Psychiatrists in Jefferson County, WA

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Photo of April JoAnn Matzenbacher, Psychiatric Nurse Practitioner, RN, MSN, PMHNPBC
April JoAnn Matzenbacher
Psychiatric Nurse Practitioner, RN, MSN, PMHNPBC
Port Townsend, WA 98368
The greatest lesson that I have received in my role as a healthcare professional is that most human suffering is rooted in emotional and cognitive difficulty. These challenges often stem from pain or trauma, typically early in our development. The mind is an organ like any other in the body; as such, it needs care and healing from time to time! Often, the most impactful modality one can offer is that of human empathy and kindness. My fervent hope is to assist those who suffer to attain strength, resiliency, and inner peace.
The greatest lesson that I have received in my role as a healthcare professional is that most human suffering is rooted in emotional and cognitive difficulty. These challenges often stem from pain or trauma, typically early in our development. The mind is an organ like any other in the body; as such, it needs care and healing from time to time! Often, the most impactful modality one can offer is that of human empathy and kindness. My fervent hope is to assist those who suffer to attain strength, resiliency, and inner peace.
(360) 800-1705 View (360) 800-1705
Photo of Michael M Defilippo, Psychiatric Nurse, DNP, ARNP, PMHNP
Michael M Defilippo
Psychiatric Nurse, DNP, ARNP, PMHNP
2 Endorsed
Online Only
I work with children, adolescents, and adults (ages 5 and older) performing comprehensive psychiatric evaluations utilizing both a psychopharmacologic and brief supportive psychotherapeutic approach with a cognitive behavioral underpinning. I have experience in the diagnosis and treatment of a wide range of psychiatric syndromes. My knowledge and training add an invaluable perspective into the integrated nature of mental illness. I believe in collaborative integrated care to ensure optimal mental health.
I work with children, adolescents, and adults (ages 5 and older) performing comprehensive psychiatric evaluations utilizing both a psychopharmacologic and brief supportive psychotherapeutic approach with a cognitive behavioral underpinning. I have experience in the diagnosis and treatment of a wide range of psychiatric syndromes. My knowledge and training add an invaluable perspective into the integrated nature of mental illness. I believe in collaborative integrated care to ensure optimal mental health.
(360) 301-7445 View (360) 301-7445
Photo of Moniquea Degan, Psychiatric Nurse Practitioner, PMHNP, FNP
Moniquea Degan
Psychiatric Nurse Practitioner, PMHNP, FNP
1 Endorsed
Port Townsend, WA 98368
Are you overwhelmed by life stress? Are you struggling with anxiety, lack of focus, or mood changes? You have inner wisdom and strength. Together, we can identify the root causes of distress and find a path forward to hope and wellness. I partner with each person to find unique solutions tailored to you. As both a family nurse practitioner and a psychiatric nurse practitioner, I use a holistic approach to promote mental, physical, and emotional well-being. I use medications, supplements, therapy, nutrition, and testing (genetic, hormone, and gut health), blending traditional practices and western medical treatments.
Are you overwhelmed by life stress? Are you struggling with anxiety, lack of focus, or mood changes? You have inner wisdom and strength. Together, we can identify the root causes of distress and find a path forward to hope and wellness. I partner with each person to find unique solutions tailored to you. As both a family nurse practitioner and a psychiatric nurse practitioner, I use a holistic approach to promote mental, physical, and emotional well-being. I use medications, supplements, therapy, nutrition, and testing (genetic, hormone, and gut health), blending traditional practices and western medical treatments.
(360) 900-1483 View (360) 900-1483
Photo of Anne Koomen, Psychiatric Nurse Practitioner, MS, ARNP, PMHNP
Anne Koomen
Psychiatric Nurse Practitioner, MS, ARNP, PMHNP
3 Endorsed
Online Only
You’ve done the research. You’ve tried the tips. But nothing’s clicking—and now, everything feels harder than it should. More often than not, your thoughts feel foggy, your mood unpredictable, and your patience worn thin. Maybe you’re forgetting appointments, snapping at your partner, or feeling disconnected from the people you love. I work with adults, especially women, who are tired of pushing through. Whether you’re navigating anxiety, ADHD, depression, or hormonal shifts, I provide thoughtful diagnosis and whole-person psychiatric care that helps you finally understand what’s happening—and what can help.
You’ve done the research. You’ve tried the tips. But nothing’s clicking—and now, everything feels harder than it should. More often than not, your thoughts feel foggy, your mood unpredictable, and your patience worn thin. Maybe you’re forgetting appointments, snapping at your partner, or feeling disconnected from the people you love. I work with adults, especially women, who are tired of pushing through. Whether you’re navigating anxiety, ADHD, depression, or hormonal shifts, I provide thoughtful diagnosis and whole-person psychiatric care that helps you finally understand what’s happening—and what can help.
(206) 202-6352 View (206) 202-6352
Photo of Olivia Kramm, Psychiatric Nurse Practitioner, PMHNPBC
Olivia Kramm
Psychiatric Nurse Practitioner, PMHNPBC
Serves Area
ADHD screening available, no waiting; in-person option available; new patient seen same week. My ideal client is ready to move beyond just getting by — seeking focus, motivation, and confidence through a supportive partnership that empowers them to take control of their life. As a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with years of experience in behavioral health, I am here to guide you through it all.
ADHD screening available, no waiting; in-person option available; new patient seen same week. My ideal client is ready to move beyond just getting by — seeking focus, motivation, and confidence through a supportive partnership that empowers them to take control of their life. As a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with years of experience in behavioral health, I am here to guide you through it all.
(253) 364-7361 View (253) 364-7361
Photo of Chanel Ruby Jost, Psychiatric Nurse Practitioner, PMHNP
Chanel Ruby Jost
Psychiatric Nurse Practitioner, PMHNP
Online Only
I offer psychiatric evaluation, medication management, and supportive therapy to adolescents and adults ages 15-50. My goal is to listen to you, hear you, and collaborate with you to find a path towards greater equanimity and vitality.
I offer psychiatric evaluation, medication management, and supportive therapy to adolescents and adults ages 15-50. My goal is to listen to you, hear you, and collaborate with you to find a path towards greater equanimity and vitality.
(360) 774-4236 View (360) 774-4236

