Psychiatrists in Bethesda, MD

Photo of JaeHoon Kim, PMHNP, Lazarus Psychiatry LLC, Psychiatric Nurse Practitioner in Bethesda, MD
JaeHoon Kim, PMHNP, Lazarus Psychiatry LLC
Psychiatric Nurse Practitioner, PMHNP, MSN, MS
Verified Verified
1 Endorsed
Bethesda, MD 20814
Would it be possible to be a family practitioner who has a kind bedside manner, is on a first-name basis with many patients and also, when needed, can make house calls? This is what I used to watch when I grew up, Marcus Welby, M.D. He left me an image of a doctor with humanity in his office as well as mature medical craftmanship. Managed care environment makes this type of practice difficult, but this is my goal to provide compassionate care, filling the gap in the healthcare system whether it is caused by stigma, culture, or finance.
Would it be possible to be a family practitioner who has a kind bedside manner, is on a first-name basis with many patients and also, when needed, can make house calls? This is what I used to watch when I grew up, Marcus Welby, M.D. He left me an image of a doctor with humanity in his office as well as mature medical craftmanship. Managed care environment makes this type of practice difficult, but this is my goal to provide compassionate care, filling the gap in the healthcare system whether it is caused by stigma, culture, or finance.
(240) 202-3387 View (240) 202-3387
Photo of Rhanee Perkins, Psychiatric Nurse Practitioner in Bethesda, MD
Rhanee Perkins
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Bethesda, MD 20814  (Online Only)
Welcome! I am a Board Certified Psychiatric Mental Health Nurse Practitioner with a Doctorate in Nursing Practice. I have sixteen years' experience working in the specialty of mental health. Mental health challenges have the potential to hold us back from our responsibilities, life fulfillments and looking towards the future. We have all been there. The good thing is that you don't have to stay there!
Welcome! I am a Board Certified Psychiatric Mental Health Nurse Practitioner with a Doctorate in Nursing Practice. I have sixteen years' experience working in the specialty of mental health. Mental health challenges have the potential to hold us back from our responsibilities, life fulfillments and looking towards the future. We have all been there. The good thing is that you don't have to stay there!
(240) 623-2567 View (240) 623-2567
Photo of Linda Nji, Psychiatric Nurse Practitioner in Bethesda, MD
Linda Nji
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Bethesda, MD 20814  (Online Only)
Hello, My name is Linda! I am a board-certified Psychiatric Mental Health Nurse Practitioner. I earned my Master of Science in Nursing at Walden University. Furthermore, I have about 7 years of experience in both inpatient and outpatient psychiatric mental health care.
Hello, My name is Linda! I am a board-certified Psychiatric Mental Health Nurse Practitioner. I earned my Master of Science in Nursing at Walden University. Furthermore, I have about 7 years of experience in both inpatient and outpatient psychiatric mental health care.
(240) 830-7163 View (240) 830-7163
Photo of Emem Ibanga, Psychiatric Nurse Practitioner in Bethesda, MD
Emem Ibanga
Psychiatric Nurse Practitioner, CRNP, PMH
Verified Verified
1 Endorsed
Bethesda, MD 20814  (Online Only)
A healthy mental state is essential in every stage of life – from childhood, adolescent, to adulthood. Throughout a lifetime, an individual can experience mental health issue at any point. Not only can this impact their mood and behavior, but can change their way of thinking, looking at life, and facing challenges. As a Board-certified psychiatric nurse practitioner I specialize in treating patients with major depressive disorder, generalized anxiety disorder, and ADHD.
A healthy mental state is essential in every stage of life – from childhood, adolescent, to adulthood. Throughout a lifetime, an individual can experience mental health issue at any point. Not only can this impact their mood and behavior, but can change their way of thinking, looking at life, and facing challenges. As a Board-certified psychiatric nurse practitioner I specialize in treating patients with major depressive disorder, generalized anxiety disorder, and ADHD.
(410) 883-9514 View (410) 883-9514
Photo of Karon Jones, Psychiatric Nurse Practitioner in Bethesda, MD
Karon Jones
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Bethesda, MD 20814  (Online Only)
