Psychiatrists in Clackamas County, OR

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Photo of Dr. Rachel Rittman, Psychiatrist, MD
Dr. Rachel Rittman
Psychiatrist, MD
Lake Oswego, OR 97034
Patients are the center of my psychiatric practice. I believe a collaborative approach is the most effective path to mental wellness. Throughout my years of training and clinical practice, I’ve had the privilege of working closely with my patients to address their medication management and psychotherapy needs.
Patients are the center of my psychiatric practice. I believe a collaborative approach is the most effective path to mental wellness. Throughout my years of training and clinical practice, I’ve had the privilege of working closely with my patients to address their medication management and psychotherapy needs.
(503) 766-4785 View (503) 766-4785
Photo of Lesley Arle, Psychiatric Nurse, PMHNP, RN
Lesley Arle
Psychiatric Nurse, PMHNP, RN
1 Endorsed
West Linn, OR 97068
I am OPEN & Accepting new patients at this time. Are you looking for mental health prescriber who also provides therapy in the same session? I combine these two specialties so that I can treat the whole person at the same time. I also provide just medication management or just therapy. I am a board certified PMHNP for ages 18-65 years. I have extensive training in Trauma focused treatment, and am certified to provide EMDR therapy.I attend updates on medications yearly. I collaborate with therapists, PCPs, Naturopaths, and other providers who support you in your health journey.
I am OPEN & Accepting new patients at this time. Are you looking for mental health prescriber who also provides therapy in the same session? I combine these two specialties so that I can treat the whole person at the same time. I also provide just medication management or just therapy. I am a board certified PMHNP for ages 18-65 years. I have extensive training in Trauma focused treatment, and am certified to provide EMDR therapy.I attend updates on medications yearly. I collaborate with therapists, PCPs, Naturopaths, and other providers who support you in your health journey.
(503) 400-7192 View (503) 400-7192
Photo of Madeline Jacobs, Psychiatric Nurse Practitioner, MSN, PMHNP
Madeline Jacobs
Psychiatric Nurse Practitioner, MSN, PMHNP
Clackamas, OR 97015
Madeline Jacobs is a board certified Psychiatric Mental Health Nurse Practitioner. She holds a Master of Science in Nursing from Oregon Health & Science University and has been working in the psychiatric field since 2015. She has worked at the Los Angeles LGBT Center, the largest LGBT Center in the country, and would love the opportunity to broaden the reach of LGBTQ+ affirming mental health care through telepsychiatry. She is trained in EMDR (eye movement desensitization and reprocessing), an evidence-based trauma therapy. She takes a trauma-informed perspective on mental health care.
Madeline Jacobs is a board certified Psychiatric Mental Health Nurse Practitioner. She holds a Master of Science in Nursing from Oregon Health & Science University and has been working in the psychiatric field since 2015. She has worked at the Los Angeles LGBT Center, the largest LGBT Center in the country, and would love the opportunity to broaden the reach of LGBTQ+ affirming mental health care through telepsychiatry. She is trained in EMDR (eye movement desensitization and reprocessing), an evidence-based trauma therapy. She takes a trauma-informed perspective on mental health care.
(561) 823-1255 View (561) 823-1255
Photo of Sara Worthington, Psychiatric Nurse Practitioner, PMHNP
Sara Worthington
Psychiatric Nurse Practitioner, PMHNP
Clackamas, OR 97015
I work with teens and adults navigating challenges such as anxiety, ADHD, mood disorders, grief, or identity concerns. They may struggle with focus, emotional regulation, relationships, or life transitions. What they want most is to feel understood, develop healthy coping skills, and build resilience. Their goals often center on gaining clarity, stability, and confidence so they can thrive in school, work, and relationships, while feeling empowered to live authentically.
I work with teens and adults navigating challenges such as anxiety, ADHD, mood disorders, grief, or identity concerns. They may struggle with focus, emotional regulation, relationships, or life transitions. What they want most is to feel understood, develop healthy coping skills, and build resilience. Their goals often center on gaining clarity, stability, and confidence so they can thrive in school, work, and relationships, while feeling empowered to live authentically.
(503) 342-2486 View (503) 342-2486
Photo of Dr. Jonathan Wilson, Psychiatrist, MD
Dr. Jonathan Wilson
Psychiatrist, MD
1 Endorsed
Lake Oswego, OR 97034
Waitlist for new clients
