Psychiatrists in Silver Bow County, MT

Photo of Matthew Thompson, Psychiatrist, MD, MPH
Matthew Thompson
Psychiatrist, MD, MPH
1 Endorsed
Online Only
Accepting New Clients - Please reach out any time. 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 any time. 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.
(406) 344-7915 View (406) 344-7915
Photo of Nicole Faessel Aprn, Psychiatric Nurse Practitioner, PMHNP, PMH-C
Nicole Faessel Aprn
Psychiatric Nurse Practitioner, PMHNP, PMH-C
Online Only
Schedule today directly ONLINE at www.bellathiapsychiatry.com. I can provide psychiatric services including diagnostic evaluation, medication management, laboratory monitoring, follow up care, and referrals as needed. You are important and so is your self care! I'm here to help. I have several years of diverse experience in education and nursing. My goal is to help you understand why you are feeling this way and how we can work together towards meeting your needs.
Schedule today directly ONLINE at www.bellathiapsychiatry.com. I can provide psychiatric services including diagnostic evaluation, medication management, laboratory monitoring, follow up care, and referrals as needed. You are important and so is your self care! I'm here to help. I have several years of diverse experience in education and nursing. My goal is to help you understand why you are feeling this way and how we can work together towards meeting your needs.
(406) 319-3476 View (406) 319-3476
Photo of Eleanor Combs, Psychiatric Nurse Practitioner, PMHNP
Eleanor Combs
Psychiatric Nurse Practitioner, PMHNP
Butte, MT 59701
I am a board-certified psychiatric nurse practitioner and earned my Doctor of Nursing Practice degree and certificate of Nursing Education from Montana State University. I have treated numerous patients with various conditions and collaborated with members of treatment teams to optimize overall mental health. My goal is to provide thorough, accurate assessment in order to effectively treat those experiencing psychiatric/behavioral health issues.
I am a board-certified psychiatric nurse practitioner and earned my Doctor of Nursing Practice degree and certificate of Nursing Education from Montana State University. I have treated numerous patients with various conditions and collaborated with members of treatment teams to optimize overall mental health. My goal is to provide thorough, accurate assessment in order to effectively treat those experiencing psychiatric/behavioral health issues.
(406) 686-8787 View (406) 686-8787
Photo of Nicole Faessel - Bellathia Psychiatry, LLC, Psychiatric Nurse Practitioner, APRN, PMHNP, PMHC
Bellathia Psychiatry, LLC
Psychiatric Nurse Practitioner, APRN, PMHNP, PMHC
Online Only
***Accepting NEW PATIENTS in Montana*****SCHEDULE DIRECTLY at www.bellathiapsychiatry.com****** I can provide psychiatric services including diagnostic evaluation, medication management, laboratory monitoring, follow up care, and referrals as needed. You are important and so is your self care! I'm here to help. I have several years of diverse experience in education and nursing. My goal is to help you understand why you are feeling this way and how we can work together towards meeting your needs.
***Accepting NEW PATIENTS in Montana*****SCHEDULE DIRECTLY at www.bellathiapsychiatry.com****** I can provide psychiatric services including diagnostic evaluation, medication management, laboratory monitoring, follow up care, and referrals as needed. You are important and so is your self care! I'm here to help. I have several years of diverse experience in education and nursing. My goal is to help you understand why you are feeling this way and how we can work together towards meeting your needs.
(406) 534-7769 View (406) 534-7769
Photo of Tommie Lynn Perusich, Psychiatric Nurse Practitioner, DNP, PMHNP-B
Tommie Lynn Perusich
Psychiatric Nurse Practitioner, DNP, PMHNP-B
Online Only
My hope is to offer client centered, holistic care that is evidence based. I want my clients to develop achievable goals for their health and well-being and help them to set upon the path to personal success.
My hope is to offer client centered, holistic care that is evidence based. I want my clients to develop achievable goals for their health and well-being and help them to set upon the path to personal success.
View
Photo of Jennifer Foresman, Psychiatric Nurse Practitioner, DNP, CRNP, PHMNP
Jennifer Foresman
Psychiatric Nurse Practitioner, DNP, CRNP, PHMNP
3 Endorsed
Online Only
We understand that you are coming to us at one of the most vulnerable and difficult times in your life. We will listen to your concerns without judgement and offer a safe space to overcome your unique challenges. We are here to help if you are struggling with overwhelming feelings of sadness, irritability, anxious thoughts, or chaotic shifts in your mood. We can assess for ADHD if you feel unable to focus or struggle with completing tasks without distraction. We are experienced in providing trauma informed care.
We understand that you are coming to us at one of the most vulnerable and difficult times in your life. We will listen to your concerns without judgement and offer a safe space to overcome your unique challenges. We are here to help if you are struggling with overwhelming feelings of sadness, irritability, anxious thoughts, or chaotic shifts in your mood. We can assess for ADHD if you feel unable to focus or struggle with completing tasks without distraction. We are experienced in providing trauma informed care.
(725) 209-2784 View (725) 209-2784
Photo of Jessica Rivera, Psychiatric Nurse Practitioner, PMHNP, APRN, MSN
Jessica Rivera
Psychiatric Nurse Practitioner, PMHNP, APRN, MSN
Serves Area
