Psychiatrists in Lake Oswego, OR

Photo of Denyse Collins, Psychiatric Nurse Practitioner, PMHNP
Denyse Collins
Psychiatric Nurse Practitioner, PMHNP
Online Only
CURRENTLY ACCEPTING NEW PATIENTS. CURRENTLY OFFERING TELEHEALTH SERVICES. You will receive a comprehensive psychiatric evaluation that may include labs to help determine the best treatment plan. Treatment can include evidence-based medication strategies, supplements, lifestyle interventions, and psychotherapy.
CURRENTLY ACCEPTING NEW PATIENTS. CURRENTLY OFFERING TELEHEALTH SERVICES. You will receive a comprehensive psychiatric evaluation that may include labs to help determine the best treatment plan. Treatment can include evidence-based medication strategies, supplements, lifestyle interventions, and psychotherapy.
(503) 461-7488 View (503) 461-7488
Photo of Kathryn Starr, Psychiatrist
Kathryn Starr
Psychiatrist
Online Only
Dr. Starr specializes in physician wellness and executive coaching to address burnout and support leader well-being. She practices with warmth, expertise, and empathy. She has extensive experience working with anxiety, perfectionism, mood disorders, women's mental health at every stage of life and veteran's mental health including trauma. Her services include medication management, psychotherapy, professional coaching, and peer supervision.
Dr. Starr specializes in physician wellness and executive coaching to address burnout and support leader well-being. She practices with warmth, expertise, and empathy. She has extensive experience working with anxiety, perfectionism, mood disorders, women's mental health at every stage of life and veteran's mental health including trauma. Her services include medication management, psychotherapy, professional coaching, and peer supervision.
View
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 Dr. Jonathan Wilson, Psychiatrist, MD
Dr. Jonathan Wilson
Psychiatrist, MD
1 Endorsed
Lake Oswego, OR 97034
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 Leah Bloomberg, Psychiatric Nurse Practitioner, DNP, PMHNP
Leah Bloomberg
Psychiatric Nurse Practitioner, DNP, PMHNP
1 Endorsed
Lake Oswego, OR 97035
My goal is to create a personalized plan to address the symptoms that have impacted your happiness and well-being. I am a doctorally-prepared Psychiatric-Mental Health Nurse Practitioner (PMHNP) in private practice and also serve as a consultant for primary care offices nationwide.
My goal is to create a personalized plan to address the symptoms that have impacted your happiness and well-being. I am a doctorally-prepared Psychiatric-Mental Health Nurse Practitioner (PMHNP) in private practice and also serve as a consultant for primary care offices nationwide.
(503) 395-3865 View (503) 395-3865
Photo of Isabel Zapata, Psychiatric Nurse Practitioner, MSN , APRN, PMHNP
Isabel Zapata
Psychiatric Nurse Practitioner, MSN , APRN, PMHNP
1 Endorsed
Online Only
My ideal client is an adult experiencing symptoms such as anxiety, mood instability, inattention, trauma-related distress, or psychotic symptoms that interfere with daily functioning, relationships, or emotional well-being. They seek accurate assessment, evidence-based treatment, and collaborative care to better understand their symptoms, achieve stability, and improve quality of life. They are motivated to engage in treatment to regain control, strengthen coping skills, and support long-term mental health.
My ideal client is an adult experiencing symptoms such as anxiety, mood instability, inattention, trauma-related distress, or psychotic symptoms that interfere with daily functioning, relationships, or emotional well-being. They seek accurate assessment, evidence-based treatment, and collaborative care to better understand their symptoms, achieve stability, and improve quality of life. They are motivated to engage in treatment to regain control, strengthen coping skills, and support long-term mental health.
(503) 743-7286 View (503) 743-7286
Photo of Dr. Cheryl Kate Burris, Psychiatric Nurse Practitioner, DNP, PMHNP
Dr. Cheryl Kate Burris
Psychiatric Nurse Practitioner, DNP, PMHNP
1 Endorsed
Online Only
I provide compassionate, patient-centered care for patients with mental health challenges like mood disorders, ADHD, bipolar disorder, or complex conditions like PTSD, psychosis, or substance use. I work hard to listen, validate, and collaborate with patients to create a treatment plan that aligns with their goals. I enjoy providing a safe space to help patients find relief from symptoms, improved coping skills, and a sense of control over their lives. Above all, I provide a stigma-free, supportive environment where patients can feel empowered and understood on their journey to wellness.
I provide compassionate, patient-centered care for patients with mental health challenges like mood disorders, ADHD, bipolar disorder, or complex conditions like PTSD, psychosis, or substance use. I work hard to listen, validate, and collaborate with patients to create a treatment plan that aligns with their goals. I enjoy providing a safe space to help patients find relief from symptoms, improved coping skills, and a sense of control over their lives. Above all, I provide a stigma-free, supportive environment where patients can feel empowered and understood on their journey to wellness.
