Psychiatrists in Middlesex County, CT

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Photo of Stephanie Reilly, Psychiatric Nurse Practitioner, MSN, PMHNP
Stephanie Reilly
Psychiatric Nurse Practitioner, MSN, PMHNP
1 Endorsed
Old Saybrook, CT 06475
I am a board certified psychiatric mental health nurse practitioner who assists clients in treatment of various mental health conditions. I have over 19 years of nursing experience focused in maternal mental health. I am currently offering both Telehealth and in person visits in Old Saybrook Connecticut. My treatment goals are focused on a client-centered approach to symptom management and resolution.
I am a board certified psychiatric mental health nurse practitioner who assists clients in treatment of various mental health conditions. I have over 19 years of nursing experience focused in maternal mental health. I am currently offering both Telehealth and in person visits in Old Saybrook Connecticut. My treatment goals are focused on a client-centered approach to symptom management and resolution.
(860) 864-4529 View (860) 864-4529
Photo of Michelle Nwigwe, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, BC
Michelle Nwigwe
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, BC
Online Only
I am a Board Certified Psychiatric-Mental Health Nurse Practitioner who has experience working with a broad range of psychiatric issues specializing in medication management with an integrative treatment approach. My extensive work history providing care to patients with comorbid psychiatric and medical conditions has contributed to my ability to assess each patient from a holistic view while focusing on the treatment of mental health.
I am a Board Certified Psychiatric-Mental Health Nurse Practitioner who has experience working with a broad range of psychiatric issues specializing in medication management with an integrative treatment approach. My extensive work history providing care to patients with comorbid psychiatric and medical conditions has contributed to my ability to assess each patient from a holistic view while focusing on the treatment of mental health.
(959) 265-2971 View (959) 265-2971
Photo of Justin W Branham, Psychiatric Nurse Practitioner, APRN
Justin W Branham
Psychiatric Nurse Practitioner, APRN
12 Endorsed
Online Only
Do you feel like no one is listening? At Bespoke Therapy, we have a different approach. We believe in teamwork between patient and provider, fostering an environment of acceptance, hope, authenticity, and healing. As we collaborate together, we will integrate therapeutic measures with medication management to provide individualized care.
Do you feel like no one is listening? At Bespoke Therapy, we have a different approach. We believe in teamwork between patient and provider, fostering an environment of acceptance, hope, authenticity, and healing. As we collaborate together, we will integrate therapeutic measures with medication management to provide individualized care.
(203) 318-4177 View (203) 318-4177
Photo of Stéphane P Clermont, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Stéphane P Clermont
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Online Only
Waitlist for new clients
Accepting New Patient. Experience working with a broad range of psychiatric issues specializing in medication management with an integrative treatment approach. As a Doctorally-prepared Double Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner (FNP), My extensive work history providing care to patients with comorbid psychiatric issues (Anxiety, OCD, Mood Disorders, Depression including postpartum depression, PTSD, Bipolar) and medical conditions has contributed to my ability to assess each patient from a holistic view while focusing on the treatment of mental health.
Accepting New Patient. Experience working with a broad range of psychiatric issues specializing in medication management with an integrative treatment approach. As a Doctorally-prepared Double Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner (FNP), My extensive work history providing care to patients with comorbid psychiatric issues (Anxiety, OCD, Mood Disorders, Depression including postpartum depression, PTSD, Bipolar) and medical conditions has contributed to my ability to assess each patient from a holistic view while focusing on the treatment of mental health.
(860) 431-3331 View (860) 431-3331
Photo of Emily Friedman, Psychiatric Nurse Practitioner, APRN, PMHNP
Emily Friedman
