Psychiatrists in Gorham, ME

Photo of Daniel Porter, Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
Daniel Porter
Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
Gorham, ME 04038
I work with children, adolescents, & adults who are struggling with challenges that impact their daily lives or overall well-being. Many of my patients seek support for ADHD, anxiety, depression, bipolar disorder, PTSD, mood changes, stress, or difficulty navigating life transitions. Some come to treatment feeling overwhelmed, stuck, or frustrated after trying to manage symptoms on their own. My goal is to provide a supportive, judgment-free environment where patients feel heard, understood, and empowered. Together, we identify concerns and develop a personalized treatment plan.
I work with children, adolescents, & adults who are struggling with challenges that impact their daily lives or overall well-being. Many of my patients seek support for ADHD, anxiety, depression, bipolar disorder, PTSD, mood changes, stress, or difficulty navigating life transitions. Some come to treatment feeling overwhelmed, stuck, or frustrated after trying to manage symptoms on their own. My goal is to provide a supportive, judgment-free environment where patients feel heard, understood, and empowered. Together, we identify concerns and develop a personalized treatment plan.
(207) 367-4875 View (207) 367-4875
Photo of Audrey Farley, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Audrey Farley
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Online Only
Specializing in adult ADHD testing, evaluation & medication management for adults across Maine. ADHD, anxiety & depression often look identical — and treating the wrong one keeps people stuck. I use objective, FDA-cleared ADHD testing tools (QbCheck, Creyos & CAARS) to support a thorough clinical assessment. Especially helpful for healthcare workers, executives, attorneys & educators whose ADHD went unrecognized because they were too high-functioning to raise red flags. No referral needed. No months-long waitlist. Self-pay, HSA & FSA accepted. Free 15-min consultation. Visit my website to complete an intake form and get started.
Specializing in adult ADHD testing, evaluation & medication management for adults across Maine. ADHD, anxiety & depression often look identical — and treating the wrong one keeps people stuck. I use objective, FDA-cleared ADHD testing tools (QbCheck, Creyos & CAARS) to support a thorough clinical assessment. Especially helpful for healthcare workers, executives, attorneys & educators whose ADHD went unrecognized because they were too high-functioning to raise red flags. No referral needed. No months-long waitlist. Self-pay, HSA & FSA accepted. Free 15-min consultation. Visit my website to complete an intake form and get started.
(207) 244-8420 View (207) 244-8420
Photo of Shawn Faust, Psychiatric Nurse Practitioner, DNP, PMHNP
Shawn Faust
Psychiatric Nurse Practitioner, DNP, PMHNP
Online Only
Dr. Shawn Faust, DNP, PMHNP-BC is a Psychiatric Nurse Practitioner who brings a patient-centric approach to the field of mental health. His philosophy centers around the belief that individuals are experts in their own experiences, and collaboration between the patient and their mental health provider is essential for effective and personalized treatment. He believes that informed patients are better equipped to navigate their unique mental health challenges. Thus, treatment with Dr. Faust often involves teaching patients about their diagnosis and discussing the pros and cons of various treatment options.
Dr. Shawn Faust, DNP, PMHNP-BC is a Psychiatric Nurse Practitioner who brings a patient-centric approach to the field of mental health. His philosophy centers around the belief that individuals are experts in their own experiences, and collaboration between the patient and their mental health provider is essential for effective and personalized treatment. He believes that informed patients are better equipped to navigate their unique mental health challenges. Thus, treatment with Dr. Faust often involves teaching patients about their diagnosis and discussing the pros and cons of various treatment options.
(207) 805-2308 View (207) 805-2308

