Psychiatrists in Spokane, WA

Photo of J & U Psych and Medical Services PLLC, Psychiatric Nurse Practitioner in Spokane, WA
J & U Psych and Medical Services PLLC
Psychiatric Nurse Practitioner, PMHNP, FNP, BC
Verified Verified
Spokane, WA 99201  (Online Only)
Jennifer Urune is a board certified Psychiatric Mental Health Nurse Practitioner, (PMHNP-BC), accredited by the American Nursing Credentialing Center as well as a board-certified Family Nurse Practitioner (FNP-c), accredited by the American Academy of Nurse Practitioners. I obtained a Masters of Nursing from Walden University, Post Masters certificate from South Alabama University. I specialize in treating various Mental Disorders. I have a vast amount of experience in mental health, specializing in treating adults and children with various mental health disorders including depression, anxiety, ADHD, psychosis, and mood disorders.
Jennifer Urune is a board certified Psychiatric Mental Health Nurse Practitioner, (PMHNP-BC), accredited by the American Nursing Credentialing Center as well as a board-certified Family Nurse Practitioner (FNP-c), accredited by the American Academy of Nurse Practitioners. I obtained a Masters of Nursing from Walden University, Post Masters certificate from South Alabama University. I specialize in treating various Mental Disorders. I have a vast amount of experience in mental health, specializing in treating adults and children with various mental health disorders including depression, anxiety, ADHD, psychosis, and mood disorders.
(509) 410-4506 View (509) 410-4506
Photo of Michael Van Gelder, Psychiatric Nurse Practitioner in Spokane, WA
Michael Van Gelder
Psychiatric Nurse Practitioner, MS, MN, PMHNP
Verified Verified
Spokane, WA 99218
I am a board certified Psych Nurse Practitioner. Whether you are interested in finding a medication prescriber who can continue a treatment regimen that is already working well or seeking psychiatric services for the first time, I am excited to work with you to achieve your goals. My expertise includes treating patients with depression, anxiety disorders, and ADHD. I may refer out for extra therapy as needed. Note, I am unable to manage active psychosis, personality disorders, or suicidality at this time. I do not prescribe Benzodiazepines or pain medications. I work with Ages 18 to 60.
I am a board certified Psych Nurse Practitioner. Whether you are interested in finding a medication prescriber who can continue a treatment regimen that is already working well or seeking psychiatric services for the first time, I am excited to work with you to achieve your goals. My expertise includes treating patients with depression, anxiety disorders, and ADHD. I may refer out for extra therapy as needed. Note, I am unable to manage active psychosis, personality disorders, or suicidality at this time. I do not prescribe Benzodiazepines or pain medications. I work with Ages 18 to 60.
(509) 498-6388 View (509) 498-6388
Photo of Neo Minds Psychiatry PLLC, Psychiatric Nurse Practitioner in Spokane, WA
Neo Minds Psychiatry PLLC
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Verified Verified
Spokane, WA 99201  (Online Only)
We are currently accepting NEW PATIENTS via telehealth in the State of Washington. At Neo Minds Psychiatry, we provide evidence based, holistic psychiatric assessment for clients with mental health issues. Please call or schedule for your appointment today. We have evening and weekend hours available.
We are currently accepting NEW PATIENTS via telehealth in the State of Washington. At Neo Minds Psychiatry, we provide evidence based, holistic psychiatric assessment for clients with mental health issues. Please call or schedule for your appointment today. We have evening and weekend hours available.
(509) 204-9733 View (509) 204-9733
Photo of Alecia White, Psychiatric Nurse Practitioner in Spokane, WA
Alecia White
Psychiatric Nurse Practitioner, MSN, APRN, FNP-C, PMHNP
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
Telehealth Only - Accepting New Patients - Self-Scheduling. Specializes in: Psychiatric medication management, Depression, Anxiety, Insomnia, Mood disorders, and Trauma disorders. Now Accepting BlueCross BlueShield - Massachusetts.
Telehealth Only - Accepting New Patients - Self-Scheduling. Specializes in: Psychiatric medication management, Depression, Anxiety, Insomnia, Mood disorders, and Trauma disorders. Now Accepting BlueCross BlueShield - Massachusetts.
