurse Practitioner for 18 years. Her practitioner education is from Indiana Wesleyan University- Marion, Indiana and University of Missouri- St. Louis. She has a collaborative practice in St. Louis and surrounding cities in Mo. and is also licensed in Arizona, Kansas and Virgina. Her goal is to partner with you to create a treatment plan that improves your mental and physical health, enhancing your quality of life.
Brenda Bush is a dual Certified Nurse Practitioner in Family and Psychiatric Mental Health. Her focus is Psychiatric Mental Health and Primary Care Adult medicine. Brenda has been a nurse for 30 years and a Nurse Practitioner for 18 years. Her practitioner education is from Indiana Wesleyan University- Marion, Indiana and University of Missouri- St. Louis. She has a collaborative practice in St. Louis and surrounding cities in Mo. and is also licensed in Arizona, Kansas and Virgina. Her goal is to partner with you to create a treatment plan that improves your mental and physical health, enhancing your quality of life.
(314) 582-6420 View (314) 582-6420
Photo of Tabitha Kennedy-Sleeper, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Tabitha Kennedy-Sleeper
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
3 Endorsed
Saint Louis, MO 63129
My ideal client is someone who feels stuck, overwhelmed, or frustrated that their symptoms haven’t fully improved. They may be dealing with depression, anxiety, trauma, or mood instability and want clearer answers and a plan that actually feels manageable. They’re looking for coordinated care—whether through medication management, IOP, or TMS—and want to understand their options. Their goal is not just symptom relief, but better daily functioning, stability, and confidence in their treatment moving forward.
My ideal client is someone who feels stuck, overwhelmed, or frustrated that their symptoms haven’t fully improved. They may be dealing with depression, anxiety, trauma, or mood instability and want clearer answers and a plan that actually feels manageable. They’re looking for coordinated care—whether through medication management, IOP, or TMS—and want to understand their options. Their goal is not just symptom relief, but better daily functioning, stability, and confidence in their treatment moving forward.
(314) 403-8738 View (314) 403-8738
Photo of Angela Jones, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP-B
Angela Jones
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP-B
1 Endorsed
Ballwin, MO 63011
Are you struggling with anxiety, depression, or mood changes that may benefit from medication support? As a Board-Certified Psychiatric Mental Health Nurse Practitioner, Angela provides comprehensive psychiatric evaluations and personalized medication management tailored to your needs. Her approach is collaborative and evidence-based, focusing on symptom relief, stability, and long-term wellness. She works closely with you to develop and adjust a treatment plan that supports your goals and improves daily functioning. Schedule an appointment today to take the next step toward feeling better.
Are you struggling with anxiety, depression, or mood changes that may benefit from medication support? As a Board-Certified Psychiatric Mental Health Nurse Practitioner, Angela provides comprehensive psychiatric evaluations and personalized medication management tailored to your needs. Her approach is collaborative and evidence-based, focusing on symptom relief, stability, and long-term wellness. She works closely with you to develop and adjust a treatment plan that supports your goals and improves daily functioning. Schedule an appointment today to take the next step toward feeling better.
(314) 912-1156 View (314) 912-1156
Photo of Monica Bishop, Psychiatrist, MD
Monica Bishop
Psychiatrist, MD
Saint Louis, MO 63105
New Patients By Referral Only. My goal is to build a lasting relationship with my patients, helping them to live a life that is authentic. I get to know the whole person, and we will work collaboratively to help you meet your needs. I have a relaxed style and try to foster a comfortable environment. I individualize treatment to each person, using a combination of medications and therapy as appropriate. I have been practicing psychiatry for over 20 years. I specialize in treating patients with eating disorders, as well as depression, anxiety, and other co-morbid disorders. I work with patients ages 10 and up.
New Patients By Referral Only. My goal is to build a lasting relationship with my patients, helping them to live a life that is authentic. I get to know the whole person, and we will work collaboratively to help you meet your needs. I have a relaxed style and try to foster a comfortable environment. I individualize treatment to each person, using a combination of medications and therapy as appropriate. I have been practicing psychiatry for over 20 years. I specialize in treating patients with eating disorders, as well as depression, anxiety, and other co-morbid disorders. I work with patients ages 10 and up.
(314) 947-3528 View (314) 947-3528
Photo of Catherine Mepukori - Renewed Hope Psychiatric Care, Psychiatric Nurse Practitioner, PMHNP
Renewed Hope Psychiatric Care
