Psychiatrists in Rochester, NH

Photo of Dr. Joy Ichie - A-1 Behavioral Health Services, Psychiatric Nurse Practitioner, PMHNP, BC, DNP
A-1 Behavioral Health Services
Psychiatric Nurse Practitioner, PMHNP, BC, DNP
1 Endorsed
Online Only
Adult ADHD, PTSD, OCD, Anxiety, PMDD & Mood Disorder Treatment — New Hampshire. Are you often distracted, anxious, or emotionally drained? Not sure if it’s ADHD, anxiety, PTSD, depression, OCD or something else? I provide access to mental health & psychiatric evaluation, treatment and support with no waitlist, helping adults get clear answers and a treatment plan that works. I am currently accepting new patients. I accept most commercial insurance - Aetna, Cigna, BCBS, United Health including some medicaid plans - Ameritas, NH healthy families plan and more. Discounted self pay is avaliable. Get seen in 24 to 48 hours. No wait list.
Adult ADHD, PTSD, OCD, Anxiety, PMDD & Mood Disorder Treatment — New Hampshire. Are you often distracted, anxious, or emotionally drained? Not sure if it’s ADHD, anxiety, PTSD, depression, OCD or something else? I provide access to mental health & psychiatric evaluation, treatment and support with no waitlist, helping adults get clear answers and a treatment plan that works. I am currently accepting new patients. I accept most commercial insurance - Aetna, Cigna, BCBS, United Health including some medicaid plans - Ameritas, NH healthy families plan and more. Discounted self pay is avaliable. Get seen in 24 to 48 hours. No wait list.
(603) 207-8509 View (603) 207-8509
Photo of Susan Fratoni - The Right Mind Psychiatric Services®, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, BC
The Right Mind Psychiatric Services®
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, BC
Serves Area
With more than 25 years of experience in mental health care, I provide medication management that is safe, personalized, and evidence-based. I believe treatment works best as a collaboration, and I aim to keep medication plans clear and effective while minimizing side effects so you can feel your best. As a psychiatric nurse practitioner, I follow a “less is best” philosophy. I believe treatment works best as a collaboration, and I aim to keep medication plans clear and effective while minimizing side effects so you can feel better and live more fully.
With more than 25 years of experience in mental health care, I provide medication management that is safe, personalized, and evidence-based. I believe treatment works best as a collaboration, and I aim to keep medication plans clear and effective while minimizing side effects so you can feel your best. As a psychiatric nurse practitioner, I follow a “less is best” philosophy. I believe treatment works best as a collaboration, and I aim to keep medication plans clear and effective while minimizing side effects so you can feel better and live more fully.
(603) 534-7563 View (603) 534-7563
Photo of Alexis Ryan, Psychiatric Nurse Practitioner, APRN
Alexis Ryan
Psychiatric Nurse Practitioner, APRN
1 Endorsed
Online Only
Alexis Ryan is a board-certified psychiatric nurse practitioner with her Master’s of Science in Nursing acquired from Vanderbilt University’s No. 1 ranked program in the country. She combines expertise and evidence-based approaches to care with an unflagging commitment to compassion and kindness in order to treat a variety of psychiatric disorders with particular proficiency in mood disorders, trauma-related disorders, substance use disorders, and eating disorders. Alexis utilizes psychotherapy, creates treatment plans, prescribes clinically-supported medications, and provides diagnostic clarity and education.
