Psychiatrists in Issaquah, WA

Dr. Hayley Roozen, is a mental health expert that provides treatment for Chronic depression, anxiety and ADHD. She uses the latest advances in pharmacotherapies including the use of Spravato in the Seattle area. Treatment with Spravato can help when other medication options have been unhelpful or intolerable.
Dr. Hayley Roozen, is a mental health expert that provides treatment for Chronic depression, anxiety and ADHD. She uses the latest advances in pharmacotherapies including the use of Spravato in the Seattle area. Treatment with Spravato can help when other medication options have been unhelpful or intolerable.
(206) 501-4342 View (206) 501-4342
Holly Jacobson
Psychiatric Nurse Practitioner, DNP, PMHNP
7 Endorsed
Issaquah, WA 98027
Jacobson Community Mental Health and Wellness is now serving the eastern Seattle communities of Bothell, Bellevue, and Issaquah. Dr. Jacobson combines medication management with brief psychotherapy to speed recovery and patients feel better faster. Dr. Jacobson's treatment process is a two-way collaboration based on empathy and judgment-free care in a tailored mental health wellness plan. Every client is unique and we will work together to help achieve your goals in your quest for mental wellness.
Jacobson Community Mental Health and Wellness is now serving the eastern Seattle communities of Bothell, Bellevue, and Issaquah. Dr. Jacobson combines medication management with brief psychotherapy to speed recovery and patients feel better faster. Dr. Jacobson's treatment process is a two-way collaboration based on empathy and judgment-free care in a tailored mental health wellness plan. Every client is unique and we will work together to help achieve your goals in your quest for mental wellness.
(206) 207-4350 View (206) 207-4350
Susan Zingalli
Psychiatric Nurse Practitioner, PMHNP
Issaquah, WA 98027
You're high-achieving. Successful on paper. But underneath that, there's a constant hum: the forgotten tasks, the racing thoughts at 2am, the exhaustion that sleep doesn't fix, the feeling that you're working twice as hard as everyone else just to keep up. Maybe you've always been this way. Maybe a therapist recently suggested looking into ADHD. Maybe you Googled "why can't I focus even though I'm smart" and found yourself reading for two hours at midnight. You're not broken. But you might be working against a brain that was never properly understood, including by you.
You're high-achieving. Successful on paper. But underneath that, there's a constant hum: the forgotten tasks, the racing thoughts at 2am, the exhaustion that sleep doesn't fix, the feeling that you're working twice as hard as everyone else just to keep up. Maybe you've always been this way. Maybe a therapist recently suggested looking into ADHD. Maybe you Googled "why can't I focus even though I'm smart" and found yourself reading for two hours at midnight. You're not broken. But you might be working against a brain that was never properly understood, including by you.
(425) 600-1793 View (425) 600-1793
Kate Swartz
Psychiatric Nurse Practitioner, FNP, PMHNP
Issaquah, WA 98027
I’m a board-certified Psychiatric Mental Health and Family Nurse Practitioner. I see adults, teens, and kids in my Issaquah office and across Washington via telehealth. People come to me for all kinds of reasons: a professional who's been pushing through anxiety, depression, burnout, or sleep problems for years, a teen who feels overwhelmed, or a kid who can't focus in class. Some are managing more complex conditions like bipolar disorder, schizophrenia, or substance use. Others just want to get back to baseline. Steadier, sharper, more resilient.
I’m a board-certified Psychiatric Mental Health and Family Nurse Practitioner. I see adults, teens, and kids in my Issaquah office and across Washington via telehealth. People come to me for all kinds of reasons: a professional who's been pushing through anxiety, depression, burnout, or sleep problems for years, a teen who feels overwhelmed, or a kid who can't focus in class. Some are managing more complex conditions like bipolar disorder, schizophrenia, or substance use. Others just want to get back to baseline. Steadier, sharper, more resilient.
(425) 842-1864 View (425) 842-1864
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.
(702) 718-5611 View (702) 718-5611
Ross A. Brown
Psychiatric Nurse Practitioner, PMHNP
Online Only
