Psychiatrists in Tillamook County, OR

View cities in Tillamook County
Jill C. Gladish
Psychiatrist, MD, MPH, ABPN
Online Only
My approach to treatment focuses on medication management associated with practical supportive psychotherapy and lifestyle/behavioral modifications. I have trained extensively here in the U.S., Australia and Switzerland. I pride myself on being straightforward and down to earth. I work to find a treatment approach that is symptom focused, practical and specific to your needs.
My approach to treatment focuses on medication management associated with practical supportive psychotherapy and lifestyle/behavioral modifications. I have trained extensively here in the U.S., Australia and Switzerland. I pride myself on being straightforward and down to earth. I work to find a treatment approach that is symptom focused, practical and specific to your needs.
(503) 563-7431 View (503) 563-7431
Lauren Wilks
Psychiatric Nurse Practitioner, PMHNP
2 Endorsed
Tillamook, OR 97141
I treat you as a whole person and provide individualized, collaborative psychiatric care. I work with people who are new to mental health medication, those who have been on medication for years, and everyone in between. I treat depression, ADHD, anxiety, obsessive-compulsive disorder, substance use disorders, post-traumatic stress disorder, anger and irritability, disordered eating, autism spectrum conditions, PMDD, and other mood-related challenges. For those who are interested, I offer pharmacogenomic testing—a genetic test that can help guide medication choices by showing how your genes may influence medication response.
I treat you as a whole person and provide individualized, collaborative psychiatric care. I work with people who are new to mental health medication, those who have been on medication for years, and everyone in between. I treat depression, ADHD, anxiety, obsessive-compulsive disorder, substance use disorders, post-traumatic stress disorder, anger and irritability, disordered eating, autism spectrum conditions, PMDD, and other mood-related challenges. For those who are interested, I offer pharmacogenomic testing—a genetic test that can help guide medication choices by showing how your genes may influence medication response.
(503) 210-9550 View (503) 210-9550
Jennifer Taylor
Psychiatric Nurse Practitioner, PMHNP
6 Endorsed
Online Only
Living with anxiety, depression, or the weight of past trauma can feel exhausting. Many of my clients in Oregon describe pushing through work and relationships while quietly struggling inside. Some have tried therapy or medication before without the relief they hoped for. What they want is simple but powerful: to feel calmer, steadier, and more connected to themselves and the people they love. If this sounds familiar, you don’t have to carry it alone—real support and change are possible.
Living with anxiety, depression, or the weight of past trauma can feel exhausting. Many of my clients in Oregon describe pushing through work and relationships while quietly struggling inside. Some have tried therapy or medication before without the relief they hoped for. What they want is simple but powerful: to feel calmer, steadier, and more connected to themselves and the people they love. If this sounds familiar, you don’t have to carry it alone—real support and change are possible.
(503) 843-8722 View (503) 843-8722

