Psychiatrists in 78028

Photo of Phillip Balfanz, Psychiatrist, MD
Phillip Balfanz
Psychiatrist, MD
1 Endorsed
Kerrville, TX 78028
I am a child and adolescent psychiatrist with experience in helping family members of all ages when illness interferes with a person's mental health. I believe in the process of recovery and the power of hope in working toward a healthier life.
I am a child and adolescent psychiatrist with experience in helping family members of all ages when illness interferes with a person's mental health. I believe in the process of recovery and the power of hope in working toward a healthier life.
(210) 880-3424 View (210) 880-3424
Photo of Chelsea Dickson - Chelsea Dickson, PMHNP @ Evolve Psychiatry, Psychiatric Nurse Practitioner, MSN, APRN, FNP-C, PMHNP
Chelsea Dickson, PMHNP @ Evolve Psychiatry
Psychiatric Nurse Practitioner, MSN, APRN, FNP-C, PMHNP
Kerrville, TX 78028
Is your child struggling with intense emotions, attention issues, or persistent worry? Do you feel like you're constantly walking a tightrope—balancing impulsive outbursts and withdrawn behavior, all while trying to do what’s best for your child? At Evolve Psychiatry, our team partners with both children and parents to understand what’s driving your child’s distress and to create a plan that nurtures emotional growth, resilience, and success — both at home and in school.
Is your child struggling with intense emotions, attention issues, or persistent worry? Do you feel like you're constantly walking a tightrope—balancing impulsive outbursts and withdrawn behavior, all while trying to do what’s best for your child? At Evolve Psychiatry, our team partners with both children and parents to understand what’s driving your child’s distress and to create a plan that nurtures emotional growth, resilience, and success — both at home and in school.
(830) 465-4593 View (830) 465-4593
Photo of Riz Ahmad - Dr. Riz @ Evolve Psychiatry, Psychiatrist, MD
Dr. Riz @ Evolve Psychiatry
Psychiatrist, MD
Kerrville, TX 78028
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
(830) 293-5616 View (830) 293-5616
Photo of Alejandro Perez - Dr. Perez @ Evolve Psychiatry, Psychiatrist, MD
Dr. Perez @ Evolve Psychiatry
Psychiatrist, MD
Kerrville, TX 78028
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
(830) 402-4373 View (830) 402-4373
Photo of Jerilyn Town, Psychiatric Nurse Practitioner, APRN, PMHNP
Jerilyn Town
Psychiatric Nurse Practitioner, APRN, PMHNP
1 Endorsed
Serves Area
The ideal client is motivated to seek help. This patient may struggle with a range of mental health issues, such as anxiety, depression, bipolar disorder, or schizophrenia. They want to regain control over their lives and alleviate the distress caused by their mental health conditions. Their desire for help often stems from their symptoms' impact on their personal, social, and professional lives. Their goals are typically centered around achieving emotional stability, improving daily functioning, and enhancing overall quality of life. They may also seek to develop healthier coping mechanisms and better interpersonal relationships.
The ideal client is motivated to seek help. This patient may struggle with a range of mental health issues, such as anxiety, depression, bipolar disorder, or schizophrenia. They want to regain control over their lives and alleviate the distress caused by their mental health conditions. Their desire for help often stems from their symptoms' impact on their personal, social, and professional lives. Their goals are typically centered around achieving emotional stability, improving daily functioning, and enhancing overall quality of life. They may also seek to develop healthier coping mechanisms and better interpersonal relationships.
(832) 281-5357 View (832) 281-5357
Photo of Cynthia Hathaway, Psychiatric Nurse Practitioner, MSN, RN, PMHNP
Cynthia Hathaway
Psychiatric Nurse Practitioner, MSN, RN, PMHNP
Serves Area
I am accepting new patients. I treat individuals, ages 12-65+, struggling with mental health disorders such as depression, Alcohol Use Disorder, Bipolar Disorder, Schizophrenia, anxiety disorders, and ADHD to name a few. I have been a nurse for 29 years, and my multiple deployments as an Air Force Flight Nurse and intensive care nurse have given me a wide range of experience in caring for others who have endured significant physical and mental trauma. My office is a private environment designed to give you compassionate care and implement a treatment plan to help you to live your best life of mental health and wellness.
I am accepting new patients. I treat individuals, ages 12-65+, struggling with mental health disorders such as depression, Alcohol Use Disorder, Bipolar Disorder, Schizophrenia, anxiety disorders, and ADHD to name a few. I have been a nurse for 29 years, and my multiple deployments as an Air Force Flight Nurse and intensive care nurse have given me a wide range of experience in caring for others who have endured significant physical and mental trauma. My office is a private environment designed to give you compassionate care and implement a treatment plan to help you to live your best life of mental health and wellness.
