Psychiatrists in 78244

Photo of Bernadette Andrea Horton, Psychiatric Nurse Practitioner
Bernadette Andrea Horton
Psychiatric Nurse Practitioner
Serves Area
As a Psychiatric Mental health Nurse Practitioner, we are working hard and dedicating our lives to making the lives of others a priority. We work closely with clients to achieve mental wellness and a new beginning. No two people are the same and we treat patients according to their needs. We will provide treatment specifically for you with the utmost respect and trust. We will work as a team to get you the best outcome and treatment modality.
As a Psychiatric Mental health Nurse Practitioner, we are working hard and dedicating our lives to making the lives of others a priority. We work closely with clients to achieve mental wellness and a new beginning. No two people are the same and we treat patients according to their needs. We will provide treatment specifically for you with the utmost respect and trust. We will work as a team to get you the best outcome and treatment modality.
(210) 361-5015 View (210) 361-5015

More Psychiatrists Nearby

Photo of Melissa Deuter - Melissa Deuter, MD/Sigma Mental Health Urgent Care, Psychiatrist, MD
Dr. Melissa Deuter is Psychiatric Medical Director of Sigma Mental Health Urgent Care. She supervises a team of professionals providing immediate psychiatric appointments as well as psychotherapy. Sigma Mental Health Urgent Care takes same day appointments and walk-ins at our San Antonio location, and is open 7 days a week except major holidays. Our Austin location has limited services and we request that you call to schedule in Austin. We treat people during gaps in care, while they are waiting to get an appointment in the community, and we can continue treatment long-term when our clinic is the best fit for an individual's needs.
Dr. Melissa Deuter is Psychiatric Medical Director of Sigma Mental Health Urgent Care. She supervises a team of professionals providing immediate psychiatric appointments as well as psychotherapy. Sigma Mental Health Urgent Care takes same day appointments and walk-ins at our San Antonio location, and is open 7 days a week except major holidays. Our Austin location has limited services and we request that you call to schedule in Austin. We treat people during gaps in care, while they are waiting to get an appointment in the community, and we can continue treatment long-term when our clinic is the best fit for an individual's needs.
(210) 871-0188 View (210) 871-0188
Photo of Jessy Cecil, Psychiatric Nurse Practitioner, NP
Jessy Cecil
Psychiatric Nurse Practitioner, NP
Serves Area
Jessy Cecil is a Board Certified Psychiatric Mental Health Nurse Practitioner with over 30 years of extensive nursing experience. She obtained her Bachelor of Science in Nursing, Master of Science in Nursing degree from the University of Phoenix, and Post-Master’s certification in Family Psychiatric Mental Health Nurse Practitioner from Herzing University. Her approach is holistic and patient-centered care in collaboration with other healthcare providers. She places patients’ safety as the priority in addition to quality and cost-effectiveness. She believes that not one size fits all.
Jessy Cecil is a Board Certified Psychiatric Mental Health Nurse Practitioner with over 30 years of extensive nursing experience. She obtained her Bachelor of Science in Nursing, Master of Science in Nursing degree from the University of Phoenix, and Post-Master’s certification in Family Psychiatric Mental Health Nurse Practitioner from Herzing University. Her approach is holistic and patient-centered care in collaboration with other healthcare providers. She places patients’ safety as the priority in addition to quality and cost-effectiveness. She believes that not one size fits all.
(737) 378-8451 View (737) 378-8451
Photo of Nathan S Johnston, Psychiatrist, DO, MS
Nathan S Johnston
Psychiatrist, DO, MS
San Antonio, TX 78257
Our clinic is now accepting all major insurances for medication management! Call now to schedule same day appointments at our San Antonio Medical Center location. Dr. Johnston specializes in the use of cutting edge evidence based treatments for depression, bipolar disorder, schizophrenia, and other treatment-resistant disorders. Using treatments like Deep Transcranial Magnetic Stimulation, IV and IM Ketamine, Inhaled Esketamine (Spravato), and ECT (Electroconvulsive Therapy) we have been able to help many in our community that had lost hope for getting better. Many of our treatments are covered by insurance.
Our clinic is now accepting all major insurances for medication management! Call now to schedule same day appointments at our San Antonio Medical Center location. Dr. Johnston specializes in the use of cutting edge evidence based treatments for depression, bipolar disorder, schizophrenia, and other treatment-resistant disorders. Using treatments like Deep Transcranial Magnetic Stimulation, IV and IM Ketamine, Inhaled Esketamine (Spravato), and ECT (Electroconvulsive Therapy) we have been able to help many in our community that had lost hope for getting better. Many of our treatments are covered by insurance.
(210) 762-4761 View (210) 762-4761
Photo of Chandra J. Sikes, Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
Chandra J. Sikes
Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
