Psychiatrists in San Francisco, CA

Photo of Michael B Murphy, Psychiatrist in San Francisco, CA
Michael B Murphy
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94114
Not accepting new clients
I take a collaborative approach toward helping patients achieve their goals, which begins with a full evaluation process that can last from one to a few sessions, until we have reached an understanding of what the difficulties are and we can discuss treatment recommendations. I believe strongly in both understanding and treating symptoms and difficulties in living in the context of a whole person. I have had training in multiple approaches to psychotherapy and work with patients to broaden their emotional and cognitive experience, gain insight into their psychological functioning, and make improvements in their qualities of life.
I take a collaborative approach toward helping patients achieve their goals, which begins with a full evaluation process that can last from one to a few sessions, until we have reached an understanding of what the difficulties are and we can discuss treatment recommendations. I believe strongly in both understanding and treating symptoms and difficulties in living in the context of a whole person. I have had training in multiple approaches to psychotherapy and work with patients to broaden their emotional and cognitive experience, gain insight into their psychological functioning, and make improvements in their qualities of life.
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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 Jon Duey, Psychiatric Nurse in San Francisco, CA
Jon Duey
Psychiatric Nurse, PMHNP
Verified Verified
San Francisco, CA 94132
I am a Psychiatric Nurse Practitioner. I obtained my BA in Psychology at UC Berkeley in 2008. I have vast experience as a counselor in various settings for children and adolescents with severe emotional disturbance. I then obtained my Bachelors of Science in Nursing at Columbia University in 2012 and completed the Psychiatric Mental Health Nurse Practitioner Program at Columbia University in 2014.
I am a Psychiatric Nurse Practitioner. I obtained my BA in Psychology at UC Berkeley in 2008. I have vast experience as a counselor in various settings for children and adolescents with severe emotional disturbance. I then obtained my Bachelors of Science in Nursing at Columbia University in 2012 and completed the Psychiatric Mental Health Nurse Practitioner Program at Columbia University in 2014.
(415) 943-5453 View (415) 943-5453
Photo of James Lake, Psychiatrist in San Francisco, CA
James Lake
Psychiatrist, MD
Verified Verified
San Francisco, CA 94118  (Online Only)
I am a Board-certified adult psychiatrist with over 25 years of clinical experience. After obtaining a BA in Human Biology at Stanford my first career was in high-tech consulting in Silicon Valley. I then attended medical school at U.C. Irvine and completed residency training at Stanford. I have served as a clinical assistant professor at Stanford, and am currently an assistant professor in the Department of Psychiatry at University of Arizona College of Medicine. I am also an Adjunct Fellow at the National Institute of Complementary Medicine, Health Research Institute, Western Sydney University.
I am a Board-certified adult psychiatrist with over 25 years of clinical experience. After obtaining a BA in Human Biology at Stanford my first career was in high-tech consulting in Silicon Valley. I then attended medical school at U.C. Irvine and completed residency training at Stanford. I have served as a clinical assistant professor at Stanford, and am currently an assistant professor in the Department of Psychiatry at University of Arizona College of Medicine. I am also an Adjunct Fellow at the National Institute of Complementary Medicine, Health Research Institute, Western Sydney University.
(628) 244-8389 x1 View (628) 244-8389 x1
Photo of Bay Area Psychiatric - Integrative Psychiatry, Psychiatric Nurse Practitioner in San Francisco, CA
Bay Area Psychiatric - Integrative Psychiatry
Psychiatric Nurse Practitioner, MS, RN, CS, PMHNP
Verified Verified
1 Endorsed
San Francisco, CA 94111
I'm interested in a person's priorities, what engages them in life, and how they want to get there. I take a whole-person, root cause approach that delivers enhanced resilience and renewed feelings of wellbeing beyond "good enough”. I strive for truly well, without side effects. Integrative psychiatry offers solutions to support the complexity and sustained recovery of mood, anxiety, trauma, cognition/ADHD, and sleep-related challenges, including "treatment resistance," which may simply indicate the correct diagnosis has not been found, a biological clue has been missed, or a treatment strategy is not optimal.
I'm interested in a person's priorities, what engages them in life, and how they want to get there. I take a whole-person, root cause approach that delivers enhanced resilience and renewed feelings of wellbeing beyond "good enough”. I strive for truly well, without side effects. Integrative psychiatry offers solutions to support the complexity and sustained recovery of mood, anxiety, trauma, cognition/ADHD, and sleep-related challenges, including "treatment resistance," which may simply indicate the correct diagnosis has not been found, a biological clue has been missed, or a treatment strategy is not optimal.
