Psychiatrists in 98445

Photo of Elizabeth Murage, Psychiatric Nurse Practitioner, APRN, PMHNP
Elizabeth Murage
Psychiatric Nurse Practitioner, APRN, PMHNP
2 Endorsed
Tacoma, WA 98445
Life can feel overwhelming—especially when your mental health makes it hard to think clearly or feel like yourself. You’re not alone, and you don’t have to navigate it on your own. I’m a board-certified Psychiatric Mental Health Nurse Practitioner with 15+ years of experience supporting adults with depression, anxiety, bipolar disorder, PTSD, OCD, and more. I provide personalized medication management and supportive therapy tailored to your needs. My approach is compassionate, collaborative, and holistic. I’m here to listen, support, and help you move toward feeling like yourself again—at your own pace.
Life can feel overwhelming—especially when your mental health makes it hard to think clearly or feel like yourself. You’re not alone, and you don’t have to navigate it on your own. I’m a board-certified Psychiatric Mental Health Nurse Practitioner with 15+ years of experience supporting adults with depression, anxiety, bipolar disorder, PTSD, OCD, and more. I provide personalized medication management and supportive therapy tailored to your needs. My approach is compassionate, collaborative, and holistic. I’m here to listen, support, and help you move toward feeling like yourself again—at your own pace.
(509) 631-9474 View (509) 631-9474
Photo of Judith Olepere - AJ Psychiatry PLLC, Psychiatric Nurse Practitioner, MSN, PMHNP , BC
AJ Psychiatry PLLC
Psychiatric Nurse Practitioner, MSN, PMHNP , BC
1 Endorsed
Online Only
Judy Olepere MSN -Now accepting New Patients. "Telemedicine appointments only". Are you struggling with depression, anxiety or even mood instability or struggling with addiction? Do you feel that life is so hard and you are constantly dealing with sadness? Do you just want to be happy again? I am here to walk with you in this journey. I strive to create a welcoming and inclusive environment where you feel safe, accepted and understood.
Judy Olepere MSN -Now accepting New Patients. "Telemedicine appointments only". Are you struggling with depression, anxiety or even mood instability or struggling with addiction? Do you feel that life is so hard and you are constantly dealing with sadness? Do you just want to be happy again? I am here to walk with you in this journey. I strive to create a welcoming and inclusive environment where you feel safe, accepted and understood.
(509) 517-6830 View (509) 517-6830
Photo of Dr. Macbarbara Amaechi - Blissz Psychiatry & Healthcare LLC , Psychiatric Nurse Practitioner, DNP
Blissz Psychiatry & Healthcare LLC
Psychiatric Nurse Practitioner, DNP
4 Endorsed
Online Only
Choosing the right provider can feel overwhelming, but I’m truly glad you’re here and I’m proud of you for taking this step. If you’ve been crying often, unable to focus, stuck in bed, feeling drained, experiencing panic attacks, struggling to sleep, losing your appetite, hearing things or feeling disconnected from things you once loved, you’re not alone. These are real struggles, and you deserve real support. I offer a compassionate space where you're heard, and understood. I take the time to listen carefully to your symptoms and work with you to create a personalized plan that brings clarity, balance, and hope back into your life.
Choosing the right provider can feel overwhelming, but I’m truly glad you’re here and I’m proud of you for taking this step. If you’ve been crying often, unable to focus, stuck in bed, feeling drained, experiencing panic attacks, struggling to sleep, losing your appetite, hearing things or feeling disconnected from things you once loved, you’re not alone. These are real struggles, and you deserve real support. I offer a compassionate space where you're heard, and understood. I take the time to listen carefully to your symptoms and work with you to create a personalized plan that brings clarity, balance, and hope back into your life.
(346) 261-0489 View (346) 261-0489

