Psychiatrists in Arden, NC

Photo of Rachel Wexler, Psychiatric Nurse Practitioner, FNP-BC, PMHNP
Rachel Wexler
Psychiatric Nurse Practitioner, FNP-BC, PMHNP
4 Endorsed
Online Only
Ever feel like you are just barely getting by, drowning in all the to-do's. Feeling like you are just not good enough, will you ever get there? As a society, we have been exceptional at ensuring perfection is the only way to be happy. But who says? Who gets to dictate what perfection is? This is your life. We will all have struggles in life-loss, grief, feeling stuck…but there are people who care. Depression, anxiety, trauma touches everyone in some way. You deserve to be heard. I strive to listen, hear you, and work together to find your way back to your best life. There is always hope, sometimes you just need help to find it.
Ever feel like you are just barely getting by, drowning in all the to-do's. Feeling like you are just not good enough, will you ever get there? As a society, we have been exceptional at ensuring perfection is the only way to be happy. But who says? Who gets to dictate what perfection is? This is your life. We will all have struggles in life-loss, grief, feeling stuck…but there are people who care. Depression, anxiety, trauma touches everyone in some way. You deserve to be heard. I strive to listen, hear you, and work together to find your way back to your best life. There is always hope, sometimes you just need help to find it.
(828) 426-7808 View (828) 426-7808
Photo of Anthony A Frasca - Zen Psychiatric Services, PLLC, Psychiatrist, MD, MSPH
Zen Psychiatric Services, PLLC
Psychiatrist, MD, MSPH
1 Endorsed
Arden, NC 28704
We offer Spravato intranasal esketamine and intramuscular ketamine treatment therapy to patients in western North Carolina. Our mission is to help treat major depression, PTSD, and related anxiety conditions through newly approved medications and methods in psychiatry. Spravato (esketamine) CIII Nasal Spray is indicated, in conjunction with an oral antidepressant, for the treatment of: Treatment-Resistant Depression (TRD) in adults, and Major Depressive Disorder (MDD) with acute suicidal ideation or behavior.
We offer Spravato intranasal esketamine and intramuscular ketamine treatment therapy to patients in western North Carolina. Our mission is to help treat major depression, PTSD, and related anxiety conditions through newly approved medications and methods in psychiatry. Spravato (esketamine) CIII Nasal Spray is indicated, in conjunction with an oral antidepressant, for the treatment of: Treatment-Resistant Depression (TRD) in adults, and Major Depressive Disorder (MDD) with acute suicidal ideation or behavior.
(828) 383-8814 View (828) 383-8814
Photo of Afi Nono Kpakossou, Psychiatric Nurse Practitioner, PMHNP
Afi Nono Kpakossou
Psychiatric Nurse Practitioner, PMHNP
Arden, NC 28704
I help children, teens, and adults (5+) who feel overwhelmed, stuck, or not themselves—whether it’s ADHD symptoms, anxiety, depression, trauma (PTSD), sleep issues, mood swings, or difficulty focusing. Many clients want answers, relief, and a clear plan. As an ANCC board-certified PMHNP-BC, I provide thorough psychiatric evaluations and individualized treatment so you can feel stable, focused, and in control again.
I help children, teens, and adults (5+) who feel overwhelmed, stuck, or not themselves—whether it’s ADHD symptoms, anxiety, depression, trauma (PTSD), sleep issues, mood swings, or difficulty focusing. Many clients want answers, relief, and a clear plan. As an ANCC board-certified PMHNP-BC, I provide thorough psychiatric evaluations and individualized treatment so you can feel stable, focused, and in control again.
(984) 206-3311 View (984) 206-3311
