Psychiatrists in Big Sky, MT

I currently have openings for new clients. Reach out any time to schedule an appointment! As a psychiatric Physician Assistant with a background in addiction medicine, I’m passionate about partnering with clients who are ready to take meaningful steps toward healing and growth. My ideal clients are open to collaboration, whether they’re navigating anxiety, depression, addiction, or other psychiatric conditions, and are seeking both medical and behavioral support.
I currently have openings for new clients. Reach out any time to schedule an appointment! As a psychiatric Physician Assistant with a background in addiction medicine, I’m passionate about partnering with clients who are ready to take meaningful steps toward healing and growth. My ideal clients are open to collaboration, whether they’re navigating anxiety, depression, addiction, or other psychiatric conditions, and are seeking both medical and behavioral support.

Accepting new patients. Schedule appointment today at paintedhillspsychiatry.com. I’m Mary Cook, and I’m so glad you’re here. As a psychiatric nurse practitioner, my passion is helping people like you navigate the complexities of mental health with care and understanding. I believe in creating a warm and welcoming environment where you can feel comfortable sharing your thoughts and feelings. My approach is personalized, combining the latest evidence-based practices with a deep respect for your unique experiences and needs. Whether you’re dealing with anxiety, depression, or just looking for a better way to manage stress.
Accepting new patients. Schedule appointment today at paintedhillspsychiatry.com. I’m Mary Cook, and I’m so glad you’re here. As a psychiatric nurse practitioner, my passion is helping people like you navigate the complexities of mental health with care and understanding. I believe in creating a warm and welcoming environment where you can feel comfortable sharing your thoughts and feelings. My approach is personalized, combining the latest evidence-based practices with a deep respect for your unique experiences and needs. Whether you’re dealing with anxiety, depression, or just looking for a better way to manage stress.

We are accepting new patients! Welcome to Cordillera Mental Health, your practical solution for mental well-being in the Greater Yellowstone Basin. Like the interconnected peaks and valleys of mountain ranges, we understand the diverse challenges in your mental well-being journey. Our commitment is straightforward – providing unwavering support and expert psychiatric care. In addition to general adult psychiatry, we also offer specialized care in women's and reproductive mental health. Prioritize your mental health—schedule an appointment today, and let's get to work!
We are accepting new patients! Welcome to Cordillera Mental Health, your practical solution for mental well-being in the Greater Yellowstone Basin. Like the interconnected peaks and valleys of mountain ranges, we understand the diverse challenges in your mental well-being journey. Our commitment is straightforward – providing unwavering support and expert psychiatric care. In addition to general adult psychiatry, we also offer specialized care in women's and reproductive mental health. Prioritize your mental health—schedule an appointment today, and let's get to work!
More Psychiatrists Nearby

I offer complete psychiatric evaluations and medication management for children over 6 years of age and adults.
I offer complete psychiatric evaluations and medication management for children over 6 years of age and adults.

Fraser Ball obtained her Bachelor's of Science in Nursing in 2017 from Montana State University. While working at Vanderbilt Medical Center, she realized that her true passion was in mental health. She graduated with her Master's of Science in Nursing in 2023 from University of North Dakota, and became a board certified Psychiatric Mental Health Nurse Practitioner.
Fraser Ball obtained her Bachelor's of Science in Nursing in 2017 from Montana State University. While working at Vanderbilt Medical Center, she realized that her true passion was in mental health. She graduated with her Master's of Science in Nursing in 2023 from University of North Dakota, and became a board certified Psychiatric Mental Health Nurse Practitioner.
Online Psychiatrists

Do you feel like you’ve tried everything to overcome your mental illness? Are you suffering from persistent feelings of sadness, chaotic mood swings, or debilitating anxiety? You might not remember a time when you didn’t feel this way. You are desperate for relief but beginning to wonder if there is hope of feeling better. Clients come to me looking for a provider with the experience and knowledge to manage challenging chronic symptoms, because mental health treatment does not need to be a constant unconquerable quest.
Do you feel like you’ve tried everything to overcome your mental illness? Are you suffering from persistent feelings of sadness, chaotic mood swings, or debilitating anxiety? You might not remember a time when you didn’t feel this way. You are desperate for relief but beginning to wonder if there is hope of feeling better. Clients come to me looking for a provider with the experience and knowledge to manage challenging chronic symptoms, because mental health treatment does not need to be a constant unconquerable quest.

It gets much better from here. No matter what you're going through, our expert providers are here to help with online mental health care tailored to you. Brightside Health offers personalized psychiatry, proven therapy, or both to help you feel better. Get started right from home, with appointments in as little as 2 days.
It gets much better from here. No matter what you're going through, our expert providers are here to help with online mental health care tailored to you. Brightside Health offers personalized psychiatry, proven therapy, or both to help you feel better. Get started right from home, with appointments in as little as 2 days.

