Bipolar Disorder Psychiatrists in Pickens County, SC

Photo of Shannon Sozzi - Keeley Psychiatry, Psychiatric Nurse Practitioner, PMHNP
Keeley Psychiatry
Psychiatric Nurse Practitioner, PMHNP
Online Only
I have treated clients with diagnoses such as bipolar disorder, anxiety, panic attacks, depression, personality disorders, ADHD, substance abuse, Schizophrenia with delusions, and various types of dementia.
Keeley Psychiatry is currently accepting new patients in the Greenville area. Timely, convenient, and affordable appointments by video for medication management and psychiatric services. It is easy to fit in a visit from the privacy of your home, car or office. We offer daytime, evening, and weekend appointments. Now, more than ever, we are suffering from anxiety, sadness/depression, and uncertainty regarding our health and world. It helps to talk to someone who is a safe, dedicated person for your mental and emotional health. Call or email our office to schedule your initial appointment.
I have treated clients with diagnoses such as bipolar disorder, anxiety, panic attacks, depression, personality disorders, ADHD, substance abuse, Schizophrenia with delusions, and various types of dementia.
Keeley Psychiatry is currently accepting new patients in the Greenville area. Timely, convenient, and affordable appointments by video for medication management and psychiatric services. It is easy to fit in a visit from the privacy of your home, car or office. We offer daytime, evening, and weekend appointments. Now, more than ever, we are suffering from anxiety, sadness/depression, and uncertainty regarding our health and world. It helps to talk to someone who is a safe, dedicated person for your mental and emotional health. Call or email our office to schedule your initial appointment.
(864) 202-4797 View (864) 202-4797
Photo of Christina Holliday - Riverstone Wellness, Psychiatric Nurse Practitioner, PMHNP
Riverstone Wellness
Psychiatric Nurse Practitioner, PMHNP
Easley, SC 29642
A patient-focused psychiatric and primary care practice which prioritizes empathy, respect, and individualized treatment plans. Providers work collaboratively with patients to understand their unique experiences, medical histories, and personal goals. Whether managing chronic illnesses, addressing acute concerns, or supporting mental health conditions such as anxiety, depression, or behavioral disorders, the emphasis remains on creating a safe, supportive environment where patients feel heard and valued.
A patient-focused psychiatric and primary care practice which prioritizes empathy, respect, and individualized treatment plans. Providers work collaboratively with patients to understand their unique experiences, medical histories, and personal goals. Whether managing chronic illnesses, addressing acute concerns, or supporting mental health conditions such as anxiety, depression, or behavioral disorders, the emphasis remains on creating a safe, supportive environment where patients feel heard and valued.
(864) 428-7350 View (864) 428-7350
Photo of Celeste Mendez, Psychiatric Nurse Practitioner, PMHNP-, BC
Celeste Mendez
Psychiatric Nurse Practitioner, PMHNP-, BC
1 Endorsed
Serves Area
My name is Celeste Mendez, and I am a board-certified Mental Nurse Practitioner with a diverse skill set encompassing therapy, medication management, Christian counseling, marriage counseling, and expertise in treating a range of mental health conditions, including ADHD, PTSD, depression, anxiety, bipolar disorder, and various mood disorders.
I have an unwavering commitment to my patients' welfare. I strive to take an empathetic approach, combined with evidence-based treatments, with the hope of fostering a trusting and supportive therapeutic environment where individuals can embark on their healing journey.
My name is Celeste Mendez, and I am a board-certified Mental Nurse Practitioner with a diverse skill set encompassing therapy, medication management, Christian counseling, marriage counseling, and expertise in treating a range of mental health conditions, including ADHD, PTSD, depression, anxiety, bipolar disorder, and various mood disorders.
I have an unwavering commitment to my patients' welfare. I strive to take an empathetic approach, combined with evidence-based treatments, with the hope of fostering a trusting and supportive therapeutic environment where individuals can embark on their healing journey.