Welcome to Desert Creek Mental Health. I'm Jessica, a board certified Psychiatric Mental Health Nurse Practitioner. I believe strongly in the mind-body connection and use a variety of evidence-based approaches to meet the needs of my patients in order to achieve a high quality of life. I have steered my practice away from the modern model of short appointments that make you feel rushed and unimportant. I see a limited number of patients each day so that I have the time to get to know you and gain a deeper understanding of what you are experiencing, so together we can come to the correct diagnosis and best treatment plan.
Welcome to Desert Creek Mental Health. I'm Jessica, a board certified Psychiatric Mental Health Nurse Practitioner. I believe strongly in the mind-body connection and use a variety of evidence-based approaches to meet the needs of my patients in order to achieve a high quality of life. I have steered my practice away from the modern model of short appointments that make you feel rushed and unimportant. I see a limited number of patients each day so that I have the time to get to know you and gain a deeper understanding of what you are experiencing, so together we can come to the correct diagnosis and best treatment plan.
(406) 356-0595 View (406) 356-0595
Photo of Samantha Reed, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Samantha Reed
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
1 Endorsed
Serves Area
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.
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.
(406) 720-8238 View (406) 720-8238
Photo of Ruthann Rafacz, Psychiatric Nurse Practitioner, PMHNP
Ruthann Rafacz
Psychiatric Nurse Practitioner, PMHNP
Online Only
Hello, I am Ruth Rafacz a psychiatric nurse practitioner. I have been practicing since 2010. I believe in working together with my patient. My patients are active participants in their care. working with the patient to find the right medicine and theoretical approach that is tailor made for each patient. There is no one size fits all in mental healthcare.
Hello, I am Ruth Rafacz a psychiatric nurse practitioner. I have been practicing since 2010. I believe in working together with my patient. My patients are active participants in their care. working with the patient to find the right medicine and theoretical approach that is tailor made for each patient. There is no one size fits all in mental healthcare.
(406) 795-5049 View (406) 795-5049
Photo of Asta Reindl, Psychiatric Nurse Practitioner, PMHNP
Asta Reindl
Psychiatric Nurse Practitioner, PMHNP
Online Only
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.
(406) 646-3771 View (406) 646-3771
Photo of Jamie Beth Goldberg - Wellness Options LLC, Psychiatric Nurse Practitioner, PMHNP-C, ACNP-BC, APRN
Wellness Options LLC
Psychiatric Nurse Practitioner, PMHNP-C, ACNP-BC, APRN
Serves Area
My focus is to assist those who may struggle with their mental health and tailor a specific plan of care that the individual and myself create. The recent pandemic has pushed society to recognize that individuals may need assistance with mental wellness. Montana is very rural and services are not always readily available, I am committed to the wellness of individuals and would like to provide services to our community.
My focus is to assist those who may struggle with their mental health and tailor a specific plan of care that the individual and myself create. The recent pandemic has pushed society to recognize that individuals may need assistance with mental wellness. Montana is very rural and services are not always readily available, I am committed to the wellness of individuals and would like to provide services to our community.
(406) 905-0705 View (406) 905-0705
Photo of Allison Sears, Psychiatric Nurse Practitioner, BSN, APRN, PMHNP
Allison Sears
Psychiatric Nurse Practitioner, BSN, APRN, PMHNP
Online Only
Allison is a board-certified psychiatric mental health nurse practitioner (PMHNP-BC). She obtained her master’s degree from Gonzaga University. During her eight years of acute-care experience, she participated in forming the Psychiatric Stabilization Unit at Billings Clinic and worked on the in-patient units providing therapeutic care to patients across the lifespan. Allison now enjoys working out-patient to help clients manage their symptoms. She is passionate about providing quality, compassionate, and holistic services. Allison specializes in medication management and diagnosis of psychiatric disorders. Allison is not a therapist
Allison is a board-certified psychiatric mental health nurse practitioner (PMHNP-BC). She obtained her master’s degree from Gonzaga University. During her eight years of acute-care experience, she participated in forming the Psychiatric Stabilization Unit at Billings Clinic and worked on the in-patient units providing therapeutic care to patients across the lifespan. Allison now enjoys working out-patient to help clients manage their symptoms. She is passionate about providing quality, compassionate, and holistic services. Allison specializes in medication management and diagnosis of psychiatric disorders. Allison is not a therapist
(406) 905-0669 View (406) 905-0669
Photo of Sara Burke, Psychiatric Nurse Practitioner, PMHNP
Sara Burke
Psychiatric Nurse Practitioner, PMHNP
Online Only
I’m Sara Burke PMHNP-BC, and I provide supportive, straightforward telepsychiatry for adolescents and adults in Montana. I believe good mental health care should feel clear, collaborative, and doable in real life. My style is warm, practical, and non-judgmental. I listen first, then we make decisions together, talking plainly about benefits, risks, and what to expect, so you always feel informed and in control of your care. I offer flexible scheduling (mornings, evenings, weekends), accept insurance through Headway, and welcome new clients. If you want care that is kind, practical, and transparent, I’d be honored to work with you.
