Psychiatrists in Carnation, WA

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Photo of Zanab Waseem, Psychiatrist
Zanab Waseem
Psychiatrist
Online Only
I am an international medical graduate from Pakistan with a deep passion for mental health and holistic patient care. I am currently gaining clinical experience at Pan Pacific Health in Bothell, WA, under the supervision of Dr. Khalid Ahmed, MD. I am dedicated to providing compassionate, patient-centered care, with a focus on treating mood disorders, eating disorders, addiction, and the mental health challenges associated with substance use. I believe in fostering strong, trusting relationships with my patients to ensure they receive the best possible care tailored to their individual needs.
I am an international medical graduate from Pakistan with a deep passion for mental health and holistic patient care. I am currently gaining clinical experience at Pan Pacific Health in Bothell, WA, under the supervision of Dr. Khalid Ahmed, MD. I am dedicated to providing compassionate, patient-centered care, with a focus on treating mood disorders, eating disorders, addiction, and the mental health challenges associated with substance use. I believe in fostering strong, trusting relationships with my patients to ensure they receive the best possible care tailored to their individual needs.
(425) 399-8276 View (425) 399-8276
Photo of Howard Ilivicky - Mindful Health Solutions | Howard Ilivicky, MD , Psychiatrist, MD
Howard Ilivicky, MD, is a board-certified psychiatrist with more than 30 years of experience treating a wide range of conditions in patients from 8 years old to 90. Dr. Ilivicky provides compassionate and collaborative care to those struggling with the effects of mood and anxiety disorders, including bipolar disorder, depression, anxiety, and OCD. Dr. Ilivicky truly values patients’ input into their treatment plans. He recognizes the courage it takes for mental health patients to pursue change, especially when it’s challenging. He provides treatment options, giving counsel while also encouraging patients to do their own research.
Howard Ilivicky, MD, is a board-certified psychiatrist with more than 30 years of experience treating a wide range of conditions in patients from 8 years old to 90. Dr. Ilivicky provides compassionate and collaborative care to those struggling with the effects of mood and anxiety disorders, including bipolar disorder, depression, anxiety, and OCD. Dr. Ilivicky truly values patients’ input into their treatment plans. He recognizes the courage it takes for mental health patients to pursue change, especially when it’s challenging. He provides treatment options, giving counsel while also encouraging patients to do their own research.
(425) 510-7900 View (425) 510-7900
Photo of Willie Lemusu, Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
Willie Lemusu
Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
5 Endorsed
Serves Area
I am a Board Certified Psychiatric Mental Health Nurse Practitioner with 6+ years of experience in mental health. I have experience working in the Emergency Room, Psychiatric Hospital, Alcohol & Drug Rehab units, Geriatric Psych Units, Community Clinics, and Psychiatric Home Health allowing me to provide care that keeps into consideration what happens before, during, and after a mental health crisis.
I am a Board Certified Psychiatric Mental Health Nurse Practitioner with 6+ years of experience in mental health. I have experience working in the Emergency Room, Psychiatric Hospital, Alcohol & Drug Rehab units, Geriatric Psych Units, Community Clinics, and Psychiatric Home Health allowing me to provide care that keeps into consideration what happens before, during, and after a mental health crisis.
(629) 300-4643 View (629) 300-4643
Photo of Dr. Adel Mostafavi - WellPsyche Medical Group, Psychiatrist, MD
WellPsyche Medical Group
Psychiatrist, MD
Redmond, WA 98052
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
(206) 594-3657 View (206) 594-3657
Photo of Emma Romero, Physician Assistant, PA-C
Emma Romero
Physician Assistant, PA-C
Seattle, WA 98103
My ideal client is a patient who has hit rock bottom and has let all their guards down, desperately seeking help. They may be struggling with suicidal ideations, hopelessness, and grief. Their primary need is to feel safe, as this is the foundation for healing. They also need to feel validated, respected, and free from judgment. The ultimate goal is to help them rediscover hope and joy in their lives. Creating a safe and supportive environment is essential for them to thrive.
