Psychiatrists in Oxford County, ME

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Photo of Leane Saucier - Leane PMHNP, Healthy Minds Counseling Inc, Psychiatric Nurse Practitioner, PMHNP
Leane PMHNP, Healthy Minds Counseling Inc
Psychiatric Nurse Practitioner, PMHNP
Online Only
Hello, and welcome. My name is Leane, and I have been a nurse for nearly 20 years. I began practicing as a Nurse Practitioner in 2016 and hold dual ANCC board certifications in Family Practice and Psychiatric Mental Health. My clinical training and experience allow me to approach care from a comprehensive, whole-person perspective. I strongly believe that mental and physical health are deeply interconnected, and that the brain—like the heart—is an essential organ that sometimes requires thoughtful support and treatment. This holistic philosophy guides my work in assessing, diagnosing, and managing psychiatric conditions.
Hello, and welcome. My name is Leane, and I have been a nurse for nearly 20 years. I began practicing as a Nurse Practitioner in 2016 and hold dual ANCC board certifications in Family Practice and Psychiatric Mental Health. My clinical training and experience allow me to approach care from a comprehensive, whole-person perspective. I strongly believe that mental and physical health are deeply interconnected, and that the brain—like the heart—is an essential organ that sometimes requires thoughtful support and treatment. This holistic philosophy guides my work in assessing, diagnosing, and managing psychiatric conditions.
(207) 503-5439 View (207) 503-5439
Photo of Lorinda M MacDonald, Psychiatric Nurse Practitioner, RN, MSN, PMHNPBC
Lorinda M MacDonald
Psychiatric Nurse Practitioner, RN, MSN, PMHNPBC
Online Only
Hi, I'm glad you're here. One of the things I hear most often from my patients is, “You're really easy to talk to” and “You actually listen.” Feeling truly heard can be one of the most powerful and healing experiences — it’s often the first step toward real change. Listening is more than just sitting quietly. It’s about asking the right questions at the right time, and creating a space where you feel safe enough to explore what’s going on beneath the surface. That’s what I aim to do in every session.
Hi, I'm glad you're here. One of the things I hear most often from my patients is, “You're really easy to talk to” and “You actually listen.” Feeling truly heard can be one of the most powerful and healing experiences — it’s often the first step toward real change. Listening is more than just sitting quietly. It’s about asking the right questions at the right time, and creating a space where you feel safe enough to explore what’s going on beneath the surface. That’s what I aim to do in every session.
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Photo of Catherine Stuart, Psychiatric Nurse Practitioner
Catherine Stuart
Psychiatric Nurse Practitioner
Online Only
I’m a board-certified Psychiatric Mental Health Nurse Practitioner with over 25 years of experience in healthcare and mental health. Throughout my career, I’ve had the privilege of working with individuals across all age groups—from young children to older adults—helping them navigate life’s challenges with compassion and evidence-based care.
I’m a board-certified Psychiatric Mental Health Nurse Practitioner with over 25 years of experience in healthcare and mental health. Throughout my career, I’ve had the privilege of working with individuals across all age groups—from young children to older adults—helping them navigate life’s challenges with compassion and evidence-based care.
(207) 707-6232 View (207) 707-6232
Photo of Shelley Milliard - Shelley, PMHNP, Healthy Minds Counseling Inc., Psychiatric Nurse Practitioner, PMHNP
Shelley, PMHNP, Healthy Minds Counseling Inc.
Psychiatric Nurse Practitioner, PMHNP
Online Only
I am a Psychiatric Mental Health Nurse Practitioner, ANCC certifed and licensed in Maine, with more than 15 years of healthcare experience providing compassionate, evidence based mental health care. I specialize in supporting children, teens, and young adults who may be navigating big emotions, changes in mood, attention or focus dificulties, anxiety, or stress that feels overwhelming. Many families reach out because they want to better understand what their child is experiencing and help them feel more like themselves again.
I am a Psychiatric Mental Health Nurse Practitioner, ANCC certifed and licensed in Maine, with more than 15 years of healthcare experience providing compassionate, evidence based mental health care. I specialize in supporting children, teens, and young adults who may be navigating big emotions, changes in mood, attention or focus dificulties, anxiety, or stress that feels overwhelming. Many families reach out because they want to better understand what their child is experiencing and help them feel more like themselves again.
(207) 521-9588 View (207) 521-9588

