Psychiatrists in San Antonio, TX

Photo of Melissa Deuter, MD/Sigma Mental Health Urgent Care, Psychiatrist in San Antonio, TX
Melissa Deuter, MD/Sigma Mental Health Urgent Care
Psychiatrist, MD
Verified Verified
1 Endorsed
San Antonio, TX 78258
Dr. Melissa Deuter is Psychiatric Medical Director of Sigma Mental Health Urgent Care. She supervises a team of professionals providing immediate psychiatric appointments as well as psychotherapy. Sigma Mental Health Urgent Care takes same day appointments and walk-ins at our San Antonio location, and is open 7 days a week except major holidays. Our Austin location has limited services and we request that you call to schedule in Austin. We treat people during gaps in care, while they are waiting to get an appointment in the community, and we can continue treatment long-term when our clinic is the best fit for an individual's needs.
Dr. Melissa Deuter is Psychiatric Medical Director of Sigma Mental Health Urgent Care. She supervises a team of professionals providing immediate psychiatric appointments as well as psychotherapy. Sigma Mental Health Urgent Care takes same day appointments and walk-ins at our San Antonio location, and is open 7 days a week except major holidays. Our Austin location has limited services and we request that you call to schedule in Austin. We treat people during gaps in care, while they are waiting to get an appointment in the community, and we can continue treatment long-term when our clinic is the best fit for an individual's needs.
(210) 871-0188 View (210) 871-0188
Azalia Veronica Martinez
Psychiatrist, MD
Verified Verified
San Antonio, TX 78257
Dr. Azalia Martinez is a double board-certified psychiatrist who joined Phoenix Mental Health in order to expand her treatment modalities offered to patients. Dr. Martinez completed psychiatry residency at UT Health San Antonio, where she served as a chief resident alongside Dr. Johnston. Following residency, she completed additional specialized training in Forensic Psychiatry at UC Davis. Since that time, Dr. Martinez has worked at state and local hospitals focusing on the stabilization of persons with major mood and thought disorders. She also serves as an expert witness to the court.
Dr. Azalia Martinez is a double board-certified psychiatrist who joined Phoenix Mental Health in order to expand her treatment modalities offered to patients. Dr. Martinez completed psychiatry residency at UT Health San Antonio, where she served as a chief resident alongside Dr. Johnston. Following residency, she completed additional specialized training in Forensic Psychiatry at UC Davis. Since that time, Dr. Martinez has worked at state and local hospitals focusing on the stabilization of persons with major mood and thought disorders. She also serves as an expert witness to the court.
(210) 899-0540 View (210) 899-0540
Photo of Dr. Susan Wynne, Psychiatrist in San Antonio, TX
Dr. Susan Wynne
Psychiatrist, MD
Verified Verified
San Antonio, TX 78249
Dr. Susan Wynne is a Board-Certified Child, Adolescent and Adult Psychiatrist. She specializes in the evaluation, diagnosis and treatment of psychiatric disorders. such as depression, bipolar disorder, anxiety and ADHD. She offers medication management, psychotherapy and consultation for children, adolescents and adults. For parents with a child with mental health issues, you hope that a psychiatrist will make you and your family feel comfortable and secure, while providing quality care. Dr. Wynne strives to provide exemplary and professional treatment to her patients and their families.
Dr. Susan Wynne is a Board-Certified Child, Adolescent and Adult Psychiatrist. She specializes in the evaluation, diagnosis and treatment of psychiatric disorders. such as depression, bipolar disorder, anxiety and ADHD. She offers medication management, psychotherapy and consultation for children, adolescents and adults. For parents with a child with mental health issues, you hope that a psychiatrist will make you and your family feel comfortable and secure, while providing quality care. Dr. Wynne strives to provide exemplary and professional treatment to her patients and their families.
(210) 615-8900 View (210) 615-8900
Photo of Earl Stenger, Psychiatrist in San Antonio, TX
Earl Stenger
Psychiatrist, MD
Verified Verified
San Antonio, TX 78229
Dr. Stenger treats a full range of psychiatric disorders and specializes in medication management of anxiety, mood disorders, and psychotic disorders.
