Psychiatrists in Hillsborough, NH

Jessica Carrigg
Psychiatric Nurse Practitioner, PMHNP, FNP
Hillsborough, NH 03244
I’m Jessica (Jessi) Carrigg, FNP, PMHNP-BC, a double board-certified Family and Psychiatric-Mental Health Nurse Practitioner. With a background in psychology and nursing, I bring a holistic approach to care that supports both physical and mental health. Since 2019, I’ve been practicing psychiatry at Harmony Psychiatric in Salem, NH. I'm using a company called headway for now so I can see people with certain insurances now. Onboarding with more. I also offer simple self-pay options and provide superbills for potential reimbursement for self-pay.
I’m Jessica (Jessi) Carrigg, FNP, PMHNP-BC, a double board-certified Family and Psychiatric-Mental Health Nurse Practitioner. With a background in psychology and nursing, I bring a holistic approach to care that supports both physical and mental health. Since 2019, I’ve been practicing psychiatry at Harmony Psychiatric in Salem, NH. I'm using a company called headway for now so I can see people with certain insurances now. Onboarding with more. I also offer simple self-pay options and provide superbills for potential reimbursement for self-pay.

More Psychiatrists Nearby

Natasa Ristivojevic
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, -BC
1 Endorsed
Online Only
It’s fulfilling to see my clients regain their lives back. Whether you are struggling with anxiety, a low mood, or feelings of anger, it's my belief these things don't have to last forever. Your decision to reach out is essential, as it will initiate the direction you want to take. My goal is to listen carefully and use evidence-based interventions along with judicious use of prescription medications to address your symptoms. It's important to remember, however, that prescribing the right medication regimen is only one part of the treatment that leads to alleviating mental and emotional suffering.
It’s fulfilling to see my clients regain their lives back. Whether you are struggling with anxiety, a low mood, or feelings of anger, it's my belief these things don't have to last forever. Your decision to reach out is essential, as it will initiate the direction you want to take. My goal is to listen carefully and use evidence-based interventions along with judicious use of prescription medications to address your symptoms. It's important to remember, however, that prescribing the right medication regimen is only one part of the treatment that leads to alleviating mental and emotional suffering.
(508) 466-6151 View (508) 466-6151
Vivian Nwankwo
Psychiatric Nurse Practitioner, DNP, PMHNP, AGNP, LSW
Serves Area
If you are seeking a compassionate and holistic approach to managing psychiatric/mental health challenges and substance use concerns, Vivanchi Radiant Health is here for you—serving patients in New Jersey, New York, and New Hampshire. With over 25 years of experience, I offer a unique blend of therapeutic and medical expertise as a licensed social worker and dual-certified medical and psychiatric nurse practitioner. My practice is dedicated to understanding each client’s unique needs and fostering emotional stability, coping skills, and self-understanding so we can work toward a more balanced, fulfilling life together
If you are seeking a compassionate and holistic approach to managing psychiatric/mental health challenges and substance use concerns, Vivanchi Radiant Health is here for you—serving patients in New Jersey, New York, and New Hampshire. With over 25 years of experience, I offer a unique blend of therapeutic and medical expertise as a licensed social worker and dual-certified medical and psychiatric nurse practitioner. My practice is dedicated to understanding each client’s unique needs and fostering emotional stability, coping skills, and self-understanding so we can work toward a more balanced, fulfilling life together
(908) 895-5210 View (908) 895-5210
Carissa Kajenski
Psychiatric Nurse Practitioner, APRN, PMHNP, -BC
9 Endorsed
Amherst, NH 03031
I’m a psychiatric nurse practitioner with over a decade of experience in corrections, community mental health, and private practice. I work with diverse and LGBTQ+ clients and especially enjoy supporting women of all ages. Many of my clients are navigating depression, bipolar disorder, anxiety, trauma, OCD, binge‑eating, or substance‑related concerns that affect relationships, work, school, or sense of self. I offer careful diagnostic evaluation, psychopharmacology, and a calm, whole‑person, non‑judgmental, steady approach to help restore balance and long‑term well‑being.
