Psychiatrists in 98391

Photo of Jhoana Miguel, Psychiatric Nurse Practitioner, MSN, AGNP-C, PMHNP
Jhoana Miguel
Psychiatric Nurse Practitioner, MSN, AGNP-C, PMHNP
1 Endorsed
Bonney Lake, WA 98391
Accepting new patients. I am a dual board-certified Psychiatric Mental Health and Adult-Gerontology Primary Care Nurse Practitioner specializing in adult ADHD, anxiety, depression, and autism traits. I provide comprehensive ADHD evaluations and psychometric tests for adults using clinical interviews and standardized screening tools to assess attention, executive functioning, and adaptive behavior. My goal is to provide clear answers and personalized treatment to help adults improve focus, productivity, and daily functioning.
Accepting new patients. I am a dual board-certified Psychiatric Mental Health and Adult-Gerontology Primary Care Nurse Practitioner specializing in adult ADHD, anxiety, depression, and autism traits. I provide comprehensive ADHD evaluations and psychometric tests for adults using clinical interviews and standardized screening tools to assess attention, executive functioning, and adaptive behavior. My goal is to provide clear answers and personalized treatment to help adults improve focus, productivity, and daily functioning.
(253) 215-8909 View (253) 215-8909
Photo of Richard Lewallen, Psychiatric Nurse Practitioner, PMHNP
Richard Lewallen
Psychiatric Nurse Practitioner, PMHNP
Bonney Lake, WA 98391
Life moves fast career demands, family responsibilities, deadlines, and everything in between. It’s easy to look like you’ve got it all together while quietly battling anxiety, depression, or burnout. Perhaps focus has always been a struggle, and you’ve wondered if ADHD plays a part. You’re ready to feel grounded again to find calm, motivation, and direction but you’re not sure where to begin.
Life moves fast career demands, family responsibilities, deadlines, and everything in between. It’s easy to look like you’ve got it all together while quietly battling anxiety, depression, or burnout. Perhaps focus has always been a struggle, and you’ve wondered if ADHD plays a part. You’re ready to feel grounded again to find calm, motivation, and direction but you’re not sure where to begin.
(509) 267-7264 View (509) 267-7264
Photo of Starla Halverson, Psychiatric Nurse Practitioner, ARNP, PMHNP
Starla Halverson
Psychiatric Nurse Practitioner, ARNP, PMHNP
Serves Area
I provide psychiatric mental health care for adolescents and adults in Puyallup, WA and surrounding areas including, but not limited to South Hill, Sumner, Tacoma, Bonney Lake and Pierce County. I work with individuals struggling with anxiety, depression, OCD, trauma, ADHD, bipolar, postpartum depression, burnout, and major life transitions. My approach is thoughtful, collaborative, client-centered and evidence-based, with a focus on my client's needs and wants and individualized medication management. I offer a calm, supportive space where clients feel heard, respected, and empowered to move toward lasting mental wellness.
I provide psychiatric mental health care for adolescents and adults in Puyallup, WA and surrounding areas including, but not limited to South Hill, Sumner, Tacoma, Bonney Lake and Pierce County. I work with individuals struggling with anxiety, depression, OCD, trauma, ADHD, bipolar, postpartum depression, burnout, and major life transitions. My approach is thoughtful, collaborative, client-centered and evidence-based, with a focus on my client's needs and wants and individualized medication management. I offer a calm, supportive space where clients feel heard, respected, and empowered to move toward lasting mental wellness.
(253) 364-4262 View (253) 364-4262
Photo of Yanique Nana Yakam Azah, Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP
Yanique Nana Yakam Azah
Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP
1 Endorsed
Serves Area
Are you looking for symptom relief, improved relationships, better coping skills, increased productivity, and emotional peace? I am here! I support individuals 18+ in finding the right medication and treatment regimen. Are you struggling with persistent symptoms, challenges in managing your symptoms, or high stress? I am here to help! My goal is a holistic, client-centered and evidence-based approach. The treatment plan also involves psychoeducation, lifestyle modifications, and collaborative care. As a licensed clinician, I am bound by the laws of Washington State that outline and define my responsibilities and scope of practice
Are you looking for symptom relief, improved relationships, better coping skills, increased productivity, and emotional peace? I am here! I support individuals 18+ in finding the right medication and treatment regimen. Are you struggling with persistent symptoms, challenges in managing your symptoms, or high stress? I am here to help! My goal is a holistic, client-centered and evidence-based approach. The treatment plan also involves psychoeducation, lifestyle modifications, and collaborative care. As a licensed clinician, I am bound by the laws of Washington State that outline and define my responsibilities and scope of practice
