Psychiatrists in 78233

Photo of Ijaz Rasul - Telepsychiatrist_Piedmont Behavioral Services, Psychiatrist, MD
We provide Child and Adult Psychiatry, Therapy and Substance abuse services (via video) across Texas. Our Board-Certified Psychiatrists and Therapists offer same day appointments if needed. Telepsychiatry or Telemedicine uses video link (via computer or smartphone) to offer appointments from home.
We provide Child and Adult Psychiatry, Therapy and Substance abuse services (via video) across Texas. Our Board-Certified Psychiatrists and Therapists offer same day appointments if needed. Telepsychiatry or Telemedicine uses video link (via computer or smartphone) to offer appointments from home.
(830) 376-2936 View (830) 376-2936
Photo of Suzanne Guynes - Dr. Suzanne Guynes @ Shiloh Health, Psychiatrist, MD
Dr. Suzanne Guynes @ Shiloh Health
Psychiatrist, MD
Serves Area
If you or a loved one is struggling with anxiety, depression, ADHD, PTSD, or other mental health challenges, we’re here to help. We go beyond just prescribing medication—we listen, uncover the root cause, and tailor a treatment plan that fits your life. Whether through modern medicine, natural approaches, or psychotherapy, we see medication as one option, not the only option. Our mission is to be your long-term partner in achieving real, lasting well-being—because true healing is about more than just a prescription.
If you or a loved one is struggling with anxiety, depression, ADHD, PTSD, or other mental health challenges, we’re here to help. We go beyond just prescribing medication—we listen, uncover the root cause, and tailor a treatment plan that fits your life. Whether through modern medicine, natural approaches, or psychotherapy, we see medication as one option, not the only option. Our mission is to be your long-term partner in achieving real, lasting well-being—because true healing is about more than just a prescription.
(830) 268-9250 View (830) 268-9250
Photo of Daniel Hacker, Psychiatric Nurse Practitioner, PMHNP-C, FNP-C
Daniel Hacker
Psychiatric Nurse Practitioner, PMHNP-C, FNP-C
Serves Area
With 25 years of healthcare experience, I deeply value human connection. Every person has a unique story and experiences that shape who they are. Recognizing these differences is essential to creating a personalized care plan. By building a therapeutic relationship with my clients, I aim to understand their stories and help them overcome challenges. My goal is to support clients in finding meaning and purpose, improving their quality of life, and achieving contentment.
With 25 years of healthcare experience, I deeply value human connection. Every person has a unique story and experiences that shape who they are. Recognizing these differences is essential to creating a personalized care plan. By building a therapeutic relationship with my clients, I aim to understand their stories and help them overcome challenges. My goal is to support clients in finding meaning and purpose, improving their quality of life, and achieving contentment.
(830) 293-3370 View (830) 293-3370
Photo of Ted Edmund Williams, Psychiatrist, MD
Ted Edmund Williams
Psychiatrist, MD
Serves Area
Waitlist for new clients
Dr. Williams is founder of Genesis Behavioral Health, and treats adults, children, and adolescents. He is also an adjunct assistant professor of the University of Texas Health Science Center at San Antonio. In addition to medications and therapy, he believes that a person's growth in faith and relationship with God can be an important part of their healing, especially because many of life's struggles don't have easy answers. His approach to treatment is warm, non-judgmental, and professional, and he will talk about faith as much or as little as you like.
Dr. Williams is founder of Genesis Behavioral Health, and treats adults, children, and adolescents. He is also an adjunct assistant professor of the University of Texas Health Science Center at San Antonio. In addition to medications and therapy, he believes that a person's growth in faith and relationship with God can be an important part of their healing, especially because many of life's struggles don't have easy answers. His approach to treatment is warm, non-judgmental, and professional, and he will talk about faith as much or as little as you like.
(210) 529-8186 View (210) 529-8186
Photo of Jolene C. Moore, Psychiatrist, MD
Jolene C. Moore
Psychiatrist, MD
Live Oak, TX 78233
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 LORRAINE GARCIA, Psychiatric Nurse Practitioner, PMHNP
LORRAINE GARCIA
Psychiatric Nurse Practitioner, PMHNP
Online Only
Waitlist for new clients
I understand that starting psychiatric treatment can feel overwhelming, especially if you’ve struggled to find the right medication or plan in the past. I provide thoughtful, structured medication management for depression, anxiety, bipolar disorder, ADHD, and sleep concerns. I focus on careful evaluation, clear communication, and practical adjustments that lead to lasting stability, improved focus, and better daily functioning.
I understand that starting psychiatric treatment can feel overwhelming, especially if you’ve struggled to find the right medication or plan in the past. I provide thoughtful, structured medication management for depression, anxiety, bipolar disorder, ADHD, and sleep concerns. I focus on careful evaluation, clear communication, and practical adjustments that lead to lasting stability, improved focus, and better daily functioning.
(210) 405-3063 x1 View (210) 405-3063 x1

