Psychiatrists in Washington County, OR

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Josiah Laughlin
Psychiatric Nurse Practitioner, DNP, CARN-AP
Beaverton, OR 97005
Are you ready for change? In a world that often demands quick labels, the act of being heard authentically becomes a profound form of healing. I provide psychiatric and addiction care to a broad spectrum of populations, informed by my extensive background in supporting all members of the Oregon community. By creating a space where you are heard without judgment, we transform isolated experiences into shared human connections that honor the individual and foster lasting healing. This means that, in addition to addressing symptoms, we explore your unique relationship with treatment.
Are you ready for change? In a world that often demands quick labels, the act of being heard authentically becomes a profound form of healing. I provide psychiatric and addiction care to a broad spectrum of populations, informed by my extensive background in supporting all members of the Oregon community. By creating a space where you are heard without judgment, we transform isolated experiences into shared human connections that honor the individual and foster lasting healing. This means that, in addition to addressing symptoms, we explore your unique relationship with treatment.
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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
Anabel Logan
Psychiatric Nurse Practitioner, PMHNP
2 Endorsed
Hillsboro, OR 97006
Anabel is a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) who works with patients to help them feel more steady, clear, and back in control of their lives. Anabel has been in nursing since 2019 and earned both her Bachelor of Science in Nursing and Doctor of Nursing Practice from the University of Arkansas for Medical Sciences. With a background in medical, neuro, and psychiatric nursing, she takes a nuanced approach to care, helping patients build lives that feel manageable and sustainable. She has experience working with anxiety, depression, ADHD, and mood-related conditions in many clinical settings.
Anabel is a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) who works with patients to help them feel more steady, clear, and back in control of their lives. Anabel has been in nursing since 2019 and earned both her Bachelor of Science in Nursing and Doctor of Nursing Practice from the University of Arkansas for Medical Sciences. With a background in medical, neuro, and psychiatric nursing, she takes a nuanced approach to care, helping patients build lives that feel manageable and sustainable. She has experience working with anxiety, depression, ADHD, and mood-related conditions in many clinical settings.
(971) 300-0654 View (971) 300-0654
Shara Ally
Psychiatric Nurse Practitioner, NP
Portland, OR 97223
I'm Shara Ally of Mental Health Practitioners. I provide evidence-based medication management for adults via telehealth. As an author and TEDx speaker, I translate complex research into clear, practical care plans that help my patients feel informed and supported. I specialize in mood and anxiety disorders, trauma-related conditions (PTSD), adult ADHD, OCD, bipolar spectrum disorders, and women's mental health across the reproductive lifespan,including perinatal and postpartum mood disorders, PMDD, and menopausal transitions. My practice is highly collaborative, with education, skills coaching, and supportive check-ins.
I'm Shara Ally of Mental Health Practitioners. I provide evidence-based medication management for adults via telehealth. As an author and TEDx speaker, I translate complex research into clear, practical care plans that help my patients feel informed and supported. I specialize in mood and anxiety disorders, trauma-related conditions (PTSD), adult ADHD, OCD, bipolar spectrum disorders, and women's mental health across the reproductive lifespan,including perinatal and postpartum mood disorders, PMDD, and menopausal transitions. My practice is highly collaborative, with education, skills coaching, and supportive check-ins.
(602) 800-4699 View (602) 800-4699
Damaris Andrade- New Patients Welcome)
Psychiatric Nurse Practitioner, PMHNP , BC
Online Only
Spanish-speaking PMHNP- We are now taking new patients! Hello, and welcome. My name is Damaris Andrade, PMHNP-BC, and I am a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, evidence-based mental health care. I have experience treating a wide range of mental health conditions, including depression, anxiety disorders, bipolar disorder, trauma-related disorders, and other mood and behavioral health concerns. My approach is patient-centered, collaborative, and focused on helping individuals achieve meaningful improvements in their quality of life.
Spanish-speaking PMHNP- We are now taking new patients! Hello, and welcome. My name is Damaris Andrade, PMHNP-BC, and I am a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, evidence-based mental health care. I have experience treating a wide range of mental health conditions, including depression, anxiety disorders, bipolar disorder, trauma-related disorders, and other mood and behavioral health concerns. My approach is patient-centered, collaborative, and focused on helping individuals achieve meaningful improvements in their quality of life.