(503) 461-1779 View (503) 461-1779
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 Jon-Michael A. Saenz, Psychiatrist, MD
Jon-Michael A. Saenz
Psychiatrist, MD
1 Endorsed
Online Only
I obtained a Bachelor's of Science in Psychology, with a focus on neuroscience, at Yale University. I trained in Boston, MA at Tufts Medical Center, where I worked with patients from around the world and all socioeconomic backgrounds. I completed a year-long fellowship at Boston Psychoanalytic Society and Institute during residency to integrate analytic work into my practice, and I continued my training with a Forensic Fellowship. I trained in Forensic Psychiatry at Worcester Recovery Center and Hospital, one of the oldest Forensic programs in the country and a pioneer in state hospital patient's rights.
I obtained a Bachelor's of Science in Psychology, with a focus on neuroscience, at Yale University. I trained in Boston, MA at Tufts Medical Center, where I worked with patients from around the world and all socioeconomic backgrounds. I completed a year-long fellowship at Boston Psychoanalytic Society and Institute during residency to integrate analytic work into my practice, and I continued my training with a Forensic Fellowship. I trained in Forensic Psychiatry at Worcester Recovery Center and Hospital, one of the oldest Forensic programs in the country and a pioneer in state hospital patient's rights.
(503) 847-2208 View (503) 847-2208
Photo of Janene Szpak, Psychiatric Nurse Practitioner, DNP, PMHNP
Janene Szpak
Psychiatric Nurse Practitioner, DNP, PMHNP
1 Endorsed
Online Only
Many of my clients come to me feeling anxious, emotionally drained, or simply not like themselves. They’ve been doing their best to manage everything—work, family, relationships—but the pressure feels unrelenting. Some are navigating major life changes, hormonal shifts, or long-standing patterns of self-doubt. What they want is understanding and relief: a safe space where they can slow down, be heard, and find practical ways to feel calm, confident, and connected again. The ability to listen with empathy and to meet a person where they are can make a significant difference in the connection we have and in achieving goals.
Many of my clients come to me feeling anxious, emotionally drained, or simply not like themselves. They’ve been doing their best to manage everything—work, family, relationships—but the pressure feels unrelenting. Some are navigating major life changes, hormonal shifts, or long-standing patterns of self-doubt. What they want is understanding and relief: a safe space where they can slow down, be heard, and find practical ways to feel calm, confident, and connected again. The ability to listen with empathy and to meet a person where they are can make a significant difference in the connection we have and in achieving goals.
(503) 386-1822 View (503) 386-1822
Photo of Dr. Mark Chofla - Dr Mark Chofla | Empathy Therapy, Psychiatrist, DO
Dr Mark Chofla | Empathy Therapy
Psychiatrist, DO
Online Only
Dr. Mark Chofla is a board-certified psychiatrist and physician who completed his specialty residency training at the Los Angeles County + University of Southern California Medical Center. After receiving his Bachelor of Science degree in Neurobiology, Physiology, and Behavior from the University of California at Davis, Dr. Chofla earned his medical degree from Midwestern University: Arizona College of Osteopathic Medicine.
Dr. Mark Chofla is a board-certified psychiatrist and physician who completed his specialty residency training at the Los Angeles County + University of Southern California Medical Center. After receiving his Bachelor of Science degree in Neurobiology, Physiology, and Behavior from the University of California at Davis, Dr. Chofla earned his medical degree from Midwestern University: Arizona College of Osteopathic Medicine.
(503) 461-8744 View (503) 461-8744
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.
View
Photo of Dr. Sara Fletcher, Psychiatric Nurse Practitioner, DNP, PMHNP
Dr. Sara Fletcher
Psychiatric Nurse Practitioner, DNP, PMHNP
Lake Oswego, OR 97035
Dr. Sara Fletcher offers a safe, compassionate, and HIPAA compliant space in order to facilitate wellness. Appointments are typically conducted virtually. In-person appointments are dictated by DEA laws for controlled substances or assessment needs. With a true joy for helping others, Dr. Fletcher looks forward to educating and empowering individuals to achieving balance and wellbeing. Helping balance between pharmaceutical and non-pharmaceutical interventions to achieve improved mental health and a higher quality of life is the goal.
Dr. Sara Fletcher offers a safe, compassionate, and HIPAA compliant space in order to facilitate wellness. Appointments are typically conducted virtually. In-person appointments are dictated by DEA laws for controlled substances or assessment needs. With a true joy for helping others, Dr. Fletcher looks forward to educating and empowering individuals to achieving balance and wellbeing. Helping balance between pharmaceutical and non-pharmaceutical interventions to achieve improved mental health and a higher quality of life is the goal.