Online Psychiatrists

Lisacare psychiatry and Mental Health Wellness
Psychiatric Nurse Practitioner, PMHNP
Online Only
Prisca Oketch, APRN, PMHNP-BC, with over 17 years of dedicated clinical experience, specializes in comprehensive mental health treatment. I combine evidence-based psychiatric care with compassionate listening, creating personalized treatment plans that address each patient's unique needs. I am accepting new patients of all ages, from children to adults, both for cash pay and insurance with same-day availability.
Prisca Oketch, APRN, PMHNP-BC, with over 17 years of dedicated clinical experience, specializes in comprehensive mental health treatment. I combine evidence-based psychiatric care with compassionate listening, creating personalized treatment plans that address each patient's unique needs. I am accepting new patients of all ages, from children to adults, both for cash pay and insurance with same-day availability.
(972) 746-2562 View (972) 746-2562
HALEY HUDSON
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Online Only
Life is busy—work, kids, responsibilities—and somehow you’re still expected to hold it all together. From the outside, it might look like you’re doing fine, but internally you’re dealing with anxiety, burnout, low mood, or constant overwhelm. Maybe focus has always been hard, and you’re wondering if ADHD is part of it. Or maybe you’ve been pouring into everyone else and now feel completely drained. If you’re ready to feel more like yourself again—calm, focused, and in control—but don’t know where to start, you’re not alone.
Life is busy—work, kids, responsibilities—and somehow you’re still expected to hold it all together. From the outside, it might look like you’re doing fine, but internally you’re dealing with anxiety, burnout, low mood, or constant overwhelm. Maybe focus has always been hard, and you’re wondering if ADHD is part of it. Or maybe you’ve been pouring into everyone else and now feel completely drained. If you’re ready to feel more like yourself again—calm, focused, and in control—but don’t know where to start, you’re not alone.
(541) 845-3436 View (541) 845-3436
Megan Langworthy
Psychiatric Nurse Practitioner, PMHNP, BC
1 Endorsed
Portland, OR 97214
I provide precision psychiatric care focused on identifying what’s actually driving your symptoms—not just managing a diagnosis. I provide psychiatric evaluations and medication management for adults with anxiety, depression, ADHD and mood disorders, with a focus on clear treatment plans and measurable progress. From weight loss to longevity stacks, ketamine inspired transformation sessions, you'll finally get what works, not what's common. If you have Cigna or United, please find me on Headway. All other plans please reach out to intakes at somatrix psychiatry dot com.
I provide precision psychiatric care focused on identifying what’s actually driving your symptoms—not just managing a diagnosis. I provide psychiatric evaluations and medication management for adults with anxiety, depression, ADHD and mood disorders, with a focus on clear treatment plans and measurable progress. From weight loss to longevity stacks, ketamine inspired transformation sessions, you'll finally get what works, not what's common. If you have Cigna or United, please find me on Headway. All other plans please reach out to intakes at somatrix psychiatry dot com.
(503) 563-8979 View (503) 563-8979
Maria Dotsey
Psychiatric Nurse Practitioner, CRNP-PM
Portland, OR 97214
I have over 20 years of mental health experience working with adolescents/adults and my skills and experience allows me to assist you in setting appropriate life goals and defining strategies to accomplish those goals. There is no set approach for mental health care. Every patient is unique and will be treated as such. I will customize your experience and help you to achieve optimal health.
I have over 20 years of mental health experience working with adolescents/adults and my skills and experience allows me to assist you in setting appropriate life goals and defining strategies to accomplish those goals. There is no set approach for mental health care. Every patient is unique and will be treated as such. I will customize your experience and help you to achieve optimal health.
(971) 626-1922 View (971) 626-1922
Jessica L Hilbert
Psychiatric Nurse Practitioner, MSN, PMHNP
1 Endorsed
Corvallis, OR 97331
CURRENtLY ACCePTINg NEW PaTIEnTS! Free ADHD, GEneTiC, & NEurOPsYChoLoGiCaL TeSTiNg AvAiLaBLE! Please call for more details. I'm a Veteran with experience in passionately advocating for the LGBTQ Veteran population. I have certifications in both functional medicine and nutrition programs with an emphasis in psychiatry. I offer traditional, holistic, and integrative approaches to treating mental health conditions which often includes nutrition and supplement advice, exercise routines, and meditative practices, to name a few.
CURRENtLY ACCePTINg NEW PaTIEnTS! Free ADHD, GEneTiC, & NEurOPsYChoLoGiCaL TeSTiNg AvAiLaBLE! Please call for more details. I'm a Veteran with experience in passionately advocating for the LGBTQ Veteran population. I have certifications in both functional medicine and nutrition programs with an emphasis in psychiatry. I offer traditional, holistic, and integrative approaches to treating mental health conditions which often includes nutrition and supplement advice, exercise routines, and meditative practices, to name a few.
(541) 632-8727 View (541) 632-8727
Evolve Health
Psychiatric Nurse Practitioner, PMHNPBC, DNP, FNP
Portland, OR 97222
We serve adults struggling with treatment-resistant depression, anxiety, OCD, PTSD, and related mood disorders. Many of our patients have tried traditional medications or therapies without the results they need, leading them to look for evidence-based alternatives that offer real relief and stability. Whether someone is newly exploring treatment options or has been navigating mental health challenges for years, we meet them where they are. Our goal is to help patients move past feeling “stuck,” reconnect with themselves, and start reclaiming their lives.
