Psychiatrists in Jefferson County, KY

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Photo of Sherhonda Stewart, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP-B
Sherhonda Stewart
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP-B
1 Endorsed
Louisville, KY 40223
My ideal client is an adult struggling with anxiety, depression, trauma, or mood instability, seeking support to regain control of their life. They need a safe, nonjudgmental space to express themselves, tools to manage their mental health, and a personalized plan for healing. Their goal is to feel balanced, confident, and empowered to overcome challenges and build a fulfilling future. They value flexible, compassionate care and are ready to take the next step toward achieving lasting stability and peace.
My ideal client is an adult struggling with anxiety, depression, trauma, or mood instability, seeking support to regain control of their life. They need a safe, nonjudgmental space to express themselves, tools to manage their mental health, and a personalized plan for healing. Their goal is to feel balanced, confident, and empowered to overcome challenges and build a fulfilling future. They value flexible, compassionate care and are ready to take the next step toward achieving lasting stability and peace.
(502) 218-4101 View (502) 218-4101
Photo of Kurt Kristiansen, Psychiatric Nurse Practitioner, PMHNP
Kurt Kristiansen
Psychiatric Nurse Practitioner, PMHNP
Online Only
We welcome new patients seeking medication management for ADHD. Please note that while we specialize in medication management, we do not provide ADHD testing in our practice. Prior to your first appointment, we kindly request that you complete and submit formal ADHD testing from a qualified provider. This ensures we have the necessary information to offer you the most appropriate care from the very start. We appreciate your understanding and look forward to working with you on your journey to better health and well-being.
We welcome new patients seeking medication management for ADHD. Please note that while we specialize in medication management, we do not provide ADHD testing in our practice. Prior to your first appointment, we kindly request that you complete and submit formal ADHD testing from a qualified provider. This ensures we have the necessary information to offer you the most appropriate care from the very start. We appreciate your understanding and look forward to working with you on your journey to better health and well-being.
(502) 908-2897 View (502) 908-2897
Photo of Victoria Spreitler, Psychiatric Nurse Practitioner, MSN, PMHNP
Victoria Spreitler
Psychiatric Nurse Practitioner, MSN, PMHNP
Louisville, KY 40223
Her journey into mental health began when her own son faced a Bipolar Disorder diagnosis at age 19. Despite her extensive healthcare background, Vicki realized she needed more knowledge to support her son. This is when she became passionate about mental health and that realization led her to further her education, a step she regards as her most rewarding decision. Now, with a deep understanding of her role, Vicki dedicates herself to aiding individuals of all ages in tackling their greatest obstacles. If you’re silently struggling or haven’t yet found the care you need, Vicki is ready to lend an ear.
Her journey into mental health began when her own son faced a Bipolar Disorder diagnosis at age 19. Despite her extensive healthcare background, Vicki realized she needed more knowledge to support her son. This is when she became passionate about mental health and that realization led her to further her education, a step she regards as her most rewarding decision. Now, with a deep understanding of her role, Vicki dedicates herself to aiding individuals of all ages in tackling their greatest obstacles. If you’re silently struggling or haven’t yet found the care you need, Vicki is ready to lend an ear.
(502) 427-7548 View (502) 427-7548
Photo of Dane Mendelsohn, Psychiatric Nurse Practitioner, MSN, PMHNP-B
Dane Mendelsohn
Psychiatric Nurse Practitioner, MSN, PMHNP-B
Louisville, KY 40223
I am passionate about empowering folks to take control of their mental health, particularly people suffering from Depression, Anxiety, Sleeping Disorders, ADHD, and PTSD/Trauma, especially in the veteran population. As a consultant, I have managed medications for women that are postpartum, want to become pregnant, are currently pregnant, or have a desire to breastfeed. I believe psychiatric care is an art and should be collaborative, interactive, and custom to the client at hand. Together, we will discuss medication options, choosing the right medication for YOU.
