Psychiatrists in Raleigh, NC

Photo of Alexandru Sorohan, Psychiatrist, DO
Alexandru Sorohan
Psychiatrist, DO
Raleigh, NC 27609
I’m an integrative psychiatrist helping patients holistically work through anxiety, mood, trauma, substance use, personality, and sports-related psychiatric disorders. I enjoy working with adolescents (16+) and adults of all ages, including medical professionals, students, and high achievers, who are facing relationship challenges, career difficulties, major life transitions, and grief. My approach weaves together acceptance and commitment, cognitive behavioral, and psychodynamic psychotherapy in addition to medication management, mindfulness, and lifestyle interventions to foster lasting change.
I’m an integrative psychiatrist helping patients holistically work through anxiety, mood, trauma, substance use, personality, and sports-related psychiatric disorders. I enjoy working with adolescents (16+) and adults of all ages, including medical professionals, students, and high achievers, who are facing relationship challenges, career difficulties, major life transitions, and grief. My approach weaves together acceptance and commitment, cognitive behavioral, and psychodynamic psychotherapy in addition to medication management, mindfulness, and lifestyle interventions to foster lasting change.
(919) 648-4881 View (919) 648-4881
Photo of Lindsay M Hildreth, Physician Assistant, PA-C
Lindsay M Hildreth
Physician Assistant, PA-C
2 Endorsed
Raleigh, NC 27612
I pride myself in holding a safe space for patients to be vulnerable -at varying degrees that are comfortable for them. I offer medication management to help patients quiet their symptoms so that they can heal deeply and/or make the changes they need to make in order to live a productive, joyful life of their choosing. As a former science teacher and yoga instructor - one of my strengths is patient education. I enjoy explaining disease processes to patients and educating them about how medications function to help manage their symptoms. I utilize a whole-person approach to incorporate medication management and holistic wellness.
I pride myself in holding a safe space for patients to be vulnerable -at varying degrees that are comfortable for them. I offer medication management to help patients quiet their symptoms so that they can heal deeply and/or make the changes they need to make in order to live a productive, joyful life of their choosing. As a former science teacher and yoga instructor - one of my strengths is patient education. I enjoy explaining disease processes to patients and educating them about how medications function to help manage their symptoms. I utilize a whole-person approach to incorporate medication management and holistic wellness.
(919) 893-4465 View (919) 893-4465
Photo of Nkwachioma Nwosu, Psychiatric Nurse Practitioner, PMHNP
Nkwachioma Nwosu
Psychiatric Nurse Practitioner, PMHNP
Raleigh, NC 27604
My name is Dr. Nkwachioma Nwosu, and I am a psychiatric mental health nurse practitioner (DNP, PMHNP-BC) dedicated to fostering mental health and well-being. With a passion for providing compassionate care, I specialize in serving various clients facing various mental health challenges. I obtained a bachelor’s in nursing from North Carolina Central in Durham and a master’s/doctorate in nursing from Maryville University of St. Louis.
My name is Dr. Nkwachioma Nwosu, and I am a psychiatric mental health nurse practitioner (DNP, PMHNP-BC) dedicated to fostering mental health and well-being. With a passion for providing compassionate care, I specialize in serving various clients facing various mental health challenges. I obtained a bachelor’s in nursing from North Carolina Central in Durham and a master’s/doctorate in nursing from Maryville University of St. Louis.
(984) 600-3071 View (984) 600-3071
Photo of Dr. Ayeh Darvishzadeh, Psychiatrist, MD
Dr. Ayeh Darvishzadeh
Psychiatrist, MD
Online Only
I am currently accepting new patients! Is your current mental healthcare failing to meet your high standards? I am here to offer you an alternative! I understand how frustrating our current mental health system can be. It is hard to find excellent MDs with any close availability, let alone who are able to see you around your busy schedule. Long wait times, restricted schedule availability, delayed response times, and refill lapses all impact your quality of care. Are you ready to stop feeling helpless, frustrated, and demoralized about your mental healthcare? Treat yourself to the mental healthcare you deserve!
