Psychiatrists in 78132

Photo of Dee Swart, Psychiatric Nurse Practitioner, PMHNP, DNP, APRN
Dee Swart
Psychiatric Nurse Practitioner, PMHNP, DNP, APRN
4 Endorsed
New Braunfels, TX 78132
As a Veteran, I acknowledge the Warrior ethos that exists in all humans, especially when it comes to mental health and wellness. i am here to work with you, as a team, to achieve the goals that you aspire for yourself. It can range from not being 'that' person anymore to improving relationships with loved ones. I am also here to help kids and teens be the best version of themselves, however they identify. We can achieve these things better, together.
As a Veteran, I acknowledge the Warrior ethos that exists in all humans, especially when it comes to mental health and wellness. i am here to work with you, as a team, to achieve the goals that you aspire for yourself. It can range from not being 'that' person anymore to improving relationships with loved ones. I am also here to help kids and teens be the best version of themselves, however they identify. We can achieve these things better, together.
(830) 476-7388 View (830) 476-7388
Photo of Suzanne Guynes - Dr. Suzanne Guynes @ Shiloh Health, Psychiatrist, MD
If you or a loved one is struggling with anxiety, depression, ADHD, PTSD, or other mental health challenges, we’re here to help. We go beyond just prescribing medication—we listen, uncover the root cause, and tailor a treatment plan that fits your life. Whether through modern medicine, natural approaches, or psychotherapy, we see medication as one option, not the only option. Our mission is to be your long-term partner in achieving real, lasting well-being—because true healing is about more than just a prescription.
If you or a loved one is struggling with anxiety, depression, ADHD, PTSD, or other mental health challenges, we’re here to help. We go beyond just prescribing medication—we listen, uncover the root cause, and tailor a treatment plan that fits your life. Whether through modern medicine, natural approaches, or psychotherapy, we see medication as one option, not the only option. Our mission is to be your long-term partner in achieving real, lasting well-being—because true healing is about more than just a prescription.
(830) 521-8595 View (830) 521-8595
Photo of Christopher Kinna, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Christopher Kinna
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Serves Area
Feeling overwhelmed, burned out, or struggling to stay focused despite doing everything right? Many adults quietly struggle with ADHD, anxiety, and chronic stress. My healthcare career began on the front lines as an EMT and progressed through LVN and ICU nursing before becoming a board-certified Psychiatric Mental Health Nurse Practitioner. Starting at the foundation of healthcare shaped my perspective and allows me to approach care with humility, empathy, and respect for each person’s journey.
Feeling overwhelmed, burned out, or struggling to stay focused despite doing everything right? Many adults quietly struggle with ADHD, anxiety, and chronic stress. My healthcare career began on the front lines as an EMT and progressed through LVN and ICU nursing before becoming a board-certified Psychiatric Mental Health Nurse Practitioner. Starting at the foundation of healthcare shaped my perspective and allows me to approach care with humility, empathy, and respect for each person’s journey.
(210) 934-1938 View (210) 934-1938
Photo of Dr. Charmi Balsara, Psychiatrist, MD
Dr. Charmi Balsara
Psychiatrist, MD
Serves Area
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) 317-8802 View (281) 317-8802
Photo of Anthony Okafor, Physician Assistant, PA-C
Anthony Okafor
Physician Assistant, PA-C
1 Endorsed
Serves Area
NOW Accepting NEW Patients! PA Okafor is a fully licensed Physician Assistant in the State of Texas. My goal and passion are to help individuals (18 and above) find and regain their sense of self again using my extensive background & experiences I've encountered in the field of medicine and also working as a PA in San Antonio Behavioral Hospital. Those experiences & exposures to different kinds of people from the underserved to suburban areas prepared me well to be in-tune with others' feelings emotionally, cognitively & physically.