More Psychiatrists Nearby

Photo of Dr. Alejandro Perez - Dr. Perez @ Evolve Psychiatry, Psychiatrist, MD
Dr. Perez @ Evolve Psychiatry
Psychiatrist, MD
San Antonio, TX 78258
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
Do racing thoughts, restless nights, and constant self-doubt drain your energy and peace of mind? Are you overwhelmed by the need for certainty, struggling with poor concentration, or feeling burdened by your own hypersensitivity? Whether your challenges stem from brain chemistry, genetics, or hurtful parenting, you don’t have to face them alone. At Evolve Psychiatry, our compassionate team of medical experts and seasoned psychotherapists partners with you to explore and finally answer these questions. Together, we’ll cultivate the skills you need to feel more confident in yourself and more connected to the world around you.
(210) 361-6840 View (210) 361-6840
Photo of Nicholas Estioko, Physician Assistant, MSPAS, PA-C
Nicholas Estioko
Physician Assistant, MSPAS, PA-C
San Antonio, TX 78257
***ACCEPTING NEW PATIENTS WITH APPOINTMENTS AVAILABLE SAME WEEK*** PA Estioko is a board-certified physician assistant specializing in the field of psychiatry. He completed his medical training at California Baptist University and took special interest in the treatment of psychiatric disorders during his clinical year. He recognized the need for mental health services across various specialties and is excited to join Phoenix Mental Health to help increase accessibility in San Antonio, TX.
***ACCEPTING NEW PATIENTS WITH APPOINTMENTS AVAILABLE SAME WEEK*** PA Estioko is a board-certified physician assistant specializing in the field of psychiatry. He completed his medical training at California Baptist University and took special interest in the treatment of psychiatric disorders during his clinical year. He recognized the need for mental health services across various specialties and is excited to join Phoenix Mental Health to help increase accessibility in San Antonio, TX.
(210) 940-2438 View (210) 940-2438
Photo of Kyle Kessler, Psychiatric Nurse Practitioner, PMHNP
Kyle Kessler
Psychiatric Nurse Practitioner, PMHNP
2 Endorsed
Serves Area
I'm Kyle, I prescribe psychiatric medications and do psychiatric evaluations. I've worked community mental health for 4 years, seeing a wide variety of patients. Available on Thursdays, Fridays, Saturdays, Sunday mornings. And Monday through Wednesday from 6:30pm to 9:00PM. Will see ages 18 and up.
I'm Kyle, I prescribe psychiatric medications and do psychiatric evaluations. I've worked community mental health for 4 years, seeing a wide variety of patients. Available on Thursdays, Fridays, Saturdays, Sunday mornings. And Monday through Wednesday from 6:30pm to 9:00PM. Will see ages 18 and up.
(817) 214-4340 View (817) 214-4340
Photo of Lydia Kimeli-Pope, Psychiatric Nurse Practitioner, APRN, PMHNPBC
Lydia Kimeli-Pope
Psychiatric Nurse Practitioner, APRN, PMHNPBC
2 Endorsed
New Braunfels, TX 78130
If you’re a woman feeling overwhelmed, anxious, or emotionally exhausted — or a parent worried about your teen’s mood, focus, or behavior — you’re not alone. I’m a board-certified Psychiatric Mental Health Nurse Practitioner providing virtual medication management with brief supportive therapy for women and adolescents across Texas and New Mexico. I specialize in treating anxiety, depression, ADHD, and mood disorders, with a thoughtful, practical approach that focuses on the full picture — not just a diagnosis or a prescription. My goal is to help you feel more stable, informed, and supported without feeling rushed or overmedicated.
If you’re a woman feeling overwhelmed, anxious, or emotionally exhausted — or a parent worried about your teen’s mood, focus, or behavior — you’re not alone. I’m a board-certified Psychiatric Mental Health Nurse Practitioner providing virtual medication management with brief supportive therapy for women and adolescents across Texas and New Mexico. I specialize in treating anxiety, depression, ADHD, and mood disorders, with a thoughtful, practical approach that focuses on the full picture — not just a diagnosis or a prescription. My goal is to help you feel more stable, informed, and supported without feeling rushed or overmedicated.