More Psychiatrists Nearby

Photo of Jan Lorenz, Psychiatric Nurse Practitioner, PMHNP
Jan Lorenz
Psychiatric Nurse Practitioner, PMHNP
Online Only
Hello! My name is Jan Lorenz. I have been a psychiatric nurse practitioner for past 20 years. With that experience, I’ve been able to help make people feel better, and function better, with medication and education.
Hello! My name is Jan Lorenz. I have been a psychiatric nurse practitioner for past 20 years. With that experience, I’ve been able to help make people feel better, and function better, with medication and education.
(603) 605-8599 View (603) 605-8599
Photo of Layla Billings, Psychiatric Nurse Practitioner, PMHNP
Layla Billings
Psychiatric Nurse Practitioner, PMHNP
2 Endorsed
Portland, ME 04103
If you're a woman in your 30's through 50's and are feeling more anxious, emotionally unsteady, foggy, or unable to sleep or focus the way you once could, you may be encountering a powerful midlife transition that deserves compassionate support and deeper understanding. Many women reach out when symptoms that were once manageable begin to interfere with work, relationships, or confidence—often after feeling dismissed or unheard in previous care. These symptoms have real biological and psychological roots, and I can help you find relief without losing a sense of growth or agency.
If you're a woman in your 30's through 50's and are feeling more anxious, emotionally unsteady, foggy, or unable to sleep or focus the way you once could, you may be encountering a powerful midlife transition that deserves compassionate support and deeper understanding. Many women reach out when symptoms that were once manageable begin to interfere with work, relationships, or confidence—often after feeling dismissed or unheard in previous care. These symptoms have real biological and psychological roots, and I can help you find relief without losing a sense of growth or agency.
(207) 223-6344 View (207) 223-6344
Photo of Danielle Tito, Psychiatric Nurse Practitioner, MSN, PMHNP
Danielle Tito
Psychiatric Nurse Practitioner, MSN, PMHNP
Online Only
As a licensed and board certified Psychiatric Mental Health Nurse Practitioner, I bring a unique perspective to mental health care. My career has been shaped by over five years of high-intensity nursing experience in the emergency department. This background has honed my ability to remain calm and decisive during complex situations, ensuring that every patient feels safe and supported from the very first visit. While I am a recent graduate with the latest evidence-based training, my deep clinical roots mean I am equipped to manage the intersection of physical and emotional wellness.
As a licensed and board certified Psychiatric Mental Health Nurse Practitioner, I bring a unique perspective to mental health care. My career has been shaped by over five years of high-intensity nursing experience in the emergency department. This background has honed my ability to remain calm and decisive during complex situations, ensuring that every patient feels safe and supported from the very first visit. While I am a recent graduate with the latest evidence-based training, my deep clinical roots mean I am equipped to manage the intersection of physical and emotional wellness.
(207) 410-4818 View (207) 410-4818
Photo of Amanda Scola, Psychiatric Nurse Practitioner, MSN, RN
Amanda Scola
Psychiatric Nurse Practitioner, MSN, RN
South Portland, ME 04106
Amanda Scola, MSN, RN, PMHNP-BC is a board certified ANCC Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) and is licensed to provide psychopharmacology and psychotherapy services to patients across the lifespan. Amanda obtained a B.S. in Human Biology from Bay Path University, a Bachelor of Nursing from the Medical University of South Carolina, and an MSN in Psychiatric and Mental Health Nursing from Regis College. Amanda has a background in a number of previous psychiatric treatment settings to include outpatient, inpatient, substance abuse/dual diagnosis treatment, and eating disorders.
Amanda Scola, MSN, RN, PMHNP-BC is a board certified ANCC Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) and is licensed to provide psychopharmacology and psychotherapy services to patients across the lifespan. Amanda obtained a B.S. in Human Biology from Bay Path University, a Bachelor of Nursing from the Medical University of South Carolina, and an MSN in Psychiatric and Mental Health Nursing from Regis College. Amanda has a background in a number of previous psychiatric treatment settings to include outpatient, inpatient, substance abuse/dual diagnosis treatment, and eating disorders.
(207) 466-6012 x1 View (207) 466-6012 x1
Photo of Kathleen Ingellis, Psychiatric Nurse Practitioner, PMHNP
Kathleen Ingellis
Psychiatric Nurse Practitioner, PMHNP
Online Only
My name is Kat Ingellis and I am a board certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC). I am based in the Portland; Maine area and I work with clients statewide via TeleHealth. I provide psychiatric medication management services to children, adolescents, and adults with the purpose of symptomatic improvement in psychiatric disorders that include mood disorders, trauma, anxiety, panic disorder, neurodevelopmental disorders, psychotic disorders, substance use disorders, obsessive-compulsive disorders (OCD), and eating disorders.
