Psychiatrists in Portland, OR

Photo of Megan Vandell, Psychiatric Nurse Practitioner in Portland, OR
Megan Vandell
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Portland, OR 97202
Megan is a board certified psychiatric-mental health nurse practitioner specializing in patients struggling with dual diagnosis (mental health and addictions), PTSD, depression, anxiety, and mood disorders. Focused on patient-centered care and optimizing medication regimen, my goal in treatment is to use the fewest medications at the lowest doses possible to robustly support mood and wellness. I offer a calm, understanding environment during our sessions. Seeking help with mental health is a challenge, and I strive to make it an easy process for my patients.
Megan is a board certified psychiatric-mental health nurse practitioner specializing in patients struggling with dual diagnosis (mental health and addictions), PTSD, depression, anxiety, and mood disorders. Focused on patient-centered care and optimizing medication regimen, my goal in treatment is to use the fewest medications at the lowest doses possible to robustly support mood and wellness. I offer a calm, understanding environment during our sessions. Seeking help with mental health is a challenge, and I strive to make it an easy process for my patients.
(503) 738-1346 View (503) 738-1346
Photo of High Desert Psychiatry, Psychiatric Nurse Practitioner in Portland, OR
High Desert Psychiatry
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Portland, OR 97229  (Online Only)
My name is Harry Borcherding, a Psychiatric Nurse Practitioner. I specialize in evaluating, diagnosing and treating mental health conditions for adults. I provide focused and consistent care in a comforting environment. Services include evaluating, diagnosing and treating mental health conditions with both medication prescribing and counseling interventions.
My name is Harry Borcherding, a Psychiatric Nurse Practitioner. I specialize in evaluating, diagnosing and treating mental health conditions for adults. I provide focused and consistent care in a comforting environment. Services include evaluating, diagnosing and treating mental health conditions with both medication prescribing and counseling interventions.
(541) 625-1617 View (541) 625-1617
Photo of Lauren Merrell, Psychiatric Nurse Practitioner in Portland, OR
Lauren Merrell
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
1 Endorsed
Portland, OR 97239
I treat clients who are seeking both talk therapy and medication management. When clients receive therapy and medication management from the same provider, I find that this leads to better outcomes, less medication, and greater satisfaction in care. In our first few sessions, I'll listen to you intently and then we'll determine a path forward. Most of my clients start to feel better within a few months.
I treat clients who are seeking both talk therapy and medication management. When clients receive therapy and medication management from the same provider, I find that this leads to better outcomes, less medication, and greater satisfaction in care. In our first few sessions, I'll listen to you intently and then we'll determine a path forward. Most of my clients start to feel better within a few months.
(971) 318-1721 View (971) 318-1721
Photo of Yoonhui Choe, Psychiatric Nurse Practitioner in Portland, OR
Yoonhui Choe
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Portland, OR 97225  (Online Only)
Yoonhui Choe, PMHNP-BC brings tons of experience to her patients. Couple that with an ability to easily empathize with her clients, she has an amazing ability to help those in need with their stress, anxiety, and depression.
Yoonhui Choe, PMHNP-BC brings tons of experience to her patients. Couple that with an ability to easily empathize with her clients, she has an amazing ability to help those in need with their stress, anxiety, and depression.
(503) 755-8602 View (503) 755-8602
Photo of Shinichi Daimyo, Psychiatric Nurse Practitioner in Portland, OR
Shinichi Daimyo
Psychiatric Nurse Practitioner, MSN, MPH, PMHNP
Verified Verified
Portland, OR 97229  (Online Only)
CURRENTLY ACCEPTING NEW CLIENTS! I aim to bring empathy into every moment of care I provide to my clients. I strive to create an empowering and empathy-focused environment, where the needs, goals, and aspirations of my client's mental health and life are the driving force in how I provide psychiatry and psychotherapy care. My approach is collaborative and client-centered, valuing a client’s experience and perspective as important as my expertise as a mental health provider.
CURRENTLY ACCEPTING NEW CLIENTS! I aim to bring empathy into every moment of care I provide to my clients. I strive to create an empowering and empathy-focused environment, where the needs, goals, and aspirations of my client's mental health and life are the driving force in how I provide psychiatry and psychotherapy care. My approach is collaborative and client-centered, valuing a client’s experience and perspective as important as my expertise as a mental health provider.
(971) 299-7048 View (971) 299-7048
Photo of Catherine Rose Hensy, Psychiatric Nurse Practitioner in Portland, OR
Catherine Rose Hensy
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
Portland, OR 97223
I provide psychiatric medication management either in person or virtually for children and adults! I offer neurocognitive testing, including ADHD, with treatment plan tailored to test results. I am currently accepting new clients and I can get you in quickly! I offer an evidence based approach. We will focus on limiting side effects and getting positive results from the LEAST amount of medications possible. I will listen to your concerns and we will work together to get you feeling your best!
