Psychiatrists in Portland, ME

Photo of Lauryn Legacy Frost, Psychiatric Nurse, DNP, APRN
Lauryn Legacy Frost
Psychiatric Nurse, DNP, APRN
Portland, ME 04101
In her free time Lauryn loves to seek adventure, hike, swim, run and play, as well as share a lovely meal with family and friends, or sink into a cup of tea with a good book or snazzy game. Lauryn has a Doctorate of Nursing Practice from Northeastern University, a Masters of Science in Nursing as a Family Nurse Practitioner, and Post Masters Certificate in Psychiatric Mental Health Nursing from the University of New Hampshire.
In her free time Lauryn loves to seek adventure, hike, swim, run and play, as well as share a lovely meal with family and friends, or sink into a cup of tea with a good book or snazzy game. Lauryn has a Doctorate of Nursing Practice from Northeastern University, a Masters of Science in Nursing as a Family Nurse Practitioner, and Post Masters Certificate in Psychiatric Mental Health Nursing from the University of New Hampshire.
(207) 414-5900 View (207) 414-5900
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 Lori Harris, Psychiatric Nurse Practitioner, PMHNP
Lori Harris
Psychiatric Nurse Practitioner, PMHNP
Online Only
Lori Harris, PMHNP, is a board-certified Psychiatric Mental Health Nurse Practitioner with over ten years of experience in inpatient and outpatient care. She earned her diploma in nursing from UPMC Shadyside School of Nursing, her BSN and MSN from the University of Pittsburgh, and is certified through the American Nurses Credentialing Center. Her background includes nine years as an ICU nurse in a Level I trauma center, along with advanced training in integrative psychiatry and functional nutrition. Lori Harris creates a warm, welcoming, and judgment-free environment where patients feel respected and at ease.
Lori Harris, PMHNP, is a board-certified Psychiatric Mental Health Nurse Practitioner with over ten years of experience in inpatient and outpatient care. She earned her diploma in nursing from UPMC Shadyside School of Nursing, her BSN and MSN from the University of Pittsburgh, and is certified through the American Nurses Credentialing Center. Her background includes nine years as an ICU nurse in a Level I trauma center, along with advanced training in integrative psychiatry and functional nutrition. Lori Harris creates a warm, welcoming, and judgment-free environment where patients feel respected and at ease.
(844) 415-2296 View (844) 415-2296
Photo of Robert King, Psychiatrist, MD
Robert King
Psychiatrist, MD
1 Endorsed
Portland, ME 04103
I provide psychiatric care for adults, age 18 and above. Treatments for mental illness are not a one-size-fits-all, and I approach each patient as a unique individual. Using contemporary, evidence-based treatments, I aim to relieve suffering and improve quality of life. Following an accurate diagnosis, it is often important to consider how lifestyle modification, therapy, medications, and other treatments can provide benefit. I employ various psychotherapeutic techniques, including psychodynamic and cognitive behavioral, and am adept in medication management.
I provide psychiatric care for adults, age 18 and above. Treatments for mental illness are not a one-size-fits-all, and I approach each patient as a unique individual. Using contemporary, evidence-based treatments, I aim to relieve suffering and improve quality of life. Following an accurate diagnosis, it is often important to consider how lifestyle modification, therapy, medications, and other treatments can provide benefit. I employ various psychotherapeutic techniques, including psychodynamic and cognitive behavioral, and am adept in medication management.
(207) 607-4022 x400 View (207) 607-4022 x400
Photo of Mary Kate Grady, Psychiatrist, MD
Mary Kate Grady
Psychiatrist, MD
1 Endorsed
Portland, ME 04103
I have new openings weekly and accept many insurance plans. I provide psychiatric care for adults, age 18 and older. I take a wholistic approach to psychiatric care, focusing on the physical, psychological, emotional and social well-being of each patient. I provide both therapy and medication management, integrating an evidence based approach to nutrition, joyful movement, and social connection.
I have new openings weekly and accept many insurance plans. I provide psychiatric care for adults, age 18 and older. I take a wholistic approach to psychiatric care, focusing on the physical, psychological, emotional and social well-being of each patient. I provide both therapy and medication management, integrating an evidence based approach to nutrition, joyful movement, and social connection.
(207) 223-7653 x400 View (207) 223-7653 x400
Photo of Paula A. Gentile, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Paula A. Gentile
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
2 Endorsed
Portland, ME 04103
Not accepting new clients
Many adults who manage significant demands find that anxiety becomes persistent or difficult to manage, contributing to self-doubt and chronic stress. These challenges may show up as difficulty with concentration, energy, and sleep. Many function well externally while feeling unsettled internally, increasing risk for burnout and relationship strain. My approach emphasizes comprehensive evaluation, thoughtful medication management, and insight-oriented care to promote meaningful and lasting change.