Dr. Stenger treats a full range of psychiatric disorders and specializes in medication management of anxiety, mood disorders, and psychotic disorders.
(210) 794-6428 View (210) 794-6428
Photo of Focus & Balance, LLC, Psychiatrist in San Antonio, TX
Focus & Balance, LLC
Psychiatrist, MD
Verified Verified
San Antonio, TX 78229
Focus & Balance is a private psychiatric practice mental health professionals qualified and experienced in providing advanced psychiatric treatment, including ADHD in adults and children, to patients in the San Antonio area, With us, you can expect advanced psychopharmacology treatment for all mental issues provided by caring and compassionate clinicians. We are also offer TMS Therapy to our patients with depression. Transcranial Magnetic Stimulation Therapy is one of the most technologically advanced depression treatments available. This non-invasive, outpatient therapy is FDA cleared and has helped thousand of depressed patients
Focus & Balance is a private psychiatric practice mental health professionals qualified and experienced in providing advanced psychiatric treatment, including ADHD in adults and children, to patients in the San Antonio area, With us, you can expect advanced psychopharmacology treatment for all mental issues provided by caring and compassionate clinicians. We are also offer TMS Therapy to our patients with depression. Transcranial Magnetic Stimulation Therapy is one of the most technologically advanced depression treatments available. This non-invasive, outpatient therapy is FDA cleared and has helped thousand of depressed patients
(210) 934-4518 View (210) 934-4518
Photo of Raven Aleman, Psychiatric Nurse in San Antonio, TX
Raven Aleman
Psychiatric Nurse, PMHNP
Verified Verified
San Antonio, TX 78258
Dr. Raven Aleman is a Psychiatric Mental Health Nurse Practitioner in Texas who has been practicing since 2023. She graduated from Texas A&M University with a Bachelor of Science in Psychology and from University of Texas at Arlington with a Bachelor of Science in Nursing. Most recently, she earned a Doctorate in Nursing Practice at New Mexico State University with an emphasis in Psychiatric Mental Health. Raven takes a collaborative approach and encourages patients to be active participants in their care. Raven enjoys problem-solving with patients and discovering what motivates them to live and be well.
Dr. Raven Aleman is a Psychiatric Mental Health Nurse Practitioner in Texas who has been practicing since 2023. She graduated from Texas A&M University with a Bachelor of Science in Psychology and from University of Texas at Arlington with a Bachelor of Science in Nursing. Most recently, she earned a Doctorate in Nursing Practice at New Mexico State University with an emphasis in Psychiatric Mental Health. Raven takes a collaborative approach and encourages patients to be active participants in their care. Raven enjoys problem-solving with patients and discovering what motivates them to live and be well.
(830) 254-7953 View (830) 254-7953
Photo of Zenith Psychiatry , Psychiatric Nurse Practitioner in San Antonio, TX
Zenith Psychiatry
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Antonio, TX 78229  (Online Only)
NOW ACCEPTING NEW PATIENTS! Appointment within a week are available including AFTERNOONS, EVENINGS, WEEKDAYS AND WEEKENDS. At Zenith Psychiatry, we specialize in kids, Adolescent and Adult mental health. We provide Compassionate, Safe, and Evidence Based Care. We believe in a holistic approach to mental health which involves addressing your emotional, mental, physical and spiritual health needs. We will work with you to individualize your treatment plan and treat you in a Safe, Caring and non-judgmental matter
NOW ACCEPTING NEW PATIENTS! Appointment within a week are available including AFTERNOONS, EVENINGS, WEEKDAYS AND WEEKENDS. At Zenith Psychiatry, we specialize in kids, Adolescent and Adult mental health. We provide Compassionate, Safe, and Evidence Based Care. We believe in a holistic approach to mental health which involves addressing your emotional, mental, physical and spiritual health needs. We will work with you to individualize your treatment plan and treat you in a Safe, Caring and non-judgmental matter
(210) 879-1066 View (210) 879-1066
Photo of Dr Riz @ Evolve Psychiatry, Psychiatrist in San Antonio, TX
Dr Riz @ Evolve Psychiatry
Psychiatrist, MD
Verified Verified
San Antonio, TX 78258