(253) 243-8362 View (253) 243-8362
Photo of Dr. Millicent Mbua, Psychiatric Nurse Practitioner, DNP, PMHNP, FNP, ARNP, BC
Dr. Millicent Mbua
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP, ARNP, BC
1 Endorsed
Online Only
Now enrolling new clients, flexible scheduling, provide telepsychiatry/ telehealth. I hold dual board certification as a Psychiatric Mental Health Nurse Practitioner and a Family Nurse Practitioner. I graduated from University of Washington with a Doctor of Nursing Practice and a post-graduate psychiatric mental health nurse practitioner certification from University of New Hampshire. I specialize in providing psychiatric healthcare, medication management and psychoeducation as well as connecting clients to resources available in their communities to support their journey towards healing and optimal wellness.
Now enrolling new clients, flexible scheduling, provide telepsychiatry/ telehealth. I hold dual board certification as a Psychiatric Mental Health Nurse Practitioner and a Family Nurse Practitioner. I graduated from University of Washington with a Doctor of Nursing Practice and a post-graduate psychiatric mental health nurse practitioner certification from University of New Hampshire. I specialize in providing psychiatric healthcare, medication management and psychoeducation as well as connecting clients to resources available in their communities to support their journey towards healing and optimal wellness.
(253) 400-3349 View (253) 400-3349
Photo of Paul Mathenge, Psychiatric Nurse Practitioner, PMHNP, BC
Paul Mathenge
Psychiatric Nurse Practitioner, PMHNP, BC
Online Only
My ideal client is someone who’s ready to find stability and reclaim a sense of control in their daily life. They may be living with ADHD, mood swings, anxiety, depression, or challenges related to addiction — or they may be older adults in assisted living or long-term care whose symptoms or medications have become difficult to manage. Many of my clients have tried medications before or felt lost in the system and are looking for someone who will slow things down, listen carefully, and create a plan that truly fits them.
My ideal client is someone who’s ready to find stability and reclaim a sense of control in their daily life. They may be living with ADHD, mood swings, anxiety, depression, or challenges related to addiction — or they may be older adults in assisted living or long-term care whose symptoms or medications have become difficult to manage. Many of my clients have tried medications before or felt lost in the system and are looking for someone who will slow things down, listen carefully, and create a plan that truly fits them.
(253) 480-6305 View (253) 480-6305
Photo of Maua Swai - Select Mental Health, Psychiatric Nurse Practitioner, ARNP, FNP-C, PMHNP
Select Mental Health
Psychiatric Nurse Practitioner, ARNP, FNP-C, PMHNP
1 Endorsed
Online Only
Flexible appointments are available. I am Maua Swai, a dedicated Psychiatric-Mental Health Nurse Practitioner (PMHNP), I bring forth a blend of clinical expertise, deep empathy, and an unwavering commitment to guide you towards a brighter and more balanced mental health journey. I am an accomplished PMHNP with a profound passion for empowering individuals to regain control over their mental health. With an extensive background in nursing and advanced training in psychiatry, I have honed a comprehensive skill set to address an array of mental health conditions through medication management and supportive therapy - CBT.
Flexible appointments are available. I am Maua Swai, a dedicated Psychiatric-Mental Health Nurse Practitioner (PMHNP), I bring forth a blend of clinical expertise, deep empathy, and an unwavering commitment to guide you towards a brighter and more balanced mental health journey. I am an accomplished PMHNP with a profound passion for empowering individuals to regain control over their mental health. With an extensive background in nursing and advanced training in psychiatry, I have honed a comprehensive skill set to address an array of mental health conditions through medication management and supportive therapy - CBT.
(360) 732-8454 View (360) 732-8454
Photo of Martha Mburu, Psychiatric Nurse Practitioner, PMHNP
Martha Mburu
Psychiatric Nurse Practitioner, PMHNP
Online Only
I am a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with more than 20 years of experience in healthcare. I am dedicated to providing compassionate, evidence-based care to individuals across the lifespan. My combined training allows me to address both physical and mental health needs, recognizing the strong connection between overall health and emotional well-being.
I am a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with more than 20 years of experience in healthcare. I am dedicated to providing compassionate, evidence-based care to individuals across the lifespan. My combined training allows me to address both physical and mental health needs, recognizing the strong connection between overall health and emotional well-being.
(253) 461-1218 View (253) 461-1218
Photo of Angela Tefft, Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP
