Psychiatrists in Lewiston, ID

Photo of Christi Bowman, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Christi Bowman
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
19 Endorsed
Lewiston, ID 83501
I believe that starting medication shouldn't have to mean waiting weeks or months. I’m here to provide timely support, with availability often as soon as the same week. As a board-certified psychiatric nurse practitioner, my focus is on providing personalized care that addresses both your mental health symptoms & the underlying factors that contribute to them. I am committed to helping my clients reach optimal mental health and well-being. In our sessions, you can expect a thorough evaluation and an individualized medication plan that takes into account your specific symptoms, lifestyle, & preferences.
I believe that starting medication shouldn't have to mean waiting weeks or months. I’m here to provide timely support, with availability often as soon as the same week. As a board-certified psychiatric nurse practitioner, my focus is on providing personalized care that addresses both your mental health symptoms & the underlying factors that contribute to them. I am committed to helping my clients reach optimal mental health and well-being. In our sessions, you can expect a thorough evaluation and an individualized medication plan that takes into account your specific symptoms, lifestyle, & preferences.
(208) 261-5544 View (208) 261-5544
Photo of Amber Bajema, Psychiatric Nurse Practitioner, ARNP, PMHNPBC
Amber Bajema
Psychiatric Nurse Practitioner, ARNP, PMHNPBC
2 Endorsed
Online Only
My ideal client is ready to take a "deeper dive" into their brain and mental health. You might be experiencing persistent depression, mood swings, trauma responses, or ADHD that interfere with your daily life. You're tired of surface-level solutions and want to understand the root causes affecting your brain function. You believe mental health is foundational to life success and are ready for comprehensive care that addresses biological, psychological, social, and spiritual factors. Your goal is lasting brain health optimization, improved emotional regulation, and building a fulfilling life.
My ideal client is ready to take a "deeper dive" into their brain and mental health. You might be experiencing persistent depression, mood swings, trauma responses, or ADHD that interfere with your daily life. You're tired of surface-level solutions and want to understand the root causes affecting your brain function. You believe mental health is foundational to life success and are ready for comprehensive care that addresses biological, psychological, social, and spiritual factors. Your goal is lasting brain health optimization, improved emotional regulation, and building a fulfilling life.
(208) 306-3732 View (208) 306-3732
Photo of Joshua Lindsay Nelmar, Psychiatric Nurse Practitioner, PMHNP
Joshua Lindsay Nelmar
Psychiatric Nurse Practitioner, PMHNP
Serves Area
My ideal client struggles with mental health issues like anxiety or depression, sometimes tied to chronic physical conditions. They need compassionate, holistic care that addresses both their mind and body, with evidence-based treatments. Their goal is emotional stability, coping strategies, and improved well-being. They want relief from psychological suffering and stronger relationships with themselves and others, aiming for a more balanced and fulfilling life.
My ideal client struggles with mental health issues like anxiety or depression, sometimes tied to chronic physical conditions. They need compassionate, holistic care that addresses both their mind and body, with evidence-based treatments. Their goal is emotional stability, coping strategies, and improved well-being. They want relief from psychological suffering and stronger relationships with themselves and others, aiming for a more balanced and fulfilling life.
(208) 795-8534 View (208) 795-8534
Photo of Lisa Squires, Psychiatric Nurse Practitioner, PMHNP-B
Lisa Squires
Psychiatric Nurse Practitioner, PMHNP-B
Serves Area
ADHD Assessments often bring folks to me — but what I truly offer is space to finally feel understood. I work best with people who are overwhelmed, unseen, or just exhausted from trying to do it all alone. Many of my clients haven’t always felt fully accepted — whether due to race, neurodivergence, gender identity, sexuality, or difficult past experiences with care. I especially love supporting kids, teens, and young adults navigating anxiety, identity, and the pressure to "keep it together." I also work with adults across all life stages who are ready to understand themselves in a new way.
ADHD Assessments often bring folks to me — but what I truly offer is space to finally feel understood. I work best with people who are overwhelmed, unseen, or just exhausted from trying to do it all alone. Many of my clients haven’t always felt fully accepted — whether due to race, neurodivergence, gender identity, sexuality, or difficult past experiences with care. I especially love supporting kids, teens, and young adults navigating anxiety, identity, and the pressure to "keep it together." I also work with adults across all life stages who are ready to understand themselves in a new way.
(509) 384-3362 View (509) 384-3362
Photo of Luke Rosen, Psychiatrist, DO
Luke Rosen
Psychiatrist, DO
Serves Area
Dr. Rosen's strengths are from a broad training and practice experiences. He has maintained interest in many psychiatric conditions. Practice experiences have included multiple inpatient psychiatric facilities, a psychiatric emergency department, medical hospital settings, office based settings, and neurostimulation with Electroconvulsive Therapy. Dr. Rosen has had therapy training in CBT, psychodynamic, and hypnosis modalities. He values the strength of his training to assist patients in having informed discussions of possible treatment options; whether it is pharmacotherapy, psychotherapy, or neurostimulation.
Dr. Rosen's strengths are from a broad training and practice experiences. He has maintained interest in many psychiatric conditions. Practice experiences have included multiple inpatient psychiatric facilities, a psychiatric emergency department, medical hospital settings, office based settings, and neurostimulation with Electroconvulsive Therapy. Dr. Rosen has had therapy training in CBT, psychodynamic, and hypnosis modalities. He values the strength of his training to assist patients in having informed discussions of possible treatment options; whether it is pharmacotherapy, psychotherapy, or neurostimulation.
(208) 718-5604 View (208) 718-5604