Alexis Ryan is a board-certified psychiatric nurse practitioner with her Master’s of Science in Nursing acquired from Vanderbilt University’s No. 1 ranked program in the country. She combines expertise and evidence-based approaches to care with an unflagging commitment to compassion and kindness in order to treat a variety of psychiatric disorders with particular proficiency in mood disorders, trauma-related disorders, substance use disorders, and eating disorders. Alexis utilizes psychotherapy, creates treatment plans, prescribes clinically-supported medications, and provides diagnostic clarity and education.
(833) 313-0938 View (833) 313-0938
Photo of Chris Klebieko, Psychiatric Nurse Practitioner, DNP, PMHNP
Chris Klebieko
Psychiatric Nurse Practitioner, DNP, PMHNP
1 Endorsed
Online Only
I am currently accepting new clients 18+ for medication management and/or therapy. I specialized with clients who are challenged with OCD, anxiety, depression, panic attacks/disorders, grief and trauma. I am a firm believer of understanding your lived experience, because everyone’s presentation is different, unique and deserves a specialized and individualized treatment approach catered to your needs. This is why our first session will focus on learning who you are, identifying your goals and targeting your most problematic concerns with a holistic treatment plan.
I am currently accepting new clients 18+ for medication management and/or therapy. I specialized with clients who are challenged with OCD, anxiety, depression, panic attacks/disorders, grief and trauma. I am a firm believer of understanding your lived experience, because everyone’s presentation is different, unique and deserves a specialized and individualized treatment approach catered to your needs. This is why our first session will focus on learning who you are, identifying your goals and targeting your most problematic concerns with a holistic treatment plan.
(877) 863-0170 View (877) 863-0170
Photo of Matthew Hersey, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Matthew Hersey
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
13 Endorsed
Serves Area
In a fast-paced world, you might feel overwhelmed by anxiety, weighed down by depression, or struggle with focusing due to ADHD. You could be carrying the weight of past traumas, feeling like you're on a lonely path. It's important to know that many share these feelings. They don't define you or determine your future. At Granite State Behavioral Health, we see beyond the struggles to the unique individual with potential for growth and healing. Together, we can embark on a journey from where you are to where you dream to be, embracing a life of fulfillment.
In a fast-paced world, you might feel overwhelmed by anxiety, weighed down by depression, or struggle with focusing due to ADHD. You could be carrying the weight of past traumas, feeling like you're on a lonely path. It's important to know that many share these feelings. They don't define you or determine your future. At Granite State Behavioral Health, we see beyond the struggles to the unique individual with potential for growth and healing. Together, we can embark on a journey from where you are to where you dream to be, embracing a life of fulfillment.
(603) 515-1700 View (603) 515-1700
Photo of Katrina Hockey, Psychiatric Nurse Practitioner, PMHNP
Katrina Hockey
Psychiatric Nurse Practitioner, PMHNP
Online Only
You may be juggling work, relationships, and responsibilities while feeling stuck, overwhelmed, or burned out beneath the surface. You might have tried therapy, medication, or both before, but something still feels incomplete. You’re looking for real relief—not just coping—and care that truly sees you and adapts as your life evolves.
You may be juggling work, relationships, and responsibilities while feeling stuck, overwhelmed, or burned out beneath the surface. You might have tried therapy, medication, or both before, but something still feels incomplete. You’re looking for real relief—not just coping—and care that truly sees you and adapts as your life evolves.
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More Psychiatrists Nearby

