Psychiatrists in 78229

Photo of Loveda Winkles, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Loveda Winkles
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
San Antonio, TX 78229
My ideal client is someone ready to find balance, peace, and control in their life again. Whether you’re struggling with anxiety, depression, ADHD, trauma, or simply feeling overwhelmed, you deserve care that listens and truly understands you. I take a compassionate, patient-centered approach—focusing on your story, your goals, and what matters most to you. Together, we’ll build a plan that helps you heal, grow, and thrive—because your mental health journey should never feel like one you walk alone.
My ideal client is someone ready to find balance, peace, and control in their life again. Whether you’re struggling with anxiety, depression, ADHD, trauma, or simply feeling overwhelmed, you deserve care that listens and truly understands you. I take a compassionate, patient-centered approach—focusing on your story, your goals, and what matters most to you. Together, we’ll build a plan that helps you heal, grow, and thrive—because your mental health journey should never feel like one you walk alone.
(726) 227-9503 View (726) 227-9503
Photo of Tumininu Adeleke, Psychiatric Nurse Practitioner, PMHNP
Tumininu Adeleke
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
San Antonio, TX 78229
Many clients come to me feeling overwhelmed by emotional or behavioral challenges, often related to life changes, medical conditions, or the impact of chronic illness. They may struggle with mood swings, anxiety, depression, or cognitive decline and want compassionate guidance to navigate these difficulties. I understand how isolating these experiences can feel, and I work to create a safe, supportive space where clients can express themselves freely.
Many clients come to me feeling overwhelmed by emotional or behavioral challenges, often related to life changes, medical conditions, or the impact of chronic illness. They may struggle with mood swings, anxiety, depression, or cognitive decline and want compassionate guidance to navigate these difficulties. I understand how isolating these experiences can feel, and I work to create a safe, supportive space where clients can express themselves freely.
(512) 661-0759 View (512) 661-0759
Photo of Ashley Infante, Psychiatric Nurse Practitioner, PMHNP
Ashley Infante
Psychiatric Nurse Practitioner, PMHNP
San Antonio, TX 78229
Ashley Infante is a board certified Psychiatric Mental Health Nurse Practitioner who is currently accepting new patients for medication management! NP Infante, with Phoenix Mental Health, is credentialed with all major insurance providers and is currently offering same day appointments for new patients. NP Infante earned a Master’s degree from the University of Southern Indiana, and Bachelor’s degree from Texas Tech Health Science Center.
Ashley Infante is a board certified Psychiatric Mental Health Nurse Practitioner who is currently accepting new patients for medication management! NP Infante, with Phoenix Mental Health, is credentialed with all major insurance providers and is currently offering same day appointments for new patients. NP Infante earned a Master’s degree from the University of Southern Indiana, and Bachelor’s degree from Texas Tech Health Science Center.
(210) 761-7365 View (210) 761-7365
Photo of Valentina Okechi - Restore primary care wellness and behavioral healt, Psychiatric Nurse Practitioner, APRN, MSN, PMHNP-B
Restore primary care wellness and behavioral healt
Psychiatric Nurse Practitioner, APRN, MSN, PMHNP-B
San Antonio, TX 78229
The ideal client for me is someone who is grappling with various challenges that life presents. They may be feeling overwhelmed by the demands of daily life, including work, relationships, and personal well-being. This individual might be someone who struggles to manage their tasks and responsibilities, feeling burdened by their never-ending to-do list. My ideal client is someone who recognizes that they are not alone in their struggles and is open to seeking support.
The ideal client for me is someone who is grappling with various challenges that life presents. They may be feeling overwhelmed by the demands of daily life, including work, relationships, and personal well-being. This individual might be someone who struggles to manage their tasks and responsibilities, feeling burdened by their never-ending to-do list. My ideal client is someone who recognizes that they are not alone in their struggles and is open to seeking support.
(210) 756-9655 View (210) 756-9655
