Psychiatrists in Otsego County, NY

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Photo of Lisa Palkert-Dawes - Preventive Psychiatric Care , Psychiatric Nurse Practitioner, PMHNP, BC
Preventive Psychiatric Care
Psychiatric Nurse Practitioner, PMHNP, BC
Serves Area
Hello. My name is Lisa Palkert-Dawes, I am a board certified psychiatric nurse practitioner. With over a decade of diverse clinical experience, I've had the privilege of guiding clients through the intricate landscape of mental health. I specialize in treating diverse populations, including postpartum/peripartum individuals, LGBTQ+ individuals, the geriatric population, victims of domestic violence, military veterans, individuals with comorbid medical issues, and patients with neurocognitive disorders, addiction treatment for substance use disorders and co-occurring mental health conditions.
Hello. My name is Lisa Palkert-Dawes, I am a board certified psychiatric nurse practitioner. With over a decade of diverse clinical experience, I've had the privilege of guiding clients through the intricate landscape of mental health. I specialize in treating diverse populations, including postpartum/peripartum individuals, LGBTQ+ individuals, the geriatric population, victims of domestic violence, military veterans, individuals with comorbid medical issues, and patients with neurocognitive disorders, addiction treatment for substance use disorders and co-occurring mental health conditions.
(607) 524-3809 View (607) 524-3809
Photo of Thomas Grant, Psychiatric Nurse Practitioner, DNP, PMHNP
Thomas Grant
Psychiatric Nurse Practitioner, DNP, PMHNP
Online Only
Clients often tell me that they would like to address concerns that are impacting their enjoyment of life as they work to achieve their goals and greater happiness. Over my years providing medication management, psychiatric evaluation, and therapy, I've worked with clients on challenges ranging from anxiety to ADHD to mood disturbances including depression. Many of these conditions also include difficulty with sleep, which I've helped clients improve as well. We can talk about the other stressors in your life as much as you would find it to be helpful for you. I have also worked for a program helping young adults with psychosis.
Clients often tell me that they would like to address concerns that are impacting their enjoyment of life as they work to achieve their goals and greater happiness. Over my years providing medication management, psychiatric evaluation, and therapy, I've worked with clients on challenges ranging from anxiety to ADHD to mood disturbances including depression. Many of these conditions also include difficulty with sleep, which I've helped clients improve as well. We can talk about the other stressors in your life as much as you would find it to be helpful for you. I have also worked for a program helping young adults with psychosis.
(646) 956-1319 View (646) 956-1319
Photo of Katelyn Burgo, Psychiatric Nurse Practitioner, PMHNP, BC
Katelyn Burgo
Psychiatric Nurse Practitioner, PMHNP, BC
12 Endorsed
Serves Area
Most patients generally have the goal of having a collaborative partnership with their provider and this is something that you can expect from me. I like to establish honest and trusting relationships so that we can come up with an appropriate treatment plan together! I highly encourage my patients to not only utilize medication management to alleviate their symptoms but also participate in recommended lifestyle changes and choices to accelerate their mental health journey. If you are interested in using a combination of medication and holistic practice to alleviate your mental health systems, we will most likely be a good fit!
Most patients generally have the goal of having a collaborative partnership with their provider and this is something that you can expect from me. I like to establish honest and trusting relationships so that we can come up with an appropriate treatment plan together! I highly encourage my patients to not only utilize medication management to alleviate their symptoms but also participate in recommended lifestyle changes and choices to accelerate their mental health journey. If you are interested in using a combination of medication and holistic practice to alleviate your mental health systems, we will most likely be a good fit!
(607) 703-3191 View (607) 703-3191
Photo of Jonathan Fillers, Psychiatric Nurse Practitioner, PMHNP
Jonathan Fillers
Psychiatric Nurse Practitioner, PMHNP
Serves Area
Are you finding that life has become exceedingly difficult, and nothing seems to be going your way? Have you recently lost a family member, a loved one, a relationship, gotten sick, or do you feel stuck at a dead-end job? Do you have unhealthy relationships and struggle to establish boundaries and set standards for yourself? Do you currently lack effective coping skills or are you making unhealthy lifestyle choices? If you strive for a happy, healthy, and fulfilling life, but are struggling to navigate through all of life's challenges, I can help guide you through.
Are you finding that life has become exceedingly difficult, and nothing seems to be going your way? Have you recently lost a family member, a loved one, a relationship, gotten sick, or do you feel stuck at a dead-end job? Do you have unhealthy relationships and struggle to establish boundaries and set standards for yourself? Do you currently lack effective coping skills or are you making unhealthy lifestyle choices? If you strive for a happy, healthy, and fulfilling life, but are struggling to navigate through all of life's challenges, I can help guide you through.
(607) 400-6942 View (607) 400-6942
Photo of Khalid Sethi - NeuroSciences and Spine Group, Psychiatrist, MD, FACS, FAANS
NeuroSciences and Spine Group
Psychiatrist, MD, FACS, FAANS
Serves Area
After being in practice in Neurosurgery for 25 years; I am in awe at the amazing ability of the nervous system to heal itself with NeuroModulation. The NeuroSciences and Spine Group brings practitioners from related but different disciplines together : Psychiatry, Neurology and NeuroSurgery, in a coordinated team based approach to deliver the Care that you deserve . Partnering with SUNY -Upstate Psychiatry and NeuroStar we now offer TMS therapy for patients with Medically Refractory Depression and Anxiety.
After being in practice in Neurosurgery for 25 years; I am in awe at the amazing ability of the nervous system to heal itself with NeuroModulation. The NeuroSciences and Spine Group brings practitioners from related but different disciplines together : Psychiatry, Neurology and NeuroSurgery, in a coordinated team based approach to deliver the Care that you deserve . Partnering with SUNY -Upstate Psychiatry and NeuroStar we now offer TMS therapy for patients with Medically Refractory Depression and Anxiety.
(315) 679-4469 View (315) 679-4469