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances?
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances?
(830) 396-5174 View (830) 396-5174
Photo of Rhiannon Soukup, Psychiatric Nurse Practitioner in San Antonio, TX
Rhiannon Soukup
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Verified Verified
San Antonio, TX 78230
Taking NEW Patients! I am a Board-Certified Psychiatric Nurse Practitioner looking to build my clientele. I am located at the Office of Dr. Michelle Cantu. I see adult, child and adolescent patients. I have worked in behavioral health since 2009 and it is my passion. I have been told that I am easy to talk to and patients have been known to easily open up to me. I want my patients to feel like they are comfortable and safe when they are with me and are talking to just another human being and not in a hospital or office setting. Come see me so we can start your journey to feeling better!
Taking NEW Patients! I am a Board-Certified Psychiatric Nurse Practitioner looking to build my clientele. I am located at the Office of Dr. Michelle Cantu. I see adult, child and adolescent patients. I have worked in behavioral health since 2009 and it is my passion. I have been told that I am easy to talk to and patients have been known to easily open up to me. I want my patients to feel like they are comfortable and safe when they are with me and are talking to just another human being and not in a hospital or office setting. Come see me so we can start your journey to feeling better!
(210) 934-7018 View (210) 934-7018
Photo of Alamo Premier Mental Health, Psychiatric Nurse Practitioner in San Antonio, TX
Alamo Premier Mental Health
Psychiatric Nurse Practitioner, PMHNP, FNP, APRN
Verified Verified
San Antonio, TX 78217  (Online Only)
I am a compassionate dual board-certified Family and Psychiatric Nurse Practitioner treating patients over lifespan, child, adolescent/teen, adult and geriatric. I like to meet you where you are. Each person has their own unique needs and background and, that is where I start. By using medications and non-med options, my patients have a variety of treatment modalities to choose from.
I am a compassionate dual board-certified Family and Psychiatric Nurse Practitioner treating patients over lifespan, child, adolescent/teen, adult and geriatric. I like to meet you where you are. Each person has their own unique needs and background and, that is where I start. By using medications and non-med options, my patients have a variety of treatment modalities to choose from.
(210) 879-8450 View (210) 879-8450
Photo of Delia Sanchez Patino, Psychiatric Nurse Practitioner in San Antonio, TX
Delia Sanchez Patino
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
San Antonio, TX 78229
ACCEPTING NEW PATIENTS. Mrs. Patino graduated with her master’s degree from Texas State University in Round Rock, Texas. She is board-certified by the American Nurses Credentialing Center as a Psychiatric Mental Health Nurse Practitioner and licensed by the Texas Board of Nursing Examiners as an Advanced Practice Nurse. Clinic service model, insurance is not accepted at this time and payments are made at the time of service. This allows for more personalized care; rates are reasonable call for more information on the cost of initial consultation and follow-up visits.
ACCEPTING NEW PATIENTS. Mrs. Patino graduated with her master’s degree from Texas State University in Round Rock, Texas. She is board-certified by the American Nurses Credentialing Center as a Psychiatric Mental Health Nurse Practitioner and licensed by the Texas Board of Nursing Examiners as an Advanced Practice Nurse. Clinic service model, insurance is not accepted at this time and payments are made at the time of service. This allows for more personalized care; rates are reasonable call for more information on the cost of initial consultation and follow-up visits.
(210) 864-5947 View (210) 864-5947
Rosstin Psychiatry
Psychiatrist, DO
Verified Verified
San Antonio, TX 78209
Our mission is to expand access to psychiatric care by providing cost-effective treatment.
Our mission is to expand access to psychiatric care by providing cost-effective treatment.
(210) 866-8312 View (210) 866-8312
Photo of John Michael Adams, Psychiatrist in San Antonio, TX
John Michael Adams
Psychiatrist, MD
Verified Verified
1 Endorsed
San Antonio, TX 78258
