Psychiatrists in Rainier, OR

Photo of Debra Achenbach, ARNP, PMHNP, Psychiatric Nurse
Debra Achenbach
Psychiatric Nurse, ARNP, PMHNP
Verified Verified
Rainier, OR 97048
As a licensed ARNP in Washington State with a specialty in psychiatry I prescribe medications to assist you in overcoming the challenges you face. I strive to provide a comfortable space where you can explore your concerns with a compassionate and objective other; and access the resilience that I believe lies within us all. Clients see me for issues related to stress and life transition, depression, anxiety, ADHD, trauma and bipolar mood disorders. I am accepting new clients.
As a licensed ARNP in Washington State with a specialty in psychiatry I prescribe medications to assist you in overcoming the challenges you face. I strive to provide a comfortable space where you can explore your concerns with a compassionate and objective other; and access the resilience that I believe lies within us all. Clients see me for issues related to stress and life transition, depression, anxiety, ADHD, trauma and bipolar mood disorders. I am accepting new clients.
(360) 423-7500 View (360) 423-7500

Online Psychiatrists

Photo of Christina Vaughn, Psychiatric Nurse Practitioner
Christina Vaughn
Psychiatric Nurse Practitioner
Verified Verified
Portland, OR 97214  (Online Only)
Prior to meeting with me, you will complete intake paperwork regarding practice policies and your health history. This information will be reviewed during your initial assessment. In most instances medication will be prescribed following the initial assessment when indicated. I will work with you to develop a plan of care that is individualized to incorporate your preferences and develop interventions to help you reach your mental health and overall goals.
Prior to meeting with me, you will complete intake paperwork regarding practice policies and your health history. This information will be reviewed during your initial assessment. In most instances medication will be prescribed following the initial assessment when indicated. I will work with you to develop a plan of care that is individualized to incorporate your preferences and develop interventions to help you reach your mental health and overall goals.
(503) 755-1127 View (503) 755-1127
Photo of Rebecca Dorsey - NW Mind-Body Wellness - Rebecca Dorsey, PMHNP, FNP, ENP, Psychiatric Nurse Practitioner
NW Mind-Body Wellness - Rebecca Dorsey
Psychiatric Nurse Practitioner, PMHNP, FNP, ENP
Verified Verified
Wilsonville, OR 97070
Accepting new patients! As your healthcare provider, I know that one cannot simply separate the mind from the body and the best care uses a holistic approach. I am board certified in psychiatry, family medicine, and emergency medicine; which gives me the unique ability to integrate all areas of your health into treatment planning. I provide mental health services that look at all aspects of care to include physical health concerns, environmental factors, and other barriers to care. My aim is to build therapeutic relationships with my clients and their families that focus on both immediate and long-term goals.
Accepting new patients! As your healthcare provider, I know that one cannot simply separate the mind from the body and the best care uses a holistic approach. I am board certified in psychiatry, family medicine, and emergency medicine; which gives me the unique ability to integrate all areas of your health into treatment planning. I provide mental health services that look at all aspects of care to include physical health concerns, environmental factors, and other barriers to care. My aim is to build therapeutic relationships with my clients and their families that focus on both immediate and long-term goals.
(503) 966-2448 View (503) 966-2448
Photo of Tuyet Lam Gwardys, PMHNP, CNL, APRN, MSN, Psychiatric Nurse Practitioner
Tuyet Lam Gwardys
Psychiatric Nurse Practitioner, PMHNP, CNL, APRN, MSN
Verified Verified
16 Endorsed
Portland, OR 97204  (Online Only)
Struggling with mental health can often feel like being trapped in a complex maze, but you don't have to do it alone. As a board certified Psychiatric Mental Health NP, I, Tuyet Gwardys, am here to guide you through this journey with understanding and care. Mental health is more than just a diagnosis; it's about your overall well-being, quality of life, and how you feel about yourself, and that's where I can help make a difference. In today's fast-paced world, many of us grapple with stress, anxiety, depression, or other mental challenges. It's not always easy to recognize when we need help, or to understand the range of treatments.
Struggling with mental health can often feel like being trapped in a complex maze, but you don't have to do it alone. As a board certified Psychiatric Mental Health NP, I, Tuyet Gwardys, am here to guide you through this journey with understanding and care. Mental health is more than just a diagnosis; it's about your overall well-being, quality of life, and how you feel about yourself, and that's where I can help make a difference. In today's fast-paced world, many of us grapple with stress, anxiety, depression, or other mental challenges. It's not always easy to recognize when we need help, or to understand the range of treatments.