More Psychiatrists Nearby

Photo of Stacey Whitaker, Physician Assistant, MMS, PA-C, CAQ
Stacey Whitaker
Physician Assistant, MMS, PA-C, CAQ
1 Endorsed
Online Only
Have you been considering medications for OCD, depression or anxiety but not sure if this is the route for you? Do you have questions about what may be the best medication option for you? I understand, and I can help. Together, we can explore those questions and so much more. I focus on working with adults experiencing anxiety, depression, stressors, or life changes who want a collaborative approach to their mental healthcare. Together, we can create a welcoming and supportive relationship so that you can take an active role in your wellness.
Have you been considering medications for OCD, depression or anxiety but not sure if this is the route for you? Do you have questions about what may be the best medication option for you? I understand, and I can help. Together, we can explore those questions and so much more. I focus on working with adults experiencing anxiety, depression, stressors, or life changes who want a collaborative approach to their mental healthcare. Together, we can create a welcoming and supportive relationship so that you can take an active role in your wellness.
(208) 782-7236 View (208) 782-7236
Photo of Bruce Robert Stevens, Psychiatrist, MD
Bruce Robert Stevens
Psychiatrist, MD
Serves Area
I am bringing close to 30 years of experience to an outpatient practice here in Idaho, specializing in adult psychiatry. Previously, I served 8 years as the Medical Director of Inpatient Psychiatry for Bon Secours Health System in Richmond, VA. I provide Online sessions statewide as well as in-person appointments in CDA/Post Falls. Other features of my practice included: Timely scheduling of initial appointments; Longer appointment sessions; timely responses via our messaging & email system; electronic prescribing, and electronic lab ordering.
I am bringing close to 30 years of experience to an outpatient practice here in Idaho, specializing in adult psychiatry. Previously, I served 8 years as the Medical Director of Inpatient Psychiatry for Bon Secours Health System in Richmond, VA. I provide Online sessions statewide as well as in-person appointments in CDA/Post Falls. Other features of my practice included: Timely scheduling of initial appointments; Longer appointment sessions; timely responses via our messaging & email system; electronic prescribing, and electronic lab ordering.
(208) 858-4873 View (208) 858-4873