Psychiatric Nurse Practitioner, APRN, PMHNP
3 Endorsed
Online Only
With 10 years of experience working in the mental health field helping clients achieve their vision of wellness, stability and peace, I offer a safe, affirming, nonjudgmental space to share where you've been and envision where you'd like to go. I have worked in substance use disorder programs as well as intensive outpatient and inpatient psychiatric settings.
With 10 years of experience working in the mental health field helping clients achieve their vision of wellness, stability and peace, I offer a safe, affirming, nonjudgmental space to share where you've been and envision where you'd like to go. I have worked in substance use disorder programs as well as intensive outpatient and inpatient psychiatric settings.
(475) 897-5578 View (475) 897-5578
Photo of Hong Kim - One Psychiatry, Psychiatric Nurse Practitioner, PMHNP, NP-P, BC
One Psychiatry
Psychiatric Nurse Practitioner, PMHNP, NP-P, BC
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.
(860) 979-6396 View (860) 979-6396
Photo of Elisabeth Maryke Kressley, Psychiatrist, MD
Elisabeth Maryke Kressley
Psychiatrist, MD
Essex, CT 06426
I am accepting new patients of all ages for medications and therapy. I am Board Certified Child and Adolescent Psychiatrist, and Yale trained Adult psychiatrist. I enjoy treating all ages of people from as young as 3 thru adulthood. I treat ADHD, Depression Anxiety disorders along with behavioral disorders in childhood. I also treat adults, families and couples in addition to individuals with medication and or therapy. Understanding people where they are at and assisting them thru their treatment is the most rewarding experience.
I am accepting new patients of all ages for medications and therapy. I am Board Certified Child and Adolescent Psychiatrist, and Yale trained Adult psychiatrist. I enjoy treating all ages of people from as young as 3 thru adulthood. I treat ADHD, Depression Anxiety disorders along with behavioral disorders in childhood. I also treat adults, families and couples in addition to individuals with medication and or therapy. Understanding people where they are at and assisting them thru their treatment is the most rewarding experience.
(860) 544-5856 View (860) 544-5856
Photo of Stephanie Settevendemie, Psychiatric Nurse Practitioner, MSN, PMHNP, BC
Stephanie Settevendemie
Psychiatric Nurse Practitioner, MSN, PMHNP, BC
2 Endorsed
Middletown, CT 06457
Do you feel tired, foggy, or not like yourself? Some clients come to us with anxiety, depression, or trouble focusing. Others are struggling with fatigue, mood shifts, poor sleep, or unexplained weight changes. You may have tried therapy, medication, or lifestyle changes — but nothing has fully worked. Whether the issue is hormonal, psychological, or both, you want answers and lasting relief. You’re ready to feel balanced, clear, and like yourself again.
Do you feel tired, foggy, or not like yourself? Some clients come to us with anxiety, depression, or trouble focusing. Others are struggling with fatigue, mood shifts, poor sleep, or unexplained weight changes. You may have tried therapy, medication, or lifestyle changes — but nothing has fully worked. Whether the issue is hormonal, psychological, or both, you want answers and lasting relief. You’re ready to feel balanced, clear, and like yourself again.
(860) 962-6389 View (860) 962-6389
Photo of Heather Morrison - Mobile School Therapy, Psychiatric Nurse Practitioner, PHMNP, BC
Mobile School Therapy
Psychiatric Nurse Practitioner, PHMNP, BC
Online Only
I’m so glad you’re here. Whether you or your child are navigating social pressures, struggling with cycles of anxiety or depression, facing family conflict, grieving a loss, managing anger, or working through a difficult transition, I’m here to provide support. You deserve a space where your challenges are understood and your well-being is prioritized.
I’m so glad you’re here. Whether you or your child are navigating social pressures, struggling with cycles of anxiety or depression, facing family conflict, grieving a loss, managing anger, or working through a difficult transition, I’m here to provide support. You deserve a space where your challenges are understood and your well-being is prioritized.
(860) 780-8287 View (860) 780-8287
Photo of Julianne Steahr, Psychiatric Nurse, APRN, PMHNP, ANP
Julianne Steahr
Psychiatric Nurse, APRN, PMHNP, ANP
1 Endorsed
Online Only