Are you feeling stuck, overwhelmed, or uncertain about how to move forward in a changing season of life? You're not alone—and you don’t have to go through it alone. Whether you’re graduating, starting a family, changing careers, or entering a new stage of adulthood, transitions can stir up anxiety, self-doubt, and emotional exhaustion. I’m a board-certified psychiatrist offering thoughtful, personalized care to help you navigate these changes with clarity and confidence. I work with adults facing anxiety, depression, PTSD, grief, OCD, and ADHD.
Are you feeling stuck, overwhelmed, or uncertain about how to move forward in a changing season of life? You're not alone—and you don’t have to go through it alone. Whether you’re graduating, starting a family, changing careers, or entering a new stage of adulthood, transitions can stir up anxiety, self-doubt, and emotional exhaustion. I’m a board-certified psychiatrist offering thoughtful, personalized care to help you navigate these changes with clarity and confidence. I work with adults facing anxiety, depression, PTSD, grief, OCD, and ADHD.
(503) 213-6167 View (503) 213-6167
Photo of Kathleen Kelley, Psychiatric Nurse, PMHNP
Kathleen Kelley
Psychiatric Nurse, PMHNP
Lake Oswego, OR 97035
I am a Board Certified Family Psychiatric Mental Health Nurse Practitioner, with advanced training in psychotherapy and medication management. I particularly enjoy working with clients who are struggling with depression, anxiety, trauma, relationship issues, and the adjustment--both physical and psychological--to parenthood. My background as a Community Health Nurse visiting pregnant and newly parenting families, and my understanding of the hormonal and biological factors that are intertwined with emotional issues during this time, make me an excellent choice for prenatal and postpartum anxiety and depression. I have a certificate from Postpartum Support International in treating perinatal mood and anxiety disorders.
I am a Board Certified Family Psychiatric Mental Health Nurse Practitioner, with advanced training in psychotherapy and medication management. I particularly enjoy working with clients who are struggling with depression, anxiety, trauma, relationship issues, and the adjustment--both physical and psychological--to parenthood. My background as a Community Health Nurse visiting pregnant and newly parenting families, and my understanding of the hormonal and biological factors that are intertwined with emotional issues during this time, make me an excellent choice for prenatal and postpartum anxiety and depression. I have a certificate from Postpartum Support International in treating perinatal mood and anxiety disorders.
(503) 967-9232 View (503) 967-9232
Photo of Kanani Wasilk-Kindred, Psychiatric Nurse Practitioner, PMHNP
Kanani Wasilk-Kindred
Psychiatric Nurse Practitioner, PMHNP
Clackamas, OR 97015
Kanani is a board certified psychiatric nurse practitioner. Originally from Portland, Oregon, she earned her Master’s in Nursing from Walden University. She has a passion for mental health care across the lifespan, starting at age 8. Her own experiences inspired her to help others realize that healing and growth are always possible. She provides holistic, client-centered care by integrating medication management and therapy to create balanced, effective treatment plans. Her goal is for every client to leave their sessions feeling hopeful, empowered, and confident on their mental health journey.
Kanani is a board certified psychiatric nurse practitioner. Originally from Portland, Oregon, she earned her Master’s in Nursing from Walden University. She has a passion for mental health care across the lifespan, starting at age 8. Her own experiences inspired her to help others realize that healing and growth are always possible. She provides holistic, client-centered care by integrating medication management and therapy to create balanced, effective treatment plans. Her goal is for every client to leave their sessions feeling hopeful, empowered, and confident on their mental health journey.
(541) 234-3401 View (541) 234-3401
Photo of Dr. Dianna Harris (New Patients Welcome), Psychiatric Nurse Practitioner, PsyD, PMHNP
Dr. Dianna Harris (New Patients Welcome)
Psychiatric Nurse Practitioner, PsyD, PMHNP
Lake Oswego, OR 97034
Accepting NEW Clients (ages 18-65) as of 5/15/26 for Medication Management (I am not taking clients for therapy). Appointments are available in 1-2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
Accepting NEW Clients (ages 18-65) as of 5/15/26 for Medication Management (I am not taking clients for therapy). Appointments are available in 1-2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
(503) 386-0826 View (503) 386-0826
Photo of Kari Hancock, Psychiatrist, MD
Kari Hancock
Psychiatrist, MD
Lake Oswego, OR 97035
