Psychiatrists in Black Mountain, NC

Photo of Dr. Bess Matlock, Psychiatrist, MD
Dr. Bess Matlock
Psychiatrist, MD
2 Endorsed
Serves Area
I am a double board-certified psychiatrist treating children, adolescents, adults and perinatal clients with a holistic and integrative approach. I provide compassionate, personalized, patient-centered care. As a physician and psychotherapist, I listen closely and address the complex relationship between physical and psychological health. I specialize in psychodynamic psychotherapy, integrative psychiatry, trauma, LGBTQIA+, teens, reproductive and perinatal psychiatry.
I am a double board-certified psychiatrist treating children, adolescents, adults and perinatal clients with a holistic and integrative approach. I provide compassionate, personalized, patient-centered care. As a physician and psychotherapist, I listen closely and address the complex relationship between physical and psychological health. I specialize in psychodynamic psychotherapy, integrative psychiatry, trauma, LGBTQIA+, teens, reproductive and perinatal psychiatry.
(828) 998-0800 View (828) 998-0800

More Psychiatrists Nearby

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 Josephine W Hazeley, Psychiatric Nurse Practitioner, MSN, PMHNP, BC
Josephine W Hazeley
Psychiatric Nurse Practitioner, MSN, PMHNP, BC
Serves Area
Pregnancy, postpartum, and early parenthood are times of profound transition physically, emotionally, and psychologically. While this period is often described as joyful, many parents experience feelings of overwhelm, anxiety, mood changes, or a sense of disconnection that can feel isolating and confusing. You may find yourself exhausted, struggling to bond as expected, or wondering why this stage feels harder than you anticipated. If this resonates with you, please know that you are not alone, and help is available. I specialize in perinatal and maternal mental health, offering compassionate, evidence-based support during this time
Pregnancy, postpartum, and early parenthood are times of profound transition physically, emotionally, and psychologically. While this period is often described as joyful, many parents experience feelings of overwhelm, anxiety, mood changes, or a sense of disconnection that can feel isolating and confusing. You may find yourself exhausted, struggling to bond as expected, or wondering why this stage feels harder than you anticipated. If this resonates with you, please know that you are not alone, and help is available. I specialize in perinatal and maternal mental health, offering compassionate, evidence-based support during this time
(919) 925-6095 View (919) 925-6095
Photo of Velgan Rodriguez Kata, Psychiatric Nurse Practitioner, PMHNP, DNP
Velgan Rodriguez Kata
Psychiatric Nurse Practitioner, PMHNP, DNP
Online Only
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
(301) 719-3254 View (301) 719-3254
Photo of Amiee Myatt - Thrive Together Telehealth - Amiee Myatt, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Thrive Together Telehealth - Amiee Myatt
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
1 Endorsed
Online Only
NOT taking new clients until 2026-thank you! Are you dealing with the effects of anxiety, depress ion, ADHD, or a mood disorder on you and your loved ones' lives? In today’s fast-paced society the stress and challenges of life are difficult enough by themselves, much less dealing with mental health issues on your own. Let me help you navigate a course to improved mental health so you can be your best self and thrive rather than just survive.
NOT taking new clients until 2026-thank you! Are you dealing with the effects of anxiety, depress ion, ADHD, or a mood disorder on you and your loved ones' lives? In today’s fast-paced society the stress and challenges of life are difficult enough by themselves, much less dealing with mental health issues on your own. Let me help you navigate a course to improved mental health so you can be your best self and thrive rather than just survive.
(252) 475-7735 View (252) 475-7735
Photo of Alyssa Ramirez, Physician Assistant, PA-C
Alyssa Ramirez
Physician Assistant, PA-C
Hendersonville, NC 28792
Feeling like you're constantly behind on life—even when you're trying your best? If you've ever walked out of a mental health appointment feeling dismissed, confused, or like your real struggles were brushed aside, you’re not alone. Maybe you’ve been handed a prescription without much explanation… or told to “just manage” without any tools that actually fit your life. That’s not the kind of care you’ll get here. I specialize in comprehensive care! I specialize in helping adults who feel overwhelmed by the mental load of daily life—managing work, relationships, parenting, self-care (what’s that?), and still somehow staying afloat.
Feeling like you're constantly behind on life—even when you're trying your best? If you've ever walked out of a mental health appointment feeling dismissed, confused, or like your real struggles were brushed aside, you’re not alone. Maybe you’ve been handed a prescription without much explanation… or told to “just manage” without any tools that actually fit your life. That’s not the kind of care you’ll get here. I specialize in comprehensive care! I specialize in helping adults who feel overwhelmed by the mental load of daily life—managing work, relationships, parenting, self-care (what’s that?), and still somehow staying afloat.