I am passionate about empowering folks to take control of their mental health, particularly people suffering from Depression, Anxiety, Sleeping Disorders, ADHD, and PTSD/Trauma, especially in the veteran population. As a consultant, I have managed medications for women that are postpartum, want to become pregnant, are currently pregnant, or have a desire to breastfeed. I believe psychiatric care is an art and should be collaborative, interactive, and custom to the client at hand. Together, we will discuss medication options, choosing the right medication for YOU.
(502) 503-5549 View (502) 503-5549
Photo of Brittany Slider - Healing Neurons Psychiatry, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Healing Neurons Psychiatry
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Louisville, KY 40223
I started my journey as a mental health technician in 2009 and became a nurse in 2011. I have remained in the mental health field my entire nursing career in various settings and with all ages. I have worked in corrections, an inpatient substance abuse facility, and an inpatient behavioral and psychiatric hospital.
I started my journey as a mental health technician in 2009 and became a nurse in 2011. I have remained in the mental health field my entire nursing career in various settings and with all ages. I have worked in corrections, an inpatient substance abuse facility, and an inpatient behavioral and psychiatric hospital.
(502) 503-4107 View (502) 503-4107
Photo of Kristin Law, Psychiatric Nurse Practitioner, APRN, PMHNPBC
Kristin Law
Psychiatric Nurse Practitioner, APRN, PMHNPBC
2 Endorsed
Louisville, KY 40222
I am a compassionate Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) who believes in treating all people equally, reducing the stigma of mental health, and going above and beyond for my patients. I have been in the nursing field since 2013, though I have been passionate about mental health for as long as I can remember. I have experience with patients from a variety of backgrounds, ages, settings, and diagnoses.
I am a compassionate Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) who believes in treating all people equally, reducing the stigma of mental health, and going above and beyond for my patients. I have been in the nursing field since 2013, though I have been passionate about mental health for as long as I can remember. I have experience with patients from a variety of backgrounds, ages, settings, and diagnoses.
(502) 236-5536 View (502) 236-5536
Photo of Dr. Justine Chilelli, Psychiatrist, DO
Dr. Justine Chilelli
Psychiatrist, DO
Online Only
Dr. Justine Sever Chilelli, DO, earned her medical degree from the Lake Erie College of Osteopathic Medicine and completed her psychiatry residency and child and adolescent fellowship at the University of South Florida. She is board certified in General Psychiatry and Child and Adolescent Psychiatry. Her experience includes treating children, adolescents, and adults across outpatient, inpatient, consultation-liaison, school-based, and residential settings. Dr. Chilelli values a collaborative, team-based approach where she and her patients work together to build a treatment plan.
Dr. Justine Sever Chilelli, DO, earned her medical degree from the Lake Erie College of Osteopathic Medicine and completed her psychiatry residency and child and adolescent fellowship at the University of South Florida. She is board certified in General Psychiatry and Child and Adolescent Psychiatry. Her experience includes treating children, adolescents, and adults across outpatient, inpatient, consultation-liaison, school-based, and residential settings. Dr. Chilelli values a collaborative, team-based approach where she and her patients work together to build a treatment plan.
(833) 749-5700 View (833) 749-5700
Photo of Dr. Mariano Galang - Kentucky Mental Health Care, Psychiatrist, MD, Psc
Kentucky Mental Health Care
Psychiatrist, MD, Psc
Louisville, KY 40203
At Kentucky Mental Health Care, we provide psychiatric services such as medication management and medically assisted treatment (Suboxone and more), IOP, and TRP to both Medicaid and commercial insurance clients. The majority of our patients struggle with one or more of the following issues: ADHD, anxiety, PTSD, depression, substance abuse disorder, addiction, and/or personality disorder.
At Kentucky Mental Health Care, we provide psychiatric services such as medication management and medically assisted treatment (Suboxone and more), IOP, and TRP to both Medicaid and commercial insurance clients. The majority of our patients struggle with one or more of the following issues: ADHD, anxiety, PTSD, depression, substance abuse disorder, addiction, and/or personality disorder.
(502) 306-0871 View (502) 306-0871
Photo of Laura Quesenberry, Psychiatric Nurse Practitioner, APRN, PMHNP-C, FNP-C
Laura Quesenberry
Psychiatric Nurse Practitioner, APRN, PMHNP-C, FNP-C
Louisville, KY 40223