We serve adults struggling with treatment-resistant depression, anxiety, OCD, PTSD, and related mood disorders. Many of our patients have tried traditional medications or therapies without the results they need, leading them to look for evidence-based alternatives that offer real relief and stability. Whether someone is newly exploring treatment options or has been navigating mental health challenges for years, we meet them where they are. Our goal is to help patients move past feeling “stuck,” reconnect with themselves, and start reclaiming their lives.
(971) 396-4856 View (971) 396-4856
Neupathway (Nicole Mutnansky)
Psychiatric Nurse Practitioner, APRN, PMHNP, -BC, MSN, BSN
Beaverton, OR 97005
Imagine a clinic where patients feel genuinely seen and supported—where care is personalized, evidence-based, and grounded in empathy. This clinic serves individuals navigating anxiety, depression, trauma, and life transitions, including adolescence, pregnancy, and postpartum. Their goal is to partner with a provider who brings not only clinical expertise but also compassion and holistic insight. They’re seeking someone who honors each patient’s unique journey and can support them through change and healing.
Imagine a clinic where patients feel genuinely seen and supported—where care is personalized, evidence-based, and grounded in empathy. This clinic serves individuals navigating anxiety, depression, trauma, and life transitions, including adolescence, pregnancy, and postpartum. Their goal is to partner with a provider who brings not only clinical expertise but also compassion and holistic insight. They’re seeking someone who honors each patient’s unique journey and can support them through change and healing.
(360) 996-6088 View (360) 996-6088
Riva Shah
Psychiatrist, MD
3 Endorsed
Portland, OR 97213
Waitlist for new clients
I'm Dr. Riva Shah, a board-certified psychiatrist and psychotherapist in Portland. I work with adults navigating anxiety, depression, trauma, life changes, and relationship challenges. I offer specialized expertise in supporting individuals through infertility, reproductive loss, parenthood, and the perinatal period. I am also deeply familiar with the unique complexities of bicultural identity and the immigrant family experience, helping you examine how upbringing and culture shape your strengths and current realities.
I'm Dr. Riva Shah, a board-certified psychiatrist and psychotherapist in Portland. I work with adults navigating anxiety, depression, trauma, life changes, and relationship challenges. I offer specialized expertise in supporting individuals through infertility, reproductive loss, parenthood, and the perinatal period. I am also deeply familiar with the unique complexities of bicultural identity and the immigrant family experience, helping you examine how upbringing and culture shape your strengths and current realities.
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Daniel Roa
Psychiatric Nurse Practitioner, DNP, PMHNP
1 Endorsed
Portland, OR 97214
Immediate appointments available! With over two decades of dedicated service in healthcare, I am striving to be a beacon of empathy and expertise in the field of mental health. I’m committed to patient-centered and personalized care. This has shaped a career focused on understanding the unique needs of each individual. I approach patient care with a genuine desire to listen. With a deep understanding of psychiatric struggles and the benefit of care, my patients receive a comprehensive and personalized treatment plan, ensuring that each patient's journey is supported fully.
Immediate appointments available! With over two decades of dedicated service in healthcare, I am striving to be a beacon of empathy and expertise in the field of mental health. I’m committed to patient-centered and personalized care. This has shaped a career focused on understanding the unique needs of each individual. I approach patient care with a genuine desire to listen. With a deep understanding of psychiatric struggles and the benefit of care, my patients receive a comprehensive and personalized treatment plan, ensuring that each patient's journey is supported fully.
(360) 623-7884 View (360) 623-7884
Elaina Atwell-Furrow
Psychiatric Nurse Practitioner, DNP, PMHNP
2 Endorsed
Keizer, OR 97303
Waitlist for new clients
As a Psychiatric Mental Health Nurse Practitioner, I provide diagnostic evaluations and treatment for psychiatric disorders/mental health conditions. I offer both therapy and medication management, specializing in the treatment of anxiety disorders, ADHD and OCD/obsessive compulsive spectrum disorders. Following completion of my Doctorate of Nursing Practice at OHSU, I co-directed and treated patients in the OCD clinic at OHSU. I have carried this experience with me into the opening of my private practice, Atwell Mental Health, LLC.
As a Psychiatric Mental Health Nurse Practitioner, I provide diagnostic evaluations and treatment for psychiatric disorders/mental health conditions. I offer both therapy and medication management, specializing in the treatment of anxiety disorders, ADHD and OCD/obsessive compulsive spectrum disorders. Following completion of my Doctorate of Nursing Practice at OHSU, I co-directed and treated patients in the OCD clinic at OHSU. I have carried this experience with me into the opening of my private practice, Atwell Mental Health, LLC.
(971) 444-6362 View (971) 444-6362
Dr. Nonye Rosemary Eneje
Psychiatric Nurse Practitioner, DNP, FNP-BC, PMHNPBC
3 Endorsed
Online Only
Dr. Eneje is a doctoral prepared, licensed, and dual board-certified family nurse practitioner and psychiatric mental health nurse practitioner. She received her Doctor of Nursing Practice and Post Masters Certification in Psychiatric Mental Healthcare from Brandman University, Irvine California. She received a Masters of Science as a Family Nurse Practitioner and a Bachelor of Science in nursing from Tennessee State University, Nashville TN. Dr. Eneje is part of the Sigma Theta Tau nursing honor society. She provides 100% virtual/telehealth services through a secure and HIPAA compliant video conference platform.
Dr. Eneje is a doctoral prepared, licensed, and dual board-certified family nurse practitioner and psychiatric mental health nurse practitioner. She received her Doctor of Nursing Practice and Post Masters Certification in Psychiatric Mental Healthcare from Brandman University, Irvine California. She received a Masters of Science as a Family Nurse Practitioner and a Bachelor of Science in nursing from Tennessee State University, Nashville TN. Dr. Eneje is part of the Sigma Theta Tau nursing honor society. She provides 100% virtual/telehealth services through a secure and HIPAA compliant video conference platform.