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Photo of Nicholas Goodwin, Psychiatric Nurse Practitioner in Spokane, WA
Nicholas Goodwin
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP
Verified Verified
Spokane, WA 99205
At Goodwin Health Cafe we offer the following psychiatric services: 1) Esketamine (Spravato), Transcranial Magenetic Stimulation (TMS), Intramuscular Ketamine (out of pocket only), psychiatric medication management. We accept most insurances, but coverage can vary based off of the specific service.
At Goodwin Health Cafe we offer the following psychiatric services: 1) Esketamine (Spravato), Transcranial Magenetic Stimulation (TMS), Intramuscular Ketamine (out of pocket only), psychiatric medication management. We accept most insurances, but coverage can vary based off of the specific service.
(509) 300-3974 View (509) 300-3974
Photo of Dr. Ronil Shah, Psychiatrist in Spokane, WA
Dr. Ronil Shah
Psychiatrist, MD
Verified Verified
Spokane, WA 99205
Why choose Dr. Ronil Shah? Because his top-notch expertise combines with compassionate, personalized care. Treatment with Dr. Shah is a two-way collaboration. Working together, you will design a mental wellness strategy that’s tailored just for you. His philosophy? Your path to wellness should be as unique as you are, shaped by empathy and expertise, and empowered by evidence-based insights and tools.
Why choose Dr. Ronil Shah? Because his top-notch expertise combines with compassionate, personalized care. Treatment with Dr. Shah is a two-way collaboration. Working together, you will design a mental wellness strategy that’s tailored just for you. His philosophy? Your path to wellness should be as unique as you are, shaped by empathy and expertise, and empowered by evidence-based insights and tools.
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Photo of Shepherd Spring Psychiatry and Therapy Services, Psychiatric Nurse Practitioner in Spokane, WA
Shepherd Spring Psychiatry and Therapy Services
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, BC
Verified Verified
Spokane, WA 99201
I am a doctoral-prepared and board-certified family psychiatric nurse practitioner and have worked in the mental health field for the past eight years. I have been a nurse for Twelve years. I have my doctorate from Texas Women's University Dallas, Texas, and my master’s and bachelor’s from the University of Texas Arlington, Texas. I currently see patients in TX, WA, OR, and DE.
I am a doctoral-prepared and board-certified family psychiatric nurse practitioner and have worked in the mental health field for the past eight years. I have been a nurse for Twelve years. I have my doctorate from Texas Women's University Dallas, Texas, and my master’s and bachelor’s from the University of Texas Arlington, Texas. I currently see patients in TX, WA, OR, and DE.
(509) 677-4002 View (509) 677-4002
Photo of Grace A Madueke, Psychiatric Nurse Practitioner in Spokane, WA
Grace A Madueke
Psychiatric Nurse Practitioner, DNP, PMHNP-B
Verified Verified
Spokane, WA 99223  (Online Only)
Hello! I'm Grace. I am accepting new clients! I work with persons between the ages of 13-99years old, who are seeking to be heard, seen, and understood. Persons who might be struggling with depression, anxiety, PTSD, ADHD, and other mental health disorders. Your worth is not tied to your struggle. Are you seeking a professional who listens without judgement, who recognizes that every person's mental health needs are unique? I am available early mornings, late evenings and weekends.
Hello! I'm Grace. I am accepting new clients! I work with persons between the ages of 13-99years old, who are seeking to be heard, seen, and understood. Persons who might be struggling with depression, anxiety, PTSD, ADHD, and other mental health disorders. Your worth is not tied to your struggle. Are you seeking a professional who listens without judgement, who recognizes that every person's mental health needs are unique? I am available early mornings, late evenings and weekends.
(509) 260-3493 View (509) 260-3493
Photo of Emerald Behavioral Health LLC, Psychiatric Nurse Practitioner in Spokane, WA
Emerald Behavioral Health LLC
Psychiatric Nurse Practitioner, DNP, MSN, APRN, MA, PMHNP
Verified Verified
1 Endorsed
Spokane, WA 99201