My name is Kat Ingellis and I am a board certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC). I am based in the Portland; Maine area and I work with clients statewide via TeleHealth. I provide psychiatric medication management services to children, adolescents, and adults with the purpose of symptomatic improvement in psychiatric disorders that include mood disorders, trauma, anxiety, panic disorder, neurodevelopmental disorders, psychotic disorders, substance use disorders, obsessive-compulsive disorders (OCD), and eating disorders.
(888) 613-7279 View (888) 613-7279
Photo of Latrice Markison, Psychiatric Nurse Practitioner, PMHNP
Latrice Markison
Psychiatric Nurse Practitioner, PMHNP
Online Only
Hi there! My name is Latrice Markison, and I am a Psychiatric Nurse Practitioner working with patients statewide via telehealth. I believe in holistic, whole-person care. I work with adult patients managing various mental health conditions. I feel that communication is fluid and varies based on goals and situational factors. I have over ten years of experience working in outpatient and inpatient behavioral health. While goals are essential to growth, goal setting and timeframes depend on patient preferences. An open opportunity to openly discuss concerns and desires related to care.
Hi there! My name is Latrice Markison, and I am a Psychiatric Nurse Practitioner working with patients statewide via telehealth. I believe in holistic, whole-person care. I work with adult patients managing various mental health conditions. I feel that communication is fluid and varies based on goals and situational factors. I have over ten years of experience working in outpatient and inpatient behavioral health. While goals are essential to growth, goal setting and timeframes depend on patient preferences. An open opportunity to openly discuss concerns and desires related to care.
(727) 788-4121 View (727) 788-4121
Photo of Michelle Kotte, Psychiatric Nurse Practitioner, PMHNP
Michelle Kotte
Psychiatric Nurse Practitioner, PMHNP
Online Only
Michelle Kotte is a board-certified Psychiatric Nurse Practitioner with over 13 years of nursing experience. She creates a warm, supportive environment and values open communication. Michelle is passionate about focusing on the whole person and tailoring care to each client’s unique needs. Michelle’s approach is direct, collaborative, and centered on partnership. She works closely with clients to develop a personalized plan, emphasizing transparency and shared decision-making throughout treatment.
Michelle Kotte is a board-certified Psychiatric Nurse Practitioner with over 13 years of nursing experience. She creates a warm, supportive environment and values open communication. Michelle is passionate about focusing on the whole person and tailoring care to each client’s unique needs. Michelle’s approach is direct, collaborative, and centered on partnership. She works closely with clients to develop a personalized plan, emphasizing transparency and shared decision-making throughout treatment.
(952) 299-5283 View (952) 299-5283
Photo of Elspeth Gunnoe, Psychiatric Nurse Practitioner, PMHNP
Elspeth Gunnoe
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Online Only
I am a psychiatric nurse practitioner, meaning that I prescribe medications like a psychiatrist. I accept patients from Virginia and Maine. I do not officially offer therapy, though people generally find our conversations during appointment to be therapeutic. I have experience in treating a wide variety of conditions and acknowledge that medications are only a piece of the mental health puzzle. One's health is dependent upon the systems within which a human lives, meaning that there are a lot of outside influences that medications cannot control. However, I'll work with you to optimize your mental health despite outside influences.
I am a psychiatric nurse practitioner, meaning that I prescribe medications like a psychiatrist. I accept patients from Virginia and Maine. I do not officially offer therapy, though people generally find our conversations during appointment to be therapeutic. I have experience in treating a wide variety of conditions and acknowledge that medications are only a piece of the mental health puzzle. One's health is dependent upon the systems within which a human lives, meaning that there are a lot of outside influences that medications cannot control. However, I'll work with you to optimize your mental health despite outside influences.
(540) 264-3198 View (540) 264-3198
Photo of Shelly Miller, Psychiatric Nurse Practitioner, MSN, AGPCNP, PMHNP
Shelly Miller
Psychiatric Nurse Practitioner, MSN, AGPCNP, PMHNP
6 Endorsed
Serves Area
Waitlist for new clients
As a psychiatric nurse practitioner I provide medication management for a variety of mental health concerns. By providing sensitive, compassionate care and education, I partner with clients to move toward a better state of wellness. I have a particular interest in professional burn out, cancer survivorship and end of life treatment Please note- I am unable to take on any new clients for controlled substances via telehealth until the DEA rules surrounding this are finalized. This includes stimulant treatment for ADHD and benzodiazepines for anxiety