Photo of Rachel Wexler, Psychiatric Nurse Practitioner, PMHNP
Rachel Wexler
Psychiatric Nurse Practitioner, PMHNP
Online Only
I have been in healthcare for 15+ years. I am a dual board-certified FNP and PMHNP. My main focus is caring for women in life transitions, grief, trauma, depression/anxiety, marriage challenges, and burnout/work-life balance. My experiences have led me to focus on the mental needs of patients during their most challenging times, transforming that compassion into a passion for helping others. I am dedicated to supporting individuals facing trauma, depression, anxiety, grief, and various mental challenges.
I have been in healthcare for 15+ years. I am a dual board-certified FNP and PMHNP. My main focus is caring for women in life transitions, grief, trauma, depression/anxiety, marriage challenges, and burnout/work-life balance. My experiences have led me to focus on the mental needs of patients during their most challenging times, transforming that compassion into a passion for helping others. I am dedicated to supporting individuals facing trauma, depression, anxiety, grief, and various mental challenges.
(984) 266-8020 View (984) 266-8020
Photo of Robin Tallent, Psychiatric Nurse Practitioner, PMHNP
Robin Tallent
Psychiatric Nurse Practitioner, PMHNP
3 Endorsed
Serves Area
My approach to care emphasizes a holistic team approach, where we ( you and myself) work together integrating personalized therapeutic approaches, be it supplementation to support deficiencies, medication management, nutrition, and brief therapies to support your wellbeing and find a place where you feel acceptance within yourself. My focus areas include anxiety, depression, ADHD, Trauma related disorders, and Post-partum, and peri-menopausal change. Whether seeking immediate symptom relief or hoping to explore the root causes behind your experiences, you will find a supportive, structured, compassionate space committed to healing.
My approach to care emphasizes a holistic team approach, where we ( you and myself) work together integrating personalized therapeutic approaches, be it supplementation to support deficiencies, medication management, nutrition, and brief therapies to support your wellbeing and find a place where you feel acceptance within yourself. My focus areas include anxiety, depression, ADHD, Trauma related disorders, and Post-partum, and peri-menopausal change. Whether seeking immediate symptom relief or hoping to explore the root causes behind your experiences, you will find a supportive, structured, compassionate space committed to healing.
(980) 452-8064 View (980) 452-8064
Photo of Elizabeth Wells, Psychiatric Nurse Practitioner, PMHNP
Elizabeth Wells
Psychiatric Nurse Practitioner, PMHNP
Online Only
Hi there and thank you for taking the time to read my profile. I am Beth, a dedicated psychiatric nurse practitioner who believes in a holistic treatment approach emphasizing the intricate connection between the mind and body. I graduated with a Master's Degree from East Tennesee State University and have worked as a psychiatric nurse and Nurse Practitioner for over 9 years. I'm from Western North Carolina, where our community experienced significant loss due to Hurricane Helene.
Hi there and thank you for taking the time to read my profile. I am Beth, a dedicated psychiatric nurse practitioner who believes in a holistic treatment approach emphasizing the intricate connection between the mind and body. I graduated with a Master's Degree from East Tennesee State University and have worked as a psychiatric nurse and Nurse Practitioner for over 9 years. I'm from Western North Carolina, where our community experienced significant loss due to Hurricane Helene.
(828) 383-9542 View (828) 383-9542

