Psychiatrists in San Francisco, CA

Photo of Takeo Toyoshima, Psychiatrist in San Francisco, CA
Takeo Toyoshima
Psychiatrist, MD
Verified Verified
San Francisco, CA 94121
I am a Yale, UCLA and UCSF-trained addiction psychiatrist. I provide confidential, evidence-based treatment for mental health issues and addictions, including opioids, alcohol, cocaine, amphetamines, tobacco, cannabis, and behavioral addictions like internet, gaming, and gambling. These are NOT moral or character failings, but rather medical conditions that can affect anyone at any time, from any walk of life, with oftentimes serious personal, relational, and professional consequences. Though validated treatments exist, these are often underutilized due to medical providers’ discomfort, lack of education, and/or stigma.
I am a Yale, UCLA and UCSF-trained addiction psychiatrist. I provide confidential, evidence-based treatment for mental health issues and addictions, including opioids, alcohol, cocaine, amphetamines, tobacco, cannabis, and behavioral addictions like internet, gaming, and gambling. These are NOT moral or character failings, but rather medical conditions that can affect anyone at any time, from any walk of life, with oftentimes serious personal, relational, and professional consequences. Though validated treatments exist, these are often underutilized due to medical providers’ discomfort, lack of education, and/or stigma.
(628) 300-3719 View (628) 300-3719
Photo of Don Schwarcz, Psychiatrist in San Francisco, CA
Don Schwarcz
Psychiatrist, MD, CCHT
Verified Verified
San Francisco, CA 94114  (Online Only)
You will benefit from Hypnotherapy if you're able to select a specific issue or concern you would like to change about your current circumstances, and have some capacity to visualize how you imagine your life will look once you've successfully achieved this goal. There are many different areas for which hypnotherapy can be quite successful in helping bring about the desired changes. Some of the more common issues treated with hypnotherapy include increasing self-esteem and self-confidence, eliminating fears, anxieties, and phobias, overcoming inertia, and psychological blocks of all kinds that keep you from achieving your goals.
You will benefit from Hypnotherapy if you're able to select a specific issue or concern you would like to change about your current circumstances, and have some capacity to visualize how you imagine your life will look once you've successfully achieved this goal. There are many different areas for which hypnotherapy can be quite successful in helping bring about the desired changes. Some of the more common issues treated with hypnotherapy include increasing self-esteem and self-confidence, eliminating fears, anxieties, and phobias, overcoming inertia, and psychological blocks of all kinds that keep you from achieving your goals.
(415) 873-9599 View (415) 873-9599
Photo of John Mendelson, Psychiatrist in San Francisco, CA
John Mendelson
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94102  (Online Only)
Dr. John Mendelson is a Board Certified Internist with over 30 years of research and practice in the field of addiction treatment. In addition to being Ria Health’s Founder and Chief Medical Officer, he currently serves as Clinical Professor of Medicine at University of California, San Francisco (UCSF), and maintains a private practice of his own.
Dr. John Mendelson is a Board Certified Internist with over 30 years of research and practice in the field of addiction treatment. In addition to being Ria Health’s Founder and Chief Medical Officer, he currently serves as Clinical Professor of Medicine at University of California, San Francisco (UCSF), and maintains a private practice of his own.
(415) 843-2685 View (415) 843-2685
Photo of Jeff Leininger, Psychiatric Nurse Practitioner in San Francisco, CA
Jeff Leininger
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Francisco, CA 94110
I help individuals who are experiencing challenging life transitions, acute or chronic anxiety, depression, ADHD, bipolar, insomnia and chemical dependency issues. Soon, I will offer Ketamine and Ketamine Assisted Psychotherapy. I work with clients during their times of wellness in order to create a more balanced, mindful and body-centered consciousness. I have considerable experience working with individuals who are reconsidering their relationship to alcohol and other substances.
