Psychiatrists in 78209

Photo of Wardell Hollis, Psychiatric Nurse Practitioner, MSN, PMHNP
Wardell Hollis
Psychiatric Nurse Practitioner, MSN, PMHNP
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 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
(726) 208-6215 View (726) 208-6215
Photo of Thomas Hageman, Psychiatric Nurse, DNP, PMHNP
Thomas Hageman
Psychiatric Nurse, DNP, PMHNP
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
Dr. Kevin Weisson
Psychiatrist, DO, MPH
Alamo Heights, TX 78209
Kevin Weisson is a compassionate and knowledgeable prescriber at LifeStance Health who provides care to children, teens, adults, and seniors across Texas. He offers a holistic and patient-centered approach to mental health treatment, combining psychotherapy and medication management tailored to each individual’s unique needs. Whether supporting a child with behavioral concerns or guiding an adult through depression, anxiety, or substance use challenges, Kevin focuses on creating a safe, collaborative environment where healing and growth can take place.
Kevin Weisson is a compassionate and knowledgeable prescriber at LifeStance Health who provides care to children, teens, adults, and seniors across Texas. He offers a holistic and patient-centered approach to mental health treatment, combining psychotherapy and medication management tailored to each individual’s unique needs. Whether supporting a child with behavioral concerns or guiding an adult through depression, anxiety, or substance use challenges, Kevin focuses on creating a safe, collaborative environment where healing and growth can take place.
(210) 942-0508 View (210) 942-0508
Photo of Christopher Rodriguez, Psychiatric Nurse Practitioner
Christopher Rodriguez
Psychiatric Nurse Practitioner
San Antonio, TX 78209
I am a passionate and dedicated individual known for my open-mindedness, honesty, and attentive ear. I believe that empathy, understanding, and a genuine caring spirit must be present in every interaction that I have with individuals. I also bring a unique blend of sincerity and insight into every session that I have with my clients.
I am a passionate and dedicated individual known for my open-mindedness, honesty, and attentive ear. I believe that empathy, understanding, and a genuine caring spirit must be present in every interaction that I have with individuals. I also bring a unique blend of sincerity and insight into every session that I have with my clients.
(210) 864-7558 View (210) 864-7558
Photo of Dr. Abigail Talley, Psychiatrist, MD
Dr. Abigail Talley
Psychiatrist, MD
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
Photo of Zarah Ashcroft, Psychiatric Nurse, DNP, APRN, PMHNP-B
Zarah Ashcroft
Psychiatric Nurse, DNP, APRN, PMHNP-B
San Antonio, TX 78209
Zarah Ashcroft helps adults and seniors across Texas take control of their mental health through compassionate, comprehensive psychiatric care. She provides medication management and supportive therapy to address a wide range of concerns, including anxiety, depression, bipolar disorder, and substance use disorders. By combining clinical expertise with a patient-centered approach, Zarah works alongside her patients to create treatment plans that promote stability, resilience, and long-term wellness. She is especially passionate about supporting individuals who are recently discharged from psychiatric hospitals.Zarah Ashcroft helps ad
Zarah Ashcroft helps adults and seniors across Texas take control of their mental health through compassionate, comprehensive psychiatric care. She provides medication management and supportive therapy to address a wide range of concerns, including anxiety, depression, bipolar disorder, and substance use disorders. By combining clinical expertise with a patient-centered approach, Zarah works alongside her patients to create treatment plans that promote stability, resilience, and long-term wellness. She is especially passionate about supporting individuals who are recently discharged from psychiatric hospitals.Zarah Ashcroft helps ad
(830) 415-0610 View (830) 415-0610
Photo of Melissa Stephenson, Psychiatric Nurse Practitioner, MSN, PMHNP-
Melissa Stephenson
Psychiatric Nurse Practitioner, MSN, PMHNP-
Alamo Heights, TX 78209
