Psychiatrists in Des Moines, IA

Photo of Elizabeth Brake - Bliss Psychiatry, Psychiatric Nurse Practitioner, PMHNPBC
Bliss Psychiatry
Psychiatric Nurse Practitioner, PMHNPBC
Online Only
Accepting NEW patients, can get new patients in within a week! Telemedicine, treating most psychiatric conditions. We also offer personalized ADHD diagnosis and treatment, treatment for depression, anxiety, OCD, PTSD, as well as some addiction and substance abuse! We accept most insurances and have discount self pay options. We offer comprehensive assessments and customized treatment plans, we work hard to improve your quality of life.
Accepting NEW patients, can get new patients in within a week! Telemedicine, treating most psychiatric conditions. We also offer personalized ADHD diagnosis and treatment, treatment for depression, anxiety, OCD, PTSD, as well as some addiction and substance abuse! We accept most insurances and have discount self pay options. We offer comprehensive assessments and customized treatment plans, we work hard to improve your quality of life.
(515) 379-8572 View (515) 379-8572
Photo of Tonie Andrews, Psychiatric Nurse Practitioner
Tonie Andrews
Psychiatric Nurse Practitioner
2 Endorsed
Online Only
I am deeply passionate about behavioral and mental health care, with extensive experience delivering patient-centered psychiatric services. My background spans diverse roles, from managing acute mental health conditions to educating patients and families on coping strategies and treatment options. Guided by a commitment to holistic care, I excel in collaborating with patients and their families to create personalized treatment plans that foster recovery and resilience.
I am deeply passionate about behavioral and mental health care, with extensive experience delivering patient-centered psychiatric services. My background spans diverse roles, from managing acute mental health conditions to educating patients and families on coping strategies and treatment options. Guided by a commitment to holistic care, I excel in collaborating with patients and their families to create personalized treatment plans that foster recovery and resilience.
(515) 800-4108 View (515) 800-4108
Photo of Dr. Catherine Tyler VanMilligen, Psychiatrist, DO
Dr. Catherine Tyler VanMilligen
Psychiatrist, DO
2 Endorsed
Online Only
Tired of Being Gaslit? Whole-Person Psych for Women, Girls & LGBTQ+. Bridging the Gap Between Trauma, Neurodiversity & Autoimmune Health. Most patients come to me exhausted—not just from their symptoms, but from a medical system that has ignored the link between their mental health and their physical reality. I work specifically with women, girls, and the LGBTQ+ community who are navigating the heavy intersection of Complex PTSD, Neurodivergence (ADHD/Autism), and Autoimmune health. My goal isn't to just push medications; it's to understand the 'why' behind your 'what'.
Tired of Being Gaslit? Whole-Person Psych for Women, Girls & LGBTQ+. Bridging the Gap Between Trauma, Neurodiversity & Autoimmune Health. Most patients come to me exhausted—not just from their symptoms, but from a medical system that has ignored the link between their mental health and their physical reality. I work specifically with women, girls, and the LGBTQ+ community who are navigating the heavy intersection of Complex PTSD, Neurodivergence (ADHD/Autism), and Autoimmune health. My goal isn't to just push medications; it's to understand the 'why' behind your 'what'.
(515) 523-4739 View (515) 523-4739
Photo of Ethan Taylor Sartor, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Ethan Taylor Sartor
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Online Only
My name is Ethan Sartor, and I am a psychiatric-mental health nurse practitioner who helps adults, particularly those in the LGBTQ+ community and those dealing with sleep disorders, OCD, depression, anxiety, and chronic cardiometabolic disease (diabetes, hypertension, high cholesterol). I work with patients throughout Iowa.
My name is Ethan Sartor, and I am a psychiatric-mental health nurse practitioner who helps adults, particularly those in the LGBTQ+ community and those dealing with sleep disorders, OCD, depression, anxiety, and chronic cardiometabolic disease (diabetes, hypertension, high cholesterol). I work with patients throughout Iowa.
(515) 585-6560 View (515) 585-6560
Photo of Jennifer Rogers, Psychiatric Nurse Practitioner, ARNP, PMHNP
Jennifer Rogers
Psychiatric Nurse Practitioner, ARNP, PMHNP
Des Moines, IA 50317
Hello, and welcome! My name is Jen, and I am a Psychiatric Nurse Practitioner committed to providing compassionate, thoughtful, and individualized care to those seeking support with their mental health. I understand that reaching out for help can sometimes feel like a daunting step, but I want to reassure you that you are not alone. I am here to listen, understand your unique needs, and work collaboratively with you to build a path forward that feels right for you!