I’m Sara Burke PMHNP-BC, and I provide supportive, straightforward telepsychiatry for adolescents and adults in Montana. I believe good mental health care should feel clear, collaborative, and doable in real life. My style is warm, practical, and non-judgmental. I listen first, then we make decisions together, talking plainly about benefits, risks, and what to expect, so you always feel informed and in control of your care. I offer flexible scheduling (mornings, evenings, weekends), accept insurance through Headway, and welcome new clients. If you want care that is kind, practical, and transparent, I’d be honored to work with you.
(406) 313-8415 View (406) 313-8415
Photo of Holly L Gomez Levine - At Your Service Psychiatry PLLC, Psychiatric Nurse Practitioner, PMHNP, APRN
At Your Service Psychiatry PLLC
Psychiatric Nurse Practitioner, PMHNP, APRN
1 Endorsed
Serves Area
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.
Photo of Sutina Kardas, Physician Assistant, PA-C
Sutina Kardas
Physician Assistant, PA-C
1 Endorsed
Online Only
I am a Psychiatry PA working via telehealth and have openings for new clients living anywhere in MT or ID. I am fluent in both English and Thai. I hold a certification of advanced qualification in psychiatry with many years of experience treating patients both in person and via telehealth. My evidence-based approach emphasizes medication management tailored to your individual needs with supportive therapy when needed. I also encourage a holistic approach to your care. I offer management for a wide range of diagnoses, including anxiety and depression, with a love for supporting women in the prenatal, perinatal, and postpartum period.
I am a Psychiatry PA working via telehealth and have openings for new clients living anywhere in MT or ID. I am fluent in both English and Thai. I hold a certification of advanced qualification in psychiatry with many years of experience treating patients both in person and via telehealth. My evidence-based approach emphasizes medication management tailored to your individual needs with supportive therapy when needed. I also encourage a holistic approach to your care. I offer management for a wide range of diagnoses, including anxiety and depression, with a love for supporting women in the prenatal, perinatal, and postpartum period.
(406) 964-5605 View (406) 964-5605
Photo of Mark McGrath, Psychiatric Nurse Practitioner, RN, PMHNP
Mark McGrath
Psychiatric Nurse Practitioner, RN, PMHNP
2 Endorsed
Serves Area
Many people imagine seeing a psychiatric provider as sitting in a stuffy office, lying on a couch, and being asked, “How do you feel?” That’s not my approach. I believe in having a friendly, open conversation where we focus on your core symptoms and explore how your environment and past experiences may be contributing to them. From there, we can work together to establish an accurate diagnosis and create a personalized medication plan—one designed to target your symptoms effectively without overmedicating you.
Many people imagine seeing a psychiatric provider as sitting in a stuffy office, lying on a couch, and being asked, “How do you feel?” That’s not my approach. I believe in having a friendly, open conversation where we focus on your core symptoms and explore how your environment and past experiences may be contributing to them. From there, we can work together to establish an accurate diagnosis and create a personalized medication plan—one designed to target your symptoms effectively without overmedicating you.
(406) 506-5294 View (406) 506-5294
Photo of Mary Cook, Psychiatric Nurse Practitioner, PMHNP, FNP
Mary Cook
Psychiatric Nurse Practitioner, PMHNP, FNP
1 Endorsed
Serves Area
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.
(406) 982-0785 View (406) 982-0785
Photo of Allison Sears, Psychiatric Nurse Practitioner, PMHNP
Allison Sears
Psychiatric Nurse Practitioner, PMHNP
Online Only
I am a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) based in Billings, MT. I enjoy working out-patient to help clients manage their symptoms and enjoy their ideal quality of life. I specialize in treating ADHD, depression, anxiety, bipolar disorder, personality disorder, OCD, insomnia, psychosis, and PTSD. My specialty is in medication management.
I am a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) based in Billings, MT. I enjoy working out-patient to help clients manage their symptoms and enjoy their ideal quality of life. I specialize in treating ADHD, depression, anxiety, bipolar disorder, personality disorder, OCD, insomnia, psychosis, and PTSD. My specialty is in medication management.
(406) 780-8468 View (406) 780-8468
Photo of Erin Marie Huston - Huston Psychiatric Services, Psychiatric Nurse Practitioner, PMHNP
Huston Psychiatric Services
Psychiatric Nurse Practitioner, PMHNP
Serves Area
Erin (Ferriter) Huston grew up in a large family in Montana City and was involved in many sports, especially soccer. Erin attended Carroll College and was employed as a nurse in various psychiatric settings. After 10 years of pediatric and psychiatric nursing, Erin decided to attend Montana State University to become a psychiatric nurse practitioner. This position has allowed Erin to work in a different role/setting with patients. Ultimately, Erin has learned that teamwork and trust are integral to patient growth. It is rewarding as a provider to experience these positive changes.
Erin (Ferriter) Huston grew up in a large family in Montana City and was involved in many sports, especially soccer. Erin attended Carroll College and was employed as a nurse in various psychiatric settings. After 10 years of pediatric and psychiatric nursing, Erin decided to attend Montana State University to become a psychiatric nurse practitioner. This position has allowed Erin to work in a different role/setting with patients. Ultimately, Erin has learned that teamwork and trust are integral to patient growth. It is rewarding as a provider to experience these positive changes.
(406) 709-5815 View (406) 709-5815