Hello, I practice as a certified APRN in Psychiatry and Primary Care. My current focus is on the treatment of psychiatric illnesses in adults that are motivated to maintain or regain mental and emotional wellness. I prescribe medications for the treatment of Acute and Chronic Depression, Anxiety, OCD, ADD, ASD, PTSD, Mood D/O, Obesity, Binge Eating, Substance Abuse, Pre and Post Partum, Sleep disorders, Thyroid and CFS. If seeking an initial assessment or continued care for a diagnosed condition or a reevaluation, my goal is to provide you comprehensive, wholistic care to regain or maintain wellness.
Hello, I practice as a certified APRN in Psychiatry and Primary Care. My current focus is on the treatment of psychiatric illnesses in adults that are motivated to maintain or regain mental and emotional wellness. I prescribe medications for the treatment of Acute and Chronic Depression, Anxiety, OCD, ADD, ASD, PTSD, Mood D/O, Obesity, Binge Eating, Substance Abuse, Pre and Post Partum, Sleep disorders, Thyroid and CFS. If seeking an initial assessment or continued care for a diagnosed condition or a reevaluation, my goal is to provide you comprehensive, wholistic care to regain or maintain wellness.
(860) 458-4828 View (860) 458-4828
Photo of Dominique Sanders, Psychiatric Nurse Practitioner, PhD, PMHNP
Dominique Sanders
Psychiatric Nurse Practitioner, PhD, PMHNP
Online Only
Do you find yourself feeling on edge with anxiety, stress, and worried sick no matter what you do? Anxiety leaves us feeling panicked, exhausted and disconnected. You’re someone who deeply wants to feel peace, relaxed, and safe but still find yourself feeling out of control and heart racing. You want to feel calm and have no idea how to get there. You are ready to feel like yourself again, grounded with no fear or panic. You are ready to feel at ease in public and embrace connection at work and in your relationships. Most of all, you are ready to be free from the burden of anxiety, causing depression- I want to help you get there.
Do you find yourself feeling on edge with anxiety, stress, and worried sick no matter what you do? Anxiety leaves us feeling panicked, exhausted and disconnected. You’re someone who deeply wants to feel peace, relaxed, and safe but still find yourself feeling out of control and heart racing. You want to feel calm and have no idea how to get there. You are ready to feel like yourself again, grounded with no fear or panic. You are ready to feel at ease in public and embrace connection at work and in your relationships. Most of all, you are ready to be free from the burden of anxiety, causing depression- I want to help you get there.
(702) 403-1630 View (702) 403-1630
Photo of Eunice D Dunu, Psychiatric Nurse Practitioner, PMHNP
Eunice D Dunu
Psychiatric Nurse Practitioner, PMHNP
Middletown, CT 06457
Accepting new patients. I accept HUSKY Insurance. I provide mental health medication management services for patient in both CT and NY. I am a board-certified Psychiatric Mental Health Nurse Practitioner, I bring considerable expertise to my position as a provider in an outpatient substance abuse clinic. With a solid background in psychiatric emergency room and inpatient care, I have refined my abilities over 7 years in high-patient volume settings. This experience has equipped me to better recognize and attend to the needs of individuals struggling with substance abuse, anxiety, depression, and general psychiatric disorders.
Accepting new patients. I accept HUSKY Insurance. I provide mental health medication management services for patient in both CT and NY. I am a board-certified Psychiatric Mental Health Nurse Practitioner, I bring considerable expertise to my position as a provider in an outpatient substance abuse clinic. With a solid background in psychiatric emergency room and inpatient care, I have refined my abilities over 7 years in high-patient volume settings. This experience has equipped me to better recognize and attend to the needs of individuals struggling with substance abuse, anxiety, depression, and general psychiatric disorders.
(860) 321-1966 View (860) 321-1966
Photo of Heather Morrison, Psychiatric Nurse Practitioner, PMHNP
Heather Morrison
Psychiatric Nurse Practitioner, PMHNP
Online Only
I am a Board-Certified Psychiatry Mental Health Nurse Practitioner specializing in mental health care for children in PreK-12 grade.
I am a Board-Certified Psychiatry Mental Health Nurse Practitioner specializing in mental health care for children in PreK-12 grade.
(203) 654-3405 View (203) 654-3405
