Psychiatrists in Austin, TX

Photo of Dr. Julie Tollemache, Psychiatrist, DO
Dr. Julie Tollemache
Psychiatrist, DO
1 Endorsed
Austin, TX 78751
Greetings! I’m Dr. Julie Tollemache, often referred to as “Dr. T” by my patients. I am Board Certified in both General Adult and Child & Adolescent Psychiatry and completed my residency and fellowship at the University of Texas at Austin Dell Medical School. I have 10+ years of experience treating all mental health diagnoses in every setting. I founded Neighborhood Psychiatry Hyde Park to offer exceptional mental health care for both adults and children throughout Texas. I work with patients aged 5 to 64, providing pharmacologic treatment as well as brief therapeutic and lifestyle interventions.
Greetings! I’m Dr. Julie Tollemache, often referred to as “Dr. T” by my patients. I am Board Certified in both General Adult and Child & Adolescent Psychiatry and completed my residency and fellowship at the University of Texas at Austin Dell Medical School. I have 10+ years of experience treating all mental health diagnoses in every setting. I founded Neighborhood Psychiatry Hyde Park to offer exceptional mental health care for both adults and children throughout Texas. I work with patients aged 5 to 64, providing pharmacologic treatment as well as brief therapeutic and lifestyle interventions.
(512) 561-4399 View (512) 561-4399
Photo of Megan Jacobson - Westlake Psychiatry, Physician Assistant
Westlake Psychiatry
Physician Assistant
Austin, TX 78746
www.westlakepsychiatry.com
www.westlakepsychiatry.com
(737) 367-1491 View (737) 367-1491
Photo of Monika Sreeja Thangada, Psychiatrist, MD, FABPN, FAPCR
Monika Sreeja Thangada
Psychiatrist, MD, FABPN, FAPCR
Austin, TX 78727
If you’re feeling stuck or if ADD/ADHD, Anxiety, Depression, Panic Attacks, Trauma (PTSD), Insomnia, or Mood Swings are getting in the way of work or relationships, you’re not alone, and relief is possible. At KwikPsych, many people come in feeling tired of struggling and simply want clarity: someone to listen, do a careful psychiatric evaluation, and help make sense of what’s going on. You may be looking for a steadier mood, calmer thoughts, better sleep, and a way to get through the day without feeling constantly on edge. KwikPsych also offers TMS services and Spravato (esketamine) treatments for treatment-resistant depression.
If you’re feeling stuck or if ADD/ADHD, Anxiety, Depression, Panic Attacks, Trauma (PTSD), Insomnia, or Mood Swings are getting in the way of work or relationships, you’re not alone, and relief is possible. At KwikPsych, many people come in feeling tired of struggling and simply want clarity: someone to listen, do a careful psychiatric evaluation, and help make sense of what’s going on. You may be looking for a steadier mood, calmer thoughts, better sleep, and a way to get through the day without feeling constantly on edge. KwikPsych also offers TMS services and Spravato (esketamine) treatments for treatment-resistant depression.
(737) 367-3271 View (737) 367-3271
Photo of David A Spelber - Spelber Psychiatry, Psychiatrist, MD
Spelber Psychiatry
Psychiatrist, MD
Online Only
Patients often enjoy working with me because of my patient-centered, collaborative, and informative approach to psychiatric assessment and treatment. I enjoy explaining and educating individuals on the origin of psychiatric symptoms and how various treatment options–psychiatric medications or neuromodulation–work and compare to one another.
Patients often enjoy working with me because of my patient-centered, collaborative, and informative approach to psychiatric assessment and treatment. I enjoy explaining and educating individuals on the origin of psychiatric symptoms and how various treatment options–psychiatric medications or neuromodulation–work and compare to one another.
(512) 641-3581 View (512) 641-3581
Photo of Shelly Riley, Psychiatrist, MD
Shelly Riley
Psychiatrist, MD
Austin, TX 78746
Welcome! Dr. Riley is board certified in both child and adolescent and adult psychiatry. She provides psychopharmacology for patients in Austin, Texas. She completed medical school at University of Texas Health Science Center in San Antonio in 1999 and completed her residency and fellowship at The University of North Carolina Hospitals in Chapel Hill, North Carolina in 2004. She has been in practice in Austin, Texas since 2004. To find out more about her practice, please visit her website.
Welcome! Dr. Riley is board certified in both child and adolescent and adult psychiatry. She provides psychopharmacology for patients in Austin, Texas. She completed medical school at University of Texas Health Science Center in San Antonio in 1999 and completed her residency and fellowship at The University of North Carolina Hospitals in Chapel Hill, North Carolina in 2004. She has been in practice in Austin, Texas since 2004. To find out more about her practice, please visit her website.
