Psychiatrists in Saranac Lake, NY

Photo of Danielle Cullen, Psychiatric Nurse Practitioner, PMHNP, BC
Danielle Cullen
Psychiatric Nurse Practitioner, PMHNP, BC
8 Endorsed
Serves Area
Seeking psychiatric care can feel overwhelming, especially when you or someone you love is struggling and unsure where to turn. I provide thoughtful, compassionate care for adults experiencing ADHD, anxiety, bipolar disorder, depression, OCD, schizophrenia, and sleep disturbances. I also have extensive experience working with medically complex individuals, including those with neuropsychiatric symptoms related to Parkinson’s disease, dementia, and other medical conditions. My approach is collaborative and holistic, focused on understanding the whole person and creating realistic, individualized treatment plans.
Seeking psychiatric care can feel overwhelming, especially when you or someone you love is struggling and unsure where to turn. I provide thoughtful, compassionate care for adults experiencing ADHD, anxiety, bipolar disorder, depression, OCD, schizophrenia, and sleep disturbances. I also have extensive experience working with medically complex individuals, including those with neuropsychiatric symptoms related to Parkinson’s disease, dementia, and other medical conditions. My approach is collaborative and holistic, focused on understanding the whole person and creating realistic, individualized treatment plans.
(845) 583-0173 View (845) 583-0173

More Psychiatrists Nearby

Photo of Alexis Mondella, Psychiatric Nurse Practitioner, PMHNP, FNP
Alexis Mondella
Psychiatric Nurse Practitioner, PMHNP, FNP
Online Only
I’m a dual board-certified nurse practitioner in Family Medicine and Psychiatry, with additional training in neurology. I started my career in primary care over 10 years ago, where I saw firsthand how often mental health concerns were either overlooked or not given the time they truly deserved. Over the past two years, I’ve focused on providing thoughtful, individualized psychiatric care while still drawing on my background in primary care and neurology. I aim to create an environment where patients feel comfortable being open, while also receiving clear guidance and actionable next steps.
I’m a dual board-certified nurse practitioner in Family Medicine and Psychiatry, with additional training in neurology. I started my career in primary care over 10 years ago, where I saw firsthand how often mental health concerns were either overlooked or not given the time they truly deserved. Over the past two years, I’ve focused on providing thoughtful, individualized psychiatric care while still drawing on my background in primary care and neurology. I aim to create an environment where patients feel comfortable being open, while also receiving clear guidance and actionable next steps.
(518) 656-0647 View (518) 656-0647
Photo of Kim Walker - Kim Walker PMHNP- Positive Paths, Psychiatric Nurse Practitioner, MSN, PMHNP, BC
Kim Walker PMHNP- Positive Paths
Psychiatric Nurse Practitioner, MSN, PMHNP, BC
4 Endorsed
Online Only
I am committed to making individuals feel heard and to building strong therapeutic relationships with each client I care for. With over 25 years of psychiatric and mental health experience at the University of Rochester, my primary focus is on providing compassionate, patient-centered care. I am an ANCC board-certified Psychiatric Mental Health Nurse Practitioner and earned my Master’s in Psychiatric and Mental Health Nursing from Stony Brook University. I am looking forward to working with you. :)
I am committed to making individuals feel heard and to building strong therapeutic relationships with each client I care for. With over 25 years of psychiatric and mental health experience at the University of Rochester, my primary focus is on providing compassionate, patient-centered care. I am an ANCC board-certified Psychiatric Mental Health Nurse Practitioner and earned my Master’s in Psychiatric and Mental Health Nursing from Stony Brook University. I am looking forward to working with you. :)
(585) 669-6036 View (585) 669-6036
Photo of Magdalie Querette, Psychiatric Nurse Practitioner, ARNP, PMHNP
Magdalie Querette
Psychiatric Nurse Practitioner, ARNP, PMHNP
Online Only
Our ideal clients are people who are successful on the outside but feel stuck, overwhelmed, disconnected, or exhausted internally. They may be experiencing anxiety, marital problems, life transitions, exhaustion, trauma, loss, or a constant sense that something in their life is off. Many come to us after “pushing through” on their own, and recognizing they desire greater support, clarity and sustainable transformation. Through personalized, collaborative, and compassionate care, our team assists clients in progressing. Our goal is to provide a secure place for clients to slow down, acquire insight, develop practical tools.
Our ideal clients are people who are successful on the outside but feel stuck, overwhelmed, disconnected, or exhausted internally. They may be experiencing anxiety, marital problems, life transitions, exhaustion, trauma, loss, or a constant sense that something in their life is off. Many come to us after “pushing through” on their own, and recognizing they desire greater support, clarity and sustainable transformation. Through personalized, collaborative, and compassionate care, our team assists clients in progressing. Our goal is to provide a secure place for clients to slow down, acquire insight, develop practical tools.
(855) 290-1468 View (855) 290-1468