Laura is board-certified as both a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner. She has extensive experience in the field of neurology as well as assessing, diagnosing and treating a variety of mental health issues using evidence-based methods. She is passionate about fostering a welcoming and accepting environment. She believes in collaborating closely with each patient and understanding their unique situation in order to help each person attain their optimal level of health.
Laura is board-certified as both a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner. She has extensive experience in the field of neurology as well as assessing, diagnosing and treating a variety of mental health issues using evidence-based methods. She is passionate about fostering a welcoming and accepting environment. She believes in collaborating closely with each patient and understanding their unique situation in order to help each person attain their optimal level of health.
(502) 427-0586 View (502) 427-0586
Photo of Talesha Leachman, Psychiatric Nurse Practitioner, PMHNP
Talesha Leachman
Psychiatric Nurse Practitioner, PMHNP
20 Endorsed
Louisville, KY 40218
SAME-DAY and NEXT-DAY appointments are available! I'm currently accepting clients all over Kentuckiana! Hello. I'm TaLesha, a psychiatric nurse practitioner and co-owner of Better You Behavioral Health Services. I'm dedicated to providing compassionate and effective care to individuals navigating mental well-being complexities. With a deep understanding of mind-body interconnectedness, I create a safe, nurturing environment where clients feel heard, understood, and empowered on their healing journey. My approach is evidence-based and respects each individual's unique experience.
SAME-DAY and NEXT-DAY appointments are available! I'm currently accepting clients all over Kentuckiana! Hello. I'm TaLesha, a psychiatric nurse practitioner and co-owner of Better You Behavioral Health Services. I'm dedicated to providing compassionate and effective care to individuals navigating mental well-being complexities. With a deep understanding of mind-body interconnectedness, I create a safe, nurturing environment where clients feel heard, understood, and empowered on their healing journey. My approach is evidence-based and respects each individual's unique experience.
(502) 503-5215 View (502) 503-5215
Photo of Angel Opara, Psychiatric Nurse Practitioner, PMHNP
Angel Opara
Psychiatric Nurse Practitioner, PMHNP
Louisville, KY 40202
I am a psychiatric mental health nurse practitioner. I am committed to providing a compassionate, holistic, and evidence-based therapeutic care approach for my patients and getting you to the highest level of functioning. My areas of focus are ADHD management, anxiety, depression, PTSD, bipolar disorder, substance use, and postpartum depression. My approach to providing mental healthcare is centered on compassion and patient-centered care. The most common theoretical approaches I use in my work are cognitive behavioral therapy, psychopharmacology, and person-centered therapy.
I am a psychiatric mental health nurse practitioner. I am committed to providing a compassionate, holistic, and evidence-based therapeutic care approach for my patients and getting you to the highest level of functioning. My areas of focus are ADHD management, anxiety, depression, PTSD, bipolar disorder, substance use, and postpartum depression. My approach to providing mental healthcare is centered on compassion and patient-centered care. The most common theoretical approaches I use in my work are cognitive behavioral therapy, psychopharmacology, and person-centered therapy.
(859) 712-1041 View (859) 712-1041
Photo of Lorrie Smith-Esterle, Psychiatric Nurse Practitioner, DNP
Lorrie Smith-Esterle
Psychiatric Nurse Practitioner, DNP
Louisville, KY 40207
You're feeling anxious, down, irritable, or just not yourself—and it's affecting your relationships, work, or sense of purpose. Maybe you've tried therapy or medication before, or maybe this is all new. You want to feel balanced, clear, and more in control. My ideal client is ready for change—even if they’re not sure where to start—and is looking for compassionate, personalized support to help them feel like themselves again.
You're feeling anxious, down, irritable, or just not yourself—and it's affecting your relationships, work, or sense of purpose. Maybe you've tried therapy or medication before, or maybe this is all new. You want to feel balanced, clear, and more in control. My ideal client is ready for change—even if they’re not sure where to start—and is looking for compassionate, personalized support to help them feel like themselves again.
(502) 830-9330 View (502) 830-9330
Photo of Mark Bush, Psychiatric Nurse Practitioner, MSN, PMHNP, BC
Mark Bush
Psychiatric Nurse Practitioner, MSN, PMHNP, BC
2 Endorsed
Louisville, KY 40241
