Psychiatrists in 78209

Photo of Brian Hollis, PMHNP, Psychiatric Nurse Practitioner
Brian Hollis
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Alamo Heights, TX 78209
Brian Hollis is a Psychiatric Mental Health Nurse Practitioner in Texas who has been practicing since 2017. He earned a BSN at George Mason University and an MSN at the University of South Alabama. Brian offers the ability to create a therapeutic rapport. He collects a thorough history for development of a clinical database required for diagnosis and management. During his free time, Brian enjoys attending church, reading, and spending time with family and friends.
Brian Hollis is a Psychiatric Mental Health Nurse Practitioner in Texas who has been practicing since 2017. He earned a BSN at George Mason University and an MSN at the University of South Alabama. Brian offers the ability to create a therapeutic rapport. He collects a thorough history for development of a clinical database required for diagnosis and management. During his free time, Brian enjoys attending church, reading, and spending time with family and friends.
(210) 942-0425 View (210) 942-0425
Photo of John T Pichot, MD, Psychiatrist
John T Pichot
Psychiatrist, MD
Verified Verified
1 Endorsed
San Antonio, TX 78209
Dr. John Pichot is located in Alamo Heights and is a graduate of the UT Southwestern Medical School in Dallas, He is certified by the American Board of Psychiatry & Neurology and specializes in psychotherapy with or without medications related to the treatment of anxiety, depression, relationship issues, and substance use disorders. Dr Pichot is selected for the Best Doctors in America (Database of the top 5% physicians in the country. Specialists who have been chosen by peers in their specialty as best in their field). www.bestdoctors.com. He is licensed in both Texas and Colorado.
Dr. John Pichot is located in Alamo Heights and is a graduate of the UT Southwestern Medical School in Dallas, He is certified by the American Board of Psychiatry & Neurology and specializes in psychotherapy with or without medications related to the treatment of anxiety, depression, relationship issues, and substance use disorders. Dr Pichot is selected for the Best Doctors in America (Database of the top 5% physicians in the country. Specialists who have been chosen by peers in their specialty as best in their field). www.bestdoctors.com. He is licensed in both Texas and Colorado.
(210) 871-1169 View (210) 871-1169
Photo of Margaret Betanco, NP, Psychiatric Nurse Practitioner
Margaret Betanco
Psychiatric Nurse Practitioner, NP
Verified Verified
Alamo Heights, TX 78209
Meg Betanco is a Nurse Practitioner in Texas who has been practicing since 2015. She has a Master Degree in Social Work with a Concentration in Clinical Services for Children and Families from The University of Denver, and a Master Degree in Nursing with Concentration of Psychiatric Nurse Practitioner. Meg's approach to care is wholistic and patient centered. She seeks to join patients as a support in their journey to optimal wellness, as the patient defines it. Meg draws on her training as a social worker and a nurse practitioner to combine therapeutic modalities to personalize treatment.
Meg Betanco is a Nurse Practitioner in Texas who has been practicing since 2015. She has a Master Degree in Social Work with a Concentration in Clinical Services for Children and Families from The University of Denver, and a Master Degree in Nursing with Concentration of Psychiatric Nurse Practitioner. Meg's approach to care is wholistic and patient centered. She seeks to join patients as a support in their journey to optimal wellness, as the patient defines it. Meg draws on her training as a social worker and a nurse practitioner to combine therapeutic modalities to personalize treatment.
(708) 840-8649 View (708) 840-8649
Photo of Mary Ajayi, NP, Psychiatric Nurse Practitioner
Mary Ajayi
Psychiatric Nurse Practitioner, NP
Verified Verified
Alamo Heights, TX 78209
Mary Ajayi is a Nurse Practitioner in Texas who has been practicing since 2022. She holds a Master of Science in Nursing. Mary strives to help patients take back control of their lives through careful treatment options and being able to gain insights into their life dynamic. Achieving mental wellness is a great way to attain personal balance in life. In her spare time, Mary enjoys traveling and trying new things.
Mary Ajayi is a Nurse Practitioner in Texas who has been practicing since 2022. She holds a Master of Science in Nursing. Mary strives to help patients take back control of their lives through careful treatment options and being able to gain insights into their life dynamic. Achieving mental wellness is a great way to attain personal balance in life. In her spare time, Mary enjoys traveling and trying new things.
(210) 966-9809 View (210) 966-9809
Photo of Dr. Abigail Talley, MD, Psychiatrist
Dr. Abigail Talley
Psychiatrist, MD
Verified Verified
San Antonio, TX 78209