More Psychiatrists Nearby

Photo of Victoria A Wright, Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP, FP
Victoria A Wright
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP, FP
Olympia, WA 98506
I offer Medication management of emotional disorders and psychiatric disorders. I have worked in medicine for nearly 35 years! Family practice, psychiatric medicines, and urgent care. My work history includes critical care at Harborview Medical Center, elsewhere oncology, Native American Tribes, and urgent care on a mobile unit in Central Florida while working with Healthcare for the Homeless. Board-certified in family practice and psychiatric medicines. Also a Doctorate in Nursing Practice.
I offer Medication management of emotional disorders and psychiatric disorders. I have worked in medicine for nearly 35 years! Family practice, psychiatric medicines, and urgent care. My work history includes critical care at Harborview Medical Center, elsewhere oncology, Native American Tribes, and urgent care on a mobile unit in Central Florida while working with Healthcare for the Homeless. Board-certified in family practice and psychiatric medicines. Also a Doctorate in Nursing Practice.
(360) 997-1188 View (360) 997-1188
Photo of Kory Simonsen, Psychiatric Nurse Practitioner, DNP, PMHNPBC
Kory Simonsen
Psychiatric Nurse Practitioner, DNP, PMHNPBC
1 Endorsed
Renton, WA 98057
If you’re all too familiar with the relentless thought of ‘I can’t continue living like this,’ it’s a clear sign that you’re ready for change. I approach mental health as a transformative journey through a liminal space—an in-between space where one stands on the edge of old and new or growth and change, opening the door to new possibilities and personal transformations. Mental health extends far beyond a mere collection of symptoms or diagnoses; it’s a dynamic process that involves the intricate interplay of biological, psychological, and social factors that all contribute to your lived experience.
If you’re all too familiar with the relentless thought of ‘I can’t continue living like this,’ it’s a clear sign that you’re ready for change. I approach mental health as a transformative journey through a liminal space—an in-between space where one stands on the edge of old and new or growth and change, opening the door to new possibilities and personal transformations. Mental health extends far beyond a mere collection of symptoms or diagnoses; it’s a dynamic process that involves the intricate interplay of biological, psychological, and social factors that all contribute to your lived experience.
(425) 842-1138 View (425) 842-1138
Photo of Madeline Bristol, Psychiatric Nurse Practitioner, PMHNP
Madeline Bristol
Psychiatric Nurse Practitioner, PMHNP
Seattle, WA 98134
I truly believe that each patient is unique and has different needs; therefore, the services they receive should be tailored to each individual. I offer medication management services that target the symptoms you are experiencing. I am a board-certified psychiatric nurse practitioner with experience working with patients in all age groups. I have cared for patients with anxiety disorders, including OCD, social anxiety disorder, panic disorder, mood disorders including depression, bipolar spectrum disorders, as well as conditions under the umbrella of neurodivergence including ADHD and more!
I truly believe that each patient is unique and has different needs; therefore, the services they receive should be tailored to each individual. I offer medication management services that target the symptoms you are experiencing. I am a board-certified psychiatric nurse practitioner with experience working with patients in all age groups. I have cared for patients with anxiety disorders, including OCD, social anxiety disorder, panic disorder, mood disorders including depression, bipolar spectrum disorders, as well as conditions under the umbrella of neurodivergence including ADHD and more!
(206) 593-2789 View (206) 593-2789
Photo of Adam Jenrola, Psychiatric Nurse Practitioner, MSN, PMHNP
Adam Jenrola
Psychiatric Nurse Practitioner, MSN, PMHNP
Serves Area
I am a board-certified Psychiatric Nurse Practitioner (PMHNP) with over a decade of experience providing comprehensive mental health care in hospital, crisis, and outpatient settings. My expertise includes conducting psychiatric evaluations and treating conditions such as depression, anxiety, PTSD, and ADHD. I am proficient in telehealth and experienced in delivering high-quality virtual care using various platforms. Committed to patient-centered treatment, I integrate evidence-based approaches with a compassionate, individualized focus to support each patient’s mental health and well-being.