Online Psychiatrists

Photo of Dr. Shawn Faust, Psychiatric Nurse Practitioner, DNP, PMHNP
Dr. Shawn Faust
Psychiatric Nurse Practitioner, DNP, PMHNP
2 Endorsed
Online Only
Shawn Faust, DNP, PMHNP, has been in clinical practice since 2018, specializing in OCD and OC-spectrum conditions including Body Dysmorphic Disorder, Hoarding Disorder, Excoriation Disorder, and Trichotillomania. He provides OCD medication management via telehealth to patients across New York. Many have received prior treatment without reaching anti-obsessional SSRI doses or with agents lacking anti-obsessional indication. His focus is anti-obsessional pharmacotherapy and augmentation for treatment-resistant OCD, integrated with ERP-based therapy.
Shawn Faust, DNP, PMHNP, has been in clinical practice since 2018, specializing in OCD and OC-spectrum conditions including Body Dysmorphic Disorder, Hoarding Disorder, Excoriation Disorder, and Trichotillomania. He provides OCD medication management via telehealth to patients across New York. Many have received prior treatment without reaching anti-obsessional SSRI doses or with agents lacking anti-obsessional indication. His focus is anti-obsessional pharmacotherapy and augmentation for treatment-resistant OCD, integrated with ERP-based therapy.
(336) 515-1193 View (336) 515-1193
Photo of Ceci Hayes, Psychiatric Nurse Practitioner, PMHNP, BC
Ceci Hayes
Psychiatric Nurse Practitioner, PMHNP, BC
Saratoga Springs, NY 12866
Ceci Hayes is a board certified psychiatric mental health nurse practitioner with over 25-years of experience as a registered nurse and over 18-years of experience in mental health. Her goals are to assist individuals achieve their personal and professional aspirations and aid in removing the stigma associated with mental illness. Ceci's approach includes medication management, psycho-educational learning, psychotherapy encompassing DBT, CBT, group and individual therapy. This holistic approach includes exploring biological, social, emotional, occupational, financial, environmental, intellectual, and spiritual factors.
Ceci Hayes is a board certified psychiatric mental health nurse practitioner with over 25-years of experience as a registered nurse and over 18-years of experience in mental health. Her goals are to assist individuals achieve their personal and professional aspirations and aid in removing the stigma associated with mental illness. Ceci's approach includes medication management, psycho-educational learning, psychotherapy encompassing DBT, CBT, group and individual therapy. This holistic approach includes exploring biological, social, emotional, occupational, financial, environmental, intellectual, and spiritual factors.
(518) 245-3288 View (518) 245-3288
Photo of Nicole Gauger, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Nicole Gauger
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Glens Falls, NY 12801
If you’re ready to feel stronger, more grounded, and more like yourself again, I’m here to help. I work with clients who want more than a place to vent—they want meaningful change, deeper insight, and tools that support lasting growth. Together, we’ll create a safe, supportive space to better understand what’s holding you back, build resilience, and lay a stronger foundation for your well-being, confidence, and long-term success.
If you’re ready to feel stronger, more grounded, and more like yourself again, I’m here to help. I work with clients who want more than a place to vent—they want meaningful change, deeper insight, and tools that support lasting growth. Together, we’ll create a safe, supportive space to better understand what’s holding you back, build resilience, and lay a stronger foundation for your well-being, confidence, and long-term success.
(518) 628-9188 View (518) 628-9188
Photo of Brett Nelson, Psychiatrist, MD
Brett Nelson
Psychiatrist, MD
Saratoga Springs, NY 12866
Dr. Brett R. Nelson is a distinguished psychiatrist and the owner of the New York Center for Psychiatry and Psychotherapy (NYCP). He also serves as the Chief Medical Officer at Four Winds Hospital in Saratoga Springs. His professional journey spans nearly two decades, and he is an alumnus of the University of South Dakota Sanford School of Medicine, holding a Bachelor's degree in Biology and Psychology from Augustana University.