Psychiatric Nurse Practitioner, PMHNP
Saint Charles, MO 63303
If you’re struggling with depression, anxiety, ADHD, trauma, addiction, mood changes, or overwhelming life stress, you don’t have to face it alone. At Your Renewed Hope Behavioral Health, I support adults who feel emotionally drained, stuck, or frustrated by symptoms that won’t go away. Many of my clients are seeking clarity, stability, and a provider who truly listens. Together, we work toward emotional balance, confidence, and lasting wellness—so you can feel more in control of your life again.
If you’re struggling with depression, anxiety, ADHD, trauma, addiction, mood changes, or overwhelming life stress, you don’t have to face it alone. At Your Renewed Hope Behavioral Health, I support adults who feel emotionally drained, stuck, or frustrated by symptoms that won’t go away. Many of my clients are seeking clarity, stability, and a provider who truly listens. Together, we work toward emotional balance, confidence, and lasting wellness—so you can feel more in control of your life again.
(636) 637-0865 x101 View (636) 637-0865 x101
Photo of Dr. Ryan Sondergard, Psychiatrist, DO
Dr. Ryan Sondergard
Psychiatrist, DO
Maryland Heights, MO 63043
Dr. Sondergard treats adults, with particular expertise in treating depression and in managing anxiety disorders without chronic use of benzodiazepines. He also has extensive experience in the treatment of bipolar disorder and trauma-related conditions, including PTSD. His clinical approach is grounded in both medical expertise and genuine compassion, ensuring that every patient feels understood and supported throughout their mental health journey. Patients can rely on his comprehensive knowledge of psychiatric medications and his commitment to integrating current research into effective, individualized treatment strategies.
Dr. Sondergard treats adults, with particular expertise in treating depression and in managing anxiety disorders without chronic use of benzodiazepines. He also has extensive experience in the treatment of bipolar disorder and trauma-related conditions, including PTSD. His clinical approach is grounded in both medical expertise and genuine compassion, ensuring that every patient feels understood and supported throughout their mental health journey. Patients can rely on his comprehensive knowledge of psychiatric medications and his commitment to integrating current research into effective, individualized treatment strategies.
(314) 907-1025 View (314) 907-1025
Photo of Dr. Ashley Harvin, Psychiatrist, MD
Dr. Ashley Harvin
Psychiatrist, MD
Saint Louis, MO 63119
I’m Dr. Harvin, a board-certified psychiatrist based in St. Louis, Missouri. I specialize in providing personalized mental health care that integrates psychotherapy and thoughtful medication management for adults navigating anxiety, depression, trauma, mood disorders, ADHD, addiction, and life transitions. I believe that psychiatric care should be collaborative, compassionate, and attuned to your individual story. Whether we’re exploring your experiences through talk therapy, considering medication options, or both, my goal is to create a space where you feel safe, understood, and empowered.
I’m Dr. Harvin, a board-certified psychiatrist based in St. Louis, Missouri. I specialize in providing personalized mental health care that integrates psychotherapy and thoughtful medication management for adults navigating anxiety, depression, trauma, mood disorders, ADHD, addiction, and life transitions. I believe that psychiatric care should be collaborative, compassionate, and attuned to your individual story. Whether we’re exploring your experiences through talk therapy, considering medication options, or both, my goal is to create a space where you feel safe, understood, and empowered.
(314) 668-1805 View (314) 668-1805
Photo of Vishal Adma, Psychiatrist, MD
Vishal Adma
Psychiatrist, MD
Maryland Heights, MO 63043
Are you struggling with Substance Use or Alcohol Use Disorders? Sana Lake Behavioral Wellness Center Medical Services is the place for you. Offering a full system of care without the long wait to see Licensed Providers who specialize in Psychiatry, Medication Management, Medication Assisted Treatments, and Therapeutic Interventions while under the care of our clinical team.
Are you struggling with Substance Use or Alcohol Use Disorders? Sana Lake Behavioral Wellness Center Medical Services is the place for you. Offering a full system of care without the long wait to see Licensed Providers who specialize in Psychiatry, Medication Management, Medication Assisted Treatments, and Therapeutic Interventions while under the care of our clinical team.
(314) 907-2545 View (314) 907-2545

See more therapy options for 63123

How does your Psychiatrist compare?

Number of Psychiatrists in 63123

< 10

Psychiatrists in 63123 who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Bipolar Disorder
67% ADHD
67% Obsessive-Compulsive (OCD)
67% Behavioral Issues

Average years in practice

18 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Optum

How Psychiatrists in 63123 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in 63123?

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.