I’m a psychiatric nurse practitioner with over 25 years of experience, and I’m passionate about providing mental health treatment to individuals with anxiety, mood, and psychotic disorders. Throughout my years of successful practice, my goal has always been to provide a safe, shame-free environment for my patients as we work together to manage their mental health needs. My office is a judgment-free environment where you’ll always feel safe, comfortable, and accepted.
I’m a psychiatric nurse practitioner with over 25 years of experience, and I’m passionate about providing mental health treatment to individuals with anxiety, mood, and psychotic disorders. Throughout my years of successful practice, my goal has always been to provide a safe, shame-free environment for my patients as we work together to manage their mental health needs. My office is a judgment-free environment where you’ll always feel safe, comfortable, and accepted.
(786) 671-0692 View (786) 671-0692
Photo of Lynne Gaby, Psychiatrist in Bethesda, MD
Lynne Gaby
Psychiatrist, MD
Verified Verified
2 Endorsed
Bethesda, MD 20814
I have a particular focus on trauma-related symptoms, which can include PTSD, dissociation, depression, and anxiety. I do not believe that medications are a magic bullet, but for many they are an important part of the road back to health. I am open to hearing your viewpoint and beliefs about what will make you healthy, and if you feel you need something that I cannot provide I will try to help you find it. In addition to working with the emotional/psychiatric consequences of trauma, I have experience working with depression, anxiety, bipolar disorder, eating disorders, and with individuals with chronic medical illnesses.
I have a particular focus on trauma-related symptoms, which can include PTSD, dissociation, depression, and anxiety. I do not believe that medications are a magic bullet, but for many they are an important part of the road back to health. I am open to hearing your viewpoint and beliefs about what will make you healthy, and if you feel you need something that I cannot provide I will try to help you find it. In addition to working with the emotional/psychiatric consequences of trauma, I have experience working with depression, anxiety, bipolar disorder, eating disorders, and with individuals with chronic medical illnesses.
(301) 381-1036 View (301) 381-1036
Photo of Yvonne McKenzie, Psychiatric Nurse Practitioner in Bethesda, MD
Yvonne McKenzie
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Bethesda, MD 20814  (Online Only)
Hello, I'm Dr. Yvonne. Do you feel pulled in a thousand directions and not able to put it all together? Are you struggling to keep up with your responsibilities? It's time to be kind to yourself and together we will address issues and come to a manageable regimen designed for you. Whether you're dealing with feeling overwhelmed, relationship issues or cycles of anxiety and depression, I'm here to help.
Hello, I'm Dr. Yvonne. Do you feel pulled in a thousand directions and not able to put it all together? Are you struggling to keep up with your responsibilities? It's time to be kind to yourself and together we will address issues and come to a manageable regimen designed for you. Whether you're dealing with feeling overwhelmed, relationship issues or cycles of anxiety and depression, I'm here to help.
(240) 226-1997 View (240) 226-1997
Photo of Angela Enyioma, Psychiatric Nurse Practitioner in Bethesda, MD
Angela Enyioma
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Bethesda, MD 20814  (Online Only)
Hi, my name is Angela. I am an APRN, PMHNP-BC, with 14 years of experience as a psych nurse and three years as a psych nurse practitioner working with clients with varied mental health challenges.
Hi, my name is Angela. I am an APRN, PMHNP-BC, with 14 years of experience as a psych nurse and three years as a psych nurse practitioner working with clients with varied mental health challenges.
(240) 789-4699 View (240) 789-4699
Photo of Aisha Mondal, Psychiatrist in Bethesda, MD
Aisha Mondal
Psychiatrist, MD
Verified Verified
Bethesda, MD 20814
I work with children, adolescents, and adults to provide psychiatric evaluation and offer evidence-based treatment strategies that are personalized to each individual. Together, we can address concerns related to stress management, anxiety, mood, ADHD, trauma, life changes and decisions, and changes in eating and eating disorders. I seek to provide a warm and welcoming space (in-person or online) to receive you and develop a deeper understanding of your mind and behaviors. I enjoy collaborating with an individual's other providers, including therapists, primary care doctors, nutritionists, and other supports involved in your care.