(864) 734-1330 View (864) 734-1330
Photo of Narlin Smith, Psychiatric Nurse Practitioner, APRN, FNP-C, PMHNP, -BC
Narlin Smith
Psychiatric Nurse Practitioner, APRN, FNP-C, PMHNP, -BC
7 Endorsed
Serves Area
Welcome — I am glad you are here! My name is Narlin (pronounced Nar-leen). I am a dual board-certified Family and Psychiatric Nurse Practitioner providing thoughtful, evidence-based mental health care to individuals across the lifespan. At Huckleberry Health, I focus on building a supportive and nonjudgmental space where you can feel safe to explore challenges, whether they’re related to anxiety, depression, trauma, mood disorders, life transitions, or stress. I work with teens, adults, and families, and I’m especially passionate about helping people who feel overwhelmed, stuck, or unheard find clarity and stability.
Welcome — I am glad you are here! My name is Narlin (pronounced Nar-leen). I am a dual board-certified Family and Psychiatric Nurse Practitioner providing thoughtful, evidence-based mental health care to individuals across the lifespan. At Huckleberry Health, I focus on building a supportive and nonjudgmental space where you can feel safe to explore challenges, whether they’re related to anxiety, depression, trauma, mood disorders, life transitions, or stress. I work with teens, adults, and families, and I’m especially passionate about helping people who feel overwhelmed, stuck, or unheard find clarity and stability.
(843) 305-3326 View (843) 305-3326
Photo of M. Brian Hendricks, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
M. Brian Hendricks
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
3 Endorsed
Serves Area
Many times we will utilize medications as part of our treatment plan, and we will concentrate on integrative psychiatry to understand and treat you as a whole person. This allows you and I the ability to identify and treat the underlying causes of your condition, so we can move beyond just covering up symptoms with psychiatric medications and achieve profound life changes. We will often concentrate on nutrition, stress management, sleep and rest, work-life balance, movement, spirituality, relationships and community, personal development, mind-body connection, and healthy environment as ways to decrease polypharmacy.
Many times we will utilize medications as part of our treatment plan, and we will concentrate on integrative psychiatry to understand and treat you as a whole person. This allows you and I the ability to identify and treat the underlying causes of your condition, so we can move beyond just covering up symptoms with psychiatric medications and achieve profound life changes. We will often concentrate on nutrition, stress management, sleep and rest, work-life balance, movement, spirituality, relationships and community, personal development, mind-body connection, and healthy environment as ways to decrease polypharmacy.
(864) 668-8193 View (864) 668-8193
Photo of Taral R Sharma - Taral Sharma, MD -Spartanburg, Greenville & Seneca, Psychiatrist, MD, MBA, FAPA, FABPM
Taral Sharma, MD -Spartanburg, Greenville & Seneca
Psychiatrist, MD, MBA, FAPA, FABPM
Serves Area
Exceptional evidence based patient care
Exceptional evidence based patient care
(864) 844-9432 View (864) 844-9432
Photo of Jamie Bethel, Psychiatric Nurse Practitioner, APRN, PMHNP
Jamie Bethel
Psychiatric Nurse Practitioner, APRN, PMHNP
5 Endorsed
Online Only
I believe mental health care should be supportive, never rushed or judgmental. My approach is patient-centered and practical. I take time to listen, explain your options, and include you in every treatment decision. Whether you are starting medication, making changes to your current plan, or seeking more balance and clarity, I want you to feel heard and empowered.
I believe mental health care should be supportive, never rushed or judgmental. My approach is patient-centered and practical. I take time to listen, explain your options, and include you in every treatment decision. Whether you are starting medication, making changes to your current plan, or seeking more balance and clarity, I want you to feel heard and empowered.
(803) 680-3977 View (803) 680-3977
Photo of Dr. Ashley Nelson - Dr. Ashley Nelson- Mindful Essence Psychiatry , Psychiatric Nurse Practitioner, PhD, MSN, MEd, APRN, PMHNPBC
Dr. Ashley Nelson- Mindful Essence Psychiatry
Psychiatric Nurse Practitioner, PhD, MSN, MEd, APRN, PMHNPBC
Serves Area
My mission is to create a safe, nonjudgmental space where you feel heard, respected, and empowered to take the next steps toward healing. I understand that seeking help can be one of the hardest...and...bravest decisions you will ever make. I am a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) with advanced doctoral training in both Integrative Health and Holistic Medicine. My goal is to not only help relieve symptoms but also to support long-term healing, resilience, and overall quality of life by addressing the mind, body, and spirit in every patient I serve.