Dr. Brett R. Nelson is a distinguished psychiatrist and the owner of the New York Center for Psychiatry and Psychotherapy (NYCP). He also serves as the Chief Medical Officer at Four Winds Hospital in Saratoga Springs. His professional journey spans nearly two decades, and he is an alumnus of the University of South Dakota Sanford School of Medicine, holding a Bachelor's degree in Biology and Psychology from Augustana University.
(518) 684-7586 View (518) 684-7586
Photo of Shelby Sleasman, Psychiatric Nurse Practitioner, PMHNP, CNM
Shelby Sleasman
Psychiatric Nurse Practitioner, PMHNP, CNM
Online Only
I’m a psychiatric nurse practitioner offering medication management. With over a decade of experience in women’s health as a nurse midwife, my background has shaped my approach to psychiatric care by emphasizing comprehensive, individualized treatment. I believe in providing care that recognizes the interconnectedness of mental and physical health while honoring each person’s unique experience. That background taught me how to sit with people in vulnerable moments, listen without rushing, and support them through real-life transitions with steadiness and compassion.
I’m a psychiatric nurse practitioner offering medication management. With over a decade of experience in women’s health as a nurse midwife, my background has shaped my approach to psychiatric care by emphasizing comprehensive, individualized treatment. I believe in providing care that recognizes the interconnectedness of mental and physical health while honoring each person’s unique experience. That background taught me how to sit with people in vulnerable moments, listen without rushing, and support them through real-life transitions with steadiness and compassion.
(518) 768-9636 View (518) 768-9636
Photo of Stacy Colwell, Psychiatric Nurse Practitioner, PMHNP, FNP
Stacy Colwell
Psychiatric Nurse Practitioner, PMHNP, FNP
Saratoga Springs, NY 12866
I’m a dual-certified psychiatric and family nurse practitioner at Manuel Astruc, M.D. & Associates, where I provide care for individuals ages 16 and up. I offer evaluations and medication management with a whole-person perspective that looks beyond symptoms to overall well-being. As part of our team, I also coordinate with Dr. Astruc to offer advanced treatments like Deep Transcranial Magnetic Stimulation (TMS) and Spravato (esketamine) for treatment-resistant depression. Our goal is to help you feel better faster with care that’s personalized, collaborative, and built around your needs.
I’m a dual-certified psychiatric and family nurse practitioner at Manuel Astruc, M.D. & Associates, where I provide care for individuals ages 16 and up. I offer evaluations and medication management with a whole-person perspective that looks beyond symptoms to overall well-being. As part of our team, I also coordinate with Dr. Astruc to offer advanced treatments like Deep Transcranial Magnetic Stimulation (TMS) and Spravato (esketamine) for treatment-resistant depression. Our goal is to help you feel better faster with care that’s personalized, collaborative, and built around your needs.
(518) 900-7040 View (518) 900-7040
Photo of Desmonique Homs, Psychiatric Nurse Practitioner, PMHNP-, BC, MSN, RN
Desmonique Homs
Psychiatric Nurse Practitioner, PMHNP-, BC, MSN, RN
Galway, NY 12074
I am a Psychiatric Nurse Practitioner of 5 years with 20 years of experience in healthcare. It is my mission to listen compassionately by accepting each individual in a nonjudgemental way. My goal is to value each individual and what they bring to L.I.F.E. psychiatric services. My mission is to provide a well rounded approach to mental health services, brief psychotherapy and medication management for children and adults of all ages.My vision is to provide a nurturing and supportive environment for positive change. Due to limited staffing this prescriber will not order new controlled substances until new policies are in place .