More Psychiatrists Nearby

Photo of Gretchen Danielle Barnes, Physician Assistant, MPAS, PA-C
Gretchen Danielle Barnes
Physician Assistant, MPAS, PA-C
2 Endorsed
Serves Area
Hello! My name is Gretchen Barnes and I'm a board-certified psychiatric PA. I provide medication management for teens and adults dealing with common mental health problems. I am eager to help my patients gain insight into the science surrounding various treatment options. I pride myself on being detailed and compassionate in my approach. I believe that shared decision-making can help patients improve their mental wellbeing.
Hello! My name is Gretchen Barnes and I'm a board-certified psychiatric PA. I provide medication management for teens and adults dealing with common mental health problems. I am eager to help my patients gain insight into the science surrounding various treatment options. I pride myself on being detailed and compassionate in my approach. I believe that shared decision-making can help patients improve their mental wellbeing.
(336) 800-1983 View (336) 800-1983
Photo of Mariah Echevarria, Physician Assistant, PA-C
Mariah Echevarria
Physician Assistant, PA-C
Serves Area
Mariah earned a B.S in Human Nutrition from the University of Florida and her Masters in Physician Assistant Studies from the University of South Florida. She has experience working with substance use, mood disorders, depression, anxiety, ADHD/ADD, and other mental health concerns. She strives to deliver quality and compassionate care to all her patients. She has a passion working with children, adolescents, and young adults. Her care approach is empathetic, compassionate, trustworthy, and attentive to clients concerns and feelings.
Mariah earned a B.S in Human Nutrition from the University of Florida and her Masters in Physician Assistant Studies from the University of South Florida. She has experience working with substance use, mood disorders, depression, anxiety, ADHD/ADD, and other mental health concerns. She strives to deliver quality and compassionate care to all her patients. She has a passion working with children, adolescents, and young adults. Her care approach is empathetic, compassionate, trustworthy, and attentive to clients concerns and feelings.
(336) 444-6428 View (336) 444-6428
Photo of Moutushi Kundu, Psychiatrist, MD, MPH, MS
Moutushi Kundu
Psychiatrist, MD, MPH, MS
Online Only
Dr. Kundu serves children and adults throughout North Carolina and California via concierge psychiatric practice and via Headway offering integrative treatment modalities and individualized, private psychiatric care. Dr. Kundu is currently accepting new patients for a limited time. She is a board certified psychiatrist, providing medication management as well as psychotherapy in telemedicine format to both children and adults. Dr. Kundu is trained in both India and USA, completing her general psychiatry training at Harlem Hospital Center and fellowship training in Child & Adolescent psychiatry from VCU.
Dr. Kundu serves children and adults throughout North Carolina and California via concierge psychiatric practice and via Headway offering integrative treatment modalities and individualized, private psychiatric care. Dr. Kundu is currently accepting new patients for a limited time. She is a board certified psychiatrist, providing medication management as well as psychotherapy in telemedicine format to both children and adults. Dr. Kundu is trained in both India and USA, completing her general psychiatry training at Harlem Hospital Center and fellowship training in Child & Adolescent psychiatry from VCU.
(828) 845-8751 View (828) 845-8751
James Bayard Payton
Psychiatrist, MD
Asheville, NC 28801
I have helped many people of all ages who frequently feel anxious, worry about the future, doubt themselves and react to what people say to them. They have had difficult things happen to them that have led to significant levels of stress with frequent and automatic stress responses that are very hard to stop. I prescribe medication and stress management therapy to help. I also have helped many people who are depressed and have had treatment and yet they still are depressed. I have helped others who have lived for years with treatable stresses but have not had their stress reactions accurately assessed and treated.
I have helped many people of all ages who frequently feel anxious, worry about the future, doubt themselves and react to what people say to them. They have had difficult things happen to them that have led to significant levels of stress with frequent and automatic stress responses that are very hard to stop. I prescribe medication and stress management therapy to help. I also have helped many people who are depressed and have had treatment and yet they still are depressed. I have helped others who have lived for years with treatable stresses but have not had their stress reactions accurately assessed and treated.
(828) 672-6012 View (828) 672-6012
Photo of Regina Whisnant-Roper - Lasting Hope Mental Health & Recovery, PLLC, Psychiatric Nurse Practitioner, MSN, PMHNP, FNP
Lasting Hope Mental Health & Recovery, PLLC
Psychiatric Nurse Practitioner, MSN, PMHNP, FNP
1 Endorsed
Online Only
I believe there is hope for everyone. I am a christian psychiatric nurse practitioner. I provide Christ centered counseling and medication management. It is my goal that patients heal and experience peace while persuing full and meaningful lives. Proverbs 23:18….. your hope will not be cut off!
I believe there is hope for everyone. I am a christian psychiatric nurse practitioner. I provide Christ centered counseling and medication management. It is my goal that patients heal and experience peace while persuing full and meaningful lives. Proverbs 23:18….. your hope will not be cut off!
(828) 656-5148 View (828) 656-5148
Photo of Kathryn Baglini, Psychiatric Nurse Practitioner, DNP, PMHNP, FNP
Kathryn Baglini