I’m a psychiatric nurse practitioner with over a decade of experience in corrections, community mental health, and private practice. I work with diverse and LGBTQ+ clients and especially enjoy supporting women of all ages. Many of my clients are navigating depression, bipolar disorder, anxiety, trauma, OCD, binge‑eating, or substance‑related concerns that affect relationships, work, school, or sense of self. I offer careful diagnostic evaluation, psychopharmacology, and a calm, whole‑person, non‑judgmental, steady approach to help restore balance and long‑term well‑being.
(603) 965-2825 View (603) 965-2825
Dr. Thor Agustsson
Psychiatrist, DO
Manchester, NH 03102
Dr. Agustsson received his Bachelor of Science in Chemistry from Loyola University and his doctoral degree in Osteopathic Medicine from the Chicago College of Osteopathic Medicine. He completed his psychiatric residency at Louisiana State University Health Sciences Center/Ochsner Clinic in New Orleans, LA. Dr. Agustsson is a Member of the American Psychiatric Association, and sits on the National Board of Osteopathic Medical Examiners. Upon completion of his residency, Dr.
Dr. Agustsson received his Bachelor of Science in Chemistry from Loyola University and his doctoral degree in Osteopathic Medicine from the Chicago College of Osteopathic Medicine. He completed his psychiatric residency at Louisiana State University Health Sciences Center/Ochsner Clinic in New Orleans, LA. Dr. Agustsson is a Member of the American Psychiatric Association, and sits on the National Board of Osteopathic Medical Examiners. Upon completion of his residency, Dr.
(844) 910-0360 View (844) 910-0360
Temilola Oladotun
Psychiatric Nurse Practitioner, APRN, PMHNP
Serves Area
Accepting New Patients. With a distinctive dual background as both a Family Nurse Practitioner (FNP) and a Psychiatric Mental Health Nurse Practitioner (PMHNP), I bring a unique blend of expertise encompassing general healthcare and specialized psychiatric care. My unwavering dedication to your comprehensive well-being is the driving force behind my patient-centered approach, offering personalized mental health support grounded in robust evidence-based practices.
Accepting New Patients. With a distinctive dual background as both a Family Nurse Practitioner (FNP) and a Psychiatric Mental Health Nurse Practitioner (PMHNP), I bring a unique blend of expertise encompassing general healthcare and specialized psychiatric care. My unwavering dedication to your comprehensive well-being is the driving force behind my patient-centered approach, offering personalized mental health support grounded in robust evidence-based practices.
(866) 971-3927 View (866) 971-3927
Karissa Ulrich
Psychiatric Nurse Practitioner, MSN, PMHNP-B
Concord, NH 03301
She emphasizes the importance of evidence-based practice and mindfulness, aiming to educate her patients and their families on managing their conditions effectively. In addition to her focus on younger patients, Karissa also addresses a wide range of mental health disorders, including childhood behavior issues, obsessive-compulsive disorder, PTSD, bipolar disorder, eating disorders, school avoidance, sleep disorders, grief, and life transitions. She offers medication management and individual therapy, ensuring a well-rounded approach to treatment.Karissa Ulrich is dedicated to providing comprehensive mental health care to children,
She emphasizes the importance of evidence-based practice and mindfulness, aiming to educate her patients and their families on managing their conditions effectively. In addition to her focus on younger patients, Karissa also addresses a wide range of mental health disorders, including childhood behavior issues, obsessive-compulsive disorder, PTSD, bipolar disorder, eating disorders, school avoidance, sleep disorders, grief, and life transitions. She offers medication management and individual therapy, ensuring a well-rounded approach to treatment.Karissa Ulrich is dedicated to providing comprehensive mental health care to children,
(844) 721-2475 View (844) 721-2475
Jennifer Sims
Psychiatric Nurse Practitioner, APRN
Online Only
Ms. Jennifer Sims is a Board Certified Psychiatric Nurse Practitioner who has over 25 years of experience in psychiatry and in a variety of settings including inpatient, academics, and outpatient. Ms. Sims received her Master’s in Psychiatric Mental Health Nursing from Indiana University. She is also a Psychiatric Clinical Nurse Specialist and has an MBA. Her clinical passion is Patient-Centered Care and working in collaboration with Clients to assist them with their mental health well-being. She treats a variety of psychiatric disorders to include, depression, anxiety, and mood disorders.
Ms. Jennifer Sims is a Board Certified Psychiatric Nurse Practitioner who has over 25 years of experience in psychiatry and in a variety of settings including inpatient, academics, and outpatient. Ms. Sims received her Master’s in Psychiatric Mental Health Nursing from Indiana University. She is also a Psychiatric Clinical Nurse Specialist and has an MBA. Her clinical passion is Patient-Centered Care and working in collaboration with Clients to assist them with their mental health well-being. She treats a variety of psychiatric disorders to include, depression, anxiety, and mood disorders.
