Psychiatrists in Darien, CT

Photo of Deborah A. Deliyannides, MD, Psychiatrist
Deborah A. Deliyannides
Psychiatrist, MD
Verified Verified
Darien, CT 06820
Waitlist for new clients
I've treated a broad range of people over the years, many with biologic mood/anxiety problems who benefit primarily from medication and many with relationship problems who benefit primarily from talk therapy, especially in a couples' setting. I am pragmatic and eclectic in approach.
I've treated a broad range of people over the years, many with biologic mood/anxiety problems who benefit primarily from medication and many with relationship problems who benefit primarily from talk therapy, especially in a couples' setting. I am pragmatic and eclectic in approach.
(203) 706-4872 View (203) 706-4872
Holistic Medical Care LLC
Psychiatric Nurse Practitioner, APN
Verified Verified
Darien, CT 06820  (Online Only)
We are mental health clinicians who specialize in various mental health conditions. Clinicians perform mental health evaluations and diagnoses and carry out outpatient treatment plans. We provide an effective and holistic approach to addressing mental health issues. We provide care to patients of all ages and treatment of various disorders.
We are mental health clinicians who specialize in various mental health conditions. Clinicians perform mental health evaluations and diagnoses and carry out outpatient treatment plans. We provide an effective and holistic approach to addressing mental health issues. We provide care to patients of all ages and treatment of various disorders.
(475) 445-1312 View (475) 445-1312
Photo of Joan Telemaque, PMHNP, Psychiatric Nurse Practitioner
Joan Telemaque
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Darien, CT 06820  (Online Only)
I am dedicated to offering a compassionate and devoted attitude while providing a therapeutic rapport in which I can effectively and safely meet the needs of clients. With over 20 years experience in the mental health field, I have worked in a vast array of settings including outpatient and inpatient. Received a B. An in Psychology from Bennett College in North Carolina and eventually an M.A in Psychology from Southern CT State University in New Haven, CT.
I am dedicated to offering a compassionate and devoted attitude while providing a therapeutic rapport in which I can effectively and safely meet the needs of clients. With over 20 years experience in the mental health field, I have worked in a vast array of settings including outpatient and inpatient. Received a B. An in Psychology from Bennett College in North Carolina and eventually an M.A in Psychology from Southern CT State University in New Haven, CT.
(203) 883-0464 View (203) 883-0464
Photo of Paola Ayora, MD,  MPH, Psychiatrist
Paola Ayora
Psychiatrist, MD, MPH
Verified Verified
Darien, CT 06820
I am a pediatrician for 10 years. I see adults, adolescents, and children. I provide comprehensive diagnostic consultations, medication management and psychotherapy.
I am a pediatrician for 10 years. I see adults, adolescents, and children. I provide comprehensive diagnostic consultations, medication management and psychotherapy.
(203) 894-6137 View (203) 894-6137
Photo of Linda Drozdowicz, MD, Psychiatrist
Linda Drozdowicz
Psychiatrist, MD
Verified Verified
1 Endorsed
Darien, CT 06820
I am a Yale-trained, double board-certified child/adolescent and adult psychiatrist offering psychotherapy ("talk therapy") as well as medication management to those who need it. I take a holistic approach to mental health and always consider biological, psychological, social, and environmental factors in formulating the antecedents and possible solutions to your distress. I am best known for being warm, nonjudgmental, and having a big sense of humor. As a musician myself, I can connect well with those who gravitate toward the arts.
I am a Yale-trained, double board-certified child/adolescent and adult psychiatrist offering psychotherapy ("talk therapy") as well as medication management to those who need it. I take a holistic approach to mental health and always consider biological, psychological, social, and environmental factors in formulating the antecedents and possible solutions to your distress. I am best known for being warm, nonjudgmental, and having a big sense of humor. As a musician myself, I can connect well with those who gravitate toward the arts.
(475) 231-4342 View (475) 231-4342
Photo of Sarah Delaney, PMHNP, Psychiatric Nurse Practitioner
Sarah Delaney
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Darien, CT 06820
