Psychiatrists in Grant County, WA

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Photo of Nicole Avila-Parker - Nicole Avila-Parker PLLC, Psychiatric Nurse Practitioner, PMHNP, ARNP
Nicole Avila-Parker PLLC
Psychiatric Nurse Practitioner, PMHNP, ARNP
Moses Lake, WA 98837
Are you tired of being tired, depressed, anxious and feeling like nobody is listening? Are you willing to take ONE more chance to find a solution that WORKS? What do you have to lose? There are NEW treatment options I know you haven’t tried that can have you feeling better IN DAYS! Think you have ADHD? Want to be reevaluated using objective measures? Maybe you want to be evaluated appropriately the first time and save years of being misdiagnosed? Remember, optimizing your mental health is worthwhile, and I'm here to assist you throughout the journey!
Are you tired of being tired, depressed, anxious and feeling like nobody is listening? Are you willing to take ONE more chance to find a solution that WORKS? What do you have to lose? There are NEW treatment options I know you haven’t tried that can have you feeling better IN DAYS! Think you have ADHD? Want to be reevaluated using objective measures? Maybe you want to be evaluated appropriately the first time and save years of being misdiagnosed? Remember, optimizing your mental health is worthwhile, and I'm here to assist you throughout the journey!
(509) 260-9439 View (509) 260-9439
Photo of Confidence Etuk, Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Confidence Etuk
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
4 Endorsed
Online Only
Hello, my name is Confidence Etuk, and I am a compassionate Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 10 years of experience in mental health care. I specialize in treating depression, ADHD/ADD, anxiety, PTSD, bipolar disorder, and sleep concerns. I believe mental health treatment should be compassionate, patient-centered, and evidence-based. My goal is to meet clients where they are, reduce stigma, and empower them to build balance, resilience, and long-term wellness.
Hello, my name is Confidence Etuk, and I am a compassionate Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 10 years of experience in mental health care. I specialize in treating depression, ADHD/ADD, anxiety, PTSD, bipolar disorder, and sleep concerns. I believe mental health treatment should be compassionate, patient-centered, and evidence-based. My goal is to meet clients where they are, reduce stigma, and empower them to build balance, resilience, and long-term wellness.
(509) 800-2619 View (509) 800-2619
Photo of Carolyn Conover, Psychiatric Nurse, PMHNP
Carolyn Conover
Psychiatric Nurse, PMHNP
Online Only
Now accepting new clients! My approach doesn't include rushed prescriptions or a "one-size-fits all" solution. I will collaborate with you on a treatment plan that is tailored to your unique needs and preferences. By integrating medication management with various therapeutic techniques in a relaxed, conversational environment, I create a space where you can explore your thoughts and feelings deeply and comfortably. My hope is that you will leave our session with a sense of relief, knowing that you have a provider who hears you, and a treatment plan that reflects deep consideration of your needs.
Now accepting new clients! My approach doesn't include rushed prescriptions or a "one-size-fits all" solution. I will collaborate with you on a treatment plan that is tailored to your unique needs and preferences. By integrating medication management with various therapeutic techniques in a relaxed, conversational environment, I create a space where you can explore your thoughts and feelings deeply and comfortably. My hope is that you will leave our session with a sense of relief, knowing that you have a provider who hears you, and a treatment plan that reflects deep consideration of your needs.
(253) 525-1959 View (253) 525-1959
Photo of Dominique Sanders, Psychiatric Nurse Practitioner, PhD, PMHNP
Dominique Sanders
Psychiatric Nurse Practitioner, PhD, PMHNP
Online Only
Do you feel on edge with anxiety, stress, and worried sick? Anxiety leaves us feeling panicked, exhausted, and dissociated. You’re someone who deeply wants to feel peace, relaxed, and safe, but you are feeling out of control and heart racing. You want to feel calm and grounded. You are ready to feel at ease and reconnect in your relationships, without emotional dysregulation. You can be free from anxiety- I can help you get there. Treatment focuses on anxiety, OCD, depression, PTSD, PMDD, and perinatal/postpartum mental health through psychiatric medication management. Services are provided through Raelin Nursing Mental Wellness.