Angela Tefft
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP
Online Only
I am a board certified Family Psychiatric Nurse Practitioner and Family Nurse Practitioner who treats clients of all ages. I have nearly 30 years of experience in nursing which allows me to consider mind-body factors which contribute to mental health and physical disorders. I treat most disorders, including depression, bipolar disorder, anxiety, trauma-related disorders, and psychosis. I work with the client to develop an integrative treatment plan, using medications, naturopathic supplements as well as CBT, mindfulness and DBT methods to help clients achieve the highest level of wellness.
I am a board certified Family Psychiatric Nurse Practitioner and Family Nurse Practitioner who treats clients of all ages. I have nearly 30 years of experience in nursing which allows me to consider mind-body factors which contribute to mental health and physical disorders. I treat most disorders, including depression, bipolar disorder, anxiety, trauma-related disorders, and psychosis. I work with the client to develop an integrative treatment plan, using medications, naturopathic supplements as well as CBT, mindfulness and DBT methods to help clients achieve the highest level of wellness.
(206) 451-1878 View (206) 451-1878
Photo of Travis Albers, Psychiatric Nurse Practitioner, PMHNP
Travis Albers
Psychiatric Nurse Practitioner, PMHNP
23 Endorsed
Online Only
Immediate Openings — Let’s Find What Works for You! I help adults navigate ADHD, anxiety, depression, and the everyday challenges of being human. My approach to medication management and therapy is warm, collaborative and grounded in your values—not a one-size-fits-all plan.
Immediate Openings — Let’s Find What Works for You! I help adults navigate ADHD, anxiety, depression, and the everyday challenges of being human. My approach to medication management and therapy is warm, collaborative and grounded in your values—not a one-size-fits-all plan.
(206) 736-4381 View (206) 736-4381
Photo of Carolyn Conover, Psychiatric Nurse, PMHNP
Carolyn Conover
Psychiatric Nurse, PMHNP
Online Only
Now accepting new clients! My approach doesn't include rushed prescriptions or a "one-size-fits all" solution. I will collaborate with you on a treatment plan that is tailored to your unique needs and preferences. By integrating medication management with various therapeutic techniques in a relaxed, conversational environment, I create a space where you can explore your thoughts and feelings deeply and comfortably. My hope is that you will leave our session with a sense of relief, knowing that you have a provider who hears you, and a treatment plan that reflects deep consideration of your needs.
Now accepting new clients! My approach doesn't include rushed prescriptions or a "one-size-fits all" solution. I will collaborate with you on a treatment plan that is tailored to your unique needs and preferences. By integrating medication management with various therapeutic techniques in a relaxed, conversational environment, I create a space where you can explore your thoughts and feelings deeply and comfortably. My hope is that you will leave our session with a sense of relief, knowing that you have a provider who hears you, and a treatment plan that reflects deep consideration of your needs.
(253) 525-1959 View (253) 525-1959
Photo of Andrew Gault, Psychiatric Nurse Practitioner, ARNP, PMHNP, AGACNP
Andrew Gault
Psychiatric Nurse Practitioner, ARNP, PMHNP, AGACNP
Online Only
Are you an adult struggling with depression, anxiety, or PTSD and searching for options beyond traditional antidepressants? Perhaps you are interested in exploring ketamine, evidence-based supplements, neuromodulation (tDCS), or integrative lifestyle modifications—especially if standard treatments haven’t done enough. Whether you’re already in therapy—which I highly encourage on your path to healing—or are just starting your journey, you deserve a provider who sees the whole person. I will work with you to find a treatment plan that aligns with your body and mind.
Are you an adult struggling with depression, anxiety, or PTSD and searching for options beyond traditional antidepressants? Perhaps you are interested in exploring ketamine, evidence-based supplements, neuromodulation (tDCS), or integrative lifestyle modifications—especially if standard treatments haven’t done enough. Whether you’re already in therapy—which I highly encourage on your path to healing—or are just starting your journey, you deserve a provider who sees the whole person. I will work with you to find a treatment plan that aligns with your body and mind.
(206) 202-8358 View (206) 202-8358
Photo of Beatrice Mkubwa, Psychiatric Nurse Practitioner, PMHNP
Beatrice Mkubwa
Psychiatric Nurse Practitioner, PMHNP
Online Only
I am a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) providing diagnostic services, medication management, and psychotherapy for individuals aged six and older. With over 20 years of experience in psychiatric care, I offer telehealth services in Washington. I believe in the combined effectiveness of therapy and medication management to optimize outcomes, working collaboratively with my patients to develop personalized care plans.
