Psychiatrists in Olympia, WA

Photo of Keanna Smith, Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
Keanna Smith
Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
1 Endorsed
Olympia, WA 98502
I am currently accepting new patients and have appointments available this week. As Stephen Porges said, “Safety is not the absence of threat, it is the presence of connection.” I believe healing begins in a space of acceptance, curiosity, and compassion. I work with adults, adolescents, and children navigating challenges like anxiety, depression, ADHD, trauma, and burnout. My approach blends evidence-based psychiatric care with a holistic perspective, helping you feel understood, supported, and empowered to move forward.
I am currently accepting new patients and have appointments available this week. As Stephen Porges said, “Safety is not the absence of threat, it is the presence of connection.” I believe healing begins in a space of acceptance, curiosity, and compassion. I work with adults, adolescents, and children navigating challenges like anxiety, depression, ADHD, trauma, and burnout. My approach blends evidence-based psychiatric care with a holistic perspective, helping you feel understood, supported, and empowered to move forward.
(360) 469-6817 View (360) 469-6817
Photo of Margaret Gorelick, Psychiatric Nurse Practitioner, PMHNP
Margaret Gorelick
Psychiatric Nurse Practitioner, PMHNP
Online Only
Margaret Gorelick is a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) through the ANCC. She earned her Master of Science in Nursing from Fairfield University and her Bachelor of Science in Nursing from Western Connecticut State University. With 10 years of psychiatric experience, she began her career at MedStar Georgetown University Hospital in neurology and neurosurgery, later transitioning to psychiatry at Yale New Haven Hospital and Stamford Hospital. She provides outpatient medication management and psychotherapy, including psychodynamic therapy and CBT, for adults 18+, and has led grief support groups.
Margaret Gorelick is a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) through the ANCC. She earned her Master of Science in Nursing from Fairfield University and her Bachelor of Science in Nursing from Western Connecticut State University. With 10 years of psychiatric experience, she began her career at MedStar Georgetown University Hospital in neurology and neurosurgery, later transitioning to psychiatry at Yale New Haven Hospital and Stamford Hospital. She provides outpatient medication management and psychotherapy, including psychodynamic therapy and CBT, for adults 18+, and has led grief support groups.
(360) 889-5049 View (360) 889-5049
Photo of Dr. Charles Engel, Psychiatrist, MD
Dr. Charles Engel
Psychiatrist, MD
Online Only
Dr. Charles Engel is a board-certified psychiatrist who earned his MD and MPH from the University of Washington in Seattle. He completed his psychiatry residency at Letterman Army Medical Center in San Francisco and a fellowship in psychosomatic medicine at the University of Washington Medical Center. He has held clinical, research, teaching, policy, and administrative roles at Walter Reed Army Medical Center, the Uniformed Services University of the Health Sciences, the Seattle VA Medical Center, and most recently served as Professor of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine.
Dr. Charles Engel is a board-certified psychiatrist who earned his MD and MPH from the University of Washington in Seattle. He completed his psychiatry residency at Letterman Army Medical Center in San Francisco and a fellowship in psychosomatic medicine at the University of Washington Medical Center. He has held clinical, research, teaching, policy, and administrative roles at Walter Reed Army Medical Center, the Uniformed Services University of the Health Sciences, the Seattle VA Medical Center, and most recently served as Professor of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine.
(360) 677-3602 View (360) 677-3602
Photo of Desirae Dorsey - ADHD, Autism, Anxiety Testing Anywhere Wellness, Psychiatric Nurse Practitioner, ARNP, PMHNP
ADHD, Autism, Anxiety Testing Anywhere Wellness
Psychiatric Nurse Practitioner, ARNP, PMHNP
Online Only