With her extensive experience in psychopharmacology, she is adept at managing medication plans that are finely tuned to address both the symptoms and the challenges of adjusting to life after childbirth. Melissa is also committed to helping patients with sleep disorders, including insomnia, as she understands the critical role that sleep plays in overall mental health. Her approach is patient-centered, combining evidence-based practices with a deep understanding of the social, nutritional, and lifestyle factors that influence recovery.
With her extensive experience in psychopharmacology, she is adept at managing medication plans that are finely tuned to address both the symptoms and the challenges of adjusting to life after childbirth. Melissa is also committed to helping patients with sleep disorders, including insomnia, as she understands the critical role that sleep plays in overall mental health. Her approach is patient-centered, combining evidence-based practices with a deep understanding of the social, nutritional, and lifestyle factors that influence recovery.
(830) 268-0722 View (830) 268-0722
Photo of John T Pichot, Psychiatrist, MD
John T Pichot
Psychiatrist, MD
1 Endorsed
San Antonio, TX 78209
Dr. John Pichot's practice located in Alamo Heights is closing as of July 15, 2026. He remains available for phone calls, refills and record release with written consent until that date. After that date Dr. Mark Pichot will be the custodian of his medical records at 4940 Broadway Suite 211, San Antonio, TX 78209 210-826-4466.
Dr. John Pichot's practice located in Alamo Heights is closing as of July 15, 2026. He remains available for phone calls, refills and record release with written consent until that date. After that date Dr. Mark Pichot will be the custodian of his medical records at 4940 Broadway Suite 211, San Antonio, TX 78209 210-826-4466.
(210) 871-1169 View (210) 871-1169
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 Mary Glenney, Psychiatric Nurse, MSN, PMHCNS
Mary Glenney
Psychiatric Nurse, MSN, PMHCNS
San Antonio, TX 78209
Mary Glenney is a Nurse Practitioner in Texas who has been practicing since 1996. She has a Master of Science degree in Nursing, a Master of Science in psychology and a post-master certificate as a Family Nurse Practitioner. Mary offers years of experience in multiple settings, including inpatient, outpatient, and crisis management. She is comfortable treating depression, anxiety, PTSD, ADHD, bipolar disorder, schizophrenia, and substance use disorders. Mary’s diverse education allows her to take a holistic approach to mental health treatment. Outside of work, Mary enjoys music, spending time with friends and family, and sports.Mary
Mary Glenney is a Nurse Practitioner in Texas who has been practicing since 1996. She has a Master of Science degree in Nursing, a Master of Science in psychology and a post-master certificate as a Family Nurse Practitioner. Mary offers years of experience in multiple settings, including inpatient, outpatient, and crisis management. She is comfortable treating depression, anxiety, PTSD, ADHD, bipolar disorder, schizophrenia, and substance use disorders. Mary’s diverse education allows her to take a holistic approach to mental health treatment. Outside of work, Mary enjoys music, spending time with friends and family, and sports.Mary
(512) 817-3736 View (512) 817-3736
Photo of Mary Ajayi, Psychiatric Nurse Practitioner, MSN, PMHNP
Mary Ajayi
Psychiatric Nurse Practitioner, MSN, PMHNP
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 Margaret Betanco, Psychiatric Nurse Practitioner, MSN, APRN (C
Margaret Betanco
Psychiatric Nurse Practitioner, MSN, APRN (C
San Antonio, 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 Dr. Benny Fernandez, Psychiatrist, MD
Dr. Benny Fernandez
Psychiatrist, MD
San Antonio, TX 78209
If you’re feeling anxious, overwhelmed, emotionally exhausted, struggling to focus, or simply not functioning at your best, I can help. Many of my patients are professionals, parents, adolescents, and families frustrated by rushed appointments, fragmented care, or limited access to their psychiatrist. They are looking for thoughtful guidance, meaningful answers, and a more personalized approach. I provide private psychiatric care and psychotherapy designed to help patients achieve greater clarity, resilience, emotional wellness, and balance in their lives.