Abigail Talley, MD, is board-certified in both Adult Psychiatry and Child and Adolescent Psychiatry. Born and raised in San Antonio, Dr. Talley attended Trinity University, where she graduated with a B.S. in Biology. She completed medical school, General Psychiatry residency, and Child and Adolescent Psychiatry fellowship at UT Health San Antonio. Dr. Talley joined the faculty at UT Health before starting her own private practice. In addition to patient care, she is passionate about mental health education for both patients and medical professionals. She regularly presents on women's mental health and pediatric mental health topics.
Abigail Talley, MD, is board-certified in both Adult Psychiatry and Child and Adolescent Psychiatry. Born and raised in San Antonio, Dr. Talley attended Trinity University, where she graduated with a B.S. in Biology. She completed medical school, General Psychiatry residency, and Child and Adolescent Psychiatry fellowship at UT Health San Antonio. Dr. Talley joined the faculty at UT Health before starting her own private practice. In addition to patient care, she is passionate about mental health education for both patients and medical professionals. She regularly presents on women's mental health and pediatric mental health topics.
(210) 382-6566 View (210) 382-6566
David A. Rodriguez
Psychiatrist, MD
Verified Verified
Alamo Heights, TX 78209
Dr. David A. Rodriguez is a Psychiatrist in Texas who has been practicing since 2010. He has a Bachelor of Science from St. Mary's University, a Master of Science from The University of Texas Medical Branch at Galveston, a Medical Degree from The University of Texas Health Science Center at San Antonio Long School of Medicine, a Psychiatry Residency from The University of Texas Health Science Center at San Antonio, and a Child and Adolescent Fellowship from The University of Texas Health Science Center at San Antonio.
Dr. David A. Rodriguez is a Psychiatrist in Texas who has been practicing since 2010. He has a Bachelor of Science from St. Mary's University, a Master of Science from The University of Texas Medical Branch at Galveston, a Medical Degree from The University of Texas Health Science Center at San Antonio Long School of Medicine, a Psychiatry Residency from The University of Texas Health Science Center at San Antonio, and a Child and Adolescent Fellowship from The University of Texas Health Science Center at San Antonio.
(726) 227-2362 View (726) 227-2362
Photo of Thomas Hageman, PMHNP, Psychiatric Nurse Practitioner
Thomas Hageman
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Alamo Heights, TX 78209
Thomas (Tom) Hageman graduated from the University of Pittsburgh School of Nursing’s Doctor of Nursing Practice program as a Psychiatric Mental Health NP. Previous background also includes a BS in Neuroscience from the University of Pittsburgh. Mr. Hageman has experience working with adults and adolescents, of all cultural backgrounds, suffering from depression, anxiety, other mood disorders, suicidality and life stressors, along with experience working with those in the LGBTQ community.
Thomas (Tom) Hageman graduated from the University of Pittsburgh School of Nursing’s Doctor of Nursing Practice program as a Psychiatric Mental Health NP. Previous background also includes a BS in Neuroscience from the University of Pittsburgh. Mr. Hageman has experience working with adults and adolescents, of all cultural backgrounds, suffering from depression, anxiety, other mood disorders, suicidality and life stressors, along with experience working with those in the LGBTQ community.
(210) 871-9483 View (210) 871-9483
Photo of Dr. Mark Pichot, DO, Psychiatrist
Dr. Mark Pichot
Psychiatrist, DO
Verified Verified
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 Deidre Rose Alder, PMHNP, Psychiatric Nurse Practitioner
Deidre Rose Alder
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Antonio, TX 78209  (Online Only)
Deidre is a board-certified Psychiatric Mental Health Nurse Practitioner who manages and treats adults with a wide variety of mental health issues including depression, anxiety, adjustment disorder, ADHD, PTSD, schizophrenia, sleeping disorders, and male/female issues. As a woman of color, an immigrant, and someone who has persevered through infertility to accomplish my dreams, I can identify with some unique challenges that individuals may face. As we face different circumstances, we will need different levels of psychological support and assistance throughout our lives. She also believes in engaging in a therapeutic rapport.
Deidre is a board-certified Psychiatric Mental Health Nurse Practitioner who manages and treats adults with a wide variety of mental health issues including depression, anxiety, adjustment disorder, ADHD, PTSD, schizophrenia, sleeping disorders, and male/female issues. As a woman of color, an immigrant, and someone who has persevered through infertility to accomplish my dreams, I can identify with some unique challenges that individuals may face. As we face different circumstances, we will need different levels of psychological support and assistance throughout our lives. She also believes in engaging in a therapeutic rapport.
(210) 920-7963 View (210) 920-7963
Photo of Omotayo Gbengaojo, PMHNP, BC, Psychiatric Nurse Practitioner
Omotayo Gbengaojo
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
San Antonio, TX 78209