(971) 405-5605 View (971) 405-5605
Photo of Brooke Call, MSN, PMHNP, Psychiatric Nurse Practitioner
Brooke Call
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
West Linn, OR 97068
My practice is focused on the initiation and management of psychiatric medications, a supportive psychotherapeutic relationship and lifestyle interventions. I treat a wide range of issues including depression, anxiety, ADHD, trauma, bipolar disorders and OCD. I work with clients aged 14 years and older and really enjoy supporting teens and adults as they navigate the challenges of mental health diagnoses and treatment. I want my clients to be active participants in their mental health care and will collaborate with their treatment team to ensure optimal outcomes.
My practice is focused on the initiation and management of psychiatric medications, a supportive psychotherapeutic relationship and lifestyle interventions. I treat a wide range of issues including depression, anxiety, ADHD, trauma, bipolar disorders and OCD. I work with clients aged 14 years and older and really enjoy supporting teens and adults as they navigate the challenges of mental health diagnoses and treatment. I want my clients to be active participants in their mental health care and will collaborate with their treatment team to ensure optimal outcomes.
(503) 966-9910 View (503) 966-9910
Photo of Carmen Kosicek - Visionary Psychiatry, PMHNP, Psychiatric Nurse Practitioner
Visionary Psychiatry
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Hillsboro, OR 97123
Depressed? Did you know that there are new treatment options offering relief from depression in 2 weeks?!?! No, not SSRI's. No, not SNRI's. YES.... covered by insurance and no, not a huge out of pocket spend! Finally, there IS help & hope for YOU! ADHD challenged? ADHD focused care assessed with Neurocognitive Testing & current, once a day treatments! Psychiatric Medication Management offered online throughout Oregon. In person visits in Tigard, Oregon. Currently accepting new patients! Reach out today at www.visionarypsych.com
Depressed? Did you know that there are new treatment options offering relief from depression in 2 weeks?!?! No, not SSRI's. No, not SNRI's. YES.... covered by insurance and no, not a huge out of pocket spend! Finally, there IS help & hope for YOU! ADHD challenged? ADHD focused care assessed with Neurocognitive Testing & current, once a day treatments! Psychiatric Medication Management offered online throughout Oregon. In person visits in Tigard, Oregon. Currently accepting new patients! Reach out today at www.visionarypsych.com
(971) 257-8415 View (971) 257-8415
Photo of Jesse Lee Morris, PMHNP, Psychiatric Nurse Practitioner
Jesse Lee Morris
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Beaverton, OR 97006
Jesse Morris is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP) based in Portland, Oregon. Jesse uses an integrative approach to care, recognizing that mental health is multifaceted and complex. She blends conventional medicine with exercise, nutrition, psychotherapy, and a range of complementary and alternative treatment modalities. During her mental health career, she has primarily worked in settings offering innovative and non-traditional treatment options. Her experience has given ger a profound understanding that healing extends far beyond pharmaceuticals - it encompasses every facet of our lives.
Jesse Morris is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP) based in Portland, Oregon. Jesse uses an integrative approach to care, recognizing that mental health is multifaceted and complex. She blends conventional medicine with exercise, nutrition, psychotherapy, and a range of complementary and alternative treatment modalities. During her mental health career, she has primarily worked in settings offering innovative and non-traditional treatment options. Her experience has given ger a profound understanding that healing extends far beyond pharmaceuticals - it encompasses every facet of our lives.
(971) 308-4557 View (971) 308-4557
Photo of Jacquiline Kariuki, MSN, PMHNP-, BC, Psychiatric Nurse Practitioner
Jacquiline Kariuki
Psychiatric Nurse Practitioner, MSN, PMHNP-, BC
Verified Verified
Tigard, OR 97223
I am a Psychiatric Mental health Nurse Practitioner working with Adults ages 18 and above in the outpatient setting seeking consultation for diagnosis and treatment of varios Mental health Concerns. My goal is to provide compassionate,  holistic,  patient-centered care with you as a full partner in decision-making . I work to establish a relationship characterized by mutual respect, empathy, and collaboration