As a psychiatric nurse practitioner I provide medication management for a variety of mental health concerns. By providing sensitive, compassionate care and education, I partner with clients to move toward a better state of wellness. I have a particular interest in professional burn out, cancer survivorship and end of life treatment Please note- I am unable to take on any new clients for controlled substances via telehealth until the DEA rules surrounding this are finalized. This includes stimulant treatment for ADHD and benzodiazepines for anxiety
(844) 698-3436 View (844) 698-3436
Photo of Janet Howe, Psychiatric Nurse Practitioner, PMHNP
Janet Howe
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Serves Area
Hello! I am a psychiatric mental health nurse practitioner. I practice in Maine and Connecticut. I earned my masters degree at Walden University. I enjoy working with adults and older adults that are experiencing challenges in their lives that they need support getting through, whether it's through talking or medications or both.
Hello! I am a psychiatric mental health nurse practitioner. I practice in Maine and Connecticut. I earned my masters degree at Walden University. I enjoy working with adults and older adults that are experiencing challenges in their lives that they need support getting through, whether it's through talking or medications or both.
(475) 305-0173 View (475) 305-0173
Photo of Abby McFerran, Psychiatric Nurse Practitioner, MSN, CRNP, PMHNP
Abby McFerran
Psychiatric Nurse Practitioner, MSN, CRNP, PMHNP
Online Only
I provide telehealth psychiatric care for children, adolescents, and adults in Pennsylvania, Rhode Island & Maine. I specialize in ADHD, mood disorders, and more complex or treatment-resistant concerns. Many of my patients come to me after feeling stuck or not fully understood in prior treatment. Together, we take a thoughtful, individualized approach to better understand what’s going on and build a plan that actually fits.
I provide telehealth psychiatric care for children, adolescents, and adults in Pennsylvania, Rhode Island & Maine. I specialize in ADHD, mood disorders, and more complex or treatment-resistant concerns. Many of my patients come to me after feeling stuck or not fully understood in prior treatment. Together, we take a thoughtful, individualized approach to better understand what’s going on and build a plan that actually fits.
(267) 452-2786 View (267) 452-2786
Photo of Sylvia Park, Psychiatrist, MD
Sylvia Park
Psychiatrist, MD
Portland, ME 04101
It is the brave person who allows him or herself to feel vulnerable, admit there is a problem, and take steps to find the right help. Loneliness, sadness, anxiety, depression, irritability, anger and/or mood swings are common experiences. Some have experienced trauma in the past, which may continue to cause problems today. I am committed to help people live their best lives. I completed a medical degree from the University of Vermont College of Medicine, and am board-certified in Psychiatry and Preventive Medicine.
It is the brave person who allows him or herself to feel vulnerable, admit there is a problem, and take steps to find the right help. Loneliness, sadness, anxiety, depression, irritability, anger and/or mood swings are common experiences. Some have experienced trauma in the past, which may continue to cause problems today. I am committed to help people live their best lives. I completed a medical degree from the University of Vermont College of Medicine, and am board-certified in Psychiatry and Preventive Medicine.
(207) 407-5174 View (207) 407-5174
Photo of Christoforos Iraklis Giakoumatos, Psychiatrist, MD
Christoforos Iraklis Giakoumatos
Psychiatrist, MD
Online Only
Harvard-trained psychiatrist providing psychotherapy +/- medication management. Allow me to help you get closer to your goals! I believe in individualizing treatment based on each person's needs. Background/Training Instructor in Psychiatry at Harvard Medical School Adult psychiatry residency training; Harvard South Shore Program Addiction psychiatry fellowship training; Mass General Brigham Program -Massachusetts General Hospital (MGH), McLean Hospital and Brigham and Women's Hospital- in affiliation with Harvard Medical School Medical School; National and Kapodistrian University of Athens, Greece
Harvard-trained psychiatrist providing psychotherapy +/- medication management. Allow me to help you get closer to your goals! I believe in individualizing treatment based on each person's needs. Background/Training Instructor in Psychiatry at Harvard Medical School Adult psychiatry residency training; Harvard South Shore Program Addiction psychiatry fellowship training; Mass General Brigham Program -Massachusetts General Hospital (MGH), McLean Hospital and Brigham and Women's Hospital- in affiliation with Harvard Medical School Medical School; National and Kapodistrian University of Athens, Greece
(207) 687-1197 View (207) 687-1197
Photo of Susan L Chase, Psychiatric Nurse Practitioner, APRN, PMHNP, BC
Susan L Chase
Psychiatric Nurse Practitioner, APRN, PMHNP, BC
Brunswick, ME 04011
At Finding Peace of Mind, I provide psychiatric medication management designed to help individuals achieve stability, healing, recovery and improved quality of life. I have 21+ years of experience with psychiatric medications and mental healthcare, both in the out-patient and in-patient settings. I completed my Master's in Psychiatric Nursing at the University of So. Maine and obtained my Psychiatric Nurse Practitioner certification through a Post Master's program at Husson College.