NOW Accepting NEW Patients! PA Okafor is a fully licensed Physician Assistant in the State of Texas. My goal and passion are to help individuals (18 and above) find and regain their sense of self again using my extensive background & experiences I've encountered in the field of medicine and also working as a PA in San Antonio Behavioral Hospital. Those experiences & exposures to different kinds of people from the underserved to suburban areas prepared me well to be in-tune with others' feelings emotionally, cognitively & physically.
(210) 964-3661 View (210) 964-3661
Photo of Fauzia Akhtar, Psychiatric Nurse Practitioner, PMHNP, BC
Fauzia Akhtar
Psychiatric Nurse Practitioner, PMHNP, BC
Serves Area
When your mental health shifts, even the simplest days can feel different. If you’re struggling with anxiety, depression, mood changes, or feeling unlike yourself. I provide personalized, and holistic psychiatric care in supportive environment. Together, we create a treatment plan tailored to your goals — helping you regain balance and confidence in your daily life.
When your mental health shifts, even the simplest days can feel different. If you’re struggling with anxiety, depression, mood changes, or feeling unlike yourself. I provide personalized, and holistic psychiatric care in supportive environment. Together, we create a treatment plan tailored to your goals — helping you regain balance and confidence in your daily life.
(737) 530-2437 View (737) 530-2437
Photo of Kelly Golliher Richardson - Your Convenience Care, Psychiatric Nurse Practitioner, DNP, PMHNP, GNP, FNP
Your Convenience Care
Psychiatric Nurse Practitioner, DNP, PMHNP, GNP, FNP
Online Only
My goal as a board certified mental, family, geriatric healthcare provider and founder of Your Convenience Care is to bring patient centered, highly effective mental health services to my community. YCC is currently accepting new patients in Texas and will be expanding to accept new patients in Arizona, Colorado and New Mexico. Initial visits are booked within 5-7 days. I base my practice in functional health and wellness.
My goal as a board certified mental, family, geriatric healthcare provider and founder of Your Convenience Care is to bring patient centered, highly effective mental health services to my community. YCC is currently accepting new patients in Texas and will be expanding to accept new patients in Arizona, Colorado and New Mexico. Initial visits are booked within 5-7 days. I base my practice in functional health and wellness.
(830) 202-6309 View (830) 202-6309
Photo of Jennifer Navarra, Psychiatric Nurse Practitioner, PMHNP, BC
Jennifer Navarra
Psychiatric Nurse Practitioner, PMHNP, BC
Online Only
My ideal client is someone dealing with anxiety, depression, trauma, or ADHD who feels overwhelmed and wants support they can trust. They need a safe, nonjudgmental space to understand their symptoms, learn practical strategies, and explore treatment options that fit their life. Their goals are to feel more focused, balanced, and in control—to strengthen their emotional well-being, improve daily functioning, and build confidence. They seek care because they want clarity, stability, and a path forward that finally feels achievable.
My ideal client is someone dealing with anxiety, depression, trauma, or ADHD who feels overwhelmed and wants support they can trust. They need a safe, nonjudgmental space to understand their symptoms, learn practical strategies, and explore treatment options that fit their life. Their goals are to feel more focused, balanced, and in control—to strengthen their emotional well-being, improve daily functioning, and build confidence. They seek care because they want clarity, stability, and a path forward that finally feels achievable.
(830) 469-4653 View (830) 469-4653
Photo of Satang Ann - Inner Self Behavioral Health, Psychiatric Nurse Practitioner, DNP, PMHNP, BC
Inner Self Behavioral Health
Psychiatric Nurse Practitioner, DNP, PMHNP, BC
Online Only
Accepting NEW Clients TODAY. No WAIT List. Same-Day Appointments Available. After-hours AND Weekend Appointments are available. Currently in-network with BCBS, UHC/Optum, CIGNA, Aetna, Curative, and Tricare in Texas. Private Pay rates made affordable. I value meeting my clients where they are, WITHOUT making them feel judged. During our initial session, we will talk about what led you to me, and at the end of the session, we will come up with a treatment plan that best suits your needs. The goal is to develop the best therapeutic relationship possible to ease any stress related to having appointments.