I help individuals who are experiencing challenging life transitions, acute or chronic anxiety, depression, ADHD, bipolar, insomnia and chemical dependency issues. Soon, I will offer Ketamine and Ketamine Assisted Psychotherapy. I work with clients during their times of wellness in order to create a more balanced, mindful and body-centered consciousness. I have considerable experience working with individuals who are reconsidering their relationship to alcohol and other substances.
(415) 702-4304 View (415) 702-4304
Photo of Raelin Bright Wellness, Psychiatric Nurse Practitioner in San Francisco, CA
Raelin Bright Wellness
Psychiatric Nurse Practitioner, PhD, PMHNP, APRN, BC
Verified Verified
San Francisco, CA 94105  (Online Only)
Waitlist for new clients
Tired of ER visits due to panic attacks? Do you feel anxious, sad, out of control, or overwhelmed? Do you experience racing thoughts, trouble sleeping, or trouble relaxing? Are you feeling sad, like a dark cloud is over you or experiencing trauma responses? Do you feel treated as a number, not a person, when seeking help? I provide mental health treatment that is tailored to fit your needs. My approach is person-centered; I have mastered listening and recognizing people’s needs. I treat with evidence-based practices and believe in medication reduction as much as possible to avoid people being on too many medications.
Tired of ER visits due to panic attacks? Do you feel anxious, sad, out of control, or overwhelmed? Do you experience racing thoughts, trouble sleeping, or trouble relaxing? Are you feeling sad, like a dark cloud is over you or experiencing trauma responses? Do you feel treated as a number, not a person, when seeking help? I provide mental health treatment that is tailored to fit your needs. My approach is person-centered; I have mastered listening and recognizing people’s needs. I treat with evidence-based practices and believe in medication reduction as much as possible to avoid people being on too many medications.
(702) 605-6561 View (702) 605-6561
Photo of Juliano Innocenti, Psychiatric Nurse Practitioner in San Francisco, CA
Juliano Innocenti
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Francisco, CA 94104
Juliano Innocenti is a Psychiatric Mental Health Nurse Practitioner in California who has been practicing since 2022. Juliano offers trauma-informed, patient-centered care that may include options for medication management for conditions like depression and anxiety, substance abuse, PTSD, psychotic disorders, personality disorders, adjustment disorders, OCD, hoarding, ADHD, Oppositional Defiant Disorder, and Gender dysphoria. He also has experience with grief and bereavement, and can help you plan for, or come to terms with your own mortality and existential fears.
Juliano Innocenti is a Psychiatric Mental Health Nurse Practitioner in California who has been practicing since 2022. Juliano offers trauma-informed, patient-centered care that may include options for medication management for conditions like depression and anxiety, substance abuse, PTSD, psychotic disorders, personality disorders, adjustment disorders, OCD, hoarding, ADHD, Oppositional Defiant Disorder, and Gender dysphoria. He also has experience with grief and bereavement, and can help you plan for, or come to terms with your own mortality and existential fears.
(628) 313-4625 View (628) 313-4625
Photo of Steven James Pennybaker, Psychiatrist in San Francisco, CA
Steven James Pennybaker
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94109  (Online Only)
I am accepting patients for medication management, ketamine, and TMS. I am not available for weekly therapy. If you are looking to be a new patient, send me a message about your goals, treatment desired, and insurance carrier and if I have availability we will reach out! I am a psychiatrist who works with patients with a wide range of mental health issues, including depression, bipolar disorder, anxiety, PTSD, and psychotic illness. I enjoy working with patients and finding a treatment plan that works for them.
I am accepting patients for medication management, ketamine, and TMS. I am not available for weekly therapy. If you are looking to be a new patient, send me a message about your goals, treatment desired, and insurance carrier and if I have availability we will reach out! I am a psychiatrist who works with patients with a wide range of mental health issues, including depression, bipolar disorder, anxiety, PTSD, and psychotic illness. I enjoy working with patients and finding a treatment plan that works for them.
(415) 687-5889 x154 View (415) 687-5889 x154
Photo of John Hartmann, Psychiatrist in San Francisco, CA
John Hartmann
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94118
