Psychiatrists in 78163

Photo of Riz Ahmad - Dr. Riz @ Evolve Psychiatry, Psychiatrist, MD
Dr. Riz @ Evolve Psychiatry
Psychiatrist, MD
Bulverde, TX 78163
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) 396-5174 View (830) 396-5174
Photo of Alejandro Perez - Dr. Perez @ Evolve Psychiatry, Psychiatrist, MD
Dr. Perez @ Evolve Psychiatry
Psychiatrist, MD
Bulverde, TX 78163
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.
(210) 361-6840 View (210) 361-6840
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.
(737) 234-2482 View (737) 234-2482
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 Dr. Brandi Milmo, Psychiatrist, MD
Dr. Brandi Milmo
Psychiatrist, MD
1 Endorsed
Serves Area
Accepting new patients! Dr. Brandi Milmo is a board-certified psychiatrist based in San Antonio. She has experience working with diverse patient populations and values the physician-patient relationship as the most important factor in helping patients reach their treatment goals.
Accepting new patients! Dr. Brandi Milmo is a board-certified psychiatrist based in San Antonio. She has experience working with diverse patient populations and values the physician-patient relationship as the most important factor in helping patients reach their treatment goals.
(210) 794-7827 View (210) 794-7827
Victoria Hernandez
Psychiatric Nurse Practitioner, PMHNP
Online Only
Greetings! I'm Dr. Victoria Hernandez, a board certified Psychiatric-Mental Health Nurse Practitioner. I started my educational journey by completing my bachelor's degree at University of Texas at Arlington.
Greetings! I'm Dr. Victoria Hernandez, a board certified Psychiatric-Mental Health Nurse Practitioner. I started my educational journey by completing my bachelor's degree at University of Texas at Arlington.
(210) 874-0901 View (210) 874-0901