Our clinic will serve patients aged 4 years old through college age. The practice will serve families who deal with psychiatric concerns of mood, disruptive behaviors, and difficulties in learning and school performance. While the patient is always the primary focus of any treatment, the family as a whole will be supported and counseled in ways to best deal with the stressors they face.
Our clinic will serve patients aged 4 years old through college age. The practice will serve families who deal with psychiatric concerns of mood, disruptive behaviors, and difficulties in learning and school performance. While the patient is always the primary focus of any treatment, the family as a whole will be supported and counseled in ways to best deal with the stressors they face.
(210) 879-8927 View (210) 879-8927
Photo of Caroline Horton, Physician Assistant in San Antonio, TX
Caroline Horton
Physician Assistant, PA-C
Verified Verified
San Antonio, TX 78258
Caroline is a Physician Assistant, nationally certified by the National Commission on Certification of Physician Assistants. She received a Master in Physician Assistant Studies at James Madison University in Virginia and is licensed to practice in the state of TX by the Texas Medical Board. She has experience in Emergency Medicine and the care of adults and children with acute and chronic mental health disorders in the ER setting. She is committed to helping provide mental health services to the people of San Antonio and surrounding communities that allows more people to access the care they need in an outpatient setting.
Caroline is a Physician Assistant, nationally certified by the National Commission on Certification of Physician Assistants. She received a Master in Physician Assistant Studies at James Madison University in Virginia and is licensed to practice in the state of TX by the Texas Medical Board. She has experience in Emergency Medicine and the care of adults and children with acute and chronic mental health disorders in the ER setting. She is committed to helping provide mental health services to the people of San Antonio and surrounding communities that allows more people to access the care they need in an outpatient setting.
(210) 774-6364 View (210) 774-6364
Photo of Ugochi Azubuike, Psychiatric Nurse Practitioner in San Antonio, TX
Ugochi Azubuike
Psychiatric Nurse Practitioner
Verified Verified
San Antonio, TX 78215  (Online Only)
Hi there! If you’re reading this, I hope I can be of help in your mental health journey today. My name is Ugochi Azubuike, and I’ve recently opened additional availability in my practice to take on new clients. I accept most major insurance plans (including Cigna, Aetna, United, etc) because I believe care should be affordable to all. I tend to fill up quickly, but as of right now, I have appointment slots open as early as next week.
Hi there! If you’re reading this, I hope I can be of help in your mental health journey today. My name is Ugochi Azubuike, and I’ve recently opened additional availability in my practice to take on new clients. I accept most major insurance plans (including Cigna, Aetna, United, etc) because I believe care should be affordable to all. I tend to fill up quickly, but as of right now, I have appointment slots open as early as next week.
(210) 640-0735 View (210) 640-0735
Photo of Bridgett Gant, Psychiatric Nurse Practitioner in San Antonio, TX
Bridgett Gant
Psychiatric Nurse Practitioner
Verified Verified
San Antonio, TX 78204  (Online Only)
Hello there! I'm glad you're taking steps in your mental health journey and have found my profile. Recently, I've opened up spots for new patients and encourage you to call for a free consultation. I accept most major insurances, including Cigna, Aetna, Blue Cross, and United to ensure care is accessible to all. I currently have some openings, and while I might be able to schedule you as soon as next week, I can't promise these slots will remain open for long—they tend to fill up quickly.
Hello there! I'm glad you're taking steps in your mental health journey and have found my profile. Recently, I've opened up spots for new patients and encourage you to call for a free consultation. I accept most major insurances, including Cigna, Aetna, Blue Cross, and United to ensure care is accessible to all. I currently have some openings, and while I might be able to schedule you as soon as next week, I can't promise these slots will remain open for long—they tend to fill up quickly.
(210) 791-7401 View (210) 791-7401