(971) 257-4167 View (971) 257-4167
Emily Poulton
Psychiatric Nurse Practitioner, PMHNP
3 Endorsed
Online Only
Emily Poulton, MS, FNP-C, APRN, is a board-certified Family Nurse Practitioner dedicated to comprehensive, patient-centered care across the lifespan. She earned her Master of Science in Nursing from Georgetown University and completed psychiatric training at Regis College in 2025. Emily has experience treating depression, anxiety, ADHD, and other mental health concerns, integrating both physical and mental health in her practice.
Emily Poulton, MS, FNP-C, APRN, is a board-certified Family Nurse Practitioner dedicated to comprehensive, patient-centered care across the lifespan. She earned her Master of Science in Nursing from Georgetown University and completed psychiatric training at Regis College in 2025. Emily has experience treating depression, anxiety, ADHD, and other mental health concerns, integrating both physical and mental health in her practice.
(971) 300-0654 View (971) 300-0654
Dale LaChance
Psychiatric Nurse Practitioner, PMHNP
Online Only
Dale is board certified as a psychiatric mental health nurse practitioner (PMHNP). He has worked in numerous hospital and outpatient settings and spent 10 years overseeing the daily operations of the psychiatry, medical, and dental services at a state juvenile correctional facility. He believes in evidence-based practice and a holistic approach to mental health, has a comprehensive background working in private, rural community outpatient mental health clinics, and foster care agencies providing medication management and mental health care to children, adolescents and adults. He specializes in treating ADHD, ODD, depression, anxiety
Dale is board certified as a psychiatric mental health nurse practitioner (PMHNP). He has worked in numerous hospital and outpatient settings and spent 10 years overseeing the daily operations of the psychiatry, medical, and dental services at a state juvenile correctional facility. He believes in evidence-based practice and a holistic approach to mental health, has a comprehensive background working in private, rural community outpatient mental health clinics, and foster care agencies providing medication management and mental health care to children, adolescents and adults. He specializes in treating ADHD, ODD, depression, anxiety
(503) 496-7760 View (503) 496-7760
Suzann Gordon
Psychiatric Nurse Practitioner, PMHNP
Online Only
Suzann Gordon, DNP is a board certified psychiatric mental health nurse practitioner who graduated with her Doctor in Nursing Practice from the University of Nevada Reno. Her years of experience in the mental health field began when she became a behavioral health counselor working with adolescents, then as a psychiatric nurse working with patients across the life span. She's worked in various healthcare settings including pediatric and adolescent residential treatment, acute inpatient care and outpatient as a nurse case manager on the Assertive Community Treatment (ACT) Team for the state hospital.
Suzann Gordon, DNP is a board certified psychiatric mental health nurse practitioner who graduated with her Doctor in Nursing Practice from the University of Nevada Reno. Her years of experience in the mental health field began when she became a behavioral health counselor working with adolescents, then as a psychiatric nurse working with patients across the life span. She's worked in various healthcare settings including pediatric and adolescent residential treatment, acute inpatient care and outpatient as a nurse case manager on the Assertive Community Treatment (ACT) Team for the state hospital.
(725) 800-9843 View (725) 800-9843
Ka'lesha Jones
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Beaverton, OR 97005
Are you searching for holistic, personalized support on your mental health journey? Are you looking for a provider who is inclusive, non-judgmental and affirming? I'm Ka'lesha, your trusted ally in achieving emotional well-being & empowerment. As a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), I am dedicated to providing comprehensive and compassionate care across all stages of life. I believe in creating a safe & collaborative environment for my clients, utilizing evidence-based practice, a holistic approach, & supportive interventions to maximize treatment benefits and support clients on a deeper level.
Are you searching for holistic, personalized support on your mental health journey? Are you looking for a provider who is inclusive, non-judgmental and affirming? I'm Ka'lesha, your trusted ally in achieving emotional well-being & empowerment. As a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), I am dedicated to providing comprehensive and compassionate care across all stages of life. I believe in creating a safe & collaborative environment for my clients, utilizing evidence-based practice, a holistic approach, & supportive interventions to maximize treatment benefits and support clients on a deeper level.