I am an Oregon and New York licensed physician with board certifications in child/adolescent and adult psychiatry. Collaboration with individuals and families is a primary focus of my practice. Psychotherapy may be what is needed in treatment alone or in combination with medication. My services include psychotherapy, medication management, or a combination of both. I utilize my background in evidence-based practices as a foundation for evaluation and treatment.
I am an Oregon and New York licensed physician with board certifications in child/adolescent and adult psychiatry. Collaboration with individuals and families is a primary focus of my practice. Psychotherapy may be what is needed in treatment alone or in combination with medication. My services include psychotherapy, medication management, or a combination of both. I utilize my background in evidence-based practices as a foundation for evaluation and treatment.
(971) 458-1920 View (971) 458-1920
Photo of Brittany Monson, Psychiatric Nurse, MSN, PMHNP
Brittany Monson
Psychiatric Nurse, MSN, PMHNP
Clackamas, OR 97015
I graduated from George Fox University with a BSN in Nursing and worked for 7 years as an inpatient psych nurse before pursing my PMHNP through Gonzaga University. I really enjoy working with all ages and all diagnosis. Outside of work I love to travel and spend time outdoors with my husband, two boys and our 90 lb labradoodle.
I graduated from George Fox University with a BSN in Nursing and worked for 7 years as an inpatient psych nurse before pursing my PMHNP through Gonzaga University. I really enjoy working with all ages and all diagnosis. Outside of work I love to travel and spend time outdoors with my husband, two boys and our 90 lb labradoodle.
(971) 257-1085 View (971) 257-1085
Photo of Brooke Sheehan, Psychiatric Nurse Practitioner, MSN, PMHNP
Brooke Sheehan
Psychiatric Nurse Practitioner, MSN, PMHNP
1 Endorsed
West Linn, OR 97068
Brooke obtained her Masters in Nursing (MSN) and Psychiatric Mental Health Nurse Practitioner license (PMHNP) in 2005 from Oregon Health and Sciences University (OHSU). She worked with children, teens, adults, and families in community mental health for 16 years prior to coming to Lifestance. Her focus is mental health diagnosis and medicine management. She is Licensed in both Oregon and Washington. Brooke believes in a biologically focused approach to practice and the biomedical model which posits that mental disorders are brain diseases and emphasizes pharmacological treatment to target presumed biological abnormalities.
Brooke obtained her Masters in Nursing (MSN) and Psychiatric Mental Health Nurse Practitioner license (PMHNP) in 2005 from Oregon Health and Sciences University (OHSU). She worked with children, teens, adults, and families in community mental health for 16 years prior to coming to Lifestance. Her focus is mental health diagnosis and medicine management. She is Licensed in both Oregon and Washington. Brooke believes in a biologically focused approach to practice and the biomedical model which posits that mental disorders are brain diseases and emphasizes pharmacological treatment to target presumed biological abnormalities.
(971) 433-4959 View (971) 433-4959
Photo of Farzad Kamyar, Psychiatrist, MD, MBA, ABPN, ABPM
Farzad Kamyar
Psychiatrist, MD, MBA, ABPN, ABPM
Online Only
For all new patient inquiries and questions, please go to: www.principlemind.com/new-patient-inquiry EMAILS and CALLS sent through Psychology Today are not monitored nor responded to. At the Principal Mind, the practice is about the integration of medication with goal-specific therapy. We aim to meet individuals where they are, while at the same time working as hard as they are. We treat the person in front of us and their symptoms, as every diagnosis may present differently, and be caused by different sources. If you are motivated and open-minded, we can work to actually get you better.
For all new patient inquiries and questions, please go to: www.principlemind.com/new-patient-inquiry EMAILS and CALLS sent through Psychology Today are not monitored nor responded to. At the Principal Mind, the practice is about the integration of medication with goal-specific therapy. We aim to meet individuals where they are, while at the same time working as hard as they are. We treat the person in front of us and their symptoms, as every diagnosis may present differently, and be caused by different sources. If you are motivated and open-minded, we can work to actually get you better.
Photo of James Trott, Psychiatric Nurse Practitioner, DNP, PMHNP
James Trott
Psychiatric Nurse Practitioner, DNP, PMHNP
Lake Oswego, OR 97035
I work with clients who are experiencing anxiety, depression, attention deficits, life transitions, or simply feel that they want to improve their mental health. My clients are looking for a mental health expert that they can collaborate with as they develop their own treatment goals, and are willing to be intentional in their pursuit of these goals. At this time, I am accepting Blue Cross/Blue Shield, Regence, Pacific Source, Moda, Cigna, and private pay.