(830) 947-5937 View (830) 947-5937
Photo of Vanessa L Vela, Psychiatrist, MD
Vanessa L Vela
Psychiatrist, MD
Serves Area
I have been practicing for 19 years and continue to look forward to helping others find the proper treatment for their needs. I enjoy working with children, teens and adults. I understand that each of my patients have unique strengths. I am committed to providing genuine, caring and confidential care for professionals, families and children. I am a firm believer in change and hold an optimistic view in helping others. I often find that people have gone without treatment for various reasons but I am here to help them find the appropriate direction.
I have been practicing for 19 years and continue to look forward to helping others find the proper treatment for their needs. I enjoy working with children, teens and adults. I understand that each of my patients have unique strengths. I am committed to providing genuine, caring and confidential care for professionals, families and children. I am a firm believer in change and hold an optimistic view in helping others. I often find that people have gone without treatment for various reasons but I am here to help them find the appropriate direction.
(830) 254-5217 View (830) 254-5217
Photo of Kimberly Giberga, Psychiatric Nurse Practitioner, MSN , PMHNP, FNP
Kimberly Giberga
Psychiatric Nurse Practitioner, MSN , PMHNP, FNP
3 Endorsed
Serves Area
If you need a hand to help you start back on the path to your best self, I understand that life can present challenges with mood disorders such as Depression, Bipolar Disorder, Anxiety, Insomnia, Post Traumatic Stress Disorder (PTSD), Irritability, Eating disorders and generally feeling 'off' or unlike yourself. I can help you face those difficulties. If you want to take that courageous first step towards getting your life back, reach out today. I'm here to help you. I also specialize in treatment resistant depression and use Spravato (esketamine) in my clinic with great success. I want to help you make your life better.
If you need a hand to help you start back on the path to your best self, I understand that life can present challenges with mood disorders such as Depression, Bipolar Disorder, Anxiety, Insomnia, Post Traumatic Stress Disorder (PTSD), Irritability, Eating disorders and generally feeling 'off' or unlike yourself. I can help you face those difficulties. If you want to take that courageous first step towards getting your life back, reach out today. I'm here to help you. I also specialize in treatment resistant depression and use Spravato (esketamine) in my clinic with great success. I want to help you make your life better.
(210) 981-4063 View (210) 981-4063
Photo of Yemi Ogunfeitimi, Psychiatric Nurse Practitioner, PMHNP-B
Yemi Ogunfeitimi
Psychiatric Nurse Practitioner, PMHNP-B
2 Endorsed
Serves Area
Are you feeling overwhelmed by anxiety, depression, mood swings, insomnia, or intrusive thoughts? Maybe you’re navigating bipolar disorder, PTSD, postpartum depression, autism, or schizophrenia and feeling unsure where to turn. You deserve compassionate, expert care and a provider who truly listens. Together, we can stabilize symptoms, build coping tools, and help you move toward clarity, balance, and renewed hope.
Are you feeling overwhelmed by anxiety, depression, mood swings, insomnia, or intrusive thoughts? Maybe you’re navigating bipolar disorder, PTSD, postpartum depression, autism, or schizophrenia and feeling unsure where to turn. You deserve compassionate, expert care and a provider who truly listens. Together, we can stabilize symptoms, build coping tools, and help you move toward clarity, balance, and renewed hope.
(726) 215-9785 View (726) 215-9785
Photo of Sarah Brooke Thorpe, Psychiatric Nurse Practitioner, PMHNP, CARNAP
Sarah Brooke Thorpe
Psychiatric Nurse Practitioner, PMHNP, CARNAP
Online Only
Many women are told that pregnancy, postpartum recovery, and menopause are supposed to be joyful, natural transitions. Yet for many, these seasons of life feel overwhelming, isolating, and unlike anything they expected. Perhaps anxiety has become constant. Thoughts race at night, making it impossible to rest. Maybe sadness, irritability, guilt, or emotional numbness have taken the place of excitement and connection. Hormonal shifts can leave even the strongest women feeling unlike themselves, wondering, "What happened to the person I used to be?"
Many women are told that pregnancy, postpartum recovery, and menopause are supposed to be joyful, natural transitions. Yet for many, these seasons of life feel overwhelming, isolating, and unlike anything they expected. Perhaps anxiety has become constant. Thoughts race at night, making it impossible to rest. Maybe sadness, irritability, guilt, or emotional numbness have taken the place of excitement and connection. Hormonal shifts can leave even the strongest women feeling unlike themselves, wondering, "What happened to the person I used to be?"
(817) 580-8675 View (817) 580-8675