Omotayo Gbengaojo is a board-certified Psychiatric mental health Nurse practitioner by the American Nurses Credentialing Centre (ANCC). She obtained her bachelor's in nursing from Grand Canyon University and master's degree from the University of Texas at Tyler. Omotayo or "Tayo" as she is fondly called, clinical experience span medical and psychiatry nursing.
Omotayo Gbengaojo is a board-certified Psychiatric mental health Nurse practitioner by the American Nurses Credentialing Centre (ANCC). She obtained her bachelor's in nursing from Grand Canyon University and master's degree from the University of Texas at Tyler. Omotayo or "Tayo" as she is fondly called, clinical experience span medical and psychiatry nursing.
(817) 592-6486 View (817) 592-6486
Photo of Riz Ahmad - Dr. Riz @ Evolve Psychiatry, MD, Psychiatrist
Dr. Riz @ Evolve Psychiatry
Psychiatrist, MD
Verified Verified
San Antonio, TX 78209
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances? These uncertainties can leave us in a never ending struggle that keeps us from achieving our true potential. If you’re finally ready to find out answers, then you need Evolve Psychiatry to navigate you out of this maze.
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances? These uncertainties can leave us in a never ending struggle that keeps us from achieving our true potential. If you’re finally ready to find out answers, then you need Evolve Psychiatry to navigate you out of this maze.
(210) 940-0924 View (210) 940-0924
Photo of Alejandro Perez - Dr Perez @ Evolve Psychiatry, MD, Psychiatrist
Dr Perez @ Evolve Psychiatry
Psychiatrist, MD
Verified Verified
San Antonio, TX 78209
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances? These uncertainties can leave us in a never ending struggle that keeps us from achieving our true potential. If you’re finally ready to find out answers, then you need Evolve Psychiatry to navigate you out of this maze.
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances? These uncertainties can leave us in a never ending struggle that keeps us from achieving our true potential. If you’re finally ready to find out answers, then you need Evolve Psychiatry to navigate you out of this maze.
(726) 227-2116 View (726) 227-2116
Photo of Nathan S Johnston, DO, MS, Psychiatrist
Nathan S Johnston
Psychiatrist, DO, MS
Verified Verified
San Antonio, TX 78209
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 Jolene C. Moore, MD, Psychiatrist
Jolene C. Moore
Psychiatrist, MD
Verified Verified
Alamo Heights, TX 78209
Not accepting new clients
Dr. Moore specializes in high functioning adults already diagnosed with ADD/ADHD by a psychiatrist, psychologist or neurologist. Ideal for those in need of a new psychiatrist due to moving, aging out of a pediatric clinic or when their psychiatrist retires. 1st appt is an in-office full diagnostic interview. Virtual sessions may be available between office visits. Service options include psychotherapy, behavioral management, medication management, and/or peer/professional consultation. Dr. Moore also has a special focus in helping patients without ADD/ADHD seeking psychotherapy without medication.
Dr. Moore specializes in high functioning adults already diagnosed with ADD/ADHD by a psychiatrist, psychologist or neurologist. Ideal for those in need of a new psychiatrist due to moving, aging out of a pediatric clinic or when their psychiatrist retires. 1st appt is an in-office full diagnostic interview. Virtual sessions may be available between office visits. Service options include psychotherapy, behavioral management, medication management, and/or peer/professional consultation. Dr. Moore also has a special focus in helping patients without ADD/ADHD seeking psychotherapy without medication.
(210) 742-5204 View (210) 742-5204
Photo of Fadekemi Olude - Goodness Psychiatry, LLC, APRN, PMHNP, Psychiatric Nurse Practitioner
Goodness Psychiatry, LLC
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
2 Endorsed
Alamo Heights, TX 78209
Currently accepting patients with appointments within A WEEK, with flexible scheduling. Are you struggling to find your way out of a dark place? Fighting to overcome feelings of grief, ADHD, addiction, anxiety, depression, schizophrenia, Bipolar disorder or major life transitions? Have a history of physical, emotional, or sexual trauma? Feeling like you’ve exhausted all options for treatment and given up hope on finding a solution? I am here to provide light at the end of the tunnel for you.
Currently accepting patients with appointments within A WEEK, with flexible scheduling. Are you struggling to find your way out of a dark place? Fighting to overcome feelings of grief, ADHD, addiction, anxiety, depression, schizophrenia, Bipolar disorder or major life transitions? Have a history of physical, emotional, or sexual trauma? Feeling like you’ve exhausted all options for treatment and given up hope on finding a solution? I am here to provide light at the end of the tunnel for you.
(214) 751-8913 View (214) 751-8913
Photo of Dr. Brandi Milmo @ Wisemind, MD, Psychiatrist
Dr. Brandi Milmo @ Wisemind
Psychiatrist, MD
Verified Verified
1 Endorsed
Alamo Heights, TX 78209
Accepting new patients with immediate availability! 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 with immediate availability! 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