Photo of Karla Rivera - Blue Skyes Health Psychiatry Group, Psychiatrist, MD
We thrive on supporting our pediatric community and their families with an integrative care for children and their behavioral health. Specializing in treating conditions such as ADHD, depression, anxiety, anger, bipolar disorder and other behavior problems. We understand that when a child in the family is struggling the whole family struggles. We provide medication management for our patients and an open communication with the parents because we believe good communication with our patients makes for better treatment outcomes.
We thrive on supporting our pediatric community and their families with an integrative care for children and their behavioral health. Specializing in treating conditions such as ADHD, depression, anxiety, anger, bipolar disorder and other behavior problems. We understand that when a child in the family is struggling the whole family struggles. We provide medication management for our patients and an open communication with the parents because we believe good communication with our patients makes for better treatment outcomes.
(210) 405-7504 View (210) 405-7504
Photo of Dr. Clarissa Chaisson-McRae, Psychiatrist, MD
Dr. Clarissa Chaisson-McRae
Psychiatrist, MD
San Antonio, TX 78229
I am a graduate of Case Western Reserve University School of Medicine. I completed my Psychiatry Residency at Henry Ford Hospital, where I served as chief resident. In addition, I completed a Medical Leadership Fellowship at Henry Ford Hospital, and an Electroconvulsive Therapy Visiting Fellowship at Duke University. I am general psychiatrist who treats adults with a variety of mental health disorders. I strive for balance in your treatment plan, including medication management and psychotherapy. Coordination of care and continuity of care are very important to me.
I am a graduate of Case Western Reserve University School of Medicine. I completed my Psychiatry Residency at Henry Ford Hospital, where I served as chief resident. In addition, I completed a Medical Leadership Fellowship at Henry Ford Hospital, and an Electroconvulsive Therapy Visiting Fellowship at Duke University. I am general psychiatrist who treats adults with a variety of mental health disorders. I strive for balance in your treatment plan, including medication management and psychotherapy. Coordination of care and continuity of care are very important to me.
(210) 903-8243 View (210) 903-8243
Photo of Ariel De LLanos - Focus & Balance, PLLC, Psychiatrist, MD
Focus & Balance, PLLC
Psychiatrist, MD
San Antonio, TX 78229
At Focus and Balance, PLLC, we provide personalized, evidence-based psychiatric care through thorough evaluations and expert medication management. Our team treats a wide range of mental health conditions and tailors each treatment plan to the individual. We also offer advanced options like Transcranial Magnetic Stimulation (TMS) for clients who haven’t responded to standard treatments.
At Focus and Balance, PLLC, we provide personalized, evidence-based psychiatric care through thorough evaluations and expert medication management. Our team treats a wide range of mental health conditions and tailors each treatment plan to the individual. We also offer advanced options like Transcranial Magnetic Stimulation (TMS) for clients who haven’t responded to standard treatments.
(210) 791-9056 View (210) 791-9056
Photo of Delia Sanchez Patino, Psychiatric Nurse Practitioner, APRN, PMHNP
Delia Sanchez Patino
Psychiatric Nurse Practitioner, APRN, PMHNP
San Antonio, TX 78229
ACCEPTING NEW PATIENTS. Mrs. Patino graduated with her master’s degree from Texas State University in Round Rock, Texas. She is board-certified by the American Nurses Credentialing Center as a Psychiatric Mental Health Nurse Practitioner and licensed by the Texas Board of Nursing Examiners as an Advanced Practice Nurse. Clinic service model, insurance is not accepted at this time and payments are made at the time of service. This allows for more personalized care; rates are reasonable call for more information on the cost of initial consultation and follow-up visits.
ACCEPTING NEW PATIENTS. Mrs. Patino graduated with her master’s degree from Texas State University in Round Rock, Texas. She is board-certified by the American Nurses Credentialing Center as a Psychiatric Mental Health Nurse Practitioner and licensed by the Texas Board of Nursing Examiners as an Advanced Practice Nurse. Clinic service model, insurance is not accepted at this time and payments are made at the time of service. This allows for more personalized care; rates are reasonable call for more information on the cost of initial consultation and follow-up visits.