More Psychiatrists Nearby

Photo of Michelle Cantu - Michelle L Cantu, MD, PA, Psychiatrist, MD
Michelle L Cantu, MD, PA
Psychiatrist, MD
Fredericksburg, TX 78624
Whether you are new to mental health or have a history of mental health issues, you are likely looking for a supportive environment, diagnostic clarification, and knowledge regarding all treatment options. You are needing a provider who will listen to your concerns and get to know you as a person. If you are the parent of a child with mental health issues, you are seeking a place where your child will feel comfortable and nurtured. You are wanting a provider who will spend the time getting to know your child and family dynamic, while providing your child with the quality care they would want for their own children.
Whether you are new to mental health or have a history of mental health issues, you are likely looking for a supportive environment, diagnostic clarification, and knowledge regarding all treatment options. You are needing a provider who will listen to your concerns and get to know you as a person. If you are the parent of a child with mental health issues, you are seeking a place where your child will feel comfortable and nurtured. You are wanting a provider who will spend the time getting to know your child and family dynamic, while providing your child with the quality care they would want for their own children.
(210) 972-9458 View (210) 972-9458
Photo of Ana Tattersall-Cocke - A&A Psych Services, LLC, Psychiatric Nurse Practitioner, CNS, PMHNP
A&A Psych Services, LLC
Psychiatric Nurse Practitioner, CNS, PMHNP
1 Endorsed
Serves Area
Need to be seen soon? Prefer virtual appointments? I provide personalized psychiatric care for adolescents and adults across Texas. I treat depression, anxiety, bipolar disorder, ADHD, and OCD using evidence-based medication management and practical strategies. Treatment may include targeted vitamin support and non-stimulants when appropriate. Together, we’ll create a clear plan to help you feel more steady, focused, and in control.
Need to be seen soon? Prefer virtual appointments? I provide personalized psychiatric care for adolescents and adults across Texas. I treat depression, anxiety, bipolar disorder, ADHD, and OCD using evidence-based medication management and practical strategies. Treatment may include targeted vitamin support and non-stimulants when appropriate. Together, we’ll create a clear plan to help you feel more steady, focused, and in control.
(830) 448-0170 View (830) 448-0170
Photo of Fidelia Chinwe Chukwuto, Psychiatric Nurse Practitioner, DNP, MSN, PMHNP
Fidelia Chinwe Chukwuto
Psychiatric Nurse Practitioner, DNP, MSN, PMHNP
Serves Area
Are you feeling overwhelmed by anxiety, weighed down by depression, navigating trauma, or struggling with substance use? You don’t have to carry it alone. Healing is possible with the right support. Together, we’ll create a safe, judgment-free space where you feel heard, understood, and empowered. Your experiences matter, and your goals matter. Treatment is not one-size-fits-all—it’s about building a plan that honors your story and supports lasting emotional wellness.
Are you feeling overwhelmed by anxiety, weighed down by depression, navigating trauma, or struggling with substance use? You don’t have to carry it alone. Healing is possible with the right support. Together, we’ll create a safe, judgment-free space where you feel heard, understood, and empowered. Your experiences matter, and your goals matter. Treatment is not one-size-fits-all—it’s about building a plan that honors your story and supports lasting emotional wellness.
(726) 262-9496 View (726) 262-9496
Photo of Christina Exum, Psychiatric Nurse Practitioner, APRN, PMHNP, BC
Christina Exum
Psychiatric Nurse Practitioner, APRN, PMHNP, BC
Fredericksburg, TX 78624
Christina Exum, APRN, PMHNP-BC is an integrative psychiatric nurse practitioner offering root-cause-focused mental health care in Fredericksburg, Texas, with virtual and hybrid options available. Her approach blends conventional psychiatry with a whole-person model that explores underlying drivers of symptoms, including biology, lifestyle, and nervous system patterns. Care may include comprehensive evaluations, functional lab interpretation, and personalized treatment plans incorporating targeted nutrients, nootropics, and lifestyle interventions to support brain and body health.
Christina Exum, APRN, PMHNP-BC is an integrative psychiatric nurse practitioner offering root-cause-focused mental health care in Fredericksburg, Texas, with virtual and hybrid options available. Her approach blends conventional psychiatry with a whole-person model that explores underlying drivers of symptoms, including biology, lifestyle, and nervous system patterns. Care may include comprehensive evaluations, functional lab interpretation, and personalized treatment plans incorporating targeted nutrients, nootropics, and lifestyle interventions to support brain and body health.
(830) 202-6276 View (830) 202-6276