(866) 792-2871 View (866) 792-2871
Jennifer Sims
Psychiatric Nurse Practitioner, APRN
1 Endorsed
Online Only
Ms. Jennifer Sims is a Board Certified Psychiatric Nurse Practitioner who has over 25 years of experience in psychiatry and in a variety of settings including inpatient, academics, and outpatient. Ms. Sims received her Master’s in Psychiatric Mental Health Nursing from Indiana University. She is also a Psychiatric Clinical Nurse Specialist and has an MBA. Her clinical passion is Patient-Centered Care and working in collaboration with Clients to assist them with their mental health well-being. She treats a variety of psychiatric disorders to include, depression, anxiety, and mood disorders.
Ms. Jennifer Sims is a Board Certified Psychiatric Nurse Practitioner who has over 25 years of experience in psychiatry and in a variety of settings including inpatient, academics, and outpatient. Ms. Sims received her Master’s in Psychiatric Mental Health Nursing from Indiana University. She is also a Psychiatric Clinical Nurse Specialist and has an MBA. Her clinical passion is Patient-Centered Care and working in collaboration with Clients to assist them with their mental health well-being. She treats a variety of psychiatric disorders to include, depression, anxiety, and mood disorders.
(855) 907-1143 View (855) 907-1143
Richard M Williams
Psychiatric Nurse Practitioner, MSN, PMHNP
Serves Area
I am a board-certified psychiatric nurse practitioner specializing in the care of adults facing a wide range of mental health concerns. Many of my patients seek support for depression, anxiety, or the challenges of living with ADHD or bipolar disorder. Others come in during times of stress, burnout, or when relationship and identity concerns begin to feel overwhelming.
I am a board-certified psychiatric nurse practitioner specializing in the care of adults facing a wide range of mental health concerns. Many of my patients seek support for depression, anxiety, or the challenges of living with ADHD or bipolar disorder. Others come in during times of stress, burnout, or when relationship and identity concerns begin to feel overwhelming.
(603) 288-1469 View (603) 288-1469
Ana Paula Medeiros
Psychiatric Nurse Practitioner, DNP, PMHNP
Serves Area
Ana Medeiros, DNP, APRN, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner with experience across outpatient, inpatient, and emergency settings. Dr. Medeiros integrates a trauma-informed, holistic approach with medication management and psychotherapy to deliver patient-centered, comprehensive care across the lifespan. She has a special interest in trauma and post-traumatic stress disorder (PTSD), with a focus on military personnel, first responders, and health care professionals.
Ana Medeiros, DNP, APRN, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner with experience across outpatient, inpatient, and emergency settings. Dr. Medeiros integrates a trauma-informed, holistic approach with medication management and psychotherapy to deliver patient-centered, comprehensive care across the lifespan. She has a special interest in trauma and post-traumatic stress disorder (PTSD), with a focus on military personnel, first responders, and health care professionals.
(351) 247-3727 View (351) 247-3727
Christine Isabelle
Psychiatric Nurse Practitioner, CNM, PMHNP, MSN/MPH
Serves Area
Accepting new patients! Ready to take charge of mental well-being and embark on a transformative journey towards a happier, healthier self? For those struggling with mood changes, anxiety, focus issues, or lack of motivation, individualized support is available. Recognizing that there is no one-size-fits-all path to wellness is essential. This journey is personal and dynamic, focused on helping you achieve your goals and rediscover the joy in life. Clients of all genders and at all stages of life are warmly welcomed, including adolescents, pregnant individuals, and those navigating the complexities of perimenopause and menopause.
Accepting new patients! Ready to take charge of mental well-being and embark on a transformative journey towards a happier, healthier self? For those struggling with mood changes, anxiety, focus issues, or lack of motivation, individualized support is available. Recognizing that there is no one-size-fits-all path to wellness is essential. This journey is personal and dynamic, focused on helping you achieve your goals and rediscover the joy in life. Clients of all genders and at all stages of life are warmly welcomed, including adolescents, pregnant individuals, and those navigating the complexities of perimenopause and menopause.
(603) 722-6361 View (603) 722-6361
Dr. Lionel Pereira