I am a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) providing diagnostic services, medication management, and psychotherapy for individuals aged six and older. With over 20 years of experience in psychiatric care, I offer telehealth services in Washington. I believe in the combined effectiveness of therapy and medication management to optimize outcomes, working collaboratively with my patients to develop personalized care plans.
(253) 733-0079 View (253) 733-0079
Photo of Ruth Mongare, Psychiatric Nurse Practitioner, DNP, PMHNP
Ruth Mongare
Psychiatric Nurse Practitioner, DNP, PMHNP
1 Endorsed
Online Only
Hi, my name is Ruth Mongare, founder of True North Psychiatry & Wellness Center. My practice is grounded in thoughtful, evidence-based psychiatric care guided by a holistic understanding of mental health. I recognize that emotional well-being is shaped not only by neurobiology, but also by life experiences, physical health, environment, and personal values.
Hi, my name is Ruth Mongare, founder of True North Psychiatry & Wellness Center. My practice is grounded in thoughtful, evidence-based psychiatric care guided by a holistic understanding of mental health. I recognize that emotional well-being is shaped not only by neurobiology, but also by life experiences, physical health, environment, and personal values.
(425) 474-3125 View (425) 474-3125
Photo of Dr. Alison DeMiero, Psychiatric Nurse Practitioner, DNP, PMHNP
Dr. Alison DeMiero
Psychiatric Nurse Practitioner, DNP, PMHNP
Online Only
Are you exhausted from feeling "fine" on paper but struggling with anxiety, depression, ADHD, OCD, fatigue, brain fog, or insomnia that won't quit? Maybe you've tried medications that didn't work, or you're tired of providers who don't dig deeper. I work with adults across Washington State (via telehealth) who are ready to find the root cause—not just mask symptoms. My patients often come after seeing other providers and need someone who will investigate the whole picture: your sleep, nutrition, gut health, inflammation, stress, and lifestyle. I accept most major insurance including Regence, Premera, Kaiser, Aetna, and Lifewise.
Are you exhausted from feeling "fine" on paper but struggling with anxiety, depression, ADHD, OCD, fatigue, brain fog, or insomnia that won't quit? Maybe you've tried medications that didn't work, or you're tired of providers who don't dig deeper. I work with adults across Washington State (via telehealth) who are ready to find the root cause—not just mask symptoms. My patients often come after seeing other providers and need someone who will investigate the whole picture: your sleep, nutrition, gut health, inflammation, stress, and lifestyle. I accept most major insurance including Regence, Premera, Kaiser, Aetna, and Lifewise.
(253) 676-9035 View (253) 676-9035
Photo of Karlee Wilson, Psychiatric Nurse Practitioner, ARNP, PMHNP
Karlee Wilson
Psychiatric Nurse Practitioner, ARNP, PMHNP
1 Endorsed
Online Only
If you’re feeling overwhelmed by anxiety, depression, insomnia, ADHD, or difficult life transitions, you’re not alone and support can make a real difference. I work with adults 18+ to help improve your quality of life and help you move forward with confidence.
If you’re feeling overwhelmed by anxiety, depression, insomnia, ADHD, or difficult life transitions, you’re not alone and support can make a real difference. I work with adults 18+ to help improve your quality of life and help you move forward with confidence.
(425) 475-1235 View (425) 475-1235
Photo of Francis Manga - Above and Beyond Psychiatry PLLC, Psychiatric Nurse Practitioner, PMHNP-B, APRN, MSN
Above and Beyond Psychiatry PLLC
Psychiatric Nurse Practitioner, PMHNP-B, APRN, MSN
1 Endorsed
Online Only
Every mental health patient and their family are different in their unique ways. My goal is to create a special individualized treatment plan to help every one of my patients achieve the best possible outcome. As a patient, you can rest assured that you will get my undivided attention, you will be cared for with a professional attitude. You will be given adequate time to talk about your symptoms without any rush. While you will enjoy a non-judgmental environment and encounter during each visit, I must trust that you will honestly share with me your symptoms, to enable me to create the best possible treatment plan.
Every mental health patient and their family are different in their unique ways. My goal is to create a special individualized treatment plan to help every one of my patients achieve the best possible outcome. As a patient, you can rest assured that you will get my undivided attention, you will be cared for with a professional attitude. You will be given adequate time to talk about your symptoms without any rush. While you will enjoy a non-judgmental environment and encounter during each visit, I must trust that you will honestly share with me your symptoms, to enable me to create the best possible treatment plan.
(509) 223-7110 View (509) 223-7110