More Psychiatrists Nearby

Photo of Nelly Okere, Psychiatric Nurse Practitioner, DNP, PMHNP, BC, FNP-C
Nelly Okere
Psychiatric Nurse Practitioner, DNP, PMHNP, BC, FNP-C
Serves Area
Accepting NEW clients( children, teens, and adults). Are you seeking a caring, compassionate, experienced provider who will listen to your concerns and help you improve your day-to-day functioning? Are you struggling with low motivation, focus and concentration, anxiety, worrying, irritability, low mood, and sleeping? Look no further. I am passionate about helping clients get prompt mental health diagnosis and treatments so they can live their lives to the fullest. I specialize in treating all clients with ADHD, anxiety, depression, OCD, PTSD, autism disorder and bipolar disorder.
Accepting NEW clients( children, teens, and adults). Are you seeking a caring, compassionate, experienced provider who will listen to your concerns and help you improve your day-to-day functioning? Are you struggling with low motivation, focus and concentration, anxiety, worrying, irritability, low mood, and sleeping? Look no further. I am passionate about helping clients get prompt mental health diagnosis and treatments so they can live their lives to the fullest. I specialize in treating all clients with ADHD, anxiety, depression, OCD, PTSD, autism disorder and bipolar disorder.
(713) 955-6469 View (713) 955-6469
Photo of Joseph Zayas, Psychiatric Nurse Practitioner, PMHNP
Joseph Zayas
Psychiatric Nurse Practitioner, PMHNP
Converse, TX 78109
My ideal clients are individuals who feel overwhelmed, distracted, anxious, depressed, or stuck despite trying to push through on their own. Many come in with trouble focusing, staying organized, managing mood, sleeping well, or functioning consistently at work, school, home, or in relationships. At Attune Focus Psychiatry, I help through careful evaluation, medication management, education, and practical treatment planning to support improved focus, mood, and daily functioning.
My ideal clients are individuals who feel overwhelmed, distracted, anxious, depressed, or stuck despite trying to push through on their own. Many come in with trouble focusing, staying organized, managing mood, sleeping well, or functioning consistently at work, school, home, or in relationships. At Attune Focus Psychiatry, I help through careful evaluation, medication management, education, and practical treatment planning to support improved focus, mood, and daily functioning.
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Photo of Dalwinn Dale Kim, Psychiatric Nurse Practitioner, APRN, PMHNP
Dalwinn Dale Kim
Psychiatric Nurse Practitioner, APRN, PMHNP
4 Endorsed
Serves Area
My ideal client is anyone and everyone who is seeking mental health services. My hope is to one day work myself out of a job but until then, I strive to make myself available and easily accessible to all of my clients whether it's for general questions or concerns, medication refills, clinical updates, and everything in between. I pride myself in being responsive and going above and beyond for all of my clients. No longer will you have to wait days or weeks to get a response back, I often respond back the very same day.
My ideal client is anyone and everyone who is seeking mental health services. My hope is to one day work myself out of a job but until then, I strive to make myself available and easily accessible to all of my clients whether it's for general questions or concerns, medication refills, clinical updates, and everything in between. I pride myself in being responsive and going above and beyond for all of my clients. No longer will you have to wait days or weeks to get a response back, I often respond back the very same day.
(512) 430-1130 View (512) 430-1130
Photo of Cornelius Nau, Psychiatrist, MD
Cornelius Nau
Psychiatrist, MD
1 Endorsed
San Antonio, TX 78229
Our ideal clients are individuals and families seeking accessible, compassionate primary care and mental health support. They often come to us for help with depression, anxiety, ADHD, mood disorders, medication management, chronic conditions, or advanced options like Spravato and long-acting injectables. Our multidisciplinary team helps patients move forward through personalized care plans, coordinated treatment, convenient appointments, insurance-friendly access, and ongoing support focused on stability, wellness, and a better quality of life.
Our ideal clients are individuals and families seeking accessible, compassionate primary care and mental health support. They often come to us for help with depression, anxiety, ADHD, mood disorders, medication management, chronic conditions, or advanced options like Spravato and long-acting injectables. Our multidisciplinary team helps patients move forward through personalized care plans, coordinated treatment, convenient appointments, insurance-friendly access, and ongoing support focused on stability, wellness, and a better quality of life.
(830) 465-3790 View (830) 465-3790
Photo of Nathan S Johnston, Psychiatrist, DO, MS
Nathan S Johnston
Psychiatrist, DO, MS
San Antonio, TX 78257
Our clinic is now accepting all major insurances for medication management! Call now to schedule same day appointments at our San Antonio Medical Center location. Dr. Johnston specializes in the use of cutting edge evidence based treatments for depression, bipolar disorder, schizophrenia, and other treatment-resistant disorders. Using treatments like Deep Transcranial Magnetic Stimulation, IV and IM Ketamine, Inhaled Esketamine (Spravato), and ECT (Electroconvulsive Therapy) we have been able to help many in our community that had lost hope for getting better. Many of our treatments are covered by insurance.