(512) 572-9408 View (512) 572-9408
Photo of Ghadeer Okayli, Psychiatrist, MD
Ghadeer Okayli
Psychiatrist, MD
Austin, TX 78703
I am Dr. Ghadeer Okayli, an adult psychiatrist in Central Austin,Tx. I have 22years of experience in treating adults with a large spectrum of psychiatric conditions like Depression, Anxiety, PTSD, OCD, Bipolar Disorder, Schizophrenia, and ADHD to mention a few. I was privileged to be trained in top psychiatric programs, by world renowned psychiatrists and researchers like Drs. Herbert Y Meltzer, Joe Calabrese, Brian Roth, Ned Kalin, and others. The training provided a strong foundation to build my practice on. I have continued to consult with my mentors throughout the past 22years. I am equipped with state of the art knowledge.
I am Dr. Ghadeer Okayli, an adult psychiatrist in Central Austin,Tx. I have 22years of experience in treating adults with a large spectrum of psychiatric conditions like Depression, Anxiety, PTSD, OCD, Bipolar Disorder, Schizophrenia, and ADHD to mention a few. I was privileged to be trained in top psychiatric programs, by world renowned psychiatrists and researchers like Drs. Herbert Y Meltzer, Joe Calabrese, Brian Roth, Ned Kalin, and others. The training provided a strong foundation to build my practice on. I have continued to consult with my mentors throughout the past 22years. I am equipped with state of the art knowledge.
(512) 948-3752 View (512) 948-3752
Photo of Elisa Yvette Hilario, Psychiatric Nurse Practitioner, PMHNPBC, APRN, MSN
Elisa Yvette Hilario
Psychiatric Nurse Practitioner, PMHNPBC, APRN, MSN
1 Endorsed
Online Only
Immediate availability for new clients! I'm a Psychiatric Mental Health Nurse Practitioner w/a Master of Science in Nursing from the University of Texas at Austin & Bachelor of Science in Biology from the Massachusetts Institute of Technology (MIT). I provide psychiatric evaluations, medication management, psychotherapy, & holistic care to adults. I have a particular interest in treating insomnia & eating disorders & other clinical expertise in depression, anxiety, PTSD, bipolar disorder, ADHD, schizophrenia, & dementia treatment. I partner w/clients to optimize their mental health & tailor treatments to meet their unique needs.
Immediate availability for new clients! I'm a Psychiatric Mental Health Nurse Practitioner w/a Master of Science in Nursing from the University of Texas at Austin & Bachelor of Science in Biology from the Massachusetts Institute of Technology (MIT). I provide psychiatric evaluations, medication management, psychotherapy, & holistic care to adults. I have a particular interest in treating insomnia & eating disorders & other clinical expertise in depression, anxiety, PTSD, bipolar disorder, ADHD, schizophrenia, & dementia treatment. I partner w/clients to optimize their mental health & tailor treatments to meet their unique needs.
(737) 473-3008 View (737) 473-3008
Photo of Shannon Matsuno, Psychiatric Nurse Practitioner, RN, MSN, PMHNP
Shannon Matsuno
Psychiatric Nurse Practitioner, RN, MSN, PMHNP
2 Endorsed
Online Only
Go visit our website to book directly! Currently accepting new patients - Shannon Matsuno is a board-certified Psychiatric Nurse Practitioner who provides medication management and supportive psychotherapy. She embraces a holistic and humanistic approach to healthcare. Shannon believes that the body and mind must be treated together as one. She encompasses an approach toward wellness that must be individualized, and each person must be treated based off their individual strengths, abilities, and treatment goals. Shannon embraces an empathetic, compassionate, non-discriminatory, and culturally centered approach to medicine and care.
Go visit our website to book directly! Currently accepting new patients - Shannon Matsuno is a board-certified Psychiatric Nurse Practitioner who provides medication management and supportive psychotherapy. She embraces a holistic and humanistic approach to healthcare. Shannon believes that the body and mind must be treated together as one. She encompasses an approach toward wellness that must be individualized, and each person must be treated based off their individual strengths, abilities, and treatment goals. Shannon embraces an empathetic, compassionate, non-discriminatory, and culturally centered approach to medicine and care.
(737) 234-7884 View (737) 234-7884
Photo of Dr. Ronil Shah, Psychiatrist, MD
Dr. Ronil Shah
Psychiatrist, MD