I am a Yale-trained psychiatric nurse practitioner, with over two decades experience in the mental health field. I'm licensed to treat individuals across the life span, with extensive training in working with older children, adolescents and adults. I provide complete psychiatric assessment and care, including psychiatric evaluations, individual therapy and medication management if indicated. We may work together in starting medication, adjusting and optimizing current medication treatment, or discontinuing medication safely.
I am a Yale-trained psychiatric nurse practitioner, with over two decades experience in the mental health field. I'm licensed to treat individuals across the life span, with extensive training in working with older children, adolescents and adults. I provide complete psychiatric assessment and care, including psychiatric evaluations, individual therapy and medication management if indicated. We may work together in starting medication, adjusting and optimizing current medication treatment, or discontinuing medication safely.
(203) 902-3856 View (203) 902-3856
Photo of Thuraya Abdi, APRNP, Psychiatric Nurse Practitioner
Thuraya Abdi
Psychiatric Nurse Practitioner, APRNP
Verified Verified
1 Endorsed
Darien, CT 06820  (Online Only)
Thuraya Abdi, APRN-P, is an experienced Psychiatric Nurse Practitioner with over thirty-five years of experience. She deals with problems such as: stress, anxiety, depression, PTSD, Bipolar Disorder, insomnia , anger management, panic attacks, and ADHD. She has always been inclined toward the holistic and healing nature of Nursing, but is able to provide FDA approved medications if indicated.
Thuraya Abdi, APRN-P, is an experienced Psychiatric Nurse Practitioner with over thirty-five years of experience. She deals with problems such as: stress, anxiety, depression, PTSD, Bipolar Disorder, insomnia , anger management, panic attacks, and ADHD. She has always been inclined toward the holistic and healing nature of Nursing, but is able to provide FDA approved medications if indicated.
(203) 883-0464 View (203) 883-0464
Photo of Suzanne Gallagher, APRN, Psychiatric Nurse Practitioner
Suzanne Gallagher
Psychiatric Nurse Practitioner, APRN
Verified Verified
Darien, CT 06820
Do you find yourself struggling every day to get out of bed or feel as if you’re constantly worried? Your mind is overwhelmed with what needs to be done and how it all just feels too hard. As a busy working mom, I understand the challenges of balancing the demands of work with the intricacies of managing a fulfilling home life. My goal is to help you with your current struggles and return to your previous level of functioning. I believe you are an individual and treat you in a nonjudgmental, empathic and supportive way.
Do you find yourself struggling every day to get out of bed or feel as if you’re constantly worried? Your mind is overwhelmed with what needs to be done and how it all just feels too hard. As a busy working mom, I understand the challenges of balancing the demands of work with the intricacies of managing a fulfilling home life. My goal is to help you with your current struggles and return to your previous level of functioning. I believe you are an individual and treat you in a nonjudgmental, empathic and supportive way.
(475) 265-5902 View (475) 265-5902
Photo of Oscar Gerdner - Elmport Group, Psychiatrist
Elmport Group
Psychiatrist
Verified Verified
1 Endorsed
Darien, CT 06820
Welcome to Elmport Group! Our doctors - Oscar Gerdner, M.D., Maria Motlagh, M.D., and Linda Drozdowicz, M.D. - are all Yale-trained child, adolescent, and adult psychiatrists offering psychotherapy ("talk therapy") as well as medication management to those who need it. With offices in Westport and Darien, we are proud to serve children and families in Fairfield County.
Welcome to Elmport Group! Our doctors - Oscar Gerdner, M.D., Maria Motlagh, M.D., and Linda Drozdowicz, M.D. - are all Yale-trained child, adolescent, and adult psychiatrists offering psychotherapy ("talk therapy") as well as medication management to those who need it. With offices in Westport and Darien, we are proud to serve children and families in Fairfield County.
(475) 284-8673 View (475) 284-8673
Photo of Khushbu Joshi, MD, Psychiatrist
Khushbu Joshi
Psychiatrist, MD
Verified Verified
1 Endorsed
Darien, CT 06820  (Online Only)
Dr. Joshi has a commitment to taking a holistic approach to mental health. By incorporating her background as a pediatrician, she understands the importance of considering the entire well-being of her patients. She recognizes that mental health is interconnected with physical health, and that addressing both aspects is crucial for wellness. One of Dr. Joshi's greatest strengths lies in her ability to build strong connections with her patients and their families. She believes in the power of open communication and collaboration, working closely with parents and caregivers to develop effective treatment plans.
