Psychiatrists in Honolulu, HI

Photo of Debbie Davieca Singh, Psychiatric Nurse Practitioner, FNP,, PMHNP, -BC
Debbie Davieca Singh
Psychiatric Nurse Practitioner, FNP,, PMHNP, -BC
Honolulu, HI 96813
My ideal client is someone feeling overwhelmed, stuck, or ready for change but unsure where to start. They may be coping with anxiety, depression, burnout, or life transitions and want to feel balanced, confident, and at peace. They seek more than symptom relief—they want clarity, connection, and lasting change. My goal is to provide a safe, supportive space to explore their challenges, build resilience, and help them rediscover their strengths and sense of purpose through compassionate, individualized care that integrates mind and body healing.
My ideal client is someone feeling overwhelmed, stuck, or ready for change but unsure where to start. They may be coping with anxiety, depression, burnout, or life transitions and want to feel balanced, confident, and at peace. They seek more than symptom relief—they want clarity, connection, and lasting change. My goal is to provide a safe, supportive space to explore their challenges, build resilience, and help them rediscover their strengths and sense of purpose through compassionate, individualized care that integrates mind and body healing.
(808) 435-8159 View (808) 435-8159
Photo of Michael J Mahelsky, Psychiatrist, MD
Michael J Mahelsky
Psychiatrist, MD
Honolulu, HI 96814
Most of the patients who have worked with me over the years have a variety of different mental health issues. These include depression, anxiety and substance dependence. However, in psychiatry, there are many other mental health matters which need to be diagnosed and carefully treated. I feel very capable and prepared given my years of experience to work with patients who have these conditions as well.
Most of the patients who have worked with me over the years have a variety of different mental health issues. These include depression, anxiety and substance dependence. However, in psychiatry, there are many other mental health matters which need to be diagnosed and carefully treated. I feel very capable and prepared given my years of experience to work with patients who have these conditions as well.
(808) 556-3672 View (808) 556-3672
Photo of Dr. Ashley A. Renea, Psychiatric Nurse Practitioner, DNP, MSN/MEd, APRN-RX, PMHNPBC
Dr. Ashley A. Renea
Psychiatric Nurse Practitioner, DNP, MSN/MEd, APRN-RX, PMHNPBC
3 Endorsed
Online Only
You don’t have to keep pushing through feeling overwhelmed. If anxiety, burnout, or depression are taking over, I offer thoughtful medication management and therapy to help you feel like yourself again—without overmedicating. If you’re ready for thoughtful, personalized care and real support, I’d love to help. As a both formally trained master level therapist and doctoral level psychiatric nurse practitioner, I am able to treat clients both with medication and supportive talk therapy. Now accepting new clients. Telehealth appointments available this week.
You don’t have to keep pushing through feeling overwhelmed. If anxiety, burnout, or depression are taking over, I offer thoughtful medication management and therapy to help you feel like yourself again—without overmedicating. If you’re ready for thoughtful, personalized care and real support, I’d love to help. As a both formally trained master level therapist and doctoral level psychiatric nurse practitioner, I am able to treat clients both with medication and supportive talk therapy. Now accepting new clients. Telehealth appointments available this week.
(808) 435-7822 View (808) 435-7822
Photo of Reginald Casilang, Psychiatric Nurse Practitioner, DNP, PMHNP, FNP
Reginald Casilang
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP
2 Endorsed
Honolulu, HI 96813
Many adults I work with in Hawaiʻi have already tried treatment — and still don’t feel right. They’ve cycled through diagnoses that never quite fit, or medications that helped a little but not enough. They’re not starting from scratch; they’re looking for someone who will actually slow down and think with them. I work with adults across Oʻahu and the neighbor islands who want clarity, stability, and psychiatric care that respects both where they’ve been and where they want to go.
Many adults I work with in Hawaiʻi have already tried treatment — and still don’t feel right. They’ve cycled through diagnoses that never quite fit, or medications that helped a little but not enough. They’re not starting from scratch; they’re looking for someone who will actually slow down and think with them. I work with adults across Oʻahu and the neighbor islands who want clarity, stability, and psychiatric care that respects both where they’ve been and where they want to go.
(808) 229-4227 View (808) 229-4227
Photo of Garrett Milo Halweg, Psychiatrist, MD