3 Endorsed
Serves Area
Do you feel overwhelmed, unheard, or like your mind is constantly racing? Are you struggling with anxiety, depression, or ADHD, making it difficult to focus, stay organized, or feel at peace? You’re not alone, and you don’t have to navigate this journey by yourself. I understand that living with ADHD, anxiety, and/or depression can be exhausting. You may feel misunderstood, frustrated by daily challenges, or stuck in patterns that seem impossible to break.
Do you feel overwhelmed, unheard, or like your mind is constantly racing? Are you struggling with anxiety, depression, or ADHD, making it difficult to focus, stay organized, or feel at peace? You’re not alone, and you don’t have to navigate this journey by yourself. I understand that living with ADHD, anxiety, and/or depression can be exhausting. You may feel misunderstood, frustrated by daily challenges, or stuck in patterns that seem impossible to break.
(325) 230-7205 View (325) 230-7205
Photo of Dr. Mark Pichot, Psychiatrist, DO
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 Uzo Christine Mbonu - ZenLakes Health and Wellness Center, Psychiatric Nurse Practitioner, PMHNB, -BC
ZenLakes Health and Wellness Center
Psychiatric Nurse Practitioner, PMHNB, -BC
1 Endorsed
Serves Area
Are you feeling overwhelmed, anxious, or emotionally stuck? You’re not alone—and you don’t have to navigate it on your own. My ideal client is someone who is ready to take a step toward healing, even if they’re unsure where to begin. They may be dealing with anxiety, depression, trauma, or mood-related challenges and are looking for clarity, balance, and support. They want to be heard, respected, and guided by someone who will meet them with compassion and structure. Their goal is to feel more grounded, in control, and hopeful about the future.
Are you feeling overwhelmed, anxious, or emotionally stuck? You’re not alone—and you don’t have to navigate it on your own. My ideal client is someone who is ready to take a step toward healing, even if they’re unsure where to begin. They may be dealing with anxiety, depression, trauma, or mood-related challenges and are looking for clarity, balance, and support. They want to be heard, respected, and guided by someone who will meet them with compassion and structure. Their goal is to feel more grounded, in control, and hopeful about the future.
(346) 536-4518 View (346) 536-4518
Photo of Felicia Walker, Psychiatrist, MD
Felicia Walker
Psychiatrist, MD
Online Only
Dr. Walker's philosophy centers on an empathetic, holistic approach to psychiatric care, recognizing the connections between mind, body, and spirit. She employs a biopsychosocial and cultural model, considering various aspects of your life in the journey toward mental wellness. Acknowledging that medication is not always the starting point for everyone, she provides education on a broad spectrum of options—from vitamins and supplements to traditional psychiatric treatments—ensuring you are well-informed to make decisions about your care.
Dr. Walker's philosophy centers on an empathetic, holistic approach to psychiatric care, recognizing the connections between mind, body, and spirit. She employs a biopsychosocial and cultural model, considering various aspects of your life in the journey toward mental wellness. Acknowledging that medication is not always the starting point for everyone, she provides education on a broad spectrum of options—from vitamins and supplements to traditional psychiatric treatments—ensuring you are well-informed to make decisions about your care.
(803) 573-4063 View (803) 573-4063
Photo of Monique Carroll - Northridge Behavioral Health, Physician Assistant, PA-C
Northridge Behavioral Health
Physician Assistant, PA-C
1 Endorsed
San Antonio, TX 78217
At Northridge Behavioral Health, the goal is to provide high quality mental healthcare to each patient that is individualized and accessible. Our purpose is to assist every person with their mental health journey through Anxiety, ADHD, Anorexia Nervosa, Bipolar Disorder, Bulimia, Depression, Panic Disorder, Postpartum Depression, Schizophrenia, or Sleep Disorder to overcome these challenges. The clinic offers inspiration of hope and empowerment to thrive in all aspects of life.
At Northridge Behavioral Health, the goal is to provide high quality mental healthcare to each patient that is individualized and accessible. Our purpose is to assist every person with their mental health journey through Anxiety, ADHD, Anorexia Nervosa, Bipolar Disorder, Bulimia, Depression, Panic Disorder, Postpartum Depression, Schizophrenia, or Sleep Disorder to overcome these challenges. The clinic offers inspiration of hope and empowerment to thrive in all aspects of life.
(726) 227-3533 View (726) 227-3533
Photo of Perla Silvis, Physician Assistant, PA
Perla Silvis
Physician Assistant, PA
2 Endorsed
San Antonio, TX 78232
Accepting new patients in Texas for evaluation and medication management! Have you been having trouble sleeping, trouble concentrating? Feel like your emotions are no longer under control? You may be having trouble with depression, anxiety or another challenge. I can help. I focus on treating depression, anxiety and ADHD, and all mood disorders. I truly believe the secret to helping my patients succeed is in listening to them and allowing them to be truly heard. I am fluent in both Spanish and English and treat patients ages 10-64.
