Psychiatrists in Portland, OR

Photo of Melanie Ramsey, Psychiatric Nurse Practitioner in Portland, OR
Melanie Ramsey
Psychiatric Nurse Practitioner, PMHNP, FNP
Verified Verified
2 Endorsed
Portland, OR 97205  (Online Only)
Are you experiencing distress due to internal conflicts, trauma, relationships, fears, or feeling stuck? Do you feel anxious, depressed, and unmotivated? Some things are just too difficult to go through alone. Working with someone in a safe and compassionate environment without judgment can be the key to your understanding and growth. Your success and happiness are rooted in a partnership that we share. You do the hard part of being vulnerable; to the best of my ability, I will work to listen to and understand you, before developing a shared treatment plan. I am honored to support you on your journey to mental wellness.
Are you experiencing distress due to internal conflicts, trauma, relationships, fears, or feeling stuck? Do you feel anxious, depressed, and unmotivated? Some things are just too difficult to go through alone. Working with someone in a safe and compassionate environment without judgment can be the key to your understanding and growth. Your success and happiness are rooted in a partnership that we share. You do the hard part of being vulnerable; to the best of my ability, I will work to listen to and understand you, before developing a shared treatment plan. I am honored to support you on your journey to mental wellness.
(971) 232-3233 View (971) 232-3233
Photo of Bradley Williamson, Psychiatric Nurse Practitioner in Portland, OR
Bradley Williamson
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
Portland, OR 97215
Are you motivated to build a therapeutic relationship that goes well beyond psychiatric medication management? Although medications have a necessary purpose, my primary focus is functional psychotherapy rooted in spirituality, mindfulness, and nature-based techniques. I will help guide you to a deeper understanding of human suffering and courage. "Nature loves courage. You make the commitment and nature will respond to that commitment by removing impossible obstacles. Dream the impossible dream and the world will not grind you under, it will lift you up" -Terence McKenna
Are you motivated to build a therapeutic relationship that goes well beyond psychiatric medication management? Although medications have a necessary purpose, my primary focus is functional psychotherapy rooted in spirituality, mindfulness, and nature-based techniques. I will help guide you to a deeper understanding of human suffering and courage. "Nature loves courage. You make the commitment and nature will respond to that commitment by removing impossible obstacles. Dream the impossible dream and the world will not grind you under, it will lift you up" -Terence McKenna
(971) 299-7273 View (971) 299-7273
Photo of Rachel C Ward, Psychiatric Nurse Practitioner in Portland, OR
Rachel C Ward
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
2 Endorsed
Portland, OR 97225
Struggling with relationships, feeling overwhelmed, and finding it hard to keep up with school or work because of difficulty in social situations, inability to organize yourself, disrupted sleep, or tumultuous moods? You're not alone. I understand the dread and paralyzing effects these symptoms can have on your life.
Struggling with relationships, feeling overwhelmed, and finding it hard to keep up with school or work because of difficulty in social situations, inability to organize yourself, disrupted sleep, or tumultuous moods? You're not alone. I understand the dread and paralyzing effects these symptoms can have on your life.
(971) 265-8603 View (971) 265-8603
Photo of Lindsay Marshall, Psychiatric Nurse Practitioner in Portland, OR
Lindsay Marshall
Psychiatric Nurse Practitioner, NP
Verified Verified
Portland, OR 97213
Living with ADHD often means dealing with a mind that's constantly buzzing with thoughts, ideas, and distractions. This can turn even simple tasks into formidable challenges, affecting your focus, organization, and overall daily functioning. ADHD isn't just about inattention or hyperactivity; it impacts your entire life, from work and relationships to self-esteem and mental health. Despite these challenges, ADHD can be managed effectively, allowing you to harness your unique strengths and thrive in various aspects of your life
Living with ADHD often means dealing with a mind that's constantly buzzing with thoughts, ideas, and distractions. This can turn even simple tasks into formidable challenges, affecting your focus, organization, and overall daily functioning. ADHD isn't just about inattention or hyperactivity; it impacts your entire life, from work and relationships to self-esteem and mental health. Despite these challenges, ADHD can be managed effectively, allowing you to harness your unique strengths and thrive in various aspects of your life