Accepting NEW Clients TODAY. No WAIT List. Same-Day Appointments Available. After-hours AND Weekend Appointments are available. Currently in-network with BCBS, UHC/Optum, CIGNA, Aetna, Curative, and Tricare in Texas. Private Pay rates made affordable. I value meeting my clients where they are, WITHOUT making them feel judged. During our initial session, we will talk about what led you to me, and at the end of the session, we will come up with a treatment plan that best suits your needs. The goal is to develop the best therapeutic relationship possible to ease any stress related to having appointments.
(817) 663-1202 View (817) 663-1202
Photo of Michael Akwo Adelowo, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Michael Akwo Adelowo
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Online Only
Imagine feeling overwhelmed by the challenges life throws at you, whether it's anxiety, depression, or managing a major life transition. My ideal client seeks understanding and effective solutions to their mental health concerns. They desire to regain control, find hope, and achieve a balanced, fulfilling life. They want a compassionate partner in their journey, someone who listens, understands, and tailors treatment to their unique needs and goals. If you're looking for a therapeutic environment where you feel respected and empowered, you're in the right place.
Imagine feeling overwhelmed by the challenges life throws at you, whether it's anxiety, depression, or managing a major life transition. My ideal client seeks understanding and effective solutions to their mental health concerns. They desire to regain control, find hope, and achieve a balanced, fulfilling life. They want a compassionate partner in their journey, someone who listens, understands, and tailors treatment to their unique needs and goals. If you're looking for a therapeutic environment where you feel respected and empowered, you're in the right place.
(469) 414-5513 View (469) 414-5513
Photo of Ngozi Ogbongbemiga, Psychiatric Nurse Practitioner, MSN, AGACNP, PMHNP
Ngozi Ogbongbemiga
Psychiatric Nurse Practitioner, MSN, AGACNP, PMHNP
Online Only
I am a board-certified psychiatric mental health nurse practitioner dedicated to helping individuals achieve emotional wellness through personalized care. I provide comprehensive psychiatric evaluations and medication management tailored to each patient's needs. My clinical focus includes anxiety disorders, mood disorders, depression, panic attacks, stress, trauma, PTSD, insomnia, emotional regulation, ADHD, and bipolar disorder. I see patients throughout Texas, Arizona, and New Mexico via telehealth, telepsychiatry, and online psychiatrist services. Through collaboration, we can reach your desired treatment health outcomes.
I am a board-certified psychiatric mental health nurse practitioner dedicated to helping individuals achieve emotional wellness through personalized care. I provide comprehensive psychiatric evaluations and medication management tailored to each patient's needs. My clinical focus includes anxiety disorders, mood disorders, depression, panic attacks, stress, trauma, PTSD, insomnia, emotional regulation, ADHD, and bipolar disorder. I see patients throughout Texas, Arizona, and New Mexico via telehealth, telepsychiatry, and online psychiatrist services. Through collaboration, we can reach your desired treatment health outcomes.
(512) 270-3786 View (512) 270-3786
Photo of Dr. Kelly Golliher Richardson, Psychiatric Nurse Practitioner, DNP, FNP, PMHNP, GNP
Dr. Kelly Golliher Richardson
Psychiatric Nurse Practitioner, DNP, FNP, PMHNP, GNP
Online Only
Have you been struggling with symptoms of anxiety, depression, loss of interest, hopelessness, excessive guilt, grief, PTSD, attention/focus issues, or does stress have you tied up in knots? I am Dr. Kelly, Golliher Richardson, our office is offering same week psychiatric evaluation. We take most major insurances and also offer a reasonable private pay option.
Have you been struggling with symptoms of anxiety, depression, loss of interest, hopelessness, excessive guilt, grief, PTSD, attention/focus issues, or does stress have you tied up in knots? I am Dr. Kelly, Golliher Richardson, our office is offering same week psychiatric evaluation. We take most major insurances and also offer a reasonable private pay option.
(505) 658-0854 View (505) 658-0854