Photo of Debra Sicilian, Psychiatric Nurse Practitioner, PMHNP
Debra Sicilian
Psychiatric Nurse Practitioner, PMHNP
Online Only
My name is Debra Sicilian, and I am a dedicated psychiatric consultant offering open and genuine support for your well-being. With extensive clinical experience, I deeply grasp brain function, medications, and treatments. My unwavering commitment to uncovering the root causes behind distressing symptoms is what sets me apart. The complexity of the brain, governing various aspects of our being, drives my fascination. I acknowledge the uniqueness of each individual's neurodiversity, influencing treatment responses.
My name is Debra Sicilian, and I am a dedicated psychiatric consultant offering open and genuine support for your well-being. With extensive clinical experience, I deeply grasp brain function, medications, and treatments. My unwavering commitment to uncovering the root causes behind distressing symptoms is what sets me apart. The complexity of the brain, governing various aspects of our being, drives my fascination. I acknowledge the uniqueness of each individual's neurodiversity, influencing treatment responses.
(475) 405-2067 View (475) 405-2067
Photo of Blake Werner, Psychiatrist, MD
Blake Werner
Psychiatrist, MD
Online Only
Embarking on a journey toward emotional well-being is a courageous step, and I'm honored to be part of it with you. I believe in a collaborative approach to mental health care, working closely with you to not only support your emotional well-being but also to help you achieve your unique goals. Your individuality is at the heart of our work together, and I recognize that a one-size-fits-all treatment plan doesn't suit everyone. That's why I dedicate time and space in our sessions to ensure you can heal and grow in the way that feels right for you.
Embarking on a journey toward emotional well-being is a courageous step, and I'm honored to be part of it with you. I believe in a collaborative approach to mental health care, working closely with you to not only support your emotional well-being but also to help you achieve your unique goals. Your individuality is at the heart of our work together, and I recognize that a one-size-fits-all treatment plan doesn't suit everyone. That's why I dedicate time and space in our sessions to ensure you can heal and grow in the way that feels right for you.
(860) 981-0165 View (860) 981-0165
Photo of Lee Weber, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, FNP
Lee Weber
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, FNP
Essex, CT 06426
Accepting NEW Child CLIENTS. I am a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP) as well as a Family Nurse Practitioner (FNP). I specialize in children, adolescents, and young adults (ages 5 - 24) who are struggling with mental health issues. I evaluate and treat ADHD, depression, anxiety, post-traumatic stress disorder, bipolar disorder, OCD, and other psychiatric disorders. I provide psychiatric evaluations and consults, medication management, individual and group therapy, as well as ongoing management.
Accepting NEW Child CLIENTS. I am a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP) as well as a Family Nurse Practitioner (FNP). I specialize in children, adolescents, and young adults (ages 5 - 24) who are struggling with mental health issues. I evaluate and treat ADHD, depression, anxiety, post-traumatic stress disorder, bipolar disorder, OCD, and other psychiatric disorders. I provide psychiatric evaluations and consults, medication management, individual and group therapy, as well as ongoing management.
(860) 852-1566 View (860) 852-1566
Photo of Fredo J Clermont, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, BC
Fredo J Clermont
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, BC
Middletown, CT 06457
Waitlist for new clients
Experience working with a broad range of psychiatric issues specializing in medication management with an integrative treatment approach. As a Doctorally-prepared Double Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner (FNP), My extensive work history providing care to patients with comorbid psychiatric issues (Anxiety, OCD, Mood Disorders, Depression including postpartum depression, PTSD, Bipolar) and medical conditions has contributed to my ability to assess each patient from a holistic view while focusing on the treatment of mental health.
