Psychiatrists in San Antonio, TX

Photo of Michelle L Cantu, MD, PA, Psychiatrist in San Antonio, TX
Michelle L Cantu, MD, PA
Psychiatrist, MD
Verified Verified
San Antonio, TX 78230
Whether you are new to mental health or have a history of mental health issues, you are likely looking for a supportive environment, diagnostic clarification, and knowledge regarding all treatment options. You are needing a provider who will listen to your concerns and get to know you as a person. If you are the parent of a child with mental health issues, you are seeking a place where your child will feel comfortable and nurtured. You are wanting a provider who will spend the time getting to know your child and family dynamic, while providing your child with the quality care they would want for their own children.
Whether you are new to mental health or have a history of mental health issues, you are likely looking for a supportive environment, diagnostic clarification, and knowledge regarding all treatment options. You are needing a provider who will listen to your concerns and get to know you as a person. If you are the parent of a child with mental health issues, you are seeking a place where your child will feel comfortable and nurtured. You are wanting a provider who will spend the time getting to know your child and family dynamic, while providing your child with the quality care they would want for their own children.
(210) 985-7976 View (210) 985-7976
Photo of GraceLand Psychiatric and Neuromodulation Center, Psychiatrist in San Antonio, TX
GraceLand Psychiatric and Neuromodulation Center
Psychiatrist, MD
Verified Verified
1 Endorsed
San Antonio, TX 78251  (Online Only)
Femi Popoola, MD is ACCEPTING NEW PATIENTS! I am double board-certified in General Psychiatry and Child and Adolescent Psychiatry. I love to listen actively while carefully conducting psychiatric evaluations and formulating treatment plans. The least that I can do to help you is to be a positive force in your life as it relates to empathy and the educational value of mental health treatment that you get from me. I offer medication management for all ranges of mental health challenges. My therapy add on are typically short, directed and supportive. My goal is to give you 100% satisfaction in caring for your mental health needs.
Femi Popoola, MD is ACCEPTING NEW PATIENTS! I am double board-certified in General Psychiatry and Child and Adolescent Psychiatry. I love to listen actively while carefully conducting psychiatric evaluations and formulating treatment plans. The least that I can do to help you is to be a positive force in your life as it relates to empathy and the educational value of mental health treatment that you get from me. I offer medication management for all ranges of mental health challenges. My therapy add on are typically short, directed and supportive. My goal is to give you 100% satisfaction in caring for your mental health needs.
(210) 934-8107 View (210) 934-8107
Photo of Moods and Mind Behavioral Service PLLC, Psychiatric Nurse Practitioner in San Antonio, TX
Moods and Mind Behavioral Service PLLC
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
San Antonio, TX 78253  (Online Only)
One small crack does not mean you are broken, it means you were put to the test, and you didn’t fall apart. My name is Yejide Oludare, Board certified psychiatric mental health nurse practitioner currently providing telemedicine appointment to Texas resident., takes pride in providing compassionate, and evidence based care for clients. I specialize in treating various mood disorders not limited to Adjustment disorder, depression, anxiety, bipolar disorder, schizophrenia, schizoaffective disorder, , OCD, Panic disorder, Insomnia, Substance Use Disorder, and postpartum depression.
One small crack does not mean you are broken, it means you were put to the test, and you didn’t fall apart. My name is Yejide Oludare, Board certified psychiatric mental health nurse practitioner currently providing telemedicine appointment to Texas resident., takes pride in providing compassionate, and evidence based care for clients. I specialize in treating various mood disorders not limited to Adjustment disorder, depression, anxiety, bipolar disorder, schizophrenia, schizoaffective disorder, , OCD, Panic disorder, Insomnia, Substance Use Disorder, and postpartum depression.
(210) 756-3095 View (210) 756-3095
Photo of Richard P Diaz, Psychiatric Nurse Practitioner in San Antonio, TX
Richard P Diaz
Psychiatric Nurse Practitioner, DNP, FNP, PMHNP
Verified Verified
San Antonio, TX 78217
Se Habla Español. (We speak Spanish.)
Se Habla Español. (We speak Spanish.)
(210) 361-1014 View (210) 361-1014
Photo of Ijeoma Ononenyi, Psychiatric Nurse Practitioner in San Antonio, TX
Ijeoma Ononenyi
Psychiatric Nurse Practitioner, PMHNP, FNP, APRN
Verified Verified
San Antonio, TX 78223  (Online Only)
As a Psychiatric Nurse Practitioner, I specialize in helping people with mental health conditions and substance use disorders. I work with my clients to develop personalized care plans that meet their individual needs and goals. My ideal client is someone who's struggling with a mental health condition, substance use disorder, or both, including those who identify as LGBTQ+. If that's you, I can help. Please reach out to me to get started.
As a Psychiatric Nurse Practitioner, I specialize in helping people with mental health conditions and substance use disorders. I work with my clients to develop personalized care plans that meet their individual needs and goals. My ideal client is someone who's struggling with a mental health condition, substance use disorder, or both, including those who identify as LGBTQ+. If that's you, I can help. Please reach out to me to get started.