(503) 755-8913 View (503) 755-8913
Photo of Megan M Lewis, Psychiatric Nurse Practitioner in Portland, OR
Megan M Lewis
Psychiatric Nurse Practitioner, DNP, FNP, PMHNP
Verified Verified
5 Endorsed
Portland, OR 97229
Now accepting new patients. Updated 2/7/24. I am an ANCC Board Certified Psychiatric Mental Health and Family Nurse Practitioner offering psychiatry assessment, medication management, and psychotherapy. I see people across the lifespan.
Now accepting new patients. Updated 2/7/24. I am an ANCC Board Certified Psychiatric Mental Health and Family Nurse Practitioner offering psychiatry assessment, medication management, and psychotherapy. I see people across the lifespan.
(458) 216-5974 View (458) 216-5974
Photo of Steven Knott, Psychiatric Nurse Practitioner in Portland, OR
Steven Knott
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Portland, OR 97205  (Online Only)
I am a board certified, licensed psychiatric mental health nurse practitioner. I graduated from college with recognition for outstanding scholastic performance in the major of nursing at the University of Nevada-Las Vegas. I spent the next 7 years working in mental health with all different populations and facilities within Las Vegas, then graduated from top-ranked Psychiatric Mental Health Nurse Practitioner program in the United States through Vanderbilt University. I was a recipient of the Vanderbilt School of Nursing Scholarship fund and was invited to the Iota Chapter of Sigma Theta Tau International Honor Society of Nursing.
I am a board certified, licensed psychiatric mental health nurse practitioner. I graduated from college with recognition for outstanding scholastic performance in the major of nursing at the University of Nevada-Las Vegas. I spent the next 7 years working in mental health with all different populations and facilities within Las Vegas, then graduated from top-ranked Psychiatric Mental Health Nurse Practitioner program in the United States through Vanderbilt University. I was a recipient of the Vanderbilt School of Nursing Scholarship fund and was invited to the Iota Chapter of Sigma Theta Tau International Honor Society of Nursing.
(971) 545-8153 View (971) 545-8153
Photo of Meghan Farrell, Psychiatric Nurse in Portland, OR
Meghan Farrell
Psychiatric Nurse, PMHNP, BC
Verified Verified
2 Endorsed
Portland, OR 97213  (Online Only)
My experience includes treating adolescents and adults in the inpatient, residential, private practice, emergency department, and outpatient settings. My approach to psychiatric and medication management services is holistic in nature. Although I offer treatment to a wide variety of mental health disorders, I specialize in psychiatric treatment for attention deficit hyperactivity disorder (ADHD), major depressive disorder, and generalized anxiety disorder. When appropriate, I apply cognitive behavioral and dialectical behavioral therapy skills to medication management services.
My experience includes treating adolescents and adults in the inpatient, residential, private practice, emergency department, and outpatient settings. My approach to psychiatric and medication management services is holistic in nature. Although I offer treatment to a wide variety of mental health disorders, I specialize in psychiatric treatment for attention deficit hyperactivity disorder (ADHD), major depressive disorder, and generalized anxiety disorder. When appropriate, I apply cognitive behavioral and dialectical behavioral therapy skills to medication management services.
(503) 738-1252 View (503) 738-1252
Photo of Nikki Gaines, Psychiatric Nurse Practitioner in Portland, OR
Nikki Gaines
Psychiatric Nurse Practitioner, MBA, APRN, PMHNP, BC
Verified Verified
1 Endorsed
Portland, OR 97239  (Online Only)
I am a board-certified Psychiatric Mental Health Nurse Practitioner with more than ten years of experience in various facets of mental health. My philosophy includes a focus on whole mind and body wellness. I strive to deliver excellent, compassionate care through active listening and thoughtful collaboration with my patients – with a splash of humor. You will feel heard and validated, never rushed or ignored. My interest is in the person with a symptom rather than the symptom of a person.
I am a board-certified Psychiatric Mental Health Nurse Practitioner with more than ten years of experience in various facets of mental health. My philosophy includes a focus on whole mind and body wellness. I strive to deliver excellent, compassionate care through active listening and thoughtful collaboration with my patients – with a splash of humor. You will feel heard and validated, never rushed or ignored. My interest is in the person with a symptom rather than the symptom of a person.