We are accepting new patients, we are a board certified mental health Nurse practitioner. We evaluate, diagnose and manage various mental health conditions such as ADHD, personality disorders, mood disorders and anxiety in both children and adults. Our goal is to bridge the gap in mental health and enhance access to treatment. We are dedicated to the wellbeing of our generation, therefore we are dedicated to both young and old with needs for mental health treatment. You don't have to suffer alone, come let us get you the best care you deserve.
We are accepting new patients, we are a board certified mental health Nurse practitioner. We evaluate, diagnose and manage various mental health conditions such as ADHD, personality disorders, mood disorders and anxiety in both children and adults. Our goal is to bridge the gap in mental health and enhance access to treatment. We are dedicated to the wellbeing of our generation, therefore we are dedicated to both young and old with needs for mental health treatment. You don't have to suffer alone, come let us get you the best care you deserve.
(509) 587-1707 View (509) 587-1707
Photo of Lisa Wolf, Psychiatric Nurse Practitioner in Spokane, WA
Lisa Wolf
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
Spokane, WA 99201  (Online Only)
Telepsychiatry in Washington State. I help adults in Washington who are looking for relief from feeling depressed, unmotivated, overwhelmed, mood swings, and difficulty sleeping.
Telepsychiatry in Washington State. I help adults in Washington who are looking for relief from feeling depressed, unmotivated, overwhelmed, mood swings, and difficulty sleeping.
(509) 563-7759 View (509) 563-7759
PsyKey Healthcare LLC
Psychiatric Nurse Practitioner, PMHNPBC, MSN, RN
Verified Verified
Spokane, WA 99201  (Online Only)
I am currently accepting new patients! As a board-certified psychiatric mental health nurse practitioner, my goal is to work together to unlock and achieve the best version of yourself. I will provide comprehensive, empathic care from diagnosis to medication management. I use brief psychotherapy in session when obstacles arise hindering your journey. I have experience with patients that includes both inpatient and outpatient settings and I treat age populations from 18 and up.
I am currently accepting new patients! As a board-certified psychiatric mental health nurse practitioner, my goal is to work together to unlock and achieve the best version of yourself. I will provide comprehensive, empathic care from diagnosis to medication management. I use brief psychotherapy in session when obstacles arise hindering your journey. I have experience with patients that includes both inpatient and outpatient settings and I treat age populations from 18 and up.
(509) 284-8598 View (509) 284-8598
Photo of Morna Agoki- Tween, Teen & Young Adult Psychiatry, Psychiatric Nurse Practitioner in Spokane, WA
Morna Agoki- Tween, Teen & Young Adult Psychiatry
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP-C
Verified Verified
22 Endorsed
Spokane, WA 99204  (Online Only)
We are Accepting New Clients, Evening and Weekend appointments. Specialize in Preteen, Teen and Young Adult. Are You Struggling With: - Difficulty sleeping? - Issues with focus and concentration? - Staying motivated or feeling sad? - Feeling chronically tired with just enough energy for the essentials? - To shower, eat, cook, or do your hair? - Feeling overwhelmed and anxious? - Easily upset without meaning to? - Trouble interacting and engaging, feeling more isolated? - Previous medications trials not working? Are any of these affecting you at school or work? Ace Behavioral Health and Wellness is here for for you.
We are Accepting New Clients, Evening and Weekend appointments. Specialize in Preteen, Teen and Young Adult. Are You Struggling With: - Difficulty sleeping? - Issues with focus and concentration? - Staying motivated or feeling sad? - Feeling chronically tired with just enough energy for the essentials? - To shower, eat, cook, or do your hair? - Feeling overwhelmed and anxious? - Easily upset without meaning to? - Trouble interacting and engaging, feeling more isolated? - Previous medications trials not working? Are any of these affecting you at school or work? Ace Behavioral Health and Wellness is here for for you.
(206) 678-1472 View (206) 678-1472
Photo of Kayla Cross, Psychiatric Nurse Practitioner in Spokane, WA
Kayla Cross
Psychiatric Nurse Practitioner, PMHNP, MSN, MA
Verified Verified
2 Endorsed
Spokane, WA 99202