Dr. Mary O'Malley is board certified in Adult Psychiatry and Sleep Medicine. She received her medical degree from Weill Cornell Medical School and PhD in Neurobiology from The Rockefeller University. She completed her Psychiatry residency and Sleep Medicine Fellowship training at the New York University Medical Center. In her psychiatric practice, Dr. O'Malley uses an integrative approach to health, combining evidence-based concepts in neurobiology with psychological, social and spiritual/existential worldviews to understand and treat every patient.
Dr. Mary O'Malley is board certified in Adult Psychiatry and Sleep Medicine. She received her medical degree from Weill Cornell Medical School and PhD in Neurobiology from The Rockefeller University. She completed her Psychiatry residency and Sleep Medicine Fellowship training at the New York University Medical Center. In her psychiatric practice, Dr. O'Malley uses an integrative approach to health, combining evidence-based concepts in neurobiology with psychological, social and spiritual/existential worldviews to understand and treat every patient.

Telepsychiatry is proven to be a very effective means of treating mental health issues. All patients are treated with respect and dignity via of HIPAA-compliant televideo appointments. Most follow-up appointments last 20 to 30 minutes and offer you the convenience of a visit from the privacy of your own home or wherever you have a WiFi or cellular connection. No waiting in crowded lobbies or driving to appointments. Medications are sent electronically to your pharmacy and are ready within a short period of time. I offer convenient appointment times. I do not provide therapy or counseling sessions; I do medication management only.
Telepsychiatry is proven to be a very effective means of treating mental health issues. All patients are treated with respect and dignity via of HIPAA-compliant televideo appointments. Most follow-up appointments last 20 to 30 minutes and offer you the convenience of a visit from the privacy of your own home or wherever you have a WiFi or cellular connection. No waiting in crowded lobbies or driving to appointments. Medications are sent electronically to your pharmacy and are ready within a short period of time. I offer convenient appointment times. I do not provide therapy or counseling sessions; I do medication management only.

Carly Sell, a Montana native, has worked as a psychiatric nurse for the past 15 years. Carly graduated in 2007 from Carroll College with her bachelor’s degree in nursing and from Montana State University in 2022 with her Doctor of Nursing Practice. Carly has always been passionate about improving overall mental health and well-being throughout Montana through suicide prevention, mental health awareness education, and trauma-informed care.
Carly Sell, a Montana native, has worked as a psychiatric nurse for the past 15 years. Carly graduated in 2007 from Carroll College with her bachelor’s degree in nursing and from Montana State University in 2022 with her Doctor of Nursing Practice. Carly has always been passionate about improving overall mental health and well-being throughout Montana through suicide prevention, mental health awareness education, and trauma-informed care.

I'm Alexis Adams, a dedicated Psychiatric Mental Health Nurse Practitioner (PMHNP) passionate about empowering individuals through their mental health journey. My educational background includes an MSN from Frontier Nursing University and a strong foundation in nursing and psychology from Colorado State University and the University of Colorado at Boulder. My clinical expertise spans various settings, including labor and delivery, neonatal intensive care, emergency care, and mental health. I pride myself on providing compassionate care to patients.
I'm Alexis Adams, a dedicated Psychiatric Mental Health Nurse Practitioner (PMHNP) passionate about empowering individuals through their mental health journey. My educational background includes an MSN from Frontier Nursing University and a strong foundation in nursing and psychology from Colorado State University and the University of Colorado at Boulder. My clinical expertise spans various settings, including labor and delivery, neonatal intensive care, emergency care, and mental health. I pride myself on providing compassionate care to patients.

Currently taking pediatric referrals!
Samantha began her career in patient care over a decade ago, later earning a Bachelor of Science in Nursing. In 2017, she transitioned into Public Health Nursing, focusing on providing care for families with infants and children. During this time, she gained a deeper understanding of how health disparities are closely linked to social and economic inequities. Motivated to address these issues more comprehensively, Samantha pursued advanced education and earned her Doctor of Nursing Practice as a board-certified Psychiatric Mental Health Nurse Practitioner from Montana State University in 2023.
Currently taking pediatric referrals!
Samantha began her career in patient care over a decade ago, later earning a Bachelor of Science in Nursing. In 2017, she transitioned into Public Health Nursing, focusing on providing care for families with infants and children. During this time, she gained a deeper understanding of how health disparities are closely linked to social and economic inequities. Motivated to address these issues more comprehensively, Samantha pursued advanced education and earned her Doctor of Nursing Practice as a board-certified Psychiatric Mental Health Nurse Practitioner from Montana State University in 2023.

With over 10 years of experience as a Psychiatric Mental Health Nurse Practitioner and a specialized certification in Perinatal Mental Health, I am dedicated to supporting women, parents, and caregivers through the challenges of conception, pregnancy, and postpartum. I provide comprehensive evaluations, diagnoses, and tailored treatment options that integrate medication and therapy to effectively address mental health concerns.
With over 10 years of experience as a Psychiatric Mental Health Nurse Practitioner and a specialized certification in Perinatal Mental Health, I am dedicated to supporting women, parents, and caregivers through the challenges of conception, pregnancy, and postpartum. I provide comprehensive evaluations, diagnoses, and tailored treatment options that integrate medication and therapy to effectively address mental health concerns.