I am a board-certified psychiatrist with a private practice in San Francisco. I completed medical training at the University of North Carolina at Chapel Hill followed by psychiatry residency at UCSF. I have also received advanced psychotherapy training through the San Francisco Center for Psychoanalysis. I integrate a wide range of techniques and perspectives to provide individualized treatment to each patient.
I am a board-certified psychiatrist with a private practice in San Francisco. I completed medical training at the University of North Carolina at Chapel Hill followed by psychiatry residency at UCSF. I have also received advanced psychotherapy training through the San Francisco Center for Psychoanalysis. I integrate a wide range of techniques and perspectives to provide individualized treatment to each patient.
(415) 610-5420 View (415) 610-5420
Photo of Paul R Linde, Psychiatrist in San Francisco, CA
Paul R Linde
Psychiatrist, MD
Verified Verified
San Francisco, CA 94102  (Online Only)
I am a board-certified psychiatrist with over 25 years in emergency psychiatric care. I have international clinical and teaching experience, a published author and researcher, and have been a professor at University of California, San Francisco (UCSF) for several decades. I am currently a clinical supervisor for Ria’s medical and coaching teams specializing in Alcohol Counseling Online.
I am a board-certified psychiatrist with over 25 years in emergency psychiatric care. I have international clinical and teaching experience, a published author and researcher, and have been a professor at University of California, San Francisco (UCSF) for several decades. I am currently a clinical supervisor for Ria’s medical and coaching teams specializing in Alcohol Counseling Online.
(415) 891-6278 View (415) 891-6278
Photo of Manisha Ram Punwani, Psychiatrist in San Francisco, CA
Manisha Ram Punwani
Psychiatrist, MD
Verified Verified
San Francisco, CA 94109
Finding a Board Certified Integrative Child and Adolescent Psychiatrist, one who approaches treatment from an evidence based clinical, holistic, developmental and systems based (family, school, etc) perspective is challenging. I am committed to improving lives of children, adolescents and their families. I specialize in Autism, Anxiety and OCD disorders. I treat these through Cognitive Behavioral, Exposure Response Prevention, Family or Parent Behavioral Management therapies with or without psychotropic medications. I incorporate mindfulness, psychoeducation, sensory and complimentary interventions as appropriate.
Finding a Board Certified Integrative Child and Adolescent Psychiatrist, one who approaches treatment from an evidence based clinical, holistic, developmental and systems based (family, school, etc) perspective is challenging. I am committed to improving lives of children, adolescents and their families. I specialize in Autism, Anxiety and OCD disorders. I treat these through Cognitive Behavioral, Exposure Response Prevention, Family or Parent Behavioral Management therapies with or without psychotropic medications. I incorporate mindfulness, psychoeducation, sensory and complimentary interventions as appropriate.
(415) 599-4349 View (415) 599-4349
Photo of Melinda Tyler, Psychiatrist in San Francisco, CA
Melinda Tyler
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94118  (Online Only)
Dr. Tyler understands that a treatment plan will only be successful if time is taken to understand each individual patient’s wants and needs. She will listen to her patients and involve each patient in the decision-making process of establishing their care.
Dr. Tyler understands that a treatment plan will only be successful if time is taken to understand each individual patient’s wants and needs. She will listen to her patients and involve each patient in the decision-making process of establishing their care.
(415) 304-8907 View (415) 304-8907
Photo of Candice Marie Rugg, Psychiatric Nurse Practitioner in San Francisco, CA
Candice Marie Rugg
Psychiatric Nurse Practitioner, BSN, RN, MSN, PMHNP, BC
Verified Verified
San Francisco, CA 94118
I specialize in working with patients who struggle with substance use disorders. My approach is based on a harm reduction model, utilizing trauma informed care and a whole person focus when considering treatment options. The care I offer is always client centric and non-judgemental. My other areas of interest include sexual health/sex positivity, and I am passionate in providing culturally sensitive care that is gender-affirming, body-positive, Alt sex/Alt relationship-affirming, and LGBTQIA informed.