At Anywhere Wellness, we understand that every mind works differently and that’s something to be embraced, not fixed. Many of the individuals we work with have spent years feeling misunderstood, overlooked, or unsure why daily life feels harder than it should. Whether you’re struggling to focus, manage anxiety, navigate relationships, or wondering if ADHD or Autism might be part of your story, our team is here to help you find answers and relief.
At Anywhere Wellness, we understand that every mind works differently and that’s something to be embraced, not fixed. Many of the individuals we work with have spent years feeling misunderstood, overlooked, or unsure why daily life feels harder than it should. Whether you’re struggling to focus, manage anxiety, navigate relationships, or wondering if ADHD or Autism might be part of your story, our team is here to help you find answers and relief.
(360) 774-4167 View (360) 774-4167
Photo of Dr. Timothy Kelly, Psychiatrist, MD
Dr. Timothy Kelly
Psychiatrist, MD
Online Only
Dr. Tim Kelly specializes in adult psychiatry. His practice focuses primarily on medication management but often incorporates aspects of supportive, psychodynamic, and cognitive behavioral therapies into his 30-minute follow-up visits. Dr. Kelly also strongly believes in working in conjunction with therapists for the best possible outcomes for his patients. He feels it is important to create strong therapeutic relationships with his patients in order to help patients achieve their treatment goals.
Dr. Tim Kelly specializes in adult psychiatry. His practice focuses primarily on medication management but often incorporates aspects of supportive, psychodynamic, and cognitive behavioral therapies into his 30-minute follow-up visits. Dr. Kelly also strongly believes in working in conjunction with therapists for the best possible outcomes for his patients. He feels it is important to create strong therapeutic relationships with his patients in order to help patients achieve their treatment goals.
(833) 749-5700 View (833) 749-5700
Photo of Diana Wilcox - Clear TMS+, Psychiatric Nurse Practitioner, PMHNP
Clear TMS+
Psychiatric Nurse Practitioner, PMHNP
Olympia, WA 98501
Accepting new patients! We understand how difficult it can be to find a treatment that works for you. But there's no need to lose hope. TMS Therapy is an FDA-approved, revolutionary, and non-invasive solution that can help you unlock a brighter tomorrow.e offer a personalized, safe, and effective approach that can help you revitalize your well-being. We understand that every journey to mental health is unique, which is why we tailor our therapy to meet your specific needs. With TMS Therapy, you can elevate your mood, restore balance, and rediscover the joy of living. Note: we accept state insurances only for depression treatement
Accepting new patients! We understand how difficult it can be to find a treatment that works for you. But there's no need to lose hope. TMS Therapy is an FDA-approved, revolutionary, and non-invasive solution that can help you unlock a brighter tomorrow.e offer a personalized, safe, and effective approach that can help you revitalize your well-being. We understand that every journey to mental health is unique, which is why we tailor our therapy to meet your specific needs. With TMS Therapy, you can elevate your mood, restore balance, and rediscover the joy of living. Note: we accept state insurances only for depression treatement
(360) 523-1403 View (360) 523-1403
Photo of Edward Rosanski - LifeStance Health, Psychiatric Nurse Practitioner, PMHNP
LifeStance Health
Psychiatric Nurse Practitioner, PMHNP
Olympia, WA 98501
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(360) 529-3614 View (360) 529-3614
Photo of Mackenzie Pesata - Mackenzie Pesata | Autism, Anxiety, ADHD , Psychiatric Nurse Practitioner, PMHNP
Mackenzie Pesata | Autism, Anxiety, ADHD
Psychiatric Nurse Practitioner, PMHNP
Online Only
Do you ever wonder, “Why does everything feel so hard when it seems easy for everyone else?” Maybe your mind is always running, jumping between thoughts, forgetting small things, or overthinking every detail. You might feel overstimulated, burned out from masking, or stuck in patterns that leave you drained and frustrated. Whether it’s ADHD, Autism, anxiety, or just the exhaustion of trying to keep up, it’s not because you’re lazy or broken. Your brain simply works differently and that’s okay.
