Psychiatrists in Asheville, NC

Photo of Dr. Julia Stephens, Psychiatrist, MD, MBA
Dr. Julia Stephens
Psychiatrist, MD, MBA
1 Endorsed
Asheville, NC 28805
Accepting new clients. Weekends and evenings available. I am a psychiatrist who provides a comprehensive approach that may include prescribed medications, supplements, therapy, and alternative treatments such as aromatherapy at times that are needed most. With both evenings and weekends available, flexible scheduling reduces the need to take time off from work for appointments, promoting mental health without disrupting professional life. Individuals may text, call, or email the office to schedule a complimentary introductory phone call.
Accepting new clients. Weekends and evenings available. I am a psychiatrist who provides a comprehensive approach that may include prescribed medications, supplements, therapy, and alternative treatments such as aromatherapy at times that are needed most. With both evenings and weekends available, flexible scheduling reduces the need to take time off from work for appointments, promoting mental health without disrupting professional life. Individuals may text, call, or email the office to schedule a complimentary introductory phone call.
(828) 299-6878 View (828) 299-6878
Photo of Bennett Harris, Physician Assistant, PA, LCMHC
Bennett Harris
Physician Assistant, PA, LCMHC
7 Endorsed
Asheville, NC 28801
Hi, I’m Bennett Harris, PA, LCMHC. I’m a psychiatric physician assistant and psychotherapist. I work with adults navigating anxiety, depression and ADHD. My approach is rooted in one core belief: healing happens through connection and consistent support. The people I serve are thoughtful, capable individuals who feel stuck or overwhelmed and don’t quite understand why things feel so much harder than they “should.” If that sounds familiar, you’re not alone. Reaching out for psychiatric care can feel intimidating, and I will make that first step comfortable and safe.
Hi, I’m Bennett Harris, PA, LCMHC. I’m a psychiatric physician assistant and psychotherapist. I work with adults navigating anxiety, depression and ADHD. My approach is rooted in one core belief: healing happens through connection and consistent support. The people I serve are thoughtful, capable individuals who feel stuck or overwhelmed and don’t quite understand why things feel so much harder than they “should.” If that sounds familiar, you’re not alone. Reaching out for psychiatric care can feel intimidating, and I will make that first step comfortable and safe.
(828) 373-6826 View (828) 373-6826
Photo of Ed Entmacher, Psychiatrist, MD
Ed Entmacher
Psychiatrist, MD
Asheville, NC 28804
I've been practicing psychiatry for over 40 years. With that experience, and my own maturing process, I know myself well, as a person and a clinician. This allows me to be more present with my clients. I am a less traditional psychiatrist because of my desire to offer psychotherapy along with medication, if needed. Although I am well skilled in the area of psychopharmacology and use medications when indicated, my primary interest and passion is psychotherapy. It provides a safe space for each person to be seen and heard without judgment, and I believe that it offers the deepest possibility for healing and lasting change.
I've been practicing psychiatry for over 40 years. With that experience, and my own maturing process, I know myself well, as a person and a clinician. This allows me to be more present with my clients. I am a less traditional psychiatrist because of my desire to offer psychotherapy along with medication, if needed. Although I am well skilled in the area of psychopharmacology and use medications when indicated, my primary interest and passion is psychotherapy. It provides a safe space for each person to be seen and heard without judgment, and I believe that it offers the deepest possibility for healing and lasting change.
(828) 809-0594 View (828) 809-0594
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 Rose Shanahan, Psychiatric Nurse Practitioner, PMHNP
Rose Shanahan
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Asheville, NC 28801
Caring for others is my passion and life work. It feels natural to me. However, in my 30-plus years in the medical and mental health fields, traditional medical treatments don’t always feel natural. As a Psychiatric Mental Health Nurse Practitioner, I strive to meet my clients needs by providing integrative care which focuses on treating the mind, body and spirit.
Caring for others is my passion and life work. It feels natural to me. However, in my 30-plus years in the medical and mental health fields, traditional medical treatments don’t always feel natural. As a Psychiatric Mental Health Nurse Practitioner, I strive to meet my clients needs by providing integrative care which focuses on treating the mind, body and spirit.
(828) 761-7332 View (828) 761-7332
Photo of Jason Fredericks, Physician Assistant, PA-C, MPH
Jason Fredericks
Physician Assistant, PA-C, MPH
6 Endorsed
Asheville, NC 28803
I have been practicing psychiatry and psychotherapy for almost 10 years in WNC. My promise to you is to remain dedicated to your health and helping you achieve lasting change as we work together. I feel strongly that an individualized approach is key in the management of all clients. While many people may present with similar symptoms, the causes and context of these can vary greatly from person to person. The decision to prescribe medications, develop a therapy plan, or an amalgamation of both is made with careful consideration of the situation and your needs and wishes. I enjoy working together to find a plan that works for you.