Garrett Milo Halweg
Psychiatrist, MD
Honolulu, HI 96813
Dr. Garrett Halweg began a quest for improving brain health at the completion of his residency from University of Hawaii, Queens Medical Center in 2003. He headed up a private practice in Southern California working on common disorders like depression, anxiety, and ADHD. Dr. Halweg survived multi-system organ failure because of a Leptospirosis infection from a local waterfall in November 2013, which prompted a renewed interest in optimizing physical health and mental awareness. This experience taught him lessons that shaped his life and now wants to share his story with others.
Dr. Garrett Halweg began a quest for improving brain health at the completion of his residency from University of Hawaii, Queens Medical Center in 2003. He headed up a private practice in Southern California working on common disorders like depression, anxiety, and ADHD. Dr. Halweg survived multi-system organ failure because of a Leptospirosis infection from a local waterfall in November 2013, which prompted a renewed interest in optimizing physical health and mental awareness. This experience taught him lessons that shaped his life and now wants to share his story with others.
(808) 664-1402 View (808) 664-1402
Photo of Gabe Gaertner, Psychiatric Nurse Practitioner, PMHNP
Gabe Gaertner
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Honolulu, HI 96817
I practice Positive Psychiatry, combining traditional psychiatry and medication management together with a focus on resilience, self-compassion and mindfulness. Research has shown this approach to yield better physical and mental outcomes. I will meet you where you are and we will work together. My goal is not for you to become dependent on me, but rather to build on your own inner resilience and strength.
I practice Positive Psychiatry, combining traditional psychiatry and medication management together with a focus on resilience, self-compassion and mindfulness. Research has shown this approach to yield better physical and mental outcomes. I will meet you where you are and we will work together. My goal is not for you to become dependent on me, but rather to build on your own inner resilience and strength.
(808) 378-3710 View (808) 378-3710
Photo of Betty King, Psychiatric Nurse Practitioner, APRN, PMHNPBC
Betty King
Psychiatric Nurse Practitioner, APRN, PMHNPBC
Online Only
Aloha — I'm Betty King, a board-certified Psychiatric-Mental Health Nurse Practitioner who has devoted her life to nursing since 1983. I work with keiki, teens, and adults across Hawaiʻi facing anxiety, depression, and mood concerns. If your child or your family is struggling, you've found someone who will walk alongside you.
Aloha — I'm Betty King, a board-certified Psychiatric-Mental Health Nurse Practitioner who has devoted her life to nursing since 1983. I work with keiki, teens, and adults across Hawaiʻi facing anxiety, depression, and mood concerns. If your child or your family is struggling, you've found someone who will walk alongside you.
(808) 777-9460 View (808) 777-9460
Photo of Jessica Marcy - Broadened Horizons Psychiatry Jessica Marcy, Psychiatric Nurse Practitioner, PMHNP
Broadened Horizons Psychiatry Jessica Marcy
Psychiatric Nurse Practitioner, PMHNP
Online Only
It can feel uncomfortable to seek support, especially when you're used to handling things on your own. Living with daily anxiety, depression, grief, or other challenges can be exhausting. Many people I work with have been managing quietly for a long time. We can work together in a few ways: medication or evidence-based supplements, when they're a fit; solution-focused talk therapy centered on forward momentum and practical outcomes; and the everyday 'small' things, like sleep and nutrition that are easy to overlook but can move your mood and energy in big ways.
It can feel uncomfortable to seek support, especially when you're used to handling things on your own. Living with daily anxiety, depression, grief, or other challenges can be exhausting. Many people I work with have been managing quietly for a long time. We can work together in a few ways: medication or evidence-based supplements, when they're a fit; solution-focused talk therapy centered on forward momentum and practical outcomes; and the everyday 'small' things, like sleep and nutrition that are easy to overlook but can move your mood and energy in big ways.
(808) 736-4055 View (808) 736-4055
Photo of Danielle Martorella, Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
Danielle Martorella
Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
1 Endorsed
Online Only
Aloha — I'm Danielle Martorella, a board-certified Psychiatric-Mental Health Nurse Practitioner for whom psychiatric care is a calling, not just a job. I work with adults across Hawaiʻi facing depression, anxiety, and substance use, and I'll meet you with respect wherever you are.