Online Psychiatrists

Photo of Stephen Morley, Psychiatric Nurse Practitioner, PMHNP, BC
Stephen Morley
Psychiatric Nurse Practitioner, PMHNP, BC
York, ME 03909
I am a board-certified Psychiatric Mental Health Nurse Practitioner licensed in Maine, New Hampshire, and Florida. I work predominantly with adults, focusing on late adolescence through seniority, and offer convenient remote telehealth appointments. With a true affinity for the humanistic, health-promoting principles of nursing, I am dedicated to providing you with compassionate, supportive care. I strive to create a collaborative healthcare experience that offers holistic, patient-centered care while respecting and supporting your individual autonomy.
I am a board-certified Psychiatric Mental Health Nurse Practitioner licensed in Maine, New Hampshire, and Florida. I work predominantly with adults, focusing on late adolescence through seniority, and offer convenient remote telehealth appointments. With a true affinity for the humanistic, health-promoting principles of nursing, I am dedicated to providing you with compassionate, supportive care. I strive to create a collaborative healthcare experience that offers holistic, patient-centered care while respecting and supporting your individual autonomy.
(207) 218-0029 View (207) 218-0029
Photo of Deborah Burchfield, Psychiatric Nurse Practitioner, PMHNP
Deborah Burchfield
Psychiatric Nurse Practitioner, PMHNP
Online Only
I am a psychiatric mental health nurse practitioner with over 30 years of experience supporting individuals across all stages of life, from adolescence through late adulthood. My therapeutic approach blends the warmth & authenticity of emphasizing the study of the whole person & focusing on individual potential, growth, & self-actualization.
I am a psychiatric mental health nurse practitioner with over 30 years of experience supporting individuals across all stages of life, from adolescence through late adulthood. My therapeutic approach blends the warmth & authenticity of emphasizing the study of the whole person & focusing on individual potential, growth, & self-actualization.
(207) 715-3501 View (207) 715-3501
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
Photo of Jan C Lorenz - Jan C Lorenz PLLC, Psychiatric Nurse Practitioner, MSN, FNP, PMHNP-C
Jan C Lorenz PLLC
Psychiatric Nurse Practitioner, MSN, FNP, PMHNP-C
1 Endorsed
Online Only
Hello! First and foremost, I am a Christian. My faith enables me to be hopeful and believe that we are all created equally and to treat each other with respect and kindness. I believe each of us have different gifts, face different challenges, and have different needs. My philosophy is simple. I work for you. I accept -preteen, teens, parents, singles, people in relationships, and seniors. I'm not in favor of adding on medications to medications without benefit. I believe a holistic approach with emphasis on self-wellness, sleep hygiene, exercise, healthy diet, supplements, but sometimes medication(s) are necessary.
Hello! First and foremost, I am a Christian. My faith enables me to be hopeful and believe that we are all created equally and to treat each other with respect and kindness. I believe each of us have different gifts, face different challenges, and have different needs. My philosophy is simple. I work for you. I accept -preteen, teens, parents, singles, people in relationships, and seniors. I'm not in favor of adding on medications to medications without benefit. I believe a holistic approach with emphasis on self-wellness, sleep hygiene, exercise, healthy diet, supplements, but sometimes medication(s) are necessary.
(207) 598-4881 View (207) 598-4881
Photo of Sara Powers, Psychiatrist, MD
Sara Powers
Psychiatrist, MD
1 Endorsed
Brunswick, ME 04011
I am a board-certified psychiatrist specializing in adult and perinatal psychiatry, with medical training from Harvard Medical School. I provide personalized, relationship-centered care for individuals navigating depression, anxiety, OCD, PTSD, bipolar disorder, schizophrenia, and other complex psychiatric conditions. I also have particular expertise in psychiatric treatment during pregnancy, postpartum, and early parenthood. This includes working with individuals facing fertility challenges, perinatal mood and anxiety disorders, and the identity shifts that accompany becoming a parent.