(206) 737-1142 View (206) 737-1142
Visionary Psychiatry
Psychiatric Nurse Practitioner, PMHNP
2 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 Hillsboro, Oregon. Currently accepting new patients! Commercial & OHP/Medicaid. Call us! Yes, our office sees ages 4+
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 Hillsboro, Oregon. Currently accepting new patients! Commercial & OHP/Medicaid. Call us! Yes, our office sees ages 4+
(503) 436-6109 View (503) 436-6109
Lauren Merrell
Psychiatric Nurse Practitioner, DNP, PMHNP
1 Endorsed
Portland, OR 97232
I offer a range of services to meet your needs, including combined treatment (medication + therapy), medication management, ADHD evaluations, and letters of support for gender-affirming surgery. I work with adults who are navigating anxiety, stress, depression, ADHD, and life transitions. My ideal clients are individuals who are seeking a deeper understanding of their mental health and are motivated to make meaningful changes in their lives. In our first few sessions, I'll listen to you intently and then we'll determine a path forward. Most of my clients start to feel better within a few months.
I offer a range of services to meet your needs, including combined treatment (medication + therapy), medication management, ADHD evaluations, and letters of support for gender-affirming surgery. I work with adults who are navigating anxiety, stress, depression, ADHD, and life transitions. My ideal clients are individuals who are seeking a deeper understanding of their mental health and are motivated to make meaningful changes in their lives. In our first few sessions, I'll listen to you intently and then we'll determine a path forward. Most of my clients start to feel better within a few months.
(971) 318-1721 View (971) 318-1721
Tiffany Chaille
Psychiatric Nurse, PMHNP
Online Only
Tiffany Chaille is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with nearly a decade of clinical practice and over 15 years of experience working in behavioral health. Her background includes inpatient and outpatient psychiatry, crisis-focused care, community mental health, integrated pain and psychiatry care, and telepsychiatry. She has a growing interest in functional and integrative approaches to mental health. Tiffany earned her Master of Science in Nursing as a PMHNP from Indiana University and her Bachelor of Science in Nursing from Indiana State University.
Tiffany Chaille is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with nearly a decade of clinical practice and over 15 years of experience working in behavioral health. Her background includes inpatient and outpatient psychiatry, crisis-focused care, community mental health, integrated pain and psychiatry care, and telepsychiatry. She has a growing interest in functional and integrative approaches to mental health. Tiffany earned her Master of Science in Nursing as a PMHNP from Indiana University and her Bachelor of Science in Nursing from Indiana State University.
(929) 493-3234 View (929) 493-3234
Dianna Harris (New Patients Welcome)
Psychiatric Nurse Practitioner, PsyD, PMHNP
Salem, OR 97302
Accepting NEW Clients (ages 18-65) as of 8/1/26 for Medication Management (I am not taking clients for therapy). Appointments are available in 1-2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
Accepting NEW Clients (ages 18-65) as of 8/1/26 for Medication Management (I am not taking clients for therapy). Appointments are available in 1-2 weeks. Complete the Patient Inquiry Form on my website. You will receive a response the same or next day. My practice is primarily composed of adults struggling with anxiety and depression. I find that people reach out to treatment when excessive worry, low motivation, and negative thinking can lead to feeling less confident in their work, behind on tasks at home, and impacting relationships. I don't treat ADHD and I don't prescribe controlled substances, such as Xanax for anxiety.
(503) 850-0267 View (503) 850-0267
MARILINE CORVIL
Psychiatric Nurse Practitioner, PMHNP, BC
Portland, OR 97210
We support adults struggling with depression, anxiety, trauma, ADHD, and other mental health challenges through compassionate, individualized care. We help clients move forward with psychiatric evaluations, medication management, supportive therapy, telehealth services, and NeuroStar TMS therapy in a safe and culturally sensitive environment.
We support adults struggling with depression, anxiety, trauma, ADHD, and other mental health challenges through compassionate, individualized care. We help clients move forward with psychiatric evaluations, medication management, supportive therapy, telehealth services, and NeuroStar TMS therapy in a safe and culturally sensitive environment.
(651) 621-3712 View (651) 621-3712
Waypoint Psychiatric Partners
Psychiatric Nurse Practitioner, PMHNP
Online Only
We focus on children, teens, and adults who have felt rushed, dismissed, or unheard in past care—those seeking someone who sees them as more than just symptoms. They come to us feeling discouraged, unsure of their diagnosis, or ready for a fresh start. Our board-certified Psychiatric Mental Health Nurse Practitioners—Shannon Eaton, Jenny Brady, and Debra Pugh—listen fully before offering guidance, take time to learn your unique story, strengths, and goals, build a personalized plan tailored to you, and provide proven, compassionate care. We walk alongside you to help you move forward with clarity, respect, and hope.
We focus on children, teens, and adults who have felt rushed, dismissed, or unheard in past care—those seeking someone who sees them as more than just symptoms. They come to us feeling discouraged, unsure of their diagnosis, or ready for a fresh start. Our board-certified Psychiatric Mental Health Nurse Practitioners—Shannon Eaton, Jenny Brady, and Debra Pugh—listen fully before offering guidance, take time to learn your unique story, strengths, and goals, build a personalized plan tailored to you, and provide proven, compassionate care. We walk alongside you to help you move forward with clarity, respect, and hope.
(971) 414-3127 View (971) 414-3127