Online Psychiatrists

Photo of Jilji Payikkattu, Psychiatric Nurse Practitioner, PMHNPBC, FNP-BC, APRN
Jilji Payikkattu
Psychiatric Nurse Practitioner, PMHNPBC, FNP-BC, APRN
1 Endorsed
Austin, TX 78737
Jilji is a board-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner, who is qualified and experienced in treating patients with Psychiatric disorders. She graduated from University of Texas at Arlington with a Master of Science in Nursing and became a board-certified family nurse practitioner in 2013. She completed a post-master certificate in 2021 as a psychiatric mental health nurse practitioner. She has over 17 years of experience in health care in many practice areas including acute care hospitals, nursing homes, skilled nursing facilities, assisted living, and outpatient clinics.
Jilji is a board-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner, who is qualified and experienced in treating patients with Psychiatric disorders. She graduated from University of Texas at Arlington with a Master of Science in Nursing and became a board-certified family nurse practitioner in 2013. She completed a post-master certificate in 2021 as a psychiatric mental health nurse practitioner. She has over 17 years of experience in health care in many practice areas including acute care hospitals, nursing homes, skilled nursing facilities, assisted living, and outpatient clinics.
(469) 393-7232 View (469) 393-7232
Photo of Sahana Sainju - Clear Mind Psychiatry Texas, Psychiatric Nurse Practitioner, PMHNPBC, FNP-C
Clear Mind Psychiatry Texas
Psychiatric Nurse Practitioner, PMHNPBC, FNP-C
1 Endorsed
Austin, TX 78704
I help individuals dealing with anxiety, depression, ADHD, and mood instability regain clarity, emotional steadiness, and a sense of control. My approach is calm, supportive, and holistic - focused on understanding you as a whole person, not just treating symptoms. Whether you're struggling with persistent worry, low motivation, overwhelm, inattention, burnout, or difficulty managing daily life, we work together to uncover patterns, reduce symptoms, and build long-lasting change.
I help individuals dealing with anxiety, depression, ADHD, and mood instability regain clarity, emotional steadiness, and a sense of control. My approach is calm, supportive, and holistic - focused on understanding you as a whole person, not just treating symptoms. Whether you're struggling with persistent worry, low motivation, overwhelm, inattention, burnout, or difficulty managing daily life, we work together to uncover patterns, reduce symptoms, and build long-lasting change.
(469) 772-9108 View (469) 772-9108
Photo of Dr. Charmi Balsara, Psychiatrist, MD
Dr. Charmi Balsara
Psychiatrist, MD
Austin, TX 78703
ADD/ ADHD, Anxiety, Depression, OCD (Obsessive-Compulsive Disorder), Medication Management, Bipolar Disorder, Stress, Burnout, Sleep, Insomnia, Pregnancy, Prenatal, Postpartum (including postpartum depression), Self-Esteem, Relationship Issues, Infidelity, Divorce, Marital and Premarital Challenges, Trauma, Post-Traumatic Stress Disorder (PTSD), Coping Skills, Women’s Issues, Family Issues, Peer Relationships, Life Transitions, Eating Disorders, Emotional Disturbance, Mood Disorders, Dual Diagnosis, Life Coaching, Behavioral Issues, Grief, Psychosis, Thinking Disorders.
ADD/ ADHD, Anxiety, Depression, OCD (Obsessive-Compulsive Disorder), Medication Management, Bipolar Disorder, Stress, Burnout, Sleep, Insomnia, Pregnancy, Prenatal, Postpartum (including postpartum depression), Self-Esteem, Relationship Issues, Infidelity, Divorce, Marital and Premarital Challenges, Trauma, Post-Traumatic Stress Disorder (PTSD), Coping Skills, Women’s Issues, Family Issues, Peer Relationships, Life Transitions, Eating Disorders, Emotional Disturbance, Mood Disorders, Dual Diagnosis, Life Coaching, Behavioral Issues, Grief, Psychosis, Thinking Disorders.
(281) 377-9449 View (281) 377-9449
Photo of Roseann Garcia, Psychiatric Nurse Practitioner, PMHNP-B
Roseann Garcia
Psychiatric Nurse Practitioner, PMHNP-B
San Antonio, TX 78229