I have been practicing psychiatry and psychotherapy for almost 10 years in WNC. My promise to you is to remain dedicated to your health and helping you achieve lasting change as we work together. I feel strongly that an individualized approach is key in the management of all clients. While many people may present with similar symptoms, the causes and context of these can vary greatly from person to person. The decision to prescribe medications, develop a therapy plan, or an amalgamation of both is made with careful consideration of the situation and your needs and wishes. I enjoy working together to find a plan that works for you.
(828) 274-1415 View (828) 274-1415
Photo of Denise Wilbanks, Psychiatric Nurse Practitioner, DNP, MA
Denise Wilbanks
Psychiatric Nurse Practitioner, DNP, MA
Online Only
Great to meet you! I am Denise. I am a board certified Psychiatric Mental Health Nurse Practitioner with over 15 years of experience. I specialize in creating safe containers for patients to discover their own power and ability to heal. Working together, leveraging therapeutic exploration, empowerment, and inspiring you to understand the mind, body and spirit connection for whole health. You will discover your own truth and learn to expand yourself and your life to be the medicine and become your own hero.
Great to meet you! I am Denise. I am a board certified Psychiatric Mental Health Nurse Practitioner with over 15 years of experience. I specialize in creating safe containers for patients to discover their own power and ability to heal. Working together, leveraging therapeutic exploration, empowerment, and inspiring you to understand the mind, body and spirit connection for whole health. You will discover your own truth and learn to expand yourself and your life to be the medicine and become your own hero.
(828) 383-9402 View (828) 383-9402
Photo of Kendra Frazier, Psychiatric Nurse Practitioner, PMHNP
Kendra Frazier
Psychiatric Nurse Practitioner, PMHNP
Asheville, NC 28801
Kendra is a native of the western North Carolina area. She is board-certified as a Psychiatric Mental Health Nurse Practitioner from the American Nursing Credentialing Center. She earned both her Bachelor of Science in Nursing and Master of Science in Nursing from East Carolina University.
Kendra is a native of the western North Carolina area. She is board-certified as a Psychiatric Mental Health Nurse Practitioner from the American Nursing Credentialing Center. She earned both her Bachelor of Science in Nursing and Master of Science in Nursing from East Carolina University.
(828) 662-9317 View (828) 662-9317
Photo of Malia Scott, Physician Assistant, PA-C
Malia Scott
Physician Assistant, PA-C
Asheville, NC 28801
Malia is passionate about providing compassionate mental health care, particularly for underserved communities. She is passionate about supporting LGBTQIA+ individuals and adolescents and understands the importance of creating nuanced, specialized care plans for these groups. Malia believes in listening first, ensuring her patients feel heard and valued as she collaborates with them to develop personalized treatment plans.
Malia is passionate about providing compassionate mental health care, particularly for underserved communities. She is passionate about supporting LGBTQIA+ individuals and adolescents and understands the importance of creating nuanced, specialized care plans for these groups. Malia believes in listening first, ensuring her patients feel heard and valued as she collaborates with them to develop personalized treatment plans.
(855) 698-1551 View (855) 698-1551
Photo of Dr. Kevin Quinby, Psychiatrist, DO
Dr. Kevin Quinby
Psychiatrist, DO
Asheville, NC 28801
Dr. Quinby embodies a biopsychosocial approach in his work with patients, learning their whole stories and how they conceptualize themselves and their places of meaning within the world so that he can best shepherd them toward a place of mental and emotional healing and well-being. Using a psychotherapeutic approach that balances humility with confidence, his intent is to ensure patients know they are safe being human during their sessions.
Dr. Quinby embodies a biopsychosocial approach in his work with patients, learning their whole stories and how they conceptualize themselves and their places of meaning within the world so that he can best shepherd them toward a place of mental and emotional healing and well-being. Using a psychotherapeutic approach that balances humility with confidence, his intent is to ensure patients know they are safe being human during their sessions.
(855) 698-1551 View (855) 698-1551
Photo of Dr. Eric Emery, Psychiatrist, DO
Dr. Eric Emery
Psychiatrist, DO
Asheville, NC 28801
Dr. Eric Emery takes a holistic approach to mental health care, integrating medication management and lifestyle changes to promote lasting well-being. Dr. Emery prioritizes understanding each individual’s unique background, experiences, and goals, tailoring treatment plans to support long-term success. Believing in a collaborative approach, Dr. Emery works closely with his patients to build a safe and trusting environment, empowering them to actively engage in their treatment journey. He stays current with the latest advancements in psychiatric research to ensure the highest standard of care.
