Psychiatrists in San Francisco, CA

Photo of Ryan Thebo, Psychiatric Nurse Practitioner in San Francisco, CA
Ryan Thebo
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP
Verified Verified
3 Endorsed
San Francisco, CA 94102
comprehensive approach? No problem! I provide Telemedicine (Telepsychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: pwpsychiatry.com/CA
comprehensive approach? No problem! I provide Telemedicine (Telepsychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: pwpsychiatry.com/CA
(415) 980-8997 View (415) 980-8997
Photo of Andrei Kreutzberg, Psychiatrist in San Francisco, CA
Andrei Kreutzberg
Psychiatrist, MD
Verified Verified
San Francisco, CA 94110
I am a board certified psychiatrist offering psychiatric evaluation, medication management and video appointments. Psychiatric medications can help control symptoms such as anxiety, depression, inattention, and insomnia, which may be impairing your ability to live a full and productive life. My approach is pragmatic and evidence based; medications, evidence based supplements, and lifestyle modifications may enhance your ability to move through life feeling effective and feeling good.
I am a board certified psychiatrist offering psychiatric evaluation, medication management and video appointments. Psychiatric medications can help control symptoms such as anxiety, depression, inattention, and insomnia, which may be impairing your ability to live a full and productive life. My approach is pragmatic and evidence based; medications, evidence based supplements, and lifestyle modifications may enhance your ability to move through life feeling effective and feeling good.
(415) 723-4199 View (415) 723-4199
Photo of Richard A Oliva, Psychiatrist in San Francisco, CA
Richard A Oliva
Psychiatrist, MD
Verified Verified
San Francisco, CA 94129
New practice opening summer 2023! Richard A Oliva, MD is a board-certified Psychiatrist, graduate of UCSF Psychiatry and USC School of Medicine. Now offering private practice with in-person visits located in San Francisco's beautiful Presidio. Perfect for adults looking for outpatient psychiatry for medication evaluations, ongoing prescribing, psychotherapy and more.
New practice opening summer 2023! Richard A Oliva, MD is a board-certified Psychiatrist, graduate of UCSF Psychiatry and USC School of Medicine. Now offering private practice with in-person visits located in San Francisco's beautiful Presidio. Perfect for adults looking for outpatient psychiatry for medication evaluations, ongoing prescribing, psychotherapy and more.
(415) 918-5521 View (415) 918-5521
Photo of Mindful Health Solutions - Nikhil Majumdar, MD, Psychiatrist in San Francisco, CA
Mindful Health Solutions - Nikhil Majumdar, MD
Psychiatrist, MD
Verified Verified
San Francisco, CA 94108
I work with patients who may be experiencing clinical depression or other psychiatric disorders. I consider Transcranial Magnetic Stimulation (TMS) to be at the forefront of neurological and psychiatric treatment. I can use this treatment to stimulate the brain in a specific area to improve symptoms from depression.
I work with patients who may be experiencing clinical depression or other psychiatric disorders. I consider Transcranial Magnetic Stimulation (TMS) to be at the forefront of neurological and psychiatric treatment. I can use this treatment to stimulate the brain in a specific area to improve symptoms from depression.
(415) 908-1928 View (415) 908-1928
Photo of Mariam Fazil, Psychiatric Nurse Practitioner in San Francisco, CA
Mariam Fazil
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
San Francisco, CA 94102
Hello, I'm Mariam Fazil, DNP, PMHNP,a board-certified Psychiatric and Mental Health Nurse Practitioner (PMHNP). Are you or your loved ones struggling to balance mental and physical health? Are you suffering from anxiety? If this somewhat sounds familiar, I would like to help you in your healing journey. I provide in-person as well as telemedicine services so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel. My aim is to help you to thrive at your best.
Hello, I'm Mariam Fazil, DNP, PMHNP,a board-certified Psychiatric and Mental Health Nurse Practitioner (PMHNP). Are you or your loved ones struggling to balance mental and physical health? Are you suffering from anxiety? If this somewhat sounds familiar, I would like to help you in your healing journey. I provide in-person as well as telemedicine services so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel. My aim is to help you to thrive at your best.
