Psychiatrists in Portland, OR
I use a trauma-informed approach to mental health that includes both medication management and psychotherapy. I employ a Health at Every Size philosophy that prioritizes whole person wellness above a weight-centric perspective. In my practice, the client is at the helm of choosing what issues to work on. A holistic approach is favored over one-size-fits-all formulas. As most people today are touched by mental health struggles, whether it be their own or their loved ones, we can use those experiences to learn to ground spiritually and mentally.
I use a trauma-informed approach to mental health that includes both medication management and psychotherapy. I employ a Health at Every Size philosophy that prioritizes whole person wellness above a weight-centric perspective. In my practice, the client is at the helm of choosing what issues to work on. A holistic approach is favored over one-size-fits-all formulas. As most people today are touched by mental health struggles, whether it be their own or their loved ones, we can use those experiences to learn to ground spiritually and mentally.
Sheena Munson
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
2 Endorsed
Portland, OR 97213 (Online Only)
Not accepting new clients
As a Psychiatric Mental Health Nurse Practitioner (PMHNP) providing holistic and patient-centered care is at the heart of what I do. My approach is warm, empathetic, trauma-informed, and evidenced based. We are not our symptoms and as such deserve to be treated as a whole person. We are shaped and effected by every aspect of our life and this cannot be overlooked when addressing our mental health.
As a Psychiatric Mental Health Nurse Practitioner (PMHNP) providing holistic and patient-centered care is at the heart of what I do. My approach is warm, empathetic, trauma-informed, and evidenced based. We are not our symptoms and as such deserve to be treated as a whole person. We are shaped and effected by every aspect of our life and this cannot be overlooked when addressing our mental health.
Dr. Dianna Harris (Accepting New Clients)
Psychiatric Nurse Practitioner, PsyD, PMHNP
Verified Verified
Portland, OR 97219
Accepting NEW Clients (ages 18-65) as of 10/7/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 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 their 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 10/7/24 for Medication Management (I am not taking clients for therapy). Appointments are available in 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 their relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
Bridgetown Recovery & Mental Health Services
Psychiatrist, MD, SAP, MRO
Verified Verified
Portland, OR 97214
Bridgetown Recovery & Mental Health Services treats a wide variety of chemical dependency, co-occurring disorders and mental health symptoms. Call for your intake appointment today. We are conveniently located close in SE Portland at 12th & Salmon. Services offered: Psychiatric Services and Medication Management.
Bridgetown Recovery & Mental Health Services treats a wide variety of chemical dependency, co-occurring disorders and mental health symptoms. Call for your intake appointment today. We are conveniently located close in SE Portland at 12th & Salmon. Services offered: Psychiatric Services and Medication Management.
As a psychiatrist and psychodynamic psychotherapist with over 25 years of experience, I enjoy working with a wide variety of mental health concerns. I have developed special expertise in helping persons with self esteem issues, relationship problems, midlife and career transitions and trauma. I believe that talking through ones struggles, burdens, losses and pain leads to greater fulfillment in life, a sense of hope and joy. It is a privilege to be invited to accompany another on their personal journey. Psychotherapy is hard work but well worth the investment in oneself for discovering potential in love, work and play.
As a psychiatrist and psychodynamic psychotherapist with over 25 years of experience, I enjoy working with a wide variety of mental health concerns. I have developed special expertise in helping persons with self esteem issues, relationship problems, midlife and career transitions and trauma. I believe that talking through ones struggles, burdens, losses and pain leads to greater fulfillment in life, a sense of hope and joy. It is a privilege to be invited to accompany another on their personal journey. Psychotherapy is hard work but well worth the investment in oneself for discovering potential in love, work and play.