(415) 650-4303 View (415) 650-4303
Photo of Aneesh López-Nandam, Psychiatrist in San Francisco, CA
Aneesh López-Nandam
Psychiatrist, MD, MPH
Verified Verified
San Francisco, CA 94109
Not accepting new clients
Making the decision to seek help with your struggles can feel both uplifting and vulnerable. I offer a safe, non-judgmental space for us to talk. I help adults with a wide variety of issues, including depression, anxiety, trauma, loss, life transitions, self-esteem, coping with uncertainty, relationship problems, working towards goals, and finding meaning.
Making the decision to seek help with your struggles can feel both uplifting and vulnerable. I offer a safe, non-judgmental space for us to talk. I help adults with a wide variety of issues, including depression, anxiety, trauma, loss, life transitions, self-esteem, coping with uncertainty, relationship problems, working towards goals, and finding meaning.
(415) 226-4825 x213 View (415) 226-4825 x213
Photo of Scott Smolar, Psychiatrist in San Francisco, CA
Scott Smolar
Psychiatrist, DO, DFASAM, PC
Verified Verified
San Francisco, CA 94111
Dr. Smolar's extensive experience treating a full range of ages, backgrounds, mental health and addiction issues makes him well suited to help individuals struggling with a multitude of psychiatric conditions.
Dr. Smolar's extensive experience treating a full range of ages, backgrounds, mental health and addiction issues makes him well suited to help individuals struggling with a multitude of psychiatric conditions.
Uma Lerner
Psychiatrist, MD
Verified Verified
San Francisco, CA 94123  (Online Only)
Dr. Lerner specializes in women's mental health. She has expertise in the management of psychiatric and emotional challenges during pregnancy and when breastfeeding. Dr. Lerner focuses on the evaluation and management of the unique ways depression, anxiety, and ADHD manifest in women. Dr. Lerner utilizes an active and engaging psychotherapy approach in addition to treatment with medications.
Dr. Lerner specializes in women's mental health. She has expertise in the management of psychiatric and emotional challenges during pregnancy and when breastfeeding. Dr. Lerner focuses on the evaluation and management of the unique ways depression, anxiety, and ADHD manifest in women. Dr. Lerner utilizes an active and engaging psychotherapy approach in addition to treatment with medications.
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Photo of Seth Sherman, Psychiatrist in San Francisco, CA
Seth Sherman
Psychiatrist, MD
Verified Verified
San Francisco, CA 94111  (Online Only)
Seth Sherman, M.D., is a board-certified adult psychiatrist who has been in practice for over ten years. At the heart of Dr. Sherman’s clinical approach is a strong emphasis one stablishing trust, rapport, and therapeutic alliance to help persons to feel and live well and to progress toward their goals, both in treatment and in life. Dr. Sherman begins with a consultation, a compassionate, collaborative process of discovery that culminates in a working diagnostic impression and, in turn, treatment recommendations.
Seth Sherman, M.D., is a board-certified adult psychiatrist who has been in practice for over ten years. At the heart of Dr. Sherman’s clinical approach is a strong emphasis one stablishing trust, rapport, and therapeutic alliance to help persons to feel and live well and to progress toward their goals, both in treatment and in life. Dr. Sherman begins with a consultation, a compassionate, collaborative process of discovery that culminates in a working diagnostic impression and, in turn, treatment recommendations.
(415) 483-4255 View (415) 483-4255
Photo of Dr. Zohaib Abbasi, Psychiatrist in San Francisco, CA
Dr. Zohaib Abbasi
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94102  (Online Only)
Hi! I'm a board-certified psychiatrist offering convenient online video visits throughout California and currently accepting new patients. In addition to traditional psychiatric medications and psychotherapy, I specialize in an integrative patient-centered approach, using lifestyle changes and natural treatments that are supported by scientific evidence. I want you to feel empowered and have control over your treatment. I offer personalized care to individuals who want to get a more accurate diagnosis and minimize unnecessary medications.
Hi! I'm a board-certified psychiatrist offering convenient online video visits throughout California and currently accepting new patients. In addition to traditional psychiatric medications and psychotherapy, I specialize in an integrative patient-centered approach, using lifestyle changes and natural treatments that are supported by scientific evidence. I want you to feel empowered and have control over your treatment. I offer personalized care to individuals who want to get a more accurate diagnosis and minimize unnecessary medications.