(415) 825-8714 View (415) 825-8714
Photo of Chelsea Landolin, Psychiatric Nurse Practitioner in San Francisco, CA
Chelsea Landolin
Psychiatric Nurse Practitioner, NP, PMHNP, ANP
Verified Verified
1 Endorsed
San Francisco, CA 94115  (Online Only)
I am a psychiatric nurse practitioner based in the San Francisco Bay Area. I offer virtual visits for adults residing in California. I provide psychiatric consultation, diagnostic evaluation, medication management, and psychotherapy. I have extensive experience and treat most psychiatric conditions (ADHD and substance use disorders included). I aim to put you in the driver's seat in your life. You deserve to be there - not your moods, thoughts, impulses, relationships, substances, etc. I am kind, supportive, and give specific, direct advice. I was trained in CBT (cognitive behavior therapy) by the Beck Institute.
I am a psychiatric nurse practitioner based in the San Francisco Bay Area. I offer virtual visits for adults residing in California. I provide psychiatric consultation, diagnostic evaluation, medication management, and psychotherapy. I have extensive experience and treat most psychiatric conditions (ADHD and substance use disorders included). I aim to put you in the driver's seat in your life. You deserve to be there - not your moods, thoughts, impulses, relationships, substances, etc. I am kind, supportive, and give specific, direct advice. I was trained in CBT (cognitive behavior therapy) by the Beck Institute.
(415) 481-3602 View (415) 481-3602
Photo of Samantha Williams, Psychiatrist in San Francisco, CA
Samantha Williams
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94118  (Online Only)
I enjoy practicing psychiatry from a holistic perspective, considering how biology, core beliefs, relationships and environment may be informing your current experience. I’m passionate about helping clients to feel empowered to create balance, stability, joy and connection in their lives using a combination of pharmacotherapy, psychotherapy and teaching. Initially, I’ll focus on creating a safe space and deeply listening to your story, and once we have gained insight into the factors impacting your experience, together we will come up with a dynamic treatment strategy that aligns with your priorities.
I enjoy practicing psychiatry from a holistic perspective, considering how biology, core beliefs, relationships and environment may be informing your current experience. I’m passionate about helping clients to feel empowered to create balance, stability, joy and connection in their lives using a combination of pharmacotherapy, psychotherapy and teaching. Initially, I’ll focus on creating a safe space and deeply listening to your story, and once we have gained insight into the factors impacting your experience, together we will come up with a dynamic treatment strategy that aligns with your priorities.
(415) 763-6086 View (415) 763-6086
Photo of Tulsie Patel, Psychiatrist in San Francisco, CA
Tulsie Patel
Psychiatrist, MD
Verified Verified
San Francisco, CA 94111  (Online Only)
Hello, my name is Dr. Tulsie Patel. I am a board certified psychiatrist. I graduated Cum Laude from Drexel University and attended the University of Miami Miller School of Medicine. I completed my psychiatry residency at the University of Texas Southwestern and served as Chief Resident. After graduation, I worked at clinics in California and Florida. I have experience in medication management, individual/group therapy, and transcranial magnetic stimulation. I am dedicated to providing personalized, patient-centered, and continuously evolving treatment.
Hello, my name is Dr. Tulsie Patel. I am a board certified psychiatrist. I graduated Cum Laude from Drexel University and attended the University of Miami Miller School of Medicine. I completed my psychiatry residency at the University of Texas Southwestern and served as Chief Resident. After graduation, I worked at clinics in California and Florida. I have experience in medication management, individual/group therapy, and transcranial magnetic stimulation. I am dedicated to providing personalized, patient-centered, and continuously evolving treatment.