My mission is to create a safe, nonjudgmental space where you feel heard, respected, and empowered to take the next steps toward healing. I understand that seeking help can be one of the hardest...and...bravest decisions you will ever make. I am a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) with advanced doctoral training in both Integrative Health and Holistic Medicine. My goal is to not only help relieve symptoms but also to support long-term healing, resilience, and overall quality of life by addressing the mind, body, and spirit in every patient I serve.
(864) 734-5691 View (864) 734-5691
Photo of Dana Wiley, Psychiatrist, MD
Dana Wiley
Psychiatrist, MD
7 Endorsed
Serves Area
Need expert psychiatric care from anywhere you live? I provide telepsychiatry for adults in South Carolina, North Carolina, Florida, California, Texas, Arizona, Pennsylvania and Michigan. I also appreciate the importance of therapy in helping patients improve. While I do incorporate supportive therapy in my sessions, for those patients who may need more intensive counseling, we do offer therapy. I treat the most common psychiatric disorders, but also have Psychiatric Nurse Practitioners who believe that psychiatry should be about getting to know patients and not just prescribing medication.
Need expert psychiatric care from anywhere you live? I provide telepsychiatry for adults in South Carolina, North Carolina, Florida, California, Texas, Arizona, Pennsylvania and Michigan. I also appreciate the importance of therapy in helping patients improve. While I do incorporate supportive therapy in my sessions, for those patients who may need more intensive counseling, we do offer therapy. I treat the most common psychiatric disorders, but also have Psychiatric Nurse Practitioners who believe that psychiatry should be about getting to know patients and not just prescribing medication.
(864) 506-8517 View (864) 506-8517
Photo of Timothy Allen Naumann, Psychiatric Nurse Practitioner, MSN, APRN, FNP-BC
Timothy Allen Naumann
Psychiatric Nurse Practitioner, MSN, APRN, FNP-BC
1 Endorsed
Serves Area
I am a Board Certified Family Nurse Practitioner. My career in medicine began when I joined the United States Army as a Medic. I earned a Bachelors of Nursing Science from University of South Carolina. While working as a Registered Nurse for inpatient facility I earned a Masters of Nursing Science from Walden University in Minneapolis, Minnesota. While working as a Family Nurse Practitioner i gained experience and a passion for helping patients with acute and chronic mental health diagnoses. I also have a passion for helping the men and women who wear the uniform, whether as a first responder or in defense of our nation.
I am a Board Certified Family Nurse Practitioner. My career in medicine began when I joined the United States Army as a Medic. I earned a Bachelors of Nursing Science from University of South Carolina. While working as a Registered Nurse for inpatient facility I earned a Masters of Nursing Science from Walden University in Minneapolis, Minnesota. While working as a Family Nurse Practitioner i gained experience and a passion for helping patients with acute and chronic mental health diagnoses. I also have a passion for helping the men and women who wear the uniform, whether as a first responder or in defense of our nation.
(864) 514-5881 View (864) 514-5881
Photo of Elfreda Chambers, Physician Assistant, PA-C
Elfreda Chambers
Physician Assistant, PA-C
Serves Area
If you’re not feeling like yourself—or you’re wondering whether medication could help—you’re in the right place. I provide thoughtful medication management as part of a whole-person approach to psychiatry. This means I look not only at symptoms, but also at sleep, stress, daily habits, and the larger context of your life. My goal is to help now and build resilience, too. I enjoy working with the spectrum of patients. I have a special interest in ADHD and related issues, including insomnia, anxiety, depression, and neurodiversity. Healthcare workers, shift workers, and caregivers - we can find a time that works for you.
If you’re not feeling like yourself—or you’re wondering whether medication could help—you’re in the right place. I provide thoughtful medication management as part of a whole-person approach to psychiatry. This means I look not only at symptoms, but also at sleep, stress, daily habits, and the larger context of your life. My goal is to help now and build resilience, too. I enjoy working with the spectrum of patients. I have a special interest in ADHD and related issues, including insomnia, anxiety, depression, and neurodiversity. Healthcare workers, shift workers, and caregivers - we can find a time that works for you.