(415) 409-9492 View (415) 409-9492
Photo of Mindful Health Solutions - Arjun Gokhale, Psychiatric Nurse Practitioner in San Francisco, CA
Mindful Health Solutions - Arjun Gokhale
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Francisco, CA 94108
I am a Board-Certified Psychiatric Mental Health Nurse Practitioner who is experienced in treating depression, anxiety, ADHD, and other psychiatric disorders. Along with psychopharmacology and psychotherapy, I am interested in evidence-based interventions such as Transcranial Magnetic Stimulation (TMS).
I am a Board-Certified Psychiatric Mental Health Nurse Practitioner who is experienced in treating depression, anxiety, ADHD, and other psychiatric disorders. Along with psychopharmacology and psychotherapy, I am interested in evidence-based interventions such as Transcranial Magnetic Stimulation (TMS).
(628) 200-3823 View (628) 200-3823
Photo of Dr. Anne Phan-Huy, Psychiatrist in San Francisco, CA
Dr. Anne Phan-Huy
Psychiatrist, MD
Verified Verified
San Francisco, CA 94110  (Online Only)
Dr. Phan-Huy's philosophy of care is all about you. Your beliefs, your experiences, your goals. By partnering with Dr. Phan-Huy, you will be empowered with the tools necessary to achieve fulfilment. That’s because – with Board certification in psychiatry and specialty training from the University of Michigan – Dr. Phan-Huy is a beacon of clarity in the complex world of mental health.
Dr. Phan-Huy's philosophy of care is all about you. Your beliefs, your experiences, your goals. By partnering with Dr. Phan-Huy, you will be empowered with the tools necessary to achieve fulfilment. That’s because – with Board certification in psychiatry and specialty training from the University of Michigan – Dr. Phan-Huy is a beacon of clarity in the complex world of mental health.
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Photo of Ryan Blum, Psychiatrist in San Francisco, CA
Ryan Blum
Psychiatrist, MD
Verified Verified
San Francisco, CA 94102
Ryan Blum, M.D. is a psychiatrist who works with adults of all ages in medication management and psychotherapy. He graduated from Harvard College and Yale School of Medicine and completed adult psychiatry residency at Yale in 2016. He has worked in a variety of public and private settings and taught students and residents at Yale, UCSF, and OHSU in Portland, Oregon where he currently lives and practices full time. He believes that good psychiatry involves building understanding in depth of who you are and how you developed into this person.
Ryan Blum, M.D. is a psychiatrist who works with adults of all ages in medication management and psychotherapy. He graduated from Harvard College and Yale School of Medicine and completed adult psychiatry residency at Yale in 2016. He has worked in a variety of public and private settings and taught students and residents at Yale, UCSF, and OHSU in Portland, Oregon where he currently lives and practices full time. He believes that good psychiatry involves building understanding in depth of who you are and how you developed into this person.
(628) 277-5646 View (628) 277-5646
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 Kelechi Okwaraji, Psychiatric Nurse Practitioner in San Francisco, CA
Kelechi Okwaraji
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Francisco, CA 94132  (Online Only)
I graduated from Charles R Drew University of Medicine and Science. Thereafter had my post-graduation experience at community health center in Stamford Connecticut, where I had was opportune to care for patients across all ages including but not limited to child/adolescent, adults, geriatrics, people using substances not only that I was also able to coordinate group therapy for those using substances. I'm also LGBTQI friendly. I render my care passionately in a nonjudgmental way.
I graduated from Charles R Drew University of Medicine and Science. Thereafter had my post-graduation experience at community health center in Stamford Connecticut, where I had was opportune to care for patients across all ages including but not limited to child/adolescent, adults, geriatrics, people using substances not only that I was also able to coordinate group therapy for those using substances. I'm also LGBTQI friendly. I render my care passionately in a nonjudgmental way.
(415) 634-1621 View (415) 634-1621
Photo of Hilda Nguthu-Bell, Psychiatric Nurse Practitioner in San Francisco, CA
Hilda Nguthu-Bell
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Francisco, CA 94105  (Online Only)
Hilda Nguthu-Bell is a skilled and professional Psychiatric Mental Health Nurse Practitioner and Registered Nurse with over several years of experience, primarily in clinical Healthcare in both inpatient and outpatient settings. Specialized in Mental Health and Case Management she has proven her ability to lead and motivate others.