I am a Psychiatric Mental health Nurse Practitioner working with Adults ages 18 and above in the outpatient setting seeking consultation for diagnosis and treatment of varios Mental health Concerns. My goal is to provide compassionate,  holistic,  patient-centered care with you as a full partner in decision-making . I work to establish a relationship characterized by mutual respect, empathy, and collaboration
(971) 257-8990 View (971) 257-8990
Photo of Mary 'maria' Tobey - M Tobey Psychiatry LLC, MSN, ARNP, PMHNP, Psychiatric Nurse Practitioner
M Tobey Psychiatry LLC
Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP
Verified Verified
Portland, OR 97229  (Online Only)
My name is Mary, I go by "Maria". I have been working in mental health nursing for the past 9 years, and nursing in general for the past 23 years. My greatest joy is connecting with my patients at a human level and helping them realize the strengths within themselves to achieving a more calm and peaceful life. My style of engaging with patients is holistic. I believe in meeting the needs of the mind, the body and soul, for a more fulfilled existence. My clients can expect to feel more hopeful, understood, and empowered after a session with me.
My name is Mary, I go by "Maria". I have been working in mental health nursing for the past 9 years, and nursing in general for the past 23 years. My greatest joy is connecting with my patients at a human level and helping them realize the strengths within themselves to achieving a more calm and peaceful life. My style of engaging with patients is holistic. I believe in meeting the needs of the mind, the body and soul, for a more fulfilled existence. My clients can expect to feel more hopeful, understood, and empowered after a session with me.
(253) 364-7030 View (253) 364-7030
Photo of Diana C Scruggs, PMHNP, APRN, Psychiatric Nurse Practitioner
Diana C Scruggs
Psychiatric Nurse Practitioner, PMHNP, APRN
Verified Verified
Beaverton, OR 97005  (Online Only)
My ideal client is someone facing challenges such as opioid use, depression, anxiety, or panic attacks. They may struggle with mood fluctuations, attention issues, or have a history of bipolar disorder, feeling overwhelmed by life transitions or behavioral problems. They seek relief from their symptoms and a better understanding of their mental health. Their goals include regaining stability, building coping strategies, and finding empowerment in their journey. Ultimately, they want to live a fulfilling life, free from the weight of their struggles, and are ready to embrace change with compassionate support and guidance.
My ideal client is someone facing challenges such as opioid use, depression, anxiety, or panic attacks. They may struggle with mood fluctuations, attention issues, or have a history of bipolar disorder, feeling overwhelmed by life transitions or behavioral problems. They seek relief from their symptoms and a better understanding of their mental health. Their goals include regaining stability, building coping strategies, and finding empowerment in their journey. Ultimately, they want to live a fulfilling life, free from the weight of their struggles, and are ready to embrace change with compassionate support and guidance.
(971) 314-6829 View (971) 314-6829
Photo of Paul Obino, PMHNP, Psychiatric Nurse Practitioner
Paul Obino
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Beaverton, OR 97006  (Online Only)
I am accepting new clients with same day appointments available. After-hours and weekends appointments are available as well. In network with most major insurances in Oregon State and private pay rates are affordable. I believe in client driven and holistic care. I offer feedback and support in a laidback informal setting where everyone feels comfortable telling their story. Most treatment plans involve medication, therapy, or a combination of both. The aim of our first few sessions is to come up with a mutually agreed treatment plan with the first session being a listening session.
I am accepting new clients with same day appointments available. After-hours and weekends appointments are available as well. In network with most major insurances in Oregon State and private pay rates are affordable. I believe in client driven and holistic care. I offer feedback and support in a laidback informal setting where everyone feels comfortable telling their story. Most treatment plans involve medication, therapy, or a combination of both. The aim of our first few sessions is to come up with a mutually agreed treatment plan with the first session being a listening session.
(971) 626-1301 View (971) 626-1301
Photo of Heather Hemmeger, PharmD, PMHNP, Psychiatric Nurse Practitioner
Heather Hemmeger
Psychiatric Nurse Practitioner, PharmD, PMHNP
Verified Verified
Portland, OR 97205  (Online Only)