(864) 481-8654 View (864) 481-8654
Photo of Thomas Cushman, Psychiatric Nurse Practitioner, APRN, MSN, PMHNP
Thomas Cushman
Psychiatric Nurse Practitioner, APRN, MSN, PMHNP
Serves Area
I support individuals navigating a broad range of concerns, including but not limited to anxiety, depression, OCD, ADHD, bipolar disorder, psychosis, and life transitions.
Welcome! I am a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP) dedicated to supporting adolescents and adults ages 13 and up on their path to mental wellness. I currently see patients at Counseling For Life’s Fant location in Anderson, SC, offering both in-person and telehealth visits. I believe the most effective psychiatric care is collaborative, compassionate, integrative, and thoughtfully tailored to each individual’s unique needs, and this is what I strive to provide to all of my patients.
I support individuals navigating a broad range of concerns, including but not limited to anxiety, depression, OCD, ADHD, bipolar disorder, psychosis, and life transitions.
Welcome! I am a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP) dedicated to supporting adolescents and adults ages 13 and up on their path to mental wellness. I currently see patients at Counseling For Life’s Fant location in Anderson, SC, offering both in-person and telehealth visits. I believe the most effective psychiatric care is collaborative, compassionate, integrative, and thoughtfully tailored to each individual’s unique needs, and this is what I strive to provide to all of my patients.
(864) 353-3384 View (864) 353-3384

Online Psychiatrists

Photo of Shatarra T Salley - Self Inspired Solutions, LLC, Psychiatric Nurse Practitioner, APRN, FNP-C, PMHNPBC
Self Inspired Solutions, LLC
Psychiatric Nurse Practitioner, APRN, FNP-C, PMHNPBC
3 Endorsed
Greer, SC 29651
Are you someone that is struggling with depression, anxiety, mood fluctuations, insomnia or ADHD? You find yourself learning how to deal and cope with symptoms that are hindering your everyday life. You are unsure of why you feel the way that you feel and you are looking for a non-judgmental provider that is willing to walk this journey with you and provide friendly and professional help. Your goal is to become the best version of yourself for not only yourself but those that are involved in your life. You are ready to be happy. You are ready to talk about your concerns. You are ready for help.
Are you someone that is struggling with depression, anxiety, mood fluctuations, insomnia or ADHD? You find yourself learning how to deal and cope with symptoms that are hindering your everyday life. You are unsure of why you feel the way that you feel and you are looking for a non-judgmental provider that is willing to walk this journey with you and provide friendly and professional help. Your goal is to become the best version of yourself for not only yourself but those that are involved in your life. You are ready to be happy. You are ready to talk about your concerns. You are ready for help.
(864) 519-3669 View (864) 519-3669
Photo of Sia Komba, Psychiatric Nurse Practitioner, PMHNP
Sia Komba
Psychiatric Nurse Practitioner, PMHNP
Online Only
Hello. My name is Sia. I am a Psychiatric Mental Health NP and also an Adult Gerontology Acute Care NP. I received my Bachelors degree in Nursing in 2008 from Howard University in Washington DC. In 2017, I completed my Masters Degree in Nursing from Walden University where I was a member of the Sigma Theta Tau Nursing Honor Society. I have been an Adult Nurse Practitioner since 2017. I have always been fascinated about how the brain works and its impact on other parts of body.
Hello. My name is Sia. I am a Psychiatric Mental Health NP and also an Adult Gerontology Acute Care NP. I received my Bachelors degree in Nursing in 2008 from Howard University in Washington DC. In 2017, I completed my Masters Degree in Nursing from Walden University where I was a member of the Sigma Theta Tau Nursing Honor Society. I have been an Adult Nurse Practitioner since 2017. I have always been fascinated about how the brain works and its impact on other parts of body.
(864) 387-4653 View (864) 387-4653
Photo of Katherine Talwar, Physician Assistant, PA-C
Katherine Talwar
Physician Assistant, PA-C
Greer, SC 29650
She specializes in mood disorders and trauma-related disorders, with extensive experience working with individuals facing schizophrenia, borderline personality disorder, bipolar disorder, substance use disorders, PTSD, anxiety, depression, OCD, and ADHD.