Online Psychiatrists

Photo of Jay Phan, Psychiatric Nurse Practitioner, MSN, FNP-BC
Jay Phan
Psychiatric Nurse Practitioner, MSN, FNP-BC
1 Endorsed
Online Only
Jay holds the belief that mental health has a significant impacts on physical health. Prior to becoming a nurse practitioner, Jay was a biochemical engineer; he studied how chemicals interact with the human body on the biological level. Jay’s philosophy of patient care revolves around taking the time to be truly present to those who are suffering from mental health issues. He believes this is particularly relevant in our distracted and fast-paced society and also sees the importance of recognizing the dignity and uniqueness of each human person.
Jay holds the belief that mental health has a significant impacts on physical health. Prior to becoming a nurse practitioner, Jay was a biochemical engineer; he studied how chemicals interact with the human body on the biological level. Jay’s philosophy of patient care revolves around taking the time to be truly present to those who are suffering from mental health issues. He believes this is particularly relevant in our distracted and fast-paced society and also sees the importance of recognizing the dignity and uniqueness of each human person.
(208) 204-5882 View (208) 204-5882
Photo of Damaris Aragon, Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP, BC
Damaris Aragon
Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP, BC
6 Endorsed
Coeur d'Alene, ID 83814
Now accepting patients. Have you been feeling weighed down by depression or grief, unsure where to turn for relief? Do you find it hard to cope with overwhelming emotions or persistent worries that disrupt your daily life? These feelings can feel isolating and heavy, but there is hope for healing and renewed strength. Together, we can explore ways to ease your symptoms and support your journey toward well-being. Taking the first step to reach out can open the door to a brighter tomorrow.
Now accepting patients. Have you been feeling weighed down by depression or grief, unsure where to turn for relief? Do you find it hard to cope with overwhelming emotions or persistent worries that disrupt your daily life? These feelings can feel isolating and heavy, but there is hope for healing and renewed strength. Together, we can explore ways to ease your symptoms and support your journey toward well-being. Taking the first step to reach out can open the door to a brighter tomorrow.
(208) 417-7637 View (208) 417-7637
Photo of Jay Phan, Psychiatric Nurse Practitioner, MSN, FNP
Jay Phan
Psychiatric Nurse Practitioner, MSN, FNP
1 Endorsed
Online Only
Waitlist for new clients
Jay's philosophy of patient care revolves around taking the time to be truly present to those who are suffering from mental health issues. He believes this is particularly relevant in our distracted and fast-paced society and also sees the importance of recognizing the dignity and uniqueness of each human person.
Jay's philosophy of patient care revolves around taking the time to be truly present to those who are suffering from mental health issues. He believes this is particularly relevant in our distracted and fast-paced society and also sees the importance of recognizing the dignity and uniqueness of each human person.
(208) 858-5356 View (208) 858-5356
Photo of Patrick Blouin, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Patrick Blouin
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Online Only
As a doctorally prepared and ANCC Board-Certified Psychiatric-Mental Health Nurse Practitioner, I am committed to delivering holistic and compassionate mental health care that addresses the full spectrum of human experience. My clinical journey has taken me through both inpatient and outpatient settings, where I have gained comprehensive experience in diagnosing and treating a wide range of mental health disorders. My goal is to bring a person-centered approach to every therapeutic encounter, facilitating healing with evidence-based med management for those who have ADHD, OCD, PTSD, substance use disorders, mood disorders, and more.
As a doctorally prepared and ANCC Board-Certified Psychiatric-Mental Health Nurse Practitioner, I am committed to delivering holistic and compassionate mental health care that addresses the full spectrum of human experience. My clinical journey has taken me through both inpatient and outpatient settings, where I have gained comprehensive experience in diagnosing and treating a wide range of mental health disorders. My goal is to bring a person-centered approach to every therapeutic encounter, facilitating healing with evidence-based med management for those who have ADHD, OCD, PTSD, substance use disorders, mood disorders, and more.
(208) 682-1429 View (208) 682-1429
Photo of Bruce R Stevens, Psychiatrist
Bruce R Stevens
Psychiatrist
Online Only
I am bringing over 27 years of experience to a new outpatient practice here in Idaho, specializing in adult psychiatry. Previously, I served 8 years as the Medical Director of Inpatient Psychiatry for Bon Secours Health System in Richmond, VA. I provide Online sessions statewide as well as in-person appointments in CDA. Other features of my practice included: Timely scheduling of initial appointments; Longer appointment sessions; timely responses via our messaging & email system; electronic prescribing, and electronic lab ordering.