My ideal client is a patient who has hit rock bottom and has let all their guards down, desperately seeking help. They may be struggling with suicidal ideations, hopelessness, and grief. Their primary need is to feel safe, as this is the foundation for healing. They also need to feel validated, respected, and free from judgment. The ultimate goal is to help them rediscover hope and joy in their lives. Creating a safe and supportive environment is essential for them to thrive.
(206) 800-6214 View (206) 800-6214
Photo of Kisha Clune, Psychiatrist, MD
Kisha Clune
Psychiatrist, MD
Seattle, WA 98103
Psychotherapy and psychoanalysis are collaborative processes of self- and relational exploration. I aim to provide holistic and integrating mental health care, with or without medication management. For those seeking to increase meaning and agency, it may be a path.
Psychotherapy and psychoanalysis are collaborative processes of self- and relational exploration. I aim to provide holistic and integrating mental health care, with or without medication management. For those seeking to increase meaning and agency, it may be a path.
(206) 401-9283 View (206) 401-9283
Photo of Kathleen Johnson, Psychiatric Nurse Practitioner, MSN, PMHNP
Kathleen Johnson
Psychiatric Nurse Practitioner, MSN, PMHNP
Online Only
CURRENTLY ACCEPTING NEW PATIENTS & Saturday Appointments Available! I assist patients who are experiencing a range of presenting concerns, including: anxiety, depression, substance dependence, ADHD, autism, stress related disorders, PTSD, sleep challenges, and more. As a psychiatric provider, I take the time to explain the science behind what is creating the the challenges you are experiencing, answer questions, and work with you on the goal of full remission of the mental health or addictive crisis so you can go on living your life to the fullest.
CURRENTLY ACCEPTING NEW PATIENTS & Saturday Appointments Available! I assist patients who are experiencing a range of presenting concerns, including: anxiety, depression, substance dependence, ADHD, autism, stress related disorders, PTSD, sleep challenges, and more. As a psychiatric provider, I take the time to explain the science behind what is creating the the challenges you are experiencing, answer questions, and work with you on the goal of full remission of the mental health or addictive crisis so you can go on living your life to the fullest.
(425) 490-5392 View (425) 490-5392
Photo of Erin Delsol, Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP
Erin Delsol
Psychiatric Nurse Practitioner, MSN, ARNP, PMHNP
Burien, WA 98166
Not accepting new clients
Welcome; if you feel ready to take a first step toward better understanding or improving your mental health, I'm glad you're here. My approach to practice involves cultivating well-being with a variety of tools, including medications, complementary therapies, and exploration of physical and mental health intersect. I have found that I am a good fit for people who are interested in a holistic approach and motivated to take steps toward comprehensive evaluation and treatment. I especially enjoy working with adults on the autism spectrum who were diagnosed later in life.
Welcome; if you feel ready to take a first step toward better understanding or improving your mental health, I'm glad you're here. My approach to practice involves cultivating well-being with a variety of tools, including medications, complementary therapies, and exploration of physical and mental health intersect. I have found that I am a good fit for people who are interested in a holistic approach and motivated to take steps toward comprehensive evaluation and treatment. I especially enjoy working with adults on the autism spectrum who were diagnosed later in life.
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Photo of Sussana Howard, Psychiatric Nurse Practitioner, PMHNP
Sussana Howard
Psychiatric Nurse Practitioner, PMHNP
Online Only
My name is Sussana Howard. I am a Psychiatric Mental Health Nurse Practitioner board-certified to treat adolescents through the geriatric population. I am based in Texas. I work with clients statewide through telehealth. My approach to care is using the Diagnostic and Statistical Manual of Mental Disorders to provide objective, reliable criteria for identifying and differentiating mental disorders. I use assessment, treatment, and prevention of mental health problems in children and adolescents.
My name is Sussana Howard. I am a Psychiatric Mental Health Nurse Practitioner board-certified to treat adolescents through the geriatric population. I am based in Texas. I work with clients statewide through telehealth. My approach to care is using the Diagnostic and Statistical Manual of Mental Disorders to provide objective, reliable criteria for identifying and differentiating mental disorders. I use assessment, treatment, and prevention of mental health problems in children and adolescents.