Online Psychiatrists

Photo of Jessica Kettell, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Jessica Kettell
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
3 Endorsed
Online Only
You’ve tried therapy. You’ve tried meds. You’re functioning... but not thriving. Maybe you feel flat, anxious, burned out, or disconnected from yourself. You’re sensitive, self-aware, and wellness-minded, but no one’s helped you get to the root. You’re tired of band-aid solutions and craving real healing. Whether you want to safely come off medications, sleep better, or finally feel like yourself again, you’re not asking for too much. You just haven’t had the right kind of care yet.
You’ve tried therapy. You’ve tried meds. You’re functioning... but not thriving. Maybe you feel flat, anxious, burned out, or disconnected from yourself. You’re sensitive, self-aware, and wellness-minded, but no one’s helped you get to the root. You’re tired of band-aid solutions and craving real healing. Whether you want to safely come off medications, sleep better, or finally feel like yourself again, you’re not asking for too much. You just haven’t had the right kind of care yet.
(425) 528-9775 View (425) 528-9775

See more therapy options for Silver Bow County

How does your Psychiatrist compare?

Number of Psychiatrists in Silver Bow County, MT

10+

Average cost per session

$190

Psychiatrists in Silver Bow County, MT who prioritize treating:

89% Depression
89% Anxiety
79% Trauma and PTSD
79% Bipolar Disorder
74% Obsessive-Compulsive (OCD)
74% Medication Management
68% ADHD

Average years in practice

7 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
82% Cigna and Evernorth
82% UnitedHealthcare UHC | UBH

How Psychiatrists in Silver Bow County, MT see their clients

58% Online Only
42% In Person and Online

Gender breakdown

88% Female
12% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Silver Bow 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.