I work with children, adolescents, and adults to provide psychiatric evaluation and offer evidence-based treatment strategies that are personalized to each individual. Together, we can address concerns related to stress management, anxiety, mood, ADHD, trauma, life changes and decisions, and changes in eating and eating disorders. I seek to provide a warm and welcoming space (in-person or online) to receive you and develop a deeper understanding of your mind and behaviors. I enjoy collaborating with an individual's other providers, including therapists, primary care doctors, nutritionists, and other supports involved in your care.
(240) 556-2646 View (240) 556-2646
Photo of Alok Rawat, Psychiatrist in Bethesda, MD
Alok Rawat
Psychiatrist, MD
Verified Verified
3 Endorsed
Bethesda, MD 20814
My name is Dr. Alok Rawat. I am a board-certified psychiatrist with a focus on helping people with anxiety, depression, and mood/bipolar disorders, serving the Bethesda/Chevy Chase/Kensington, Maryland area as well as the Ellicott City/Columbia, Maryland area. I specialize in life-coaching and helping you find a better balance in your life, especially for busy professionals who want a goal-oriented approach to psychiatry. My interventions are evidence-based and time limited. I practice Cognitive Behavioral Therapy as well as life-coaching and motivational techniques, I also provide medication management where indicated.
My name is Dr. Alok Rawat. I am a board-certified psychiatrist with a focus on helping people with anxiety, depression, and mood/bipolar disorders, serving the Bethesda/Chevy Chase/Kensington, Maryland area as well as the Ellicott City/Columbia, Maryland area. I specialize in life-coaching and helping you find a better balance in your life, especially for busy professionals who want a goal-oriented approach to psychiatry. My interventions are evidence-based and time limited. I practice Cognitive Behavioral Therapy as well as life-coaching and motivational techniques, I also provide medication management where indicated.
(443) 345-4876 View (443) 345-4876
Photo of Kate Engbert, Psychiatric Nurse Practitioner in Bethesda, MD
Kate Engbert
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
8 Endorsed
Bethesda, MD 20814
Currently accepting new adult clients. Hello! I am a board certified-psychiatric mental health nurse practitioner. I received my Masters in Nursing from Vanderbilt University and Masters in Couples & Family therapy from the University of Maryland. My dual degrees give me a holistic and client-centered perspective on psychiatric care. I will provide you with evidence-based care that works for you. I focus primarily on medication management, and will work with your therapist to ensure collaborative care.
Currently accepting new adult clients. Hello! I am a board certified-psychiatric mental health nurse practitioner. I received my Masters in Nursing from Vanderbilt University and Masters in Couples & Family therapy from the University of Maryland. My dual degrees give me a holistic and client-centered perspective on psychiatric care. I will provide you with evidence-based care that works for you. I focus primarily on medication management, and will work with your therapist to ensure collaborative care.
(240) 869-6757 View (240) 869-6757
Photo of Sokhna Diop, Psychiatric Nurse Practitioner in Bethesda, MD
Sokhna Diop
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Bethesda, MD 20814  (Online Only)
I am a Psychiatric Mental Nurse Practitioner in Maryland. I have over 20 years of experience in healthcare and over 3 years in psychiatry. I have a background in maternal child health, lactation consultant, and perinatal mental health.
I am a Psychiatric Mental Nurse Practitioner in Maryland. I have over 20 years of experience in healthcare and over 3 years in psychiatry. I have a background in maternal child health, lactation consultant, and perinatal mental health.
(240) 410-6734 View (240) 410-6734
Photo of Adebisi Ayodele, Psychiatric Nurse Practitioner in Bethesda, MD
Adebisi Ayodele
Psychiatric Nurse Practitioner, NP
Verified Verified
Bethesda, MD 20814  (Online Only)
Let's connect and work together! Are you feeling exhausted, low energy, having trouble sleeping, feeling sad or down? Are you having excessive fears or worry or extreme feelings of guilt? Are you having difficulty coping with daily problems or stress? Do you feel withdrawn from friends and activities? Have you noticed drastic mood changes of highs and lows? There is a reason why you feel the way you do, and there is help. I am here to listen, empathize, and try to understand how these issues affect you and your loved ones. Remember, your mental health can affect your physical health.