(830) 283-4754 View (830) 283-4754
Photo of Dr. Ronil Shah, Psychiatrist, MD
Dr. Ronil Shah
Psychiatrist, MD
San Antonio, TX 78205
Why choose Dr. Ronil Shah? Because his top-notch expertise combines with compassionate, personalized care. Treatment with Dr. Shah is a two-way collaboration. Working together, you will design a mental wellness strategy that’s tailored just for you. His philosophy? Your path to wellness should be as unique as you are, shaped by empathy and expertise, and empowered by evidence-based insights and tools.
Why choose Dr. Ronil Shah? Because his top-notch expertise combines with compassionate, personalized care. Treatment with Dr. Shah is a two-way collaboration. Working together, you will design a mental wellness strategy that’s tailored just for you. His philosophy? Your path to wellness should be as unique as you are, shaped by empathy and expertise, and empowered by evidence-based insights and tools.
(857) 244-0119 View (857) 244-0119
Photo of Ricardo Calderon, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Ricardo Calderon
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
1 Endorsed
San Antonio, TX 78213
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 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. David A. Rodriguez - LifeStance Health, Psychiatrist, MD
LifeStance Health
Psychiatrist, MD
Alamo Heights, TX 78209
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) 376-7417 View (830) 376-7417
Photo of Kelvin Jones, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, -BC
Kelvin Jones
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, -BC
1 Endorsed
Serves Area
Have you ever struggled with low confidence, grief, depression, frustration, or the uncertainty that comes with major life transitions? If so, we can work together to find a path forward. Every person is unique, and each of us responds to life’s challenges differently. Sometimes we need clarity about what we can and cannot change; other times, we need support and encouragement to take the next step.
Have you ever struggled with low confidence, grief, depression, frustration, or the uncertainty that comes with major life transitions? If so, we can work together to find a path forward. Every person is unique, and each of us responds to life’s challenges differently. Sometimes we need clarity about what we can and cannot change; other times, we need support and encouragement to take the next step.
(469) 290-3514 View (469) 290-3514
Photo of Jennifer Hill, Psychiatric Nurse Practitioner, MSN, PMHNP
Jennifer Hill
Psychiatric Nurse Practitioner, MSN, PMHNP
San Antonio, TX 78237
I am a licensed a Psychiatric and Mental Health Nurse Practitioner interested in providing comprehensive, compassionate and exceptional mental health care for adults and adolescents. I incorporate both psychiatric medicine and psychotherapy into my practice. I employ evidence-based practice unified with clinical experience, education, and patient observation to provide the best treatment on a patient-by- patient basis. I believe in treating all patients with the dignity and respect they deserve and strive to build excellent rapport with both the patient and their family.
I am a licensed a Psychiatric and Mental Health Nurse Practitioner interested in providing comprehensive, compassionate and exceptional mental health care for adults and adolescents. I incorporate both psychiatric medicine and psychotherapy into my practice. I employ evidence-based practice unified with clinical experience, education, and patient observation to provide the best treatment on a patient-by- patient basis. I believe in treating all patients with the dignity and respect they deserve and strive to build excellent rapport with both the patient and their family.
(210) 899-7176 View (210) 899-7176
Photo of Sara Chehal, Psychiatric Nurse Practitioner, PMHNP
Sara Chehal
Psychiatric Nurse Practitioner, PMHNP
New Braunfels, TX 78130