(210) 864-5947 View (210) 864-5947
Photo of Dr. Teresa Brothers - LifeStance Health, Psychiatrist, MD
LifeStance Health
Psychiatrist, MD
San Antonio, TX 78229
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(830) 283-5172 View (830) 283-5172
Photo of Brandi Hrasdzira, Psychiatric Nurse Practitioner, DNP, PMHNP
Brandi Hrasdzira
Psychiatric Nurse Practitioner, DNP, PMHNP
San Antonio, TX 78229
Brandi Hrasdzira is a Psychiatric Mental Health Nurse Practitioner in Texas who has been practicing since 2021. She is a 2020 graduate from University of the Incarnate Word where she obtained her Doctor of Nursing Practice degree as a Psychiatric Mental Health Nurse Practitioner. Brandi offers a holistic approach to psychiatric treatment where she considers medical, mental, and social causes of symptoms. Brandi believes the best modality for treatment is both therapy and medication management. In her free time, Brandi enjoys spending time with her two dogs, the outdoors, gardening, crafting, concerts, and video games.
Brandi Hrasdzira is a Psychiatric Mental Health Nurse Practitioner in Texas who has been practicing since 2021. She is a 2020 graduate from University of the Incarnate Word where she obtained her Doctor of Nursing Practice degree as a Psychiatric Mental Health Nurse Practitioner. Brandi offers a holistic approach to psychiatric treatment where she considers medical, mental, and social causes of symptoms. Brandi believes the best modality for treatment is both therapy and medication management. In her free time, Brandi enjoys spending time with her two dogs, the outdoors, gardening, crafting, concerts, and video games.
(210) 864-9669 View (210) 864-9669
Photo of Teresa Brothers, Psychiatrist, MD
Teresa Brothers
Psychiatrist, MD
San Antonio, TX 78229
I was born in Mexico City, attended the National University School of Medicine and graduated as a Physician in 1970. I came to the United States in 1971 and studied General Psychiatry at the University of Louisville in Kentucky. Then moved to New Orleans and studied Child Psychiatry at Tulane University of New Orleans. After graduation I became a Tulane Associate Professor and director of children and adolescent units at the psychiatric hospital in Mandeville. I have 2 sons that were born in New Orleans, they are my pride and joy. I moved back to Mexico City and was in private practice for 7 years.
I was born in Mexico City, attended the National University School of Medicine and graduated as a Physician in 1970. I came to the United States in 1971 and studied General Psychiatry at the University of Louisville in Kentucky. Then moved to New Orleans and studied Child Psychiatry at Tulane University of New Orleans. After graduation I became a Tulane Associate Professor and director of children and adolescent units at the psychiatric hospital in Mandeville. I have 2 sons that were born in New Orleans, they are my pride and joy. I moved back to Mexico City and was in private practice for 7 years.
(210) 361-0158 View (210) 361-0158
Photo of Jacquelyn Rodriguez - MedBerry Clinic, Psychiatric Nurse Practitioner, PMHNPBC, FNP-BC
MedBerry Clinic
Psychiatric Nurse Practitioner, PMHNPBC, FNP-BC
San Antonio, TX 78229
Are you feeling overwhelmed by anxiety, depression, or the challenges of ADHD? You don’t have to navigate these difficult feelings alone. I offer a safe, supportive space where we can work together to explore what you're going through and find ways to help you feel better and more in control. Every step of the way, I'll be here to listen, understand, and guide you towards a healthier, more balanced life. This includes medication management, counseling and primary care services. When you're ready, reach out—I'm here for you.
Are you feeling overwhelmed by anxiety, depression, or the challenges of ADHD? You don’t have to navigate these difficult feelings alone. I offer a safe, supportive space where we can work together to explore what you're going through and find ways to help you feel better and more in control. Every step of the way, I'll be here to listen, understand, and guide you towards a healthier, more balanced life. This includes medication management, counseling and primary care services. When you're ready, reach out—I'm here for you.
(726) 216-2029 View (726) 216-2029
Photo of Roseann Garcia, Psychiatric Nurse Practitioner, PMHNP-B
Roseann Garcia
Psychiatric Nurse Practitioner, PMHNP-B
San Antonio, TX 78229