More Psychiatrists Nearby

Photo of Kimberly Giberga, Psychiatric Nurse Practitioner, MSN , PMHNP, FNP
Kimberly Giberga
Psychiatric Nurse Practitioner, MSN , PMHNP, FNP
3 Endorsed
San Antonio, TX 78232
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 Melissa Deuter - Melissa Deuter, MD/Sigma Mental Health Urgent Care, Psychiatrist, MD
Dr. Melissa Deuter is Psychiatric Medical Director of Sigma Mental Health Urgent Care. She supervises a team of professionals providing immediate psychiatric appointments as well as psychotherapy. Sigma Mental Health Urgent Care takes same day appointments and walk-ins at our San Antonio location, and is open 7 days a week except major holidays. Our Austin location has limited services and we request that you call to schedule in Austin. We treat people during gaps in care, while they are waiting to get an appointment in the community, and we can continue treatment long-term when our clinic is the best fit for an individual's needs.
Dr. Melissa Deuter is Psychiatric Medical Director of Sigma Mental Health Urgent Care. She supervises a team of professionals providing immediate psychiatric appointments as well as psychotherapy. Sigma Mental Health Urgent Care takes same day appointments and walk-ins at our San Antonio location, and is open 7 days a week except major holidays. Our Austin location has limited services and we request that you call to schedule in Austin. We treat people during gaps in care, while they are waiting to get an appointment in the community, and we can continue treatment long-term when our clinic is the best fit for an individual's needs.
(210) 871-0188 View (210) 871-0188
Photo of Iruka S Nweke, Psychiatric Nurse Practitioner, PMHNP
Iruka S Nweke
Psychiatric Nurse Practitioner, PMHNP
Serves Area
Scholastica Nweke is a board-certified psychiatric-mental health nurse practitioner with several years of experience in psychiatry as both a registered nurse and a nurse practitioner. She has experience working with adolescents and adults in hospitals and outpatient mental health clinics. She specializes in helping clients with anxiety, dementia, psychosis, mood swings, depression and others listed below. Her goal is to help patients reach stabilization. She respects their opinion, creating a safe environment, and actively listening to their needs, belief and values. She provides support and empowerment.
Scholastica Nweke is a board-certified psychiatric-mental health nurse practitioner with several years of experience in psychiatry as both a registered nurse and a nurse practitioner. She has experience working with adolescents and adults in hospitals and outpatient mental health clinics. She specializes in helping clients with anxiety, dementia, psychosis, mood swings, depression and others listed below. Her goal is to help patients reach stabilization. She respects their opinion, creating a safe environment, and actively listening to their needs, belief and values. She provides support and empowerment.
(469) 751-6638 View (469) 751-6638
Photo of Ijaz Rasul - Telepsychiatrist_Piedmont Behavioral Services, Psychiatrist, MD
We provide Child and Adult Psychiatry, Therapy and Substance abuse services (via video) across Texas. Our Board-Certified Psychiatrists and Therapists offer same day appointments if needed. Telepsychiatry or Telemedicine uses video link (via computer or smartphone) to offer appointments from home.
We provide Child and Adult Psychiatry, Therapy and Substance abuse services (via video) across Texas. Our Board-Certified Psychiatrists and Therapists offer same day appointments if needed. Telepsychiatry or Telemedicine uses video link (via computer or smartphone) to offer appointments from home.
(830) 376-2936 View (830) 376-2936
Photo of Michael Millstone - Dr. Michael Millstone - Brain and Behavior, PLLC, Psychiatrist, MD
Dr. Michael Millstone - Brain and Behavior, PLLC
Psychiatrist, MD
2 Endorsed
San Antonio, TX 78229
I know your time is valuable. I am a Board Certified Psychiatrist with Fellowships in Psychoanalysis and Mindfulness based treatments. I provide individualized treatment for those dealing with concerns about mood, anxiety, or struggles in one or more areas of life. While I offer short sessions of psychiatric care, my area of expertise is long sessions integrating treatments such as psychoanalysis talk therapy, exercise, mindfulness, and medications when indicated.