Accepting new patients in Texas for evaluation and medication management! Have you been having trouble sleeping, trouble concentrating? Feel like your emotions are no longer under control? You may be having trouble with depression, anxiety or another challenge. I can help. I focus on treating depression, anxiety and ADHD, and all mood disorders. I truly believe the secret to helping my patients succeed is in listening to them and allowing them to be truly heard. I am fluent in both Spanish and English and treat patients ages 10-64.
(726) 213-6806 View (726) 213-6806
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 Brian Hollis, Psychiatric Nurse Practitioner, MSN, PMHNP
Brian 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
Ephraim Fombo
Psychiatric Nurse Practitioner, PMHNP
San Antonio, TX 78230
I am a psychiatric nurse practitioner, with seven years of clinical practice at this level. I became an RN for 15 years. During my years as psychiatric provider, I have cared for patients, both acute and ambulatory, with a wide array of behavioral health disorders, including depression, anxiety, schizophrenia, bipolar disorder, suicidal ideation, substance abuse, personality disorders, autism, intellectual disability, intermittent explosive disorder, ADHD, PTSD and others.
I am a psychiatric nurse practitioner, with seven years of clinical practice at this level. I became an RN for 15 years. During my years as psychiatric provider, I have cared for patients, both acute and ambulatory, with a wide array of behavioral health disorders, including depression, anxiety, schizophrenia, bipolar disorder, suicidal ideation, substance abuse, personality disorders, autism, intellectual disability, intermittent explosive disorder, ADHD, PTSD and others.
(726) 207-9293 View (726) 207-9293
Photo of Dee Swart, Psychiatric Nurse Practitioner, PMHNP, DNP, APRN
Dee Swart
Psychiatric Nurse Practitioner, PMHNP, DNP, APRN
3 Endorsed
New Braunfels, TX 78132
As a Veteran, I acknowledge the Warrior ethos that exists in all humans, especially when it comes to mental health and wellness. i am here to work with you, as a team, to achieve the goals that you aspire for yourself. It can range from not being 'that' person anymore to improving my relationships with loved ones. I am also here to help kids and teens be the best version of themselves, however they identify. We can achieve these things better, together.
As a Veteran, I acknowledge the Warrior ethos that exists in all humans, especially when it comes to mental health and wellness. i am here to work with you, as a team, to achieve the goals that you aspire for yourself. It can range from not being 'that' person anymore to improving my relationships with loved ones. I am also here to help kids and teens be the best version of themselves, however they identify. We can achieve these things better, together.
(830) 476-7388 View (830) 476-7388
Photo of Oladunni Liyele, Psychiatric Nurse Practitioner, MSN, PMHNP
Oladunni Liyele
Psychiatric Nurse Practitioner, MSN, PMHNP
Online Only
Facing mental health challenges like depression, anxiety, ADHD, PTSD, or mood disorders can feel overwhelming, but you don’t have to face them alone. As a compassionate psychiatric nurse practitioner with nearly five years of experience, I provide a safe, non-judgmental space where your story takes center stage. My journey began as a registered nurse in diverse settings, including neuro ICU and psychiatry, where I saw the deep impact of mental health and the barriers to care. I’m here to help uncover root causes, foster healing, and empower you to achieve lasting well-being.
Facing mental health challenges like depression, anxiety, ADHD, PTSD, or mood disorders can feel overwhelming, but you don’t have to face them alone. As a compassionate psychiatric nurse practitioner with nearly five years of experience, I provide a safe, non-judgmental space where your story takes center stage. My journey began as a registered nurse in diverse settings, including neuro ICU and psychiatry, where I saw the deep impact of mental health and the barriers to care. I’m here to help uncover root causes, foster healing, and empower you to achieve lasting well-being.
(830) 476-7813 View (830) 476-7813
Photo of Krista N Pasquale, Psychiatric Nurse Practitioner, PMHNP
Krista N Pasquale
Psychiatric Nurse Practitioner, PMHNP
9 Endorsed
Online Only
My ideal client is someone struggling with mental health challenges such as anxiety, ADHD, depression, PTSD, bipolar disorder, addiction, or other mental illnesses. You may feel overwhelmed, stuck, or uncertain about how to regain control of your emotions and find balance in life. However, with a tailored, evidence-based approach that combines psychotherapy and medication management, you can achieve stability, empowerment, and wholeness. Ultimately, you seek healing and stability to live a fulfilling, productive life—free from the limitations of mental health challenges in a holistic way.