(971) 248-7827 View (971) 248-7827
Carmen Kosicek
Psychiatric Nurse Practitioner, PMHNP
4 Endorsed
Portland, OR 97223
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 accepted. Ages 4+. Call us now to get started, no referral needed.
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 accepted. Ages 4+. Call us now to get started, no referral needed.
(503) 461-1551 View (503) 461-1551
Nurturing Minds
Psychiatric Nurse Practitioner, PMHNP, MSN, BSN
Online Only
Kimberly Richards PMHNP owner and operator of Nurturing Minds has over 20 years experience in health care. I began my journey as an ICU nurse which gives me a unique perspective on the mind-body connection. My approach to mental wellness incorporates knowledge of the physical body , the brain, the mind and the spirit.
Kimberly Richards PMHNP owner and operator of Nurturing Minds has over 20 years experience in health care. I began my journey as an ICU nurse which gives me a unique perspective on the mind-body connection. My approach to mental wellness incorporates knowledge of the physical body , the brain, the mind and the spirit.
(503) 966-2889 View (503) 966-2889
Ana Tattersall-Cocke
Psychiatric Nurse Practitioner, PMHNP
2 Endorsed
Online Only
If you’re here, something may not be feeling quite right — even if it’s hard to put into words. Maybe you’ve been through experiences that still affect how you feel, think, sleep, or respond to the world around you. Trauma and PTSD can show up in many ways, including feeling constantly on edge, having intrusive memories, avoiding reminders, struggling with trust, feeling emotionally numb, or reacting more strongly than you want to. Maybe anxiety has become your “normal,” making it hard to relax, feel safe, focus, or stay present. Maybe depression has brought low motivation, low energy, irritability, hopelessness, or a loss of inte
If you’re here, something may not be feeling quite right — even if it’s hard to put into words. Maybe you’ve been through experiences that still affect how you feel, think, sleep, or respond to the world around you. Trauma and PTSD can show up in many ways, including feeling constantly on edge, having intrusive memories, avoiding reminders, struggling with trust, feeling emotionally numb, or reacting more strongly than you want to. Maybe anxiety has become your “normal,” making it hard to relax, feel safe, focus, or stay present. Maybe depression has brought low motivation, low energy, irritability, hopelessness, or a loss of inte
(971) 328-4672 View (971) 328-4672
Svetlana Orlova
Psychiatric Nurse Practitioner, PMHNP, DNP
Online Only
Not accepting new clients
With 7 years of experience as a nurse practitioner and over 15 years in mental health, I am skilled in working with individuals aged 6 to 60. My passion lies in supporting children, teens, and young adults, drawing on the extensive experience I’ve accumulated to help them flourish. I am dedicated to addressing the unique needs of children and guiding them through their developmental stages, while also providing comprehensive care for clients across all age groups. Outside of work, I enjoy baking, learning about natural medicine, spending time outdoors, and reading."
With 7 years of experience as a nurse practitioner and over 15 years in mental health, I am skilled in working with individuals aged 6 to 60. My passion lies in supporting children, teens, and young adults, drawing on the extensive experience I’ve accumulated to help them flourish. I am dedicated to addressing the unique needs of children and guiding them through their developmental stages, while also providing comprehensive care for clients across all age groups. Outside of work, I enjoy baking, learning about natural medicine, spending time outdoors, and reading."
(971) 316-5952 View (971) 316-5952
Alexander Freeman
Psychiatric Nurse Practitioner, PMHNP
2 Endorsed
Beaverton, OR 97005
Hi, I’m Alexander “Xander” Freeman, PMHNP-BC. As a board-certified psychiatric nurse practitioner, at Well Coast Medical, I strive to create a supportive, nonjudgmental space where you can feel heard and understood. I work primarily with adults navigating depression, anxiety, trauma, or ADHD, and my approach is collaborative - taking the time the time to listen and understand your story, and helping you move toward feeling more hopeful, fulfilled, and empowered in your daily life. If you’re ready to take the next step in your mental health journey, I’d be honored to support you.
Hi, I’m Alexander “Xander” Freeman, PMHNP-BC. As a board-certified psychiatric nurse practitioner, at Well Coast Medical, I strive to create a supportive, nonjudgmental space where you can feel heard and understood. I work primarily with adults navigating depression, anxiety, trauma, or ADHD, and my approach is collaborative - taking the time the time to listen and understand your story, and helping you move toward feeling more hopeful, fulfilled, and empowered in your daily life. If you’re ready to take the next step in your mental health journey, I’d be honored to support you.
(971) 264-2096 View (971) 264-2096
Dr. Dianna Harris (New Patients Welcome)
Psychiatric Nurse Practitioner, PsyD, PMHNP