Accepting New Patients. I am a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 10 years of helping people manage their mental health wellness. I believe that mental wellness is a key foundation for overall health. I understand that all my clients are unique and valued individuals who deserve acceptance, appreciation, support, and compassion. My perfect client would be someone struggling with life’s challenges who wants to obtain optimal happiness and wellness. My goal is simple - to assist you to live your very best life. Everyone deserves that!
Accepting New Patients. I am a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 10 years of helping people manage their mental health wellness. I believe that mental wellness is a key foundation for overall health. I understand that all my clients are unique and valued individuals who deserve acceptance, appreciation, support, and compassion. My perfect client would be someone struggling with life’s challenges who wants to obtain optimal happiness and wellness. My goal is simple - to assist you to live your very best life. Everyone deserves that!
(502) 419-4289 View (502) 419-4289
Photo of Elizabeth Smoot, Psychiatric Nurse Practitioner, APRN, PMHNP
Elizabeth Smoot
Psychiatric Nurse Practitioner, APRN, PMHNP
Louisville, KY 40207
Ann Smoot is a board-certified advanced practice registered nurse. She has over 15 years of experience in the field of psychiatry and mental health in inpatient, school-based, outpatient and community settings. She received her master's degree in nursing from the University of Louisville. She specializes in medication management for the treatment of adult attention deficit-hyperactivity disorder (ADHD), depression, anxiety, and bipolar.
Ann Smoot is a board-certified advanced practice registered nurse. She has over 15 years of experience in the field of psychiatry and mental health in inpatient, school-based, outpatient and community settings. She received her master's degree in nursing from the University of Louisville. She specializes in medication management for the treatment of adult attention deficit-hyperactivity disorder (ADHD), depression, anxiety, and bipolar.
(502) 706-3997 View (502) 706-3997
Photo of Barbara Jean Holbrook, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP-B
Barbara Jean Holbrook
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP-B
Online Only
I graduated with my Associate's degree in 2010. Prior to obtaining my nurse practitioner license in 2020 I spent most of my nursing career working in the mental health field. I have worked in acute crisis settings, outpatient settings, inpatient settings and with populations that include: severely mentally ill, forensics, dual diagnostic, substance abuse, pediatrics, adolescents, adults and geriatrics. This experience has been invaluable to me in my role as a provider, enabling me to interact comfortably with individuals of all ages and needs. Through compassionate, genuine care I build trusting relationships with my clients.
I graduated with my Associate's degree in 2010. Prior to obtaining my nurse practitioner license in 2020 I spent most of my nursing career working in the mental health field. I have worked in acute crisis settings, outpatient settings, inpatient settings and with populations that include: severely mentally ill, forensics, dual diagnostic, substance abuse, pediatrics, adolescents, adults and geriatrics. This experience has been invaluable to me in my role as a provider, enabling me to interact comfortably with individuals of all ages and needs. Through compassionate, genuine care I build trusting relationships with my clients.
(859) 470-3335 View (859) 470-3335
Photo of Jessica Sibbie, Psychiatric Nurse Practitioner, PMHNP, BSN, RN
Jessica Sibbie
Psychiatric Nurse Practitioner, PMHNP, BSN, RN
1 Endorsed
Louisville, KY 40223
I have been a registered nurse since 2015. My experience as bedside nurse in the hospital made me realize how important mental health is in treating patients holistically. My knowledge and experience motivated me to focus on a critical area in a person’s life that is often overlooked. I believe your feelings, emotions, and thoughts are valid. Although I am a newly graduated board-certified psychiatric nurse practitioner, together we can focus on building a better version of you. Your treatment plan will be guided by evidence base practice and the latest clinical guidelines. Please know I do not prescribe benzodiazepines.
I have been a registered nurse since 2015. My experience as bedside nurse in the hospital made me realize how important mental health is in treating patients holistically. My knowledge and experience motivated me to focus on a critical area in a person’s life that is often overlooked. I believe your feelings, emotions, and thoughts are valid. Although I am a newly graduated board-certified psychiatric nurse practitioner, together we can focus on building a better version of you. Your treatment plan will be guided by evidence base practice and the latest clinical guidelines. Please know I do not prescribe benzodiazepines.