I specialize in working with patients who struggle with substance use disorders. My approach is based on a harm reduction model, utilizing trauma informed care and a whole person focus when considering treatment options. The care I offer is always client centric and non-judgemental. My other areas of interest include sexual health/sex positivity, and I am passionate in providing culturally sensitive care that is gender-affirming, body-positive, Alt sex/Alt relationship-affirming, and LGBTQIA informed.
(628) 230-4994 View (628) 230-4994
Misha Sivia
Psychiatrist, MD
Verified Verified
San Francisco, CA 94102
I am a compassionate psychiatrist with extensive experience working in both nonprofits and group practice settings. I treat a wide range of psychiatric disorders with medication management as well as psychotherapy. I treat Depression, Bipolar disorder, Anxiety disorders, ADHD, OCD, Trauma, Eating disorders, and Insomnia routinely in my practice. My approach involves making an individualized treatment plan framed by evidence-based medicine in collaboration with you as a patient. Taking a collaborative approach, I consult with therapists, primary care physicians, and others if clinically indicated for assessment and treatment.
I am a compassionate psychiatrist with extensive experience working in both nonprofits and group practice settings. I treat a wide range of psychiatric disorders with medication management as well as psychotherapy. I treat Depression, Bipolar disorder, Anxiety disorders, ADHD, OCD, Trauma, Eating disorders, and Insomnia routinely in my practice. My approach involves making an individualized treatment plan framed by evidence-based medicine in collaboration with you as a patient. Taking a collaborative approach, I consult with therapists, primary care physicians, and others if clinically indicated for assessment and treatment.
(628) 345-8013 View (628) 345-8013
Photo of Gabriel Aranovich, Psychiatrist in San Francisco, CA
Gabriel Aranovich
Psychiatrist
Verified Verified
San Francisco, CA 94109  (Online Only)
Dr. Gabriel Aranovich is a top-rated board certified psychiatrist, specializing in psychotherapy and medication management for optimizing mental health. At The Clinic, with locations in with locations in San Francisco, Palo Alto, San Jose, Berkeley, and Marin County, California, Dr. Aranovich treats both adults and adolescents with a wide range of issues, such as: depression, anxiety, ADHD, Bipolar Disorder, substance use and other common and complex mental health conditions. In addition, Dr. Aranovich, who speaks both English and Spanish, offers video and telemedicine services to patients residing in the state of California.
Dr. Gabriel Aranovich is a top-rated board certified psychiatrist, specializing in psychotherapy and medication management for optimizing mental health. At The Clinic, with locations in with locations in San Francisco, Palo Alto, San Jose, Berkeley, and Marin County, California, Dr. Aranovich treats both adults and adolescents with a wide range of issues, such as: depression, anxiety, ADHD, Bipolar Disorder, substance use and other common and complex mental health conditions. In addition, Dr. Aranovich, who speaks both English and Spanish, offers video and telemedicine services to patients residing in the state of California.
(844) 950-3167 View (844) 950-3167
Photo of Katie Reeves, Psychiatric Nurse Practitioner in San Francisco, CA
Katie Reeves
Psychiatric Nurse Practitioner, PhD, PMHNP
Verified Verified
San Francisco, CA 94114
My practice is designed to meet the needs of youth and young adults who are looking for individual psychotherapy and/or medication management.
My practice is designed to meet the needs of youth and young adults who are looking for individual psychotherapy and/or medication management.
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Photo of SinclairMethod.org, Psychiatrist in San Francisco, CA
SinclairMethod.org
Psychiatrist, MD
Verified Verified
San Francisco, CA 94104  (Online Only)
Clinical expertise in The Sinclair Method for treating Alcohol Use Disorder.
Clinical expertise in The Sinclair Method for treating Alcohol Use Disorder.
(415) 799-5667 View (415) 799-5667
Photo of James Lake, Psychiatrist in San Francisco, CA
James Lake
Psychiatrist, MD
Verified Verified
San Francisco, CA 94118  (Online Only)
I am a Board-certified adult psychiatrist with over 25 years of clinical experience. After obtaining a BA in Human Biology at Stanford my first career was in high-tech consulting in Silicon Valley. I then attended medical school at U.C. Irvine and completed residency training at Stanford. I have served as a clinical assistant professor at Stanford, and am currently an assistant professor in the Department of Psychiatry at University of Arizona College of Medicine.