I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) licensed to provide telehealth in OR, WA, and NM. I work with adults and teens (16+) seeking relief from anxiety, depression, and mood disorders. They may feel stuck, overwhelmed, or disconnected, and want to better understand themselves, manage emotions, and restore balance. Many value a compassionate, inclusive space—especially those in the LGBTQIA+ community—where they can explore their identity and build resilience.
I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) licensed to provide telehealth in OR, WA, and NM. I work with adults and teens (16+) seeking relief from anxiety, depression, and mood disorders. They may feel stuck, overwhelmed, or disconnected, and want to better understand themselves, manage emotions, and restore balance. Many value a compassionate, inclusive space—especially those in the LGBTQIA+ community—where they can explore their identity and build resilience.
(541) 203-6797 View (541) 203-6797
Neupathway LLC (Amanda Keffer)
Psychiatric Nurse Practitioner, PMHNP, DNP, MSN
Issaquah, WA 98027
Great News! Amanda Ketter is now accepting new patients for psychiatric medication management—with appointments in as little as 48 hours and Saturday availability! Picture yourself stepping into a welcoming virtual space where crushing anxiety, lingering depression, sleepless nights, or roller-coaster moods meet expert attention and genuine compassion. Get lightning-fast access to evidence-based medication support, crystal-clear guidance, and a judgment-free zone—all tailored to help you reclaim stability, confidence, and peace of mind, sooner than you thought possible.
Great News! Amanda Ketter is now accepting new patients for psychiatric medication management—with appointments in as little as 48 hours and Saturday availability! Picture yourself stepping into a welcoming virtual space where crushing anxiety, lingering depression, sleepless nights, or roller-coaster moods meet expert attention and genuine compassion. Get lightning-fast access to evidence-based medication support, crystal-clear guidance, and a judgment-free zone—all tailored to help you reclaim stability, confidence, and peace of mind, sooner than you thought possible.
(425) 728-6170 View (425) 728-6170
Dr. Liza Partlow Lohse
Psychiatrist, MD
Issaquah, WA 98027
Liza Partlow Lohse, MD, is a Board-Certified Adult Psychiatrist, licensed in the state of Washington. She has over 15 years of experience in outpatient psychiatry; in private practice, university and hospital settings. Dr. Partlow Lohse's goal is to work in collaboration with clients to achieve their mental health goals via psychiatric evaluation and treatment planning using a wholistic approach. That can include focus on lifestyle factors including sleep, nutrition and exercise as well as utilizing behavioral strategies and medication management.
Liza Partlow Lohse, MD, is a Board-Certified Adult Psychiatrist, licensed in the state of Washington. She has over 15 years of experience in outpatient psychiatry; in private practice, university and hospital settings. Dr. Partlow Lohse's goal is to work in collaboration with clients to achieve their mental health goals via psychiatric evaluation and treatment planning using a wholistic approach. That can include focus on lifestyle factors including sleep, nutrition and exercise as well as utilizing behavioral strategies and medication management.
(425) 517-2191 View (425) 517-2191
Jennie Brown
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNP
Issaquah, WA 98027
Please note: I am currently not accepting new clients at Centered Mind Counseling. I wilI be starting at Ryther Child Center on 7/6/26. I provide collaborative, evidence-based, trauma-informed psychiatric services, both in person and remotely. I love getting to know my clients and their stories; everyone has unique strengths to draw upon in treatment. For the past ten years I have provided psychiatric services to clients of all ages. I have additional training and specialization in child, adolescent, and young adult psychiatric care, as well as LGBTQIA+ care.
Please note: I am currently not accepting new clients at Centered Mind Counseling. I wilI be starting at Ryther Child Center on 7/6/26. I provide collaborative, evidence-based, trauma-informed psychiatric services, both in person and remotely. I love getting to know my clients and their stories; everyone has unique strengths to draw upon in treatment. For the past ten years I have provided psychiatric services to clients of all ages. I have additional training and specialization in child, adolescent, and young adult psychiatric care, as well as LGBTQIA+ care.