(336) 490-9120 View (336) 490-9120
Photo of Tamara Starr, Psychiatric Nurse Practitioner, PMHNP
Tamara Starr
Psychiatric Nurse Practitioner, PMHNP
Online Only
I would like to share that I have dual national certifications as a Psychiatric Mental Health NP as well as a Family Nurse Practitioner. I provide medication management in conjunction with brief psychotherapy and lifestyle enhancement strategies, using an integrative treatment plan model for the mental and behavioral health management of clients across the lifespan. Working together to create life-long strategies to help the Client be the best version of themselves. I use compassionate assertive communication, direct and straightforward, without being condescending or domineering.
I would like to share that I have dual national certifications as a Psychiatric Mental Health NP as well as a Family Nurse Practitioner. I provide medication management in conjunction with brief psychotherapy and lifestyle enhancement strategies, using an integrative treatment plan model for the mental and behavioral health management of clients across the lifespan. Working together to create life-long strategies to help the Client be the best version of themselves. I use compassionate assertive communication, direct and straightforward, without being condescending or domineering.
(980) 435-4903 View (980) 435-4903
Photo of Robin Tallent, Psychiatric Nurse Practitioner, PMHNP
Robin Tallent
Psychiatric Nurse Practitioner, PMHNP
3 Endorsed
Asheville, NC 28803
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 David Ahlberg - Affiliated Medical Group, Psychiatrist, MD
Affiliated Medical Group
Psychiatrist, MD
Online Only
Affiliated Medical Group, PLLC is a private practice Psychiatric Group serving 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 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 Dr. Joanna Gratton, Psychiatrist, DO
Dr. Joanna Gratton
Psychiatrist, DO
9 Endorsed
Hendersonville, NC 28791
I’m a good fit for adults who are looking for thoughtful, personalized psychiatric care and who value a collaborative approach. Many of the people I work with have felt rushed, unheard, or reduced to symptoms in past treatment experiences and are seeking care that slows down enough to truly listen. I work well with people who are open to exploring both medication and integrative strategies, and who want to understand how factors such as stress, sleep, lifestyle, and overall health influence their mental well-being. I often work with adults navigating anxiety, depression, ADHD, bipolar disorder, life transitions, and chronic stress.
I’m a good fit for adults who are looking for thoughtful, personalized psychiatric care and who value a collaborative approach. Many of the people I work with have felt rushed, unheard, or reduced to symptoms in past treatment experiences and are seeking care that slows down enough to truly listen. I work well with people who are open to exploring both medication and integrative strategies, and who want to understand how factors such as stress, sleep, lifestyle, and overall health influence their mental well-being. I often work with adults navigating anxiety, depression, ADHD, bipolar disorder, life transitions, and chronic stress.
(828) 809-4247 View (828) 809-4247
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 Rhonda Cartee, Psychiatric Nurse Practitioner, PMHNP
Rhonda Cartee
Psychiatric Nurse Practitioner, PMHNP
Online Only
Hello! I am a Nurse Practitioner with board certifications in family and psychiatric medicine. I received my Master's in Nursing from Western Carolina University and I have been in practice for over 20 years. I believe a holistic approach serves people in the best possible way and I use a combination of medicine, and lifestyle coaching to optimize your mental health. I also offer Genesight testing for a more individualized approach to your medication management.
Hello! I am a Nurse Practitioner with board certifications in family and psychiatric medicine. I received my Master's in Nursing from Western Carolina University and I have been in practice for over 20 years. I believe a holistic approach serves people in the best possible way and I use a combination of medicine, and lifestyle coaching to optimize your mental health. I also offer Genesight testing for a more individualized approach to your medication management.
(828) 705-3927 View (828) 705-3927
Photo of Stephanie Rice, Psychiatric Nurse Practitioner, PMHNP
Stephanie Rice
Psychiatric Nurse Practitioner, PMHNP
2 Endorsed
Asheville, NC 28803
You’re feeling overwhelmed, stuck, or not like yourself, and you're wondering if medication could help. Maybe you’ve tried it before, maybe this is new, but either way, you want guidance that feels thoughtful and human. You’re not looking for a quick fix—you want a provider who listens, takes your concerns seriously, and works with you to find a plan that fits your life. You’re ready for support that’s grounded in compassion, collaboration, and care for the whole you.
You’re feeling overwhelmed, stuck, or not like yourself, and you're wondering if medication could help. Maybe you’ve tried it before, maybe this is new, but either way, you want guidance that feels thoughtful and human. You’re not looking for a quick fix—you want a provider who listens, takes your concerns seriously, and works with you to find a plan that fits your life. You’re ready for support that’s grounded in compassion, collaboration, and care for the whole you.