I am bringing over 27 years of experience to a new outpatient practice here in Idaho, specializing in adult psychiatry. Previously, I served 8 years as the Medical Director of Inpatient Psychiatry for Bon Secours Health System in Richmond, VA. I provide Online sessions statewide as well as in-person appointments in CDA. Other features of my practice included: Timely scheduling of initial appointments; Longer appointment sessions; timely responses via our messaging & email system; electronic prescribing, and electronic lab ordering.
(208) 203-0778 View (208) 203-0778
Photo of Randy Goleman, Psychiatric Nurse Practitioner, PMHNP
Randy Goleman
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Hayden, ID 83835
I've had the privilege of helping people with depression, anxiety, PTSD, ADHD, and other psychiatric disorders in different practices. My previous focus was predominantly on individuals of all ages suffering from attention deficit hyperactivity disorder (ADHD).
I've had the privilege of helping people with depression, anxiety, PTSD, ADHD, and other psychiatric disorders in different practices. My previous focus was predominantly on individuals of all ages suffering from attention deficit hyperactivity disorder (ADHD).
(888) 701-4423 View (888) 701-4423
Photo of Emily Anderson, Psychiatric Nurse Practitioner, PMHNP, FNP-C, ARNP
Emily Anderson
Psychiatric Nurse Practitioner, PMHNP, FNP-C, ARNP
Coeur d'Alene, ID 83815
As a Psychiatric Mental Health Nurse Practitioner I believe strongly in the mind-body connection and a persons' innate ability to heal themselves. Everyone's journey is unique; for some talk therapy is all that is needed, others benefit from medications and many need an expert blending of the two. I have a strong background in working with individuals that have depression, anxiety, and ADHD as well as those interested in more natural treatment options with behavioral, herbal and other non-pharmaceutical interventions.
As a Psychiatric Mental Health Nurse Practitioner I believe strongly in the mind-body connection and a persons' innate ability to heal themselves. Everyone's journey is unique; for some talk therapy is all that is needed, others benefit from medications and many need an expert blending of the two. I have a strong background in working with individuals that have depression, anxiety, and ADHD as well as those interested in more natural treatment options with behavioral, herbal and other non-pharmaceutical interventions.
(208) 759-8019 View (208) 759-8019
Photo of Lisa Leazenby, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, FNP
Lisa Leazenby
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, FNP
1 Endorsed
Weippe, ID 83553
I know reaching out for help takes courage, and I want you to feel supported from the very beginning. As a dual-certified Psychiatric Mental Health Nurse Practitioner and Family Nurse Practitioner, my focus is on listening to your story and understanding your needs. There is a complex interplay of biological, psychological, and social factors that affect our mental wellness. My goal is to walk alongside you as we work toward sustained healing.
I know reaching out for help takes courage, and I want you to feel supported from the very beginning. As a dual-certified Psychiatric Mental Health Nurse Practitioner and Family Nurse Practitioner, my focus is on listening to your story and understanding your needs. There is a complex interplay of biological, psychological, and social factors that affect our mental wellness. My goal is to walk alongside you as we work toward sustained healing.
(208) 729-4343 View (208) 729-4343
Photo of Zachary Uttinger, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Zachary Uttinger
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Coeur d'Alene, ID 83814
Zach is a board-certified Psychiatric Mental Health Nurse Practitioner, experienced in acute inpatient and residential treatment settings, specializing in diagnosing psychiatric conditions and developing individualized treatment plans. My ideal client is someone looking for support with mental health issues such as depression, anxiety, or mood disorders. They may need help understanding their condition, managing symptoms, or navigating medication decisions. I want to help clients achieve stability, improve daily functioning, and enhance overall quality of life.
Zach is a board-certified Psychiatric Mental Health Nurse Practitioner, experienced in acute inpatient and residential treatment settings, specializing in diagnosing psychiatric conditions and developing individualized treatment plans. My ideal client is someone looking for support with mental health issues such as depression, anxiety, or mood disorders. They may need help understanding their condition, managing symptoms, or navigating medication decisions. I want to help clients achieve stability, improve daily functioning, and enhance overall quality of life.
(208) 667-3113 View (208) 667-3113
Photo of Carrie A` Kralicek - At Your Service Psychiatry, PLLC, Psychiatric Nurse Practitioner, PhD(c), PMHNP
At Your Service Psychiatry, PLLC
Psychiatric Nurse Practitioner, PhD(c), PMHNP
1 Endorsed
Online Only
TO see availability and SCHEDULE, go to AtYourServicePsychiatry.com 100% Online Telepsychiatry Practice. No need to call or email an office. We send prescription medications right to your local pharmacy after the visit. You finally decided to reach out for help, but now it takes months to get in. We created this online telepsychiatry practice for busy people. We are a group of compassionate, skilled, board-certified psychiatric mental health practitioners. We care for people with depression, anxiety, PTSD, OCD, ADHD, bipolar, and others. We have ONLINE ADHD treatment available.