Dr. Dominique Wilson
Psychiatric Nurse Practitioner, DNP, FNP-C, PMHNP-C
Verified Verified
Portland, OR 97202
Accepting new Clients! Are you questioning college, career transitions or life in general? Having difficulty concentrating? Feeling unmotivated or undesirable? Moody, stressed, or anxious all the time? Questioning identity or acceptance? Have you tried everything? Therapy, mindfulness, lifestyle changes, and still struggling? Entering treatment can be an intimidating process & making that first appointment can be one of our biggest hurdles. But by taking that first step to look for support, you are already making progress. Dr. Wilson, DNP is a certified Family & Psychiatric Mental Health Nurse Practitioner.
Accepting new Clients! Are you questioning college, career transitions or life in general? Having difficulty concentrating? Feeling unmotivated or undesirable? Moody, stressed, or anxious all the time? Questioning identity or acceptance? Have you tried everything? Therapy, mindfulness, lifestyle changes, and still struggling? Entering treatment can be an intimidating process & making that first appointment can be one of our biggest hurdles. But by taking that first step to look for support, you are already making progress. Dr. Wilson, DNP is a certified Family & Psychiatric Mental Health Nurse Practitioner.
Adam Ellis is a board-certified Psychiatric Mental Health Nurse Practitioner. He has earned degrees from the University of California, Irvine, The George Washington University, and most recently, a Master of Science in Nursing from The University of Pennsylvania. He has worked with both adult and adolescent psychiatric populations since 2015, and he enjoys engaging with diverse patients who have a broad range of mental health needs. While serving 20 years as a naval officer, Adam developed strong active listening skills and a high level of consideration and respect for others.
Adam Ellis is a board-certified Psychiatric Mental Health Nurse Practitioner. He has earned degrees from the University of California, Irvine, The George Washington University, and most recently, a Master of Science in Nursing from The University of Pennsylvania. He has worked with both adult and adolescent psychiatric populations since 2015, and he enjoys engaging with diverse patients who have a broad range of mental health needs. While serving 20 years as a naval officer, Adam developed strong active listening skills and a high level of consideration and respect for others.
Kristen Helms is a Psychiatric Mental Health Nurse Practitioner in Oregon who has been practicing since 2024. Kristen is dedicated to helping you improve your quality of life. Her practice is patient centered, holistic, and empathetic. Kristen understands that mental illness can permeate many areas of life and she is prepared to start this journey of healing with you. Kristen’s main focus is anxiety, depression, PTSD, and mood disorders. Outside of work, Kristen enjoys hiking, running, horseback riding, exploring new restaurants, and spending time with her son and two cats.
Kristen Helms is a Psychiatric Mental Health Nurse Practitioner in Oregon who has been practicing since 2024. Kristen is dedicated to helping you improve your quality of life. Her practice is patient centered, holistic, and empathetic. Kristen understands that mental illness can permeate many areas of life and she is prepared to start this journey of healing with you. Kristen’s main focus is anxiety, depression, PTSD, and mood disorders. Outside of work, Kristen enjoys hiking, running, horseback riding, exploring new restaurants, and spending time with her son and two cats.
Welcome to my profile! I am a licensed psychiatric mental health nurse practitioner (PMHNP) located in Portland, OR. I offer psychotherapy and medication management to adults of all ages and backgrounds. My practice is relationally focused and inspired by various evidence-based frameworks, including Dialectic Behavioral Therapy, Acceptance and Commitment Therapy, and Cognitive Behavioral Therapy. I have a careful approach to prescribing medications, and I feel strongly that a holistic treatment plan leads to deeper recovery. I strive to meet you where you are, and I honor the life experience that has brought you here.
Welcome to my profile! I am a licensed psychiatric mental health nurse practitioner (PMHNP) located in Portland, OR. I offer psychotherapy and medication management to adults of all ages and backgrounds. My practice is relationally focused and inspired by various evidence-based frameworks, including Dialectic Behavioral Therapy, Acceptance and Commitment Therapy, and Cognitive Behavioral Therapy. I have a careful approach to prescribing medications, and I feel strongly that a holistic treatment plan leads to deeper recovery. I strive to meet you where you are, and I honor the life experience that has brought you here.