I am a board-certified psychiatrist specializing in adult and perinatal psychiatry, with medical training from Harvard Medical School. I provide personalized, relationship-centered care for individuals navigating depression, anxiety, OCD, PTSD, bipolar disorder, schizophrenia, and other complex psychiatric conditions. I also have particular expertise in psychiatric treatment during pregnancy, postpartum, and early parenthood. This includes working with individuals facing fertility challenges, perinatal mood and anxiety disorders, and the identity shifts that accompany becoming a parent.
(207) 407-6379 View (207) 407-6379
Photo of Dr. Nicole Brynes, Psychiatric Nurse Practitioner, DNP, PMHNP
Dr. Nicole Brynes
Psychiatric Nurse Practitioner, DNP, PMHNP
5 Endorsed
Rockland, ME 04841
Dr. Nicole Brynes, DNP, PMHNP-BC, provides psychiatric medication management, consultation and diagnostic evaluations for children, adolescents and adults to help achieve your highest potential. Perhaps you are interested in learning what medications might be options for you or your loved one, want a second opinion, or are ready to start regular medication management with an experienced provider. Please note that in accordance with the Ryan-Haight Act, she does not prescribe controlled substances (including stimulants or benzodiazepines) to those outside of Pennsylvania or Maine. She is licensed in PA, MD, MN, RI, VT, and ME.
Dr. Nicole Brynes, DNP, PMHNP-BC, provides psychiatric medication management, consultation and diagnostic evaluations for children, adolescents and adults to help achieve your highest potential. Perhaps you are interested in learning what medications might be options for you or your loved one, want a second opinion, or are ready to start regular medication management with an experienced provider. Please note that in accordance with the Ryan-Haight Act, she does not prescribe controlled substances (including stimulants or benzodiazepines) to those outside of Pennsylvania or Maine. She is licensed in PA, MD, MN, RI, VT, and ME.
(412) 838-3773 View (412) 838-3773
Photo of Julie Smith, Psychiatric Nurse Practitioner, APRN, PMHNP
Julie Smith
Psychiatric Nurse Practitioner, APRN, PMHNP
2 Endorsed
Scarborough, ME 04074
As a Board Certified Psychiatric Nurse Practitioner, I specialize in medication management, offering a personalized experience that integrates the latest evidence-based approaches to support you on your journey to health and well-being. My goal is not only to aid in stabilization and recovery but also to witness your flourishing and thriving. I take a holistic approach to treatment, conducting comprehensive evaluations and establishing a clear diagnostic framework, all while considering the impact of social, cultural, interpersonal, and financial influence.
As a Board Certified Psychiatric Nurse Practitioner, I specialize in medication management, offering a personalized experience that integrates the latest evidence-based approaches to support you on your journey to health and well-being. My goal is not only to aid in stabilization and recovery but also to witness your flourishing and thriving. I take a holistic approach to treatment, conducting comprehensive evaluations and establishing a clear diagnostic framework, all while considering the impact of social, cultural, interpersonal, and financial influence.
(207) 614-2845 View (207) 614-2845
Photo of Patricia Seely, Psychiatric Nurse Practitioner, FNP-C, PMHNP-C
Patricia Seely
Psychiatric Nurse Practitioner, FNP-C, PMHNP-C
Online Only
My primary goal is to help individuals find wholeness through therapy and medication. I am prescribing and doing therapy in Maine. I work with adults and have experience working with people struggling with depression, anxiety, mood disorders, individuals in recovery and those struggling with chronic health issues. As a veteran myself working with military active duty, their spouses and veterans is a special interest. I enjoy working with first responders. I do prescribe in Maine but do not prescribe benzodiazepines at this time.
My primary goal is to help individuals find wholeness through therapy and medication. I am prescribing and doing therapy in Maine. I work with adults and have experience working with people struggling with depression, anxiety, mood disorders, individuals in recovery and those struggling with chronic health issues. As a veteran myself working with military active duty, their spouses and veterans is a special interest. I enjoy working with first responders. I do prescribe in Maine but do not prescribe benzodiazepines at this time.