Dr. Eric Emery takes a holistic approach to mental health care, integrating medication management and lifestyle changes to promote lasting well-being. Dr. Emery prioritizes understanding each individual’s unique background, experiences, and goals, tailoring treatment plans to support long-term success. Believing in a collaborative approach, Dr. Emery works closely with his patients to build a safe and trusting environment, empowering them to actively engage in their treatment journey. He stays current with the latest advancements in psychiatric research to ensure the highest standard of care.
(855) 698-1551 View (855) 698-1551
Photo of Nichole Onash, Physician Assistant, MPAS, PA-C
Nichole Onash
Physician Assistant, MPAS, PA-C
Asheville, NC 28801
Nichole graduated with a Bachelor of Science degree in Integrative Biology in 2007 and a Master of Physician Assistant Studies in 2009 from the University of Florida. After passing her boards, Nichole became nationally certified and licensed in North Carolina to practice medicine. She moved to Asheville shortly after graduation to be near her family. Nichole enjoys crafting, camping, and many forms of gaming.
Nichole graduated with a Bachelor of Science degree in Integrative Biology in 2007 and a Master of Physician Assistant Studies in 2009 from the University of Florida. After passing her boards, Nichole became nationally certified and licensed in North Carolina to practice medicine. She moved to Asheville shortly after graduation to be near her family. Nichole enjoys crafting, camping, and many forms of gaming.
(828) 807-8801 View (828) 807-8801
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 Brittany Vasquez, Psychiatrist, MD
Brittany Vasquez
Psychiatrist, MD
Asheville, NC 28803
Hi there! My name is Dr. Brittany Vasquez and I am a dual board certified adult and child and adolescent psychiatrist. I specialize in the treatment of young adults (less than 25 years old), teens, and children who may need help with depression, anxiety, ADHD, adjustment, trauma (childhood), autism spectrum disorder, and emerging longer term mood and psychotic disorders. Originally from Appalachia and having returned home, I am excited to be starting my own private practice, Appalachian Mental Health Associates, and caring for you or your loved one.
Hi there! My name is Dr. Brittany Vasquez and I am a dual board certified adult and child and adolescent psychiatrist. I specialize in the treatment of young adults (less than 25 years old), teens, and children who may need help with depression, anxiety, ADHD, adjustment, trauma (childhood), autism spectrum disorder, and emerging longer term mood and psychotic disorders. Originally from Appalachia and having returned home, I am excited to be starting my own private practice, Appalachian Mental Health Associates, and caring for you or your loved one.
(828) 471-9272 View (828) 471-9272
Photo of Michael Alan Finch, Psychiatrist, MD
Michael Alan Finch
Psychiatrist, MD
Asheville, NC 28801
Hello and Welcome to my practice. I emphasize an individualized and whole person approach to wellness and believe strongly in daily exercise, healthy diet, and mindfulness/meditation. Mindfulness and meditation come in many forms and is rapidly being recognized as essential in all areas of medicine. Although teachings about this have been around for thousands of years, only recently has this been rediscovered and it's importance recognized. If I can't provide the specific therapy that you need, I'm comfortable partnering with other qualified therapists who can.
Hello and Welcome to my practice. I emphasize an individualized and whole person approach to wellness and believe strongly in daily exercise, healthy diet, and mindfulness/meditation. Mindfulness and meditation come in many forms and is rapidly being recognized as essential in all areas of medicine. Although teachings about this have been around for thousands of years, only recently has this been rediscovered and it's importance recognized. If I can't provide the specific therapy that you need, I'm comfortable partnering with other qualified therapists who can.
(828) 536-4530 View (828) 536-4530
Photo of John Charles Webb, Psychiatric Nurse Practitioner, APRN, FNP-C, PMHNP-B
John Charles Webb
Psychiatric Nurse Practitioner, APRN, FNP-C, PMHNP-B
1 Endorsed
Online Only
Anxiety, depression, and attention problems interfere with our ability to function at home, school, or work, not to mention how they diminish our ability to enjoy life to its fullest. Children, teenagers, and adults can struggle with these issues, families experience significant stress trying to cope, and relationships can falter. Do not lose hope - help is available. With the proper combination of medication management and supportive counseling, significant improvements can be achieved in how we feel, think, and behave such as mood regulation, attention/concentration, sleep, behavior, and decreased anxiety.
Anxiety, depression, and attention problems interfere with our ability to function at home, school, or work, not to mention how they diminish our ability to enjoy life to its fullest. Children, teenagers, and adults can struggle with these issues, families experience significant stress trying to cope, and relationships can falter. Do not lose hope - help is available. With the proper combination of medication management and supportive counseling, significant improvements can be achieved in how we feel, think, and behave such as mood regulation, attention/concentration, sleep, behavior, and decreased anxiety.