Photo of Roosevelt Lewis - Unitas Healthcare Systems, LLC, Psychiatric Nurse Practitioner, PMHNP, C-NP
Unitas Healthcare Systems, LLC
Psychiatric Nurse Practitioner, PMHNP, C-NP
Online Only
Now Accepting New Patients — Don’t Wait to Get Help! Weekend & Evening Appointments Available! Experience the difference of private, personalized psychiatric care with Unitas Healthcare Systems. From children to older adults, our patients receive compassionate, discreet treatment — accessible anywhere in Massachusetts via secure telehealth. Get the care you need quickly and on your terms. Call today — appointments are filling fast!
Now Accepting New Patients — Don’t Wait to Get Help! Weekend & Evening Appointments Available! Experience the difference of private, personalized psychiatric care with Unitas Healthcare Systems. From children to older adults, our patients receive compassionate, discreet treatment — accessible anywhere in Massachusetts via secure telehealth. Get the care you need quickly and on your terms. Call today — appointments are filling fast!
(617) 401-7441 View (617) 401-7441
Photo of Margaret Abbott, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Margaret Abbott
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
3 Endorsed
Concord, NH 03301
Peggy has over 20 years of experience working within the mental health field, with a primary focus in dual diagnosis. She earned her MS in Gerontological Nursing (2003) and a Post-Master’s Certificate in Adult Psychiatric Mental Health (2012). She is Board Certified as Adult, Gerontological, and Psychiatric NP and has worked in a multitude of settings including, recovery centers, inpatient, ER, and outpatient settings. Her primary goal is to reduce stigma for those wanting to obtain treatment for their mental health and once they do, help these patients live their best lives.
Peggy has over 20 years of experience working within the mental health field, with a primary focus in dual diagnosis. She earned her MS in Gerontological Nursing (2003) and a Post-Master’s Certificate in Adult Psychiatric Mental Health (2012). She is Board Certified as Adult, Gerontological, and Psychiatric NP and has worked in a multitude of settings including, recovery centers, inpatient, ER, and outpatient settings. Her primary goal is to reduce stigma for those wanting to obtain treatment for their mental health and once they do, help these patients live their best lives.
(207) 506-0410 View (207) 506-0410
Photo of Amanda Hoegen, Psychiatric Nurse Practitioner, PMHNP-B, APRN
Amanda Hoegen
Psychiatric Nurse Practitioner, PMHNP-B, APRN
Barrington, NH 03825
I have immediate availability for individuals over 12 years old. To get started, complete our screening form found on our website at alliancementalhealth dot org. Throughout my experiences in behavioral health, I have felt that therapeutic relationships are best built on a foundation of warmth and support, rather than authoritarian instruction without shared decision-making. I offer a non-judgmental and safe space to explore emotions and behaviors that are difficult to acknowledge and confront, so that we can work on making you feel and function better.
I have immediate availability for individuals over 12 years old. To get started, complete our screening form found on our website at alliancementalhealth dot org. Throughout my experiences in behavioral health, I have felt that therapeutic relationships are best built on a foundation of warmth and support, rather than authoritarian instruction without shared decision-making. I offer a non-judgmental and safe space to explore emotions and behaviors that are difficult to acknowledge and confront, so that we can work on making you feel and function better.
(603) 343-2166 View (603) 343-2166
Photo of Colleen Estes - Healthy Mind Psychiatric Care, LLC, Psychiatric Nurse Practitioner, APRN, PMHNP, FNP
Healthy Mind Psychiatric Care, LLC
Psychiatric Nurse Practitioner, APRN, PMHNP, FNP
Concord, NH 03301
At Healthy Mind Psychiatric Care we understand the importance of meeting the individualized needs of the patient in a timely manner. Our experience enables us to offer effective outpatient, individualized, psychiatric care. When you walk through our doors you are no longer alone. Together we will work on a plan to help you live a better life. Telehealth and in-person visits are available.
At Healthy Mind Psychiatric Care we understand the importance of meeting the individualized needs of the patient in a timely manner. Our experience enables us to offer effective outpatient, individualized, psychiatric care. When you walk through our doors you are no longer alone. Together we will work on a plan to help you live a better life. Telehealth and in-person visits are available.
(603) 207-3141 View (603) 207-3141
Photo of Dr. Ilene B. Spitzer, Psychiatrist, MD
Dr. Ilene B. Spitzer
Psychiatrist, MD
Portsmouth, NH 03801
I am a Board Certified Child, Adolescent & Adult Psychiatrist. I work with kids, teens and young & older adults & do psychiatric evaluations, medication management, and therapy tailored both to your concerns about your mental health and well being and to your individual diagnoses. Your initial evaluation includes a thorough discussion of your mood, thinking, sleep, appetite, functioning, and relationships followed by sessions to derive a detailed history. I formulate a full understanding of your concerns about yourself and your diagnosis and provide you a detailed treatment plan to help you make your determination about your care.
I am a Board Certified Child, Adolescent & Adult Psychiatrist. I work with kids, teens and young & older adults & do psychiatric evaluations, medication management, and therapy tailored both to your concerns about your mental health and well being and to your individual diagnoses. Your initial evaluation includes a thorough discussion of your mood, thinking, sleep, appetite, functioning, and relationships followed by sessions to derive a detailed history. I formulate a full understanding of your concerns about yourself and your diagnosis and provide you a detailed treatment plan to help you make your determination about your care.