Many adults who manage significant demands find that anxiety becomes persistent or difficult to manage, contributing to self-doubt and chronic stress. These challenges may show up as difficulty with concentration, energy, and sleep. Many function well externally while feeling unsettled internally, increasing risk for burnout and relationship strain. My approach emphasizes comprehensive evaluation, thoughtful medication management, and insight-oriented care to promote meaningful and lasting change.
(207) 263-0837 View (207) 263-0837
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
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 Michelle Chmelecki, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Michelle Chmelecki
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
1 Endorsed
Portland, ME 04101
Michelle is a board-certified psychiatric nurse practitioner who specializes in working with adolescents, young adults, and members of LGBTQ+ community. She believes every young person has potential and focuses her practice on helping them thrive emotionally, socially, and academically. Michelle sees psychiatric medication as a helpful tool, but not always necessary or long-term. Her goal is to improve patients’ daily functioning, whether that means doing better in school, building healthier relationships, or improving behavior at home. Collaborating with families, school staff, and other supports to build a well-rounded care plan.
Michelle is a board-certified psychiatric nurse practitioner who specializes in working with adolescents, young adults, and members of LGBTQ+ community. She believes every young person has potential and focuses her practice on helping them thrive emotionally, socially, and academically. Michelle sees psychiatric medication as a helpful tool, but not always necessary or long-term. Her goal is to improve patients’ daily functioning, whether that means doing better in school, building healthier relationships, or improving behavior at home. Collaborating with families, school staff, and other supports to build a well-rounded care plan.
(207) 800-7677 View (207) 800-7677
Photo of Peggy Ouellette, Psychiatric Nurse Practitioner, FPMH-NP
Peggy Ouellette
Psychiatric Nurse Practitioner, FPMH-NP
Portland, ME 04103
Are you a caregiver looking to create a healthier and happier lifestyle for your entire family? Do you feel overwhelmed by the emotional and physical demands of balancing everything? Concerned about the long-term impact of medications on your child's physical and emotional health? Worried about the financial strain of medical bills? Feeling isolated and alone in your experience especially when others don't understand? Are you ready to rejuvenate your mind and body, and embark on a transformative journey towards optimal well-being?
Are you a caregiver looking to create a healthier and happier lifestyle for your entire family? Do you feel overwhelmed by the emotional and physical demands of balancing everything? Concerned about the long-term impact of medications on your child's physical and emotional health? Worried about the financial strain of medical bills? Feeling isolated and alone in your experience especially when others don't understand? Are you ready to rejuvenate your mind and body, and embark on a transformative journey towards optimal well-being?
(207) 716-0604 View (207) 716-0604
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) 803-5341 View (207) 803-5341
Photo of Dr. Jane Eisen, Psychiatrist
Dr. Jane Eisen
Psychiatrist
Online Only
Dr. Jane Eisen comes to Talkiatry from her previous position at McLean Hospital in Boston, where she was Clinical Director of the Depression and Anxiety Division. Clinically, she has experience working with people with significant mood and anxiety difficulties. Dr. Eisen's practice focuses on using an integrated approach to the understanding and treatment of individuals' psychosocial stresses and psychiatric symptoms. She frequently suggests including a family member or friend in at least one session to get a comprehensive sense of each person's strengths and challenges.
Dr. Jane Eisen comes to Talkiatry from her previous position at McLean Hospital in Boston, where she was Clinical Director of the Depression and Anxiety Division. Clinically, she has experience working with people with significant mood and anxiety difficulties. Dr. Eisen's practice focuses on using an integrated approach to the understanding and treatment of individuals' psychosocial stresses and psychiatric symptoms. She frequently suggests including a family member or friend in at least one session to get a comprehensive sense of each person's strengths and challenges.
(833) 749-5700 View (833) 749-5700
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 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 Denise S Fuhrmann, Psychiatric Nurse Practitioner, PMHNP,
Denise S Fuhrmann
Psychiatric Nurse Practitioner, PMHNP,
Portland, ME 04101
I work with adults who are feeling overwhelmed, stuck, anxious, emotionally exhausted, or struggling with long-standing mental health concerns that deserve thoughtful attention. Many clients come to me seeking clarity after years of trying different treatments, or because they want a provider who truly listens before making recommendations. I specialize in medication management for anxiety, depression, PTSD, OCD, trauma, substance use, sleep issues, stress, and relationship concerns. Together, we build a personalized, collaborative plan that helps clients feel more stable, informed, and hopeful moving forward.