Austin, TX 78705
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.
(857) 244-0119 View (857) 244-0119
Photo of Amelia Harding, Physician Assistant, PA-C
Amelia Harding
Physician Assistant, PA-C
1 Endorsed
Austin, TX 78731
I offer a sophisticated approach to mental health that goes beyond standard medication management. My work is informed by an intensive depth oriented approach grounded in evidence validated mentalization theory. Because I am involved in weekly supervision with a master level psychiatrist/psychotherapist, I am able to navigate complex emotional landscapes that a standard 15-minute visit simply cannot address. If you are looking for a provider who thinks deeply about your case and brings a wealth of examined knowledge to every session, I would be honored to work with you.
I offer a sophisticated approach to mental health that goes beyond standard medication management. My work is informed by an intensive depth oriented approach grounded in evidence validated mentalization theory. Because I am involved in weekly supervision with a master level psychiatrist/psychotherapist, I am able to navigate complex emotional landscapes that a standard 15-minute visit simply cannot address. If you are looking for a provider who thinks deeply about your case and brings a wealth of examined knowledge to every session, I would be honored to work with you.
(512) 859-5685 View (512) 859-5685
Photo of Dr. Charmi Balsara, Psychiatrist, MD
Dr. Charmi Balsara
Psychiatrist, MD
Austin, TX 78702
ADD/ ADHD, Anxiety, Depression, OCD (Obsessive-Compulsive Disorder), Medication Management, Bipolar Disorder, Stress, Burnout, Sleep, Insomnia, Pregnancy, Prenatal, Postpartum (including postpartum depression), Self-Esteem, Relationship Issues, Infidelity, Divorce, Marital and Premarital Challenges, Trauma, Post-Traumatic Stress Disorder (PTSD), Coping Skills, Women’s Issues, Family Issues, Peer Relationships, Life Transitions, Eating Disorders, Emotional Disturbance, Mood Disorders, Dual Diagnosis, Life Coaching, Behavioral Issues, Grief, Psychosis, Thinking Disorders.
ADD/ ADHD, Anxiety, Depression, OCD (Obsessive-Compulsive Disorder), Medication Management, Bipolar Disorder, Stress, Burnout, Sleep, Insomnia, Pregnancy, Prenatal, Postpartum (including postpartum depression), Self-Esteem, Relationship Issues, Infidelity, Divorce, Marital and Premarital Challenges, Trauma, Post-Traumatic Stress Disorder (PTSD), Coping Skills, Women’s Issues, Family Issues, Peer Relationships, Life Transitions, Eating Disorders, Emotional Disturbance, Mood Disorders, Dual Diagnosis, Life Coaching, Behavioral Issues, Grief, Psychosis, Thinking Disorders.
(281) 317-8802 View (281) 317-8802
Photo of Kristen Dale, Psychiatric Nurse Practitioner, APRN, PMHNP
Kristen Dale
Psychiatric Nurse Practitioner, APRN, PMHNP
1 Endorsed
Online Only
I work with individuals who are struggling to find balance in their lives, often feeling overwhelmed by stress, anxiety, or mental health challenges. They seek a holistic approach to address not just their symptoms but the root causes. By considering mental, physical, and social factors, I help clients achieve mental wellness through therapy, lifestyle changes, and, when needed, medication. My clients want to feel empowered, regain control, and create lasting, meaningful change in their lives, and I’m here to support them every step of the way.
I work with individuals who are struggling to find balance in their lives, often feeling overwhelmed by stress, anxiety, or mental health challenges. They seek a holistic approach to address not just their symptoms but the root causes. By considering mental, physical, and social factors, I help clients achieve mental wellness through therapy, lifestyle changes, and, when needed, medication. My clients want to feel empowered, regain control, and create lasting, meaningful change in their lives, and I’m here to support them every step of the way.
(737) 284-2199 View (737) 284-2199
Photo of Jennifer Schaefer, Psychiatrist, MD
Jennifer Schaefer
Psychiatrist, MD
Austin, TX 78705
Dr. Schaefer is double board certified in General Psychiatry and Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology. Dr. Schaefer graduated from medical school at The University of Texas Health Science Center at San Antonio. She completed both her general psychiatry residency and child and adolescent fellowship training at The University of Texas at Austin Dell Medical School, where she served as chief resident. She works to collaboratively target each patient’s treatment to their particular goals through a combination of medication management and individual or family therapy.