Aloha — I'm Danielle Martorella, a board-certified Psychiatric-Mental Health Nurse Practitioner for whom psychiatric care is a calling, not just a job. I work with adults across Hawaiʻi facing depression, anxiety, and substance use, and I'll meet you with respect wherever you are.
(808) 777-9460 View (808) 777-9460
Photo of Thomas Cook, Psychiatrist, MD
Thomas Cook
Psychiatrist, MD
3 Endorsed
Honolulu, HI 96814
Board-certified psychiatrist in Honolulu. I specialize in rapid treatment of depression and in the minimal use of medication. My TMS machine is state of the art. We provide in-house ketamine assisted therapy, and I provide the latest information on micro-dosing. See my website and blog: I am a published writer and theorist. I have a unique 'on-off' approach to prescribing medications. My style is upfront, down to earth, out of the box, and interactive.
Board-certified psychiatrist in Honolulu. I specialize in rapid treatment of depression and in the minimal use of medication. My TMS machine is state of the art. We provide in-house ketamine assisted therapy, and I provide the latest information on micro-dosing. See my website and blog: I am a published writer and theorist. I have a unique 'on-off' approach to prescribing medications. My style is upfront, down to earth, out of the box, and interactive.
(808) 670-3475 View (808) 670-3475
Photo of Alina Dvortsen, Psychiatric Nurse Practitioner, PMHNP, BC, MSN
Alina Dvortsen
Psychiatric Nurse Practitioner, PMHNP, BC, MSN
1 Endorsed
Online Only
You’ve been holding it together for a long time. Maybe anxiety has become your baseline, your mood feels unpredictable, or you feel disconnected from yourself. You want care that gets to the root, not just a prescription and a 10-minute follow-up. I’m Alina Dvortsen, PMHNP-BC, offering integrative telehealth psychiatry for women in Hawaii. I combine medication management with lifestyle and nervous system strategies tailored to your whole life. I have availability this week. Free 15-minute intro call to get started. Note: This practice does not prescribe controlled substances.
You’ve been holding it together for a long time. Maybe anxiety has become your baseline, your mood feels unpredictable, or you feel disconnected from yourself. You want care that gets to the root, not just a prescription and a 10-minute follow-up. I’m Alina Dvortsen, PMHNP-BC, offering integrative telehealth psychiatry for women in Hawaii. I combine medication management with lifestyle and nervous system strategies tailored to your whole life. I have availability this week. Free 15-minute intro call to get started. Note: This practice does not prescribe controlled substances.
(808) 481-5031 View (808) 481-5031
Photo of Esther Njoroge, Psychiatric Nurse Practitioner, APRN, PMHNP, BC
Esther Njoroge
Psychiatric Nurse Practitioner, APRN, PMHNP, BC
Online Only
Great to meet you! I am here to help a child, adolescent, or adult—or a parent seeking guidance—who feels overwhelmed by ADHD, anxiety, depression, bipolar or mood disorders, trauma-related conditions, substance use, or psychotic disorders. They seek clear answers, safe and effective medication support, and a plan that enhances their daily functioning, stability, and long-term well-being, whether for themselves or their family.
Great to meet you! I am here to help a child, adolescent, or adult—or a parent seeking guidance—who feels overwhelmed by ADHD, anxiety, depression, bipolar or mood disorders, trauma-related conditions, substance use, or psychotic disorders. They seek clear answers, safe and effective medication support, and a plan that enhances their daily functioning, stability, and long-term well-being, whether for themselves or their family.
(808) 556-5076 View (808) 556-5076
Photo of Joseph Franklin, Psychiatric Nurse Practitioner, MHS, MSN, APRN, PMHNP
Joseph Franklin
Psychiatric Nurse Practitioner, MHS, MSN, APRN, PMHNP
Online Only
Ultimately I want my clients to experience medication and counseling services in a similar fashion as I have during difficult periods in my own life. At the base of it all, I specialize in empathetic communication which is a nice way of saying I listen well, a skill often lost in our hectic world. My clients look to me to manage their mental health conditions through medication management as well as therapeutic counseling.
Ultimately I want my clients to experience medication and counseling services in a similar fashion as I have during difficult periods in my own life. At the base of it all, I specialize in empathetic communication which is a nice way of saying I listen well, a skill often lost in our hectic world. My clients look to me to manage their mental health conditions through medication management as well as therapeutic counseling.
(808) 353-5924 View (808) 353-5924