Let's connect and work together! Are you feeling exhausted, low energy, having trouble sleeping, feeling sad or down? Are you having excessive fears or worry or extreme feelings of guilt? Are you having difficulty coping with daily problems or stress? Do you feel withdrawn from friends and activities? Have you noticed drastic mood changes of highs and lows? There is a reason why you feel the way you do, and there is help. I am here to listen, empathize, and try to understand how these issues affect you and your loved ones. Remember, your mental health can affect your physical health.
(240) 297-7755 View (240) 297-7755
Photo of Ilana Bar-Levav, Psychiatrist in Bethesda, MD
Ilana Bar-Levav
Psychiatrist, MD
Verified Verified
Bethesda, MD 20814
Waitlist for new clients
Making decisions in difficult life situations is harder when emotions make you feel stuck or reactive and lead to unwanted outcomes. Learning to safely express difficult emotions and recognize how and when feelings distort thinking, you will find healthier ways to respond. I work with people whose blocked feelings lead to physical and/or emotional pain, and help couples in problematic relationships develop clearer boundaries. I also have expertise with people facing end-of-life issues and welcome those who seek to explore these concerns.
Making decisions in difficult life situations is harder when emotions make you feel stuck or reactive and lead to unwanted outcomes. Learning to safely express difficult emotions and recognize how and when feelings distort thinking, you will find healthier ways to respond. I work with people whose blocked feelings lead to physical and/or emotional pain, and help couples in problematic relationships develop clearer boundaries. I also have expertise with people facing end-of-life issues and welcome those who seek to explore these concerns.
(301) 918-5646 View (301) 918-5646
Photo of Mendem Health, Psychiatric Nurse Practitioner in Bethesda, MD
Mendem Health
Psychiatric Nurse Practitioner, MSN, CRNP, PMHNP
Verified Verified
10 Endorsed
Bethesda, MD 20816  (Online Only)
Ever feel like life's throwing more your way than you can handle? Struggling with the weight of depression, anxiety, body image battles, self-esteem lows, or the complexities of eating disorders? You're not alone, and the journey to recovery starts with a single, courageous step. Imagine if every day could be a step towards healing. What if you had a guide, someone who not only understands the weight you carry but is dedicated to helping you shed it?
Ever feel like life's throwing more your way than you can handle? Struggling with the weight of depression, anxiety, body image battles, self-esteem lows, or the complexities of eating disorders? You're not alone, and the journey to recovery starts with a single, courageous step. Imagine if every day could be a step towards healing. What if you had a guide, someone who not only understands the weight you carry but is dedicated to helping you shed it?
(240) 630-4934 View (240) 630-4934
Photo of Janel Hillstrom, Psychiatric Nurse Practitioner in Bethesda, MD
Janel Hillstrom
Psychiatric Nurse Practitioner, NP
Verified Verified
Bethesda, MD 20814  (Online Only)
I provide medication management of bipolar disorder, anxiety disorders, depressive disorders and port-partum mental illness. During our first meeting, we will review your past history and experiences that have brought you to where you are today. This thorough understanding will allow us to develop a treatment plan to lead you on the right path to wellness. I look forward to meeting you! Please note, I book in Mountain Time
I provide medication management of bipolar disorder, anxiety disorders, depressive disorders and port-partum mental illness. During our first meeting, we will review your past history and experiences that have brought you to where you are today. This thorough understanding will allow us to develop a treatment plan to lead you on the right path to wellness. I look forward to meeting you! Please note, I book in Mountain Time
(410) 618-4605 View (410) 618-4605
Photo of Dr. Arif Noorbaksh, Psychiatrist in Bethesda, MD
Dr. Arif Noorbaksh
Psychiatrist, MD
Verified Verified
Bethesda, MD 20817
Are you struggling with depression, anxiety, and/or bipolar and related disorders? I strongly believe in meeting patients where they are in their individual journeys. The ideal client is the one who attends their initial evaluation to talk through their experience and potential treatment options. I approach patient care holistically and attempt to develop an understanding of the patient’s lived experience and current symptoms.