Dr. Schaefer is double board certified in General Psychiatry and Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology. Dr. Schaefer graduated from medical school at The University of Texas Health Science Center at San Antonio. She completed both her general psychiatry residency and child and adolescent fellowship training at The University of Texas at Austin Dell Medical School, where she served as chief resident. She works to collaboratively target each patient’s treatment to their particular goals through a combination of medication management and individual or family therapy.
(512) 842-4316 View (512) 842-4316
Photo of Marlisha Thomas, Psychiatric Nurse Practitioner, MSN, PMHNP
Marlisha Thomas
Psychiatric Nurse Practitioner, MSN, PMHNP
Online Only
Care that feels clear, kind, and effective. I became a registered nurse at nineteen and have spent more than a decade helping people feel like themselves again. I later completed my nurse practitioner training at the University of Alabama at Birmingham in 2019 and dove deep into psychiatry. Sessions with me are calm and collaborative. I listen closely, explain every option in plain language, and build a plan that fits real life. We use medications thoughtfully when they are truly needed and pair them with practical skills and supportive therapy so progress actually lasts.
Care that feels clear, kind, and effective. I became a registered nurse at nineteen and have spent more than a decade helping people feel like themselves again. I later completed my nurse practitioner training at the University of Alabama at Birmingham in 2019 and dove deep into psychiatry. Sessions with me are calm and collaborative. I listen closely, explain every option in plain language, and build a plan that fits real life. We use medications thoughtfully when they are truly needed and pair them with practical skills and supportive therapy so progress actually lasts.
(737) 345-3163 View (737) 345-3163
Photo of Elizabeth Calvin - The Timothy Center Medical, Psychiatrist, MD, PA-C, NP
The Timothy Center Medical
Psychiatrist, MD, PA-C, NP
Austin, TX 78759
The Timothy Center is a collaborative group of therapists and medication providers founded in 2001 by Dr. Jimmy Myers, offering individual, couples, family, and group therapy as well as medication management. We are dedicated to individual assessment and treatment, and we are pleased to be able to accept many insurance plans. While we strongly believe in therapy, life-style, and environmental changes, we also believe that medication may be helpful, and is sometimes needed, for people to achieve remission of symptoms.
The Timothy Center is a collaborative group of therapists and medication providers founded in 2001 by Dr. Jimmy Myers, offering individual, couples, family, and group therapy as well as medication management. We are dedicated to individual assessment and treatment, and we are pleased to be able to accept many insurance plans. While we strongly believe in therapy, life-style, and environmental changes, we also believe that medication may be helpful, and is sometimes needed, for people to achieve remission of symptoms.
(512) 982-6287 View (512) 982-6287
Photo of Isela Werchan, Psychiatrist, MD
Isela Werchan
Psychiatrist, MD
Austin, TX 78705
Dr. Isela Werchan is board-certified by the American Board of Psychiatry and Neurology in general psychiatry. Dr. Werchan completed her undergraduate studies at the University of Texas at El Paso. She received a medical degree at the University of Texas Medical Branch in Galveston. She completed a general psychiatry residency training at the University of Texas at Austin Dell Medical School. She was Chief Resident and awarded the VA Outstanding Resident Award and the Van Dao Award. Her training experience includes the treatment of mood and anxiety disorders, traumatic and obsessive compulsive disorders, as well as psychotic disorders.
Dr. Isela Werchan is board-certified by the American Board of Psychiatry and Neurology in general psychiatry. Dr. Werchan completed her undergraduate studies at the University of Texas at El Paso. She received a medical degree at the University of Texas Medical Branch in Galveston. She completed a general psychiatry residency training at the University of Texas at Austin Dell Medical School. She was Chief Resident and awarded the VA Outstanding Resident Award and the Van Dao Award. Her training experience includes the treatment of mood and anxiety disorders, traumatic and obsessive compulsive disorders, as well as psychotic disorders.
(512) 271-5179 View (512) 271-5179
Photo of Nkechi Nduka, Psychiatric Nurse Practitioner, PMHNP
Nkechi Nduka
Psychiatric Nurse Practitioner, PMHNP
Online Only