Dr. Joshi has a commitment to taking a holistic approach to mental health. By incorporating her background as a pediatrician, she understands the importance of considering the entire well-being of her patients. She recognizes that mental health is interconnected with physical health, and that addressing both aspects is crucial for wellness. One of Dr. Joshi's greatest strengths lies in her ability to build strong connections with her patients and their families. She believes in the power of open communication and collaboration, working closely with parents and caregivers to develop effective treatment plans.
(201) 431-3271 View (201) 431-3271
Photo of Katrina Furey - Sound Psychiatry, LLC, MD, Psychiatrist
Sound Psychiatry, LLC
Psychiatrist, MD
Verified Verified
2 Endorsed
Darien, CT 06820
Hello. I am a Yale-trained board-certified adult psychiatrist offering combined psychotherapy with/without medication management and medication management alone in my private practice. I am also a clinical faculty member within Yale School of Medicine's Department of Psychiatry. My practice focuses on women's mental health, reproductive psychiatry, and psychodynamic psychotherapy. This type of insight-oriented psychotherapy promotes curiosity and self-awareness about how individuals' past experiences (including childhood dynamics) influence their present-day thoughts, feelings, and behaviors. Such insights promote emotional relief.
Hello. I am a Yale-trained board-certified adult psychiatrist offering combined psychotherapy with/without medication management and medication management alone in my private practice. I am also a clinical faculty member within Yale School of Medicine's Department of Psychiatry. My practice focuses on women's mental health, reproductive psychiatry, and psychodynamic psychotherapy. This type of insight-oriented psychotherapy promotes curiosity and self-awareness about how individuals' past experiences (including childhood dynamics) influence their present-day thoughts, feelings, and behaviors. Such insights promote emotional relief.
(203) 896-8903 View (203) 896-8903
Photo of Nicholas J. O'Brien, PMHNP, APRN, Psychiatric Nurse Practitioner
Nicholas J. O'Brien
Psychiatric Nurse Practitioner, PMHNP, APRN
Verified Verified
Darien, CT 06820
My name is Nicholas J. O'Brien, a dedicated Psychiatric Mental Health Nurse Practitioner with a passion for providing compassionate care to individuals of all ages. With a specialization in psychiatric evaluations and medication management, I am committed to supporting the mental health and well-being of children, adolescents, and adults. My approach is founded on empathy, respect, and a deep understanding of the complexities of the human mind. I believe in the power of collaboration, working closely with my clients to develop personalized treatment plans tailored to their unique needs and circumstances.
My name is Nicholas J. O'Brien, a dedicated Psychiatric Mental Health Nurse Practitioner with a passion for providing compassionate care to individuals of all ages. With a specialization in psychiatric evaluations and medication management, I am committed to supporting the mental health and well-being of children, adolescents, and adults. My approach is founded on empathy, respect, and a deep understanding of the complexities of the human mind. I believe in the power of collaboration, working closely with my clients to develop personalized treatment plans tailored to their unique needs and circumstances.
(475) 330-3701 View (475) 330-3701
Photo of Vaishali Desai, DNP, BA, PMHNP, Psychiatric Nurse Practitioner
Vaishali Desai
Psychiatric Nurse Practitioner, DNP, BA, PMHNP
Verified Verified
Darien, CT 06820
Do you struggle with anxiety, depression, grief, a challenging relationship, loss of a sense of self that affects your day-to-day life, relationships, ability to function, your work, career? Do you feel exhausted, overwhelmed, frustrated by just getting through the day, answering emails, texts or calls? Do you hope that life could be better? Now more than ever all people are feeling uncertain about overcoming a difficult relationship, working through a loss, and finding their place in life.
Do you struggle with anxiety, depression, grief, a challenging relationship, loss of a sense of self that affects your day-to-day life, relationships, ability to function, your work, career? Do you feel exhausted, overwhelmed, frustrated by just getting through the day, answering emails, texts or calls? Do you hope that life could be better? Now more than ever all people are feeling uncertain about overcoming a difficult relationship, working through a loss, and finding their place in life.