I am a board-certified Psychiatric Nurse Practitioner (PMHNP) with over a decade of experience providing comprehensive mental health care in hospital, crisis, and outpatient settings. My expertise includes conducting psychiatric evaluations and treating conditions such as depression, anxiety, PTSD, and ADHD. I am proficient in telehealth and experienced in delivering high-quality virtual care using various platforms. Committed to patient-centered treatment, I integrate evidence-based approaches with a compassionate, individualized focus to support each patient’s mental health and well-being.
(360) 516-1169 View (360) 516-1169
Photo of Cristopher Miranda - ADHD Autism ARNP (Cris Miranda), Psychiatric Nurse Practitioner, ARNP, PMHNP
ADHD Autism ARNP (Cris Miranda)
Psychiatric Nurse Practitioner, ARNP, PMHNP
1 Endorsed
Seattle, WA 98188
Having problems with undiagnosed ADHD / ADD, Avoidance, Having too many tasks / projects, Concentration issues, Paying attention, Racing thoughts, Distractions, Mental fog, or “Forever playing catch-up”? I use Medication management in addition to Laser Therapy and Psychotherapy. I use this three-way method that is personalized, unique, and effective. No other mental health provider in the area has such a comprehensive solution to your problems.
Having problems with undiagnosed ADHD / ADD, Avoidance, Having too many tasks / projects, Concentration issues, Paying attention, Racing thoughts, Distractions, Mental fog, or “Forever playing catch-up”? I use Medication management in addition to Laser Therapy and Psychotherapy. I use this three-way method that is personalized, unique, and effective. No other mental health provider in the area has such a comprehensive solution to your problems.
(425) 640-7009 x1 View (425) 640-7009 x1
Photo of Nonso Onochie, Psychiatric Nurse Practitioner, DNP, PMHNP
Nonso Onochie
Psychiatric Nurse Practitioner, DNP, PMHNP
Federal Way, WA 98003
I provide compassionate, personalized psychiatric care for adults and teens. My focus is on building stability, improving mood, and helping you reconnect with what matters most—your peace, confidence, and joy.
I provide compassionate, personalized psychiatric care for adults and teens. My focus is on building stability, improving mood, and helping you reconnect with what matters most—your peace, confidence, and joy.
(206) 590-3632 View (206) 590-3632
Photo of Marli W Parobek - Precision Psychiatry - Dr. Marli W. Parobek, Psychiatric Nurse Practitioner, DNP, PMHNP, FNP
Precision Psychiatry - Dr. Marli W. Parobek
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP
Vashon, WA 98070
Hello. I am Dr. Marli W. Parobek, owner of Precision Psychiatry. My practice is focused on medication treatment that is tailored to meet your specific mental health needs. I am dedicated to delivering modern medical solutions with a practical application. Everyone has different needs and your care deserves to be individualized. When you are ready, I am here to help in your pursuit of wellness.
Hello. I am Dr. Marli W. Parobek, owner of Precision Psychiatry. My practice is focused on medication treatment that is tailored to meet your specific mental health needs. I am dedicated to delivering modern medical solutions with a practical application. Everyone has different needs and your care deserves to be individualized. When you are ready, I am here to help in your pursuit of wellness.
(206) 312-4172 View (206) 312-4172
Photo of Charlene Lacambra, Psychiatric Nurse Practitioner, PMHNP
Charlene Lacambra
Psychiatric Nurse Practitioner, PMHNP
Serves Area
Struggling with ADHD, anxiety, depression, or mood disorders? I am a board-certified psychiatric NP specializing in personalized treatment that goes beyond medication to truly address root causes. Rushed visits often miss the full picture. I've personally helped many thousands of patients successfully find lasting relief when past care left them with prescriptions but no real answers. Want to fully overcome your symptoms that are holding you back from a better life? ⇒ Appointments typically available within 4 days.
Struggling with ADHD, anxiety, depression, or mood disorders? I am a board-certified psychiatric NP specializing in personalized treatment that goes beyond medication to truly address root causes. Rushed visits often miss the full picture. I've personally helped many thousands of patients successfully find lasting relief when past care left them with prescriptions but no real answers. Want to fully overcome your symptoms that are holding you back from a better life? ⇒ Appointments typically available within 4 days.
(425) 675-9340 View (425) 675-9340
Photo of Diana Wilcox - Clear TMS+, Psychiatric Nurse Practitioner, PMHNP
Clear TMS+
Psychiatric Nurse Practitioner, PMHNP
Olympia, WA 98501