My ideal client is someone struggling with mental health challenges such as anxiety, ADHD, depression, PTSD, bipolar disorder, addiction, or other mental illnesses. You may feel overwhelmed, stuck, or uncertain about how to regain control of your emotions and find balance in life. However, with a tailored, evidence-based approach that combines psychotherapy and medication management, you can achieve stability, empowerment, and wholeness. Ultimately, you seek healing and stability to live a fulfilling, productive life—free from the limitations of mental health challenges in a holistic way.
(830) 264-1029 View (830) 264-1029
Photo of Ijeoma Osuji, Psychiatric Nurse Practitioner, NP
Ijeoma Osuji
Psychiatric Nurse Practitioner, NP
Online Only
My name is Ijeoma Osuji, I live in Texas. I am a Psychiatric Mental Health Nurse Practitioner that has been in practice for four years. As a Board Certified Psychiatric-Mental Health Nurse Practitioner since 2019, I have devoted my career to improving the lives of individuals struggling with mental health challenges.
My name is Ijeoma Osuji, I live in Texas. I am a Psychiatric Mental Health Nurse Practitioner that has been in practice for four years. As a Board Certified Psychiatric-Mental Health Nurse Practitioner since 2019, I have devoted my career to improving the lives of individuals struggling with mental health challenges.
(682) 297-7826 View (682) 297-7826
Photo of Victoria Walter-Etoh, Psychiatric Nurse Practitioner, NP
Victoria Walter-Etoh
Psychiatric Nurse Practitioner, NP
San Antonio, TX 78258
Victoria Walter-Etoh is a Nurse Practitioner in Texas who has been practicing since 2022. Victoria utilizes a compassionate and empathetic approach in treating her patients. Building rapport and establishing a strong therapeutic working relationship is very important to her. Victoria believes in developing and implementing a treatment plan for each patient using a patient-centered and evidence-based model. And most importantly, she strives to treat each person with strict confidentiality, dignity, and respect. Outside of work, Victoria enjoys traveling, watching movies, and reading.
Victoria Walter-Etoh is a Nurse Practitioner in Texas who has been practicing since 2022. Victoria utilizes a compassionate and empathetic approach in treating her patients. Building rapport and establishing a strong therapeutic working relationship is very important to her. Victoria believes in developing and implementing a treatment plan for each patient using a patient-centered and evidence-based model. And most importantly, she strives to treat each person with strict confidentiality, dignity, and respect. Outside of work, Victoria enjoys traveling, watching movies, and reading.
(210) 942-7877 View (210) 942-7877
Photo of Ogechi Nwalusi, Psychiatric Nurse Practitioner
Ogechi Nwalusi
Psychiatric Nurse Practitioner
Online Only
I specialize in many mental health disorders, especially psychotic disorders, including schizophrenia, and my approach is rooted in empathy, awareness , education, and empowerment. My goal and approach is to help you understand your mental health, accept it, and work through it—without shame or stigma.
I specialize in many mental health disorders, especially psychotic disorders, including schizophrenia, and my approach is rooted in empathy, awareness , education, and empowerment. My goal and approach is to help you understand your mental health, accept it, and work through it—without shame or stigma.
(915) 268-1361 View (915) 268-1361
Photo of Olanike (Nikki) Katibi - Live Oak Psychiatry and Family Practice, PLLC, Psychiatric Nurse Practitioner, APRN, FNP-C, PMHNP
Live Oak Psychiatry and Family Practice, PLLC
Psychiatric Nurse Practitioner, APRN, FNP-C, PMHNP
San Antonio, TX 78217
Now Accepting New Patients! Appointments within a week are available including, evenings weekdays and weekends. Are you struggling with issues related to trauma, grief, depression, anxiety, or major life changes? At Live Oak Psychiatric and Family Practice, we strive to understand individuals and their symptoms within the context of their environments and relationships. We are skilled in addressing acute and chronic illnesses while maintaining a collaborative, warm and non-judgmental stance. We focus on holistic approach and evidenced based treatment modalities including pharmacologic management and psychotherapeutic interventions.
Now Accepting New Patients! Appointments within a week are available including, evenings weekdays and weekends. Are you struggling with issues related to trauma, grief, depression, anxiety, or major life changes? At Live Oak Psychiatric and Family Practice, we strive to understand individuals and their symptoms within the context of their environments and relationships. We are skilled in addressing acute and chronic illnesses while maintaining a collaborative, warm and non-judgmental stance. We focus on holistic approach and evidenced based treatment modalities including pharmacologic management and psychotherapeutic interventions.
(210) 941-1525 View (210) 941-1525

See more therapy options for 78244

How does your Psychiatrist compare?

Number of Psychiatrists in 78244

< 10

Psychiatrists in 78244 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Child
100% Obsessive-Compulsive (OCD)
100% Parenting
100% Anger Management

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Cigna and Evernorth
100% Medicare

How Psychiatrists in 78244 see their clients

100% In Person and Online
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in 78244?

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.