(415) 938-4153 View (415) 938-4153
Photo of Doctor Xia Psychiatry, Psychiatrist in San Francisco, CA
Doctor Xia Psychiatry
Psychiatrist, MD
Verified Verified
San Francisco, CA 94115  (Online Only)
Mental health is influenced by numerous factors including genetics, upbringing, emotions, medical conditions, circumstance, and more. My name is Dr. Tom Xia, and I believe the best treatment starts with understanding the factors that make up the person, not just the symptoms. Together, we will aim to understand the core of your difficulties and collectively decide on the best treatment whether it is talk therapy, medication, or both.
Mental health is influenced by numerous factors including genetics, upbringing, emotions, medical conditions, circumstance, and more. My name is Dr. Tom Xia, and I believe the best treatment starts with understanding the factors that make up the person, not just the symptoms. Together, we will aim to understand the core of your difficulties and collectively decide on the best treatment whether it is talk therapy, medication, or both.
(415) 943-2762 View (415) 943-2762
Photo of Sidney A Edsall, Psychiatrist in San Francisco, CA
Sidney A Edsall
Psychiatrist, MD, DABMA
Verified Verified
1 Endorsed
San Francisco, CA 94114
Balancing the mental, emotional, physical and spiritual wellbeing of each of my clients in relationship to others and within community is essential for whole-being health and holistic healing. I work with individuals who are willing to take an active role in their health and recovery, to not just survive but to thrive in living more fully, reaching their goals and fullest potentials in life.
Balancing the mental, emotional, physical and spiritual wellbeing of each of my clients in relationship to others and within community is essential for whole-being health and holistic healing. I work with individuals who are willing to take an active role in their health and recovery, to not just survive but to thrive in living more fully, reaching their goals and fullest potentials in life.
(415) 903-1898 View (415) 903-1898
Photo of Liz Moore Psychiatric Nursing Inc., Psychiatric Nurse Practitioner in San Francisco, CA
Liz Moore Psychiatric Nursing Inc.
Psychiatric Nurse Practitioner, NP
Verified Verified
San Francisco, CA 94102
Book Online: LizGMoore.com
Book Online: LizGMoore.com
(415) 662-8255 View (415) 662-8255
Photo of Harold Burns, Psychiatric Nurse Practitioner in San Francisco, CA
Harold Burns
Psychiatric Nurse Practitioner, PMHNP, CNL
Verified Verified
San Francisco, CA 94104  (Online Only)
I’m a psychiatric nurse practitioner specializing in ADHD, depression, anxiety, and transgender mental health. I believe meaningful mental healthcare is more than just a pill. You want someone who’ll talk through your concerns, listen to your needs, and develop a treatment plan tailored to you. Alongside medication, I focus on patient education, therapy, and coaching. If you are looking for holistic and thoughtful care, I would love to meet you.
I’m a psychiatric nurse practitioner specializing in ADHD, depression, anxiety, and transgender mental health. I believe meaningful mental healthcare is more than just a pill. You want someone who’ll talk through your concerns, listen to your needs, and develop a treatment plan tailored to you. Alongside medication, I focus on patient education, therapy, and coaching. If you are looking for holistic and thoughtful care, I would love to meet you.
(415) 534-6104 View (415) 534-6104
Photo of Pernilla Schweitzer, Psychiatrist in San Francisco, CA
Pernilla Schweitzer
Psychiatrist, MD
Verified Verified
San Francisco, CA 94102
I am an adult psychiatrist who specializes in treating mood disorders, anxiety, obsessive compulsive disorders, attention deficit disorders, and substance abuse. I use an integrative approach that emphasizes a combination of psychotherapy and medication as needed for each individual. I am also experienced with medications for treatment of substance abuse such as Suboxone (buprenorphine and naloxone) and Revia (naltrexone). I completed my undergraduate degree at Harvard University, medical school at Columbia University, and psychiatric residency at the University of California San Francisco (UCSF).