I am here to help your child facing behavioral, emotional, or psychological challenges. Your child might be dealing with anxiety, depression, ADHD, or other mental health conditions. I understand, as a parent, you are seeking compassionate and effective care to help manage your child's symptoms and improve their overall well-being. I provide a collaborative, supportive environment where you and your child feel understood and empowered to reach your child's full potential. Your ultimate goal is to achieve mental and emotional stability, academic success, and improved family dynamics and I am here to help on that journey.
I am here to help your child facing behavioral, emotional, or psychological challenges. Your child might be dealing with anxiety, depression, ADHD, or other mental health conditions. I understand, as a parent, you are seeking compassionate and effective care to help manage your child's symptoms and improve their overall well-being. I provide a collaborative, supportive environment where you and your child feel understood and empowered to reach your child's full potential. Your ultimate goal is to achieve mental and emotional stability, academic success, and improved family dynamics and I am here to help on that journey.
(830) 623-5905 View (830) 623-5905
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 Peter Formusoh - Holistic Health and Psychiatry, PLLC, Psychiatric Nurse Practitioner, APRN-RN, PMHNP, FNP-BC
Holistic Health and Psychiatry, PLLC
Psychiatric Nurse Practitioner, APRN-RN, PMHNP, FNP-BC
Serves Area
NOW ACCEPTING NEW PATIENTS WITH TELEHEALTH APPOINTMENTS. MULTIPLE OPTIONS ON APPOINTMENTS AVAILABLE; AFTERNOONS, EVENINGS, WEEKDAYS AND WEEKENDS. Mental and emotional difficulties are real and can greatly limit our functioning. At Holistic health and psychiatry, we believe in a multidimensional approach in managing mental health. Our practitioners collaborate to offer therapeutic interventions including medication management and various therapy approaches to assist individuals with mental health difficulties.
NOW ACCEPTING NEW PATIENTS WITH TELEHEALTH APPOINTMENTS. MULTIPLE OPTIONS ON APPOINTMENTS AVAILABLE; AFTERNOONS, EVENINGS, WEEKDAYS AND WEEKENDS. Mental and emotional difficulties are real and can greatly limit our functioning. At Holistic health and psychiatry, we believe in a multidimensional approach in managing mental health. Our practitioners collaborate to offer therapeutic interventions including medication management and various therapy approaches to assist individuals with mental health difficulties.
(713) 993-7240 View (713) 993-7240
Photo of Dr. Charmi Balsara, Psychiatrist, MD
Dr. Charmi Balsara
Psychiatrist, MD
Serves Area
ADD/ ADHD, Anxiety, Depression, OCD (Obsessive-Compulsive Disorder), Medication Management, Bipolar Disorder, Stress, Burnout, Sleep, Insomnia, Pregnancy, Prenatal, Postpartum (including postpartum depression), Self-Esteem, Relationship Issues, Infidelity, Divorce, Marital and Premarital Challenges, Trauma, Post-Traumatic Stress Disorder (PTSD), Coping Skills, Women’s Issues, Family Issues, Peer Relationships, Life Transitions, Eating Disorders, Emotional Disturbance, Mood Disorders, Dual Diagnosis, Life Coaching, Behavioral Issues, Grief, Psychosis, Thinking Disorders.
ADD/ ADHD, Anxiety, Depression, OCD (Obsessive-Compulsive Disorder), Medication Management, Bipolar Disorder, Stress, Burnout, Sleep, Insomnia, Pregnancy, Prenatal, Postpartum (including postpartum depression), Self-Esteem, Relationship Issues, Infidelity, Divorce, Marital and Premarital Challenges, Trauma, Post-Traumatic Stress Disorder (PTSD), Coping Skills, Women’s Issues, Family Issues, Peer Relationships, Life Transitions, Eating Disorders, Emotional Disturbance, Mood Disorders, Dual Diagnosis, Life Coaching, Behavioral Issues, Grief, Psychosis, Thinking Disorders.
(737) 234-2482 View (737) 234-2482

See more therapy options for 78233

How does your Psychiatrist compare?

Number of Psychiatrists in 78233

< 10

Psychiatrists in 78233 who prioritize treating:

83% Depression
83% ADHD
83% Anxiety
83% Bipolar Disorder
83% Medication Management
67% Trauma and PTSD
67% Obsessive-Compulsive (OCD)

Average years in practice

18 Years

Top 3 insurances accepted

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

How Psychiatrists in 78233 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

60% Female
40% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in 78233?

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.