Do you feel on edge with anxiety, stress, and worried sick? Anxiety leaves us feeling panicked, exhausted, and dissociated. You’re someone who deeply wants to feel peace, relaxed, and safe, but you are feeling out of control and heart racing. You want to feel calm and grounded. You are ready to feel at ease and reconnect in your relationships, without emotional dysregulation. You can be free from anxiety- I can help you get there. Treatment focuses on anxiety, OCD, depression, PTSD, PMDD, and perinatal/postpartum mental health through psychiatric medication management. Services are provided through Raelin Nursing Mental Wellness.
(360) 535-7847 View (360) 535-7847
Photo of Debra Rice - Debra Rice PLLC., Psychiatric Nurse Practitioner, PMHNP
Debra Rice PLLC.
Psychiatric Nurse Practitioner, PMHNP
2 Endorsed
Online Only
Are you struggling with depression, anxiety, or the weight of past trauma? I am here to help. Mental health treatment can pave the way toward becoming the person you aspire to be. Together, we will create a treatment plan that feels right for you and supports your journey to well-being. I am now accepting Medicare clients! With over 20 years of experience in mental health—working with adults, adolescents, and children in both inpatient and outpatient settings—I am deeply committed to supporting you. Our work together is a partnership. I look forward to assisting you to reach your mental health goals
Are you struggling with depression, anxiety, or the weight of past trauma? I am here to help. Mental health treatment can pave the way toward becoming the person you aspire to be. Together, we will create a treatment plan that feels right for you and supports your journey to well-being. I am now accepting Medicare clients! With over 20 years of experience in mental health—working with adults, adolescents, and children in both inpatient and outpatient settings—I am deeply committed to supporting you. Our work together is a partnership. I look forward to assisting you to reach your mental health goals
(509) 498-3826 View (509) 498-3826
Photo of Perla Cueva, Psychiatric Nurse, PMHNP
Perla Cueva
Psychiatric Nurse, PMHNP
Online Only
When daily life feels like a constant battle with focus, energy, or mood, it’s easy to question if things will ever feel manageable again. Whether you're facing persistent anxiety, depression, or ADHD, these struggles can cloud your confidence and disrupt your routines. I’m a dual-trained psychiatric mental health nurse practitioner with an MSN earned in 2015 and a PMHNP from Western University of Health Sciences in 2024. My background in primary care shapes my approach to mental health—comprehensive, relational, and deeply human.
When daily life feels like a constant battle with focus, energy, or mood, it’s easy to question if things will ever feel manageable again. Whether you're facing persistent anxiety, depression, or ADHD, these struggles can cloud your confidence and disrupt your routines. I’m a dual-trained psychiatric mental health nurse practitioner with an MSN earned in 2015 and a PMHNP from Western University of Health Sciences in 2024. My background in primary care shapes my approach to mental health—comprehensive, relational, and deeply human.
(253) 528-8389 View (253) 528-8389
Photo of Maclean M Masese, Psychiatric Nurse Practitioner, DNP, PMHNP-C
Maclean M Masese
Psychiatric Nurse Practitioner, DNP, PMHNP-C
Serves Area
Are you feeling anxious, frustrated, discouraged, or worried about your mental health medication management? You’re not alone! Believe me, poor medication management can cause anxiety and distress if not done right. But remember, effective medication management isn't just a science—it's an art that thrives on collaboration, expertise, and a deep understanding of your unique needs. I’m so grateful that we've built a long-term therapeutic relationship, and I’ve seen incredible transformations in my clients, many of whom have reached new educational and professional heights, started families, and found joy in their careers.
Are you feeling anxious, frustrated, discouraged, or worried about your mental health medication management? You’re not alone! Believe me, poor medication management can cause anxiety and distress if not done right. But remember, effective medication management isn't just a science—it's an art that thrives on collaboration, expertise, and a deep understanding of your unique needs. I’m so grateful that we've built a long-term therapeutic relationship, and I’ve seen incredible transformations in my clients, many of whom have reached new educational and professional heights, started families, and found joy in their careers.
(206) 899-0339 View (206) 899-0339
Photo of Perla Cueva, Psychiatric Nurse, PMHNP
Perla Cueva
Psychiatric Nurse, PMHNP
Online Only
When daily life feels like a constant battle with focus, energy, or mood, it’s easy to question if things will ever feel manageable again. Whether you're facing persistent anxiety, depression, or ADHD, these struggles can cloud your confidence and disrupt your routines. I’m a dual-trained psychiatric mental health nurse practitioner with an MSN earned in 2015 and a PMHNP from Western University of Health Sciences in 2024. My background in primary care shapes my approach to mental health—comprehensive, relational, and deeply human.