I work with clients who are experiencing anxiety, depression, attention deficits, life transitions, or simply feel that they want to improve their mental health. My clients are looking for a mental health expert that they can collaborate with as they develop their own treatment goals, and are willing to be intentional in their pursuit of these goals. At this time, I am accepting Blue Cross/Blue Shield, Regence, Pacific Source, Moda, Cigna, and private pay.
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Photo of Amanda Cherrington, Psychiatric Nurse Practitioner, APRN, PMHNP
Amanda Cherrington
Psychiatric Nurse Practitioner, APRN, PMHNP
Online Only
You may be navigating the weight of crippling anxiety, the deep pit of depression, the constant mind-jumping of ADHD, or the relentless cycle of OCD. Often times therapy alone isn't enough to get you out a "funk", and medication can serve as a jumpstart to get you back to where you want to be. My ideal clients are individuals who have been navigating challenges like anxiety, depression, mood disorders, or ADHD and are seeking clarity on whether medication could provide relief and stability. My goal is to help you feel more balanced, energized, and ready to move forward with confidence.
You may be navigating the weight of crippling anxiety, the deep pit of depression, the constant mind-jumping of ADHD, or the relentless cycle of OCD. Often times therapy alone isn't enough to get you out a "funk", and medication can serve as a jumpstart to get you back to where you want to be. My ideal clients are individuals who have been navigating challenges like anxiety, depression, mood disorders, or ADHD and are seeking clarity on whether medication could provide relief and stability. My goal is to help you feel more balanced, energized, and ready to move forward with confidence.
(458) 314-1223 View (458) 314-1223
Photo of Jill Carter - Evolve Health, Psychiatric Nurse Practitioner, PMHNPBC, DNP, FNP
Evolve Health
Psychiatric Nurse Practitioner, PMHNPBC, DNP, FNP
Portland, OR 97222
We serve adults struggling with treatment-resistant depression, anxiety, OCD, PTSD, and related mood disorders. Many of our patients have tried traditional medications or therapies without the results they need, leading them to look for evidence-based alternatives that offer real relief and stability. Whether someone is newly exploring treatment options or has been navigating mental health challenges for years, we meet them where they are. Our goal is to help patients move past feeling “stuck,” reconnect with themselves, and start reclaiming their lives.
We serve adults struggling with treatment-resistant depression, anxiety, OCD, PTSD, and related mood disorders. Many of our patients have tried traditional medications or therapies without the results they need, leading them to look for evidence-based alternatives that offer real relief and stability. Whether someone is newly exploring treatment options or has been navigating mental health challenges for years, we meet them where they are. Our goal is to help patients move past feeling “stuck,” reconnect with themselves, and start reclaiming their lives.
(971) 396-4856 View (971) 396-4856
Photo of Heather L. Knott - Cognitive Care Medical Group, Psychiatrist, MD
Cognitive Care Medical Group
Psychiatrist, MD
Clackamas, OR 97015
Welcome to Cognitive Care Medical Group (CCMG). CCMG is a psychiatric medical practice consisting of Psychiatrists, Physicians, Nurse Practitioners, and Psychologist with the sole focus of providing mental health care for individuals utilizing evidence based medicine and therapy. CCMG provides services to evaluate, diagnose, establish treatment plan options, education of treatment options, and care management, so that individuals can make an informed decision that is most helpful to their needs.
Welcome to Cognitive Care Medical Group (CCMG). CCMG is a psychiatric medical practice consisting of Psychiatrists, Physicians, Nurse Practitioners, and Psychologist with the sole focus of providing mental health care for individuals utilizing evidence based medicine and therapy. CCMG provides services to evaluate, diagnose, establish treatment plan options, education of treatment options, and care management, so that individuals can make an informed decision that is most helpful to their needs.
(503) 966-3876 View (503) 966-3876
Photo of Kanani Wasilk-Kindred, Psychiatric Nurse Practitioner, PMHNP
Kanani Wasilk-Kindred
Psychiatric Nurse Practitioner, PMHNP
Clackamas, OR 97015
Kanani is a board certified psychiatric nurse practitioner. Originally from Portland, Oregon, she earned her Master’s in Nursing from Walden University. She has a passion for mental health care across the lifespan, starting at age 8. Her own experiences inspired her to help others realize that healing and growth are always possible. She provides holistic, client-centered care by integrating medication management and therapy to create balanced, effective treatment plans. Her goal is for every client to leave their sessions feeling hopeful, empowered, and confident on their mental health journey.