Shannon Anastasiadis
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
1 Endorsed
Portland, OR 97232
Do you often find yourself overwhelmed and worry that things won't work out? If you (or your child) are described as disorganized, forgetful, overly sensitive, easily frustrated, or the one who talks too much, it likely starts with the unique way that your brain works. These symptoms can make parenting, partnering or just daily life difficult. Many people who work with me have never understood why they experience the world differently than others. Clients often come to me wondering about ADHD. That is one possibility on a long list that should be considered. I am committed to supporting each client in the process of understanding.
Do you often find yourself overwhelmed and worry that things won't work out? If you (or your child) are described as disorganized, forgetful, overly sensitive, easily frustrated, or the one who talks too much, it likely starts with the unique way that your brain works. These symptoms can make parenting, partnering or just daily life difficult. Many people who work with me have never understood why they experience the world differently than others. Clients often come to me wondering about ADHD. That is one possibility on a long list that should be considered. I am committed to supporting each client in the process of understanding.
Rena is the only Double Board-Certified Nurse Anesthesiologist and Psychiatric Mental Health Nurse Practitioner in the State of Oregon. Atomic MindWorks, located in Beaverton is an interventional psychiatric clinic that utilizes the quick-acting anti-depressive benefits of IV Ketamine, nebulized Ketamine, and psychiatric medication management. Appointment are available within 2 weeks. The clinic specializes in major depressive disorders, bipolar disorder, anxiety, OCD, and ADHD. Precision medicine can be provided that takes genetic information into consideration for more personalized treatment.
Rena is the only Double Board-Certified Nurse Anesthesiologist and Psychiatric Mental Health Nurse Practitioner in the State of Oregon. Atomic MindWorks, located in Beaverton is an interventional psychiatric clinic that utilizes the quick-acting anti-depressive benefits of IV Ketamine, nebulized Ketamine, and psychiatric medication management. Appointment are available within 2 weeks. The clinic specializes in major depressive disorders, bipolar disorder, anxiety, OCD, and ADHD. Precision medicine can be provided that takes genetic information into consideration for more personalized treatment.
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I have been a registered nurse since 1977 and have worked in pediatrics and adult medicine. Since 1999, I have been a pediatric nurse practitioner and became licensed as a psychiatric mental health practitioner in 2011. I have worked in an independent practice as a PNP and at Kaiser. During that time, I worked with mental and physical aspects of health care of children and their families. During my mental health nurse practitioner training, I worked with adults in clinics and hospitals. I also worked on an older adult unit that was a step down unit from the state hospital.
I have been a registered nurse since 1977 and have worked in pediatrics and adult medicine. Since 1999, I have been a pediatric nurse practitioner and became licensed as a psychiatric mental health practitioner in 2011. I have worked in an independent practice as a PNP and at Kaiser. During that time, I worked with mental and physical aspects of health care of children and their families. During my mental health nurse practitioner training, I worked with adults in clinics and hospitals. I also worked on an older adult unit that was a step down unit from the state hospital.
In my role as a psychiatric nurse practitioner, my ideal client is an individual actively seeking assistance for their mental health challenges and displaying a genuine motivation to instigate positive transformations in their life. These individuals may grapple with a diverse range of issues, encompassing anxiety, depression, mood disorders, or stress-related conditions.
In my role as a psychiatric nurse practitioner, my ideal client is an individual actively seeking assistance for their mental health challenges and displaying a genuine motivation to instigate positive transformations in their life. These individuals may grapple with a diverse range of issues, encompassing anxiety, depression, mood disorders, or stress-related conditions.
Dr Madeline Jacobs Psychiatry and Psychotherapy
Psychiatrist
Verified Verified
Portland, OR 97239 (Online Only)
My name is Dr. Madeline Jacobs and I am a Board Certified Psychiatrist now practicing in the Portland, OR area. I completed my General Psychiatry training at Hartford Hospital/Institute of Living in Hartford, CT. My Psychiatry training was very special. I trained at one of the oldest Psychiatric Institutions in the country. This allowed me to be trained in both psychotherapy and biological (medication) aspects of psychiatric interventions. I feel I got the best of both worlds. Psychiatric medications are only one piece of the treatment puzzle, often people need other care, like psychotherapy to help resolve symptoms.