Psychiatrist, MD
1 Endorsed
Manchester, NH 03101
I am a Board Certified Child Psychiatrist based in Manchester, NH & Boston, MA. I specialize in Anxiety, Depression, ADHD, Autism, Substance Use, Trauma. I provide diagnostic evaluations, consultations, medication management for children ages 2-18 years. I am available for in person and remote/virtual/teletherapy visits. I combine the latest in technology and medical expertise to reduce the wait times to see me.
I am a Board Certified Child Psychiatrist based in Manchester, NH & Boston, MA. I specialize in Anxiety, Depression, ADHD, Autism, Substance Use, Trauma. I provide diagnostic evaluations, consultations, medication management for children ages 2-18 years. I am available for in person and remote/virtual/teletherapy visits. I combine the latest in technology and medical expertise to reduce the wait times to see me.
(866) 747-1385 View (866) 747-1385
Alice Jamen
Psychiatric Nurse Practitioner, PMHNP
Concord, NH 03301
Alice Kebeumen Jamen is a compassionate and dedicated board-certified nurse practitioner with a specialization in psychiatry and mental health. She is committed to providing holistic and comprehensive psychiatric services to adolescents and adults, fostering their well-being and optimal mental health. With a profound passion for mental health, Alice approaches her practice with a deep understanding of the interconnected nature of emotional and psychological well-being. Her philosophy centers on promoting not only symptom relief but also enhancing overall quality of life.
Alice Kebeumen Jamen is a compassionate and dedicated board-certified nurse practitioner with a specialization in psychiatry and mental health. She is committed to providing holistic and comprehensive psychiatric services to adolescents and adults, fostering their well-being and optimal mental health. With a profound passion for mental health, Alice approaches her practice with a deep understanding of the interconnected nature of emotional and psychological well-being. Her philosophy centers on promoting not only symptom relief but also enhancing overall quality of life.
(603) 605-1906 View (603) 605-1906
Virginia Roper
Psychiatric Nurse Practitioner, PhD, PMHNPBC
Serves Area
I am currently accepting new patients for medication management services. As both a clinical psychologist and psychiatric nurse practitioner, I offer a unique and integrated perspective—combining thorough psychological evaluation with the ability to prescribe and manage medication when appropriate. I also work closely with therapists, primary care providers, and other members of your care team to ensure truly collaborative care.
I am currently accepting new patients for medication management services. As both a clinical psychologist and psychiatric nurse practitioner, I offer a unique and integrated perspective—combining thorough psychological evaluation with the ability to prescribe and manage medication when appropriate. I also work closely with therapists, primary care providers, and other members of your care team to ensure truly collaborative care.
View
Helen Lancy
Psychiatric Nurse Practitioner, DNP
1 Endorsed
Online Only
Helen Lancy, DNP, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner with a doctorate from the University of Missouri. With multiple years of adult-gerontology psychiatry experience, she specializes in anxiety, depression, mood disorders, ADHD, and trauma in adults 18 and older. Passionate about providing evidence-based, compassionate care, Helen is dedicated to serving patients from diverse backgrounds, particularly those in underserved communities. Helen champions patient empowerment, guiding her patients to take control of their health and emotional wellbeing.
Helen Lancy, DNP, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner with a doctorate from the University of Missouri. With multiple years of adult-gerontology psychiatry experience, she specializes in anxiety, depression, mood disorders, ADHD, and trauma in adults 18 and older. Passionate about providing evidence-based, compassionate care, Helen is dedicated to serving patients from diverse backgrounds, particularly those in underserved communities. Helen champions patient empowerment, guiding her patients to take control of their health and emotional wellbeing.
(877) 916-6034 View (877) 916-6034
Jessica Marcello
Psychiatric Nurse Practitioner, PMHNP
Online Only
Pema Jessica Marcello is a dual board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-BC). With 18+ years of experience across emergency medicine, ICU, internal medicine, academia, and community mental health, she brings a grounded, whole-person perspective to care. Trained in integrative and functional psychiatry, she incorporates genetics, nutrition, and lifestyle factors when appropriate. Outside of work, she is a meditation practitioner, gardener, and nature enthusiast.