I provide psychiatric medication management either in person or virtually for children and adults! I offer neurocognitive testing, including ADHD, with treatment plan tailored to test results. I am currently accepting new clients and I can get you in quickly! I offer an evidence based approach. We will focus on limiting side effects and getting positive results from the LEAST amount of medications possible. I will listen to your concerns and we will work together to get you feeling your best!
(503) 966-9547 View (503) 966-9547
Photo of Marco Rudas-Garcia, Psychiatric Nurse Practitioner in Portland, OR
Marco Rudas-Garcia
Psychiatric Nurse Practitioner, PMHNP, BSN
Verified Verified
Portland, OR 97204
Hello! My name is Marco Rudas-Garcia. I graduated with a Bachelor of Science in Nursing (BSN) from the University of Utah and subsequently earned a master's degree in nursing from Gonzaga University. My professional experience includes working in surgical trauma units and psychiatric units, and I have experience in caring for developmentally delayed populations with mental illness. Additionally, I have worked at the VA hospital in Salt Lake City, providing care to veterans. My professional interests lie in working with trauma patients, as well as individuals with anxiety, depression, and various other mental health needs.
Hello! My name is Marco Rudas-Garcia. I graduated with a Bachelor of Science in Nursing (BSN) from the University of Utah and subsequently earned a master's degree in nursing from Gonzaga University. My professional experience includes working in surgical trauma units and psychiatric units, and I have experience in caring for developmentally delayed populations with mental illness. Additionally, I have worked at the VA hospital in Salt Lake City, providing care to veterans. My professional interests lie in working with trauma patients, as well as individuals with anxiety, depression, and various other mental health needs.
(971) 306-4325 x2 View (971) 306-4325 x2
Photo of Madeline Jacobs, Psychiatric Nurse Practitioner in Portland, OR
Madeline Jacobs
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
1 Endorsed
Portland, OR 97204
Madeline Jacobs is a board certified Psychiatric Mental Health Nurse Practitioner. She holds a Master of Science in Nursing from Oregon Health & Science University and has been working in the psychiatric field since 2015. She has worked at the Los Angeles LGBT Center, the largest LGBT Center in the country, and would love the opportunity to broaden the reach of LGBTQ+ affirming mental health care through telepsychiatry. She is trained in EMDR (eye movement desensitization and reprocessing), an evidence-based trauma therapy. She takes a trauma-informed perspective on mental health care. In-office visits near Portland, OR available!
Madeline Jacobs is a board certified Psychiatric Mental Health Nurse Practitioner. She holds a Master of Science in Nursing from Oregon Health & Science University and has been working in the psychiatric field since 2015. She has worked at the Los Angeles LGBT Center, the largest LGBT Center in the country, and would love the opportunity to broaden the reach of LGBTQ+ affirming mental health care through telepsychiatry. She is trained in EMDR (eye movement desensitization and reprocessing), an evidence-based trauma therapy. She takes a trauma-informed perspective on mental health care. In-office visits near Portland, OR available!
(503) 386-0877 x2 View (503) 386-0877 x2
Photo of Brian Pollock, Psychiatric Nurse Practitioner in Portland, OR
Brian Pollock
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Portland, OR 97205
Now Accepting New Patients! I welcome and am excited to help people of all backgrounds and identities! I am here if you are looking for relief from emotional pain, mental distress or other struggles. I want to help you through whatever is causing you difficulties in a supportive and collaborative way. I am thoughtful, compassionate and listen with openness. I strive to create an accepting and safe environment where we work together to decrease your symptoms and struggles and to support your health and growth. One specific passion and areas of expertise of mine is working with college students which I have been doing for 10 years!
Now Accepting New Patients! I welcome and am excited to help people of all backgrounds and identities! I am here if you are looking for relief from emotional pain, mental distress or other struggles. I want to help you through whatever is causing you difficulties in a supportive and collaborative way. I am thoughtful, compassionate and listen with openness. I strive to create an accepting and safe environment where we work together to decrease your symptoms and struggles and to support your health and growth. One specific passion and areas of expertise of mine is working with college students which I have been doing for 10 years!
(971) 247-3643 x1 View (971) 247-3643 x1
Photo of Headlight / Portland, Psychiatrist in Portland, OR
Headlight / Portland
Psychiatrist
Verified Verified
Portland, OR 97225
Headlight is proud to offer Portland, OR a full circle of mental health care services, including therapy, coaching, support groups, medication management, and an online library of self-care resources. We make world-class mental health care accessible for everyone!