Do you ever wonder, “Why does everything feel so hard when it seems easy for everyone else?” Maybe your mind is always running, jumping between thoughts, forgetting small things, or overthinking every detail. You might feel overstimulated, burned out from masking, or stuck in patterns that leave you drained and frustrated. Whether it’s ADHD, Autism, anxiety, or just the exhaustion of trying to keep up, it’s not because you’re lazy or broken. Your brain simply works differently and that’s okay.
(360) 364-6521 View (360) 364-6521
Dr. Samuel Russell
Psychiatrist, PMHNP
Online Only
Dr. Samuel Russell is a psychiatrist at Talkiatry. He is board certified in Addiction Psychiatry and Adult Psychiatry. Dr. Russell’s practice focuses on evidence based treatments for psychiatric illness that utilizes a combination of medications and psychotherapy modalities best suited for an individual patient and their needs. He offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Weekly hour-long psychotherapy may be available if indicated. However, occasionally Dr. Russell may believe that different therapy is also needed and ask that you bring a therapist into your care team.
Dr. Samuel Russell is a psychiatrist at Talkiatry. He is board certified in Addiction Psychiatry and Adult Psychiatry. Dr. Russell’s practice focuses on evidence based treatments for psychiatric illness that utilizes a combination of medications and psychotherapy modalities best suited for an individual patient and their needs. He offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Weekly hour-long psychotherapy may be available if indicated. However, occasionally Dr. Russell may believe that different therapy is also needed and ask that you bring a therapist into your care team.
(833) 749-5700 View (833) 749-5700
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
Photo of Jack Mkroyan, Psychiatric Nurse Practitioner, MSN, PMHNP
Jack Mkroyan
Psychiatric Nurse Practitioner, MSN, PMHNP
2 Endorsed
Olympia, WA 98501
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.
(360) 997-5552 View (360) 997-5552
Photo of Ryan Thebo, Psychiatric Nurse Practitioner, DNP, PMHNP, FNP, CICP
Ryan Thebo
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP, CICP
2 Endorsed
Olympia, WA 98501
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.
(360) 492-4403 View (360) 492-4403
Photo of Dr. Ocean Workman, Psychiatrist, MD
Dr. Ocean Workman
Psychiatrist, MD
Online Only
Dr. Ocean Workman, MD, has experience in outpatient, inpatient, and psychiatric emergency settings. They earned their medical degree from the University of Maryland School of Medicine and completed residency in psychiatry at the University of Washington, where they served as Outpatient Chief Resident and completed an area of distinction in psychotherapy. Dr. Workman also holds a Master of Science in Nutrition and Human Performance from Logan University and is a 500-hour Registered Yoga Teacher trained in Rishikesh, India. They have a special interest in serving LGBTQIA+, kink/sex-positive, and non-monogamous communities.
Dr. Ocean Workman, MD, has experience in outpatient, inpatient, and psychiatric emergency settings. They earned their medical degree from the University of Maryland School of Medicine and completed residency in psychiatry at the University of Washington, where they served as Outpatient Chief Resident and completed an area of distinction in psychotherapy. Dr. Workman also holds a Master of Science in Nutrition and Human Performance from Logan University and is a 500-hour Registered Yoga Teacher trained in Rishikesh, India. They have a special interest in serving LGBTQIA+, kink/sex-positive, and non-monogamous communities.
(833) 749-5700 View (833) 749-5700
Photo of Tiffany Chaille, Psychiatric Nurse Practitioner, PMHNP
Tiffany Chaille
Psychiatric Nurse Practitioner, PMHNP
Online Only
Tiffany Chaille is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with nearly a decade of clinical practice and over 15 years of experience working in behavioral health. Her background includes inpatient and outpatient psychiatry, crisis-focused care, community mental health, integrated pain and psychiatry care, and telepsychiatry. She has a growing interest in functional and integrative approaches to mental health. Tiffany earned her Master of Science in Nursing as a PMHNP from Indiana University and her Bachelor of Science in Nursing from Indiana State University.