I’m Nkechi Nduka. I have over 17 years of experience as a Psychiatric Nurse Practitioner and a Registered Nurse. My extensive training from The University of Texas at Arlington has equipped me with specialized expertise in psychiatry, particularly with adult patients. I specialize in treating adults with ADHD, anxiety, depression, and mood disorders. I focus on medication management and supportive therapy to help you achieve better mental well-being and relief.
I’m Nkechi Nduka. I have over 17 years of experience as a Psychiatric Nurse Practitioner and a Registered Nurse. My extensive training from The University of Texas at Arlington has equipped me with specialized expertise in psychiatry, particularly with adult patients. I specialize in treating adults with ADHD, anxiety, depression, and mood disorders. I focus on medication management and supportive therapy to help you achieve better mental well-being and relief.
(346) 597-1141 View (346) 597-1141
Photo of Dr. Udo Chukwuocha, Psychiatric Nurse Practitioner, DNP, FNP-C, PMHNP-B
Dr. Udo Chukwuocha
Psychiatric Nurse Practitioner, DNP, FNP-C, PMHNP-B
1 Endorsed
Austin, TX 78759
If you’re feeling overwhelmed, burned out, or stuck in patterns that haven’t improved with past treatment, you may be looking for care that feels more thoughtful and personalized. You might be struggling with anxiety, low mood, focus issues, sleep issues, or chronic stress and want clarity, relief, and stability. Many people I work with want to better understand what’s going on and have a clear, collaborative plan that fits into real life so they can feel more grounded, focused, and like themselves again.
If you’re feeling overwhelmed, burned out, or stuck in patterns that haven’t improved with past treatment, you may be looking for care that feels more thoughtful and personalized. You might be struggling with anxiety, low mood, focus issues, sleep issues, or chronic stress and want clarity, relief, and stability. Many people I work with want to better understand what’s going on and have a clear, collaborative plan that fits into real life so they can feel more grounded, focused, and like themselves again.
(512) 862-1492 View (512) 862-1492
Photo of Similoluwa Olushola, Psychiatric Nurse Practitioner, MSN, PMHNP
Similoluwa Olushola
Psychiatric Nurse Practitioner, MSN, PMHNP
Online Only
Mental health care should feel human, not rushed or cold. I am a psychiatric nurse practitioner who works with adults experiencing ADHD, anxiety, depression, PTSD, and insomnia. Inspired by my mother, a devoted nurse, I chose psychiatry because it relies on real conversation, not just lab results. In our visits I listen with compassion, explore your story and treatment history, and partner with you on practical steps toward feeling better.
Mental health care should feel human, not rushed or cold. I am a psychiatric nurse practitioner who works with adults experiencing ADHD, anxiety, depression, PTSD, and insomnia. Inspired by my mother, a devoted nurse, I chose psychiatry because it relies on real conversation, not just lab results. In our visits I listen with compassion, explore your story and treatment history, and partner with you on practical steps toward feeling better.
(512) 866-5239 View (512) 866-5239
Photo of Marisa Sp Toups - Singularity Psychiatry and Mental Health, Psychiatrist, MD
Singularity Psychiatry and Mental Health
Psychiatrist, MD
1 Endorsed
Austin, TX 78759
I am a psychiatrist with extra training and experience with Treatment Resistant Depression, whether due to common psychiatric comorbidities such as anxiety, OCD, and PTSD or to medical illness. In particular I have a special focus on patients with immunological disease and chronic illness that causes inflammation. My typical patients are adults with a history of treatment failure or who need to balance the effects of complex medication regimens to maximize function. I also work with adults with Bipolar, ADHD, and ASD. I am happy to work with patients of all sexual/gender identities, ethnicities and faiths.
I am a psychiatrist with extra training and experience with Treatment Resistant Depression, whether due to common psychiatric comorbidities such as anxiety, OCD, and PTSD or to medical illness. In particular I have a special focus on patients with immunological disease and chronic illness that causes inflammation. My typical patients are adults with a history of treatment failure or who need to balance the effects of complex medication regimens to maximize function. I also work with adults with Bipolar, ADHD, and ASD. I am happy to work with patients of all sexual/gender identities, ethnicities and faiths.
(512) 543-1499 View (512) 543-1499