With over nine years of experience in both inpatient and outpatient psychiatry, Katie Talwar, PA-C, is committed to providing comprehensive, patient-centered mental health care. Licensed in both NC and SC, she has helped individuals navigate the complexities of mental illness with expertise, empathy, and a deep commitment to improving overall well-being. Understanding that mental health is deeply personal, Katie takes the time to truly listen to her patients. Helping them develop the tools necessary to manage their symptoms, regain stability, and build a fulfilling life.
She specializes in mood disorders and trauma-related disorders, with extensive experience working with individuals facing schizophrenia, borderline personality disorder, bipolar disorder, substance use disorders, PTSD, anxiety, depression, OCD, and ADHD.
With over nine years of experience in both inpatient and outpatient psychiatry, Katie Talwar, PA-C, is committed to providing comprehensive, patient-centered mental health care. Licensed in both NC and SC, she has helped individuals navigate the complexities of mental illness with expertise, empathy, and a deep commitment to improving overall well-being. Understanding that mental health is deeply personal, Katie takes the time to truly listen to her patients. Helping them develop the tools necessary to manage their symptoms, regain stability, and build a fulfilling life.
(336) 505-9714 View (336) 505-9714
Photo of Sharon Brown - WeCare Health and Community Services LLC, Psychiatric Nurse Practitioner, FNP-C, PMHNPBC
WeCare Health and Community Services LLC
Psychiatric Nurse Practitioner, FNP-C, PMHNPBC
1 Endorsed
Rock Hill, SC 29732
I am a personable provider who is able to successfully establish therapeutic relationships while providing medication management and therapeutic services with patients.
I am a personable provider who is able to successfully establish therapeutic relationships while providing medication management and therapeutic services with patients.
(803) 882-2046 View (803) 882-2046
Photo of Jason Alan Flassing, Physician Assistant, PA-C, CAQ-Psy
Jason Alan Flassing
Physician Assistant, PA-C, CAQ-Psy
2 Endorsed
Greenville, SC 29607
Most of my patients are previously diagnosed with Major Depressive Disorder or Bipolar Affective Disorder.
I specialize in treating patients with duel diagnoses and often more complex psychiatric disorders. Because of my extensive education and over ten years of clinical experience as a medical provider, I am well-skilled to treat most general psychiatric conditions. I use pharmacotherapy which includes prescribing medications and supportive therapy.
Most of my patients are previously diagnosed with Major Depressive Disorder or Bipolar Affective Disorder.
I specialize in treating patients with duel diagnoses and often more complex psychiatric disorders. Because of my extensive education and over ten years of clinical experience as a medical provider, I am well-skilled to treat most general psychiatric conditions. I use pharmacotherapy which includes prescribing medications and supportive therapy.
(864) 383-9487 View (864) 383-9487
Photo of Kimberly Parker, Psychiatric Nurse Practitioner, PMHNP, FNP-BC, APRN
Kimberly Parker
Psychiatric Nurse Practitioner, PMHNP, FNP-BC, APRN
15 Endorsed
Mauldin, SC 29662
It's important to find the right provider, who you can trust to walk with you. I'm open, caring, and create a nonjudgmental, empathetic space to work through life. Receiving the correct diagnosis, and understanding your symptoms and diagnosis will help you manage life better. My treatment takes a holistic approach. Sleep, nutrients, stress management, and exercise all affect our physical and mental health. I can prescribe medications and also recommend supplements to help improve symptoms. I've been a nurse practitioner for over 20 years, working with varying health conditions and clients across the lifespan.
It's important to find the right provider, who you can trust to walk with you. I'm open, caring, and create a nonjudgmental, empathetic space to work through life. Receiving the correct diagnosis, and understanding your symptoms and diagnosis will help you manage life better. My treatment takes a holistic approach. Sleep, nutrients, stress management, and exercise all affect our physical and mental health. I can prescribe medications and also recommend supplements to help improve symptoms. I've been a nurse practitioner for over 20 years, working with varying health conditions and clients across the lifespan.
(864) 774-5432 View (864) 774-5432
Photo of Gregory Smith - Inner Self Care, Psychiatric Nurse Practitioner, PMHNP, FNP
Inner Self Care
Psychiatric Nurse Practitioner, PMHNP, FNP
Greenville, SC 29615
Mental health is an integral part of overall well-being, and our mental health services are dedicated to providing compassionate care, support, and evidence-based treatments for individuals facing various emotional and psychological challenges.