Online Psychiatrists

Photo of Lucy Potyomkin, Psychiatric Nurse Practitioner, ARNP, PMHP-BC
Lucy Potyomkin
Psychiatric Nurse Practitioner, ARNP, PMHP-BC
Online Only
I am a board certified psychiatric nurse practitioner. I employ evidence-based, holistic mental health practices and believe that improving mental health should encompass creating wellness in an individual’s entire being; this concept further incorporates social, physical, behavioral, psychological and environmental aspects of that individual. In providing patient-centered care, I am committed to closely working with and supporting each individual in meeting their unique objectives aimed at achieving and sustaining optimal mental health.
I am a board certified psychiatric nurse practitioner. I employ evidence-based, holistic mental health practices and believe that improving mental health should encompass creating wellness in an individual’s entire being; this concept further incorporates social, physical, behavioral, psychological and environmental aspects of that individual. In providing patient-centered care, I am committed to closely working with and supporting each individual in meeting their unique objectives aimed at achieving and sustaining optimal mental health.
(425) 689-7793 View (425) 689-7793
Photo of Charlene Lacambra, Psychiatric Nurse Practitioner, PMHNP
Charlene Lacambra
Psychiatric Nurse Practitioner, PMHNP
Bellevue, WA 98006
◆ Feeling Uncertain which medications & holistic approaches are right for you? ◆ Are You Tired of your symptoms keeping you from a better life? Rushed visits in psychiatry often leave important details overlooked. I provide personalized, holistic medication management to help you overcome your symptoms for lasting, life changing results. ⇒ See What’s Possible Now…
◆ Feeling Uncertain which medications & holistic approaches are right for you? ◆ Are You Tired of your symptoms keeping you from a better life? Rushed visits in psychiatry often leave important details overlooked. I provide personalized, holistic medication management to help you overcome your symptoms for lasting, life changing results. ⇒ See What’s Possible Now…
(206) 823-1745 View (206) 823-1745
Photo of Tchido Yao - Heramba Mental Healthcare, PLLC, Psychiatric Nurse Practitioner, DNP, ARNP, PMHNPBC
Heramba Mental Healthcare, PLLC
Psychiatric Nurse Practitioner, DNP, ARNP, PMHNPBC
Des Moines, WA 98198
We accept new clients every day throughout the year. We are opened Mondays through Saturdays. We accept all insurances, Medicaid, and Medicare. We do have telepsychiatry, telemedicine, or telehealth availability. We are opened every day, include Saturdays and Sundays. Mental health disorders impact people from a broad spectrum of the population. We love to help and support people. We are passionate about our patients’ psychiatric health and wellbeing. We spend time listening to our clients. We take into considerations our clients’ preferences and complaints.
We accept new clients every day throughout the year. We are opened Mondays through Saturdays. We accept all insurances, Medicaid, and Medicare. We do have telepsychiatry, telemedicine, or telehealth availability. We are opened every day, include Saturdays and Sundays. Mental health disorders impact people from a broad spectrum of the population. We love to help and support people. We are passionate about our patients’ psychiatric health and wellbeing. We spend time listening to our clients. We take into considerations our clients’ preferences and complaints.
(253) 243-0215 View (253) 243-0215
Photo of Laura Walker, Psychiatric Nurse Practitioner, DNP, PMHNP, BC
Laura Walker
Psychiatric Nurse Practitioner, DNP, PMHNP, BC
10 Endorsed
University Place, WA 98466
I am a Psychiatric Mental Health Nurse Practitioner (PMHNP) with a passion for providing comprehensive mental health care to adults age 18+. My mission is to foster a comfortable and collaborative environment to support your mental wellbeing. My treatment approach combines evidence-based practices with a person-centered perspective, allowing for my clients to be the expert in their lived experiences.
I am a Psychiatric Mental Health Nurse Practitioner (PMHNP) with a passion for providing comprehensive mental health care to adults age 18+. My mission is to foster a comfortable and collaborative environment to support your mental wellbeing. My treatment approach combines evidence-based practices with a person-centered perspective, allowing for my clients to be the expert in their lived experiences.