My name is Dr. Madeline Jacobs and I am a Board Certified Psychiatrist now practicing in the Portland, OR area. I completed my General Psychiatry training at Hartford Hospital/Institute of Living in Hartford, CT. My Psychiatry training was very special. I trained at one of the oldest Psychiatric Institutions in the country. This allowed me to be trained in both psychotherapy and biological (medication) aspects of psychiatric interventions. I feel I got the best of both worlds. Psychiatric medications are only one piece of the treatment puzzle, often people need other care, like psychotherapy to help resolve symptoms.
Clarity Health Integrative Psychiatry Jake Freeman
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Portland, OR 97202 (Online Only)
Now taking Regence Blue Cross/Blue Shield! I am excited to have the opportunity to introduce myself as your potential healthcare partner. With openings available for tele-Health services, I am ready to extend care to those 12 and older. I bring 20 years of expertise including seven years of focused psychiatric medicine during which I have served diverse populations and specialize in tailoring medications to your unique symptoms. My commitment to my clients is unwavering. I believe in the importance of inclusivity and respect to all patient populations, regardless of gender, sexual orientation, and ethnicity.
Now taking Regence Blue Cross/Blue Shield! I am excited to have the opportunity to introduce myself as your potential healthcare partner. With openings available for tele-Health services, I am ready to extend care to those 12 and older. I bring 20 years of expertise including seven years of focused psychiatric medicine during which I have served diverse populations and specialize in tailoring medications to your unique symptoms. My commitment to my clients is unwavering. I believe in the importance of inclusivity and respect to all patient populations, regardless of gender, sexual orientation, and ethnicity.
VirtualPsychiatricCare.com
Psychiatric Nurse Practitioner, PMHNP, MSN, APRN
Verified Verified
Portland, OR 97205 (Online Only)
Accepting new patients via telehealth visits in Oregon state for psychiatric evaluations and medication management. We treat anyone suffering with depression, anxiety, or other mental health issue adversely affecting optimal functioning at work, deterring their best social self, or preventing being fully present for loved ones. Our clients are looking to be properly diagnosed and treated using the safest prescribing principles. Make your appointment on our website today. Evening and weekend hours are available. We offer affordable rates-Initial Psychiatric Eval $199, Follow-ups $99. Accepting some insurances.
Accepting new patients via telehealth visits in Oregon state for psychiatric evaluations and medication management. We treat anyone suffering with depression, anxiety, or other mental health issue adversely affecting optimal functioning at work, deterring their best social self, or preventing being fully present for loved ones. Our clients are looking to be properly diagnosed and treated using the safest prescribing principles. Make your appointment on our website today. Evening and weekend hours are available. We offer affordable rates-Initial Psychiatric Eval $199, Follow-ups $99. Accepting some insurances.
Anicka Oyer Meyers
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Portland, OR 97214 (Online Only)
I help people navigate transitions into young adulthood, parenthood, and through gender or sexual identities. These changes can be overwhelming. Together we can connect you to your own inner guide. As a psychiatric nurse practitioner, my hope is to create a space where you can share openly, find support for deep challenges, and share decision-making in your treatment. I use clinical diagnosis as a starting point, and together we will explore your individual story that cannot be written by anyone but you. My role is to help you move beyond diagnosis to relief, ease, and wellness.
I help people navigate transitions into young adulthood, parenthood, and through gender or sexual identities. These changes can be overwhelming. Together we can connect you to your own inner guide. As a psychiatric nurse practitioner, my hope is to create a space where you can share openly, find support for deep challenges, and share decision-making in your treatment. I use clinical diagnosis as a starting point, and together we will explore your individual story that cannot be written by anyone but you. My role is to help you move beyond diagnosis to relief, ease, and wellness.