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Melissa Hawkins
Psychiatric Nurse Practitioner, DNP, PMHNPB, ANP-C
Issaquah, WA 98027
Melissa’s true passion lies in mental health. She is dedicated to providing innovative, evidence-based psychiatric services that support healing, resilience, and whole-person wellness. Her practice philosophy centers on creating a safe, compassionate, and empowering therapeutic environment where individuals feel genuinely heard, respected, and supported. She believes in partnering closely with individuals on their wellness journey and helping them realize their full potential.
Melissa’s true passion lies in mental health. She is dedicated to providing innovative, evidence-based psychiatric services that support healing, resilience, and whole-person wellness. Her practice philosophy centers on creating a safe, compassionate, and empowering therapeutic environment where individuals feel genuinely heard, respected, and supported. She believes in partnering closely with individuals on their wellness journey and helping them realize their full potential.
(425) 966-2046 View (425) 966-2046
Saskia VonMichalofski
Psychiatric Nurse Practitioner, MSN, ARNP
Issaquah, WA 98027
I am a Board Certified Psychiatric Nurse Practitioner in Washington State ( License AP60003268). I received Baccalaureate Degrees in Psychology and Nursing from the University of Washington in 1988, and a Master's Degree in Advanced Practice Psychiatric Nursing from the University of Washington in 2007. I worked in inpatient and outpatient settings as a Psychiatric Nurse and have experience working with children, adolescents and adults in an outpatient setting as a Psychiatric ARNP. In my free time I enjoy hiking, skiing, trail running and reading.
I am a Board Certified Psychiatric Nurse Practitioner in Washington State ( License AP60003268). I received Baccalaureate Degrees in Psychology and Nursing from the University of Washington in 1988, and a Master's Degree in Advanced Practice Psychiatric Nursing from the University of Washington in 2007. I worked in inpatient and outpatient settings as a Psychiatric Nurse and have experience working with children, adolescents and adults in an outpatient setting as a Psychiatric ARNP. In my free time I enjoy hiking, skiing, trail running and reading.
(425) 390-8875 View (425) 390-8875
Neupathway LLC (Leslee Blaze)
Psychiatric Nurse Practitioner, APRN, MSN, BSN
Issaquah, WA 98027
Great News! Leslee Blaze is now accepting new patients for psychiatric medication management—with appointments in as little as 48 hours and Saturday availability! Picture yourself stepping into a welcoming virtual space where crushing anxiety, lingering depression, sleepless nights, or roller-coaster moods meet expert attention and genuine compassion. Get lightning-fast access to evidence-based medication support, crystal-clear guidance, and a judgment-free zone—all tailored to help you reclaim stability, confidence, and peace of mind, sooner than you thought possible.
Great News! Leslee Blaze is now accepting new patients for psychiatric medication management—with appointments in as little as 48 hours and Saturday availability! Picture yourself stepping into a welcoming virtual space where crushing anxiety, lingering depression, sleepless nights, or roller-coaster moods meet expert attention and genuine compassion. Get lightning-fast access to evidence-based medication support, crystal-clear guidance, and a judgment-free zone—all tailored to help you reclaim stability, confidence, and peace of mind, sooner than you thought possible.
(425) 225-3537 View (425) 225-3537
Neupathway (Julian Montanez)
Psychiatric Nurse Practitioner, APRN, PMHNP-B, MSN, BSN
Issaquah, WA 98027
Great News! Julian Montanez is now accepting new patients for psychiatric medication management—with appointments in as little as 48 hours and Saturday availability! Picture yourself stepping into a welcoming virtual space where crushing anxiety, lingering depression, sleepless nights, or roller-coaster moods meet expert attention and genuine compassion. Get lightning-fast access to evidence-based medication support, crystal-clear guidance, and a judgment-free zone—all tailored to help you reclaim stability, confidence, and peace of mind, sooner than you thought possible.