I am an adult psychiatrist who specializes in treating mood disorders, anxiety, obsessive compulsive disorders, attention deficit disorders, and substance abuse. I use an integrative approach that emphasizes a combination of psychotherapy and medication as needed for each individual. I am also experienced with medications for treatment of substance abuse such as Suboxone (buprenorphine and naloxone) and Revia (naltrexone). I completed my undergraduate degree at Harvard University, medical school at Columbia University, and psychiatric residency at the University of California San Francisco (UCSF).
(628) 265-8213 View (628) 265-8213
Photo of Ryan Scoggins, Psychiatrist in San Francisco, CA
Ryan Scoggins
Psychiatrist, DO
Verified Verified
San Francisco, CA 94102
Dr. Scoggins began working in the mental health field in 2005 holding numerous clinical positions at various psychiatric facilities across New Hampshire, Massachusetts and Pennsylvania. He then moved to New York City where he attended medical school at TouroCOM followed by residency in Psychiatry at through Mount Sinai Ryan moved to the Los Angeles area in 2018 and completed a Child and Adolescent Psychiatry fellowship at the University of Southern California in 2020.
Dr. Scoggins began working in the mental health field in 2005 holding numerous clinical positions at various psychiatric facilities across New Hampshire, Massachusetts and Pennsylvania. He then moved to New York City where he attended medical school at TouroCOM followed by residency in Psychiatry at through Mount Sinai Ryan moved to the Los Angeles area in 2018 and completed a Child and Adolescent Psychiatry fellowship at the University of Southern California in 2020.
(628) 345-3892 View (628) 345-3892
Photo of Ela Aguilar Donis, Psychiatrist in San Francisco, CA
Ela Aguilar Donis
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94118  (Online Only)
Ela Donis, MD is a board-certified adult psychiatrist that has been in practice for over 10 years. Dr. Donis is competent in performing thorough psychiatric assessments, differential diagnosis, prognostic assessments, genetic testing and interpretation and medication management. Other colleagues and patients have described her as knowledgeable and compassionate. Her areas of interest are PTSD, trauma associated disorders,mood disorders, and anxiety disorders.
Ela Donis, MD is a board-certified adult psychiatrist that has been in practice for over 10 years. Dr. Donis is competent in performing thorough psychiatric assessments, differential diagnosis, prognostic assessments, genetic testing and interpretation and medication management. Other colleagues and patients have described her as knowledgeable and compassionate. Her areas of interest are PTSD, trauma associated disorders,mood disorders, and anxiety disorders.
(415) 301-3198 View (415) 301-3198
Photo of Ravi Hariprasad, Psychiatrist in San Francisco, CA
Ravi Hariprasad
Psychiatrist, MD, MPH, FAPA
Verified Verified
San Francisco, CA 94102
I am a Harvard (MGH) trained psychiatrist, an engineer and a serial entrepreneur. As an integrative physician, I am ambidextrous in performing as a psychopharmacologist, an Ayurvedic healer, a therapist, and a mindful life coach. Together we collaborate closely to identify and remove obstacles to wellness, to reduce suffering, and to gain a personal understanding of the complex relationship between mental and physical health. Your personal preferences and strengths guide our approach. Quite simply, I approach problem solving and treatment planning differently.
I am a Harvard (MGH) trained psychiatrist, an engineer and a serial entrepreneur. As an integrative physician, I am ambidextrous in performing as a psychopharmacologist, an Ayurvedic healer, a therapist, and a mindful life coach. Together we collaborate closely to identify and remove obstacles to wellness, to reduce suffering, and to gain a personal understanding of the complex relationship between mental and physical health. Your personal preferences and strengths guide our approach. Quite simply, I approach problem solving and treatment planning differently.
(415) 360-0856 View (415) 360-0856
Photo of Catherine Mallouh, Psychiatrist in San Francisco, CA
Catherine Mallouh
Psychiatrist, MD
Verified Verified
San Francisco, CA 94118