(862) 346-5841 View (862) 346-5841
Photo of Aaron J. Roberto - Aaron J. Roberto, M.D., MD, Psychiatrist
Aaron J. Roberto, M.D.
Psychiatrist, MD
Verified Verified
1 Endorsed
Darien, CT 06820
**Tele-Health Available. I am a dedicated, Harvard and Yale-trained child/adolescent, and adult psychiatrist. Each patient is a unique individual, exerting particular strengths and resilience through situations. I create an individualized treatment plan utilizing high-level, evidenced-based treatment including involvement of parents, counselors, and outside therapists for those already in therapy. Medication, when indicated, is offered, as well as evidence-based therapeutic interventions (CBT, supportive) and lifestyle modifications. Expertise in adult and pediatric ADHD, depression, anxiety/panic, and mood disorders.
**Tele-Health Available. I am a dedicated, Harvard and Yale-trained child/adolescent, and adult psychiatrist. Each patient is a unique individual, exerting particular strengths and resilience through situations. I create an individualized treatment plan utilizing high-level, evidenced-based treatment including involvement of parents, counselors, and outside therapists for those already in therapy. Medication, when indicated, is offered, as well as evidence-based therapeutic interventions (CBT, supportive) and lifestyle modifications. Expertise in adult and pediatric ADHD, depression, anxiety/panic, and mood disorders.
(203) 408-6156 View (203) 408-6156
Kasey Spoonamore
Psychiatrist, MD
Verified Verified
Darien, CT 06820
As a psychiatrist in Greenwich, Connecticut (CT), I specialize in treating an array of mental disorders and illnesses, including addiction disorders, ADHD, anxiety disorders, bipolar disorders and depressive disorders. My training is in Relational Therapy, Dialectical Behavioral Therapy and Cognitive Behavioral Therapy. Treatments consist of: Neuropsychopharmacology, certification in Buprenorphine (Suboxone), Naltrexone maintenance therapy and Psychotherapy. I am dedicated to providing my patients with the highest level of personalized, authentic and therapeutic care. My goal is to build collaborative relationships with patients that creates a platform for greater insight into ones self understanding, which in turn leads to goal achievement.
As a psychiatrist in Greenwich, Connecticut (CT), I specialize in treating an array of mental disorders and illnesses, including addiction disorders, ADHD, anxiety disorders, bipolar disorders and depressive disorders. My training is in Relational Therapy, Dialectical Behavioral Therapy and Cognitive Behavioral Therapy. Treatments consist of: Neuropsychopharmacology, certification in Buprenorphine (Suboxone), Naltrexone maintenance therapy and Psychotherapy. I am dedicated to providing my patients with the highest level of personalized, authentic and therapeutic care. My goal is to build collaborative relationships with patients that creates a platform for greater insight into ones self understanding, which in turn leads to goal achievement.
(203) 433-5469 View (203) 433-5469
Photo of Kimberly G Morgan, APRN-BC, Psychiatric Nurse Practitioner
Kimberly G Morgan
Psychiatric Nurse Practitioner, APRN-BC
Verified Verified
Darien, CT 06820
Kimberly has over a decade of experience working as a Board Certified APRN in Adult Psychiatry (ages 18-65). She offers medication management and in some cases, psychotherapy, to help patients alleviate symptoms of depression, anxiety, OCD, ADHD, post-partum syndromes, bipolar disorder and psychosis. The first appointment will be used to identify the symptoms that are causing the most distress, as well as to discuss any other factors that may be influencing the patient's condition. Kimberly takes a holistic approach to treatment and individualizes the treatment plan by patient, not by diagnosis.
Kimberly has over a decade of experience working as a Board Certified APRN in Adult Psychiatry (ages 18-65). She offers medication management and in some cases, psychotherapy, to help patients alleviate symptoms of depression, anxiety, OCD, ADHD, post-partum syndromes, bipolar disorder and psychosis. The first appointment will be used to identify the symptoms that are causing the most distress, as well as to discuss any other factors that may be influencing the patient's condition. Kimberly takes a holistic approach to treatment and individualizes the treatment plan by patient, not by diagnosis.
(475) 263-3116 View (475) 263-3116