Welcome to Bloom Psychiatry. My name is Kayla Cross, I provide psychiatric evaluation and medication management for mental health and/or substance use disorders. I offer treatment both in person or virtually. My mission is to support your recovery from mood, thought, anxiety and/or substance use disorders through medication management. I am here to help you realize goals defined by you and to support you to live your best life. I will help you develop a treatment plan that works for your life and goals.
Welcome to Bloom Psychiatry. My name is Kayla Cross, I provide psychiatric evaluation and medication management for mental health and/or substance use disorders. I offer treatment both in person or virtually. My mission is to support your recovery from mood, thought, anxiety and/or substance use disorders through medication management. I am here to help you realize goals defined by you and to support you to live your best life. I will help you develop a treatment plan that works for your life and goals.
(509) 565-2044 View (509) 565-2044
Photo of Fresh Start Behavioral Health, Psychiatric Nurse Practitioner in Spokane, WA
Fresh Start Behavioral Health
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
Spokane, WA 99201
Psychiatric medication management in person and via telepsychiatry or telehealth that sees Adults and adolescents in Washington. We are accepting new patients with no waiting list or less than a week. I even see patients on the weekend.
Psychiatric medication management in person and via telepsychiatry or telehealth that sees Adults and adolescents in Washington. We are accepting new patients with no waiting list or less than a week. I even see patients on the weekend.
(509) 652-2898 View (509) 652-2898
Photo of Jacqueline Grace Kramlich, Psychiatric Nurse Practitioner in Spokane, WA
Jacqueline Grace Kramlich
Psychiatric Nurse Practitioner, DNP, PMHNP, ARNP
Verified Verified
Spokane, WA 99204
The child and adolescent years are filled with joy, wonder, and excitement. They can also be filled with worry, confusion, and frustration. We want our children to be equipped to face challenges, to enjoy meaningful relationships, and to feel confident in who they are. This looks different for each individual. But when psychiatric symptoms get in the way of these important developmental milestones, I can help.
The child and adolescent years are filled with joy, wonder, and excitement. They can also be filled with worry, confusion, and frustration. We want our children to be equipped to face challenges, to enjoy meaningful relationships, and to feel confident in who they are. This looks different for each individual. But when psychiatric symptoms get in the way of these important developmental milestones, I can help.
(509) 516-2391 View (509) 516-2391
Photo of Northwest Mind & Body, Psychiatric Nurse Practitioner in Spokane, WA
Northwest Mind & Body
Psychiatric Nurse Practitioner, MSN, PMHNP, BC
Verified Verified
Spokane, WA 99201
My motivation for working with children and young adults comes from personal experiences as a coach. It starts with a safe environment, cultivating the foundation of growth and development, while empowering youth to lead fulfilling lives. My experience managing substance use disorders within the community has provided a better understanding for those struggling with anxiety, depression, PTSD, ADHD, or even changes in mood and sleep effected from the Covid-19 pandemic.
My motivation for working with children and young adults comes from personal experiences as a coach. It starts with a safe environment, cultivating the foundation of growth and development, while empowering youth to lead fulfilling lives. My experience managing substance use disorders within the community has provided a better understanding for those struggling with anxiety, depression, PTSD, ADHD, or even changes in mood and sleep effected from the Covid-19 pandemic.
(509) 283-1685 x1 View (509) 283-1685 x1
Photo of Emily Ketchel @ Acorn Psychiatry, Psychiatric Nurse Practitioner in Spokane, WA
Emily Ketchel @ Acorn Psychiatry
Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP, BC
Verified Verified
3 Endorsed
Spokane, WA 99203  (Online Only)
Hi! I'm Emily, a board-certified psychiatric nurse practitioner specializing in mental health for adults and hormone replacement for women. I have been in healthcare for over fifteen years and love what I do. My approach is collaborative and we will work around your schedule to get you the care you need. Please reach out if you have any questions. Looking forward to meeting you!