I am a Psychiatric Nurse Practitioner of 5 years with 20 years of experience in healthcare. It is my mission to listen compassionately by accepting each individual in a nonjudgemental way. My goal is to value each individual and what they bring to L.I.F.E. psychiatric services. My mission is to provide a well rounded approach to mental health services, brief psychotherapy and medication management for children and adults of all ages.My vision is to provide a nurturing and supportive environment for positive change. Due to limited staffing this prescriber will not order new controlled substances until new policies are in place .
(518) 656-8376 View (518) 656-8376
Photo of Rita Elaine Curran, Psychiatric Nurse Practitioner, PMHNP, FNP-C
Rita Elaine Curran
Psychiatric Nurse Practitioner, PMHNP, FNP-C
Online Only
I partner with individuals across the lifespan to support meaningful mental health growth and lasting wellness. My approach blends evidence-based therapeutic techniques with personalized care, creating a safe, nonjudgmental space where clients feel heard, respected, and empowered. I believe that healing begins with connection and clarity. Together, we’ll clarify where you feel stuck, explore the patterns that may be holding you back, and build a path forward that aligns with your goals and values.
I partner with individuals across the lifespan to support meaningful mental health growth and lasting wellness. My approach blends evidence-based therapeutic techniques with personalized care, creating a safe, nonjudgmental space where clients feel heard, respected, and empowered. I believe that healing begins with connection and clarity. Together, we’ll clarify where you feel stuck, explore the patterns that may be holding you back, and build a path forward that aligns with your goals and values.
(315) 387-1251 View (315) 387-1251
Photo of Jamie Locke, Psychiatric Nurse Practitioner, PMHNP, BC
Jamie Locke
Psychiatric Nurse Practitioner, PMHNP, BC
Malta, NY 12020
Are you struggling with anxiety, depression, ADHD, OCD, insomnia, or mood disorders that are impacting your daily life? Are you feeling overwhelmed and unsure where to turn for help? You're not alone. Many people are facing similar challenges and navigating complex emotions. At Nurturing Minds Wellness, we offer a personalized approach for mental health treatment, including medications tailored to your unique needs. We start by gaining a deep understanding of your challenges and collaborating with you in developing a plan while helping you move forward. As you progress, we celebrate every achievement, big or small.
Are you struggling with anxiety, depression, ADHD, OCD, insomnia, or mood disorders that are impacting your daily life? Are you feeling overwhelmed and unsure where to turn for help? You're not alone. Many people are facing similar challenges and navigating complex emotions. At Nurturing Minds Wellness, we offer a personalized approach for mental health treatment, including medications tailored to your unique needs. We start by gaining a deep understanding of your challenges and collaborating with you in developing a plan while helping you move forward. As you progress, we celebrate every achievement, big or small.
(518) 245-3837 View (518) 245-3837
Photo of Elizabeth McManus, Psychiatric Nurse Practitioner, PMHNP, BC
Elizabeth McManus
Psychiatric Nurse Practitioner, PMHNP, BC
Online Only
Are you struggling with anxiety, depression, ADHD, OCD, insomnia, or mood disorders that are impacting your daily life? Are you feeling overwhelmed and unsure where to turn for help? You're not alone. Many people are facing similar challenges and navigating complex emotions. At Nurturing Minds Wellness, we offer a personalized approach for mental health treatment, including medications tailored to your unique needs. We start by gaining a deep understanding of your challenges and collaborating with you in developing a plan while helping you move forward. As you progress, we celebrate every achievement, big or small.