Accepting New Clients - Please reach out! Many people suffer with their mental health and often suffer needlessly. I have been a psychiatrist since 2001 and have experience with many types of people, ages 18-118. I think it's important to take a "life story" approach to get a sense of someone's needs and to be able to develop an effective treatment plan, often in coordination with therapists, primary care providers, and specialists.
Accepting New Clients - Please reach out! Many people suffer with their mental health and often suffer needlessly. I have been a psychiatrist since 2001 and have experience with many types of people, ages 18-118. I think it's important to take a "life story" approach to get a sense of someone's needs and to be able to develop an effective treatment plan, often in coordination with therapists, primary care providers, and specialists.

Cecilia Wild is a board-certified psychiatric-mental health nurse practitioner (PMHNP-BC) with a strong background in treating patients across the mental health spectrum. She earned her Bachelor of Science in Nursing from Illinois State University and began her career in a women’s residential facility specializing in mood disorders, eating disorders, and PTSD. She then transitioned to inpatient adolescent psychiatry, where she became a charge nurse and obtained her Psychiatric-Mental Health Nursing Certification (PMH-BC) from the American Nurses Credentialing Center (ANCC).
Cecilia Wild is a board-certified psychiatric-mental health nurse practitioner (PMHNP-BC) with a strong background in treating patients across the mental health spectrum. She earned her Bachelor of Science in Nursing from Illinois State University and began her career in a women’s residential facility specializing in mood disorders, eating disorders, and PTSD. She then transitioned to inpatient adolescent psychiatry, where she became a charge nurse and obtained her Psychiatric-Mental Health Nursing Certification (PMH-BC) from the American Nurses Credentialing Center (ANCC).

I am a Psychiatric Mental Health Nurse Practitioner with 4 years of evaluating, diagnosing and treating many mental health disorders for children, adolescents and adults. I have experience working in the outpatient setting, telehealth appointments, inpatient unit and adolescent residential homes. In addition to my experience as a prescriber, I have over 15 years of nursing experience in multiple medical fields.
I am a Psychiatric Mental Health Nurse Practitioner with 4 years of evaluating, diagnosing and treating many mental health disorders for children, adolescents and adults. I have experience working in the outpatient setting, telehealth appointments, inpatient unit and adolescent residential homes. In addition to my experience as a prescriber, I have over 15 years of nursing experience in multiple medical fields.

Accepting New Clients: Mental health is not one-size-fits-all, and neither is the care I provide. I’m Asta Reindl, a board-certified psychiatric mental health nurse practitioner with Frontier Psychiatry, and I take a holistic approach that considers the whole person—your biological, psychological, social, and spiritual needs, not just symptoms or diagnoses. I have a deep passion for working with children, adolescents, young adults, and families, helping them navigate life’s challenges with compassion and support.
Accepting New Clients: Mental health is not one-size-fits-all, and neither is the care I provide. I’m Asta Reindl, a board-certified psychiatric mental health nurse practitioner with Frontier Psychiatry, and I take a holistic approach that considers the whole person—your biological, psychological, social, and spiritual needs, not just symptoms or diagnoses. I have a deep passion for working with children, adolescents, young adults, and families, helping them navigate life’s challenges with compassion and support.

At Your Service Psychiatry PLLC
Psychiatric Nurse Practitioner, PMHNP, APRN
1 Endorsed
Helena, MT 59601
Online Telepsychiatry Practice. No need to call or email an office. To see availability and schedule, go to AtYourServicePsychiatry.com. Prescription medications are sent to your local pharmacy after the visit. You finally decided to reach out for help, but it takes months to get in. I established this online telepsychiatry practice with the busy person in mind. In our psychiatric mental health practice, we care for people with ADHD, depression, anxiety, PTSD, OCD, bipolar, and more. We strive to offer compassionate and convenient psychiatric care.
Online Telepsychiatry Practice. No need to call or email an office. To see availability and schedule, go to AtYourServicePsychiatry.com. Prescription medications are sent to your local pharmacy after the visit. You finally decided to reach out for help, but it takes months to get in. I established this online telepsychiatry practice with the busy person in mind. In our psychiatric mental health practice, we care for people with ADHD, depression, anxiety, PTSD, OCD, bipolar, and more. We strive to offer compassionate and convenient psychiatric care.

Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia.
Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia.
See more therapy options for Big Sky
How does your Psychiatrist compare?
Number of Psychiatrists in Big Sky, MT
< 10
Psychiatrists in Big Sky, MT who prioritize treating:
100% | Anxiety |
100% | Obsessive-Compulsive (OCD) |
100% | Borderline Personality (BPD) |
67% | Depression |
67% | ADHD |
67% | Trauma and PTSD |
67% | Bipolar Disorder |
Average years in practice
8 Years
Top 3 insurances accepted
100% | BlueCross and BlueShield |
100% | Allegiance |
100% | Montana Health Co-op |
How Psychiatrists in Big Sky, MT see their clients
67% | In Person and Online | |
33% | Online Only |
Gender breakdown
67% | Female | |
33% | Male |
FAQs - About Psychiatrists and Psychiatric Nurses
How can I find a psychiatrist in Big Sky?
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.
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.
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.
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.
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.