(207) 817-2702 View (207) 817-2702
Photo of Caterina Goldberg-Dunnett, Psychiatric Nurse Practitioner, PMHNP
Caterina Goldberg-Dunnett
Psychiatric Nurse Practitioner, PMHNP
Online Only
Caterina Goldberg-Dunnett, PMHNP-BC, FNP-C, is a board-certified Psychiatric Mental Health Nurse Practitioner and Family Nurse Practitioner. She earned her Doctor of Nursing Practice with psychiatric certification from the University of North Florida, graduating with honors as a commencement speaker, and her MSN (FNP) from South University with highest honors. With over a decade of experience, she cares for adult and geriatric patients with complex medical and psychiatric needs, specializing in ADHD, bipolar disorder, panic symptoms, insomnia, and cognitive disorders including dementia.
Caterina Goldberg-Dunnett, PMHNP-BC, FNP-C, is a board-certified Psychiatric Mental Health Nurse Practitioner and Family Nurse Practitioner. She earned her Doctor of Nursing Practice with psychiatric certification from the University of North Florida, graduating with honors as a commencement speaker, and her MSN (FNP) from South University with highest honors. With over a decade of experience, she cares for adult and geriatric patients with complex medical and psychiatric needs, specializing in ADHD, bipolar disorder, panic symptoms, insomnia, and cognitive disorders including dementia.
(207) 808-7301 View (207) 808-7301
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 Nicolas Sikaczowski - Peace Behavioral Health Portland , Psychiatrist, DO
Peace Behavioral Health Portland
Psychiatrist, DO
1 Endorsed
Portland, ME 04102
Peace Behavioral Health is a small, boutique, locally owned, comprehensive Psychiatry and Psychology practice dedicated to providing unrushed evidence-based care. We have offices in Portland, ME and Saco, ME & provide services via telehealth throughout the state of ME and FL. We utilize ABPN Board-Certified Psychiatrists, and ABPN Board Certified Child & Adolescent Psychiatrists as well as PhD Psychologists. Our current clinicians are Dr. Nicolas Sikaczowski, DO, Dr. Stephon Martin, MD, Dr Robin Caron, DO, Dr. Lauren Buchheim, DO, Dr. Ashley Shaw, PhD, Dr. Janaa Lehtien, PhD, Karen Kennedy, LCSW and Alix Buckvar, LCSW
Peace Behavioral Health is a small, boutique, locally owned, comprehensive Psychiatry and Psychology practice dedicated to providing unrushed evidence-based care. We have offices in Portland, ME and Saco, ME & provide services via telehealth throughout the state of ME and FL. We utilize ABPN Board-Certified Psychiatrists, and ABPN Board Certified Child & Adolescent Psychiatrists as well as PhD Psychologists. Our current clinicians are Dr. Nicolas Sikaczowski, DO, Dr. Stephon Martin, MD, Dr Robin Caron, DO, Dr. Lauren Buchheim, DO, Dr. Ashley Shaw, PhD, Dr. Janaa Lehtien, PhD, Karen Kennedy, LCSW and Alix Buckvar, LCSW
(207) 962-1188 View (207) 962-1188
Photo of Jeremy Spiegel, Psychiatrist, MD
Jeremy Spiegel
Psychiatrist, MD
1 Endorsed
Portland, ME 04101
Jeremy Spiegel, MD, is available for psychiatric evaluations and medication management at his Portland, Maine office at Casco Bay Medical. Virtual appointments available. He treats adults and adolescents, specializes in treatment of ADHD, anxiety, depression, PTSD, OCD, Panic Disorder, Social Anxiety and most other psychiatric disorders and conditions. New Treatment Offering: Brief Psychotherapy. Dr. Spiegel, as psychotherapist and collaborative problem solver, can help address your core psychological problem with weekly virtual visits over 12 sessions.
Jeremy Spiegel, MD, is available for psychiatric evaluations and medication management at his Portland, Maine office at Casco Bay Medical. Virtual appointments available. He treats adults and adolescents, specializes in treatment of ADHD, anxiety, depression, PTSD, OCD, Panic Disorder, Social Anxiety and most other psychiatric disorders and conditions. New Treatment Offering: Brief Psychotherapy. Dr. Spiegel, as psychotherapist and collaborative problem solver, can help address your core psychological problem with weekly virtual visits over 12 sessions.
(207) 808-7352 View (207) 808-7352
Photo of Krystle Ladd, Psychiatric Nurse Practitioner, PMHNP
Krystle Ladd
Psychiatric Nurse Practitioner, PMHNP
Buxton, ME 04093
I am committed to providing compassionate, evidence-based mental health care to individuals across the lifespan. My approach centers on building a strong therapeutic alliance grounded in trust, respect, and open communication. I believe that every person’s story is unique, and I strive to create a safe, nonjudgmental space where patients feel heard, understood, and empowered in their journey toward wellness.