(253) 243-2295 View (253) 243-2295
Photo of Kiranjot (Kiran) K. Gill, Psychiatric Nurse Practitioner, MSN, PMHNP
Kiranjot (Kiran) K. Gill
Psychiatric Nurse Practitioner, MSN, PMHNP
Bellevue, WA 98004
To schedule with Kiran, please go to www.hushforms.com/soundmindrequest and complete the request form. - Everyone has strengths, no one is without strengths. “When you go through hardships and decide not to surrender, that is strength”. Kiran partners with clients to identify their challenges and strengths, explore opportunities for growth, and discover pathways for empowerment, ease and healing. She provides medication management for adults 18 to 60. Her expertise lies in treating depression, anxiety disorder, adult ADHD, and difficulties faced by young adults.
To schedule with Kiran, please go to www.hushforms.com/soundmindrequest and complete the request form. - Everyone has strengths, no one is without strengths. “When you go through hardships and decide not to surrender, that is strength”. Kiran partners with clients to identify their challenges and strengths, explore opportunities for growth, and discover pathways for empowerment, ease and healing. She provides medication management for adults 18 to 60. Her expertise lies in treating depression, anxiety disorder, adult ADHD, and difficulties faced by young adults.
(206) 457-2689 View (206) 457-2689
Photo of Libby Lynn, Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, PMH-C
Libby Lynn
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP, PMH-C
1 Endorsed
Bellevue, WA 98004
"I wish I was a better parent" "Why do I keep yelling at my kids?" "Am I ready for pregnancy? Labor? Can I give birth?" These are all important questions and valid feelings that we experience as parents - whether it's your first baby or your fourth child, parenting is HARD. The unique changes that occur while growing a family push and pull us in ways that we could not have imagined prior to having children. Navigating our new identities, unsolicited advice from every direction and the stigma associated with admitting that we don't feel like ourselves can cause feelings of isolation and fear. You are not alone!
"I wish I was a better parent" "Why do I keep yelling at my kids?" "Am I ready for pregnancy? Labor? Can I give birth?" These are all important questions and valid feelings that we experience as parents - whether it's your first baby or your fourth child, parenting is HARD. The unique changes that occur while growing a family push and pull us in ways that we could not have imagined prior to having children. Navigating our new identities, unsolicited advice from every direction and the stigma associated with admitting that we don't feel like ourselves can cause feelings of isolation and fear. You are not alone!
(208) 858-5280 View (208) 858-5280
Photo of Pascale Davis - VirtualPsychiatricCare.com, Psychiatric Nurse Practitioner, MSN, PMHNP, APRN
VirtualPsychiatricCare.com
Psychiatric Nurse Practitioner, MSN, PMHNP, APRN
Online Only
We are board-certified in treating Children and Adults. Accepting new Washington patients via telehealth visits for psychiatric evaluations and medication management. Our clients are looking for a holistic approach to proper diagnoses and treatment using the safest prescribing principles in addition to complementary and integrative offerings. Make your appointment on our website today. Evening and weekend hours are available. Accepting most major insurances plans. Affordable out-of-pocket rates.
We are board-certified in treating Children and Adults. Accepting new Washington patients via telehealth visits for psychiatric evaluations and medication management. Our clients are looking for a holistic approach to proper diagnoses and treatment using the safest prescribing principles in addition to complementary and integrative offerings. Make your appointment on our website today. Evening and weekend hours are available. Accepting most major insurances plans. Affordable out-of-pocket rates.
(253) 650-0098 View (253) 650-0098
Photo of Deanna Bronfermakher, Psychiatric Nurse Practitioner, PMHNP
Deanna Bronfermakher
Psychiatric Nurse Practitioner, PMHNP
Online Only