At Finding Peace of Mind, I provide psychiatric medication management designed to help individuals achieve stability, healing, recovery and improved quality of life. I have 21+ years of experience with psychiatric medications and mental healthcare, both in the out-patient and in-patient settings. I completed my Master's in Psychiatric Nursing at the University of So. Maine and obtained my Psychiatric Nurse Practitioner certification through a Post Master's program at Husson College.
(207) 865-8638 View (207) 865-8638
Photo of Dr. Delane Casiano, Psychiatrist, MD
Dr. Delane Casiano
Psychiatrist, MD
Online Only
Dr. Delane Casiano is a board-certified adult psychiatrist with specialized interest and expertise in cultural psychiatry. She earned her undergraduate degree from Brown University and her medical degree from Morehouse School of Medicine. She completed psychiatry residency and research fellowship at the University of Pennsylvania. Such organizations as the American Psychiatric Association, National Institute of Mental Health, and Philadelphia Department of Behavioral Health have recognized her research examining cultural influences on mental health beliefs and service utilization.
Dr. Delane Casiano is a board-certified adult psychiatrist with specialized interest and expertise in cultural psychiatry. She earned her undergraduate degree from Brown University and her medical degree from Morehouse School of Medicine. She completed psychiatry residency and research fellowship at the University of Pennsylvania. Such organizations as the American Psychiatric Association, National Institute of Mental Health, and Philadelphia Department of Behavioral Health have recognized her research examining cultural influences on mental health beliefs and service utilization.
(833) 749-5700 View (833) 749-5700
Photo of Mark Shaughnessy, Psychiatric Nurse Practitioner, MSN, PMHNP-B
Mark Shaughnessy
Psychiatric Nurse Practitioner, MSN, PMHNP-B
Portland, ME 04101
Mark Shaughnessy, PMHNP, is dedicated to providing evidence-based pharmacologic treatment of mental disorders, considering the entirety of each patient's circumstances. Serving the state of Maine, he collaborates closely with his clients to ensure comprehensive and personalized care. Mark's approach is holistic, integrating medication management with an understanding of the individual's life context to foster meaningful improvements in mental health. Specializing in ADHD, anxiety, and depression, Mark uses his extensive expertise to support adults through various life stages.
Mark Shaughnessy, PMHNP, is dedicated to providing evidence-based pharmacologic treatment of mental disorders, considering the entirety of each patient's circumstances. Serving the state of Maine, he collaborates closely with his clients to ensure comprehensive and personalized care. Mark's approach is holistic, integrating medication management with an understanding of the individual's life context to foster meaningful improvements in mental health. Specializing in ADHD, anxiety, and depression, Mark uses his extensive expertise to support adults through various life stages.
(844) 332-4420 View (844) 332-4420
Photo of Shantel Escobar - Shantel Escobar | ADHD, Anxiety, Depression, & OUD, Psychiatric Nurse Practitioner, PMHNP, APRN, MSN
Shantel Escobar | ADHD, Anxiety, Depression, & OUD
Psychiatric Nurse Practitioner, PMHNP, APRN, MSN
Online Only
I specialize in working with individuals struggling with ADHD, depression, anxiety, mood disorders, and Substance Use Disorders (SUD) or Opioid Use Disorder (OUD) across all ages, from children to adults. I provide a comprehensive treatment approach that addresses both mental health and addiction concerns. While therapy is important, medication often plays a crucial role in effective treatment, helping to manage symptoms, improve focus, and enhance emotional well-being. For those with ADHD or SUD/OUD, finding the right treatment can lead to lasting recovery and stability.
I specialize in working with individuals struggling with ADHD, depression, anxiety, mood disorders, and Substance Use Disorders (SUD) or Opioid Use Disorder (OUD) across all ages, from children to adults. I provide a comprehensive treatment approach that addresses both mental health and addiction concerns. While therapy is important, medication often plays a crucial role in effective treatment, helping to manage symptoms, improve focus, and enhance emotional well-being. For those with ADHD or SUD/OUD, finding the right treatment can lead to lasting recovery and stability.
(207) 600-5643 View (207) 600-5643

See more therapy options for Gorham

How does your Psychiatrist compare?

Number of Psychiatrists in Gorham, ME

< 10

Psychiatrists in Gorham, ME who prioritize treating:

100% Depression
100% Anxiety
100% Medication Management
100% Stress
67% ADHD
67% Bipolar Disorder
67% Sleep or Insomnia

Average years in practice

6 Years

Top 3 insurances accepted

100% Aetna
50% BlueCross and BlueShield
50% Cigna and Evernorth

How Psychiatrists in Gorham, ME see their clients

67% Online Only
33% In Person and Online

Gender breakdown

67% Male
33% Female
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Gorham?

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.