Our clinic is now accepting all major insurances for medication management! Call now to schedule same day appointments at our San Antonio Medical Center location. Dr. Johnston specializes in the use of cutting edge evidence based treatments for depression, bipolar disorder, schizophrenia, and other treatment-resistant disorders. Using treatments like Deep Transcranial Magnetic Stimulation, IV and IM Ketamine, Inhaled Esketamine (Spravato), and ECT (Electroconvulsive Therapy) we have been able to help many in our community that had lost hope for getting better. Many of our treatments are covered by insurance.
(210) 762-4761 View (210) 762-4761
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) 377-9449 View (281) 377-9449
Photo of Blessing Nwosa, Psychiatric Nurse Practitioner, APRN, PMHNP, MSN, MBA, BBA
Blessing Nwosa
Psychiatric Nurse Practitioner, APRN, PMHNP, MSN, MBA, BBA
4 Endorsed
Serves Area
Are you feeling overwhelmed by anxiety or sadness? I believe that genuine connections are essential for healing. I understand that sharing your feelings can be tough, and I want you to know that it's okay to seek help. I'm a caring and compassionate provider who strive to create a warm and inviting safe space where you can feel comfortable expressing yourself. I'm here to listen and understand your unique experiences, whether you're facing anxiety, depression, or navigating life changes. Together, we'll explore therapy and medication options that work for you, with the goal of improving your quality of life.
Are you feeling overwhelmed by anxiety or sadness? I believe that genuine connections are essential for healing. I understand that sharing your feelings can be tough, and I want you to know that it's okay to seek help. I'm a caring and compassionate provider who strive to create a warm and inviting safe space where you can feel comfortable expressing yourself. I'm here to listen and understand your unique experiences, whether you're facing anxiety, depression, or navigating life changes. Together, we'll explore therapy and medication options that work for you, with the goal of improving your quality of life.
(281) 247-6210 View (281) 247-6210
Photo of Dawn Gutierrez, Psychiatric Nurse Practitioner, PMHNP, FNP, MSN
Dawn Gutierrez
Psychiatric Nurse Practitioner, PMHNP, FNP, MSN
San Antonio, TX 78232
Hi, I’m Dawn Gutierrez. I am a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with over 20 years of experience in healthcare. My background includes family health, women’s health, emergency and trauma care, and gender-affirming services for transgender and gender-diverse individuals. I am deeply committed to providing affirming, compassionate psychiatric care that honors your lived experience, identity, and personal goals.
Hi, I’m Dawn Gutierrez. I am a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with over 20 years of experience in healthcare. My background includes family health, women’s health, emergency and trauma care, and gender-affirming services for transgender and gender-diverse individuals. I am deeply committed to providing affirming, compassionate psychiatric care that honors your lived experience, identity, and personal goals.
(210) 981-4362 View (210) 981-4362
Photo of Dawn Benjamin, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Dawn Benjamin
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
San Marcos, TX 78666
Dawn Benjamin helps adults and seniors improve emotional balance, focus, and overall functioning through thoughtful psychiatric medication management. Serving patients across Texas, she provides care that blends clinical precision with a calm, supportive approach, helping individuals navigate conditions such as ADHD, anxiety, and depression while building sustainable treatment plans that fit real life. As a prescriber at LifeStance Health, Dawn specializes in medication management for common and complex mental health concerns, including anxiety disorders, depression, and ADHD.
Dawn Benjamin helps adults and seniors improve emotional balance, focus, and overall functioning through thoughtful psychiatric medication management. Serving patients across Texas, she provides care that blends clinical precision with a calm, supportive approach, helping individuals navigate conditions such as ADHD, anxiety, and depression while building sustainable treatment plans that fit real life. As a prescriber at LifeStance Health, Dawn specializes in medication management for common and complex mental health concerns, including anxiety disorders, depression, and ADHD.
(737) 369-9473 View (737) 369-9473
Dr. Mark Pichot
Psychiatrist, DO
San Antonio, TX 78209
Dr. Pichot is a graduate of the UT Health San Antonio Psychiatry Residency Program and is certified by the American Board of Psychiatry & Neurology. He was nominated and selected by peer physicians in San Antonio Magazine’s Top Doctors of 2023 in Psychiatry and Super Doctors Rising Stars in 2024 with a special advertising section in the July issue of Texas Monthly. He is a board-certified psychiatrist trained in both psychopharmacology and psychotherapy practicing in Alamo Heights at the Broadway Theater Building. In-person and virtual visits are options if there is availability when you call.
Dr. Pichot is a graduate of the UT Health San Antonio Psychiatry Residency Program and is certified by the American Board of Psychiatry & Neurology. He was nominated and selected by peer physicians in San Antonio Magazine’s Top Doctors of 2023 in Psychiatry and Super Doctors Rising Stars in 2024 with a special advertising section in the July issue of Texas Monthly. He is a board-certified psychiatrist trained in both psychopharmacology and psychotherapy practicing in Alamo Heights at the Broadway Theater Building. In-person and virtual visits are options if there is availability when you call.