(971) 298-8567 View (971) 298-8567
Photo of Jeffrey Carlson, Psychiatrist in Portland, OR
Jeffrey Carlson
Psychiatrist, DO
Verified Verified
Portland, OR 97205
Providing psychiatric consultation and ongoing treatment, primarily serving late adolescents and young adults. At the present time, I am not taking new patients.
Providing psychiatric consultation and ongoing treatment, primarily serving late adolescents and young adults. At the present time, I am not taking new patients.
(503) 738-1781 View (503) 738-1781
Photo of Nwamaka Emeruem, Psychiatric Nurse Practitioner in Portland, OR
Nwamaka Emeruem
Psychiatric Nurse Practitioner, DNP, APRN, MBA, FNP, PMHNP
Verified Verified
Portland, OR 97239  (Online Only)
Now accepting new patients! Are you struggling with your mood? Anxious all the time? Have you failed several medications in the past and just feel like giving up? @ Ease Psychiatry is here to help. We aim to help our patients by putting them at ease with their mental health. Search no more and call us today: 972-503-4109. We generally respond within 48 hours. Virtual visits from the comfort of your home is also available.
Now accepting new patients! Are you struggling with your mood? Anxious all the time? Have you failed several medications in the past and just feel like giving up? @ Ease Psychiatry is here to help. We aim to help our patients by putting them at ease with their mental health. Search no more and call us today: 972-503-4109. We generally respond within 48 hours. Virtual visits from the comfort of your home is also available.
(480) 525-6840 View (480) 525-6840
Photo of Lillian Nagi, Psychiatric Nurse Practitioner in Portland, OR
Lillian Nagi
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Portland, OR 97232  (Online Only)
At your first visit we will discuss what you are looking to obtain from my service and next to try to create a plan. This way, I can accommodate both our expectations and come up with a realistic, achievable plan. There is not a one size fits all approach when it comes to mental health. The goal is to build a solid relationship with you and continue this journey until treatment is completed or ongoing desired stability is achieved. As the saying goes, some things cannot be fixed, they can only be carried- but they still can be managed! And we can work on that.
At your first visit we will discuss what you are looking to obtain from my service and next to try to create a plan. This way, I can accommodate both our expectations and come up with a realistic, achievable plan. There is not a one size fits all approach when it comes to mental health. The goal is to build a solid relationship with you and continue this journey until treatment is completed or ongoing desired stability is achieved. As the saying goes, some things cannot be fixed, they can only be carried- but they still can be managed! And we can work on that.
(503) 506-7946 View (503) 506-7946
Photo of Schuyler B Ellis, Psychiatric Nurse Practitioner in Portland, OR
Schuyler B Ellis
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Portland, OR 97209
I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). I began my career at the Menninger Clinic in Houston, TX where I gained invaluable experience working with young adults with complex trauma, substance abuse, and mood & personality disorders. From this experience, I learned that it is a provider’s responsibility to therapeutically guide care that targets the core issues leading to a patient’s mental health challenges, not just treat a diagnosis. Since leaving Menninger, I have had the chance to care for a variety of patients in community, emergency, and forensic settings.
I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). I began my career at the Menninger Clinic in Houston, TX where I gained invaluable experience working with young adults with complex trauma, substance abuse, and mood & personality disorders. From this experience, I learned that it is a provider’s responsibility to therapeutically guide care that targets the core issues leading to a patient’s mental health challenges, not just treat a diagnosis. Since leaving Menninger, I have had the chance to care for a variety of patients in community, emergency, and forensic settings.
(971) 231-2720 View (971) 231-2720
Photo of ValueCore Mental Health, Psychiatric Nurse Practitioner in Portland, OR
ValueCore Mental Health
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Portland, OR 97233