Do you struggle with depression, anxiety or other emotional distress? Are you feeling frustrated that things you've tried so far haven't worked? Lets work together to change that! As both a psychiatric nurse practitioner and former pharmacist, I strategically blend elements of both together to foster healing, restore mind-body balance, and inspire self-compassion. My therapeutic approach can be described as warm, collaborative, and grounded in evidence based research. I work from within a trauma-informed, anti-oppressive lens and am committed to creating a safe, inclusive, and empowering space for all who enter my door.
Do you struggle with depression, anxiety or other emotional distress? Are you feeling frustrated that things you've tried so far haven't worked? Lets work together to change that! As both a psychiatric nurse practitioner and former pharmacist, I strategically blend elements of both together to foster healing, restore mind-body balance, and inspire self-compassion. My therapeutic approach can be described as warm, collaborative, and grounded in evidence based research. I work from within a trauma-informed, anti-oppressive lens and am committed to creating a safe, inclusive, and empowering space for all who enter my door.
(971) 260-3492 View (971) 260-3492
Photo of Shannon Anastasiadis, MSN, PMHNP, Psychiatric Nurse Practitioner
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.
(503) 852-5611 View (503) 852-5611
Photo of Megan M Lewis, DNP, FNP, PMHNP, Psychiatric Nurse Practitioner
Megan M Lewis
Psychiatric Nurse Practitioner, DNP, FNP, PMHNP
Verified Verified
2 Endorsed
Portland, OR 97229
Now accepting new patients. Updated 5/15/24. I am an ANCC Board Certified Psychiatric Mental Health and Family Nurse Practitioner offering psychiatry assessment, medication management, and psychotherapy. I see people across the lifespan.
Now accepting new patients. Updated 5/15/24. I am an ANCC Board Certified Psychiatric Mental Health and Family Nurse Practitioner offering psychiatry assessment, medication management, and psychotherapy. I see people across the lifespan.
(458) 216-5974 View (458) 216-5974
Photo of Malinda R Conrad - Elite Prime Health Services, LLC , DNP, FNP-BC, PMHNP-C, Psychiatric Nurse Practitioner
Elite Prime Health Services, LLC
Psychiatric Nurse Practitioner, DNP, FNP-BC, PMHNP-C
Verified Verified
Portland, OR 97211
With more than 15 years experience as a board certified Nurse Practitioner, my objective is to assist clients/patients in meeting their healthcare goals with professionalism and compassion with treatments supported by evidence.
With more than 15 years experience as a board certified Nurse Practitioner, my objective is to assist clients/patients in meeting their healthcare goals with professionalism and compassion with treatments supported by evidence.
(971) 314-6859 View (971) 314-6859
Photo of Jessica Myers, DO, Psychiatrist
Jessica Myers
Psychiatrist, DO
Verified Verified
Lake Oswego, OR 97035
Dr. Jessica Myers is a Psychiatrist in Oregon who has been practicing since 2018. She attended University of Colorado for her undergraduate degree. She graduated from Touro College of Osteopathic Medicine in NY and attended psychiatry residency at Oregon Health and Sciences University. She completed a fellowship in Geriatric Psychiatry at OHSU. Dr. Myers helps her clients by completing a thorough evaluation using the biopsychosocial model in order to achieve an accurate diagnosis. With the help of the client, she constructs a treatment plan that is evidencedbased and tailored to the client’s values and treatment goals. Dr.
Dr. Jessica Myers is a Psychiatrist in Oregon who has been practicing since 2018. She attended University of Colorado for her undergraduate degree. She graduated from Touro College of Osteopathic Medicine in NY and attended psychiatry residency at Oregon Health and Sciences University. She completed a fellowship in Geriatric Psychiatry at OHSU. Dr. Myers helps her clients by completing a thorough evaluation using the biopsychosocial model in order to achieve an accurate diagnosis. With the help of the client, she constructs a treatment plan that is evidencedbased and tailored to the client’s values and treatment goals. Dr.
(833) 996-1403 View (833) 996-1403
Photo of Alexandra Scott, PMHNP, Psychiatric Nurse Practitioner
Alexandra Scott
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Tigard, OR 97223
I am currently accepting new patients, and my hours are flexible to accommodate your needs! I am a board-certified psychiatric mental health nurse practitioner (PMHNP) and am passionate about providing each client with quality, compassionate, and comprehensive health services. I believe that an individualized approach is paramount to effective mental health treatment. I partner with each client to address their individual mental health needs and pursue their treatment goals. All treatment decisions will be a collaborative effort between the two of us. This can be done in person AND via virtual visits.