TO see availability and SCHEDULE, go to AtYourServicePsychiatry.com 100% Online Telepsychiatry Practice. No need to call or email an office. We send prescription medications right to your local pharmacy after the visit. You finally decided to reach out for help, but now it takes months to get in. We created this online telepsychiatry practice for busy people. We are a group of compassionate, skilled, board-certified psychiatric mental health practitioners. We care for people with depression, anxiety, PTSD, OCD, ADHD, bipolar, and others. We have ONLINE ADHD treatment available.
Photo of Alex Vestman, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Alex Vestman
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Online Only
My mission is to provide exceptional care for those with common and complex mental health struggles. In addition to overall psychiatric health, I specialize in perinatal mood disorders (including disorders in men and women) and substance use disorders. My background in psychiatry started in 2002 as a mental health worker in a state facility. My bedside experience as a Labor and Delivery, where I worked for over 8 years prior, helped me obtain my master's degree as a PMHNP-BC. With my background and focus on women's health, I prefer a functional, holistic approach that gets to the root cause without just treating symptoms.
My mission is to provide exceptional care for those with common and complex mental health struggles. In addition to overall psychiatric health, I specialize in perinatal mood disorders (including disorders in men and women) and substance use disorders. My background in psychiatry started in 2002 as a mental health worker in a state facility. My bedside experience as a Labor and Delivery, where I worked for over 8 years prior, helped me obtain my master's degree as a PMHNP-BC. With my background and focus on women's health, I prefer a functional, holistic approach that gets to the root cause without just treating symptoms.
(208) 540-9239 View (208) 540-9239
Photo of Brenda Shanley, Psychiatric Nurse Practitioner, MN, ARNP, PMHNP
Brenda Shanley
Psychiatric Nurse Practitioner, MN, ARNP, PMHNP
9 Endorsed
Online Only
Brenda Shanley, MN, ARNP, PMHNP-BC is a board-certified Adult Mental Health Nurse Practitioner with 20 years' experience in mental health. Specializing in medication management and psychotherapy for mental health disorders including depression, anxiety, sleep disorders, bipolar, schizophrenia, ADD/ADHD and more. Telehealth appointments are available in Washington, Idaho and Arizona. For more information or to schedule an appointment please visit my website at ShanleyPsychiatry. com
Brenda Shanley, MN, ARNP, PMHNP-BC is a board-certified Adult Mental Health Nurse Practitioner with 20 years' experience in mental health. Specializing in medication management and psychotherapy for mental health disorders including depression, anxiety, sleep disorders, bipolar, schizophrenia, ADD/ADHD and more. Telehealth appointments are available in Washington, Idaho and Arizona. For more information or to schedule an appointment please visit my website at ShanleyPsychiatry. com
(208) 494-9746 View (208) 494-9746
Photo of Jared Bruder, Psychiatric Nurse Practitioner, MSN, ARNP
Jared Bruder
Psychiatric Nurse Practitioner, MSN, ARNP
1 Endorsed
Coeur d'Alene, ID 83814
Jared's philosophy of patient care holds the belief that many of the physical illnesses that are treated in primary care have a strong mental health component to them that is all too often left unaddressed. It is his goal to incorporate both the physical and the mental health disciplines into his care that he provides to his patients. This is achieved by attuning with the patient, creating individualized therapeutic and psychiatric treatment plans while working closely with the MWRS psychiatric and behavioral health specialty team to provide a collaborative approach to patient care that improves their outcomes.
Jared's philosophy of patient care holds the belief that many of the physical illnesses that are treated in primary care have a strong mental health component to them that is all too often left unaddressed. It is his goal to incorporate both the physical and the mental health disciplines into his care that he provides to his patients. This is achieved by attuning with the patient, creating individualized therapeutic and psychiatric treatment plans while working closely with the MWRS psychiatric and behavioral health specialty team to provide a collaborative approach to patient care that improves their outcomes.
(208) 925-3226 View (208) 925-3226

See more therapy options for Lewiston

How does your Psychiatrist compare?

Number of Psychiatrists in Lewiston, ID

< 10

Psychiatrists in Lewiston, ID who prioritize treating:

100% Depression
100% Anxiety
100% ADHD
100% Medication Management
80% Obsessive-Compulsive (OCD)
80% Trauma and PTSD
80% Bipolar Disorder

Average years in practice

1 Year

Top 3 insurances accepted

100% Aetna
100% Regence
100% Blue Cross

How Psychiatrists in Lewiston, ID see their clients

80% In Person and Online
20% Online Only

Gender breakdown

60% Female
40% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Lewiston?

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.