Online Psychiatrists

Photo of DAVID ROSSI, Psychiatric Nurse Practitioner, PMHNP
DAVID ROSSI
Psychiatric Nurse Practitioner, PMHNP
Online Only
Are you feeling overwhelmed by your symptoms or tired of being misunderstood in mental health care? You deserve support that honors your full story, identity, and lived experience. I work with adults navigating depression, anxiety, ADHD, bipolar disorder, schizophrenia, PTSD, and the lasting effects of trauma. My goal is to create a space where you feel genuinely seen, respected, and safe—especially if you’ve ever felt “othered” or unheard in the past.
Are you feeling overwhelmed by your symptoms or tired of being misunderstood in mental health care? You deserve support that honors your full story, identity, and lived experience. I work with adults navigating depression, anxiety, ADHD, bipolar disorder, schizophrenia, PTSD, and the lasting effects of trauma. My goal is to create a space where you feel genuinely seen, respected, and safe—especially if you’ve ever felt “othered” or unheard in the past.
(845) 273-3910 View (845) 273-3910
Photo of Rupert L Thompson, Psychiatric Nurse Practitioner, PMHNP
Rupert L Thompson
Psychiatric Nurse Practitioner, PMHNP
Online Only
Many of my clients are high-achieving professionals who appear successful on the outside but feel overwhelmed, stressed, or stuck internally. They may be dealing with anxiety, burnout, pressure to perform, relationship struggles, or the weight of always having to be “the strong one.” Many men I work with were never taught how to process emotions or ask for support, so they often carry stress, frustration, or self-doubt in silence. My clients want more than just coping—they want clarity, control, and a better way to handle pressure without sacrificing their well-being or relationships.
Many of my clients are high-achieving professionals who appear successful on the outside but feel overwhelmed, stressed, or stuck internally. They may be dealing with anxiety, burnout, pressure to perform, relationship struggles, or the weight of always having to be “the strong one.” Many men I work with were never taught how to process emotions or ask for support, so they often carry stress, frustration, or self-doubt in silence. My clients want more than just coping—they want clarity, control, and a better way to handle pressure without sacrificing their well-being or relationships.
(347) 244-7988 View (347) 244-7988
Photo of Wendy Reiss, Psychiatric Nurse Practitioner, MSN, NP
Wendy Reiss
Psychiatric Nurse Practitioner, MSN, NP
Salt Point, NY 12578
With a decade-long experience in psychiatric medication management and a very personable style, Wendy will be your ally in your quest for balance and well-being. She specializes in anxiety, depression and substance use and is well versed in several treatment modalities. Wendy sees patients via TeleHealth only.
With a decade-long experience in psychiatric medication management and a very personable style, Wendy will be your ally in your quest for balance and well-being. She specializes in anxiety, depression and substance use and is well versed in several treatment modalities. Wendy sees patients via TeleHealth only.
(646) 687-7326 View (646) 687-7326
Photo of Micaela Meredith, Psychiatric Nurse Practitioner, PMHNP, APRN
Micaela Meredith
Psychiatric Nurse Practitioner, PMHNP, APRN
1 Endorsed
Online Only
Micaela Meredith, PMHNP-BC, APRN-BC, is a board certified nurse practitioner who provides psychotherapy and medication management for individuals aged five and up. Micaela takes a person-centered approach to help those seeking assistance for their mental health, specifically working with those dealing with ADHD, anxiety, and depression. Sessions are offered via Telehealth for residents of New York and Connecticut.
Micaela Meredith, PMHNP-BC, APRN-BC, is a board certified nurse practitioner who provides psychotherapy and medication management for individuals aged five and up. Micaela takes a person-centered approach to help those seeking assistance for their mental health, specifically working with those dealing with ADHD, anxiety, and depression. Sessions are offered via Telehealth for residents of New York and Connecticut.
(845) 498-1088 View (845) 498-1088
Photo of Joseph Kasamba, Psychiatric Nurse Practitioner, DNP, , PMHNP
Joseph Kasamba
Psychiatric Nurse Practitioner, DNP, , PMHNP
Online Only
Great to meet you—I’m glad you’re here. As a Doctor of Nursing Practice (DNP), I specialize in helping individuals navigate challenges like anxiety, depression, bipolar disorder, sleep concerns, and trauma-related stress. I understand how overwhelming and interconnected these symptoms can feel. My goal is to provide compassionate, whole-person care that supports both your emotional well-being and overall health so you can regain stability, clarity, and confidence in your life.