Beaverton, OR 97005
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.
(971) 703-5503 View (971) 703-5503
Neupathway (Julian Montanez)
Psychiatric Nurse Practitioner, APRN, PMHNP-B, MSN, BSN
1 Endorsed
Beaverton, OR 97005
Great News! Julian Montanez is now accepting new patients for psychiatric medication management—with appointments in as little as 48 hours and Saturday availability! Picture yourself stepping into a welcoming virtual space where crushing anxiety, lingering depression, sleepless nights, or roller-coaster moods meet expert attention and genuine compassion. Get lightning-fast access to evidence-based medication support, crystal-clear guidance, and a judgment-free zone—all tailored to help you reclaim stability, confidence, and peace of mind, sooner than you thought possible.
Great News! Julian Montanez is now accepting new patients for psychiatric medication management—with appointments in as little as 48 hours and Saturday availability! Picture yourself stepping into a welcoming virtual space where crushing anxiety, lingering depression, sleepless nights, or roller-coaster moods meet expert attention and genuine compassion. Get lightning-fast access to evidence-based medication support, crystal-clear guidance, and a judgment-free zone—all tailored to help you reclaim stability, confidence, and peace of mind, sooner than you thought possible.
(971) 791-2489 View (971) 791-2489
Mickey Miqueli-Piazza
Psychiatric Nurse Practitioner, PMHNP
3 Endorsed
Online Only
Mickey is a compassionate healthcare provider. She holds dual board certifications as a Psychiatric-Mental Health Nurse Practitioner (PMHNP) and an Adult-Gerontology Acute Care Nurse Practitioner (AGACNP), along with a Doctor of Nursing Practice (DNP) degree from Florida State University. With a genuine commitment to patient-centered care, Mickey thoughtfully incorporates evidence-based guidelines into her practice, focusing on each patient’s unique needs, life experiences, and goals to support their healing.
Mickey is a compassionate healthcare provider. She holds dual board certifications as a Psychiatric-Mental Health Nurse Practitioner (PMHNP) and an Adult-Gerontology Acute Care Nurse Practitioner (AGACNP), along with a Doctor of Nursing Practice (DNP) degree from Florida State University. With a genuine commitment to patient-centered care, Mickey thoughtfully incorporates evidence-based guidelines into her practice, focusing on each patient’s unique needs, life experiences, and goals to support their healing.
(503) 852-5427 View (503) 852-5427
LifeStance Health
Psychiatric Nurse Practitioner, APRN
Tigard, OR 97223
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(503) 386-9528 View (503) 386-9528
Ike Uzowulu
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Hillsboro, OR 97124
I am a board-certified family psychiatric nurse practitioner. I have a master's degree in psychiatric nursing specializing in mental and behavioral health medicine. I have verifiable experience in treating variety of psychiatric disorders such as; mood disorders including resistant depression, eating disorders, ADHD, OCD, PTSD, schizophrenia, stress and sleep related disorders.
I am a board-certified family psychiatric nurse practitioner. I have a master's degree in psychiatric nursing specializing in mental and behavioral health medicine. I have verifiable experience in treating variety of psychiatric disorders such as; mood disorders including resistant depression, eating disorders, ADHD, OCD, PTSD, schizophrenia, stress and sleep related disorders.
(971) 257-1859 View (971) 257-1859
Beyond ADHD Labels
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Online Only
Feeling overwhelmed by Depression, anxiety, ADHD or PTSD? You’re not alone. Whether you’re an adult or a parent seeking answers, you deserve more than just a diagnosis—you need real solutions. With a compassionate, evidence-based approach, I help you gain clarity, confidence, and control. Let’s move beyond labels and unlock your strengths together.
Feeling overwhelmed by Depression, anxiety, ADHD or PTSD? You’re not alone. Whether you’re an adult or a parent seeking answers, you deserve more than just a diagnosis—you need real solutions. With a compassionate, evidence-based approach, I help you gain clarity, confidence, and control. Let’s move beyond labels and unlock your strengths together.
(971) 314-5976 View (971) 314-5976

See more therapy options for Washington County

How does your Psychiatrist compare?

Number of Psychiatrists in Washington County, OR

300+

Average cost per session

$178

Psychiatrists in Washington County, OR who prioritize treating:

96% Anxiety
94% Depression
84% Medication Management
82% ADHD
82% Bipolar Disorder
81% Trauma and PTSD
68% Sleep or Insomnia

Average years in practice

10 Years

Top 3 insurances accepted

89% Aetna
76% BlueCross and BlueShield
69% Cigna and Evernorth

How Psychiatrists in Washington County, OR see their clients

57% In Person and Online
43% Online Only

Gender breakdown

71% Female
28% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Washington 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.