Roseann Garcia helps adults and seniors manage complex mental health conditions with compassionate, evidence-based care tailored to their unique needs. Serving patients across Texas through LifeStance Health, she provides medication management services for a wide range of psychiatric concerns, offering support that is both clinically grounded and deeply personalized. Her approach centers on fostering emotional balance, improving quality of life, and helping individuals regain a sense of control and clarity.
Roseann Garcia helps adults and seniors manage complex mental health conditions with compassionate, evidence-based care tailored to their unique needs. Serving patients across Texas through LifeStance Health, she provides medication management services for a wide range of psychiatric concerns, offering support that is both clinically grounded and deeply personalized. Her approach centers on fostering emotional balance, improving quality of life, and helping individuals regain a sense of control and clarity.
(726) 213-7476 View (726) 213-7476
Photo of Shawna Deeves, Psychiatrist, MD
Shawna Deeves
Psychiatrist, MD
San Antonio, TX 78229
Dr. Deeves is a Board-Certified Psychiatrist in San Antonio, Texas. She earned her Medical Degree at the University of Texas Health Science Center San Antonio and has been in practice for more than 20 years.. She leads our team and makes sure all our backgrounds work together to help support your mental health goals. Dr. Deeves is an adjunct assistant professor with the University of Texas Health Science Center at San Antonio. She believes in education and training of new professionals.
Dr. Deeves is a Board-Certified Psychiatrist in San Antonio, Texas. She earned her Medical Degree at the University of Texas Health Science Center San Antonio and has been in practice for more than 20 years.. She leads our team and makes sure all our backgrounds work together to help support your mental health goals. Dr. Deeves is an adjunct assistant professor with the University of Texas Health Science Center at San Antonio. She believes in education and training of new professionals.
(210) 750-6879 View (210) 750-6879
Photo of Ashkan Soltan - MindWell Urgent Care, Psychiatrist, MD, FAACAP
MindWell Urgent Care
Psychiatrist, MD, FAACAP
Online Only
MindWell Urgent Care is a revolutionary, first of its kind psychiatric practice that provides the residents of Texas with state of the art, same-day psychiatric care for a wide range of mental health issues. Currently, we are offering same-day psychiatric and telepsychiatry services in Texas. Our services include medication management, psychotherapy, ADHD testing, and Spravato / ketamine treatment.
MindWell Urgent Care is a revolutionary, first of its kind psychiatric practice that provides the residents of Texas with state of the art, same-day psychiatric care for a wide range of mental health issues. Currently, we are offering same-day psychiatric and telepsychiatry services in Texas. Our services include medication management, psychotherapy, ADHD testing, and Spravato / ketamine treatment.
(682) 356-3277 View (682) 356-3277
Photo of Michael Millstone - Dr. Michael Millstone - Brain and Behavior, PLLC, Psychiatrist, MD
Dr. Michael Millstone - Brain and Behavior, PLLC
Psychiatrist, MD
2 Endorsed
San Antonio, TX 78229
I know your time is valuable. I am a Board Certified Psychiatrist with Fellowships in Psychoanalysis and Mindfulness based treatments. I provide individualized treatment for those dealing with concerns about mood, anxiety, or struggles in one or more areas of life. While I offer short sessions of psychiatric care, my area of expertise is long sessions integrating treatments such as psychoanalysis talk therapy, exercise, mindfulness, and medications when indicated.
I know your time is valuable. I am a Board Certified Psychiatrist with Fellowships in Psychoanalysis and Mindfulness based treatments. I provide individualized treatment for those dealing with concerns about mood, anxiety, or struggles in one or more areas of life. While I offer short sessions of psychiatric care, my area of expertise is long sessions integrating treatments such as psychoanalysis talk therapy, exercise, mindfulness, and medications when indicated.
(512) 861-8929 View (512) 861-8929
Photo of Nathan S Johnston, Psychiatrist, DO, MS
Nathan S Johnston
Psychiatrist, DO, MS
San Antonio, TX 78229
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 Maame Obiri-Boateng - Safe Space Healthcare Services , Psychiatric Nurse Practitioner
Safe Space Healthcare Services
Psychiatric Nurse Practitioner
Serves Area