Hilda Nguthu-Bell is a skilled and professional Psychiatric Mental Health Nurse Practitioner and Registered Nurse with over several years of experience, primarily in clinical Healthcare in both inpatient and outpatient settings. Specialized in Mental Health and Case Management she has proven her ability to lead and motivate others.
(415) 650-4168 View (415) 650-4168
Photo of Dr. Sutapa Dube, Psychiatrist in San Francisco, CA
Dr. Sutapa Dube
Psychiatrist, MD
Verified Verified
San Francisco, CA 94104  (Online Only)
I have always been interested in the interplay between our minds, our bodies, and our surroundings. That interest has led me on all sorts of adventures in learning how we evolve into such unique individuals. Medical school was my goal since kindergarten – it’s true! Psychiatry and the bio-psycho-social approach, which takes into account every aspect of an individual’s life, is the field of medicine that makes the most sense to me. As an integrative psychiatrist I am open to both traditional approaches and complementary/alternative approaches to wholeness and healing.
I have always been interested in the interplay between our minds, our bodies, and our surroundings. That interest has led me on all sorts of adventures in learning how we evolve into such unique individuals. Medical school was my goal since kindergarten – it’s true! Psychiatry and the bio-psycho-social approach, which takes into account every aspect of an individual’s life, is the field of medicine that makes the most sense to me. As an integrative psychiatrist I am open to both traditional approaches and complementary/alternative approaches to wholeness and healing.
(415) 799-5260 View (415) 799-5260
Photo of Victoria Omeri, Psychiatric Nurse Practitioner in San Francisco, CA
Victoria Omeri
Psychiatric Nurse Practitioner, FNP, PMHNP
Verified Verified
7 Endorsed
San Francisco, CA 94110
My passion is working with Anxiety,Depression and ADHD patients! I have an extensive experience providing medication management using a holistic approach. During our visits, I will listen carefully to your specific concerns and collaboratively develop a treatment plan that balances your physical and mental health. With each patient, My aim is to help you actively reach the optimal state of wellness that you thrive in. I am licensed in California, Washington, Arizona and Nevada
My passion is working with Anxiety,Depression and ADHD patients! I have an extensive experience providing medication management using a holistic approach. During our visits, I will listen carefully to your specific concerns and collaboratively develop a treatment plan that balances your physical and mental health. With each patient, My aim is to help you actively reach the optimal state of wellness that you thrive in. I am licensed in California, Washington, Arizona and Nevada
(415) 212-4133 View (415) 212-4133
Photo of Julie Wood, Psychiatrist in San Francisco, CA
Julie Wood
Psychiatrist, MD
Verified Verified
San Francisco, CA 94111
Dr. Julie Wood is a board-certified adult psychiatrist with over 10 years of clinical experience. Medicine is a second career for Dr. Wood. Prior to attending medical school, she worked as a research scientist for 15 years. She completed her medical degree at Ross University School of Medicine and completed her residency at the University of Chicago and the University of Texas, Southwestern in Dallas. Dr. Wood strongly believes in treating the whole person and strives to understand what contributes to a person’s mental health conditions.
Dr. Julie Wood is a board-certified adult psychiatrist with over 10 years of clinical experience. Medicine is a second career for Dr. Wood. Prior to attending medical school, she worked as a research scientist for 15 years. She completed her medical degree at Ross University School of Medicine and completed her residency at the University of Chicago and the University of Texas, Southwestern in Dallas. Dr. Wood strongly believes in treating the whole person and strives to understand what contributes to a person’s mental health conditions.
(520) 317-6021 View (520) 317-6021
Photo of Dr. John Connor Barnhart, Psychiatrist in San Francisco, CA
Dr. John Connor Barnhart
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94127
I am a UCSF and University of Pennsylvania trained psychiatrist specialized in helping you unlock your full potential. I work with adults struggling with mood, anxiety, and focus problems - as well as difficulties in relationships, career, or sense of self - who are invested in developing a deeper understanding of themselves and taking an active role in their self-improvement; those looking to get at the root causes of new or long-festering problems and committed to making positive changes to support their wellbeing.
I am a UCSF and University of Pennsylvania trained psychiatrist specialized in helping you unlock your full potential. I work with adults struggling with mood, anxiety, and focus problems - as well as difficulties in relationships, career, or sense of self - who are invested in developing a deeper understanding of themselves and taking an active role in their self-improvement; those looking to get at the root causes of new or long-festering problems and committed to making positive changes to support their wellbeing.
(415) 936-8152 View (415) 936-8152

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
68% ADHD
68% Trauma and PTSD
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.