See more therapy options for Tillamook County

How does your Psychiatrist compare?

Number of Psychiatrists in Tillamook County, OR

< 10

Psychiatrists in Tillamook County, OR who prioritize treating:

100% Depression
100% ADHD
100% Anxiety
67% Trauma and PTSD
67% Obsessive-Compulsive (OCD)
67% Bipolar Disorder
67% Medication Management

Average years in practice

13 Years

Top 3 insurances accepted

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

How Psychiatrists in Tillamook County, OR see their clients

67% Online Only
33% In Person and Online

Gender breakdown

100% Female
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Tillamook County?

The Psychology Today Directory enables users to search specifically for psychiatrists by selecting the provider type from the drop-down menu, and filtering results by city, zip code, or the psychiatrist's name. The search results feature detailed profiles that outline each professional's treatment approach, areas of expertise, credentials, fees, payment options, and accepted insurance. Results include both psychiatrists (MDs) and psychiatric mental health nurse practitioners (PMHNPs), who hold advanced practice nursing degrees. Users can refine their search for a specific type of psychiatric provider using the "Provider Type" filter.

What is the difference between a psychiatrist and a psychologist?

Psychiatrists are medical specialists dedicated to understanding, diagnosing, and treating brain disorders and mental health conditions. As physicians, they are trained to identify the often subtle biological factors underlying mental disorders and to monitor how mental health treatments may impact other physical conditions, such as heart disease. Psychiatrists are licensed to prescribe medication and typically conduct shorter sessions that focus on medication management rather than intensive psychotherapy.

In contrast, psychologists are particularly attuned to the impact of early experiences on development, behavior, emotions, and cognitive processes. They often take a holistic approach to assessing and treating clients, considering aspects of personality and social functioning. Although psychologists cannot prescribe medication, they are frequently skilled in administering psychological tests—such as IQ tests, personality assessments, and behavioral evaluations—to assess an individual's functioning. Psychologists often engage in longer, more psychotherapy-focused sessions compared to psychiatrists.

What is a psychiatric nurse practitioner and what is the difference with a psychiatrist?

A psychiatric mental health nurse practitioner (PMHNP), also known as a mental health nurse practitioner or psychiatric nurse practitioner, is an advanced practice registered nurse (APRN) who has completed advanced training in psychiatric care, earning at least a master’s degree in psychiatric nursing. To become Board-Certified (PMHNP-BC), psychiatric nurse practitioners must also pass a national exam that tests their clinical psychiatric knowledge.

Like psychiatrists, PMHNPs are trained to assess, diagnose, and treat mental health conditions. However, PMHNPs and psychiatrists differ in their training experience. While PMHNPs can complete their credentialing requirements (full bachelor's and master's degree training) in as few as 6 years, psychiatrists often spend upwards of 12 years to complete their bachelor's, medical doctorate degree, and residency training requirements. Because of training differences, some states require PMHNPs to be supervised by or enter into a collaborative agreement with a physician in order to prescribe medication.