(503) 662-1664 View (503) 662-1664
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 Kimberly Rickel - Westlake Psychiatry & Wellness, Psychiatric Nurse Practitioner, PMHNP, BC
Westlake Psychiatry & Wellness
Psychiatric Nurse Practitioner, PMHNP, BC
Lake Oswego, OR 97035
As a board certified Psychiatric Mental Health Nurse Practitioner, I enjoy working with individuals to develop individualized treatment plans to both work with and reduce symptoms impeding on physical, mental, and emotional wellbeing. I enjoy the process of understanding each individuals unique life story, and navigating the journey towards a more fulfilled life using pharmacological and holistic interventions. I enjoy looking at ways of which to facilitate sleep, exercise, nutrition, and engaging in individually desired activities and interests.
As a board certified Psychiatric Mental Health Nurse Practitioner, I enjoy working with individuals to develop individualized treatment plans to both work with and reduce symptoms impeding on physical, mental, and emotional wellbeing. I enjoy the process of understanding each individuals unique life story, and navigating the journey towards a more fulfilled life using pharmacological and holistic interventions. I enjoy looking at ways of which to facilitate sleep, exercise, nutrition, and engaging in individually desired activities and interests.
(503) 214-2431 View (503) 214-2431
Photo of Hilary Helkenn, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, -BC
Hilary Helkenn
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, -BC
Lake Oswego, OR 97035
Welcome to Verdant Path Mental Health—where Compassionate Care meets Innovative Solutions. As a Psychiatric Mental Health Nurse Practitioner (PMHNP) in Oregon, I am committed to helping individuals navigate life's challenges with compassionate, evidence-based care. I provide medication management and personalized treatment plans for anxiety, depression, ADHD, PTSD, and other mental health concerns. My collaborative approach empowers clients to take an active role in their healing. Whether you need medication support or a fresh perspective, I’m here to help you move forward.
Welcome to Verdant Path Mental Health—where Compassionate Care meets Innovative Solutions. As a Psychiatric Mental Health Nurse Practitioner (PMHNP) in Oregon, I am committed to helping individuals navigate life's challenges with compassionate, evidence-based care. I provide medication management and personalized treatment plans for anxiety, depression, ADHD, PTSD, and other mental health concerns. My collaborative approach empowers clients to take an active role in their healing. Whether you need medication support or a fresh perspective, I’m here to help you move forward.
(503) 782-9102 View (503) 782-9102
Photo of Shauna L Hahn, Psychiatric Nurse, RN, PMHNP, BC, CBIS
Shauna L Hahn
Psychiatric Nurse, RN, PMHNP, BC, CBIS
Lake Oswego, OR 97035
In my 19-year career, I have partnered with thousands of individual patients with a variety of different mental health problems and diagnoses, including those with neurological problems. My patients want up-to-date information and a clinician who is constantly educating herself. I hear from patients that they often feel rushed by their provider visits; in my practice, I nurture our relationship and take my time. A typical encounter with me is a full hour. I strive to know and to understand you. Lasting healing requires scientific engagement and radical compassion.
In my 19-year career, I have partnered with thousands of individual patients with a variety of different mental health problems and diagnoses, including those with neurological problems. My patients want up-to-date information and a clinician who is constantly educating herself. I hear from patients that they often feel rushed by their provider visits; in my practice, I nurture our relationship and take my time. A typical encounter with me is a full hour. I strive to know and to understand you. Lasting healing requires scientific engagement and radical compassion.
(503) 908-1625 View (503) 908-1625
Photo of Dr. Adel Mostafavi - WellPsyche Medical Group, Psychiatrist, MD
WellPsyche Medical Group
Psychiatrist, MD
Lake Oswego, OR 97035
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
(503) 447-8273 View (503) 447-8273
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 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

See more therapy options for Lake Oswego

How does your Psychiatrist compare?

Number of Psychiatrists in Lake Oswego, OR

80+

Average cost per session

$225

Psychiatrists in Lake Oswego, OR who prioritize treating:

98% Anxiety
97% Depression
87% Trauma and PTSD
85% Medication Management
78% ADHD
74% Bipolar Disorder
66% Obsessive-Compulsive (OCD)

Average years in practice

13 Years

Top 3 insurances accepted

87% Aetna
84% Regence
77% BlueCross and BlueShield

How Psychiatrists in Lake Oswego, OR see their clients

67% In Person and Online
33% Online Only

Gender breakdown

74% Female
26% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Lake Oswego?

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.