Deanna Bronfermakher is a Psychiatric Mental Health Nurse Practitioner in Washington who has been practicing since 2015. Deanna offers a holistic approach to medication management in which she addresses your individual needs. Together, you will address your concerns, establish an appropriate treatment plan, and help you overcome those personal obstacles that have impacted your quality of life. Using a comprehensive approach to care, Deanna evaluates and treats symptoms such as those associated with depression, anxiety, trauma, and other psychiatric conditions.
Deanna Bronfermakher is a Psychiatric Mental Health Nurse Practitioner in Washington who has been practicing since 2015. Deanna offers a holistic approach to medication management in which she addresses your individual needs. Together, you will address your concerns, establish an appropriate treatment plan, and help you overcome those personal obstacles that have impacted your quality of life. Using a comprehensive approach to care, Deanna evaluates and treats symptoms such as those associated with depression, anxiety, trauma, and other psychiatric conditions.
(425) 541-1304 View (425) 541-1304
Photo of Alexis Ali, Psychiatric Nurse Practitioner, ARNP, PMHNP
Alexis Ali
Psychiatric Nurse Practitioner, ARNP, PMHNP
1 Endorsed
Bellevue, WA 98005
Alexis Ali MSN, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner at Osborne Psychiatry and Wellness. Alexis has over 4 years experience working in outpatient mental health. Her background includes medication management, as well as providing TMS and Spravato services for treatment resistant depression. She specializes in treating ADHD, depression, anxiety, bipolar disorder, OCD, autism, and PTSD. She strives to foster collaboration with her patients, and helps to support them in the medical decisions that are made in the course of their treatment.
Alexis Ali MSN, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner at Osborne Psychiatry and Wellness. Alexis has over 4 years experience working in outpatient mental health. Her background includes medication management, as well as providing TMS and Spravato services for treatment resistant depression. She specializes in treating ADHD, depression, anxiety, bipolar disorder, OCD, autism, and PTSD. She strives to foster collaboration with her patients, and helps to support them in the medical decisions that are made in the course of their treatment.
(971) 396-5858 View (971) 396-5858
Photo of Cicely B. Hooten, Psychiatric Nurse Practitioner, PMNHP, ACNS
Cicely B. Hooten
Psychiatric Nurse Practitioner, PMNHP, ACNS
Online Only
Welcome! I am a psychiatric mental health nurse practitioner with over 16 years of experience in behavioral health. My journey began as a registered nurse, and my dedication to expanding access to compassionate, high-quality mental health care led me to pursue advanced practice certification. I am committed to recognizing each patient as a unique individual, honoring both your personal story and shared human experiences.
Welcome! I am a psychiatric mental health nurse practitioner with over 16 years of experience in behavioral health. My journey began as a registered nurse, and my dedication to expanding access to compassionate, high-quality mental health care led me to pursue advanced practice certification. I am committed to recognizing each patient as a unique individual, honoring both your personal story and shared human experiences.
(303) 622-0498 View (303) 622-0498
Photo of Clare Coetzer, Psychiatric Nurse Practitioner, DNP, PMHNP, LICSW, PMH-C
Clare Coetzer
Psychiatric Nurse Practitioner, DNP, PMHNP, LICSW, PMH-C
Online Only
Everyone has a story worth telling. I'm here to listen- without judgment, with compassion and with care. As a dually licensed therapist and psychiatric nurse practitioner, I bring a unique blend of medical expertise and therapeutic insight and experience to support you on your journey. Together, we will work toward healing and growth- at your own pace and on your terms.
Everyone has a story worth telling. I'm here to listen- without judgment, with compassion and with care. As a dually licensed therapist and psychiatric nurse practitioner, I bring a unique blend of medical expertise and therapeutic insight and experience to support you on your journey. Together, we will work toward healing and growth- at your own pace and on your terms.
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Photo of Rodolfo A Trivisonno - Dr T Psychiatry, Psychiatrist, MD