People come to ValueCore to overcome the barriers that hinder their ability to improve their quality of life. We offer the guidance to help you embrace your absolute value. Together we work to foster the realization that happiness is the rule for you, and not the exception. As you accept your personal value, and implement the changes you need for yourself, we hope you will be free to grow, relax and recreate, socialize, work and serve others, educate, and live a fulfilling life.
People come to ValueCore to overcome the barriers that hinder their ability to improve their quality of life. We offer the guidance to help you embrace your absolute value. Together we work to foster the realization that happiness is the rule for you, and not the exception. As you accept your personal value, and implement the changes you need for yourself, we hope you will be free to grow, relax and recreate, socialize, work and serve others, educate, and live a fulfilling life.
(503) 389-1500 View (503) 389-1500
Photo of Philip Cawkwell, Psychiatrist in Portland, OR
Philip Cawkwell
Psychiatrist, MD
Verified Verified
Portland, OR 97210  (Online Only)
Hi there - I'm Dr. Philip Cawkwell, board certified in Adult Psychiatry as well as Child & Adolescent Psychiatry. I trained at the top institutions - NYU for medical school, MGH/McLean Harvard for Adult Residency, and Stanford for Child Fellowship. I have the ability to connect with teenagers and young adults, as well as the most up-to-date knowledge on the latest in psychiatric treatments. I am a good fit if you are looking for a provider who is easy to communicate with (both in and out of session), takes your concerns seriously, and is results-driven.
Hi there - I'm Dr. Philip Cawkwell, board certified in Adult Psychiatry as well as Child & Adolescent Psychiatry. I trained at the top institutions - NYU for medical school, MGH/McLean Harvard for Adult Residency, and Stanford for Child Fellowship. I have the ability to connect with teenagers and young adults, as well as the most up-to-date knowledge on the latest in psychiatric treatments. I am a good fit if you are looking for a provider who is easy to communicate with (both in and out of session), takes your concerns seriously, and is results-driven.
View
Photo of Farah Raqib, Psychiatrist in Portland, OR
Farah Raqib
Psychiatrist, MD
Verified Verified
1 Endorsed
Portland, OR 97205
Investing in one's well-being, healing and personal growth is a journey I have the privilege to support in my career. I am a board certified adult psychiatrist who has a passion for using therapy and medications as tools for empowerment and learning. To learn more about my practice, please visit website.
Investing in one's well-being, healing and personal growth is a journey I have the privilege to support in my career. I am a board certified adult psychiatrist who has a passion for using therapy and medications as tools for empowerment and learning. To learn more about my practice, please visit website.
(503) 445-8228 View (503) 445-8228
Photo of Deb Kiehlmeier, Psychiatrist in Portland, OR
Deb Kiehlmeier
Psychiatrist, DO
Verified Verified
Portland, OR 97214
Accepting new patients with immediate availability! I am a board certified psychiatrist offering telepsychiatric services to patients throughout Oregon. I have in-person availability for those local to Portland. I have experience diagnosing and treating all mental health disorders, but focus primarily on ADHD, autism spectrum disorder, anxiety (including PTSD), depressive disorders, mood disorders, and personality disorders. In addition, I have extensive experience treating LGBTQIA+ patients.
Accepting new patients with immediate availability! I am a board certified psychiatrist offering telepsychiatric services to patients throughout Oregon. I have in-person availability for those local to Portland. I have experience diagnosing and treating all mental health disorders, but focus primarily on ADHD, autism spectrum disorder, anxiety (including PTSD), depressive disorders, mood disorders, and personality disorders. In addition, I have extensive experience treating LGBTQIA+ patients.
(971) 983-8132 View (971) 983-8132
Photo of Elena Logvinenko, Psychiatrist in Portland, OR
Elena Logvinenko
Psychiatrist, MD
Verified Verified
Portland, OR 97205
Waitlist for new clients
I’m a board certified psychiatrist in Portland. I provide both psychotherapy and medication management; I also offer psychiatric evaluation and med management to folks who already have an individual therapist who they see regularly (at least every other week, preferably one or more times a week). While my vibe is casual, my clinical approach (both meds and therapy) is thoughtful, evidence based, and individualized. Medication can turn people's lives around, but it's not the best choice (or likely to work) for everyone. I value having a very thorough picture of the entire situation before proposing any course of treatment.