(828) 540-6015 View (828) 540-6015
Photo of Dr. Ami Pearse, Psychiatric Nurse Practitioner, DNP, APRN, PMHNPBC, FNP-BC
Dr. Ami Pearse
Psychiatric Nurse Practitioner, DNP, APRN, PMHNPBC, FNP-BC
Asheville, NC 28803
“As the influence behind Peace of Mind Center, PLLC, I bring a wealth of experience and expertise honed over a diverse career in healthcare. From a solid foundation built on 20 years of critical care nursing, I’ve more than 30 years of dedicated service allowing me to possess a unique perspective that informs my approach to psychiatry. My journey as a psychiatric provider has been shaped by profound understandings of the human experience, from the ICU and ER settings to complexities of mental health. This background equips me with invaluable insights into the interconnectedness of physical and mental wellness to offer holistic care.
“As the influence behind Peace of Mind Center, PLLC, I bring a wealth of experience and expertise honed over a diverse career in healthcare. From a solid foundation built on 20 years of critical care nursing, I’ve more than 30 years of dedicated service allowing me to possess a unique perspective that informs my approach to psychiatry. My journey as a psychiatric provider has been shaped by profound understandings of the human experience, from the ICU and ER settings to complexities of mental health. This background equips me with invaluable insights into the interconnectedness of physical and mental wellness to offer holistic care.
(828) 977-6046 View (828) 977-6046
Photo of Rachel Wexler - Rachel Wexler founder of Roots of Hope, PLLC, Psychiatric Nurse Practitioner, FNP, PMHNP
Rachel Wexler founder of Roots of Hope, PLLC
Psychiatric Nurse Practitioner, FNP, PMHNP
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, loss, grief in our lives, 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, loss, grief in our lives, 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) 826-2318 View (828) 826-2318
Photo of Kate MacCurdy, Psychiatric Nurse Practitioner, DNP, PMHNP
Kate MacCurdy
Psychiatric Nurse Practitioner, DNP, PMHNP
Asheville, NC 28801
High-functioning on the outside, overwhelmed underneath? You don’t have to keep masking it. I help smart, sensitive adults with anxiety, OCD, mood challenges, and overlooked ADHD find clarity and calm. I’m a board-certified psychiatric mental health nurse practitioner offering both medication management and supportive counseling. My approach is laidback, collaborative, and non-judgmental. I take a personalized approach - I believe in meeting you where you are, helping you understand your brain better, and finding a treatment path that fits your real life.
High-functioning on the outside, overwhelmed underneath? You don’t have to keep masking it. I help smart, sensitive adults with anxiety, OCD, mood challenges, and overlooked ADHD find clarity and calm. I’m a board-certified psychiatric mental health nurse practitioner offering both medication management and supportive counseling. My approach is laidback, collaborative, and non-judgmental. I take a personalized approach - I believe in meeting you where you are, helping you understand your brain better, and finding a treatment path that fits your real life.
(828) 519-0350 View (828) 519-0350
Photo of Vinny Baglini, Physician Assistant, MSPAS, PA-C
Vinny Baglini
Physician Assistant, MSPAS, PA-C
2 Endorsed
Asheville, NC 28801
I spent the first portion of my career in emergency medicine. I met a lot of incredible people and learned many valuable lessons. However, over the last several years, I have had significant experience with mental illness in that setting and have become very passionate about the importance of mental health care. Seeing people transition past their struggles into a life that is full is inspiring because it is not an easy path. My goal is to help each patient reach this path and stay accountable and aware.
I spent the first portion of my career in emergency medicine. I met a lot of incredible people and learned many valuable lessons. However, over the last several years, I have had significant experience with mental illness in that setting and have become very passionate about the importance of mental health care. Seeing people transition past their struggles into a life that is full is inspiring because it is not an easy path. My goal is to help each patient reach this path and stay accountable and aware.
(828) 374-1635 View (828) 374-1635

See more therapy options for Asheville

How does your Psychiatrist compare?

Number of Psychiatrists in Asheville, NC

80+

Average cost per session

$150

Psychiatrists in Asheville, NC who prioritize treating:

89% Depression
87% Anxiety
78% Trauma and PTSD
75% ADHD
73% Medication Management
68% Bipolar Disorder
62% Obsessive-Compulsive (OCD)

Average years in practice

10 Years

Top 3 insurances accepted

97% Aetna
92% BlueCross and BlueShield
86% Cigna and Evernorth

How Psychiatrists in Asheville, NC see their clients

74% In Person and Online
26% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Asheville?

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.