(877) 352-9638 View (877) 352-9638
Photo of Aslynn Romano, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Aslynn Romano
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
6 Endorsed
Concord, NH 03301
UPDATE: Accepting diagnostic evaluations for autism and consultation clients! Medication Management currently on wait list status. At Neurospace: Affirming Psychiatry & Counseling, I provide medication management, formal evaluations for autism spectrum disorder, and counseling to Neurodivergent individuals & those wondering if they are Autistic. Virtual appointments available to clients in NH, MA, CT & NY. As a Neurodivergent & LGTBQIA+ professional, I try to validate/normalize our shared human experiences while using evidence-based measures and psychoeducation to support my patient in their individual self-actualization journey.
UPDATE: Accepting diagnostic evaluations for autism and consultation clients! Medication Management currently on wait list status. At Neurospace: Affirming Psychiatry & Counseling, I provide medication management, formal evaluations for autism spectrum disorder, and counseling to Neurodivergent individuals & those wondering if they are Autistic. Virtual appointments available to clients in NH, MA, CT & NY. As a Neurodivergent & LGTBQIA+ professional, I try to validate/normalize our shared human experiences while using evidence-based measures and psychoeducation to support my patient in their individual self-actualization journey.
(603) 691-3834 View (603) 691-3834
LifeStance Health
Psychiatrist, MD
Concord, NH 03301
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(866) 545-1525 View (866) 545-1525
Photo of Rosemary Dougherty, Psychiatric Nurse Practitioner, MS, PMHNP, APRN
Rosemary Dougherty
Psychiatric Nurse Practitioner, MS, PMHNP, APRN
Online Only
I am Rosemary, a therapist and licensed psychiatric nurse practitioner who believes healing begins when you feel truly heard. You may be feeling overwhelmed by grief, change, or a life transition that has left you unsteady or unsure of what comes next. Perhaps you’re functioning on the outside, while inside you’re carrying loss, uncertainty, or a sense that something needs to shift. I work with adults navigating grief and major life transitions—those moments when life changes and you’re not quite sure who you are or where you’re headed.
I am Rosemary, a therapist and licensed psychiatric nurse practitioner who believes healing begins when you feel truly heard. You may be feeling overwhelmed by grief, change, or a life transition that has left you unsteady or unsure of what comes next. Perhaps you’re functioning on the outside, while inside you’re carrying loss, uncertainty, or a sense that something needs to shift. I work with adults navigating grief and major life transitions—those moments when life changes and you’re not quite sure who you are or where you’re headed.
(833) 506-1960 View (833) 506-1960
Photo of Dr. Sarah Walsh, Psychiatrist, MD
Dr. Sarah Walsh
Psychiatrist, MD
Concord, NH 03301
Dr. Sarah Walsh is a Board-Certified General and Child & Adolescent Psychiatrist with experience treating young children to young adults with a wide range of conditions. Dr. Walsh graduated from Yale with a BS in Biology and received her medical degree from the University of Connecticut before moving north to New Hampshire to complete her General and Child and Adolescent Psychiatry Residencies at Dartmouth-Hitchcock in Lebanon, NH. She served as Chief Resident of the Child and Adolescent Psychiatry Residency and was an Instructor in the Department of Psychiatry during her fifth and final year of residency.
Dr. Sarah Walsh is a Board-Certified General and Child & Adolescent Psychiatrist with experience treating young children to young adults with a wide range of conditions. Dr. Walsh graduated from Yale with a BS in Biology and received her medical degree from the University of Connecticut before moving north to New Hampshire to complete her General and Child and Adolescent Psychiatry Residencies at Dartmouth-Hitchcock in Lebanon, NH. She served as Chief Resident of the Child and Adolescent Psychiatry Residency and was an Instructor in the Department of Psychiatry during her fifth and final year of residency.
(844) 388-7652 View (844) 388-7652
Photo of Lili Wierbonics, Psychiatric Nurse Practitioner, MSN, PMHNP-B
Lili Wierbonics
Psychiatric Nurse Practitioner, MSN, PMHNP-B
Portsmouth, NH 03801
Lili Wierbonics is a board-certified Pediatric Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with over 18 years of experience working with children, adolescents, young adults and their families in the Seacoast area. Lili has an interest in working with individuals who struggle with anxiety, depression, OCD, ADHD, behavioral issues and eating disorders. Lili completed her pediatrics training through MGH Institute of Health Professions and her post-master's training in psychiatry through UNH. In her spare time, Lili loves cooking, gardening, kayaking, camping and hiking with family and friends.
Lili Wierbonics is a board-certified Pediatric Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with over 18 years of experience working with children, adolescents, young adults and their families in the Seacoast area. Lili has an interest in working with individuals who struggle with anxiety, depression, OCD, ADHD, behavioral issues and eating disorders. Lili completed her pediatrics training through MGH Institute of Health Professions and her post-master's training in psychiatry through UNH. In her spare time, Lili loves cooking, gardening, kayaking, camping and hiking with family and friends.
(603) 207-3197 View (603) 207-3197
Photo of Jan Archambault - Jan Archambault, Psychiatric Nurse Practitioner, PMHNP , MSN, BSN
Jan Archambault
Psychiatric Nurse Practitioner, PMHNP , MSN, BSN