Great to meet you—I’m glad you’re here. As a Doctor of Nursing Practice (DNP), I specialize in helping individuals navigate challenges like anxiety, depression, bipolar disorder, sleep concerns, and trauma-related stress. I understand how overwhelming and interconnected these symptoms can feel. My goal is to provide compassionate, whole-person care that supports both your emotional well-being and overall health so you can regain stability, clarity, and confidence in your life.
(929) 405-1841 View (929) 405-1841
Photo of Iris A. Grett, Psychiatric Nurse Practitioner, PMHNP, BSN
Iris A. Grett
Psychiatric Nurse Practitioner, PMHNP, BSN
1 Endorsed
Poughkeepsie, NY 12601
I am a Board Certified Psychiatric Mental Health Nurse Practitioner. I attended SUNY Delhi University receiving a BSN and then obtained a second masters degree from Sage University as a Psychiatric Nurse Practitioner. I have worked with many different groups of patients that have dealt with depression, anxiety, OCD, and many other mental states. In my therapy and medication management, I utilize my philosophy of empathy, individual worth, ethics and diplomacy to make a positive difference with my patients.
I am a Board Certified Psychiatric Mental Health Nurse Practitioner. I attended SUNY Delhi University receiving a BSN and then obtained a second masters degree from Sage University as a Psychiatric Nurse Practitioner. I have worked with many different groups of patients that have dealt with depression, anxiety, OCD, and many other mental states. In my therapy and medication management, I utilize my philosophy of empathy, individual worth, ethics and diplomacy to make a positive difference with my patients.
(845) 671-3551 View (845) 671-3551
Photo of Faisal Rafiq, Psychiatrist, MD
Faisal Rafiq
Psychiatrist, MD
2 Endorsed
Albany, NY 12203
According to Federal Mandate all New Patients must be seen in person, in the office to establish care…Dr. Faisal Rafiq is a Psychiatrist and has been practicing since 2008, gaining vast experience throughout the field of Psychiatry, medication management, Psychvisit is a Full Service psychiatric practice offering state of the art treatments such as Genetic Testing, TMS therapy, Spravato Treatment, Long Acting injectables for Bipolar and Addiction.
According to Federal Mandate all New Patients must be seen in person, in the office to establish care…Dr. Faisal Rafiq is a Psychiatrist and has been practicing since 2008, gaining vast experience throughout the field of Psychiatry, medication management, Psychvisit is a Full Service psychiatric practice offering state of the art treatments such as Genetic Testing, TMS therapy, Spravato Treatment, Long Acting injectables for Bipolar and Addiction.
(631) 856-2627 View (631) 856-2627
Photo of Madeleine M Castellanos, Psychiatrist, MD
Madeleine M Castellanos
Psychiatrist, MD
Online Only
I have 2 different, but overlapping, focuses in my practice. I am a holistic/nutritional psychiatrist, using a functional medicine approach to health and wellness, thereby trying to reduce or eliminate the need for medications. I also have a 15yr+ specialty in sex therapy with couples/individuals treating all sexual dysfunctions in all areas of desire, arousal, orgasm, pain, or sexual issues that interfere with a couple's happiness. I give couples & individuals a holistic understanding of their sexual difficulties - incorporating physical, psychological, emotional, and relational - to enhance sexual pleasure while maintaining balance in one's physical and emotional health.
I have 2 different, but overlapping, focuses in my practice. I am a holistic/nutritional psychiatrist, using a functional medicine approach to health and wellness, thereby trying to reduce or eliminate the need for medications. I also have a 15yr+ specialty in sex therapy with couples/individuals treating all sexual dysfunctions in all areas of desire, arousal, orgasm, pain, or sexual issues that interfere with a couple's happiness. I give couples & individuals a holistic understanding of their sexual difficulties - incorporating physical, psychological, emotional, and relational - to enhance sexual pleasure while maintaining balance in one's physical and emotional health.
(917) 740-4996 View (917) 740-4996
Photo of Stephen Valladares, Psychiatric Nurse Practitioner, MS, PMHNP, BC
Stephen Valladares
Psychiatric Nurse Practitioner, MS, PMHNP, BC
1 Endorsed
Online Only