(502) 586-3573 View (502) 586-3573
Photo of Sarah Thomas - Sarah Thomas | The Lotus Connection, Psychiatric Nurse Practitioner, APRN, PMHNP, FNP
Sarah Thomas | The Lotus Connection
Psychiatric Nurse Practitioner, APRN, PMHNP, FNP
Louisville, KY 40216
My mission at The Lotus Connection is to normalize mental health as a part of the human experience and allow everyone to love and accept every part of themselves; knowing they are uniquely and beautifully made; accepting that we are each perfectly imperfect! Regardless of circumstances you feel you may presently be or have been in, you can rise above and blossom Beautifully and Gracefully as the Lotus Flower. I specialize in medication management for Anxiety Disorders (OCD, PTSD, Social Anxiety), Depression, ADHD, Mood Disorders (Bipolar and Schizophrenia), and SUD.
My mission at The Lotus Connection is to normalize mental health as a part of the human experience and allow everyone to love and accept every part of themselves; knowing they are uniquely and beautifully made; accepting that we are each perfectly imperfect! Regardless of circumstances you feel you may presently be or have been in, you can rise above and blossom Beautifully and Gracefully as the Lotus Flower. I specialize in medication management for Anxiety Disorders (OCD, PTSD, Social Anxiety), Depression, ADHD, Mood Disorders (Bipolar and Schizophrenia), and SUD.
(502) 791-9800 View (502) 791-9800
Photo of Nicholas Bischoff, Psychiatric Nurse Practitioner, PMHNP
Nicholas Bischoff
Psychiatric Nurse Practitioner, PMHNP
Online Only
I help clients who feel stuck, overmedicated, or disconnected find clarity, regulation, and a deeper sense of themselves. My work blends holistic psychiatry, somatic therapy, and nervous-system–based care to support real emotional healing, not just symptom management. Together, we uncover the patterns beneath your struggles, process what’s been stored in the mind and body, and create lasting inner shifts that lead to more peace, alignment, and self-trust.
I help clients who feel stuck, overmedicated, or disconnected find clarity, regulation, and a deeper sense of themselves. My work blends holistic psychiatry, somatic therapy, and nervous-system–based care to support real emotional healing, not just symptom management. Together, we uncover the patterns beneath your struggles, process what’s been stored in the mind and body, and create lasting inner shifts that lead to more peace, alignment, and self-trust.
(502) 738-1484 View (502) 738-1484
Photo of JoLynn Gaither-Crenshaw, Psychiatric Nurse Practitioner, APRN, FNP-C, PMHNP, BC
JoLynn Gaither-Crenshaw
Psychiatric Nurse Practitioner, APRN, FNP-C, PMHNP, BC
Louisville, KY 40228
Not accepting new clients
Welcome to JoLynn Gaither Behavioral Health Care Services, PLLC. I am a Masters prepared dual-certified family and psychiatric mental health nurse practitioner specializing in a variety of mental health disorders. I provide telehealth online services for medication management for depression, anxiety, and bipolar disorder to name a few.
Welcome to JoLynn Gaither Behavioral Health Care Services, PLLC. I am a Masters prepared dual-certified family and psychiatric mental health nurse practitioner specializing in a variety of mental health disorders. I provide telehealth online services for medication management for depression, anxiety, and bipolar disorder to name a few.
(502) 743-4115 View (502) 743-4115
Photo of William Nunley, Psychiatrist, MD
William Nunley
Psychiatrist, MD
1 Endorsed
Louisville, KY 40217
I am a psychiatrist and psychoanalyst serving OR and KY. I work primarily with mental health professionals, physicians, attorneys, entrepreneurs, and people in transition in their personal or professional identity. Most people begin therapy with me to improve their mood, sleep, or a general sense of deep suffering. I work to understand patterns of distressing conflicts in one or more areas of your life. People working with me feel compassion and less isolated by intense emotions to build anew patterns in relating.
I am a psychiatrist and psychoanalyst serving OR and KY. I work primarily with mental health professionals, physicians, attorneys, entrepreneurs, and people in transition in their personal or professional identity. Most people begin therapy with me to improve their mood, sleep, or a general sense of deep suffering. I work to understand patterns of distressing conflicts in one or more areas of your life. People working with me feel compassion and less isolated by intense emotions to build anew patterns in relating.
(502) 547-7843 View (502) 547-7843