Hello, and welcome! My name is Jen, and I am a Psychiatric Nurse Practitioner committed to providing compassionate, thoughtful, and individualized care to those seeking support with their mental health. I understand that reaching out for help can sometimes feel like a daunting step, but I want to reassure you that you are not alone. I am here to listen, understand your unique needs, and work collaboratively with you to build a path forward that feels right for you!
(515) 436-4454 View (515) 436-4454
Photo of Courtney Cox-Kozel, Psychiatric Nurse Practitioner, PMHNP
Courtney Cox-Kozel
Psychiatric Nurse Practitioner, PMHNP
Des Moines, IA 50312
Whether you're feeling overwhelmed, burned out, anxious, or simply seeking clarity during a difficult chapter of life, please know that you’re not alone — and you don’t have to figure it out by yourself. I’m a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) offering care to individuals ages 17 and older. I approach each client relationship with deep respect, compassion, and curiosity. My goal is to listen first — to truly understand your experiences, your story, and what you want from treatment — so we can work together to create a care plan that feels thoughtful, personalized, and empowering.
Whether you're feeling overwhelmed, burned out, anxious, or simply seeking clarity during a difficult chapter of life, please know that you’re not alone — and you don’t have to figure it out by yourself. I’m a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) offering care to individuals ages 17 and older. I approach each client relationship with deep respect, compassion, and curiosity. My goal is to listen first — to truly understand your experiences, your story, and what you want from treatment — so we can work together to create a care plan that feels thoughtful, personalized, and empowering.
(515) 303-3726 View (515) 303-3726
Photo of Rebecca Baker, Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP
Rebecca Baker
Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP
1 Endorsed
Des Moines, IA 50309
Anxiety keeping you up at night? Depression draining your energy? ADHD making focus feel impossible? You don’t have to navigate it alone. As a board-certified psychiatric nurse practitioner (PMHNP-BC), I provide evidence-based medication management for adults across Iowa — in person in Des Moines and West Des Moines, or by secure telehealth statewide. I’m accepting new patients now, with next-day and short-wait appointments.
Anxiety keeping you up at night? Depression draining your energy? ADHD making focus feel impossible? You don’t have to navigate it alone. As a board-certified psychiatric nurse practitioner (PMHNP-BC), I provide evidence-based medication management for adults across Iowa — in person in Des Moines and West Des Moines, or by secure telehealth statewide. I’m accepting new patients now, with next-day and short-wait appointments.
(515) 854-3056 View (515) 854-3056
Photo of Martina Taina Barshall, Psychiatric Nurse Practitioner, MSN, PMHNPBC, APN
Martina Taina Barshall
Psychiatric Nurse Practitioner, MSN, PMHNPBC, APN
2 Endorsed
Online Only
At Oasis Psychiatry and Counseling, we excel in providing effective treatment, support, crisis intervention, continuous monitoring, and holistic care to achieve symptom management, emotional stability, improved functioning, self-efficacy, and relapse prevention. Our clients seek empathy, respect, clear communication, accessible care, and a holistic approach for a better quality of life. We offer integrated care, personalized treatment, advanced training, and a patient-centered focus, employing strategies like comprehensive assessments, personalized plans, psychoeducation, therapeutic interventions, medication management, etc.....
At Oasis Psychiatry and Counseling, we excel in providing effective treatment, support, crisis intervention, continuous monitoring, and holistic care to achieve symptom management, emotional stability, improved functioning, self-efficacy, and relapse prevention. Our clients seek empathy, respect, clear communication, accessible care, and a holistic approach for a better quality of life. We offer integrated care, personalized treatment, advanced training, and a patient-centered focus, employing strategies like comprehensive assessments, personalized plans, psychoeducation, therapeutic interventions, medication management, etc.....
(515) 762-5459 View (515) 762-5459
Photo of Kim Cafaro - Foxhole Health & Consulting, Psychiatric Nurse Practitioner, ARNP
Foxhole Health & Consulting
Psychiatric Nurse Practitioner, ARNP
Des Moines, IA 50311
Many people will see me because they won't know quite what that need and they are looking for answers. I provide compassionate, evidence-based mental health care for veterans, service members, first responders, their spouses/long-term partners, and many older adults (such as those with dementia). Whether you're managing anxiety, depression, trauma, grief, or the emotional impact of chronic, we'll work together to develop a treatment plan that fits your goals. My approach is collaborative, practical, and grounded in respect, confidentiality, and individualized care. Full transparency- I am not a veteran.