You might be struggling with focus and organization, wondering if ADHD has been holding you back. Perhaps anxiety has become overwhelming, affecting your work, relationships, and daily life. Maybe depression has made everything feel exhausting, or mood swings are disrupting your stability. You're looking for answers - a clear diagnosis, effective treatment, and relief from symptoms impacting your quality of life. You want a provider who listens, explains options clearly, and partners with you in care. You're ready to feel like yourself again - focused, calm, and capable of enjoying life. You deserve compassionate support.
You might be struggling with focus and organization, wondering if ADHD has been holding you back. Perhaps anxiety has become overwhelming, affecting your work, relationships, and daily life. Maybe depression has made everything feel exhausting, or mood swings are disrupting your stability. You're looking for answers - a clear diagnosis, effective treatment, and relief from symptoms impacting your quality of life. You want a provider who listens, explains options clearly, and partners with you in care. You're ready to feel like yourself again - focused, calm, and capable of enjoying life. You deserve compassionate support.
(845) 386-7105 View (845) 386-7105
Photo of Leinani Margolin, Psychiatric Nurse Practitioner, PMHNP
Leinani Margolin
Psychiatric Nurse Practitioner, PMHNP
New Paltz, NY 12561
Leinani Margolin, M.S.N., ARNP, is a certified psychiatric mental health nurse practitioner who provides therapy and medication management to women age 18-65 with anxiety, depression, ADHD, perinatal mood disorders and postpartum depression and anxiety. She considers biological, psychological and social aspects when addressing behavioral health concerns. She works to develop a balanced, holistic care plan that will support each client in their journey of healing and growth. Leinani is currently not accepting new clients.
Leinani Margolin, M.S.N., ARNP, is a certified psychiatric mental health nurse practitioner who provides therapy and medication management to women age 18-65 with anxiety, depression, ADHD, perinatal mood disorders and postpartum depression and anxiety. She considers biological, psychological and social aspects when addressing behavioral health concerns. She works to develop a balanced, holistic care plan that will support each client in their journey of healing and growth. Leinani is currently not accepting new clients.
(845) 723-3740 View (845) 723-3740
Photo of ERIN K CAVALLO, Psychiatric Nurse Practitioner, PMHNP
ERIN K CAVALLO
Psychiatric Nurse Practitioner, PMHNP
Syracuse, NY 13215
Are you tired of feeling like your doctor isn't hearing the whole story? You know something is off, but your labs come back "normal" and your appointments feel rushed. You've tried medication, but it only helps some, and you're still not where you want to be. If you're doing "okay" but not thriving, and you're ready to move beyond just managing symptoms, you're in the right place. I help adults in Syracuse and across New York find clarity and get to the root cause of their anxiety, depression, and chronic stress.
Are you tired of feeling like your doctor isn't hearing the whole story? You know something is off, but your labs come back "normal" and your appointments feel rushed. You've tried medication, but it only helps some, and you're still not where you want to be. If you're doing "okay" but not thriving, and you're ready to move beyond just managing symptoms, you're in the right place. I help adults in Syracuse and across New York find clarity and get to the root cause of their anxiety, depression, and chronic stress.
(315) 756-2827 View (315) 756-2827
Photo of Sonya L Sariego, Psychiatric Nurse Practitioner, PMHNP
Sonya L Sariego
Psychiatric Nurse Practitioner, PMHNP
Online Only
My philosophy towards mental health treatment is grounded in the belief that it is a collaborative and non-judgmental process, where each individual’s unique experiences and perspectives are valued. I view mental health care as a team effort, recognizing that effective treatment involves not only the expertise of healthcare professionals but also the active participation and insights of the individuals they serve.
My philosophy towards mental health treatment is grounded in the belief that it is a collaborative and non-judgmental process, where each individual’s unique experiences and perspectives are valued. I view mental health care as a team effort, recognizing that effective treatment involves not only the expertise of healthcare professionals but also the active participation and insights of the individuals they serve.
(877) 339-2873 View (877) 339-2873
Photo of Dr. Shawn Faust, Psychiatric Nurse Practitioner, DNP, PMHNP
Dr. Shawn Faust
Psychiatric Nurse Practitioner, DNP, PMHNP