Photo of Magdalene Rozmiarek, APRN, PMHNP, Psychiatric Nurse Practitioner
Magdalene Rozmiarek
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
2 Endorsed
Alamo Heights, TX 78209  (Online Only)
Accepting new patients and immediate openings available. I am a board-certified Psychiatric Nurse Practitioner who embraces a holistic approach with the use of evidence-based medication management, complimentary treatments, and lifestyle changes to achieve your goals. I embrace a safe, compassionate, non-discriminatory and culturally centered approach to care. My aim is to create a nurturing environment that allows you to be heard so we can create a treatment plan together.
Accepting new patients and immediate openings available. I am a board-certified Psychiatric Nurse Practitioner who embraces a holistic approach with the use of evidence-based medication management, complimentary treatments, and lifestyle changes to achieve your goals. I embrace a safe, compassionate, non-discriminatory and culturally centered approach to care. My aim is to create a nurturing environment that allows you to be heard so we can create a treatment plan together.
(512) 203-3588 View (512) 203-3588
Photo of Farheen Makani - Aura Psychiatry, PLLC, MSN, PMHNP, Psychiatric Nurse Practitioner
Aura Psychiatry, PLLC
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
San Antonio, TX 78209
At Aura Psychiatry we are committed to provide the BEST of the BEST Mental & Behavioral Health Services to Children (6+), Teens/ Adolescence & Adult clients. Our Mission is to Improve the Quality of Life of our clients, to overcome Mental Barriers & truly live the life they deserve. We pride ourselves on our Patient-Focused approach that emphasizes the Highest possible Standards. Our purpose is to Support, Educate, & Empower clients & their families by providing them a safe & reliable place to share their problems and stories. Immediate Appts Available! Evenings & Weekend appts available. Visit us at www.AuraPsychiatry.com
At Aura Psychiatry we are committed to provide the BEST of the BEST Mental & Behavioral Health Services to Children (6+), Teens/ Adolescence & Adult clients. Our Mission is to Improve the Quality of Life of our clients, to overcome Mental Barriers & truly live the life they deserve. We pride ourselves on our Patient-Focused approach that emphasizes the Highest possible Standards. Our purpose is to Support, Educate, & Empower clients & their families by providing them a safe & reliable place to share their problems and stories. Immediate Appts Available! Evenings & Weekend appts available. Visit us at www.AuraPsychiatry.com
(210) 864-8172 View (210) 864-8172
Oren Isaac Levin
Psychiatrist, MD
Verified Verified
Alamo Heights, TX 78209
The treatment philosophy in my practice is focused on a comprehensive initial evaluation and then setting up realistic therapeutic goals to achieve in the treatment process. Clients will find a professional, caring, and an empathetic approach where their supports system and other health care providers, when appropriate, will be part of the treatment team in order to facilitate a better treatment outcome. This approach in my experience has a higher potential for a better outcome in reaching the therapeutic goals of healing and recovery.
The treatment philosophy in my practice is focused on a comprehensive initial evaluation and then setting up realistic therapeutic goals to achieve in the treatment process. Clients will find a professional, caring, and an empathetic approach where their supports system and other health care providers, when appropriate, will be part of the treatment team in order to facilitate a better treatment outcome. This approach in my experience has a higher potential for a better outcome in reaching the therapeutic goals of healing and recovery.
(210) 879-8549 View (210) 879-8549
Photo of Dr. Ami Chatrath @ Wisemind, DO, MBA, Psychiatrist
Dr. Ami Chatrath @ Wisemind
Psychiatrist, DO, MBA
Verified Verified
1 Endorsed
Alamo Heights, TX 78209
. . . . . . . Get yourself an experienced board-certified physician that went through medical school & residency training! Dr. Ami Chatrath is based in San Antonio, Texas, and currently accepting new patients, both in-person and virtual, with immediate availability. . . . . . .
. . . . . . . Get yourself an experienced board-certified physician that went through medical school & residency training! Dr. Ami Chatrath is based in San Antonio, Texas, and currently accepting new patients, both in-person and virtual, with immediate availability. . . . . . .
(210) 940-3041 View (210) 940-3041
1

How does your Psychiatrist compare?

Number of Psychiatrists in 78209

20+

Average cost per session

$250

Psychiatrists in 78209 who prioritize treating:

96% Depression
92% Anxiety
92% Trauma and PTSD
88% Bipolar Disorder
81% Obsessive-Compulsive (OCD)
77% ADHD
69% Medication Management

Average years in practice

8 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH
100% Optum

How Psychiatrists in 78209 see their clients

89% In Person and Online
11% Online Only

Gender breakdown

61% Female
39% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in 78209?

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.