Roseann Garcia helps adults and seniors manage complex mental health conditions with compassionate, evidence-based care tailored to their unique needs. Serving patients across Texas through LifeStance Health, she provides medication management services for a wide range of psychiatric concerns, offering support that is both clinically grounded and deeply personalized. Her approach centers on fostering emotional balance, improving quality of life, and helping individuals regain a sense of control and clarity.
Roseann Garcia helps adults and seniors manage complex mental health conditions with compassionate, evidence-based care tailored to their unique needs. Serving patients across Texas through LifeStance Health, she provides medication management services for a wide range of psychiatric concerns, offering support that is both clinically grounded and deeply personalized. Her approach centers on fostering emotional balance, improving quality of life, and helping individuals regain a sense of control and clarity.
(726) 213-7476 View (726) 213-7476
Photo of Laura Ann Beaufford - Laura Ann Beaufford - Anew Era TMS & Psychiatry, Psychiatric Nurse Practitioner, MSN, APRN-CN, CCM, PMHNP, BC
Laura Ann Beaufford - Anew Era TMS & Psychiatry
Psychiatric Nurse Practitioner, MSN, APRN-CN, CCM, PMHNP, BC
Austin, TX 78759
Laura was born in Waco, Texas and raised in Irving with three older half-brothers. After losing a brother to severe mental illness and police violence, she was inspired to pursue a career where she could make a real difference. She returned to college at age 41, earned her BSN from the University of Texas at Arlington in 2009, and worked in various nursing roles, including cardiac care, hospice, and case management.
Laura was born in Waco, Texas and raised in Irving with three older half-brothers. After losing a brother to severe mental illness and police violence, she was inspired to pursue a career where she could make a real difference. She returned to college at age 41, earned her BSN from the University of Texas at Arlington in 2009, and worked in various nursing roles, including cardiac care, hospice, and case management.
(737) 637-3191 View (737) 637-3191
Photo of Loveda Winkles, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Loveda Winkles
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
1 Endorsed
San Antonio, TX 78229
My ideal client is someone ready to find balance, peace, and control in their life again. Whether you’re struggling with anxiety, depression, ADHD, trauma, or simply feeling overwhelmed, you deserve care that listens and truly understands you. I take a compassionate, patient-centered approach—focusing on your story, your goals, and what matters most to you. Together, we’ll build a plan that helps you heal, grow, and thrive—because your mental health journey should never feel like one you walk alone.
My ideal client is someone ready to find balance, peace, and control in their life again. Whether you’re struggling with anxiety, depression, ADHD, trauma, or simply feeling overwhelmed, you deserve care that listens and truly understands you. I take a compassionate, patient-centered approach—focusing on your story, your goals, and what matters most to you. Together, we’ll build a plan that helps you heal, grow, and thrive—because your mental health journey should never feel like one you walk alone.
(726) 227-9503 View (726) 227-9503

See more therapy options for 78028

How does your Psychiatrist compare?

Number of Psychiatrists in 78028

10+

Average cost per session

$170

Psychiatrists in 78028 who prioritize treating:

100% Depression
90% Anxiety
90% Trauma and PTSD
90% Obsessive-Compulsive (OCD)
90% Bipolar Disorder
90% Medication Management
80% Sleep or Insomnia

Average years in practice

11 Years

Top 3 insurances accepted

100% Aetna
89% BlueCross and BlueShield
89% UnitedHealthcare UHC | UBH

How Psychiatrists in 78028 see their clients

90% In Person and Online
10% Online Only

Gender breakdown

70% Female
30% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in 78028?

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.