(425) 475-3459 View (425) 475-3459
Photo of Alexandria McCulloch Thacker, Psychiatric Nurse Practitioner, PMHNP
Alexandria McCulloch Thacker
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Bellevue, WA 98005
Alexandria McCulloch MSN, PMHNP-BC, is a board-certified Psychiatric Nurse Practitioner. She has over 7 years of experience working in mental health and has held a lifelong passion for this field of medicine. Her background includes both inpatient and outpatient psychiatry settings. Alexandria specializes in the treatment of adolescents and adults with depression, anxiety, ADHD, bipolar disorder, OCD, PTSD, and sleep disorders. She is dedicated to understanding each person’s needs and goals and enjoys being a part of a treatment team to strive for mental wellness and enhanced quality of life for every client.
Alexandria McCulloch MSN, PMHNP-BC, is a board-certified Psychiatric Nurse Practitioner. She has over 7 years of experience working in mental health and has held a lifelong passion for this field of medicine. Her background includes both inpatient and outpatient psychiatry settings. Alexandria specializes in the treatment of adolescents and adults with depression, anxiety, ADHD, bipolar disorder, OCD, PTSD, and sleep disorders. She is dedicated to understanding each person’s needs and goals and enjoys being a part of a treatment team to strive for mental wellness and enhanced quality of life for every client.
(425) 217-5954 View (425) 217-5954
Photo of Kumbirai Madiye, Psychiatric Nurse Practitioner, PMHNP
Kumbirai Madiye
Psychiatric Nurse Practitioner, PMHNP
Online Only
You might be feeling out of sync lately—more irritable than usual, emotionally drained, or stuck in patterns that don’t feel like you. Maybe your child or teen is going through something similar, and you’re not sure how to help. Whether it’s a mood disorder, a life transition, or just a sense that something’s off, it can be hard to know where to start. As a psychiatric nurse practitioner, I offer holistic medication management that looks beyond the surface to understand what’s really going on.
You might be feeling out of sync lately—more irritable than usual, emotionally drained, or stuck in patterns that don’t feel like you. Maybe your child or teen is going through something similar, and you’re not sure how to help. Whether it’s a mood disorder, a life transition, or just a sense that something’s off, it can be hard to know where to start. As a psychiatric nurse practitioner, I offer holistic medication management that looks beyond the surface to understand what’s really going on.
(360) 505-7203 View (360) 505-7203
Photo of Dr. Adel Mostafavi - WellPsyche Medical Group, Psychiatrist, MD
WellPsyche Medical Group
Psychiatrist, MD
Online Only
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
Do you Over-Think things? Over-Experience your emotions? Do you struggle to focus or complete tasks? Difficulty sleeping? Putting off your mental health is no longer an option! With over 75 clinical experts, WellPsyche providers provide Empathetic Psychotherapy and Personalized Medication Management services for Children, Adolescents, and Adults. 100% of our visits are conducted via Zoom, and we are available mornings, afternoons, and evenings. Meet with your psychiatrist from the privacy and convenience of home or work. We are simplifying the mental health experience so you can become the best version of you!
(206) 350-6103 View (206) 350-6103
Photo of Megan Rutherford, Psychiatric Nurse Practitioner, MSN, PMHNP, ARNP
Megan Rutherford
Psychiatric Nurse Practitioner, MSN, PMHNP, ARNP
1 Endorsed
Seattle, WA 98107
The world can seem overwhelming but you do not need to suffer alone. My goal is to de-stigmatize mental health conditions and the medications we use to help. I believe the right medication can help open you up to do the work to feel better. The narratives we carry, often shaped by negative thoughts or painful experiences, do not have to define us. We will work to understand and transform these beliefs, helping to uncover strengths and inherent self-worth. My goal is to help you cultivate self-compassion, foster resilience, and an openness to embrace all parts of yourself.
The world can seem overwhelming but you do not need to suffer alone. My goal is to de-stigmatize mental health conditions and the medications we use to help. I believe the right medication can help open you up to do the work to feel better. The narratives we carry, often shaped by negative thoughts or painful experiences, do not have to define us. We will work to understand and transform these beliefs, helping to uncover strengths and inherent self-worth. My goal is to help you cultivate self-compassion, foster resilience, and an openness to embrace all parts of yourself.