With my background in osteopathic medicine, my approach to mental health is holistic. I believe that long-term psychotherapy leads to the greatest personal growth. Deeper personal work can be accomplished within a therapeutic relationship that feels safe, and thus, it is fundamentally important that I create such a space for my clients. My therapy approach is rooted in psychoanalytic psychotherapy. Through this model, my goal is to help my clients gain insight into their own emotions, how they relate to others, and through a collaborative therapeutic process, be better able to work through issues such as anxiety, depression, and grief. With a holistic focus on the mind and body, adjunct treatment may include a focus on relaxation/meditation, nutrition, sleep, and life style practices. Psychiatric medications are not the focus of my practice. However, I can prescribe medications for those clients attending weekly or more frequent therapy if they are determined to be a helpful adjunct to treatment.
With my background in osteopathic medicine, my approach to mental health is holistic. I believe that long-term psychotherapy leads to the greatest personal growth. Deeper personal work can be accomplished within a therapeutic relationship that feels safe, and thus, it is fundamentally important that I create such a space for my clients. My therapy approach is rooted in psychoanalytic psychotherapy. Through this model, my goal is to help my clients gain insight into their own emotions, how they relate to others, and through a collaborative therapeutic process, be better able to work through issues such as anxiety, depression, and grief. With a holistic focus on the mind and body, adjunct treatment may include a focus on relaxation/meditation, nutrition, sleep, and life style practices. Psychiatric medications are not the focus of my practice. However, I can prescribe medications for those clients attending weekly or more frequent therapy if they are determined to be a helpful adjunct to treatment.
Mariama Bayoh
Psychiatric Nurse Practitioner, DNP, PMHNP, -BC, FNP-BC
Verified Verified
Portland, OR 97212
Good news! I am welcoming clients to my private practice. My treatment perspective is to support patients in achieving harmony within their physical, mental, emotional, spiritual & relational strengths and challenges.
Good news! I am welcoming clients to my private practice. My treatment perspective is to support patients in achieving harmony within their physical, mental, emotional, spiritual & relational strengths and challenges.
Kelly Yan
Psychiatric Nurse Practitioner, MN, PMHNP, BC
Verified Verified
Portland, OR 97205 (Online Only)
I support mental wellness through medication management and behavioral health counseling. I work in partnership with you, your therapist, and other members of your care team to manage concerns such as anxiety, depression, trauma-related disorders, mood disorders, psychosis, inattention, and neurodivergence. My treatment philosophy is grounded in evidence-based practice and holistic, patient-centered care. I believe in using the gentlest interventions that will achieve your goals. I do not perform ADHD assessments, but I can provide ongoing ADHD treatment. I do not prescribe benzodiazepines long-term.
I support mental wellness through medication management and behavioral health counseling. I work in partnership with you, your therapist, and other members of your care team to manage concerns such as anxiety, depression, trauma-related disorders, mood disorders, psychosis, inattention, and neurodivergence. My treatment philosophy is grounded in evidence-based practice and holistic, patient-centered care. I believe in using the gentlest interventions that will achieve your goals. I do not perform ADHD assessments, but I can provide ongoing ADHD treatment. I do not prescribe benzodiazepines long-term.
See more therapy options for Portland
How does your Psychiatrist compare?
Number of Psychiatrists in Portland, OR
400+
Average cost per session
$250
Psychiatrists in Portland, OR who prioritize treating:
95% | Depression |
95% | Anxiety |
80% | Medication Management |
75% | ADHD |
75% | Bipolar Disorder |
74% | Trauma and PTSD |
64% | Obsessive-Compulsive (OCD) |
Average years in practice
9 Years
Top 3 insurances accepted
78% | BlueCross and BlueShield |
76% | Aetna |
69% | Regence |
How Psychiatrists in Portland, OR see their clients
58% | In Person and Online | |
42% | Online Only |
Gender breakdown
73% | Female | |
26% | Male | |
1% | Non-Binary |
FAQs - About Psychiatrists and Psychiatric Nurses
How can I find a psychiatrist in Portland?
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.
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.
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.
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.
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.