Accepting new patients. Evenings and weekends available online and in-person medication management! We take Aetna, Blue Cross Blue Shield, Cigna, Humana, Oxford, Optum, United Healthcare. If you want a provider who listens to you, collaborates with you, and provides a more holistic treatment approach, please reach out to us! We will be happy to assist. We specialize in many psychiatric conditions including anxiety, depression, and bipolar. Safe Space is about being calm, receptive, in the moment and non judgmental. Please don’t hesitate to reach out!
Accepting new patients. Evenings and weekends available online and in-person medication management! We take Aetna, Blue Cross Blue Shield, Cigna, Humana, Oxford, Optum, United Healthcare. If you want a provider who listens to you, collaborates with you, and provides a more holistic treatment approach, please reach out to us! We will be happy to assist. We specialize in many psychiatric conditions including anxiety, depression, and bipolar. Safe Space is about being calm, receptive, in the moment and non judgmental. Please don’t hesitate to reach out!
(210) 903-9567 View (210) 903-9567
Photo of Ricardo Calderon, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Ricardo Calderon
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
1 Endorsed
Serves Area
I specialize in the management of mental health disorders including: depression, anxiety, PTSD, mood disorder, insomnia, OCD, and ADHD. I treat clients using a patient-centered approach. Safe and effective care is achieved collaboratively between the patient and provider and that is what I strive for with all of my clients. I can assist you in fulfilling your mental health needs through psychiatric evaluation and medication management. Whether you've received treatment in the past or are seeking a mental health provider for the first time, I'll do my best to help you reach your goals effectively and safely.
I specialize in the management of mental health disorders including: depression, anxiety, PTSD, mood disorder, insomnia, OCD, and ADHD. I treat clients using a patient-centered approach. Safe and effective care is achieved collaboratively between the patient and provider and that is what I strive for with all of my clients. I can assist you in fulfilling your mental health needs through psychiatric evaluation and medication management. Whether you've received treatment in the past or are seeking a mental health provider for the first time, I'll do my best to help you reach your goals effectively and safely.
(210) 541-8455 View (210) 541-8455
Photo of Pearl Ezegrim, Psychiatric Nurse Practitioner, NP
Pearl Ezegrim
Psychiatric Nurse Practitioner, NP
Serves Area
I am a board certified Psychiatric-Mental Health Nurse Practitioner who specializes in evaluating, diagnosing, and treating various mental health conditions. I provide mental health care for patients across the life span– Toddlers, Children, Adolescents, Adults, and Seniors. Effective therapy is the main mental disorder treatment. But some people require a little more than just counseling. How would you determine whether taking medications would be beneficial? Do you experience mood instability, PTSD, anxiety, or depression? Do you think that life is difficult and that you are always sad? Do you simply want to feel joyful again?
I am a board certified Psychiatric-Mental Health Nurse Practitioner who specializes in evaluating, diagnosing, and treating various mental health conditions. I provide mental health care for patients across the life span– Toddlers, Children, Adolescents, Adults, and Seniors. Effective therapy is the main mental disorder treatment. But some people require a little more than just counseling. How would you determine whether taking medications would be beneficial? Do you experience mood instability, PTSD, anxiety, or depression? Do you think that life is difficult and that you are always sad? Do you simply want to feel joyful again?
(469) 457-2516 View (469) 457-2516

See more therapy options for 78229

How does your Psychiatrist compare?

Number of Psychiatrists in 78229

20+

Average cost per session

$150

Psychiatrists in 78229 who prioritize treating:

84% Depression
84% Anxiety
84% Bipolar Disorder
80% Medication Management
76% ADHD
68% Obsessive-Compulsive (OCD)
60% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

95% Aetna
89% BlueCross and BlueShield
84% Cigna and Evernorth

How Psychiatrists in 78229 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

71% Female
29% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in 78229?

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.