Are you struggling with depression, anxiety, and/or bipolar and related disorders? I strongly believe in meeting patients where they are in their individual journeys. The ideal client is the one who attends their initial evaluation to talk through their experience and potential treatment options. I approach patient care holistically and attempt to develop an understanding of the patient’s lived experience and current symptoms.
(240) 663-8649 View (240) 663-8649
Photo of Michael Mrizek, Psychiatrist in Bethesda, MD
Michael Mrizek
Psychiatrist, MD
Verified Verified
1 Endorsed
Bethesda, MD 20816
As a psychiatrist, I bring a blend of medical and psychological training to my practice. I work closely with my patients to understand their individual needs and preferences, taking a holistic approach to their care.
As a psychiatrist, I bring a blend of medical and psychological training to my practice. I work closely with my patients to understand their individual needs and preferences, taking a holistic approach to their care.
(202) 902-8845 View (202) 902-8845
Photo of Amita Jha, Psychiatrist in Bethesda, MD
Amita Jha
Psychiatrist, MD, MPH
Verified Verified
Bethesda, MD 20814
To make appointments please visit us at www.BethesdapsychiatryMD.com or call us 202-999-5712. We accept care first, Cigna, UHC and Aetna Insurances. Board-certified adult psychiatrist, Boston University, with 25 years of experience. We are a comprehensive psychiatry service, offering medication management with board-certified psychiatrists, nurse practitioners, 8 licensed psychotherapists in our practice. Easy scheduling, check availability by clicking the website button on the left for online appointments and detailed information.
To make appointments please visit us at www.BethesdapsychiatryMD.com or call us 202-999-5712. We accept care first, Cigna, UHC and Aetna Insurances. Board-certified adult psychiatrist, Boston University, with 25 years of experience. We are a comprehensive psychiatry service, offering medication management with board-certified psychiatrists, nurse practitioners, 8 licensed psychotherapists in our practice. Easy scheduling, check availability by clicking the website button on the left for online appointments and detailed information.
(240) 453-4561 View (240) 453-4561
Photo of Nancy Brutsché, Psychiatric Nurse in Bethesda, MD
Nancy Brutsché
Psychiatric Nurse, APRN, PMHCNS, BC, SEP
Verified Verified
Bethesda, MD 20814
MINDFULNESS-BASED SOMATIC PSYCHOTHERAPY & INTERNAL FAMILY SYSTEMS (I DO NOT PRESCRIBE OR MANAGE MEDICATIONS): "What lies behind us and what lies ahead of us are tiny matters compared to what lies within us." [Ralph Waldo Emerson]. All that you seek already lies within you. It is my great pleasure to assist you in opening up to your wholeness. Whether you are struggling with depression, anxiety, trauma, grief, relationship issues, chronic illness, pain, feeling stuck, existential/spiritual issues or simply seeking what you have been missing or what calls you, I am here to help you find the freedom, peace, love and joy you desire.
MINDFULNESS-BASED SOMATIC PSYCHOTHERAPY & INTERNAL FAMILY SYSTEMS (I DO NOT PRESCRIBE OR MANAGE MEDICATIONS): "What lies behind us and what lies ahead of us are tiny matters compared to what lies within us." [Ralph Waldo Emerson]. All that you seek already lies within you. It is my great pleasure to assist you in opening up to your wholeness. Whether you are struggling with depression, anxiety, trauma, grief, relationship issues, chronic illness, pain, feeling stuck, existential/spiritual issues or simply seeking what you have been missing or what calls you, I am here to help you find the freedom, peace, love and joy you desire.
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How does your Psychiatrist compare?

Number of Psychiatrists in Bethesda, MD

200+

Average cost per session

$175

Psychiatrists in Bethesda, MD who prioritize treating:

94% Anxiety
93% Depression
79% Bipolar Disorder
73% ADHD
68% Trauma and PTSD
61% Obsessive-Compulsive (OCD)
59% Medication Management

Average years in practice

9 Years

Top 3 insurances accepted

92% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH
80% Optum

How Psychiatrists in Bethesda, MD see their clients

52% In Person and Online
48% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Bethesda?

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.