When deciding to work with a psychiatrist or PMHNP, clients should consider factors such therapeutic fit, cost, and availability. Psychiatrists may have more substantial training in treating more severe psychiatric conditions, as well as in providing more specialized treatment services, such as child psychiatry. However, psychiatrists may be inaccessible to some clients, as their cost and availability may be prohibitive. It can often be easier for clients to find a PMHNP with openings for new clients when compared to psychiatrists, and PMHNPs may also offer lower cost treatment options for clients looking to minimize out-of-pocket costs.

Can a psychiatrist or a PMHNP prescribe medication?

The Psychology Today directory features two primary types of psychiatric professionals: psychiatrists and psychiatric mental health nurse practitioners (PMHNPs). Both are generally authorized to prescribe psychiatric medications. In 28 states, PMHNPs have full practice authority, allowing them to provide the complete spectrum of psychiatric care, including independent medication prescribing and management. In other states, however, PMHNPs are required to work under the supervision or in collaboration with a physician to prescribe medication. Both psychiatrists and PMHNPs may also offer additional services, such as psychotherapy, counseling, and care coordination, for clients seeking psychiatric care.

Do psychiatrists or PMHNPs offer therapy?

Both psychiatrists and psychiatric mental health nurse practitioners (PMHNPs) are generally trained in a number of treatment modalities, including traditional psychotherapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), pharmacotherapy, and, occasionally, various somatic therapies. Typically, psychiatrists and PMHNPs make a diagnosis and determine a course of treatment based on chemical or biological factors, using lab tests, brain scans and physical and psychological evaluations.

While psychotherapy may be used in the first session to aid in diagnosis, it is not typically utilized in subsequent visits. In fact, after the introductory session, most psychiatry sessions may only be 15-20 minutes in length and are largely focused on medication management; this is frequently the case for both psychiatrists and PMHNPs. However, medication providers who do not offer psychotherapy usually work collaboratively with psychologists and other mental health clinicians who do offer these services, and they can refer clients seeking more traditional psychotherapy services to their care.

How do I know if I need a psychiatrist, a PMHNP, or a therapist?

It is not always easy to know which type of mental health practitioner to choose. Many people are unaware of the root of their mental or behavioral problem and may be unaware of the differences in support provided by various mental health professionals. One way many people learn which type of care is best for them is by seeing their primary care provider (PCP) first. Depending on the nature and severity of the symptoms, the PCP may review their medical history and provide guidance or a referral to the appropriate type of provider.

A referral to a psychiatrist or PMHNP is most often made when a client is in need of psychiatric medication management or assessment. These professionals are specifically trained to prescribe psychiatric medications, when necessary, for a client; however, they generally do not provide supportive psychotherapy on an ongoing basis. A therapist or psychologist, in contrast, can provide supportive psychotherapy but is unable to prescribe medications. Because of their unique roles, some clients see both a medication prescriber (either a psychiatrist or PMHNP) and a therapist at the same time to address their psychiatric concerns holistically. Many psychiatrists and psychologists are very open to referring clients to other professionals if unable to meet the client's needs or if they think the client could use additional support from a different type of professional.

Do I need a referral to see a psychiatrist or a PMHNP?

A referral to a psychiatrist or psychiatric mental health nurse practitioner (PMHNP) is often not required. However, consulting your primary care physician (PCP) first can be beneficial and may streamline the process of getting the care you need. Your PCP can help determine whether psychiatric care is necessary or if another type of mental health support might be more appropriate. Additionally, some insurance plans require a PCP referral to cover part or all of the costs associated with seeing a specialist. Obtaining a referral can also expedite the appointment process, particularly in areas with provider shortages or for clients seeking specialists in fields like child psychiatry.

Is everyone in the Psychology Today Therapy Directory a licensed professional?

Yes, all professionals listed in the Psychology Today Therapy Directory are licensed to provide mental health services in the state(s) where they practice. The directory includes a variety of providers such as psychiatrists, psychiatric mental health nurse practitioners (PMHNPs), physician assistants, psychologists, social workers, and counselors. Each provider must hold a valid license issued by their state regulatory body to be listed. In addition, Psychology Today offers a verification process for certain providers, signified by a 'Verified' symbol next to their profile. This badge indicates that the provider’s primary credential or license has been independently verified by Psychology Today.