Cristina Sanchez-Jaquez
Psychiatrist, MD
1 Endorsed
Online Only
I founded NovoTelehealth to make high-quality psychiatric care more accessible, thoughtful, and patient-centered. Too often, people seeking mental health treatment encounter rushed visits, fragmented care, or barriers that delay meaningful help. My goal was to build a practice that does the opposite. My clinical approach is grounded in careful diagnostic evaluation, evidence-based treatment, and collaborative decision-making. I take the time to understand the full context of a person’s life—not just symptoms—so treatment plans are individualized, practical, and sustainable. Medication management, when indicated, is approached conser
I founded NovoTelehealth to make high-quality psychiatric care more accessible, thoughtful, and patient-centered. Too often, people seeking mental health treatment encounter rushed visits, fragmented care, or barriers that delay meaningful help. My goal was to build a practice that does the opposite. My clinical approach is grounded in careful diagnostic evaluation, evidence-based treatment, and collaborative decision-making. I take the time to understand the full context of a person’s life—not just symptoms—so treatment plans are individualized, practical, and sustainable. Medication management, when indicated, is approached conser
(808) 229-3524 View (808) 229-3524
Photo of Arthur Domingo, Physician Assistant, PA-C
Arthur Domingo
Physician Assistant, PA-C
Honolulu, HI 96814
At the heart of effective care is a strong therapeutic relationship built on trust, respect, empathy and ALOHA. The practice is committed to providing a safe and non-judgmental environment where healing can begin and personal growth thrives. Special areas of clinical focus and medical management: ADHD, anxiety, depression, substance abuse, PTSD, and other stress-related conditions. Lifestyle, integrative and functional medicine blends evidence based solutions with personalized strategies to support the whole person.
At the heart of effective care is a strong therapeutic relationship built on trust, respect, empathy and ALOHA. The practice is committed to providing a safe and non-judgmental environment where healing can begin and personal growth thrives. Special areas of clinical focus and medical management: ADHD, anxiety, depression, substance abuse, PTSD, and other stress-related conditions. Lifestyle, integrative and functional medicine blends evidence based solutions with personalized strategies to support the whole person.
(808) 731-2684 View (808) 731-2684
Photo of Henry Lou-Goode - SynCare Behavioral Health, Psychiatric Nurse Practitioner, APRN, PMHNP
SynCare Behavioral Health
Psychiatric Nurse Practitioner, APRN, PMHNP
Honolulu, HI 96813
Have you been spending some time in psychotherapy and wondering if medication might help with your progress and wellbeing? Have you recently moved and needed an expert to continue your psychiatric care? Do you feel that your psychiatric provider is not listening to you or rushing through your appointments? Aloha! my name is Henry and I am an experienced board certified Psychiatric Nurse Practitioner, and I invite you to schedule an appointment with me to discuss whether I could be of help with your journey to your best self.
Have you been spending some time in psychotherapy and wondering if medication might help with your progress and wellbeing? Have you recently moved and needed an expert to continue your psychiatric care? Do you feel that your psychiatric provider is not listening to you or rushing through your appointments? Aloha! my name is Henry and I am an experienced board certified Psychiatric Nurse Practitioner, and I invite you to schedule an appointment with me to discuss whether I could be of help with your journey to your best self.
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Photo of Syreeta Steele, Psychiatric Nurse Practitioner, PMHNPBC
Syreeta Steele
Psychiatric Nurse Practitioner, PMHNPBC
Honolulu, HI 96817
Aloha — I'm Syreeta Steele, a board-certified Psychiatric-Mental Health Nurse Practitioner and Medical Director at OhanaPsych. I care for adults, teens, and kūpuna across Hawaiʻi living with depression, anxiety, bipolar disorder, and schizophrenia or schizoaffective disorder. If you're looking for someone who will truly listen, you're in the right place.
Aloha — I'm Syreeta Steele, a board-certified Psychiatric-Mental Health Nurse Practitioner and Medical Director at OhanaPsych. I care for adults, teens, and kūpuna across Hawaiʻi living with depression, anxiety, bipolar disorder, and schizophrenia or schizoaffective disorder. If you're looking for someone who will truly listen, you're in the right place.
(808) 777-9460 View (808) 777-9460
Photo of Deon Hough, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Deon Hough
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