Experience working with a broad range of psychiatric issues specializing in medication management with an integrative treatment approach. As a Doctorally-prepared Double Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner (FNP), My extensive work history providing care to patients with comorbid psychiatric issues (Anxiety, OCD, Mood Disorders, Depression including postpartum depression, PTSD, Bipolar) and medical conditions has contributed to my ability to assess each patient from a holistic view while focusing on the treatment of mental health.
(860) 901-0520 View (860) 901-0520
Photo of Michael Valalik, Psychiatric Nurse, MSN, PMHNP
Michael Valalik
Psychiatric Nurse, MSN, PMHNP
Online Only
Thank you for considering my practice for your mental health care. I provide medication management services for adults who are already seeing a therapist regularly for psychotherapy.
Thank you for considering my practice for your mental health care. I provide medication management services for adults who are already seeing a therapist regularly for psychotherapy.
(203) 479-9488 View (203) 479-9488
Photo of Aleksandra Kinard, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Aleksandra Kinard
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Middletown, CT 06457
My name is Aleksnadra Kinard (she/her). I am a board certified psychiatric mental health nurse practitioner, who completed training at Yale University. I have worked with children, adolescents, and young adults in a community health and academic settings. In addition to clinical work, I trained graduate students and nurse practitioner residents. I understand that considering medication is a big step for families and I am dedicated to exploring all treatment modalities by taking a holistic approach to wellness. I work closely with therapists and pediatricians to build a comprehensive plan of care.
My name is Aleksnadra Kinard (she/her). I am a board certified psychiatric mental health nurse practitioner, who completed training at Yale University. I have worked with children, adolescents, and young adults in a community health and academic settings. In addition to clinical work, I trained graduate students and nurse practitioner residents. I understand that considering medication is a big step for families and I am dedicated to exploring all treatment modalities by taking a holistic approach to wellness. I work closely with therapists and pediatricians to build a comprehensive plan of care.
(860) 792-3600 View (860) 792-3600
Photo of Fredo And Stéphane Clermont - NorthPoint Psychiatric Consultants, LLC, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, BC
NorthPoint Psychiatric Consultants, LLC
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, BC
1 Endorsed
Middletown, CT 06457
Our group practice consists of Board-Certified providers. Our extensive inpatient and outpatient work history providing care to clients with co-morbid psychiatric and medical conditions has contributed to our ability to assess each client from a holistic view and provide the best evidence-based recommendations. We are Currently ACCEPTING new patients on a limited basis for psychiatric evaluation. To request an appointment please visit our website and fill out the form (https://www.northpointpsychiatry.com/contact-us ).
Our group practice consists of Board-Certified providers. Our extensive inpatient and outpatient work history providing care to clients with co-morbid psychiatric and medical conditions has contributed to our ability to assess each client from a holistic view and provide the best evidence-based recommendations. We are Currently ACCEPTING new patients on a limited basis for psychiatric evaluation. To request an appointment please visit our website and fill out the form (https://www.northpointpsychiatry.com/contact-us ).
(860) 854-1764 View (860) 854-1764

See more therapy options for Middlesex County

How does your Psychiatrist compare?

Number of Psychiatrists in Middlesex County, CT

40+

Average cost per session

$165

Psychiatrists in Middlesex County, CT who prioritize treating:

98% Anxiety
93% Depression
80% ADHD
80% Obsessive-Compulsive (OCD)
80% Medication Management
74% Trauma and PTSD
74% Bipolar Disorder

Average years in practice

10 Years

Top 3 insurances accepted

86% Aetna
86% Cigna and Evernorth
78% BlueCross and BlueShield

How Psychiatrists in Middlesex County, CT see their clients

52% In Person and Online
48% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Middlesex County?

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.