Tiffany Chaille is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with nearly a decade of clinical practice and over 15 years of experience working in behavioral health. Her background includes inpatient and outpatient psychiatry, crisis-focused care, community mental health, integrated pain and psychiatry care, and telepsychiatry. She has a growing interest in functional and integrative approaches to mental health. Tiffany earned her Master of Science in Nursing as a PMHNP from Indiana University and her Bachelor of Science in Nursing from Indiana State University.
(360) 382-2782 View (360) 382-2782
Photo of Andrea Wright - Dr Dree @ Wright Mind Family Psychiatry, Psychiatric Nurse Practitioner, D Div, PMHNP, MSN, MS, ED
Dr Dree @ Wright Mind Family Psychiatry
Psychiatric Nurse Practitioner, D Div, PMHNP, MSN, MS, ED
2 Endorsed
Olympia, WA 98516
Andrea Wright is a board-certified psychiatric nurse practitioner who has a gift when it comes to connecting with almost everyone she meets. Her energy, compassionate heart, and contagious sense of humor make everyone feel exceptionally comfortable and accepted. Wright Mind Family Psychiatry offers psychotherapy and medication management for adolescents and adults.
Andrea Wright is a board-certified psychiatric nurse practitioner who has a gift when it comes to connecting with almost everyone she meets. Her energy, compassionate heart, and contagious sense of humor make everyone feel exceptionally comfortable and accepted. Wright Mind Family Psychiatry offers psychotherapy and medication management for adolescents and adults.
(360) 309-0730 View (360) 309-0730
Photo of Maggi Hume - Evergreen Integrative Psychiatry, Psychiatric Nurse Practitioner, PMHNP
Evergreen Integrative Psychiatry
Psychiatric Nurse Practitioner, PMHNP
2 Endorsed
Olympia, WA 98506
Hi, I’m Maggi! I’m a board-certified Psychiatric–Mental Health Nurse Practitioner and Pediatric Nurse Practitioner, and the founder of Evergreen Integrative Psychiatry in Olympia, Washington. I offer both in-person appointments on Olympia’s Eastside and telehealth services throughout Washington state. I’m deeply passionate about mental health and believe care works best when it honors the whole person. My approach is integrative, collaborative, and grounded in meeting people where they are in their journey.
Hi, I’m Maggi! I’m a board-certified Psychiatric–Mental Health Nurse Practitioner and Pediatric Nurse Practitioner, and the founder of Evergreen Integrative Psychiatry in Olympia, Washington. I offer both in-person appointments on Olympia’s Eastside and telehealth services throughout Washington state. I’m deeply passionate about mental health and believe care works best when it honors the whole person. My approach is integrative, collaborative, and grounded in meeting people where they are in their journey.
(360) 495-1267 View (360) 495-1267
Photo of Kelechi Nwaorgu - Three Points Healing, Psychiatric Nurse Practitioner, DNP, PMHNP, RDN, LMHC, LICSW
Three Points Healing
Psychiatric Nurse Practitioner, DNP, PMHNP, RDN, LMHC, LICSW
Olympia, WA 98506
Three Points Healing offers new wellness tools such as Psychotherapy, Medication Management, IV Ketamine, Nasal Esketamine, Transcranial Magnetic Stimulation, Medication-Assisted Treatment (MAT), Nutritional Counseling, Medical Nutritional Therapy, Weight loss, Massage Therapy, and Rejuvenating self-care services (Spa Therapy). This holistic approach allows patients to create new connections within their bodies, adopt a positive mindset, and reach a deeper healing state.
Three Points Healing offers new wellness tools such as Psychotherapy, Medication Management, IV Ketamine, Nasal Esketamine, Transcranial Magnetic Stimulation, Medication-Assisted Treatment (MAT), Nutritional Counseling, Medical Nutritional Therapy, Weight loss, Massage Therapy, and Rejuvenating self-care services (Spa Therapy). This holistic approach allows patients to create new connections within their bodies, adopt a positive mindset, and reach a deeper healing state.
(360) 488-8211 View (360) 488-8211
Photo of Dr. Nicole Masnada, Psychiatrist, DO
Dr. Nicole Masnada
Psychiatrist, DO
Online Only