Photo of Dr. Ariana Rick, DNP, APRN-BC, PMHNP, Psychiatric Nurse Practitioner
Dr. Ariana Rick
Psychiatric Nurse Practitioner, DNP, APRN-BC, PMHNP
Verified Verified
Darien, CT 06820
I am a doctorate prepared, board-certified Psychiatric Nurse Practitioner who is trained to treat patients of all ages with diverse needs. I am especially passionate about treating children, teens, and young adults. They so often need a provider who gives them a voice, treats them with kindness and respect, and is as enthusiastic and energetic as they are! I received my Doctorate in Nursing Practice, as well as my Bachelor of Science of Nursing and Bachelors in Psychology from Fairfield University. My doctorate project focused on educating care teams in clinical settings about trauma informed training practices.
I am a doctorate prepared, board-certified Psychiatric Nurse Practitioner who is trained to treat patients of all ages with diverse needs. I am especially passionate about treating children, teens, and young adults. They so often need a provider who gives them a voice, treats them with kindness and respect, and is as enthusiastic and energetic as they are! I received my Doctorate in Nursing Practice, as well as my Bachelor of Science of Nursing and Bachelors in Psychology from Fairfield University. My doctorate project focused on educating care teams in clinical settings about trauma informed training practices.
(203) 256-9926 View (203) 256-9926
Photo of Dr. Nayla Hariz, MD, Psychiatrist
Dr. Nayla Hariz
Psychiatrist, MD
Verified Verified
Darien, CT 06820
I am accepting new patients and I take the following insurances: Aetna, United Healthcare, Cigna and Husky. Anyone with no insurance or any other insurance will have to pay out of pocket. If you would like to schedule an appointment for yourself or your child please go to mindfulpsych.net.
I am accepting new patients and I take the following insurances: Aetna, United Healthcare, Cigna and Husky. Anyone with no insurance or any other insurance will have to pay out of pocket. If you would like to schedule an appointment for yourself or your child please go to mindfulpsych.net.
Photo of Hong Kim, PMHNP, NP-P, Psychiatric Nurse Practitioner
Hong Kim
Psychiatric Nurse Practitioner, PMHNP, NP-P
Verified Verified
1 Endorsed
Darien, CT 06820  (Online Only)
I am a board-certified psychiatric NP, trained at New York University. I specialize in adults, children, adolescents, and geriatrics. My virtual and in-person practices are friendly and confidential spaces where I provide a thorough psychiatric evaluation and personalized medication management. My approach is to always see things from the client’s perspective. My mission is to support my clients while they create more meaningful progress in life. I use my expertise to help them find harmony between mind and body. I think mental health care can be a spiritual, and yet a scientific way for the client to look into their soul.
I am a board-certified psychiatric NP, trained at New York University. I specialize in adults, children, adolescents, and geriatrics. My virtual and in-person practices are friendly and confidential spaces where I provide a thorough psychiatric evaluation and personalized medication management. My approach is to always see things from the client’s perspective. My mission is to support my clients while they create more meaningful progress in life. I use my expertise to help them find harmony between mind and body. I think mental health care can be a spiritual, and yet a scientific way for the client to look into their soul.
(201) 969-5923 View (201) 969-5923
Photo of Elisa Rambo, MD, Psychiatrist
Elisa Rambo
Psychiatrist, MD
Verified Verified
Darien, CT 06820  (Online Only)
Dr. Elisa Rambo is a Yale-trained, Board Certified Psychiatrist. She provides mental health treatment (talk therapy, psychiatric medications, or both) via Videoconference.
Dr. Elisa Rambo is a Yale-trained, Board Certified Psychiatrist. She provides mental health treatment (talk therapy, psychiatric medications, or both) via Videoconference.
(475) 290-6399 View (475) 290-6399
1

How does your Psychiatrist compare?

Number of Psychiatrists in Darien, CT

20+

Average cost per session

$299

Psychiatrists in Darien, CT who prioritize treating:

92% Depression
92% Anxiety
72% ADHD
72% Medication Management
68% Obsessive-Compulsive (OCD)
64% Trauma and PTSD
56% Stress

Average years in practice

9 Years

Top 3 insurances accepted

89% Aetna
78% Cigna and Evernorth
67% UnitedHealthcare UHC | UBH

How Psychiatrists in Darien, CT see their clients

72% In Person and Online
28% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Darien?

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.