Are you struggling with anxiety, depression, ADHD, OCD, insomnia, or mood disorders that are impacting your daily life? Are you feeling overwhelmed and unsure where to turn for help? You're not alone. Many people are facing similar challenges and navigating complex emotions. At Nurturing Minds Wellness, we offer a personalized approach for mental health treatment, including medications tailored to your unique needs. We start by gaining a deep understanding of your challenges and collaborating with you in developing a plan while helping you move forward. As you progress, we celebrate every achievement, big or small.
(518) 806-2257 View (518) 806-2257
Photo of Peter Joseph Valastro Jr, Psychiatric Nurse Practitioner, APRN, PMHNP-B, MSN
Peter Joseph Valastro Jr
Psychiatric Nurse Practitioner, APRN, PMHNP-B, MSN
Malta, NY 12020
Are you struggling with anxiety, depression, ADHD, OCD, insomnia, or mood disorders that are impacting your daily life? Are you feeling overwhelmed and unsure where to turn for help? You're not alone. Many people are facing similar challenges and navigating complex emotions. At Nurturing Minds Wellness, we offer a personalized approach for mental health treatment, including medications tailored to your unique needs. We start by gaining a deep understanding of your challenges and collaborating with you in developing a plan while helping you move forward. As you progress, we celebrate every achievement, big or small.
Are you struggling with anxiety, depression, ADHD, OCD, insomnia, or mood disorders that are impacting your daily life? Are you feeling overwhelmed and unsure where to turn for help? You're not alone. Many people are facing similar challenges and navigating complex emotions. At Nurturing Minds Wellness, we offer a personalized approach for mental health treatment, including medications tailored to your unique needs. We start by gaining a deep understanding of your challenges and collaborating with you in developing a plan while helping you move forward. As you progress, we celebrate every achievement, big or small.
(518) 245-3837 View (518) 245-3837
Photo of Abbey Turner, Psychiatric Nurse Practitioner, PMHNP
Abbey Turner
Psychiatric Nurse Practitioner, PMHNP
Online Only
Hello, my name is Abbey Turner. My clients often arrive feeling overwhelmed, like there are no options left and that things simply can't get better. They may be struggling with mood disorders, personality disorders, or navigating a dual diagnosis — carrying the weight of symptoms that have gone unaddressed for too long. Many have been afraid to be fully honest with providers before, worried about judgment or being misunderstood. I work with adults who are ready to be heard and supported. Together, we work toward transforming how you feel and rebuilding your belief that life can be better — because it can.
Hello, my name is Abbey Turner. My clients often arrive feeling overwhelmed, like there are no options left and that things simply can't get better. They may be struggling with mood disorders, personality disorders, or navigating a dual diagnosis — carrying the weight of symptoms that have gone unaddressed for too long. Many have been afraid to be fully honest with providers before, worried about judgment or being misunderstood. I work with adults who are ready to be heard and supported. Together, we work toward transforming how you feel and rebuilding your belief that life can be better — because it can.
(518) 348-5771 View (518) 348-5771
Photo of Brianna Rader, Psychiatric Nurse Practitioner, MS, APRN, NPP-BC
Brianna Rader
Psychiatric Nurse Practitioner, MS, APRN, NPP-BC
Online Only
Brianna Rader, NPP received her master's degree from Sage Graduate School. She is board-certified by the American Nurses Credentialing Center as a Psychiatric Mental Health Nurse Practitioner in the state of New York. Previous experience as an in-patient RN in Crisis and Behavioral Health. Served active duty in the United States Army as a health care specialist.
Brianna Rader, NPP received her master's degree from Sage Graduate School. She is board-certified by the American Nurses Credentialing Center as a Psychiatric Mental Health Nurse Practitioner in the state of New York. Previous experience as an in-patient RN in Crisis and Behavioral Health. Served active duty in the United States Army as a health care specialist.