Ephraim Fombo
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Antonio, TX 78230
I am a psychiatric nurse practitioner, with seven years of clinical practice at this level. I became an RN for 15 years. During my years as psychiatric provider, I have cared for patients, both acute and ambulatory, with a wide array of behavioral health disorders, including depression, anxiety, schizophrenia, bipolar disorder, suicidal ideation, substance abuse, personality disorders, autism, intellectual disability, intermittent explosive disorder, ADHD, PTSD and others.
I am a psychiatric nurse practitioner, with seven years of clinical practice at this level. I became an RN for 15 years. During my years as psychiatric provider, I have cared for patients, both acute and ambulatory, with a wide array of behavioral health disorders, including depression, anxiety, schizophrenia, bipolar disorder, suicidal ideation, substance abuse, personality disorders, autism, intellectual disability, intermittent explosive disorder, ADHD, PTSD and others.
(726) 207-9293 View (726) 207-9293
Photo of Nicholas Gaultney, Psychiatric Nurse Practitioner in San Antonio, TX
Nicholas Gaultney
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
1 Endorsed
San Antonio, TX 78230
Are you struggling to cope with the demands of daily life? Are you experiencing sadness or lack of joy, but you don’t know why? Do you lack the motivation to do things that you usually enjoy or find that the things that used to interest you are now uninteresting? Maybe you find yourself worrying all the time - about something specific or about anything and everything. Do you experience more stress than you need to because you put things off till the last minute? Perhaps you can’t stay focused long enough to finish all the things that you need to finish.
Are you struggling to cope with the demands of daily life? Are you experiencing sadness or lack of joy, but you don’t know why? Do you lack the motivation to do things that you usually enjoy or find that the things that used to interest you are now uninteresting? Maybe you find yourself worrying all the time - about something specific or about anything and everything. Do you experience more stress than you need to because you put things off till the last minute? Perhaps you can’t stay focused long enough to finish all the things that you need to finish.
(210) 934-2796 View (210) 934-2796
Photo of ★★TeleMind®★★, Psychiatrist in San Antonio, TX
★★TeleMind®★★
Psychiatrist, DO
Verified Verified
San Antonio, TX 78238
At TeleMind, we specialize in delivering virtual mental health services tailored for individuals with demanding schedules. Our approach is designed to accommodate those whose daily commitments or lifestyle constraints make it challenging to travel to a doctor's office. Say goodbye to lengthy commutes, inconvenient office hours, and waiting room delays. With TeleMind, you have the flexibility to choose your specialist, schedule appointments at your convenience, and even reschedule to fit your availability. Experience the comfort of attending sessions from your home, workplace, or even while on the go.
At TeleMind, we specialize in delivering virtual mental health services tailored for individuals with demanding schedules. Our approach is designed to accommodate those whose daily commitments or lifestyle constraints make it challenging to travel to a doctor's office. Say goodbye to lengthy commutes, inconvenient office hours, and waiting room delays. With TeleMind, you have the flexibility to choose your specialist, schedule appointments at your convenience, and even reschedule to fit your availability. Experience the comfort of attending sessions from your home, workplace, or even while on the go.
(800) 341-3083 View (800) 341-3083
Photo of Angelica Valle, Psychiatric Nurse Practitioner in San Antonio, TX
Angelica Valle
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Antonio, TX 78258  (Online Only)
I am a board certified psychiatric mental health nurse practitioner providing outpatient modeled virtual care for clients located in the state of Texas. Please visit link provided under “Website” to schedule appointment directly.
I am a board certified psychiatric mental health nurse practitioner providing outpatient modeled virtual care for clients located in the state of Texas. Please visit link provided under “Website” to schedule appointment directly.
(210) 934-6574 View (210) 934-6574