(425) 434-1839 View (425) 434-1839
Photo of Francis Lankford, Psychiatric Nurse Practitioner, PMHNP
Francis Lankford
Psychiatric Nurse Practitioner, PMHNP
1 Endorsed
Des Moines, WA 98198
Immediate Availability! In network with most commercial insurance plans! Pursuit Mental Health & Recovery is here for you! Our ideal client is looking for a provider to team with and create a unique plan of care just for them. If you are suffering from Anxiety, Depression, PTSD, Addiction to Drugs or Alcohol, or Sleep Disorders please reach out and let us see how we can help. We support and offer Medication Assisted Treatment (MAT Suboxone). We take the following Insurances in Washington State: Aetna, Cigna, Oxford, and Optum/ United Healthcare. We also now take Medicare, Medicaid, and Kaiser!
Immediate Availability! In network with most commercial insurance plans! Pursuit Mental Health & Recovery is here for you! Our ideal client is looking for a provider to team with and create a unique plan of care just for them. If you are suffering from Anxiety, Depression, PTSD, Addiction to Drugs or Alcohol, or Sleep Disorders please reach out and let us see how we can help. We support and offer Medication Assisted Treatment (MAT Suboxone). We take the following Insurances in Washington State: Aetna, Cigna, Oxford, and Optum/ United Healthcare. We also now take Medicare, Medicaid, and Kaiser!
(253) 785-4450 View (253) 785-4450
Photo of Malia Alexander, Psychiatric Nurse Practitioner, MSN, PMHNP
Malia Alexander
Psychiatric Nurse Practitioner, MSN, PMHNP
1 Endorsed
Burien, WA 98166
Welcome. I'm glad you're here. I am a board-certified Psychiatric Nurse Practitioner. If you're ready to take steps toward improving your emotional well-being, I'm here to help. In our collaborative process, I assess and diagnose mental health conditions, as well as prescribe and manage medications to improve symptoms. In the course of our visits, we will discuss symptoms, review medication options and consider what other factors are impacting your overall well being. My patients have a variety of needs, including brief medication focused visits, as well as longer sessions where we blend therapy with our medication management.
Welcome. I'm glad you're here. I am a board-certified Psychiatric Nurse Practitioner. If you're ready to take steps toward improving your emotional well-being, I'm here to help. In our collaborative process, I assess and diagnose mental health conditions, as well as prescribe and manage medications to improve symptoms. In the course of our visits, we will discuss symptoms, review medication options and consider what other factors are impacting your overall well being. My patients have a variety of needs, including brief medication focused visits, as well as longer sessions where we blend therapy with our medication management.
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Photo of Shelley Tantau, Psychiatric Nurse Practitioner, MSN, AGACNP
Shelley Tantau
Psychiatric Nurse Practitioner, MSN, AGACNP
Vashon, WA 98070
I am accepting new clients. Many of my clients come to me feeling overwhelmed, anxious, or stuck - often carrying the burden of unprocessed trauma, burnout, or persistent self-doubt. They may struggle with ADHD, body image concerns, or a harsh inner critic that keeps them from fully engaging in life. Deep down, they want to feel more grounded, more themselves. They're seeking not just symptom relief, but true connection, clarity, and sustainable healing. They're ready to understand their patterns, reconnect with their values, and reclaim their sense of agency.
I am accepting new clients. Many of my clients come to me feeling overwhelmed, anxious, or stuck - often carrying the burden of unprocessed trauma, burnout, or persistent self-doubt. They may struggle with ADHD, body image concerns, or a harsh inner critic that keeps them from fully engaging in life. Deep down, they want to feel more grounded, more themselves. They're seeking not just symptom relief, but true connection, clarity, and sustainable healing. They're ready to understand their patterns, reconnect with their values, and reclaim their sense of agency.