(518) 666-8872 View (518) 666-8872
Photo of Tara Burke-Muscatello, Psychiatric Nurse Practitioner, MS, NPP, BC
Tara Burke-Muscatello
Psychiatric Nurse Practitioner, MS, NPP, BC
1 Endorsed
Clifton Park, NY 12065
I thank you for taking the time to read my profile. I applaud you for taking the first step towards improving your mental health and overall well-being. I encourage you to read on and decide if you would like me to be a part of your journey to wellness!
I thank you for taking the time to read my profile. I applaud you for taking the first step towards improving your mental health and overall well-being. I encourage you to read on and decide if you would like me to be a part of your journey to wellness!
(518) 302-2433 View (518) 302-2433
Photo of Sandra Amoah, Psychiatric Nurse Practitioner, PMHNP, BSN, RN
Sandra Amoah
Psychiatric Nurse Practitioner, PMHNP, BSN, RN
Plattsburgh, NY 12901
Mental health care works best when you feel safe enough to be honest — and creating that space is my priority. As a psychiatric nurse practitioner, I work with people navigating anxiety, depression, and PTSD, drawing on clinical training and a genuine belief that healing is possible for everyone. I was drawn to psychiatry because I've seen firsthand how much compassionate, accessible care can change a person's path. I'll be direct with you, warm in my approach, and fully in your corner every step of the way. I offer evenings and weekends to make getting support a little easier.
Mental health care works best when you feel safe enough to be honest — and creating that space is my priority. As a psychiatric nurse practitioner, I work with people navigating anxiety, depression, and PTSD, drawing on clinical training and a genuine belief that healing is possible for everyone. I was drawn to psychiatry because I've seen firsthand how much compassionate, accessible care can change a person's path. I'll be direct with you, warm in my approach, and fully in your corner every step of the way. I offer evenings and weekends to make getting support a little easier.
(929) 822-4630 View (929) 822-4630
Photo of Alexis Bartocci, Psychiatric Nurse Practitioner, PMHNP
Alexis Bartocci
Psychiatric Nurse Practitioner, PMHNP
Saratoga Springs, NY 12866
Alexis is a board-certified Psychiatric Nurse Practitioner specializing in psychiatric evaluation, diagnosis, and medication management for children, adolescents, and young adults. She treats a range of conditions including ADHD, anxiety disorders, mood disorders, and behavioral challenges that impact functioning at home, school, and in relationships. Alexis helps patients and families gain a better understanding of their symptoms, develop effective treatment strategies, and build confidence in moving forward. Her goal is to help patients improve functioning, strengthen resilience, and achieve meaningful, lasting progress.
Alexis is a board-certified Psychiatric Nurse Practitioner specializing in psychiatric evaluation, diagnosis, and medication management for children, adolescents, and young adults. She treats a range of conditions including ADHD, anxiety disorders, mood disorders, and behavioral challenges that impact functioning at home, school, and in relationships. Alexis helps patients and families gain a better understanding of their symptoms, develop effective treatment strategies, and build confidence in moving forward. Her goal is to help patients improve functioning, strengthen resilience, and achieve meaningful, lasting progress.
(518) 690-6181 View (518) 690-6181

See more therapy options for Saranac Lake

How does your Psychiatrist compare?

Number of Psychiatrists in Saranac Lake, NY

< 10

Psychiatrists in Saranac Lake, NY who prioritize treating:

Top 3 insurances accepted

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

How Psychiatrists in Saranac Lake, NY see their clients

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

How can I find a psychiatrist in Saranac Lake?

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.