See more therapy options for Austin

How does your Psychiatrist compare?

Number of Psychiatrists in Austin, TX

600+

Average cost per session

$154

Psychiatrists in Austin, TX who prioritize treating:

95% Anxiety
94% Depression
81% Bipolar Disorder
77% Trauma and PTSD
77% Medication Management
76% ADHD
74% Obsessive-Compulsive (OCD)

Average years in practice

9 Years

Top 3 insurances accepted

93% Aetna
90% Cigna and Evernorth
83% BlueCross and BlueShield

How Psychiatrists in Austin, TX see their clients

57% In Person and Online
43% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Austin?

The Psychology Today Directory enables users to search specifically for psychiatrists by selecting the provider type from the drop-down menu, and filtering results by city, zip code, or the psychiatrist's name. The search results feature detailed profiles that outline each professional's treatment approach, areas of expertise, credentials, fees, payment options, and accepted insurance. Results include both psychiatrists (MDs) and psychiatric mental health nurse practitioners (PMHNPs), who hold advanced practice nursing degrees. Users can refine their search for a specific type of psychiatric provider using the "Provider Type" filter.

What is the difference between a psychiatrist and a psychologist?

Psychiatrists are medical specialists dedicated to understanding, diagnosing, and treating brain disorders and mental health conditions. As physicians, they are trained to identify the often subtle biological factors underlying mental disorders and to monitor how mental health treatments may impact other physical conditions, such as heart disease. Psychiatrists are licensed to prescribe medication and typically conduct shorter sessions that focus on medication management rather than intensive psychotherapy.

In contrast, psychologists are particularly attuned to the impact of early experiences on development, behavior, emotions, and cognitive processes. They often take a holistic approach to assessing and treating clients, considering aspects of personality and social functioning. Although psychologists cannot prescribe medication, they are frequently skilled in administering psychological tests—such as IQ tests, personality assessments, and behavioral evaluations—to assess an individual's functioning. Psychologists often engage in longer, more psychotherapy-focused sessions compared to psychiatrists.

What is a psychiatric nurse practitioner and what is the difference with a psychiatrist?

A psychiatric mental health nurse practitioner (PMHNP), also known as a mental health nurse practitioner or psychiatric nurse practitioner, is an advanced practice registered nurse (APRN) who has completed advanced training in psychiatric care, earning at least a master’s degree in psychiatric nursing. To become Board-Certified (PMHNP-BC), psychiatric nurse practitioners must also pass a national exam that tests their clinical psychiatric knowledge.

Like psychiatrists, PMHNPs are trained to assess, diagnose, and treat mental health conditions. However, PMHNPs and psychiatrists differ in their training experience. While PMHNPs can complete their credentialing requirements (full bachelor's and master's degree training) in as few as 6 years, psychiatrists often spend upwards of 12 years to complete their bachelor's, medical doctorate degree, and residency training requirements. Because of training differences, some states require PMHNPs to be supervised by or enter into a collaborative agreement with a physician in order to prescribe medication.