Dr. Nicole Masnada, DO, is board-certified in adult and child & adolescent psychiatry. She has experience across multiple states in inpatient, outpatient, and emergency settings, treating patients of all ages. She earned her medical degree from Midwestern University, completed residency at Banner University of Arizona Medical Center Phoenix, and fellowship at Valleywise Health Creighton Alliance Phoenix. She has also held academic faculty roles in Arizona and California and is passionate about teaching. Dr. Masnada prioritizes creating a space where patients feel heard, respected, and understood.
Dr. Nicole Masnada, DO, is board-certified in adult and child & adolescent psychiatry. She has experience across multiple states in inpatient, outpatient, and emergency settings, treating patients of all ages. She earned her medical degree from Midwestern University, completed residency at Banner University of Arizona Medical Center Phoenix, and fellowship at Valleywise Health Creighton Alliance Phoenix. She has also held academic faculty roles in Arizona and California and is passionate about teaching. Dr. Masnada prioritizes creating a space where patients feel heard, respected, and understood.
(360) 889-5122 View (360) 889-5122
Dr. Elizabeth Faust
Psychiatrist, PMHNP
Online Only
Not accepting new clients
Dr. Elizabeth Faust is board-certified in Psychiatry with a fellowship in Integrative Psychiatry. She started in Family Medicine while in the Navy, where she also was a Flight Surgeon. She has practiced medicine since 1999, focusing on Psychiatry since 2007. Dr. Faust practices with an integrative approach to see what medical factors contribute to symptoms, unhealthy thought or relationship patterns, and lifestyle factors that maintain dysfunction. Unexamined, medications will only work briefly.
Dr. Elizabeth Faust is board-certified in Psychiatry with a fellowship in Integrative Psychiatry. She started in Family Medicine while in the Navy, where she also was a Flight Surgeon. She has practiced medicine since 1999, focusing on Psychiatry since 2007. Dr. Faust practices with an integrative approach to see what medical factors contribute to symptoms, unhealthy thought or relationship patterns, and lifestyle factors that maintain dysfunction. Unexamined, medications will only work briefly.
(833) 749-5700 View (833) 749-5700
Photo of Dr. John Bellavia, Psychiatrist, MD
Dr. John Bellavia
Psychiatrist, MD
Online Only
Dr. Bellavia is an experienced board-certified psychiatrist who specializes in adult psychiatry. He was a faculty member of the University of Washington School of Medicine in Seattle for 8 years and has been a medical director and attending psychiatrist in several clinical settings including academic medical centers, outpatient private practice and consultation. Dr Bellavia works collaboratively with each patient to identify presenting problems and stressors and utilizes evidence-based medication treatments along with individualized supportive and short-term psychotherapy strategies to reduce symptoms and improve function.
Dr. Bellavia is an experienced board-certified psychiatrist who specializes in adult psychiatry. He was a faculty member of the University of Washington School of Medicine in Seattle for 8 years and has been a medical director and attending psychiatrist in several clinical settings including academic medical centers, outpatient private practice and consultation. Dr Bellavia works collaboratively with each patient to identify presenting problems and stressors and utilizes evidence-based medication treatments along with individualized supportive and short-term psychotherapy strategies to reduce symptoms and improve function.
(833) 749-5700 View (833) 749-5700

See more therapy options for Olympia

How does your Psychiatrist compare?

Number of Psychiatrists in Olympia, WA

100+

Average cost per session

$175

Psychiatrists in Olympia, WA who prioritize treating:

95% Anxiety
90% Depression
85% ADHD
82% Trauma and PTSD
82% Medication Management
79% Bipolar Disorder
71% Obsessive-Compulsive (OCD)

Average years in practice

11 Years

Top 3 insurances accepted

93% Aetna
79% BlueCross and BlueShield
75% Cigna and Evernorth

How Psychiatrists in Olympia, WA see their clients

54% Online Only
46% In Person and Online

Gender breakdown

71% Female
28% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Olympia?

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.