I am currently accepting new patients! Is your current mental healthcare failing to meet your high standards? I am here to offer you an alternative! I understand how frustrating our current mental health system can be. It is hard to find excellent MDs with any close availability, let alone who are able to see you around your busy schedule. Long wait times, restricted schedule availability, delayed response times, and refill lapses all impact your quality of care. Are you ready to stop feeling helpless, frustrated, and demoralized about your mental healthcare? Treat yourself to the mental healthcare you deserve!
(984) 374-1532 View (984) 374-1532
Photo of Kesha Spaulding, Psychiatric Nurse Practitioner, PMHNPBC
Kesha Spaulding
Psychiatric Nurse Practitioner, PMHNPBC
Online Only
I am Kesha, a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) who manages and treats a wide range of mental health concerns, including depression, anxiety, ADHD, school issues, bipolar disorder, and trauma. I am passionate about providing quality, compassionate, and comprehensive mental health services to both adolescents and adults.
I am Kesha, a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) who manages and treats a wide range of mental health concerns, including depression, anxiety, ADHD, school issues, bipolar disorder, and trauma. I am passionate about providing quality, compassionate, and comprehensive mental health services to both adolescents and adults.
(984) 538-7733 View (984) 538-7733
Photo of David Mbugua Gacengeci, Psychiatrist, MD, MRCPsy, MDiv, FAPA
David Mbugua Gacengeci
Psychiatrist, MD, MRCPsy, MDiv, FAPA
Raleigh, NC 27609
I have devoted my life to the paractice of psychiatry and pastoral care, from a whole person approach, treating the whole you, body, mind and spirit. We offer diagnostic evaluations, support and treatment, to persons challenged by anxiety, depression, ADHD, psychotic and mood disorders as well as substance use. When you come to us, we will listen to your unique story, in assured confidentiality and then open before you best treatments availabe, empowering you, in collaboration with us to choose the best treatment. Your journey to wellness starts by making an appointment.
I have devoted my life to the paractice of psychiatry and pastoral care, from a whole person approach, treating the whole you, body, mind and spirit. We offer diagnostic evaluations, support and treatment, to persons challenged by anxiety, depression, ADHD, psychotic and mood disorders as well as substance use. When you come to us, we will listen to your unique story, in assured confidentiality and then open before you best treatments availabe, empowering you, in collaboration with us to choose the best treatment. Your journey to wellness starts by making an appointment.
(919) 752-4872 View (919) 752-4872
Photo of Christopher Arori - LifeSupport Skills Mental Health Group, LLC, Psychiatric Nurse Practitioner, PhD, MSN/MA, PMHNP
LifeSupport Skills Mental Health Group, LLC
Psychiatric Nurse Practitioner, PhD, MSN/MA, PMHNP
Raleigh, NC 27616
As a psychiatric mental health nurse practitioner (PMHNP) I am an advanced practice registered nurse (APRN) with an experience of over 22 years of healthcare experience, specialized in mental health to assess, diagnose, and treat psychiatric conditions, providing therapy, prescribing medications, and collaborating with other healthcare professionals to improve patient outcomes. To mention but a few, I treat individuals with alcohol and substance use disorders, depression, anxiety, post-traumatic stress disorders, attention deficit hyperactivity disorders, autism, schizophrenia, personality disorders and many more.
As a psychiatric mental health nurse practitioner (PMHNP) I am an advanced practice registered nurse (APRN) with an experience of over 22 years of healthcare experience, specialized in mental health to assess, diagnose, and treat psychiatric conditions, providing therapy, prescribing medications, and collaborating with other healthcare professionals to improve patient outcomes. To mention but a few, I treat individuals with alcohol and substance use disorders, depression, anxiety, post-traumatic stress disorders, attention deficit hyperactivity disorders, autism, schizophrenia, personality disorders and many more.
(984) 330-7321 View (984) 330-7321
Photo of Olivia Vogel, Psychiatric Nurse Practitioner, PMHNP
Olivia Vogel
Psychiatric Nurse Practitioner, PMHNP
Raleigh, NC 27607
Olivia Vogel, PMHNP, helps individuals and families across North Carolina improve their mental health through thoughtful, evidence-based medication management and compassionate care. She partners with patients to address conditions such as ADHD, anxiety, and depression, creating personalized treatment plans that support stability, clarity, and long-term well-being. Olivia treats children, adolescents, teens, and adults, offering care that adapts to each stage of life while fostering open communication and trust.