I am committed to providing compassionate, evidence-based mental health care to individuals across the lifespan. My approach centers on building a strong therapeutic alliance grounded in trust, respect, and open communication. I believe that every person’s story is unique, and I strive to create a safe, nonjudgmental space where patients feel heard, understood, and empowered in their journey toward wellness.
(207) 477-7438 View (207) 477-7438
Photo of Scott M. Albin, Psychiatrist, DO
Scott M. Albin
Psychiatrist, DO
3 Endorsed
Yarmouth, ME 04096
Dr. Albin is a Board Certified in Child, Adolescent, and Adult Psychiatrist. He completed his residency and fellowship at the Mayo Clinic, and currently provides evaluation and management of mental health issues with psychotherapy and medication management in private practice.
Dr. Albin is a Board Certified in Child, Adolescent, and Adult Psychiatrist. He completed his residency and fellowship at the Mayo Clinic, and currently provides evaluation and management of mental health issues with psychotherapy and medication management in private practice.
(207) 271-9621 View (207) 271-9621
Photo of Dr. Joseph Scott, Psychiatrist, DO
Dr. Joseph Scott
Psychiatrist, DO
Portland, ME 04101
Dr. Joseph Scott is a Psychiatrist in Maine who has been practicing since 2016. He has a Bachelor’s of Science, Psychology Major, Pre-Med Track from Northeastern University, went to Medical School at University of New England College of Osteopathic Medicine, and completed his Residency in Psychiatry from Rowan University College of Osteopathic Medicine. Dr. Scott strives to treat the whole person, not just one or two symptoms. He gets to know his patients and listens to everything they have to tell him. Dr. Scott then likes to educate them about what he sees and how the different treatment options can help.
Dr. Joseph Scott is a Psychiatrist in Maine who has been practicing since 2016. He has a Bachelor’s of Science, Psychology Major, Pre-Med Track from Northeastern University, went to Medical School at University of New England College of Osteopathic Medicine, and completed his Residency in Psychiatry from Rowan University College of Osteopathic Medicine. Dr. Scott strives to treat the whole person, not just one or two symptoms. He gets to know his patients and listens to everything they have to tell him. Dr. Scott then likes to educate them about what he sees and how the different treatment options can help.
(207) 204-3232 View (207) 204-3232
Photo of Robert King - PSM Center for Psychiatry, Psychiatrist, MD
PSM Center for Psychiatry
Psychiatrist, MD
1 Endorsed
Portland, ME 04101
We are a group of five board certified psychiatrists dedicated to providing compassionate and comprehensive mental health care to adults. We are committed to helping our patients achieve optimal mental well-being and lead fulfilling lives. Our team of providers work collaboratively with patients, tailoring treatment plans to address their specific challenges and goals. We focus on evidence-based practices, staying up-to-date with the latest research and advancements in psychiatry to ensure the best possible outcomes.
We are a group of five board certified psychiatrists dedicated to providing compassionate and comprehensive mental health care to adults. We are committed to helping our patients achieve optimal mental well-being and lead fulfilling lives. Our team of providers work collaboratively with patients, tailoring treatment plans to address their specific challenges and goals. We focus on evidence-based practices, staying up-to-date with the latest research and advancements in psychiatry to ensure the best possible outcomes.
(207) 802-7033 View (207) 802-7033

See more therapy options for Oxford County

How does your Psychiatrist compare?

Number of Psychiatrists in Oxford County, ME

< 10

Psychiatrists in Oxford County, ME who prioritize treating:

100% Medication Management
75% Depression
75% ADHD
75% Anxiety
75% Personality Disorders
75% Stress
50% Child

Average years in practice

3 Years

Top 3 insurances accepted

100% Aetna
100% UnitedHealthcare UHC | UBH
100% Anthem

How Psychiatrists in Oxford County, ME see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Oxford 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.