(828) 426-5646 View (828) 426-5646
Photo of Kelly Fagan, Psychiatric Nurse Practitioner, PMHNPBC
Kelly Fagan
Psychiatric Nurse Practitioner, PMHNPBC
Asheville, NC 28801
As a young adult, Kelly developed an interest in psychiatry and the medical field and has since dedicated her career to gaining knowledge and experience in related areas. She approaches each patient with empathy and active listening, considering the whole person and the unique challenges they face when developing individualized plans of care and treatment interventions.
As a young adult, Kelly developed an interest in psychiatry and the medical field and has since dedicated her career to gaining knowledge and experience in related areas. She approaches each patient with empathy and active listening, considering the whole person and the unique challenges they face when developing individualized plans of care and treatment interventions.
(855) 698-1551 View (855) 698-1551
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 Jenna N. Garcia - Inner Ascension Healing Institute, Physician Assistant, PA-C
Inner Ascension Healing Institute
Physician Assistant, PA-C
1 Endorsed
Online Only
You may feel stuck, overwhelmed, or disconnected from yourself or others, or you might be navigating a major life transition, anxiety, depression, or chronic illness. Many clients are high-functioning, sensitive, or burned out, trying to hold it all together while searching for relief. Often, there's a sense that something deeper is going on — that healing is more than just managing symptoms. You may feel called to understand the root causes of what you’re experiencing and to approach your health in a more holistic way, seeking a deeper sense of connection to yourself, your body, and your life.
You may feel stuck, overwhelmed, or disconnected from yourself or others, or you might be navigating a major life transition, anxiety, depression, or chronic illness. Many clients are high-functioning, sensitive, or burned out, trying to hold it all together while searching for relief. Often, there's a sense that something deeper is going on — that healing is more than just managing symptoms. You may feel called to understand the root causes of what you’re experiencing and to approach your health in a more holistic way, seeking a deeper sense of connection to yourself, your body, and your life.
(980) 400-3619 View (980) 400-3619
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 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 Christopher Eggleston - Helping You Heal, Psychiatric Nurse Practitioner, AGACNP, PMHNP
Helping You Heal
Psychiatric Nurse Practitioner, AGACNP, PMHNP
Asheville, NC 28803
I proudly provide LGBTQ+ affirming care and welcome individuals of all backgrounds, identities, sexual orientations, gender identities, an Specialties: ADHD, Anxiety, Depression, Bipolar Disorder, Schizophrenia, First Episode Psychosis, Medication-Assisted Treatment (MAT), Spravato (Esketamine), Serious Mental Illness, and Psychiatric Medication Management.
I proudly provide LGBTQ+ affirming care and welcome individuals of all backgrounds, identities, sexual orientations, gender identities, an Specialties: ADHD, Anxiety, Depression, Bipolar Disorder, Schizophrenia, First Episode Psychosis, Medication-Assisted Treatment (MAT), Spravato (Esketamine), Serious Mental Illness, and Psychiatric Medication Management.
(828) 408-0075 View (828) 408-0075
Photo of Anna Crawley, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Anna Crawley
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
6 Endorsed
Serves Area
I’m currently accepting new patients and offer both in-person and telehealth visits, so we can find what feels most comfortable for you. My approach is warm, holistic, and evidence-based, focused on helping you find calm, clarity, and balance. I work with individuals navigating anxiety, depression, bipolar disorder, OCD, ADHD, and the ups and downs that come with life changes. I offer GeneSight and ADHD testing, medication management, and integrative mental wellness support.
I’m currently accepting new patients and offer both in-person and telehealth visits, so we can find what feels most comfortable for you. My approach is warm, holistic, and evidence-based, focused on helping you find calm, clarity, and balance. I work with individuals navigating anxiety, depression, bipolar disorder, OCD, ADHD, and the ups and downs that come with life changes. I offer GeneSight and ADHD testing, medication management, and integrative mental wellness support.
(704) 901-8481 View (704) 901-8481

See more therapy options for Black Mountain

How does your Psychiatrist compare?

Number of Psychiatrists in Black Mountain, NC

< 10

Psychiatrists in Black Mountain, NC who prioritize treating:

100% Eating Disorders
100% Addiction
100% Depression
100% ADHD
100% Anxiety
100% Trauma and PTSD
100% Obsessive-Compulsive (OCD)

Gender breakdown

100% Female

How Psychiatrists in Black Mountain, NC see their clients

100% In Person and Online
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Black Mountain?

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.