See more therapy options for Jefferson County

How does your Psychiatrist compare?

Number of Psychiatrists in Jefferson County, KY

100+

Average cost per session

$149

Psychiatrists in Jefferson County, KY who prioritize treating:

95% Anxiety
91% Depression
81% ADHD
78% Bipolar Disorder
75% Medication Management
74% Trauma and PTSD
60% Obsessive-Compulsive (OCD)

Average years in practice

11 Years

Top 3 insurances accepted

84% Aetna
84% Cigna and Evernorth
63% Anthem

How Psychiatrists in Jefferson County, KY see their clients

66% In Person and Online
34% Online Only

Gender breakdown

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

How can I find a psychiatrist in Jefferson County?

The Psychology Today Directory enables users to search specifically for psychiatrists by selecting the provider type from the drop-down menu, and filtering results by city, zip code, or the psychiatrist's name. The search results feature detailed profiles that outline each professional's treatment approach, areas of expertise, credentials, fees, payment options, and accepted insurance. Results include both psychiatrists (MDs) and psychiatric mental health nurse practitioners (PMHNPs), who hold advanced practice nursing degrees. Users can refine their search for a specific type of psychiatric provider using the "Provider Type" filter.

What is the difference between a psychiatrist and a psychologist?

Psychiatrists are medical specialists dedicated to understanding, diagnosing, and treating brain disorders and mental health conditions. As physicians, they are trained to identify the often subtle biological factors underlying mental disorders and to monitor how mental health treatments may impact other physical conditions, such as heart disease. Psychiatrists are licensed to prescribe medication and typically conduct shorter sessions that focus on medication management rather than intensive psychotherapy.

In contrast, psychologists are particularly attuned to the impact of early experiences on development, behavior, emotions, and cognitive processes. They often take a holistic approach to assessing and treating clients, considering aspects of personality and social functioning. Although psychologists cannot prescribe medication, they are frequently skilled in administering psychological tests—such as IQ tests, personality assessments, and behavioral evaluations—to assess an individual's functioning. Psychologists often engage in longer, more psychotherapy-focused sessions compared to psychiatrists.

What is a psychiatric nurse practitioner and what is the difference with a psychiatrist?

A psychiatric mental health nurse practitioner (PMHNP), also known as a mental health nurse practitioner or psychiatric nurse practitioner, is an advanced practice registered nurse (APRN) who has completed advanced training in psychiatric care, earning at least a master’s degree in psychiatric nursing. To become Board-Certified (PMHNP-BC), psychiatric nurse practitioners must also pass a national exam that tests their clinical psychiatric knowledge.

Like psychiatrists, PMHNPs are trained to assess, diagnose, and treat mental health conditions. However, PMHNPs and psychiatrists differ in their training experience. While PMHNPs can complete their credentialing requirements (full bachelor's and master's degree training) in as few as 6 years, psychiatrists often spend upwards of 12 years to complete their bachelor's, medical doctorate degree, and residency training requirements. Because of training differences, some states require PMHNPs to be supervised by or enter into a collaborative agreement with a physician in order to prescribe medication.