Olivia Vogel, PMHNP, helps individuals and families across North Carolina improve their mental health through thoughtful, evidence-based medication management and compassionate care. She partners with patients to address conditions such as ADHD, anxiety, and depression, creating personalized treatment plans that support stability, clarity, and long-term well-being. Olivia treats children, adolescents, teens, and adults, offering care that adapts to each stage of life while fostering open communication and trust.
(984) 983-5652 View (984) 983-5652
Photo of Jamie Wiles, Psychiatric Nurse, PMHNP
Jamie Wiles
Psychiatric Nurse, PMHNP
Online Only
I am Jamie Wiles, a Board-Certified Family Psychiatric Mental Health Nurse Practitioner with a passion for individualized, patient-centered care. I specialize in working with individuals and families in the treatment of anxiety disorders, mood disorders, eating disorders, and attention/focus issues. My approach is to partner with individuals and families, providing options, education, and an open environment to share their unique care needs.
I am Jamie Wiles, a Board-Certified Family Psychiatric Mental Health Nurse Practitioner with a passion for individualized, patient-centered care. I specialize in working with individuals and families in the treatment of anxiety disorders, mood disorders, eating disorders, and attention/focus issues. My approach is to partner with individuals and families, providing options, education, and an open environment to share their unique care needs.
(984) 271-8885 View (984) 271-8885
Photo of Lauren Wright, Physician Assistant, MPAS, PA-C, CAQ-Psy
Lauren Wright
Physician Assistant, MPAS, PA-C, CAQ-Psy
1 Endorsed
Raleigh, NC 27615
My name is Lauren Wright PA-C, and I am a Psychiatric Physician Assistant. I have opened up my own company Hyacinth Mental Health. We provide compassionate, personalized psychiatric medication management for individuals ages 5 and up. Our ideal clients are children, teens, and adults who are navigating the challenges of mental health—whether that is anxiety, OCD, depression, ADHD, Autism or life transitions—and are looking for a collaborative, judgment-free space to heal.
My name is Lauren Wright PA-C, and I am a Psychiatric Physician Assistant. I have opened up my own company Hyacinth Mental Health. We provide compassionate, personalized psychiatric medication management for individuals ages 5 and up. Our ideal clients are children, teens, and adults who are navigating the challenges of mental health—whether that is anxiety, OCD, depression, ADHD, Autism or life transitions—and are looking for a collaborative, judgment-free space to heal.
(984) 646-6007 View (984) 646-6007
Photo of Dr. Nicole Harrison, Psychiatric Nurse Practitioner, PMHNP-, BC
Dr. Nicole Harrison
Psychiatric Nurse Practitioner, PMHNP-, BC
1 Endorsed
Online Only
I am a Board-certified Psychiatric Mental Health Nurse Practitioner at Harmonize Your Mental Health who provides medication management with psychotherapy to ages six and older. I offer telehealth services across North Carolina. I have over 20 years of experience in healthcare and have worked in several different areas which has helped me navigate through the complicated mental health system. My expertise will help you understand your mental health needs and make them priority to be successful in life. I am very passionate about mental health and specializes in attention difficulties, mood, anxiety & psych disorders.
I am a Board-certified Psychiatric Mental Health Nurse Practitioner at Harmonize Your Mental Health who provides medication management with psychotherapy to ages six and older. I offer telehealth services across North Carolina. I have over 20 years of experience in healthcare and have worked in several different areas which has helped me navigate through the complicated mental health system. My expertise will help you understand your mental health needs and make them priority to be successful in life. I am very passionate about mental health and specializes in attention difficulties, mood, anxiety & psych disorders.
(984) 370-8493 View (984) 370-8493
Photo of Kiera Slade, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Kiera Slade
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
1 Endorsed
Raleigh, NC 27612
I believe that mental health is inseparable from physical health. As a doctorally-prepared and quadruple board-certified Family and Psychiatric Mental Health Nurse Practitioner, I provide a unique, holistic approach to psychiatric care that bridges the gap between the mind and the body. Whether you are struggling with the weight of depression, the constant hum of anxiety, or the complexities of neurodivergence, I am here to provide a safe space where you are heard, understood, and expertly cared for.