Accepting new patients! We understand how difficult it can be to find a treatment that works for you. But there's no need to lose hope. TMS Therapy is an FDA-approved, revolutionary, and non-invasive solution that can help you unlock a brighter tomorrow.e offer a personalized, safe, and effective approach that can help you revitalize your well-being. We understand that every journey to mental health is unique, which is why we tailor our therapy to meet your specific needs. With TMS Therapy, you can elevate your mood, restore balance, and rediscover the joy of living. Note: we accept state insurances only for depression treatement
Accepting new patients! We understand how difficult it can be to find a treatment that works for you. But there's no need to lose hope. TMS Therapy is an FDA-approved, revolutionary, and non-invasive solution that can help you unlock a brighter tomorrow.e offer a personalized, safe, and effective approach that can help you revitalize your well-being. We understand that every journey to mental health is unique, which is why we tailor our therapy to meet your specific needs. With TMS Therapy, you can elevate your mood, restore balance, and rediscover the joy of living. Note: we accept state insurances only for depression treatement
(360) 523-1403 View (360) 523-1403
Oluwatosin Adewumi
Psychiatric Nurse Practitioner, MSN, FNP, PMHNP
Serves Area
My ideal patient is someone who comes to our virtual sessions ready to take an active, compassionate role in their own healing. They’re open about their experiences, curious about understanding their mind, and willing to work collaboratively toward balance and growth. They value consistency, communicate honestly, and see our time together as a safe space for reflection and progress. By showing up with commitment and openness, they allow me to provide thoughtful, evidence-based care that supports lasting emotional well-being and a more grounded, fulfilling life.
My ideal patient is someone who comes to our virtual sessions ready to take an active, compassionate role in their own healing. They’re open about their experiences, curious about understanding their mind, and willing to work collaboratively toward balance and growth. They value consistency, communicate honestly, and see our time together as a safe space for reflection and progress. By showing up with commitment and openness, they allow me to provide thoughtful, evidence-based care that supports lasting emotional well-being and a more grounded, fulfilling life.
(253) 319-3680 View (253) 319-3680
Photo of Luke Greene, Psychiatric Nurse Practitioner, ARNP
Luke Greene
Psychiatric Nurse Practitioner, ARNP
1 Endorsed
Serves Area
As an authentic and personable care provider, Luke’s goal is to make personal local mental health care available for everyone. Luke earned his Master’s degree as a Psychiatric Mental Health Nurse Practitioner from Azusa Pacific University in California in 2012. During this time, he worked for a private mental health facility and for the local VA. Luke has more than ten years of experience providing mental health care in both outpatient and inpatient facilities. He was as an outpatient mental health care provider for the VA center in Bath, New York for over four years.
As an authentic and personable care provider, Luke’s goal is to make personal local mental health care available for everyone. Luke earned his Master’s degree as a Psychiatric Mental Health Nurse Practitioner from Azusa Pacific University in California in 2012. During this time, he worked for a private mental health facility and for the local VA. Luke has more than ten years of experience providing mental health care in both outpatient and inpatient facilities. He was as an outpatient mental health care provider for the VA center in Bath, New York for over four years.
(360) 938-4387 View (360) 938-4387
Photo of Elizabeth Emeri, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Elizabeth Emeri
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
1 Endorsed
Tacoma, WA 98402
Are you having persistent feeling of sadness, low mood, feeling empty or hopelessness, and a loss of interest or pleasure in previously enjoyed activities. Disrupted sleep patterns, fatigue, feelings of worthlessness or excessive guilt, difficulty concentrating? Are you feeling uneasiness, apprehension, or excessive worry, sudden and intense episodes of fear. Are you having flashbacks, nightmares, and hypervigilance? Persistent difficulty in falling asleep, staying asleep? I provide the highest level of evidenced based practice approach along with holistic principles and personalized care. Stigma free space. We’re here to help.
Are you having persistent feeling of sadness, low mood, feeling empty or hopelessness, and a loss of interest or pleasure in previously enjoyed activities. Disrupted sleep patterns, fatigue, feelings of worthlessness or excessive guilt, difficulty concentrating? Are you feeling uneasiness, apprehension, or excessive worry, sudden and intense episodes of fear. Are you having flashbacks, nightmares, and hypervigilance? Persistent difficulty in falling asleep, staying asleep? I provide the highest level of evidenced based practice approach along with holistic principles and personalized care. Stigma free space. We’re here to help.