Hi! I'm Emily, a board-certified psychiatric nurse practitioner specializing in mental health for adults and hormone replacement for women. I have been in healthcare for over fifteen years and love what I do. My approach is collaborative and we will work around your schedule to get you the care you need. Please reach out if you have any questions. Looking forward to meeting you!
(509) 253-5702 View (509) 253-5702
Photo of Dr. Tundike Gore, Psychiatric Nurse Practitioner in Spokane, WA
Dr. Tundike Gore
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Spokane, WA 99201
Attention deficit hyperactivity disorder treatment for women and men is my core specialty. ADHD is a "Sticky Ball", rolling as we age, picking up all kinds of symptoms. It is often misdiagnosed medically by blaming the hormones or as another mental health condition such as anxiety, depression, stress, bipolar disorder, or believing that ADHD is a childhood condition. Anxiety, panic, depression, insomnia, mood swings, anger, self blame are all symptoms of ADHD. My goal is to brighten your daily life and lift you out of the current state of misdiagnosis and medication failures that are causing unmanageable difficulties in your life.
Attention deficit hyperactivity disorder treatment for women and men is my core specialty. ADHD is a "Sticky Ball", rolling as we age, picking up all kinds of symptoms. It is often misdiagnosed medically by blaming the hormones or as another mental health condition such as anxiety, depression, stress, bipolar disorder, or believing that ADHD is a childhood condition. Anxiety, panic, depression, insomnia, mood swings, anger, self blame are all symptoms of ADHD. My goal is to brighten your daily life and lift you out of the current state of misdiagnosis and medication failures that are causing unmanageable difficulties in your life.
(509) 600-1124 View (509) 600-1124
Photo of Tanya Birchler, Psychiatric Nurse Practitioner in Spokane, WA
Tanya Birchler
Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP
Verified Verified
Spokane, WA 99201  (Online Only)
Do you feel overwhelmed or discouraged trying to find mental health treatment? Are you thinking about psychiatric medication, but it scares you and you don’t know where to start? Or maybe you've had past negative experiences with medication or providers? Seeking out mental health treatment can feel daunting, on top of the struggles you’re already experiencing. You want a psychiatric provider you "click" with and can trust -- someone to be your friendly and informed guide as you explore your options. Most of all, you want to feel better.
Do you feel overwhelmed or discouraged trying to find mental health treatment? Are you thinking about psychiatric medication, but it scares you and you don’t know where to start? Or maybe you've had past negative experiences with medication or providers? Seeking out mental health treatment can feel daunting, on top of the struggles you’re already experiencing. You want a psychiatric provider you "click" with and can trust -- someone to be your friendly and informed guide as you explore your options. Most of all, you want to feel better.
(425) 437-3473 View (425) 437-3473
Photo of Nancy Masters, Psychiatric Nurse Practitioner in Spokane, WA
Nancy Masters
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Spokane, WA 99204
Nancy graduated from Washington State University with a Master of Science in Nursing, and is a board-certified Psychiatric Mental Health Nurse Practitioner. She has more than 10 years of experience and specializes in treating patients with depression, anxiety, ADHD, gender dysphoria, bipolar and sleep disorders. She treats patients ages 14-64.
Nancy graduated from Washington State University with a Master of Science in Nursing, and is a board-certified Psychiatric Mental Health Nurse Practitioner. She has more than 10 years of experience and specializes in treating patients with depression, anxiety, ADHD, gender dysphoria, bipolar and sleep disorders. She treats patients ages 14-64.
(509) 384-3439 x2 View (509) 384-3439 x2

How does your Psychiatrist compare?

Number of Psychiatrists in Spokane, WA

100+

Average cost per session

$222

Psychiatrists in Spokane, WA who prioritize treating:

94% Depression
93% Anxiety
84% Medication Management
79% ADHD
77% Trauma and PTSD
76% Bipolar Disorder
72% Obsessive-Compulsive (OCD)

Average years in practice

7 Years

Top 3 insurances accepted

90% Aetna
83% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Psychiatrists in Spokane, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Spokane?

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.