I work with adults who are feeling overwhelmed, stuck, anxious, emotionally exhausted, or struggling with long-standing mental health concerns that deserve thoughtful attention. Many clients come to me seeking clarity after years of trying different treatments, or because they want a provider who truly listens before making recommendations. I specialize in medication management for anxiety, depression, PTSD, OCD, trauma, substance use, sleep issues, stress, and relationship concerns. Together, we build a personalized, collaborative plan that helps clients feel more stable, informed, and hopeful moving forward.
(207) 492-5185 View (207) 492-5185
Photo of Dr. Jennifer Snowden, Psychiatrist, MD
Dr. Jennifer Snowden
Psychiatrist, MD
Online Only
Dr. Jennifer Snowden completed medical school at the University of Arkansas for Medical Sciences in Little Rock, Arkansas in 1995. She then completed a residency in general psychiatry at Emory University in Atlanta, Georgia followed by a fellowship in forensic psychiatry also at Emory University in Atlanta, Georgia from 1995-2000. She spent ten years practicing forensic psychiatry at a state hospital in Atlanta. She then decided that she wanted to travel and spent eighteen months as a locum tenens psychiatrist primarily practicing in New England.
Dr. Jennifer Snowden completed medical school at the University of Arkansas for Medical Sciences in Little Rock, Arkansas in 1995. She then completed a residency in general psychiatry at Emory University in Atlanta, Georgia followed by a fellowship in forensic psychiatry also at Emory University in Atlanta, Georgia from 1995-2000. She spent ten years practicing forensic psychiatry at a state hospital in Atlanta. She then decided that she wanted to travel and spent eighteen months as a locum tenens psychiatrist primarily practicing in New England.
(833) 749-5700 View (833) 749-5700
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 Benjamin Crocker, Psychiatrist, MD
Benjamin Crocker
Psychiatrist, MD
1 Endorsed
Portland, ME 04102
My practice is limited to collaboration with other behavioral health or primary careproviders. I meet with patients once or twice to complete an evaluation and treatment plan. I usually do not prescribe medications, but I am happy to consult with your PCP or other provider and will help you find providers who will prescribe medications if that is my recommendation and you do not already have a willing prescriber. Medications have their limits, and distressing symptoms should always be addressed psychologically with or without medications. I work best with patients who will contact me by email and tell me what they are seeking.
My practice is limited to collaboration with other behavioral health or primary careproviders. I meet with patients once or twice to complete an evaluation and treatment plan. I usually do not prescribe medications, but I am happy to consult with your PCP or other provider and will help you find providers who will prescribe medications if that is my recommendation and you do not already have a willing prescriber. Medications have their limits, and distressing symptoms should always be addressed psychologically with or without medications. I work best with patients who will contact me by email and tell me what they are seeking.
(207) 747-3025 View (207) 747-3025
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 Miriam Davidson, Psychiatric Nurse Practitioner, MSN, APRN
Miriam Davidson
Psychiatric Nurse Practitioner, MSN, APRN
Portland, ME 04101
Miriam Davidson is a PMHNP at LifeStance Health, serving patients throughout Maine. With over 15 years of experience in the mental health field, Miriam offers comprehensive medication management and behavioral health services for adults, seniors, and teens. Her expertise in coordinating medication plans and providing diagnostic clarity ensures that each patient receives personalized care tailored to their mental health needs. Miriam's compassionate approach empowers her patients to address a wide range of mental health concerns, helping them improve their overall well-being.Miriam Davidson is a PMHNP at LifeStance Health, serving pa
Miriam Davidson is a PMHNP at LifeStance Health, serving patients throughout Maine. With over 15 years of experience in the mental health field, Miriam offers comprehensive medication management and behavioral health services for adults, seniors, and teens. Her expertise in coordinating medication plans and providing diagnostic clarity ensures that each patient receives personalized care tailored to their mental health needs. Miriam's compassionate approach empowers her patients to address a wide range of mental health concerns, helping them improve their overall well-being.Miriam Davidson is a PMHNP at LifeStance Health, serving pa
(866) 580-7909 View (866) 580-7909

See more therapy options for Portland

How does your Psychiatrist compare?

Number of Psychiatrists in Portland, ME

100+

Average cost per session

$195

Psychiatrists in Portland, ME who prioritize treating:

93% Anxiety
91% Depression
75% Medication Management
72% Bipolar Disorder
71% Trauma and PTSD
70% ADHD
58% Obsessive-Compulsive (OCD)

Average years in practice

10 Years

Top 3 insurances accepted

82% Aetna
64% Cigna and Evernorth
64% Anthem

How Psychiatrists in Portland, ME see their clients

52% Online Only
48% In Person and Online

Gender breakdown

70% Female
30% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Portland?

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.