See more therapy options for San Antonio

How does your Psychiatrist compare?

Number of Psychiatrists in San Antonio, TX

200+

Average cost per session

$200

Psychiatrists in San Antonio, TX who prioritize treating:

95% Depression
95% Anxiety
87% Bipolar Disorder
80% Trauma and PTSD
77% Obsessive-Compulsive (OCD)
77% Medication Management
71% ADHD

Average years in practice

7 Years

Top 3 insurances accepted

91% Cigna and Evernorth
89% Aetna
88% UnitedHealthcare UHC | UBH

How Psychiatrists in San Antonio, TX see their clients

62% In Person and Online
38% Online Only

Gender breakdown

59% Female
41% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in San Antonio?

The Psychology Today Directory enables you to search specifically for psychiatrists, using the drop down provider menu in the navigation bar, by city or zip code, or by the name of the psychiatrist. Search results provide detailed profiles of professionals, including their treatment approach and areas of expertise. In addition, listings provide important information about each psychiatrist’s credentials, fees, payment options, and insurance affiliations. Directory users can select psychiatrists who meet an array of personally-desired criteria, such as familiarity with a specific community or condition.

What is the difference between a psychiatrist and a psychologist?

Psychiatrists are medical specialists who focus on understanding, diagnosing, and treating diseases of the brain and disorders of the mind and behavior. As physicians, psychiatrists are trained to recognize the often-subtle biological causes of mental disorders and to monitor the effects of mental disturbances on physical conditions, such as heart disease. Psychologists are especially attuned to the influence of early experience on development and behavior, emotional and cognitive processes, the nature of personality, and social functioning. They are also trained to deploy an array of psychological tests—IQ tests, personality tests, behavioral assessments—to gauge a person’s functioning.

What is a psychiatric nurse practitioner?

A psychiatric nurse practitioner, also known as a mental health nurse practitioner, is a registered nurse who completes advanced training in psychiatric care, earning either a master’s or doctoral degree in psychiatric nursing, and in the U.S., passes a national certification exam. Like psychiatrists, psychiatric nurse practitioners are trained to assess, diagnose, and treat mental health conditions. In some locales, psychiatric nurse practitioners can offer the full range of psychiatric care, including prescribing and managing medication. In other places, they must work in collaboration with a physician.

Is everyone in the Psychology Today Therapy Directory a licensed psychiatrist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychiatrists, psychologists, social workers, and counselors. All psychiatrists listed in the directory have a valid license issued by the state(s) in which they practice and are certified by the American Board of Psychiatry and Neurology. Providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some individuals or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

Can a psychiatrist prescribe medication?

Psychiatrists are licensed medical doctors who are trained to recognize the many ways body processes affect the functioning of the brain and mind. As physicians, they can prescribe medication. Patients who are prescribed medications will typically need to continue to see a psychiatrist so that the effects of the medication can be monitored. For many psychiatric conditions, including common disorders such as anxiety and depression, the preferred treatment is combination therapy—medication accompanied by psychotherapy.

Do psychiatrists offer therapy?

Psychiatrists are generally trained in a number of treatment modalities, including psychotherapy, pharmacotherapy, and, increasingly, somatic therapies. Typically, psychiatrists 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 sessions with a psychiatrist may only be 15-20 minutes in length and are largely focused on medication management. Many psychiatrists who do not offer psychotherapy work collaboratively with psychologists and other mental health clinicians and can refer clients seeking talk therapy to those providers.

How do I know if I need a psychiatrist 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. One way many people learn which type of care is best for them is by seeing their primary care provider first. Depending on the nature and severity of the symptoms, the physician may review their medical history or perform medical tests to determine whether biological factors are involved before making a referral. It is not necessary for a person to know precisely what type of care they need in order to seek help. Many psychiatrists and psychologists refer clients to each other depending on client needs.

Do I need a referral to see a psychiatrist?

A referral to a psychiatrist is often not required. However, seeing your primary care physician first can be helpful and actually prove to be a shortcut to getting what you need. Your PCP may have a clear idea whether psychiatric help is needed and/or which kind of mental health care would be most beneficial and refer you to the right type of practitioner. For that reason alone, some psychiatrists require a referral. Further, many insurance plans require a referral from a PCP if they cover all of part of the cost of seeing a specialist; if, however, you are paying out of pocket, you may not need a referral. In any case, a referral may speed the process of securing an appointment with a psychiatrist, especially in areas where there is a shortage of mental health specialists and new patients face long waits for appointments.