When deciding to work with a psychiatrist or PMHNP, clients should consider factors such therapeutic fit, cost, and availability. Psychiatrists may have more substantial training in treating more severe psychiatric conditions, as well as in providing more specialized treatment services, such as child psychiatry. However, psychiatrists may be inaccessible to some clients, as their cost and availability may be prohibitive. It can often be easier for clients to find a PMHNP with openings for new clients when compared to psychiatrists, and PMHNPs may also offer lower cost treatment options for clients looking to minimize out-of-pocket costs.

Can a psychiatrist or a PMHNP prescribe medication?

The Psychology Today directory features two primary types of psychiatric professionals: psychiatrists and psychiatric mental health nurse practitioners (PMHNPs). Both are generally authorized to prescribe psychiatric medications. In 28 states, PMHNPs have full practice authority, allowing them to provide the complete spectrum of psychiatric care, including independent medication prescribing and management. In other states, however, PMHNPs are required to work under the supervision or in collaboration with a physician to prescribe medication. Both psychiatrists and PMHNPs may also offer additional services, such as psychotherapy, counseling, and care coordination, for clients seeking psychiatric care.

Do psychiatrists or PMHNPs offer therapy?

Both psychiatrists and psychiatric mental health nurse practitioners (PMHNPs) are generally trained in a number of treatment modalities, including traditional psychotherapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), pharmacotherapy, and, occasionally, various somatic therapies. Typically, psychiatrists and PMHNPs 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 psychiatry sessions may only be 15-20 minutes in length and are largely focused on medication management; this is frequently the case for both psychiatrists and PMHNPs. However, medication providers who do not offer psychotherapy usually work collaboratively with psychologists and other mental health clinicians who do offer these services, and they can refer clients seeking more traditional psychotherapy services to their care.

How do I know if I need a psychiatrist, a PMHNP, 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 and may be unaware of the differences in support provided by various mental health professionals. One way many people learn which type of care is best for them is by seeing their primary care provider (PCP) first. Depending on the nature and severity of the symptoms, the PCP may review their medical history and provide guidance or a referral to the appropriate type of provider.

A referral to a psychiatrist or PMHNP is most often made when a client is in need of psychiatric medication management or assessment. These professionals are specifically trained to prescribe psychiatric medications, when necessary, for a client; however, they generally do not provide supportive psychotherapy on an ongoing basis. A therapist or psychologist, in contrast, can provide supportive psychotherapy but is unable to prescribe medications. Because of their unique roles, some clients see both a medication prescriber (either a psychiatrist or PMHNP) and a therapist at the same time to address their psychiatric concerns holistically. Many psychiatrists and psychologists are very open to referring clients to other professionals if unable to meet the client's needs or if they think the client could use additional support from a different type of professional.

Do I need a referral to see a psychiatrist or a PMHNP?

A referral to a psychiatrist or psychiatric mental health nurse practitioner (PMHNP) is often not required. However, consulting your primary care physician (PCP) first can be beneficial and may streamline the process of getting the care you need. Your PCP can help determine whether psychiatric care is necessary or if another type of mental health support might be more appropriate. Additionally, some insurance plans require a PCP referral to cover part or all of the costs associated with seeing a specialist. Obtaining a referral can also expedite the appointment process, particularly in areas with provider shortages or for clients seeking specialists in fields like child psychiatry.

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

Yes, all professionals listed in the Psychology Today Therapy Directory are licensed to provide mental health services in the state(s) where they practice. The directory includes a variety of providers such as psychiatrists, psychiatric mental health nurse practitioners (PMHNPs), physician assistants, psychologists, social workers, and counselors. Each provider must hold a valid license issued by their state regulatory body to be listed. In addition, Psychology Today offers a verification process for certain providers, signified by a 'Verified' symbol next to their profile. This badge indicates that the provider’s primary credential or license has been independently verified by Psychology Today.