Kanani is a board certified psychiatric nurse practitioner. Originally from Portland, Oregon, she earned her Master’s in Nursing from Walden University. She has a passion for mental health care across the lifespan, starting at age 8. Her own experiences inspired her to help others realize that healing and growth are always possible. She provides holistic, client-centered care by integrating medication management and therapy to create balanced, effective treatment plans. Her goal is for every client to leave their sessions feeling hopeful, empowered, and confident on their mental health journey.
(971) 316-4662 View (971) 316-4662
Photo of Dr. Grant Godbey, Psychiatrist, MD
Dr. Grant Godbey
Psychiatrist, MD
West Linn, OR 97068
Dr. Grant Godbey helps individuals and families across Oregon find steadiness, clarity, and relief through thoughtful psychiatric care tailored to each stage of life. Serving patients throughout the state of Oregon, he provides medication management for children, adolescents, teens, adults, and seniors, taking time to understand the full picture behind each concern. His approach blends careful evaluation with long-term treatment planning, supporting patients who are navigating emotional, behavioral, and developmental challenges.Dr. Grant Godbey helps individuals and families across Oregon find steadiness, clarity, and relief through
Dr. Grant Godbey helps individuals and families across Oregon find steadiness, clarity, and relief through thoughtful psychiatric care tailored to each stage of life. Serving patients throughout the state of Oregon, he provides medication management for children, adolescents, teens, adults, and seniors, taking time to understand the full picture behind each concern. His approach blends careful evaluation with long-term treatment planning, supporting patients who are navigating emotional, behavioral, and developmental challenges.Dr. Grant Godbey helps individuals and families across Oregon find steadiness, clarity, and relief through
(503) 487-5906 View (503) 487-5906
Photo of Jake Kirkwood, Psychiatric Nurse Practitioner, PMHNP
Jake Kirkwood
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Lake Oswego, OR 97035
My name is Jake, and I'm a board-certified psychiatric mental health nurse practitioner dedicated to providing personalized, holistic, and expert mental health care. I believe in truly understanding your unique story and experiences to offer not only the most effective treatment but also empathetic support as your advocate. It would be my privilege to earn your trust and collaborate with you on your journey towards improved mental well-being.
My name is Jake, and I'm a board-certified psychiatric mental health nurse practitioner dedicated to providing personalized, holistic, and expert mental health care. I believe in truly understanding your unique story and experiences to offer not only the most effective treatment but also empathetic support as your advocate. It would be my privilege to earn your trust and collaborate with you on your journey towards improved mental well-being.
(503) 386-0733 View (503) 386-0733
Photo of Dr. Brittany R Smith, Psychiatrist, MD
Dr. Brittany R Smith
Psychiatrist, MD
West Linn, OR 97068
Accepting new patients - Hi there, I'm an Ivy League-trained and double board-certified child, adolescent and adult psychiatrist. Known for my clear and compassionate style, I combine evidence-based expertise with genuine connection, helping clients and their families move forward with stability and confidence.
Accepting new patients - Hi there, I'm an Ivy League-trained and double board-certified child, adolescent and adult psychiatrist. Known for my clear and compassionate style, I combine evidence-based expertise with genuine connection, helping clients and their families move forward with stability and confidence.
(503) 822-0978 View (503) 822-0978

See more therapy options for Clackamas County

How does your Psychiatrist compare?

Number of Psychiatrists in Clackamas County, OR

200+

Average cost per session

$195

Psychiatrists in Clackamas County, OR who prioritize treating:

96% Anxiety
95% Depression
84% ADHD
83% Trauma and PTSD
83% Medication Management
82% Bipolar Disorder
69% Obsessive-Compulsive (OCD)

Average years in practice

11 Years

Top 3 insurances accepted

91% Aetna
82% BlueCross and BlueShield
76% Regence

How Psychiatrists in Clackamas County, OR see their clients

59% In Person and Online
41% Online Only

Gender breakdown

73% Female
26% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Clackamas 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.