Many people will see me because they won't know quite what that need and they are looking for answers. I provide compassionate, evidence-based mental health care for veterans, service members, first responders, their spouses/long-term partners, and many older adults (such as those with dementia). Whether you're managing anxiety, depression, trauma, grief, or the emotional impact of chronic, we'll work together to develop a treatment plan that fits your goals. My approach is collaborative, practical, and grounded in respect, confidentiality, and individualized care. Full transparency- I am not a veteran.
(515) 642-1970 View (515) 642-1970
Photo of Esther Uangbaoje - Hecen Healthcare, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Hecen Healthcare
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Online Only
Looking for someone to talk to? Well, look no further! At Hecen Healthcare, we provide medication management, psychoeducation, and psychiatric evaluation virtually. Our focus areas include anxiety, depression, ADHD, sleep problems, bipolar, PTSD, psychosis, attention & focus, and panic disorder. We provide patient-driven care and treat our patients with respect, honesty, and dignity. We are passionate and caring about our services and your utmost well-being is the goal, ensuring a non-judgmental approach.
Looking for someone to talk to? Well, look no further! At Hecen Healthcare, we provide medication management, psychoeducation, and psychiatric evaluation virtually. Our focus areas include anxiety, depression, ADHD, sleep problems, bipolar, PTSD, psychosis, attention & focus, and panic disorder. We provide patient-driven care and treat our patients with respect, honesty, and dignity. We are passionate and caring about our services and your utmost well-being is the goal, ensuring a non-judgmental approach.
(319) 264-6892 View (319) 264-6892
Photo of Mikki Stimson - Cascade Clinical Connections, LLC, Psychiatrist, MD
Cascade Clinical Connections, LLC
Psychiatrist, MD
Des Moines, IA 50312
The ideal client for this psychiatry practice includes both adults and children dealing with acute and chronic mental health conditions such as depression, anxiety, panic disorder, phobias, bipolar disorder, PTSD, ADHD, and autism. Providers are experienced in diagnosing and treating these conditions, offering comprehensive care through therapy and medication management. Whether managing long-term issues or seeking early intervention, the practice tailors treatment plans to support each individual’s unique needs.
The ideal client for this psychiatry practice includes both adults and children dealing with acute and chronic mental health conditions such as depression, anxiety, panic disorder, phobias, bipolar disorder, PTSD, ADHD, and autism. Providers are experienced in diagnosing and treating these conditions, offering comprehensive care through therapy and medication management. Whether managing long-term issues or seeking early intervention, the practice tailors treatment plans to support each individual’s unique needs.
(515) 726-6933 View (515) 726-6933
Photo of Catherine Mepukori, Psychiatric Nurse Practitioner, PMHNP
Catherine Mepukori
Psychiatric Nurse Practitioner, PMHNP
Online Only
If you’re struggling with anxiety, depression, ADHD, trauma, mood changes, addiction, insomnia, or overwhelming life stress, you don’t have to face it alone. At Renewed Hope Psychiatric Care, I provide compassionate telehealth psychiatric care for adults throughout Iowa. Many of my clients feel emotionally exhausted, overwhelmed, stuck, or frustrated by symptoms affecting their daily lives, relationships, sleep, focus, or confidence. Together, we work toward emotional wellness, stability, clarity, and lasting improvement—so you can feel more in control and hopeful again.
If you’re struggling with anxiety, depression, ADHD, trauma, mood changes, addiction, insomnia, or overwhelming life stress, you don’t have to face it alone. At Renewed Hope Psychiatric Care, I provide compassionate telehealth psychiatric care for adults throughout Iowa. Many of my clients feel emotionally exhausted, overwhelmed, stuck, or frustrated by symptoms affecting their daily lives, relationships, sleep, focus, or confidence. Together, we work toward emotional wellness, stability, clarity, and lasting improvement—so you can feel more in control and hopeful again.
(636) 489-3555 x101 View (636) 489-3555 x101
Photo of Seanra Kalil - ADHD treatment, Seanra Kalil, Physician Assistant, PA-C
ADHD treatment, Seanra Kalil
Physician Assistant, PA-C
Online Only
Providing ADHD evaluation and medication management for students. Whether it is a child trying to sit still in second grade, a high schooler with high test anxiety, or a college student feeling lost even before mid-semester, I am excited to offer my support. I don't believe in just prescribing medications; students need more than that. My approach combines evidence-based medications with nutritional psychiatry with daily strategies. As a mom, a clinician, and past instructor, I share techniques and information to help students thrive when focus and organization are needed more than ever.