(210) 794-8518 View (210) 794-8518
Photo of Dr. Felix Oladejo, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, -BC
Dr. Felix Oladejo
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, -BC
3 Endorsed
San Antonio, TX 78251
My ideal client is someone who feels overwhelmed by anxiety, depression, PTSD, or stress from life’s challenges. They may have attempted to cope on their own but still feel stuck, emotionally drained, or uncertain about their next step. Their needs vary, some seek help managing intrusive thoughts, building healthier coping strategies, improving self-esteem, or navigating major life transitions. Others may require medication management, therapy, or a combination of both to regain balance and emotional well-being. Ultimately, they want to feel better. The goal is to provide them with the right tools, and evidence-based care.
My ideal client is someone who feels overwhelmed by anxiety, depression, PTSD, or stress from life’s challenges. They may have attempted to cope on their own but still feel stuck, emotionally drained, or uncertain about their next step. Their needs vary, some seek help managing intrusive thoughts, building healthier coping strategies, improving self-esteem, or navigating major life transitions. Others may require medication management, therapy, or a combination of both to regain balance and emotional well-being. Ultimately, they want to feel better. The goal is to provide them with the right tools, and evidence-based care.
(210) 405-8890 View (210) 405-8890
Photo of Chinasa Oriaku, Psychiatric Nurse Practitioner, PMHNP
Chinasa Oriaku
Psychiatric Nurse Practitioner, PMHNP
Serves Area
Chinasa Oriaku is a certified Psychiatric Mental Health Nurse Practitioner practicing in the state of Texas and Montana for Grow Therapy. Chinasa has about 30 years of combined experience as a Psychiatric Nurse Practitioner and as a Psychiatric Registered Nurse. She practices at the Dallas Veterans Affairs Medical Center- Mental Health Unit. She had also practiced at Parkland Hospital psychiatric unit, Dallas, Texas.
Chinasa Oriaku is a certified Psychiatric Mental Health Nurse Practitioner practicing in the state of Texas and Montana for Grow Therapy. Chinasa has about 30 years of combined experience as a Psychiatric Nurse Practitioner and as a Psychiatric Registered Nurse. She practices at the Dallas Veterans Affairs Medical Center- Mental Health Unit. She had also practiced at Parkland Hospital psychiatric unit, Dallas, Texas.
(817) 479-5929 View (817) 479-5929
Photo of Jilji M. Payikkattu, Psychiatric Nurse Practitioner, NP, PMHNP
Jilji M. Payikkattu
Psychiatric Nurse Practitioner, NP, PMHNP
Alamo Heights, TX 78209
Are you struggling with anxiety, depression, ADHD, or other mental health challenges? I help kids, teens, and adults find clarity, confidence, and relief through holistic, personalized treatment. Whether it’s difficulty focusing, persistent worry, overwhelming stress, or burnout, these struggles can make daily life exhausting. You don’t have to face them alone. Together, we’ll build the tools you need to manage emotions, strengthen resilience, and regain a sense of control—so you can move forward with confidence and ease.
Are you struggling with anxiety, depression, ADHD, or other mental health challenges? I help kids, teens, and adults find clarity, confidence, and relief through holistic, personalized treatment. Whether it’s difficulty focusing, persistent worry, overwhelming stress, or burnout, these struggles can make daily life exhausting. You don’t have to face them alone. Together, we’ll build the tools you need to manage emotions, strengthen resilience, and regain a sense of control—so you can move forward with confidence and ease.
(817) 391-7592 View (817) 391-7592
Photo of Bernadette Andrea Horton, Psychiatric Nurse Practitioner
Bernadette Andrea Horton
Psychiatric Nurse Practitioner
Schertz, TX 78154
As a Psychiatric Mental health Nurse Practitioner, we are working hard and dedicating our lives to making the lives of others a priority. We work closely with clients to achieve mental wellness and a new beginning. No two people are the same and we treat patients according to their needs. We will provide treatment specifically for you with the utmost respect and trust. We will work as a team to get you the best outcome and treatment modality.
As a Psychiatric Mental health Nurse Practitioner, we are working hard and dedicating our lives to making the lives of others a priority. We work closely with clients to achieve mental wellness and a new beginning. No two people are the same and we treat patients according to their needs. We will provide treatment specifically for you with the utmost respect and trust. We will work as a team to get you the best outcome and treatment modality.
(210) 361-5015 View (210) 361-5015

See more therapy options for 78163

How does your Psychiatrist compare?

Number of Psychiatrists in 78163

< 10

Psychiatrists in 78163 who prioritize treating:

100% Depression
100% ADHD
100% Anxiety
100% Obsessive-Compulsive (OCD)
100% Bipolar Disorder
100% Sleep or Insomnia
100% Medication Management

Average years in practice

17 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Optum

How Psychiatrists in 78163 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in 78163?

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.