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP
2 Endorsed
Asheville, NC 28801
Hi! My name is Kathryn, but I go by Kat. I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP). My background began in emergency medicine, where I spent nearly a decade caring for patients in high-acuity settings and saw how often mental health, trauma, and substance use go unrecognized. That experience shaped my approach, focusing on early recognition, whole-person care, and meeting people where they are. I earned my Doctorate in Nursing Practice from the University of Alabama (Roll Tide!), and am currently pursuing my PhD with a focus on the early recognition of eating disorders.
Hi! My name is Kathryn, but I go by Kat. I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP). My background began in emergency medicine, where I spent nearly a decade caring for patients in high-acuity settings and saw how often mental health, trauma, and substance use go unrecognized. That experience shaped my approach, focusing on early recognition, whole-person care, and meeting people where they are. I earned my Doctorate in Nursing Practice from the University of Alabama (Roll Tide!), and am currently pursuing my PhD with a focus on the early recognition of eating disorders.
(828) 475-8336 View (828) 475-8336
Photo of John Sparks, Psychiatric Nurse Practitioner, DNP, PMHNP
John Sparks
Psychiatric Nurse Practitioner, DNP, PMHNP
Online Only
Welcome! I’m Dr. John Sparks, a Doctor of Nursing Practice, Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), and Family Nurse Practitioner (FNP-BC). With nine years of overall experience and five years specializing in mental health, I’ve had the privilege of supporting individuals of all ages in managing their mental and physical health. I’m committed to providing empathetic and comprehensive care that empowers you to take control of your mental wellness, working together toward long-term improvements in your mental health and quality of life.
Welcome! I’m Dr. John Sparks, a Doctor of Nursing Practice, Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), and Family Nurse Practitioner (FNP-BC). With nine years of overall experience and five years specializing in mental health, I’ve had the privilege of supporting individuals of all ages in managing their mental and physical health. I’m committed to providing empathetic and comprehensive care that empowers you to take control of your mental wellness, working together toward long-term improvements in your mental health and quality of life.
(828) 761-7851 View (828) 761-7851
Photo of Dr. Ryan Scott Kaufman, Psychiatrist, MD
Dr. Ryan Scott Kaufman
Psychiatrist, MD
Serves Area
RSK Psychiatry takes a therapy-first approach for treating psychiatric disorders. Medications have their place, but they also have their side effects. Bad psychiatry is worse than no psychiatry and many patients are scared away from mental health treatment due to side effects caused by inappropriate use of medication or simultaneous use of too many medications. At RSK Psychiatry, patients are encouraged to engage in regular therapy to obtain maximal benefit from treatment. The goal of RSK Psychiatry is to provide an integrative treatment approach tailored to your individual needs.
RSK Psychiatry takes a therapy-first approach for treating psychiatric disorders. Medications have their place, but they also have their side effects. Bad psychiatry is worse than no psychiatry and many patients are scared away from mental health treatment due to side effects caused by inappropriate use of medication or simultaneous use of too many medications. At RSK Psychiatry, patients are encouraged to engage in regular therapy to obtain maximal benefit from treatment. The goal of RSK Psychiatry is to provide an integrative treatment approach tailored to your individual needs.
(828) 721-5937 View (828) 721-5937
Photo of Dr. Celeste Lipkes, Psychiatrist, MD
Dr. Celeste Lipkes
Psychiatrist, MD
1 Endorsed
Asheville, NC 28801
I provide kind, clear, and evidence-based medication management and psychodynamic psychotherapy for adults under 65 with mood, anxiety, and memory difficulties. I deeply enjoy working with people navigating grief/bereavement, caregiver fatigue, and chronic or terminal medical diagnoses such as autoimmune conditions or cancer. I see people for individual therapy, combined therapy and medication management, and medication management only. No matter your mental health needs, I will approach your suffering with non-judgmental curiosity and work with you towards a fuller and more connected life.
I provide kind, clear, and evidence-based medication management and psychodynamic psychotherapy for adults under 65 with mood, anxiety, and memory difficulties. I deeply enjoy working with people navigating grief/bereavement, caregiver fatigue, and chronic or terminal medical diagnoses such as autoimmune conditions or cancer. I see people for individual therapy, combined therapy and medication management, and medication management only. No matter your mental health needs, I will approach your suffering with non-judgmental curiosity and work with you towards a fuller and more connected life.
(828) 360-8626 View (828) 360-8626
Photo of David Ahlberg, Psychiatrist, MD
David Ahlberg
Psychiatrist, MD
1 Endorsed
Online Only
Affiliated Medical Group, PLLC is a private practice Psychiatric Group serving all of North Carolina and Florida. We have many years of combined experience working with people in a variety of settings. We have expertise in the treatment of a wide variety of psychiatric challenges across the lifespan, and we are ready to meet your needs.
Affiliated Medical Group, PLLC is a private practice Psychiatric Group serving all of North Carolina and Florida. We have many years of combined experience working with people in a variety of settings. We have expertise in the treatment of a wide variety of psychiatric challenges across the lifespan, and we are ready to meet your needs.