Providing ADHD evaluation and medication management for students. Whether it is a child trying to sit still in second grade, a high schooler with high test anxiety, or a college student feeling lost even before mid-semester, I am excited to offer my support. I don't believe in just prescribing medications; students need more than that. My approach combines evidence-based medications with nutritional psychiatry with daily strategies. As a mom, a clinician, and past instructor, I share techniques and information to help students thrive when focus and organization are needed more than ever.
(515) 517-8975 View (515) 517-8975
Photo of Kati Wijdenes, Psychiatric Nurse Practitioner, DNP, PMHNP
Kati Wijdenes
Psychiatric Nurse Practitioner, DNP, PMHNP
Online Only
Hi, I’m Kati, and welcome to the Madix Clinic, my own little slice of telepsychiatry heaven. I’m really glad you’re here! A bit about me, I’m a Psychiatric Nurse Practitioner over a decade’s worth of experience in mental health and medication management. Born and raised in Arizona with roots going back generations. I’m a proud alumni of Arizona State (Go Wildcats!) and University of Arizona (Go Sun Devils!). Wait… that was wrong… reverse that. I also love all things outdoors, and I’m a US Air Force veteran.
Hi, I’m Kati, and welcome to the Madix Clinic, my own little slice of telepsychiatry heaven. I’m really glad you’re here! A bit about me, I’m a Psychiatric Nurse Practitioner over a decade’s worth of experience in mental health and medication management. Born and raised in Arizona with roots going back generations. I’m a proud alumni of Arizona State (Go Wildcats!) and University of Arizona (Go Sun Devils!). Wait… that was wrong… reverse that. I also love all things outdoors, and I’m a US Air Force veteran.
(515) 373-8163 View (515) 373-8163
Photo of Cayte McClanathan, Psychiatric Nurse Practitioner, ARNP, PMHNP
Cayte McClanathan
Psychiatric Nurse Practitioner, ARNP, PMHNP
1 Endorsed
Des Moines, IA 50322
Cayte is a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, evidence-based mental health care. With an emphasis on personalized treatment plans and an integrative approach to patient care, Cayte brings over a decade of clinical experience in the field of psychiatry to the Resilient Health team. She considers her role one of collaboration with patients to understand their unique stories, needs, and goals and apply a wide range of therapeutic interventions to support their journeys toward healing, strength, and wholeness.
Cayte is a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, evidence-based mental health care. With an emphasis on personalized treatment plans and an integrative approach to patient care, Cayte brings over a decade of clinical experience in the field of psychiatry to the Resilient Health team. She considers her role one of collaboration with patients to understand their unique stories, needs, and goals and apply a wide range of therapeutic interventions to support their journeys toward healing, strength, and wholeness.
(515) 498-3384 View (515) 498-3384
Photo of Rachael Daniel, Psychiatric Nurse Practitioner, PMHNP, FNP-C
Rachael Daniel
Psychiatric Nurse Practitioner, PMHNP, FNP-C
1 Endorsed
Online Only
I am Rachael Daniel, a dual Board-Certified Psychiatric Mental Health Nurse Practitioner and Family Nurse Practitioner with over 10 years of experience across various fields, including behavioral health, primary care, urgent care, emergency medicine, and internal medicine. I provide compassionate care for adolescents and adults in both outpatient and inpatient settings. I specialize in diagnosing and treating mental health conditions such as, but not limited to: Anxiety, Depression, OCD, ADHD, PTSD, and Bipolar disorder, using a holistic approach that integrates medication management and psychotherapy.
I am Rachael Daniel, a dual Board-Certified Psychiatric Mental Health Nurse Practitioner and Family Nurse Practitioner with over 10 years of experience across various fields, including behavioral health, primary care, urgent care, emergency medicine, and internal medicine. I provide compassionate care for adolescents and adults in both outpatient and inpatient settings. I specialize in diagnosing and treating mental health conditions such as, but not limited to: Anxiety, Depression, OCD, ADHD, PTSD, and Bipolar disorder, using a holistic approach that integrates medication management and psychotherapy.
(515) 949-4542 View (515) 949-4542
Photo of Charlotte Toms, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Charlotte Toms
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
2 Endorsed
Des Moines, IA 50319
Your strength has led you here in this moment to take the next step in embracing a new path, a different future. I’m here to help guide you - through psychiatric evaluation/diagnosis and medication management. You don't need to keep self-medicating with technology, social media, food, and alcohol to feel happy, dull your emotional pain or shame, or escape your feelings. Wake up feeling rested, worthy, and motivated. Reconnect with others and find joy in the simple things again. Experience peace in your life by making healthier choices and building healthier relationships with yourself and others.