If you’re feeling anxious, overwhelmed, emotionally exhausted, struggling to focus, or simply not functioning at your best, I can help. Many of my patients are professionals, parents, adolescents, and families frustrated by rushed appointments, fragmented care, or limited access to their psychiatrist. They are looking for thoughtful guidance, meaningful answers, and a more personalized approach. I provide private psychiatric care and psychotherapy designed to help patients achieve greater clarity, resilience, emotional wellness, and balance in their lives.
(210) 934-2052 View (210) 934-2052
Photo of Alejandro Perez - Dr. Perez @ Evolve Psychiatry, Psychiatrist, MD
Dr. Perez @ Evolve Psychiatry
Psychiatrist, MD
San Antonio, TX 78209
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.
(726) 227-2116 View (726) 227-2116
Photo of Scholastica Onyemma, Psychiatric Nurse Practitioner, NP
Scholastica Onyemma
Psychiatric Nurse Practitioner, NP
San Antonio, TX 78209
Welcome! I am a compassionate and dedicated Nursing Professional with a 20+ year career in providing outstanding nursing and psychiatric care. I offer a combination of therapy and medication management, social support, and personalized, measurable goals aimed at symptom reduction, improved functioning, and enhanced quality of life.
Welcome! I am a compassionate and dedicated Nursing Professional with a 20+ year career in providing outstanding nursing and psychiatric care. I offer a combination of therapy and medication management, social support, and personalized, measurable goals aimed at symptom reduction, improved functioning, and enhanced quality of life.
(972) 597-2443 View (972) 597-2443
Photo of CHIOMA EDEH, Psychiatric Nurse Practitioner, PMHNP, APRN
CHIOMA EDEH
Psychiatric Nurse Practitioner, PMHNP, APRN
1 Endorsed
San Antonio, TX 78209
My name is Chioma Edeh, I am a PMHNP, I graduated from Walden university August of 2024. I am board certified Psychiatric Mental Health Nurse Practitioner that provide compassionate, evidence-base care to children, adolescent, adult and older adult populations. My approach is Holistic, warm and creating a safe space where clients feel heard and supported. I offer a calm, supportive space to listen, understand, and help client move forward at a pace that feels right for them.
My name is Chioma Edeh, I am a PMHNP, I graduated from Walden university August of 2024. I am board certified Psychiatric Mental Health Nurse Practitioner that provide compassionate, evidence-base care to children, adolescent, adult and older adult populations. My approach is Holistic, warm and creating a safe space where clients feel heard and supported. I offer a calm, supportive space to listen, understand, and help client move forward at a pace that feels right for them.
(832) 702-3683 View (832) 702-3683
Photo of Riz Ahmad - Dr. Riz @ Evolve Psychiatry, Psychiatrist, MD
Dr. Riz @ Evolve Psychiatry
Psychiatrist, MD
San Antonio, TX 78209
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) 940-0924 View (210) 940-0924
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 Gary Michael Bernard, Psychiatrist, MD
Gary Michael Bernard
Psychiatrist, MD
San Antonio, TX 78209
I am a double-board certified Consultation-Liaison Psychiatrist with extensive clinical and educational experience that spans inpatient, outpatient, military, civilian, veteran, public, academic and private practice settings. I am a fellow of the American Psychiatric Association and hold active unrestricted medical licenses in AL, AZ, FL, CT, NY, TX. I specialize in occupational Psychiatry with a focus on performance optimization.
I am a double-board certified Consultation-Liaison Psychiatrist with extensive clinical and educational experience that spans inpatient, outpatient, military, civilian, veteran, public, academic and private practice settings. I am a fellow of the American Psychiatric Association and hold active unrestricted medical licenses in AL, AZ, FL, CT, NY, TX. I specialize in occupational Psychiatry with a focus on performance optimization.
(469) 300-3678 View (469) 300-3678

See more therapy options for 78209

How does your Psychiatrist compare?

Number of Psychiatrists in 78209

40+

Average cost per session

$200

Psychiatrists in 78209 who prioritize treating:

98% Depression
95% Anxiety
78% Trauma and PTSD
78% Bipolar Disorder
70% ADHD
68% Medication Management
57% Obsessive-Compulsive (OCD)

Average years in practice

9 Years

Top 3 insurances accepted

100% Aetna
93% Cigna and Evernorth
87% BlueCross and BlueShield

How Psychiatrists in 78209 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

60% Female
40% 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.