Feeling understood and uniquely recognized is an important part of the therapy relationship. As a psychotherapist and psychiatrist, with many years of experience, I offer an engaged and collaborative relationship, to better understand core problems and emotional conflicts that get in the way of having a satisfying and meaningful life. I work in psychotherapy with a range of issues including self esteem,intimacy, the effects of trauma, loss, and conflicts around ambition and creativity. I can help with symptoms of anxiety and depression that can significantly interfere with day to day life, providing help with medications.
Feeling understood and uniquely recognized is an important part of the therapy relationship. As a psychotherapist and psychiatrist, with many years of experience, I offer an engaged and collaborative relationship, to better understand core problems and emotional conflicts that get in the way of having a satisfying and meaningful life. I work in psychotherapy with a range of issues including self esteem,intimacy, the effects of trauma, loss, and conflicts around ambition and creativity. I can help with symptoms of anxiety and depression that can significantly interfere with day to day life, providing help with medications.
(415) 750-1713 View (415) 750-1713
Photo of Juliano Innocenti, Psychiatric Nurse Practitioner in San Francisco, CA
Juliano Innocenti
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Francisco, CA 94104
Juliano Innocenti is a Psychiatric Mental Health Nurse Practitioner in California who has been practicing since 2022. Juliano offers trauma-informed, patient-centered care that may include options for medication management for conditions like depression and anxiety, substance abuse, PTSD, psychotic disorders, personality disorders, adjustment disorders, OCD, hoarding, ADHD, Oppositional Defiant Disorder, and Gender dysphoria. He also has experience with grief and bereavement, and can help you plan for, or come to terms with your own mortality and existential fears.
Juliano Innocenti is a Psychiatric Mental Health Nurse Practitioner in California who has been practicing since 2022. Juliano offers trauma-informed, patient-centered care that may include options for medication management for conditions like depression and anxiety, substance abuse, PTSD, psychotic disorders, personality disorders, adjustment disorders, OCD, hoarding, ADHD, Oppositional Defiant Disorder, and Gender dysphoria. He also has experience with grief and bereavement, and can help you plan for, or come to terms with your own mortality and existential fears.
(628) 313-4625 View (628) 313-4625
Photo of Ryan Vidrine, MD, Psychiatrist in San Francisco, CA
Ryan Vidrine, MD
Psychiatrist, MD
Verified Verified
San Francisco, CA 94104
I offer Specialized Psychiatric Services for OCD & Anxiety Disorders.
I offer Specialized Psychiatric Services for OCD & Anxiety Disorders.
(415) 548-9221 View (415) 548-9221
Photo of Penny Greaves, Psychiatric Nurse Practitioner in San Francisco, CA
Penny Greaves
Psychiatric Nurse Practitioner, FNP, PMHNP
Verified Verified
1 Endorsed
San Francisco, CA 94103
Penny Greaves has over twenty years of nursing experience and received her bachelor's in nursing in 2007 and a Master's of Nursing with a primary care nurse practitioner certificate in 2010 from Ryerson University, in Toronto, Canada. She obtained her Psychiatric Nurse Practitioner (PMHNP) degree in 2021 from the National University and is dual certified with the ANCC in psychiatry and the AANP in family practice. She is currently pursuing a psychology doctorate degree (PsyD) to improve health outcomes. She is experienced with adults, adults with addictions, complex mental health problems, geriatrics, and dementia.
Penny Greaves has over twenty years of nursing experience and received her bachelor's in nursing in 2007 and a Master's of Nursing with a primary care nurse practitioner certificate in 2010 from Ryerson University, in Toronto, Canada. She obtained her Psychiatric Nurse Practitioner (PMHNP) degree in 2021 from the National University and is dual certified with the ANCC in psychiatry and the AANP in family practice. She is currently pursuing a psychology doctorate degree (PsyD) to improve health outcomes. She is experienced with adults, adults with addictions, complex mental health problems, geriatrics, and dementia.
(628) 232-8399 View (628) 232-8399