I am a Board-certified adult psychiatrist with over 25 years of clinical experience. After obtaining a BA in Human Biology at Stanford my first career was in high-tech consulting in Silicon Valley. I then attended medical school at U.C. Irvine and completed residency training at Stanford. I have served as a clinical assistant professor at Stanford, and am currently an assistant professor in the Department of Psychiatry at University of Arizona College of Medicine.
(855) 466-4607 x1 View (855) 466-4607 x1
Photo of Pavel Ksendz, Psychiatric Nurse Practitioner in San Francisco, CA
Pavel Ksendz
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Francisco, CA 94103  (Online Only)
I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) specialized in treating mood, anxiety, cognitive, trauma-related, schizophrenia and other psychotic disorders. I am a strong proponent of the philosophy that health is multifactorial, made up of physical, psychological, emotional, social and spiritual facets. I value taking a collaborative approach with clients to create a thorough, individualized treatment plan that best meets their specific needs and goals. I have a long-held passion for mental healthcare and have worked with individuals of all ages in a variety of settings within psychiatry.
I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) specialized in treating mood, anxiety, cognitive, trauma-related, schizophrenia and other psychotic disorders. I am a strong proponent of the philosophy that health is multifactorial, made up of physical, psychological, emotional, social and spiritual facets. I value taking a collaborative approach with clients to create a thorough, individualized treatment plan that best meets their specific needs and goals. I have a long-held passion for mental healthcare and have worked with individuals of all ages in a variety of settings within psychiatry.
(415) 367-1996 View (415) 367-1996
Photo of Ryan Blum, Psychiatrist in San Francisco, CA
Ryan Blum
Psychiatrist, MD
Verified Verified
San Francisco, CA 94102
Ryan Blum, M.D. is a psychiatrist who works with adults of all ages in medication management and psychotherapy. He graduated from Harvard College and Yale School of Medicine and completed adult psychiatry residency at Yale in 2016. He has worked in a variety of public and private settings and taught students and residents at Yale, UCSF, and OHSU in Portland, Oregon where he currently lives and practices full time. He believes that good psychiatry involves building understanding in depth of who you are and how you developed into this person.
Ryan Blum, M.D. is a psychiatrist who works with adults of all ages in medication management and psychotherapy. He graduated from Harvard College and Yale School of Medicine and completed adult psychiatry residency at Yale in 2016. He has worked in a variety of public and private settings and taught students and residents at Yale, UCSF, and OHSU in Portland, Oregon where he currently lives and practices full time. He believes that good psychiatry involves building understanding in depth of who you are and how you developed into this person.
(628) 277-5646 View (628) 277-5646
Photo of Dr. Sutapa Dube, Psychiatrist in San Francisco, CA
Dr. Sutapa Dube
Psychiatrist, MD
Verified Verified
San Francisco, CA 94104  (Online Only)
I have always been interested in the interplay between our minds, our bodies, and our surroundings. That interest has led me on all sorts of adventures in learning how we evolve into such unique individuals. Medical school was my goal since kindergarten – it’s true! Psychiatry and the bio-psycho-social approach, which takes into account every aspect of an individual’s life, is the field of medicine that makes the most sense to me. As an integrative psychiatrist I am open to both traditional approaches and complementary/alternative approaches to wholeness and healing.
I have always been interested in the interplay between our minds, our bodies, and our surroundings. That interest has led me on all sorts of adventures in learning how we evolve into such unique individuals. Medical school was my goal since kindergarten – it’s true! Psychiatry and the bio-psycho-social approach, which takes into account every aspect of an individual’s life, is the field of medicine that makes the most sense to me. As an integrative psychiatrist I am open to both traditional approaches and complementary/alternative approaches to wholeness and healing.
(415) 799-5260 View (415) 799-5260