I believe that mental health is inseparable from physical health. As a doctorally-prepared and quadruple board-certified Family and Psychiatric Mental Health Nurse Practitioner, I provide a unique, holistic approach to psychiatric care that bridges the gap between the mind and the body. Whether you are struggling with the weight of depression, the constant hum of anxiety, or the complexities of neurodivergence, I am here to provide a safe space where you are heard, understood, and expertly cared for.
(984) 360-9959 View (984) 360-9959
Photo of Mitushi Mishra, Psychiatrist, MD
Mitushi Mishra
Psychiatrist, MD
Raleigh, NC 27615
My intention is to help my clients lean in and experience life to the fullest; many times this can be difficult when we identify too strongly with our mind. Evidence has demonstrated that optimal treatment includes a combination of medication and therapy. I prefer to collaboratively work with clients to develop an individualized treatment plan.
My intention is to help my clients lean in and experience life to the fullest; many times this can be difficult when we identify too strongly with our mind. Evidence has demonstrated that optimal treatment includes a combination of medication and therapy. I prefer to collaboratively work with clients to develop an individualized treatment plan.
(984) 207-5400 View (984) 207-5400
Photo of Shineka Mack, Psychiatric Nurse Practitioner, PMHNP
Shineka Mack
Psychiatric Nurse Practitioner, PMHNP
Online Only
I like to practice psychiatry with a caring attitude. I am a dedicated and patient-focused psychiatric mental health nurse practitioner with proven strengths in outpatient care utilizing strong diagnostic and medication management skills. My focus areas of practice include major depression, bipolar disorder, anxiety disorders, PTSD, and schizophrenia. PMHNP-BC.
I like to practice psychiatry with a caring attitude. I am a dedicated and patient-focused psychiatric mental health nurse practitioner with proven strengths in outpatient care utilizing strong diagnostic and medication management skills. My focus areas of practice include major depression, bipolar disorder, anxiety disorders, PTSD, and schizophrenia. PMHNP-BC.
(980) 350-8278 View (980) 350-8278
Photo of Joshua Dittmer, Psychiatrist, MD
Joshua Dittmer
Psychiatrist, MD
1 Endorsed
Raleigh, NC 27615
I treat most all mental health problems. My focus is on opiate use disorder and benzodiazepine dependence. I prescribe buprenorphine products (Suboxone and Subutex). If you or someone you love is in need of help NOW I will do my best to get back to you promptly and get you seen within days, if not sooner. Leave me a message or a text, I will get back to you shortly to talk about your needs and how I can help. Have you gotten mixed up with Kratom? I have several patients right now getting help from me for Kratom dependence.
I treat most all mental health problems. My focus is on opiate use disorder and benzodiazepine dependence. I prescribe buprenorphine products (Suboxone and Subutex). If you or someone you love is in need of help NOW I will do my best to get back to you promptly and get you seen within days, if not sooner. Leave me a message or a text, I will get back to you shortly to talk about your needs and how I can help. Have you gotten mixed up with Kratom? I have several patients right now getting help from me for Kratom dependence.
(919) 899-2773 View (919) 899-2773
Photo of Jojo Paka, Psychiatric Nurse Practitioner, PMHNP
Jojo Paka
Psychiatric Nurse Practitioner, PMHNP
Raleigh, NC 27615
Jojo Paka, PMHNP-BC, is an advanced practice provider dedicated to expanding access to compassionate, evidence-based mental health treatment. He had the unique opportunity to complete the Carolina NP Residency Program, where he received advanced training in behavioral health integration with a focus on rural and underserved communities across North Carolina. During this experience, he worked closely with populations facing significant barriers to care, helping bridge gaps in access to medications for opioid use disorder (MOUD) and psychiatric treatment.
Jojo Paka, PMHNP-BC, is an advanced practice provider dedicated to expanding access to compassionate, evidence-based mental health treatment. He had the unique opportunity to complete the Carolina NP Residency Program, where he received advanced training in behavioral health integration with a focus on rural and underserved communities across North Carolina. During this experience, he worked closely with populations facing significant barriers to care, helping bridge gaps in access to medications for opioid use disorder (MOUD) and psychiatric treatment.
(919) 635-9627 View (919) 635-9627
Photo of Samantha Dietter, Physician Assistant, PA-C, CAQ-Psy
Samantha Dietter
Physician Assistant, PA-C, CAQ-Psy
1 Endorsed
Raleigh, NC 27607
I am currently accepting new adult patients. I provide medication management for children (ages 10+), adolescents, and adults. Appointments are available both virtually and in-office. I'm a board-certified Physician Assistant with a Certificate of Added Qualifications in Psychiatry (CAQ-Psych).