When daily life feels like a constant battle with focus, energy, or mood, it’s easy to question if things will ever feel manageable again. Whether you're facing persistent anxiety, depression, or ADHD, these struggles can cloud your confidence and disrupt your routines. I’m a dual-trained psychiatric mental health nurse practitioner with an MSN earned in 2015 and a PMHNP from Western University of Health Sciences in 2024. My background in primary care shapes my approach to mental health—comprehensive, relational, and deeply human.
(206) 238-0069 View (206) 238-0069
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 Brittany Kesten, Psychiatric Nurse Practitioner, ARNP, PMHNP
Brittany Kesten
Psychiatric Nurse Practitioner, ARNP, PMHNP
Online Only
Welcome! I'm Brittany (she/her), a PMHNP working with teens and adults in Washington via televisit. I specialize in helping clients with trauma, mood swings, & relationship & identity issues. My clients often describe feeling stuck, overwhelmed, hopeless, numb, or out-of-control. If you know you need a change but aren't sure where to start, I can help you explore the patterns that are holding you back & identify steps that can move you toward a life that feels joyfully and authentically YOURS. As a queer clinician with ADHD, I am committed to providing a space that feels safe & welcoming to all.
Welcome! I'm Brittany (she/her), a PMHNP working with teens and adults in Washington via televisit. I specialize in helping clients with trauma, mood swings, & relationship & identity issues. My clients often describe feeling stuck, overwhelmed, hopeless, numb, or out-of-control. If you know you need a change but aren't sure where to start, I can help you explore the patterns that are holding you back & identify steps that can move you toward a life that feels joyfully and authentically YOURS. As a queer clinician with ADHD, I am committed to providing a space that feels safe & welcoming to all.
(509) 210-7327 View (509) 210-7327
Photo of Dr. Pulcharia Thompson, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, FNP-C
Dr. Pulcharia Thompson
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, FNP-C
Online Only
If you are an individual who is privately suffering from mental health illness or a loved one who is privately suffering with them, there is help for you. At Tandem Psychiatric and Family Practice, the focus is to integrate the most current and accurate treatment along with psychotherapy that centers on aiding the individual to feel whole again. I come from a Christian background and I firmly believe that every human being has the dignity of God, which comes with a purpose in life. This is the premise from which I approach treatment, so that hopefully every client can be given the means to reach their God given potential.
If you are an individual who is privately suffering from mental health illness or a loved one who is privately suffering with them, there is help for you. At Tandem Psychiatric and Family Practice, the focus is to integrate the most current and accurate treatment along with psychotherapy that centers on aiding the individual to feel whole again. I come from a Christian background and I firmly believe that every human being has the dignity of God, which comes with a purpose in life. This is the premise from which I approach treatment, so that hopefully every client can be given the means to reach their God given potential.
(206) 203-5804 View (206) 203-5804
Photo of D'Ondra Bobbitt, Psychiatric Nurse Practitioner, PMHNP, BC
D'Ondra Bobbitt
Psychiatric Nurse Practitioner, PMHNP, BC
Online Only
Hi, I'm so glad you're here today. I know that reaching out for support can sometimes feel like a big step, and I want you to know that you're not alone in this. My goal is to create a space where you feel comfortable and understood as we work together to navigate any challenges you or your child may be facing. Whether you're here to talk about ADHD, managing depression, dealing with substance use, or exploring any other mental health concerns, this evaluation is all about getting a clear picture of what’s going on, so we can move forward with the right tools and support.
Hi, I'm so glad you're here today. I know that reaching out for support can sometimes feel like a big step, and I want you to know that you're not alone in this. My goal is to create a space where you feel comfortable and understood as we work together to navigate any challenges you or your child may be facing. Whether you're here to talk about ADHD, managing depression, dealing with substance use, or exploring any other mental health concerns, this evaluation is all about getting a clear picture of what’s going on, so we can move forward with the right tools and support.
(206) 312-4011 View (206) 312-4011