(910) 939-0724 View (910) 939-0724
Photo of Barbara Goodman, Psychiatric Nurse Practitioner, PMHNP
Barbara Goodman
Psychiatric Nurse Practitioner, PMHNP
Serves Area
My name is Barbara Goodman and I am a psychiatric mental health nurse practitioner. I am also a mother of five, ages 22, 20, 18, and 10 year old twins. All of my children have ADHD and three of them also are autistic.  I  am passionate about supporting neurodivergent children and adults, single moms, mothers of multiples, parents of intellectually advanced children, and parents of children on the spectrum . I earned my BSN in 1997 and my MSN in 2022.  I provide medication management, CBT,  and solution focused therapy .  I see kids ages 5 and up.  I provide fidgets and dye free lollipops for my clients.
My name is Barbara Goodman and I am a psychiatric mental health nurse practitioner. I am also a mother of five, ages 22, 20, 18, and 10 year old twins. All of my children have ADHD and three of them also are autistic.  I  am passionate about supporting neurodivergent children and adults, single moms, mothers of multiples, parents of intellectually advanced children, and parents of children on the spectrum . I earned my BSN in 1997 and my MSN in 2022.  I provide medication management, CBT,  and solution focused therapy .  I see kids ages 5 and up.  I provide fidgets and dye free lollipops for my clients.
(336) 800-1704 View (336) 800-1704
Photo of Cristian Skinner, Psychiatrist, DO, PhD
Cristian Skinner
Psychiatrist, DO, PhD
Asheville, NC 28801
Dr. Cristian Skinner (he/him) is board-certified in Psychiatry by the American Board of Psychiatry and Neurology. He was born and raised in Eastern North Carolina, graduated from East Carolina University, and earned his PhD in Neurobiology and Anatomy from Wake Forest University. He obtained his medical degree from West Virginia School of Osteopathic Medicine and completed his psychiatry residency at West Virginia University School of Medicine.
Dr. Cristian Skinner (he/him) is board-certified in Psychiatry by the American Board of Psychiatry and Neurology. He was born and raised in Eastern North Carolina, graduated from East Carolina University, and earned his PhD in Neurobiology and Anatomy from Wake Forest University. He obtained his medical degree from West Virginia School of Osteopathic Medicine and completed his psychiatry residency at West Virginia University School of Medicine.
(984) 223-8159 View (984) 223-8159
Photo of Jessica Stoelting, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Jessica Stoelting
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
3 Endorsed
Asheville, NC 28801
Welcome to Hope and Purpose Wellness – Where Mental Health Meets Root-Cause Healing. Are you struggling with anxiety, depression, ADHD, or OCD—and tired of feeling like a list of symptoms rather than a whole person? At Hope and Purpose Wellness, I take a comprehensive, personalized approach to help you rediscover stability, clarity, and connection in your life. My clients often come to me after feeling dismissed or overmedicated. Here, you’ll find a collaborative space to explore treatment options—including medication management when appropriate, natural interventions, and lifestyle strategies that support long-term healing.
Welcome to Hope and Purpose Wellness – Where Mental Health Meets Root-Cause Healing. Are you struggling with anxiety, depression, ADHD, or OCD—and tired of feeling like a list of symptoms rather than a whole person? At Hope and Purpose Wellness, I take a comprehensive, personalized approach to help you rediscover stability, clarity, and connection in your life. My clients often come to me after feeling dismissed or overmedicated. Here, you’ll find a collaborative space to explore treatment options—including medication management when appropriate, natural interventions, and lifestyle strategies that support long-term healing.
(864) 475-9482 View (864) 475-9482
Photo of Velgan Rodriguez Kata, Psychiatric Nurse Practitioner, PMHNP, DNP
Velgan Rodriguez Kata
Psychiatric Nurse Practitioner, PMHNP, DNP
Serves Area
Velgan Rodriguez is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP) in child, adolescent, and adult psychiatry. She received her bachelor's degree from The State University of New York at Purchase, her Bachelor of Science in Nursing at Hartwick College, and Doctor of Nursing Practice (DNP) in psychiatric mental health at The University of North Carolina at Chapel Hill. Velgan has worked as a RN at Rikers Island correctional facility and the Durham County Detention Facility. She also worked as a critical care RN for The Durham VA Medical System, Duke University Hospital & UNC Medical Center Intensive Care Units
Velgan Rodriguez is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP) in child, adolescent, and adult psychiatry. She received her bachelor's degree from The State University of New York at Purchase, her Bachelor of Science in Nursing at Hartwick College, and Doctor of Nursing Practice (DNP) in psychiatric mental health at The University of North Carolina at Chapel Hill. Velgan has worked as a RN at Rikers Island correctional facility and the Durham County Detention Facility. She also worked as a critical care RN for The Durham VA Medical System, Duke University Hospital & UNC Medical Center Intensive Care Units
(984) 314-3552 View (984) 314-3552

See more therapy options for Arden

How does your Psychiatrist compare?

Number of Psychiatrists in Arden, NC

< 10

Psychiatrists in Arden, NC who prioritize treating:

83% Depression
83% Anxiety
83% Trauma and PTSD
50% ADHD
50% Grief
50% Bipolar Disorder
50% Medication Management

Average years in practice

25 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
83% BlueCross and BlueShield

How Psychiatrists in Arden, NC see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Arden?

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.