More Psychiatrists Nearby

Photo of Julian Montanez - Neupathway (Julian Montanez), Psychiatric Nurse Practitioner, APRN, PMHNP-B, MSN, BSN
Neupathway (Julian Montanez)
Psychiatric Nurse Practitioner, APRN, PMHNP-B, MSN, BSN
Issaquah, WA 98027
Great News! Julian Montanez is now accepting new patients for psychiatric medication management—with appointments in as little as 48 hours and Saturday availability! Picture yourself stepping into a welcoming virtual space where crushing anxiety, lingering depression, sleepless nights, or roller-coaster moods meet expert attention and genuine compassion. Get lightning-fast access to evidence-based medication support, crystal-clear guidance, and a judgment-free zone—all tailored to help you reclaim stability, confidence, and peace of mind, sooner than you thought possible.
Great News! Julian Montanez is now accepting new patients for psychiatric medication management—with appointments in as little as 48 hours and Saturday availability! Picture yourself stepping into a welcoming virtual space where crushing anxiety, lingering depression, sleepless nights, or roller-coaster moods meet expert attention and genuine compassion. Get lightning-fast access to evidence-based medication support, crystal-clear guidance, and a judgment-free zone—all tailored to help you reclaim stability, confidence, and peace of mind, sooner than you thought possible.
(425) 842-2526 View (425) 842-2526
Photo of Audrey Shilander, Psychiatrist, D.O., FAPA
Audrey Shilander
Psychiatrist, D.O., FAPA
Tacoma, WA 98406
I am board certified by the American Board of Psychiatry and Neurology in General Psychiatry. I specialize in treating a wide range of psychiatric conditions, including mood, anxiety, and trauma-related disorders. My clinical interests include women’s mental health, veteran mental health, and eating disorders, and I have received multiple awards for my commitment to community service.
I am board certified by the American Board of Psychiatry and Neurology in General Psychiatry. I specialize in treating a wide range of psychiatric conditions, including mood, anxiety, and trauma-related disorders. My clinical interests include women’s mental health, veteran mental health, and eating disorders, and I have received multiple awards for my commitment to community service.
(725) 525-2934 View (725) 525-2934
Photo of Michael Van Gelder, Psychiatric Nurse Practitioner, MS, MN, PMHNP
Michael Van Gelder
Psychiatric Nurse Practitioner, MS, MN, PMHNP
2 Endorsed
Seattle, WA 98103
I'm a board-certified PMHNP with 15+ years of experience in community mental health and private practice. Through Think Beyond Psych, I provide care for adults in Washington — in-person in Spokane and via telehealth statewide. I work with adults navigating anxiety, depression, OCD, ADHD (with established diagnosis), grief, postpartum mental health, and identity-related struggles. I especially enjoy LGBTQ+ clients and adults who feel rushed or misunderstood by traditional systems. I don't prescribe benzodiazepines or treat active crises, psychosis, substance use, or personality disorders.
I'm a board-certified PMHNP with 15+ years of experience in community mental health and private practice. Through Think Beyond Psych, I provide care for adults in Washington — in-person in Spokane and via telehealth statewide. I work with adults navigating anxiety, depression, OCD, ADHD (with established diagnosis), grief, postpartum mental health, and identity-related struggles. I especially enjoy LGBTQ+ clients and adults who feel rushed or misunderstood by traditional systems. I don't prescribe benzodiazepines or treat active crises, psychosis, substance use, or personality disorders.
(509) 498-6388 View (509) 498-6388

See more therapy options for 98391

How does your Psychiatrist compare?

Number of Psychiatrists in 98391

10+

Average cost per session

$150

Psychiatrists in 98391 who prioritize treating:

100% Depression
100% Anxiety
94% ADHD
82% Obsessive-Compulsive (OCD)
82% Bipolar Disorder
76% Trauma and PTSD
71% Sleep or Insomnia

Average years in practice

10 Years

Top 3 insurances accepted

88% Aetna
82% Cigna and Evernorth
82% Regence

How Psychiatrists in 98391 see their clients

76% Online Only
24% In Person and Online

Gender breakdown

69% Female
31% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in 98391?

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.