I am currently accepting new patients, and my hours are flexible to accommodate your needs! I am a board-certified psychiatric mental health nurse practitioner (PMHNP) and am passionate about providing each client with quality, compassionate, and comprehensive health services. I believe that an individualized approach is paramount to effective mental health treatment. I partner with each client to address their individual mental health needs and pursue their treatment goals. All treatment decisions will be a collaborative effort between the two of us. This can be done in person AND via virtual visits.
(503) 912-7319 View (503) 912-7319
Photo of Daniel Schroeder, MSN,  PMHNP-, Psychiatric Nurse Practitioner
Daniel Schroeder
Psychiatric Nurse Practitioner, MSN, PMHNP-
Verified Verified
Hillsboro, OR 97124
MACounseling Psychology Lewis & Clark College2002 MNPsychiatric Mental Health Nurse Practitioner OHSU2008 Experience 4 yrs. Telephone Counseling ProtoCall Services 2 yrs. Inpatient Psychiatric Nursing Portland Adventist Med. Center 14 years outpatient medication management as a PMHNP Services Offered Theoretical Orientation Evidence Based Practice with consideration of contributing medical conditions, diet, life style, prescription medication and nutritional options when appropriate.
MACounseling Psychology Lewis & Clark College2002 MNPsychiatric Mental Health Nurse Practitioner OHSU2008 Experience 4 yrs. Telephone Counseling ProtoCall Services 2 yrs. Inpatient Psychiatric Nursing Portland Adventist Med. Center 14 years outpatient medication management as a PMHNP Services Offered Theoretical Orientation Evidence Based Practice with consideration of contributing medical conditions, diet, life style, prescription medication and nutritional options when appropriate.
(833) 996-1403 View (833) 996-1403
Photo of Stephanie Mangual, DNP, APRN, FNP-BC, PMHNP, Psychiatric Nurse Practitioner
Stephanie Mangual
Psychiatric Nurse Practitioner, DNP, APRN, FNP-BC, PMHNP
Verified Verified
Salem, OR 97301
Are you seeking compassionate and expert care for your mental health? Look no further! Our highly experienced Psychiatric Nurse Practitioner is currently accepting new patients. With a focus on personalized and evidence-based treatment, we are dedicated to helping you navigate life's challenges. Services include comprehensive psychiatric evaluations, medication management, and therapeutic interventions. We prioritize creating a supportive and collaborative environment where you feel heard and understood. Conveniently located in Las Cruces NM & Salem Oregon, our clinic offers flexible scheduling options.
Are you seeking compassionate and expert care for your mental health? Look no further! Our highly experienced Psychiatric Nurse Practitioner is currently accepting new patients. With a focus on personalized and evidence-based treatment, we are dedicated to helping you navigate life's challenges. Services include comprehensive psychiatric evaluations, medication management, and therapeutic interventions. We prioritize creating a supportive and collaborative environment where you feel heard and understood. Conveniently located in Las Cruces NM & Salem Oregon, our clinic offers flexible scheduling options.
(575) 213-5223 View (575) 213-5223
Photo of Aktsa Simon, PMHNP, Psychiatric Nurse Practitioner
Aktsa Simon
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Beaverton, OR 97007  (Online Only)
Aktsa Simon is a Family Psychiatric-Mental Health Nurse Practitioner Board Certified by the American Nurses Credentialing Center. She has clinical experience with adolescents, adults, and geriatric populations. I am approachable, empathetic, compassionate, and caring. I interact closely with my clients, actively listening to understand their needs. It's important to me that my clients feel comfortable and assured of my steadfast support. I engage in active listening to comprehend my clients' needs and goals. It's important to me that they feel comfortable and assured of my support throughout our time together.
Aktsa Simon is a Family Psychiatric-Mental Health Nurse Practitioner Board Certified by the American Nurses Credentialing Center. She has clinical experience with adolescents, adults, and geriatric populations. I am approachable, empathetic, compassionate, and caring. I interact closely with my clients, actively listening to understand their needs. It's important to me that my clients feel comfortable and assured of my steadfast support. I engage in active listening to comprehend my clients' needs and goals. It's important to me that they feel comfortable and assured of my support throughout our time together.
(503) 487-5049 View (503) 487-5049

See more therapy options for Rainier

How does your Psychiatrist compare?

Number of Psychiatrists in Rainier, OR

< 10

Psychiatrists in Rainier, OR who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% ADHD
100% Life Coaching
100% Grief
100% Trauma and PTSD

Gender breakdown

100% Female

How Psychiatrists in Rainier, OR see their clients

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

How can I find a psychiatrist in Rainier?

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.