See more therapy options for San Francisco

How does your Psychiatrist compare?

Number of Psychiatrists in San Francisco, CA

300+

Average cost per session

$300

Psychiatrists in San Francisco, CA who prioritize treating:

93% Anxiety
90% Depression
78% Medication Management
69% Trauma and PTSD
68% ADHD
68% Bipolar Disorder
62% Obsessive-Compulsive (OCD)

Average years in practice

12 Years

Top 3 insurances accepted

91% Aetna
86% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Psychiatrists in San Francisco, CA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

57% Female
42% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in San Francisco?

The Psychology Today Directory enables you to search specifically for psychiatrists, using the drop down provider menu in the navigation bar, by city or zip code, or by the name of the psychiatrist. Search results provide detailed profiles of professionals, including their treatment approach and areas of expertise. In addition, listings provide important information about each psychiatrist’s credentials, fees, payment options, and insurance affiliations. Directory users can select psychiatrists who meet an array of personally-desired criteria, such as familiarity with a specific community or condition.

What is the difference between a psychiatrist and a psychologist?

Psychiatrists are medical specialists who focus on understanding, diagnosing, and treating diseases of the brain and disorders of the mind and behavior. As physicians, psychiatrists are trained to recognize the often-subtle biological causes of mental disorders and to monitor the effects of mental disturbances on physical conditions, such as heart disease. Psychologists are especially attuned to the influence of early experience on development and behavior, emotional and cognitive processes, the nature of personality, and social functioning. They are also trained to deploy an array of psychological tests—IQ tests, personality tests, behavioral assessments—to gauge a person’s functioning.

What is a psychiatric nurse practitioner?

A psychiatric nurse practitioner, also known as a mental health nurse practitioner, is a registered nurse who completes advanced training in psychiatric care, earning either a master’s or doctoral degree in psychiatric nursing, and in the U.S., passes a national certification exam. Like psychiatrists, psychiatric nurse practitioners are trained to assess, diagnose, and treat mental health conditions. In some locales, psychiatric nurse practitioners can offer the full range of psychiatric care, including prescribing and managing medication. In other places, they must work in collaboration with a physician.

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

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychiatrists, psychologists, social workers, and counselors. All psychiatrists listed in the directory have a valid license issued by the state(s) in which they practice and are certified by the American Board of Psychiatry and Neurology. Providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some individuals or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

Can a psychiatrist prescribe medication?

Psychiatrists are licensed medical doctors who are trained to recognize the many ways body processes affect the functioning of the brain and mind. As physicians, they can prescribe medication. Patients who are prescribed medications will typically need to continue to see a psychiatrist so that the effects of the medication can be monitored. For many psychiatric conditions, including common disorders such as anxiety and depression, the preferred treatment is combination therapy—medication accompanied by psychotherapy.

Do psychiatrists offer therapy?

Psychiatrists are generally trained in a number of treatment modalities, including psychotherapy, pharmacotherapy, and, increasingly, somatic therapies. Typically, psychiatrists 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 sessions with a psychiatrist may only be 15-20 minutes in length and are largely focused on medication management. Many psychiatrists who do not offer psychotherapy work collaboratively with psychologists and other mental health clinicians and can refer clients seeking talk therapy to those providers.

How do I know if I need a psychiatrist 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. One way many people learn which type of care is best for them is by seeing their primary care provider first. Depending on the nature and severity of the symptoms, the physician may review their medical history or perform medical tests to determine whether biological factors are involved before making a referral. It is not necessary for a person to know precisely what type of care they need in order to seek help. Many psychiatrists and psychologists refer clients to each other depending on client needs.

Do I need a referral to see a psychiatrist?

A referral to a psychiatrist is often not required. However, seeing your primary care physician first can be helpful and actually prove to be a shortcut to getting what you need. Your PCP may have a clear idea whether psychiatric help is needed and/or which kind of mental health care would be most beneficial and refer you to the right type of practitioner. For that reason alone, some psychiatrists require a referral. Further, many insurance plans require a referral from a PCP if they cover all of part of the cost of seeing a specialist; if, however, you are paying out of pocket, you may not need a referral. In any case, a referral may speed the process of securing an appointment with a psychiatrist, especially in areas where there is a shortage of mental health specialists and new patients face long waits for appointments.