Pema Jessica Marcello is a dual board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-BC). With 18+ years of experience across emergency medicine, ICU, internal medicine, academia, and community mental health, she brings a grounded, whole-person perspective to care. Trained in integrative and functional psychiatry, she incorporates genetics, nutrition, and lifestyle factors when appropriate. Outside of work, she is a meditation practitioner, gardener, and nature enthusiast.
(971) 471-8301 View (971) 471-8301
Cassie Kosarek
Psychiatrist, MD
Serves Area
Welcome! Dr. Kosarek is a ABPN Board-Certified psychiatrist in Hanover, NH who treats adults ages 16 and up. She is licensed in both NH and VT and primarily provides diagnostic evaluations and ongoing psychiatric medication management for a variety of mental health conditions. She seeks to understand her patients as whole people, taking into account context, personality, strengths, relationships, and interests alongside psychiatric symptoms to develop treatment plans that best fit her patients' goals and values.
Welcome! Dr. Kosarek is a ABPN Board-Certified psychiatrist in Hanover, NH who treats adults ages 16 and up. She is licensed in both NH and VT and primarily provides diagnostic evaluations and ongoing psychiatric medication management for a variety of mental health conditions. She seeks to understand her patients as whole people, taking into account context, personality, strengths, relationships, and interests alongside psychiatric symptoms to develop treatment plans that best fit her patients' goals and values.
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Francis Kajumba
Psychiatric Nurse Practitioner, PMHNPBC, MBCHB
Online Only
With over 20 years of experience in psychiatric care across two continents, I’m passionate about helping people find clarity and balance in their mental health journey. I specialize in diagnosing and treating ADHD, anxiety, depression, mood disorders, and issues like poor concentration, chronic fatigue, and difficulty functioning at work or school, PTSD, OCD, and other psychiatric conditions. If you're struggling with substance use, I understand the challenges that come with it and offer Suboxone treatment as part of a supportive, nonjudgmental recovery plan.
With over 20 years of experience in psychiatric care across two continents, I’m passionate about helping people find clarity and balance in their mental health journey. I specialize in diagnosing and treating ADHD, anxiety, depression, mood disorders, and issues like poor concentration, chronic fatigue, and difficulty functioning at work or school, PTSD, OCD, and other psychiatric conditions. If you're struggling with substance use, I understand the challenges that come with it and offer Suboxone treatment as part of a supportive, nonjudgmental recovery plan.
(833) 385-4486 View (833) 385-4486
Matthew R. Howe
Psychiatric Nurse Practitioner, PMHNP, APRN
2 Endorsed
Concord, NH 03301
I am a board-certified Psychiatric Nurse Practitioner. I believe in an integrated approach to mental health, utilizing medication management alongside the development of healthy and sustainable skills to navigate the struggles we experience moving through life. I provide psychiatric evaluation, diagnosis, and medication management. I specialize in the treatment of depression, anxiety, PTSD, bipolar disorder, and substance use disorder, as well as other mental health disorders. I strongly believe in staying current with the latest research and guidelines in psychopharmacology and neuroscience in order to best help my patients.
I am a board-certified Psychiatric Nurse Practitioner. I believe in an integrated approach to mental health, utilizing medication management alongside the development of healthy and sustainable skills to navigate the struggles we experience moving through life. I provide psychiatric evaluation, diagnosis, and medication management. I specialize in the treatment of depression, anxiety, PTSD, bipolar disorder, and substance use disorder, as well as other mental health disorders. I strongly believe in staying current with the latest research and guidelines in psychopharmacology and neuroscience in order to best help my patients.
(413) 300-6178 View (413) 300-6178

See more therapy options for Hillsborough

How does your Psychiatrist compare?

Number of Psychiatrists in Hillsborough, NH

< 10

Psychiatrists in Hillsborough, NH who prioritize treating:

100% Relationship Issues
100% Child
100% Chronic Pain
100% Depression
100% ADHD
100% Anxiety
100% Trauma and PTSD

Average years in practice

7 Years

Top 3 insurances accepted

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

How Psychiatrists in Hillsborough, NH see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Hillsborough?

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.