I’m a board certified psychiatrist in Portland. I provide both psychotherapy and medication management; I also offer psychiatric evaluation and med management to folks who already have an individual therapist who they see regularly (at least every other week, preferably one or more times a week). While my vibe is casual, my clinical approach (both meds and therapy) is thoughtful, evidence based, and individualized. Medication can turn people's lives around, but it's not the best choice (or likely to work) for everyone. I value having a very thorough picture of the entire situation before proposing any course of treatment.
View
Photo of Erika Bales, Psychiatric Nurse Practitioner in Portland, OR
Erika Bales
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
2 Endorsed
Portland, OR 97206  (Online Only)
Accepting new patients! Are you feeling overwhelmed? Taking the first step towards healing can be daunting, but you're not alone on this journey. I am here to help guide you towards a more fulfilling life with symptom relief. I believe in fostering a strong therapeutic alliance built on trust and respect. Together, we will create an effective treatment plan tailored to you. I combine evidence-based techniques with a holistic approach, taking into account your physical, emotional, and mental well-being. My goal is to support you in restoring and maintaining a healthier state of mind.
Accepting new patients! Are you feeling overwhelmed? Taking the first step towards healing can be daunting, but you're not alone on this journey. I am here to help guide you towards a more fulfilling life with symptom relief. I believe in fostering a strong therapeutic alliance built on trust and respect. Together, we will create an effective treatment plan tailored to you. I combine evidence-based techniques with a holistic approach, taking into account your physical, emotional, and mental well-being. My goal is to support you in restoring and maintaining a healthier state of mind.
(971) 298-8186 View (971) 298-8186
Photo of Dr. Lana Weber, Psychiatrist in Portland, OR
Dr. Lana Weber
Psychiatrist, MD
Verified Verified
Portland, OR 97205
Not accepting new clients
I am board-certified psychiatrist and psychotherapist in private practice in Portland, Oregon. I take an integrative approach to psychiatric evaluation and treatment that incorporates biologic, psychological, social and culture components. I focus on working with adults with a wide range of issues, including, but not limited to depression, anxiety, life transitions, relational challenges, trauma, peripartum and women's mental health issues across the lifespan.
I am board-certified psychiatrist and psychotherapist in private practice in Portland, Oregon. I take an integrative approach to psychiatric evaluation and treatment that incorporates biologic, psychological, social and culture components. I focus on working with adults with a wide range of issues, including, but not limited to depression, anxiety, life transitions, relational challenges, trauma, peripartum and women's mental health issues across the lifespan.
(971) 247-3289 View (971) 247-3289
Photo of Dr. Katharine Frissora, Psychiatric Nurse Practitioner in Portland, OR
Dr. Katharine Frissora
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Portland, OR 97202  (Online Only)
MARCH 2024 - Appointments available in 1 week! To begin services, please complete the new patient request form at www.upwellpsych.com/contact - we will get back to you in 1 business day! I am a doctorally prepared Psychiatric and Mental Health Nurse Practitioner (PMHNP) with 15 years of healthcare experience providing psychiatric care. I aim to promote holistic mental health by partnering with you to create healing and wellness.
MARCH 2024 - Appointments available in 1 week! To begin services, please complete the new patient request form at www.upwellpsych.com/contact - we will get back to you in 1 business day! I am a doctorally prepared Psychiatric and Mental Health Nurse Practitioner (PMHNP) with 15 years of healthcare experience providing psychiatric care. I aim to promote holistic mental health by partnering with you to create healing and wellness.
(971) 202-1122 View (971) 202-1122

How does your Psychiatrist compare?

Number of Psychiatrists in Portland, OR

400+

Average cost per session

$250

Psychiatrists in Portland, OR who prioritize treating:

96% Anxiety
95% Depression
81% Medication Management
75% Trauma and PTSD
73% ADHD
73% Bipolar Disorder
64% Obsessive-Compulsive (OCD)

Average years in practice

10 Years

Top 3 insurances accepted

73% Aetna
73% BlueCross and BlueShield
67% PacificSource

How Psychiatrists in Portland, OR see their clients

62% In Person and Online
38% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Portland?

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.