I am currently accepting new adult patients. I provide medication management for children (ages 10+), adolescents, and adults. Appointments are available both virtually and in-office. I'm a board-certified Physician Assistant with a Certificate of Added Qualifications in Psychiatry (CAQ-Psych).
(984) 364-8172 View (984) 364-8172
Photo of Dr. Lara Thibodeau, Psychiatrist, MD
Dr. Lara Thibodeau
Psychiatrist, MD
Raleigh, NC 27609
Accepting new patients as of 05/17/2026. I am a psychiatrist who works with adolescents (16+) and adults looking for a warm and collaborative approach to their mental health. I have a particular interest in women’s mental health, including pregnancy and postpartum, and additional training in thoughtfully prescribing medications during this time. I also work with college students and professionals navigating anxiety, mood concerns, trauma, and life transitions.
Accepting new patients as of 05/17/2026. I am a psychiatrist who works with adolescents (16+) and adults looking for a warm and collaborative approach to their mental health. I have a particular interest in women’s mental health, including pregnancy and postpartum, and additional training in thoughtfully prescribing medications during this time. I also work with college students and professionals navigating anxiety, mood concerns, trauma, and life transitions.
(984) 254-3916 View (984) 254-3916
Photo of Chinyere Chima, Psychiatric Nurse Practitioner, PMHNP
Chinyere Chima
Psychiatric Nurse Practitioner, PMHNP
Raleigh, NC 27601
I am a double board-certified family and psychiatric mental health nurse practitioner with over 20 years of clinical experience. I started my healthcare career as a critical care nurse. I received my master's degree as a family nurse practitioner from the University of Cincinnati, a post-master's as a psychiatric mental health nurse practitioner from Liberty University, and a doctorate in nursing from Frontier Nursing University. With my background in primary care and psychiatric mental health, I provide my clients with individualized holistic care, taking into consideration their physical and emotional health.
I am a double board-certified family and psychiatric mental health nurse practitioner with over 20 years of clinical experience. I started my healthcare career as a critical care nurse. I received my master's degree as a family nurse practitioner from the University of Cincinnati, a post-master's as a psychiatric mental health nurse practitioner from Liberty University, and a doctorate in nursing from Frontier Nursing University. With my background in primary care and psychiatric mental health, I provide my clients with individualized holistic care, taking into consideration their physical and emotional health.
(984) 646-0269 View (984) 646-0269
Photo of Erin Eves, Psychiatric Nurse Practitioner, PMHNP
Erin Eves
Psychiatric Nurse Practitioner, PMHNP
Online Only
**YES-Medication Wellness Program is Accepting New Patients!** Erin Eves maintains a Child & Adolescent focus and is also versed in Adult Treatment. Erin provides Comprehensive Evaluations, Pharmacotherapy, and Psychotherapy. She will also provide medication management for individuals who currently have a therapist and will communicate regularly with that therapist to provide the most individualized care possible. Erin Eves has extensive experience treating people with ADHD, Depression, Anxiety, Panic Disorders, OCD, PTSD, Personality Disorders, Bipolar Disorder, and Psychotic Disorders.
**YES-Medication Wellness Program is Accepting New Patients!** Erin Eves maintains a Child & Adolescent focus and is also versed in Adult Treatment. Erin provides Comprehensive Evaluations, Pharmacotherapy, and Psychotherapy. She will also provide medication management for individuals who currently have a therapist and will communicate regularly with that therapist to provide the most individualized care possible. Erin Eves has extensive experience treating people with ADHD, Depression, Anxiety, Panic Disorders, OCD, PTSD, Personality Disorders, Bipolar Disorder, and Psychotic Disorders.
(919) 872-6220 x211 View (919) 872-6220 x211

See more therapy options for Raleigh

How does your Psychiatrist compare?

Number of Psychiatrists in Raleigh, NC

300+

Average cost per session

$150

Psychiatrists in Raleigh, NC who prioritize treating:

93% Anxiety
91% Depression
86% ADHD
79% Bipolar Disorder
76% Medication Management
72% Trauma and PTSD
65% Obsessive-Compulsive (OCD)

Average years in practice

8 Years

Top 3 insurances accepted

94% Aetna
89% Cigna and Evernorth
87% BlueCross and BlueShield

How Psychiatrists in Raleigh, NC see their clients

61% In Person and Online
39% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Raleigh?

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.