5 Endorsed
Online Only
Life can be overwhelming when you're dealing with anxiety, depression, ADHD, trauma, or other mental health challenges. If you're struggling to find solid ground and craving stability, you don't have to face this alone. I provide comprehensive psychiatric care through medication management and supportive therapy for adults with depression (including treatment resistant depression), anxiety, ADHD, Bipolar and other mental health challenges. During our first session, we'll review your history and symptoms, clarify your goals, and create a personalized treatment plan designed specifically for your needs.
Life can be overwhelming when you're dealing with anxiety, depression, ADHD, trauma, or other mental health challenges. If you're struggling to find solid ground and craving stability, you don't have to face this alone. I provide comprehensive psychiatric care through medication management and supportive therapy for adults with depression (including treatment resistant depression), anxiety, ADHD, Bipolar and other mental health challenges. During our first session, we'll review your history and symptoms, clarify your goals, and create a personalized treatment plan designed specifically for your needs.
(808) 353-5671 View (808) 353-5671
Photo of Alex Terreau, Psychiatrist, MD
Alex Terreau
Psychiatrist, MD
1 Endorsed
Honolulu, HI 96813
Feeling more like your full self is possible — and it starts with understanding. Maybe mood, anxiety, or inner conflict has been getting in the way. Or perhaps something deeper is stirring — a sense that the life you've built no longer feels like the whole truth of who you are. I draw from a range of approaches to help you feel clearer, steadier, and able to move forward with aliveness and confidence in the life you want to live. My style is warm and collaborative, and I want you to feel genuinely heard. Together we can explore what's getting in the way and find a path towards your flourishing.
Feeling more like your full self is possible — and it starts with understanding. Maybe mood, anxiety, or inner conflict has been getting in the way. Or perhaps something deeper is stirring — a sense that the life you've built no longer feels like the whole truth of who you are. I draw from a range of approaches to help you feel clearer, steadier, and able to move forward with aliveness and confidence in the life you want to live. My style is warm and collaborative, and I want you to feel genuinely heard. Together we can explore what's getting in the way and find a path towards your flourishing.
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Photo of Daniel Mattox - Elevating Minds Psychiatry (ADHD Clinic), Psychiatric Nurse Practitioner
Elevating Minds Psychiatry (ADHD Clinic)
Psychiatric Nurse Practitioner
Honolulu, HI 96813
Struggling with ADHD? TEXT us at 808-563-4128 or visit our website to book now! Fast, reliable care—no long wait times, no hassle. Our subscription-based plans offer direct provider texting, automated check-ins (no need for monthly face-to-face visits), and stress-free medication management so you never miss an appt or refill. Created by fellow neurodivergents! +Discovery Plan –New ADHD evaluation & diagnosis. Start within a week. $400 1st month, then $99/month +ADHD Copilot Plan – Already diagnosed? Get ongoing ADHD care & refills. $200 1st month, then $99/month We help navigate med shortage issues & ensure consistent treatment.
Struggling with ADHD? TEXT us at 808-563-4128 or visit our website to book now! Fast, reliable care—no long wait times, no hassle. Our subscription-based plans offer direct provider texting, automated check-ins (no need for monthly face-to-face visits), and stress-free medication management so you never miss an appt or refill. Created by fellow neurodivergents! +Discovery Plan –New ADHD evaluation & diagnosis. Start within a week. $400 1st month, then $99/month +ADHD Copilot Plan – Already diagnosed? Get ongoing ADHD care & refills. $200 1st month, then $99/month We help navigate med shortage issues & ensure consistent treatment.
(808) 353-4628 View (808) 353-4628

See more therapy options for Honolulu

How does your Psychiatrist compare?

Number of Psychiatrists in Honolulu, HI

80+

Average cost per session

$175

Psychiatrists in Honolulu, HI who prioritize treating:

95% Anxiety
94% Depression
79% Bipolar Disorder
78% ADHD
74% Trauma and PTSD
73% Medication Management
65% Obsessive-Compulsive (OCD)

Average years in practice

9 Years

Top 3 insurances accepted

71% BlueCross and BlueShield
66% Hawaii Medical Services Association
65% Aetna

How Psychiatrists in Honolulu, HI see their clients

54% In Person and Online
46% Online Only

Gender breakdown

66% Female
33% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Honolulu?

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.