Online Psychiatrists

Photo of Ify Nwankwo - Neo Minds Psychiatry PLLC, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Neo Minds Psychiatry PLLC
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
1 Endorsed
Online Only
I am currently accepting New Patients via telehealth in the State of Washington. At Neo Minds Psychiatry, I provide evidence based, holistic psychiatric assessment for clients with mental health issues. Please call or schedule for your appointment today. We have evening and weekend hours available.
I am currently accepting New Patients via telehealth in the State of Washington. At Neo Minds Psychiatry, I provide evidence based, holistic psychiatric assessment for clients with mental health issues. Please call or schedule for your appointment today. We have evening and weekend hours available.
(509) 204-9733 View (509) 204-9733
Gianni Giuliani
Psychiatric Nurse Practitioner, ARNP, BC, PMHNP
Spokane, WA 99202
When people reach out for help in dealing with life stressors, I respond in a timely, compassionate, respectful manner and seek to form a therapeutic relationship built on acceptance and trust. I help patients to find new ways to use their existing strengths in areas they find stressful and difficult. I seek out and harness their motivation to change and to enhance coping skills to effectively manage ongoing difficulties and to construct a life worth living. Therapy is a partnership that assists in functioning effectively in the present.
When people reach out for help in dealing with life stressors, I respond in a timely, compassionate, respectful manner and seek to form a therapeutic relationship built on acceptance and trust. I help patients to find new ways to use their existing strengths in areas they find stressful and difficult. I seek out and harness their motivation to change and to enhance coping skills to effectively manage ongoing difficulties and to construct a life worth living. Therapy is a partnership that assists in functioning effectively in the present.
(509) 606-3079 View (509) 606-3079
Photo of Ginette M. DiDomenico, Psychiatric Nurse Practitioner, ARNP
Ginette M. DiDomenico
Psychiatric Nurse Practitioner, ARNP
Spokane, WA 99201
Hi. The mind is very similar to our physical bodies; symptoms develop to let us know that something is amiss. Environments, stress, and trauma influence these symptoms. As our physical bodies seek to heal themselves, so does our minds. Difficulties can be looked at as opportunites for growth. I seek to come alongside and work together to help the healing and growth through therapy and if need be medication. Medication is not sufficent alone. Just as the physical body seeks to heal itself when hurt, so the mind/soul with encouragement can heal.
Hi. The mind is very similar to our physical bodies; symptoms develop to let us know that something is amiss. Environments, stress, and trauma influence these symptoms. As our physical bodies seek to heal themselves, so does our minds. Difficulties can be looked at as opportunites for growth. I seek to come alongside and work together to help the healing and growth through therapy and if need be medication. Medication is not sufficent alone. Just as the physical body seeks to heal itself when hurt, so the mind/soul with encouragement can heal.
(425) 276-7884 View (425) 276-7884
Photo of Charlene Lacambra, Psychiatric Nurse Practitioner, PMHNP
Charlene Lacambra
Psychiatric Nurse Practitioner, PMHNP
Spokane, WA 99201
Struggling with ADHD, anxiety, depression, or mood disorders? I am a board-certified psychiatric NP specializing in personalized treatment that goes beyond medication to truly address root causes. Rushed visits often miss the full picture. I've personally helped many thousands of patients successfully find lasting relief when past care left them with prescriptions but no real answers. Want to fully overcome your symptoms that are holding you back from a better life? ⇒ Appointments typically available within 4 days.
Struggling with ADHD, anxiety, depression, or mood disorders? I am a board-certified psychiatric NP specializing in personalized treatment that goes beyond medication to truly address root causes. Rushed visits often miss the full picture. I've personally helped many thousands of patients successfully find lasting relief when past care left them with prescriptions but no real answers. Want to fully overcome your symptoms that are holding you back from a better life? ⇒ Appointments typically available within 4 days.
(253) 893-4919 View (253) 893-4919
Photo of Natalie Mayse, Psychiatric Nurse Practitioner, DNP, PMHNP, BC
Natalie Mayse
Psychiatric Nurse Practitioner, DNP, PMHNP, BC
1 Endorsed
Spokane, WA 99218
​No matter where you are on your life’s journey, you deserve a supportive, non-judgemental environment where you can grow. I love working with individuals ages 6 and up from all walks of life, and I am deeply committed to meeting you exactly where you are—whether you are helping your child navigate early milestones, finding your own footing through a tough transition, or simply looking for a compassionate provider to help you become the person you want to be.