Mental health is an integral part of overall well-being, and our mental health services are dedicated to providing compassionate care, support, and evidence-based treatments for individuals facing various emotional and psychological challenges.
(864) 661-6209 View (864) 661-6209
Photo of Kevin Cromer, Psychiatric Nurse Practitioner, PHMNP
Kevin Cromer
Psychiatric Nurse Practitioner, PHMNP
2 Endorsed
Spartanburg, SC 29306
Meet Kevin Cromer, a Spartanburg native deeply committed to the local mental health community since 2014. Starting as a registered nurse at Spartanburg Medical Center, Kevin's passion for mental health led him to pursue advanced education, becoming an ANCC-Board Certified Psychiatric Mental Health Nurse Practitioner. With experience in both inpatient and outpatient care, he established Upstate Mental Health, LLC in January 2021, making history as Spartanburg's first Psychiatric Mental Health Nurse Practitioner-owned office in December 2021.
Meet Kevin Cromer, a Spartanburg native deeply committed to the local mental health community since 2014. Starting as a registered nurse at Spartanburg Medical Center, Kevin's passion for mental health led him to pursue advanced education, becoming an ANCC-Board Certified Psychiatric Mental Health Nurse Practitioner. With experience in both inpatient and outpatient care, he established Upstate Mental Health, LLC in January 2021, making history as Spartanburg's first Psychiatric Mental Health Nurse Practitioner-owned office in December 2021.
(864) 365-2729 View (864) 365-2729

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FAQ - Bipolar Disorder Psychiatrists
How can psychiatrists help with bipolar disorder?
Bipolar disorder is a serious mental health condition marked by significant fluctuations in mood, including episodes of mania—characterized by elevated energy, impulsivity, and heightened mood—and periods of depression, often involving sadness, low energy, and feelings of hopelessness. Psychiatrists play a vital role in helping individuals manage the complex and often unpredictable nature of bipolar disorder, typically through a comprehensive treatment plan that includes both medication and therapy. One of the most commonly prescribed medications for bipolar disorder is lithium, a mood stabilizer that helps prevent the occurrence of severe manic or depressive episodes by regulating brain chemistry. In addition to medication—or as a first-line intervention when appropriate—psychiatrists may also draw upon evidence-based therapies, such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), or psychoeducation, to help clients better understand their condition, build effective coping strategies, and reduce the impact of mood swings on their personal well-being and relationships.

What does the initial assessment and treatment planning process look like?
The starting point for treatment often depends on whether the individual has already received a formal diagnosis of bipolar disorder. If a diagnosis has not yet been established, the psychiatrist typically begins with an assessment to evaluate the client's symptoms, history, and risk factors. This initial evaluation helps determine whether medication, talk therapy, or a combination of both would be most beneficial. If the individual has an existing diagnosis, the psychiatrist may move forward with designing a personalized treatment plan in alignment with the client's goals, often working in collaboration with other care providers, such as a primary care physician (PCP), therapist, or other behavioral health professionals. Due to the severity and chronic nature of bipolar disorder, ongoing psychiatric care is often required over the long term, sometimes for several months or even years. However, long-term care may not be necessary in every case, particularly if the individual shows sustained progress and has access to a stable support network.

How can I find a psychiatrist who specializes in bipolar disorder?
Psychology Today's online directory is a valuable resource for finding psychiatrists (MDs) and psychiatric nurse practitioners (PMHNPs) who focus on bipolar disorder and related conditions. When searching for a psychiatrist, it is important to look for a provider who has specific training and experience with bipolar disorder, as they will be better equipped to understand the challenges that can arise with the condition, such as managing rapid mood shifts and minimizing the risk of suicide, which is higher in individuals with bipolar disorder. Psychiatrists who specialize in bipolar care are also more likely to be knowledgeable about appropriate medication options and dosage strategies. When evaluating potential providers, clients should also consider whether their practice is accessible—whether that means being located nearby or offering care through telehealth—and whether they accept insurance. Additionally, for some individuals, especially those from marginalized communities, finding a psychiatrist who shares or has familiarity with their cultural, racial, or gender identity can make a signifiant difference in the effectiveness of care.