When deciding to work with a psychiatrist or PMHNP, clients should consider factors such therapeutic fit, cost, and availability. Psychiatrists may have more substantial training in treating more severe psychiatric conditions, as well as in providing more specialized treatment services, such as child psychiatry. However, psychiatrists may be inaccessible to some clients, as their cost and availability may be prohibitive. It can often be easier for clients to find a PMHNP with openings for new clients when compared to psychiatrists, and PMHNPs may also offer lower cost treatment options for clients looking to minimize out-of-pocket costs.

Can a psychiatrist or a PMHNP prescribe medication?

The Psychology Today directory features two primary types of psychiatric professionals: psychiatrists and psychiatric mental health nurse practitioners (PMHNPs). Both are generally authorized to prescribe psychiatric medications. In 28 states, PMHNPs have full practice authority, allowing them to provide the complete spectrum of psychiatric care, including independent medication prescribing and management. In other states, however, PMHNPs are required to work under the supervision or in collaboration with a physician to prescribe medication. Both psychiatrists and PMHNPs may also offer additional services, such as psychotherapy, counseling, and care coordination, for clients seeking psychiatric care.

Do psychiatrists or PMHNPs offer therapy?

Both psychiatrists and psychiatric mental health nurse practitioners (PMHNPs) are generally trained in a number of treatment modalities, including traditional psychotherapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), pharmacotherapy, and, occasionally, various somatic therapies. Typically, psychiatrists and PMHNPs make a diagnosis and determine a course of treatment based on chemical or biological factors, using lab tests, brain scans and physical and psychological evaluations.

While psychotherapy may be used in the first session to aid in diagnosis, it is not typically utilized in subsequent visits. In fact, after the introductory session, most psychiatry sessions may only be 15-20 minutes in length and are largely focused on medication management; this is frequently the case for both psychiatrists and PMHNPs. However, medication providers who do not offer psychotherapy usually work collaboratively with psychologists and other mental health clinicians who do offer these services, and they can refer clients seeking more traditional psychotherapy services to their care.

How do I know if I need a psychiatrist, a PMHNP, or a therapist?

It is not always easy to know which type of mental health practitioner to choose. Many people are unaware of the root of their mental or behavioral problem and may be unaware of the differences in support provided by various mental health professionals. One way many people learn which type of care is best for them is by seeing their primary care provider (PCP) first. Depending on the nature and severity of the symptoms, the PCP may review their medical history and provide guidance or a referral to the appropriate type of provider.

A referral to a psychiatrist or PMHNP is most often made when a client is in need of psychiatric medication management or assessment. These professionals are specifically trained to prescribe psychiatric medications, when necessary, for a client; however, they generally do not provide supportive psychotherapy on an ongoing basis. A therapist or psychologist, in contrast, can provide supportive psychotherapy but is unable to prescribe medications. Because of their unique roles, some clients see both a medication prescriber (either a psychiatrist or PMHNP) and a therapist at the same time to address their psychiatric concerns holistically. Many psychiatrists and psychologists are very open to referring clients to other professionals if unable to meet the client's needs or if they think the client could use additional support from a different type of professional.

Do I need a referral to see a psychiatrist or a PMHNP?

A referral to a psychiatrist or psychiatric mental health nurse practitioner (PMHNP) is often not required. However, consulting your primary care physician (PCP) first can be beneficial and may streamline the process of getting the care you need. Your PCP can help determine whether psychiatric care is necessary or if another type of mental health support might be more appropriate. Additionally, some insurance plans require a PCP referral to cover part or all of the costs associated with seeing a specialist. Obtaining a referral can also expedite the appointment process, particularly in areas with provider shortages or for clients seeking specialists in fields like child psychiatry.

Is everyone in the Psychology Today Therapy Directory a licensed professional?

Yes, all professionals listed in the Psychology Today Therapy Directory are licensed to provide mental health services in the state(s) where they practice. The directory includes a variety of providers such as psychiatrists, psychiatric mental health nurse practitioners (PMHNPs), physician assistants, psychologists, social workers, and counselors. Each provider must hold a valid license issued by their state regulatory body to be listed. In addition, Psychology Today offers a verification process for certain providers, signified by a 'Verified' symbol next to their profile. This badge indicates that the provider’s primary credential or license has been independently verified by Psychology Today.