​No matter where you are on your life’s journey, you deserve a supportive, non-judgemental environment where you can grow. I love working with individuals ages 6 and up from all walks of life, and I am deeply committed to meeting you exactly where you are—whether you are helping your child navigate early milestones, finding your own footing through a tough transition, or simply looking for a compassionate provider to help you become the person you want to be.
(253) 354-8599 View (253) 354-8599
Photo of Carolyn Denice Thompson - AKADI Mental Health Services , Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
AKADI Mental Health Services
Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
8 Endorsed
Spokane, WA 99201
My ideal client is a teen or adult from diverse backgrounds struggling with anxiety, depression, irritability, low mood, trauma, ADHD, substance use, or burnout. They may face poor focus, impulsivity, disorganization, or constant distractions while appearing capable on the outside. Inside, they feel overwhelmed, discouraged, or stuck. They need accurate diagnosis, thoughtful medication management, and a provider who listens without judgment. They want steadier mood, clearer focus, healthier coping, better sleep, and a collaborative plan that restores stability, confidence, and hope.
My ideal client is a teen or adult from diverse backgrounds struggling with anxiety, depression, irritability, low mood, trauma, ADHD, substance use, or burnout. They may face poor focus, impulsivity, disorganization, or constant distractions while appearing capable on the outside. Inside, they feel overwhelmed, discouraged, or stuck. They need accurate diagnosis, thoughtful medication management, and a provider who listens without judgment. They want steadier mood, clearer focus, healthier coping, better sleep, and a collaborative plan that restores stability, confidence, and hope.
(832) 937-4514 View (832) 937-4514
Photo of Keyna Nkemjika Omenukor - Krystal Family Psychiatry PLLC, Psychiatric Nurse Practitioner, PMHNP-, BC
Krystal Family Psychiatry PLLC
Psychiatric Nurse Practitioner, PMHNP-, BC
1 Endorsed
Spokane, WA 99201
Dr. Keyna Omenukor utilizes holistic approach to mental health care—helping you find balance, healing, and wellness at every stage of life. At Krystal Family Psychiatry, we treat a wide range of mental health conditions, including: Anxiety and depression, PTSD and trauma-related disorders, OCD and other stress-related challenges, ADHD and mood disorders, Psychotic disorders. We take care of children and adolescent with autism, behavior challenges, anger, self harming behaviors and all other mental health issues.
Dr. Keyna Omenukor utilizes holistic approach to mental health care—helping you find balance, healing, and wellness at every stage of life. At Krystal Family Psychiatry, we treat a wide range of mental health conditions, including: Anxiety and depression, PTSD and trauma-related disorders, OCD and other stress-related challenges, ADHD and mood disorders, Psychotic disorders. We take care of children and adolescent with autism, behavior challenges, anger, self harming behaviors and all other mental health issues.
(509) 478-1840 View (509) 478-1840
Photo of Desirae Dorsey - ADHD & Anxiety Treatment Anywhere Wellness, Psychiatric Nurse Practitioner, ARNP, PMHNP
ADHD & Anxiety Treatment Anywhere Wellness
Psychiatric Nurse Practitioner, ARNP, PMHNP
Online Only
Living with ADHD or anxiety can feel like your mind never gets a break. You might struggle to focus, overthink everything, feel constantly on edge, or swing between burnout and self-criticism. Many people come to us after years of trying to “push through,” only to feel more overwhelmed and disconnected from themselves.
Living with ADHD or anxiety can feel like your mind never gets a break. You might struggle to focus, overthink everything, feel constantly on edge, or swing between burnout and self-criticism. Many people come to us after years of trying to “push through,” only to feel more overwhelmed and disconnected from themselves.
(360) 346-9944 View (360) 346-9944

See more therapy options for Grant County

How does your Psychiatrist compare?

Number of Psychiatrists in Grant County, WA

10+

Average cost per session

$150

Psychiatrists in Grant County, WA who prioritize treating:

92% Depression
92% Anxiety
83% Obsessive-Compulsive (OCD)
83% Bipolar Disorder
83% Stress
75% Eating Disorders
75% ADHD

Average years in practice

11 Years

Top 3 insurances accepted

91% Aetna
91% Cigna and Evernorth
64% BlueCross and BlueShield

How Psychiatrists in Grant County, WA see their clients

83% Online Only
17% In Person and Online

Gender breakdown

100% Female
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Grant County?

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.