Great News! Julian Montanez is now accepting new patients for psychiatric medication management—with appointments in as little as 48 hours and Saturday availability! Picture yourself stepping into a welcoming virtual space where crushing anxiety, lingering depression, sleepless nights, or roller-coaster moods meet expert attention and genuine compassion. Get lightning-fast access to evidence-based medication support, crystal-clear guidance, and a judgment-free zone—all tailored to help you reclaim stability, confidence, and peace of mind, sooner than you thought possible.
(425) 842-2526 View (425) 842-2526
Dr. Rachael Davison
Psychiatric Nurse Practitioner, DNP, PMHNP
Online Only
Dr. Davison is a board-certified Psychiatric nurse practitioner that enjoy working with patients across the lifespan and have particular interests in Anxiety disorders, ADHD, Depression and Bipolar disorder. She strives to create positive and lasting change for her patients by utilizing both pharmacotherapy and holistic treatment options by understanding the biological basis of mental health disorders along with the psychosocial stressors. Please contact me to arrange a Video conference.
Dr. Davison is a board-certified Psychiatric nurse practitioner that enjoy working with patients across the lifespan and have particular interests in Anxiety disorders, ADHD, Depression and Bipolar disorder. She strives to create positive and lasting change for her patients by utilizing both pharmacotherapy and holistic treatment options by understanding the biological basis of mental health disorders along with the psychosocial stressors. Please contact me to arrange a Video conference.
(206) 501-4342 View (206) 501-4342
Rachel Lee
Psychiatric Nurse Practitioner, FNP, PMHNP
Issaquah, WA 98027
Rachel Lee is a dual Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner (FNP), that treats patients across the lifespan. She is experienced in both Pediatric and Adult care and has worked in a multitude of clinical environments. Rachel earned her undergraduate degree from Western Washington University and completed her graduate studies at Seattle University (FNP) and Frontier Nursing University (PMHNP). She enjoys creating tailored holistic treatment plans for her patients, integrating pharmacotherapy and therapeutic modalities of care.
Rachel Lee is a dual Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner (FNP), that treats patients across the lifespan. She is experienced in both Pediatric and Adult care and has worked in a multitude of clinical environments. Rachel earned her undergraduate degree from Western Washington University and completed her graduate studies at Seattle University (FNP) and Frontier Nursing University (PMHNP). She enjoys creating tailored holistic treatment plans for her patients, integrating pharmacotherapy and therapeutic modalities of care.
(206) 501-4342 View (206) 501-4342
Neupathway (Gabriel Taylor-Parsons)
Psychiatric Nurse Practitioner, MSN, PMHNP
Issaquah, WA 98027
Imagine a clinic dedicated to serving individuals across the lifespan—where mental health care is both evidence-based and deeply compassionate. This clinic supports patients facing PTSD, anxiety, depression, ADHD, and mood disorders. Their goal is to provide timely, personalized care that meets the diverse needs of their community, including veterans and underserved populations. They seek a provider who brings strong clinical expertise, cultural competence, and a heart for those who often go unseen or unheard in traditional systems.
Imagine a clinic dedicated to serving individuals across the lifespan—where mental health care is both evidence-based and deeply compassionate. This clinic supports patients facing PTSD, anxiety, depression, ADHD, and mood disorders. Their goal is to provide timely, personalized care that meets the diverse needs of their community, including veterans and underserved populations. They seek a provider who brings strong clinical expertise, cultural competence, and a heart for those who often go unseen or unheard in traditional systems.
(407) 413-8342 View (407) 413-8342
Dr. Hayley Roozen
Psychiatric Nurse Practitioner, DNP
Issaquah, WA 98027
Dr. Hayley Roozen is a board-certified Psychiatric Nurse practitioner that earned her nursing degree from the University of Washington. A pacific northwest native, she enjoys serving patients within the greater Seattle & East side communities. She is qualified to treat a wide variety of mental health issues across the lifespan. Dr. Roozen utilizes an holistic approach, to improving the mental health of his patients.
Dr. Hayley Roozen is a board-certified Psychiatric Nurse practitioner that earned her nursing degree from the University of Washington. A pacific northwest native, she enjoys serving patients within the greater Seattle & East side communities. She is qualified to treat a wide variety of mental health issues across the lifespan. Dr. Roozen utilizes an holistic approach, to improving the mental health of his patients.