Dr T Psychiatry
Psychiatrist, MD
1 Endorsed
Online Only
In these times of COVID-19 Are you feeling Anxious and WORRIED? Do you feel depressed? Have your previous treatments failed? Are you experiencing problems remembering things and maintaining a normal weight? Do you suffer from panic attacks, anxiety, trauma issues? Do you experience painful shyness? Are you haunted by unexplained physical symptoms and the doctors have said that "it is all in your head?" I am here to help you.
In these times of COVID-19 Are you feeling Anxious and WORRIED? Do you feel depressed? Have your previous treatments failed? Are you experiencing problems remembering things and maintaining a normal weight? Do you suffer from panic attacks, anxiety, trauma issues? Do you experience painful shyness? Are you haunted by unexplained physical symptoms and the doctors have said that "it is all in your head?" I am here to help you.
(425) 312-6188 View (425) 312-6188
Photo of Kevin Cantos, Psychiatric Nurse Practitioner, ARNP, FNP, PMHNP
Kevin Cantos
Psychiatric Nurse Practitioner, ARNP, FNP, PMHNP
1 Endorsed
Renton, WA 98057
I am a double board-certified Nurse Practitioner in both Psychiatric-Mental Health and Family Practice. I provide comprehensive and compassionate care for individuals seeking balance, healing, and clarity. My approach integrates both physical and mental health, emphasizing that achieving wellness begins when we treat the whole person and not just symptoms. I have worked in health care for over 10 years. I have experience in hospital and outpatient settings. For the last 2 years have specialized in treating, treatment-resistant depression by use of Intravenous Ketamine Therapy.
I am a double board-certified Nurse Practitioner in both Psychiatric-Mental Health and Family Practice. I provide comprehensive and compassionate care for individuals seeking balance, healing, and clarity. My approach integrates both physical and mental health, emphasizing that achieving wellness begins when we treat the whole person and not just symptoms. I have worked in health care for over 10 years. I have experience in hospital and outpatient settings. For the last 2 years have specialized in treating, treatment-resistant depression by use of Intravenous Ketamine Therapy.
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Photo of Heather King, Psychiatric Nurse Practitioner, PMHNP, BC, PhD
Heather King
Psychiatric Nurse Practitioner, PMHNP, BC, PhD
1 Endorsed
Gig Harbor, WA 98335
Hello, I'm Heather and I am glad you are here! My goal is to empower you to show up as you are and feel truly cared for, valued, heard, safe, and trusted. I have a safe welcoming environment and stive to provide the best care possible. Every individual is unique and this means that care should be individualized and tailored to meet your needs. I take a lot of pride in getting to know individuals and work to develop collaborative, evidence-based, individualized care to help you on your wellness journey. I am compassionate about caring, but also direct. I love working with clients ready to make positive changes in their lives!
Hello, I'm Heather and I am glad you are here! My goal is to empower you to show up as you are and feel truly cared for, valued, heard, safe, and trusted. I have a safe welcoming environment and stive to provide the best care possible. Every individual is unique and this means that care should be individualized and tailored to meet your needs. I take a lot of pride in getting to know individuals and work to develop collaborative, evidence-based, individualized care to help you on your wellness journey. I am compassionate about caring, but also direct. I love working with clients ready to make positive changes in their lives!
(253) 364-0576 View (253) 364-0576

See more therapy options for Jefferson County

How does your Psychiatrist compare?

Number of Psychiatrists in Jefferson County, WA

< 10

Psychiatrists in Jefferson County, WA who prioritize treating:

100% Depression
100% ADHD
100% Anxiety
100% Bipolar Disorder
100% Medication Management
100% Self Esteem
83% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

100% Premera Blue Cross
80% Regence
60% First Choice Health | FCH

How Psychiatrists in Jefferson County, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Jefferson 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.