Portsmouth, NH 03801
Do you often feel anxious, sad, and long for happiness in your life? Do you feel overwhelmed and frustrated that you aren’t able to move forward? Are you battling with body image, weight issues, and wishing you could make a change? I can help. I will help you identify your strengths and gain understanding of what is holding you back from feeling your best. We will work together to create realistic and practical strategies . Whether you are seeking psychotherapy, medication, or seeking help with creating a sustainable weight loss /exercise program, I am here to help you feel better mentally and physically.
Do you often feel anxious, sad, and long for happiness in your life? Do you feel overwhelmed and frustrated that you aren’t able to move forward? Are you battling with body image, weight issues, and wishing you could make a change? I can help. I will help you identify your strengths and gain understanding of what is holding you back from feeling your best. We will work together to create realistic and practical strategies . Whether you are seeking psychotherapy, medication, or seeking help with creating a sustainable weight loss /exercise program, I am here to help you feel better mentally and physically.
(603) 931-4024 View (603) 931-4024
Photo of Hallick Lehmann - True Self Mental Health, Psychiatric Nurse Practitioner, MSN, RN, PMHNP
True Self Mental Health
Psychiatric Nurse Practitioner, MSN, RN, PMHNP
6 Endorsed
Online Only
If you are tired of 'filtering' who you are just to feel safe and it’s leaving you too exhausted to keep up with your daily life, you’re not alone. At True Self Mental Health, I provide affirming psychiatric care and medication management for LGBTQ+ kids, teens, and adults. I believe you shouldn’t have to 'educate' your provider before you can get help for your anxiety. If you’re ready to see how medication can be a tool to help you feel grounded and more like yourself, click the 'Email Us' button or give me a call. I respond to all inquiries within 24 hours to help you take that first step.
If you are tired of 'filtering' who you are just to feel safe and it’s leaving you too exhausted to keep up with your daily life, you’re not alone. At True Self Mental Health, I provide affirming psychiatric care and medication management for LGBTQ+ kids, teens, and adults. I believe you shouldn’t have to 'educate' your provider before you can get help for your anxiety. If you’re ready to see how medication can be a tool to help you feel grounded and more like yourself, click the 'Email Us' button or give me a call. I respond to all inquiries within 24 hours to help you take that first step.
(603) 239-2309 View (603) 239-2309
Photo of Steven C Henricks, Psychiatrist, MD
Steven C Henricks
Psychiatrist, MD
Exeter, NH 03833
I am a board-certified adult psychiatrist in private practice in Exeter, New Hampshire. I have a profound interest in and commitment to the vocation of depth psychotherapy. In addition to careful attention to your life history and presenting problems, our work together often involves close examination of unconscious phenomena, including dreams, and nightmares, and sometimes spontaneous art and active imagination (engaging the unconscious while awake). My clients often have a history of trauma, especially childhood trauma. They often have been painfully alienated from others and have a strong connection to the unconscious and to nature.
I am a board-certified adult psychiatrist in private practice in Exeter, New Hampshire. I have a profound interest in and commitment to the vocation of depth psychotherapy. In addition to careful attention to your life history and presenting problems, our work together often involves close examination of unconscious phenomena, including dreams, and nightmares, and sometimes spontaneous art and active imagination (engaging the unconscious while awake). My clients often have a history of trauma, especially childhood trauma. They often have been painfully alienated from others and have a strong connection to the unconscious and to nature.
(603) 567-4228 View (603) 567-4228
Photo of Kimberly Contant - For You Behavioral Health, LLC , Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, CNL
For You Behavioral Health, LLC
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, CNL
1 Endorsed
Concord, NH 03301
Are you tired of doing the same thing over and over? Do you feel like you have tried all the medications and nothing is working? At For You Behavioral Health, LLC we believe in looking at each person as a unique individual. We provide a holistic approach that provides an uplifting, unbiased understanding of who you are. It is our goal to provide real solutions to your every day problems. We put you first, for you to be your best self.
Are you tired of doing the same thing over and over? Do you feel like you have tried all the medications and nothing is working? At For You Behavioral Health, LLC we believe in looking at each person as a unique individual. We provide a holistic approach that provides an uplifting, unbiased understanding of who you are. It is our goal to provide real solutions to your every day problems. We put you first, for you to be your best self.
(603) 522-7039 View (603) 522-7039

See more therapy options for Rochester

How does your Psychiatrist compare?

Number of Psychiatrists in Rochester, NH

< 10

Psychiatrists in Rochester, NH who prioritize treating:

100% Depression
100% Anxiety
100% Obsessive-Compulsive (OCD)
100% Bipolar Disorder
67% Trauma and PTSD
67% Anger Management
67% Sleep or Insomnia

Average years in practice

6 Years

Top 3 insurances accepted

83% Aetna
83% BlueCross and BlueShield
83% UnitedHealthcare UHC | UBH

How Psychiatrists in Rochester, NH see their clients

67% Online Only
33% In Person and Online

Gender breakdown

60% Female
40% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Rochester?

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.