Headlight is proud to offer Portland, OR a full circle of mental health care services, including therapy, coaching, support groups, medication management, and an online library of self-care resources. We make world-class mental health care accessible for everyone!
(971) 290-1964 View (971) 290-1964
Photo of Lauren Kaplan, Psychiatric Nurse Practitioner in Portland, OR
Lauren Kaplan
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Portland, OR 97232
I believe that healing occurs in the context of supportive relationships with self, with other people, and with aspects of the natural world beyond people. My passion is collaborative exploration of these core relationships to help empower youth in creating their own path toward increasing wellness. It takes great strength to ask for help and it can be challenging to find someone who feels safe enough to be vulnerable with. Providing you or your child with a safe, supportive, affirming space to go beyond symptom management and explore the root causes of your challenging experiences is an honor.
I believe that healing occurs in the context of supportive relationships with self, with other people, and with aspects of the natural world beyond people. My passion is collaborative exploration of these core relationships to help empower youth in creating their own path toward increasing wellness. It takes great strength to ask for help and it can be challenging to find someone who feels safe enough to be vulnerable with. Providing you or your child with a safe, supportive, affirming space to go beyond symptom management and explore the root causes of your challenging experiences is an honor.
(503) 994-1387 View (503) 994-1387
Photo of Michelle Voegels, PMHNP, Psychiatric Nurse Practitioner in Portland, OR
Michelle Voegels, PMHNP
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Portland, OR 97225
My heart and passion is not only in caring for others but assisting clients in transitioning to wellness. My goal is to provide you and your family timely, respectful, quality service in a pleasant practice environment. I diagnose and specialize in adults with complex mental health disorders. We will discuss and evaluate your behavioral health and psychiatric medication needs.
My heart and passion is not only in caring for others but assisting clients in transitioning to wellness. My goal is to provide you and your family timely, respectful, quality service in a pleasant practice environment. I diagnose and specialize in adults with complex mental health disorders. We will discuss and evaluate your behavioral health and psychiatric medication needs.
(971) 290-1829 View (971) 290-1829
Photo of Keith Lowenstein MD- Brain Body Mind LLC , Psychiatrist in Portland, OR
Keith Lowenstein MD- Brain Body Mind LLC
Psychiatrist, MD
Verified Verified
Portland, OR 97229  (Online Only)
We take great care to fully explore all aspects of a patient's needs and place primary emphasis on the initial consultation process. Through the health assessment, an integrated wellness plan is created. Dr. Lowenstein works with patients using a wide array of integrative medicine approaches. We assist patients in achieving optimal health and vitality. Dr. Lowenstein addresses both physical and mental health needs for patients of all ages. He works with each individual developing a unique integrated wellness plan to foster personal growth and achieve balance in their lives.
We take great care to fully explore all aspects of a patient's needs and place primary emphasis on the initial consultation process. Through the health assessment, an integrated wellness plan is created. Dr. Lowenstein works with patients using a wide array of integrative medicine approaches. We assist patients in achieving optimal health and vitality. Dr. Lowenstein addresses both physical and mental health needs for patients of all ages. He works with each individual developing a unique integrated wellness plan to foster personal growth and achieve balance in their lives.
(503) 925-5847 View (503) 925-5847
Photo of Andrew James Hughes, Psychiatrist in Portland, OR
Andrew James Hughes
Psychiatrist, MD
Verified Verified
1 Endorsed
Portland, OR 97214
Not accepting new clients
My primary aim is to help patients achieve a more fulfilling life. Available evidence indicates that the best psychotherapy outcomes are associated with strong and trusting provider-patient relationships. As such, I strive to create a comfortable, non-judgmental, and safe environment for my patients.
My primary aim is to help patients achieve a more fulfilling life. Available evidence indicates that the best psychotherapy outcomes are associated with strong and trusting provider-patient relationships. As such, I strive to create a comfortable, non-judgmental, and safe environment for my patients.
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Photo of Kelli L Holloway, Psychiatrist in Portland, OR
Kelli L Holloway
Psychiatrist, MD
Verified Verified
Portland, OR 97205
As a psychiatrist and psychodynamic psychotherapist with over 25 years of experience, I enjoy working with a wide variety of mental health concerns. I have developed special expertise in helping persons with self esteem issues, relationship problems, midlife and career transitions and trauma. I believe that talking through ones struggles, burdens, losses and pain leads to greater fulfillment in life, a sense of hope and joy. It is a privilege to be invited to accompany another on their personal journey. Psychotherapy is hard work but well worth the investment in oneself for discovering potential in love, work and play.