(253) 544-4681 View (253) 544-4681
Photo of Jennifer Irwin, Psychiatrist, MD
Jennifer Irwin
Psychiatrist, MD
1 Endorsed
Gig Harbor, WA 98335
Dr. Irwin is a general psychiatrist interested in an integrative care approach to healing, incorporating medication, psychotherapy and exercise. After graduating Hartwick College, in upstate New York, summa cum laude with departmental honors in Biology, Dr. Irwin attended Michigan State Medical School. She went on to complete four years of residency training in Psychiatry at the Henry Ford Health System in Detroit and moved to Washington in 1999. In my free time, I enjoy spending time with my family and friends, hiking, skiing, and practicing yoga and meditation.
Dr. Irwin is a general psychiatrist interested in an integrative care approach to healing, incorporating medication, psychotherapy and exercise. After graduating Hartwick College, in upstate New York, summa cum laude with departmental honors in Biology, Dr. Irwin attended Michigan State Medical School. She went on to complete four years of residency training in Psychiatry at the Henry Ford Health System in Detroit and moved to Washington in 1999. In my free time, I enjoy spending time with my family and friends, hiking, skiing, and practicing yoga and meditation.
(253) 338-5169 View (253) 338-5169
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
Serves Area
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) 400-2979 View (425) 400-2979
Photo of Dr. Ronil Shah, Psychiatrist, MD
Dr. Ronil Shah
Psychiatrist, MD
Tacoma, WA 98406
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 Keyna Graham-Heine, Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP
Keyna Graham-Heine
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP
1 Endorsed
Lakewood, WA 98499
Accepting new patients. I provide psychiatric evaluation and medication management for adults, including women from the perinatal period to midlife. My work focuses on accurate diagnosis, collaborative treatment planning, and ongoing follow-up. Maybe medications haven’t worked, or side effects make you question if they are worth it. No matter if it’s your first time asking for help or you’ve done this before, you deserve care that feels right. I provide psychiatric support to clarify what’s going on and a plan to help you meet your goals.
Accepting new patients. I provide psychiatric evaluation and medication management for adults, including women from the perinatal period to midlife. My work focuses on accurate diagnosis, collaborative treatment planning, and ongoing follow-up. Maybe medications haven’t worked, or side effects make you question if they are worth it. No matter if it’s your first time asking for help or you’ve done this before, you deserve care that feels right. I provide psychiatric support to clarify what’s going on and a plan to help you meet your goals.
(253) 364-6054 View (253) 364-6054
Photo of Robert Petit, Psychiatric Nurse Practitioner, APRN, PMHNP
Robert Petit
Psychiatric Nurse Practitioner, APRN, PMHNP
Tukwila, WA 98188
My ideal client is struggling with anxiety, depression, ADHD, or substance use, feeling overwhelmed by daily life and searching for balance. They seek clarity, stability, and strategies to regain control over their emotions and behaviors. They want to break free from cycles of distress, improve relationships, and build a fulfilling life. Driven by a deep desire for change, they reach out for guidance, hoping to find support, tools, and insight to navigate their challenges and create lasting well-being.
My ideal client is struggling with anxiety, depression, ADHD, or substance use, feeling overwhelmed by daily life and searching for balance. They seek clarity, stability, and strategies to regain control over their emotions and behaviors. They want to break free from cycles of distress, improve relationships, and build a fulfilling life. Driven by a deep desire for change, they reach out for guidance, hoping to find support, tools, and insight to navigate their challenges and create lasting well-being.
(206) 495-6617 View (206) 495-6617

See more therapy options for 98445

How does your Psychiatrist compare?

Number of Psychiatrists in 98445

< 10

Psychiatrists in 98445 who prioritize treating:

100% Depression
100% ADHD
100% Anxiety
100% Trauma and PTSD
100% Bipolar Disorder
100% Anger Management
100% Behavioral Issues

Average years in practice

8 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Regence

How Psychiatrists in 98445 see their clients

67% Online Only
33% In Person and Online

Gender breakdown

100% Female
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in 98445?

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.