Your strength has led you here in this moment to take the next step in embracing a new path, a different future. I’m here to help guide you - through psychiatric evaluation/diagnosis and medication management. You don't need to keep self-medicating with technology, social media, food, and alcohol to feel happy, dull your emotional pain or shame, or escape your feelings. Wake up feeling rested, worthy, and motivated. Reconnect with others and find joy in the simple things again. Experience peace in your life by making healthier choices and building healthier relationships with yourself and others.
(515) 454-5406 View (515) 454-5406
Photo of Iris Helm, Psychiatric Nurse Practitioner, PMHNPBC
Iris Helm
Psychiatric Nurse Practitioner, PMHNPBC
1 Endorsed
Online Only
Accepting NEW Patients! Click our website link to self schedule today. We can get most patients in within a week. We pride ourselves on offering high-quality telemedicine services, with a focus on personalized ADHD treatment and addressing conditions such as anxiety, PTSD, depression, OCD, and some substance use disorders.
Accepting NEW Patients! Click our website link to self schedule today. We can get most patients in within a week. We pride ourselves on offering high-quality telemedicine services, with a focus on personalized ADHD treatment and addressing conditions such as anxiety, PTSD, depression, OCD, and some substance use disorders.
(515) 316-2538 View (515) 316-2538
Photo of Tami Halbersma, Psychiatric Nurse Practitioner, ARNP, PMHNP
Tami Halbersma
Psychiatric Nurse Practitioner, ARNP, PMHNP
1 Endorsed
Des Moines, IA 50322
Immediate Availability! Welcome to Resilient Health Services — where compassionate care meets innovation in Des Moines, Iowa. Our skilled team empowers individuals and families by providing personalized mental health support, assessment and diagnosis, and medication management. We focus on fostering resilience — not just treating symptoms but building strength and strategies to thrive. True health means more than overcoming challenges — it means growing stronger because of them. We aim to create a supportive, healing environment where everyone feels heard, valued, and empowered on their journey to lasting well-being.
Immediate Availability! Welcome to Resilient Health Services — where compassionate care meets innovation in Des Moines, Iowa. Our skilled team empowers individuals and families by providing personalized mental health support, assessment and diagnosis, and medication management. We focus on fostering resilience — not just treating symptoms but building strength and strategies to thrive. True health means more than overcoming challenges — it means growing stronger because of them. We aim to create a supportive, healing environment where everyone feels heard, valued, and empowered on their journey to lasting well-being.
(515) 303-2169 View (515) 303-2169
Photo of Sheri DiGiacinto, Psychiatric Nurse Practitioner, PMHNP
Sheri DiGiacinto
Psychiatric Nurse Practitioner, PMHNP
Des Moines, IA 50310
Neuroaffiming Autism and ADHD evaluation for adults and teens (Ages 12+) and holistic medication management & genesight testing for neurodivergent folx. As a Vanderbilt-trained, late-identified Autistic/ADHD human myself, I understand how life changing it can be to explore and understand our unique neurotypes in a world that was not made for us. My expertise lies in supporting high-masking neurodivergent individuals and LGBTQIA+ folx. I am currently scheduling new clients for autism and ADHD evaluations located in WA, NM, or IA and have limited medication support spots available :)
Neuroaffiming Autism and ADHD evaluation for adults and teens (Ages 12+) and holistic medication management & genesight testing for neurodivergent folx. As a Vanderbilt-trained, late-identified Autistic/ADHD human myself, I understand how life changing it can be to explore and understand our unique neurotypes in a world that was not made for us. My expertise lies in supporting high-masking neurodivergent individuals and LGBTQIA+ folx. I am currently scheduling new clients for autism and ADHD evaluations located in WA, NM, or IA and have limited medication support spots available :)
(505) 605-6455 View (505) 605-6455

See more therapy options for Des Moines

How does your Psychiatrist compare?

Number of Psychiatrists in Des Moines, IA

100+

Average cost per session

$150

Psychiatrists in Des Moines, IA who prioritize treating:

92% Anxiety
91% Depression
83% ADHD
78% Trauma and PTSD
75% Bipolar Disorder
75% Medication Management
63% Obsessive-Compulsive (OCD)

Average years in practice

9 Years

Top 3 insurances accepted

82% Aetna
81% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Psychiatrists in Des Moines, IA see their clients

54% In Person and Online
46% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Des Moines?

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.