(206) 966-4034 View (206) 966-4034
Photo of Desirae Dorsey - Anywhere Wellness Team of Mental Health NPs, Psychiatric Nurse Practitioner, PMHNP , ARNP
Anywhere Wellness Team of Mental Health NPs
Psychiatric Nurse Practitioner, PMHNP , ARNP
Online Only
Real support from people who truly get it. Life can feel overwhelming sometimes, whether you're constantly anxious, weighed down by depression, struggling to focus, masking to get through social situations, or just plain exhausted from trying to keep up. You might not even have a name for what you’re going through yet, and that’s okay. At Anywhere Wellness, you don’t have to figure it out alone.
Real support from people who truly get it. Life can feel overwhelming sometimes, whether you're constantly anxious, weighed down by depression, struggling to focus, masking to get through social situations, or just plain exhausted from trying to keep up. You might not even have a name for what you’re going through yet, and that’s okay. At Anywhere Wellness, you don’t have to figure it out alone.
(425) 276-6260 View (425) 276-6260
Photo of Brett Yamane, Psychiatrist, MD
Brett Yamane
Psychiatrist, MD
Seattle, WA 98109
Not accepting new clients
My practice provides adults with psychotherapy and medication-based treatments for common conditions including anxiety disorders, stress, depression, and phase of life transitions. I believe in compassionate and collaborative care to help you achieve better function and alleviation of symptoms. My hope is our work together will both help you recognize your personal strengths as well as identify patterns that contribute to your symptoms. This can then lead to developing a wider range of coping skills, make more informed choices and take an active role in your life's course, and increase your sense of confidence and self-agency.
My practice provides adults with psychotherapy and medication-based treatments for common conditions including anxiety disorders, stress, depression, and phase of life transitions. I believe in compassionate and collaborative care to help you achieve better function and alleviation of symptoms. My hope is our work together will both help you recognize your personal strengths as well as identify patterns that contribute to your symptoms. This can then lead to developing a wider range of coping skills, make more informed choices and take an active role in your life's course, and increase your sense of confidence and self-agency.
(206) 539-0991 View (206) 539-0991
Photo of Mauvia Sorensen, Psychiatric Nurse Practitioner, RN, ARNP, PMHNP, MA, MHC
Mauvia Sorensen
Psychiatric Nurse Practitioner, RN, ARNP, PMHNP, MA, MHC
33 Endorsed
Online Only
Welcome! I’m so glad you’ve found your way here, and I truly believe that seeking help is a courageous first step toward healing and growth. My approach is centered on creating a safe, nonjudgmental space where you feel heard, understood, and empowered to take control of your well-being. I’m committed to being transparent with you at every step, explaining your options clearly and providing guidance in a way that is both direct and compassionate. With 15 years of experience in the field, I’ve had the privilege of working with people from all walks of life, including individuals, couples, and those who have experienced trauma.
Welcome! I’m so glad you’ve found your way here, and I truly believe that seeking help is a courageous first step toward healing and growth. My approach is centered on creating a safe, nonjudgmental space where you feel heard, understood, and empowered to take control of your well-being. I’m committed to being transparent with you at every step, explaining your options clearly and providing guidance in a way that is both direct and compassionate. With 15 years of experience in the field, I’ve had the privilege of working with people from all walks of life, including individuals, couples, and those who have experienced trauma.
(509) 361-2017 View (509) 361-2017
Divine Behavioral health Services LLC
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP
Renton, WA 98057
We are accepting new clients of all ages for therapy/counseling, psychiatry evaluation, and medication management. We offer a holistic approach to care, and the treatment plan is tailored toward the client's goal. Divine Behavioral Health Services LLC provides clients with the opportunity to feel safe to talk about mental health challenges. We discuss treatment plans and provide education that allows you to make an informed decision about the care that is right for you.
We are accepting new clients of all ages for therapy/counseling, psychiatry evaluation, and medication management. We offer a holistic approach to care, and the treatment plan is tailored toward the client's goal. Divine Behavioral Health Services LLC provides clients with the opportunity to feel safe to talk about mental health challenges. We discuss treatment plans and provide education that allows you to make an informed decision about the care that is right for you.
(425) 534-7491 View (425) 534-7491

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FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Carnation?

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.