2 Endorsed
Online Only
Dr. Shawn Faust, DNP, PMHNP-BC is a Psychiatric Nurse Practitioner who brings a patient-centric approach to the field of mental health. His philosophy centers around the belief that individuals are experts in their own experiences, and collaboration between the patient and their mental health provider is essential for effective and personalized treatment. He believes that informed patients are better equipped to navigate their unique mental health challenges. Thus, treatment with Dr. Faust often involves teaching patients about their diagnosis and discussing the pros and cons of various treatment options.
Dr. Shawn Faust, DNP, PMHNP-BC is a Psychiatric Nurse Practitioner who brings a patient-centric approach to the field of mental health. His philosophy centers around the belief that individuals are experts in their own experiences, and collaboration between the patient and their mental health provider is essential for effective and personalized treatment. He believes that informed patients are better equipped to navigate their unique mental health challenges. Thus, treatment with Dr. Faust often involves teaching patients about their diagnosis and discussing the pros and cons of various treatment options.
(518) 507-5031 View (518) 507-5031
Photo of Julie Middleton, Psychiatric Nurse Practitioner, PMHNP-B
Julie Middleton
Psychiatric Nurse Practitioner, PMHNP-B
East Syracuse, NY 13057
Welcome to Dynamic Emotional Wellness! I am a Board Certified Psychiatric Nurse Practitioner since 2013. I recognize that each individual is unique and that psychiatric issues can be challenging. Clients who present to me are often struggling with depression, anxiety, OCD, ADD or schizophrenia and benefit from the assistance that medications can provide. I work one-on-one with clients to develop a treatment program that they are comfortable with and that helps them move toward reaching their goals. I also offer full neurocognitive testing for ADHD diagnosis!
Welcome to Dynamic Emotional Wellness! I am a Board Certified Psychiatric Nurse Practitioner since 2013. I recognize that each individual is unique and that psychiatric issues can be challenging. Clients who present to me are often struggling with depression, anxiety, OCD, ADD or schizophrenia and benefit from the assistance that medications can provide. I work one-on-one with clients to develop a treatment program that they are comfortable with and that helps them move toward reaching their goals. I also offer full neurocognitive testing for ADHD diagnosis!
(877) 339-2873 View (877) 339-2873
Photo of Dominique Sanders, Psychiatric Nurse Practitioner, PhD, PMHNP, APRN, BC
Dominique Sanders
Psychiatric Nurse Practitioner, PhD, PMHNP, APRN, BC
Online Only
Do you find yourself feeling on edge with anxiety, stress, and worried sick no matter what you do? Anxiety leaves us feeling panicked, exhausted and disconnected. You’re someone who deeply wants to feel peace, relaxed, and safe but still find yourself feeling out of control and heart racing. You want to feel calm and have no idea how to get there. You are ready to feel like yourself again, grounded with no fear or panic. You are ready to feel at ease in public and embrace connection at work and in your relationships. Most of all, you are ready to be free from the burden of anxiety, causing depression- I can help you get there.
Do you find yourself feeling on edge with anxiety, stress, and worried sick no matter what you do? Anxiety leaves us feeling panicked, exhausted and disconnected. You’re someone who deeply wants to feel peace, relaxed, and safe but still find yourself feeling out of control and heart racing. You want to feel calm and have no idea how to get there. You are ready to feel like yourself again, grounded with no fear or panic. You are ready to feel at ease in public and embrace connection at work and in your relationships. Most of all, you are ready to be free from the burden of anxiety, causing depression- I can help you get there.
(702) 605-6561 View (702) 605-6561

See more therapy options for Otsego County

How does your Psychiatrist compare?

Number of Psychiatrists in Otsego County, NY

< 10

Psychiatrists in Otsego County, NY who prioritize treating:

80% Depression
80% Anxiety
80% Trauma and PTSD
80% Bipolar Disorder
60% ADHD
60% Obsessive-Compulsive (OCD)
60% Psychosis

Average years in practice

7 Years

Top 3 insurances accepted

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

How Psychiatrists in Otsego County, NY see their clients

80% In Person and Online
20% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Otsego County?

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.