See more therapy options for San Francisco

How does your Psychiatrist compare?

Number of Psychiatrists in San Francisco, CA

300+

Average cost per session

$300

Psychiatrists in San Francisco, CA who prioritize treating:

93% Anxiety
90% Depression
78% Medication Management
68% ADHD
68% Trauma and PTSD
68% Bipolar Disorder
62% Obsessive-Compulsive (OCD)

Average years in practice

12 Years

Top 3 insurances accepted

91% Aetna
86% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Psychiatrists in San Francisco, CA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

57% Female
42% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in San Francisco?

The Psychology Today Directory enables you to search specifically for psychiatrists, using the drop down provider menu in the navigation bar, by city or zip code, or by the name of the psychiatrist. Search results provide detailed profiles of professionals, including their treatment approach and areas of expertise. In addition, listings provide important information about each psychiatrist’s credentials, fees, payment options, and insurance affiliations. Directory users can select psychiatrists who meet an array of personally-desired criteria, such as familiarity with a specific community or condition.

What is the difference between a psychiatrist and a psychologist?

Psychiatrists are medical specialists who focus on understanding, diagnosing, and treating diseases of the brain and disorders of the mind and behavior. As physicians, psychiatrists are trained to recognize the often-subtle biological causes of mental disorders and to monitor the effects of mental disturbances on physical conditions, such as heart disease. Psychologists are especially attuned to the influence of early experience on development and behavior, emotional and cognitive processes, the nature of personality, and social functioning. They are also trained to deploy an array of psychological tests—IQ tests, personality tests, behavioral assessments—to gauge a person’s functioning.

What is a psychiatric nurse practitioner?

A psychiatric nurse practitioner, also known as a mental health nurse practitioner, is a registered nurse who completes advanced training in psychiatric care, earning either a master’s or doctoral degree in psychiatric nursing, and in the U.S., passes a national certification exam. Like psychiatrists, psychiatric nurse practitioners are trained to assess, diagnose, and treat mental health conditions. In some locales, psychiatric nurse practitioners can offer the full range of psychiatric care, including prescribing and managing medication. In other places, they must work in collaboration with a physician.

Is everyone in the Psychology Today Therapy Directory a licensed psychiatrist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychiatrists, psychologists, social workers, and counselors. All psychiatrists listed in the directory have a valid license issued by the state(s) in which they practice and are certified by the American Board of Psychiatry and Neurology. Providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some individuals or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

Can a psychiatrist prescribe medication?

Psychiatrists are licensed medical doctors who are trained to recognize the many ways body processes affect the functioning of the brain and mind. As physicians, they can prescribe medication. Patients who are prescribed medications will typically need to continue to see a psychiatrist so that the effects of the medication can be monitored. For many psychiatric conditions, including common disorders such as anxiety and depression, the preferred treatment is combination therapy—medication accompanied by psychotherapy.

Do psychiatrists offer therapy?

Psychiatrists are generally trained in a number of treatment modalities, including psychotherapy, pharmacotherapy, and, increasingly, somatic therapies. Typically, psychiatrists 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 sessions with a psychiatrist may only be 15-20 minutes in length and are largely focused on medication management. Many psychiatrists who do not offer psychotherapy work collaboratively with psychologists and other mental health clinicians and can refer clients seeking talk therapy to those providers.

How do I know if I need a psychiatrist 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. One way many people learn which type of care is best for them is by seeing their primary care provider first. Depending on the nature and severity of the symptoms, the physician may review their medical history or perform medical tests to determine whether biological factors are involved before making a referral. It is not necessary for a person to know precisely what type of care they need in order to seek help. Many psychiatrists and psychologists refer clients to each other depending on client needs.

Do I need a referral to see a psychiatrist?

A referral to a psychiatrist is often not required. However, seeing your primary care physician first can be helpful and actually prove to be a shortcut to getting what you need. Your PCP may have a clear idea whether psychiatric help is needed and/or which kind of mental health care would be most beneficial and refer you to the right type of practitioner. For that reason alone, some psychiatrists require a referral. Further, many insurance plans require a referral from a PCP if they cover all of part of the cost of seeing a specialist; if, however, you are paying out of pocket, you may not need a referral. In any case, a referral may speed the process of securing an appointment with a psychiatrist, especially in areas where there is a shortage of mental health specialists and new patients face long waits for appointments.