(206) 501-4342 View (206) 501-4342
Dr. Jessica Norman
Psychiatric Nurse Practitioner, PMHNP
Issaquah, WA 98027
Jessica is a board-licensed psychiatric nurse practitioner with experience treating patients across the lifespan. Jessica's educational background includes a Master's of Science in Nursing from Maryville University and a Bachelor's of Science in Nursing from the University of Hawaii at Manoa. Jessica's specialization is in management of psychiatric medications and provides consultation and ongoing management for common mental health disorders such as ADHD, Autism Spectrum Disorder, Mood Disorders, Personality Disorders, Anxiety and Depression, Sleep Disorders, Eating Disorders, Obsessive-Compulsive Disorder, Psychotic Disorders, a
Jessica is a board-licensed psychiatric nurse practitioner with experience treating patients across the lifespan. Jessica's educational background includes a Master's of Science in Nursing from Maryville University and a Bachelor's of Science in Nursing from the University of Hawaii at Manoa. Jessica's specialization is in management of psychiatric medications and provides consultation and ongoing management for common mental health disorders such as ADHD, Autism Spectrum Disorder, Mood Disorders, Personality Disorders, Anxiety and Depression, Sleep Disorders, Eating Disorders, Obsessive-Compulsive Disorder, Psychotic Disorders, a
(206) 501-4342 View (206) 501-4342
Sara Worthington
Psychiatric Nurse Practitioner, PMHNP
Online Only
I work with teens and adults navigating challenges such as anxiety, ADHD, mood disorders, grief, or identity concerns. They may struggle with focus, emotional regulation, relationships, or life transitions. What they want most is to feel understood, develop healthy coping skills, and build resilience. Their goals often center on gaining clarity, stability, and confidence so they can thrive in school, work, and relationships, while feeling empowered to live authentically.
I work with teens and adults navigating challenges such as anxiety, ADHD, mood disorders, grief, or identity concerns. They may struggle with focus, emotional regulation, relationships, or life transitions. What they want most is to feel understood, develop healthy coping skills, and build resilience. Their goals often center on gaining clarity, stability, and confidence so they can thrive in school, work, and relationships, while feeling empowered to live authentically.
(503) 741-8765 View (503) 741-8765
Chelsea Ratchford
Psychiatric Nurse, DNP, PMHNP
Issaquah, WA 98027
Chelsea Ratchford is a Psychiatric Mental Health Nurse Practitioner in Washington who has been practicing since 2024. Chelsea is here to help you achieve the life you want. She offers nonjudgmental care to patients. Together, you and Chelsea can decide on the treatment plan that best fits your lifestyle. She will provide support to help you manage symptoms, improve coping skills, and work through emotional challenges to foster resilience and promote mental well-being, whatever that looks like to you. Chelsea will provide education about your mental health condition, including symptoms, triggers, and potential treatment options.
Chelsea Ratchford is a Psychiatric Mental Health Nurse Practitioner in Washington who has been practicing since 2024. Chelsea is here to help you achieve the life you want. She offers nonjudgmental care to patients. Together, you and Chelsea can decide on the treatment plan that best fits your lifestyle. She will provide support to help you manage symptoms, improve coping skills, and work through emotional challenges to foster resilience and promote mental well-being, whatever that looks like to you. Chelsea will provide education about your mental health condition, including symptoms, triggers, and potential treatment options.
(425) 395-8610 View (425) 395-8610

See more therapy options for Issaquah

How does your Psychiatrist compare?

Number of Psychiatrists in Issaquah, WA

60+

Average cost per session

$175

Psychiatrists in Issaquah, WA who prioritize treating:

97% Anxiety
92% Depression
85% Bipolar Disorder
80% ADHD
78% Medication Management
77% Obsessive-Compulsive (OCD)
75% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

92% Cigna and Evernorth
89% Aetna
85% Regence

How Psychiatrists in Issaquah, WA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Issaquah?

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.