I know your time is valuable. I am a Board Certified Psychiatrist with Fellowships in Psychoanalysis and Mindfulness based treatments. I provide individualized treatment for those dealing with concerns about mood, anxiety, or struggles in one or more areas of life. While I offer short sessions of psychiatric care, my area of expertise is long sessions integrating treatments such as psychoanalysis talk therapy, exercise, mindfulness, and medications when indicated.
(512) 861-8929 View (512) 861-8929
Photo of Anitha John, Psychiatric Nurse Practitioner, PMHNP, -BC
Anitha John
Psychiatric Nurse Practitioner, PMHNP, -BC
6 Endorsed
San Antonio, TX 78209
I’m a board certified psychiatric mental health nurse practitioner with 20 years of experience caring for patients across a wide range of clinical settings including cardio thoracic vascular surgical intensive care units, and coronary care units. This extensive background has shaped holistic understanding of health and allows me to approach mental health care with both clinical precision and genuine compassion. I combine current evidence based psychiatric practices with years of hands on patient care experience. I am committed to providing thoughtful individualized treatment in a supportive and respectful environment.
I’m a board certified psychiatric mental health nurse practitioner with 20 years of experience caring for patients across a wide range of clinical settings including cardio thoracic vascular surgical intensive care units, and coronary care units. This extensive background has shaped holistic understanding of health and allows me to approach mental health care with both clinical precision and genuine compassion. I combine current evidence based psychiatric practices with years of hands on patient care experience. I am committed to providing thoughtful individualized treatment in a supportive and respectful environment.
(940) 644-4819 View (940) 644-4819
Photo of Ephraim T Fombo, Psychiatric Nurse Practitioner, PMHNP, MSN
Ephraim T Fombo
Psychiatric Nurse Practitioner, PMHNP, MSN
1 Endorsed
San Antonio, TX 78230
Mental illness knows no socio-economic boundaries and afflicts people in all socioeconomic statuses. Yet, mental illness has unnecessarily been a taboo, which is particularly unfortunate because this only makes it more likely that people will suffer in silence. It is an ordinary illness with its own kind of treatment approaches. Life is full of overwhelming challenges that may affect mental balance. Also, mental illness is often not situational and is prominent among members of certain families. With all this, it is no surprise that mental illness is rampant and should be taken seriously and treated, rather than hide it in shame.
Mental illness knows no socio-economic boundaries and afflicts people in all socioeconomic statuses. Yet, mental illness has unnecessarily been a taboo, which is particularly unfortunate because this only makes it more likely that people will suffer in silence. It is an ordinary illness with its own kind of treatment approaches. Life is full of overwhelming challenges that may affect mental balance. Also, mental illness is often not situational and is prominent among members of certain families. With all this, it is no surprise that mental illness is rampant and should be taken seriously and treated, rather than hide it in shame.
(210) 761-5127 View (210) 761-5127
Photo of Alejandro Perez - Dr Perez @ Evolve Psychiatry, Psychiatrist, MD
Dr Perez @ Evolve Psychiatry
Psychiatrist, MD
New Braunfels, TX 78130
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) 320-3153 View (830) 320-3153

See more therapy options for 78132

How does your Psychiatrist compare?

Number of Psychiatrists in 78132

10+

Average cost per session

$125

Psychiatrists in 78132 who prioritize treating:

100% Depression
100% Anxiety
92% ADHD
83% Trauma and PTSD
83% Obsessive-Compulsive (OCD)
83% Self Esteem
75% Bipolar Disorder

Average years in practice

6 Years

Top 3 insurances accepted

100% Cigna and Evernorth
92% Aetna
83% BlueCross and BlueShield

How Psychiatrists in 78132 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in 78132?

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.