As a psychiatrist and psychodynamic psychotherapist with over 25 years of experience, I enjoy working with a wide variety of mental health concerns. I have developed special expertise in helping persons with self esteem issues, relationship problems, midlife and career transitions and trauma. I believe that talking through ones struggles, burdens, losses and pain leads to greater fulfillment in life, a sense of hope and joy. It is a privilege to be invited to accompany another on their personal journey. Psychotherapy is hard work but well worth the investment in oneself for discovering potential in love, work and play.
(971) 339-3104 View (971) 339-3104
Photo of Kristine Simpson, Psychiatric Nurse Practitioner in Portland, OR
Kristine Simpson
Psychiatric Nurse Practitioner, DNP, FNP, PMHNP
Verified Verified
1 Endorsed
Portland, OR 97214
Currently Accepting New Patients. I see patients from a strengths-based perspective and use medications as tools with which we can reduce suffering and promote wellness. I offer psychiatric evaluations and ongoing mental health care for adults with a particular focus on individuals suffering from mood and anxiety disorders. I work collaboratively with therapists and other medical providers involved in a person's care in order to achieve the best response to treatment. Patients are seen in person for the first visit and subsequently in-person or via telehealth.
Currently Accepting New Patients. I see patients from a strengths-based perspective and use medications as tools with which we can reduce suffering and promote wellness. I offer psychiatric evaluations and ongoing mental health care for adults with a particular focus on individuals suffering from mood and anxiety disorders. I work collaboratively with therapists and other medical providers involved in a person's care in order to achieve the best response to treatment. Patients are seen in person for the first visit and subsequently in-person or via telehealth.
(503) 751-3901 View (503) 751-3901
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 Sarah Notton, Psychiatric Nurse Practitioner in Portland, OR
Sarah Notton
Psychiatric Nurse Practitioner, DNP, MN, PMHNP, RN
Verified Verified
Portland, OR 97214
I am here to assist you on your journey to live a life according to your values. My approach to treating common mental health challenges integrates medication management with skills, healthy lifestyle practices, and social frameworks that support your ability to thrive and engage in the world around you. Expect to collaborate on non-pharmaceutical interventions and activity plans while also working to find the lowest effective dose of medication(s) to help you function optimally.
I am here to assist you on your journey to live a life according to your values. My approach to treating common mental health challenges integrates medication management with skills, healthy lifestyle practices, and social frameworks that support your ability to thrive and engage in the world around you. Expect to collaborate on non-pharmaceutical interventions and activity plans while also working to find the lowest effective dose of medication(s) to help you function optimally.
(503) 470-2470 x1 View (503) 470-2470 x1
Photo of Kelly Witbeck, Psychiatric Nurse Practitioner in Portland, OR
Kelly Witbeck
Psychiatric Nurse Practitioner, DNP, FNP-C, PMHNP-B
Verified Verified
Portland, OR 97205
Accepting new clients! VISIT www.kelementalhealth.com to schedule your appointment. Kelly’s ideal patient is the one who is open minded, patient with the process, willing to be actively engaged and involved in their treatment, and understands that little things over time produce measurable changes in progress. She believes in a team approach, working together with her patients toward treatment goals, encourages patients to engage by asking questions and learning more about their path along their wellness journey.
Accepting new clients! VISIT www.kelementalhealth.com to schedule your appointment. Kelly’s ideal patient is the one who is open minded, patient with the process, willing to be actively engaged and involved in their treatment, and understands that little things over time produce measurable changes in progress. She believes in a team approach, working together with her patients toward treatment goals, encourages patients to engage by asking questions and learning more about their path along their wellness journey.
(503) 739-9219 View (503) 739-9219
Photo of Kathleen Johnson, Psychiatric Nurse Practitioner in Portland, OR
Kathleen Johnson
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
Portland, OR 97229  (Online Only)
CURRENTLY ACCEPTING NEW PATIENTS & Saturday Appointments Available! I assist patients who are experiencing a range of presenting concerns, including: anxiety, depression, substance dependence, ADHD, autism, stress related disorders, PTSD, sleep challenges, and more. As a psychiatric provider, I take the time to explain the science behind what is creating the the challenges you are experiencing, answer questions, and work with you on the goal of full remission of the mental health or addictive crisis so you can go on living your life to the fullest.
CURRENTLY ACCEPTING NEW PATIENTS & Saturday Appointments Available! I assist patients who are experiencing a range of presenting concerns, including: anxiety, depression, substance dependence, ADHD, autism, stress related disorders, PTSD, sleep challenges, and more. As a psychiatric provider, I take the time to explain the science behind what is creating the the challenges you are experiencing, answer questions, and work with you on the goal of full remission of the mental health or addictive crisis so you can go on living your life to the fullest.
(971) 299-7633 View (971) 299-7633

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.