(210) 526-0432 View (210) 526-0432
Photo of David Mauro, Psychiatrist in San Antonio, TX
David Mauro
Psychiatrist, MD
Verified Verified
1 Endorsed
San Antonio, TX 78251
Dr. David Mauro is accepting new patients. I am a board-certified physician who specializes in evaluation and treatment of mental health disorders in adults. I am able to connect with patients, incorporating biopsychosocial model into understanding people and meeting them where they are.
Dr. David Mauro is accepting new patients. I am a board-certified physician who specializes in evaluation and treatment of mental health disorders in adults. I am able to connect with patients, incorporating biopsychosocial model into understanding people and meeting them where they are.
(830) 215-8974 View (830) 215-8974
Photo of Nicholas Estioko, Physician Assistant in San Antonio, TX
Nicholas Estioko
Physician Assistant, MSPAS, PA-C
Verified Verified
San Antonio, TX 78257
***ACCEPTING NEW PATIENTS WITH APPOINTMENTS AVAILABLE SAME WEEK*** PA Estioko is a board-certified physician assistant specializing in the field of psychiatry. He completed his medical training at California Baptist University and took special interest in the treatment of psychiatric disorders during his clinical year. He recognized the need for mental health services across various specialties and is excited to join Phoenix Mental Health to help increase accessibility in San Antonio, TX.
***ACCEPTING NEW PATIENTS WITH APPOINTMENTS AVAILABLE SAME WEEK*** PA Estioko is a board-certified physician assistant specializing in the field of psychiatry. He completed his medical training at California Baptist University and took special interest in the treatment of psychiatric disorders during his clinical year. He recognized the need for mental health services across various specialties and is excited to join Phoenix Mental Health to help increase accessibility in San Antonio, TX.
(210) 940-2438 View (210) 940-2438
Photo of Dr. Riz @ Evolve Psychiatry, Psychiatrist in San Antonio, TX
Dr. Riz @ Evolve Psychiatry
Psychiatrist, MD
Verified Verified
San Antonio, TX 78212
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?
(210) 940-0924 View (210) 940-0924
Photo of Dr. Brandi Milmo @ Wisemind, Psychiatrist in San Antonio, TX
Dr. Brandi Milmo @ Wisemind
Psychiatrist, MD
Verified Verified
1 Endorsed
San Antonio, TX 78212
Accepting new patients with immediate availability! Dr. Brandi Milmo is a board-certified psychiatrist based in San Antonio. She has experience working with diverse patient populations and values the physician-patient relationship as the most important factor in helping patients reach their treatment goals.
Accepting new patients with immediate availability! Dr. Brandi Milmo is a board-certified psychiatrist based in San Antonio. She has experience working with diverse patient populations and values the physician-patient relationship as the most important factor in helping patients reach their treatment goals.
(210) 794-7827 View (210) 794-7827
Photo of Lorraine Garcia, Psychiatric Nurse Practitioner in San Antonio, TX
Lorraine Garcia
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Antonio, TX 78249
The most important attribute that I look for in my clients is trust. Trusting my approach at treating patients who suffer from depression due to chronic pain, anxiety, PTSD, ADHD, substance use, and other mood disorders. My unique approach at treating patients is through medication management, Spravato, and Ketamine treatments using evidence-base research. Provider-patient trust allows my patients to open up and be honest without judgement, making it easier for me as your provider to administer therapeutic quality care and relationships. Every patient has unique needs and I want to help my patient live their best quality of life.
The most important attribute that I look for in my clients is trust. Trusting my approach at treating patients who suffer from depression due to chronic pain, anxiety, PTSD, ADHD, substance use, and other mood disorders. My unique approach at treating patients is through medication management, Spravato, and Ketamine treatments using evidence-base research. Provider-patient trust allows my patients to open up and be honest without judgement, making it easier for me as your provider to administer therapeutic quality care and relationships. Every patient has unique needs and I want to help my patient live their best quality of life.
(210) 942-9575 View (210) 942-9575
Photo of Munira Jiwani, Psychiatric Nurse Practitioner in San Antonio, TX
Munira Jiwani
Psychiatric Nurse Practitioner
Verified Verified
San Antonio, TX 78215  (Online Only)
Hi there! If you're reading this, I hope I can assist you on your mental health journey. I'm Munira Jiwani, a board-certified psychiatric specialist. I've recently made some room in my practice for new patients. I work with most major insurance providers, including Cigna, Aetna, and United, because I believe everyone should have access to affordable, quality care. My schedule tends to fill up quickly, but as of now, I have some appointment slots available as early as next week.
Hi there! If you're reading this, I hope I can assist you on your mental health journey. I'm Munira Jiwani, a board-certified psychiatric specialist. I've recently made some room in my practice for new patients. I work with most major insurance providers, including Cigna, Aetna, and United, because I believe everyone should have access to affordable, quality care. My schedule tends to fill up quickly, but as of now, I have some appointment slots available as early as next week.
(210) 972-8638 View (210) 972-8638
Photo of Kimberly Sennet, Psychiatric Nurse Practitioner in San Antonio, TX
Kimberly Sennet
Psychiatric Nurse Practitioner
Verified Verified
San Antonio, TX 78204  (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 Kimberly Sennet, and I’ve recently opened additional availability in my practice to take on new clients. I’m a board-certified psychiatric provider and 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 Kimberly Sennet, and I’ve recently opened additional availability in my practice to take on new clients. I’m a board-certified psychiatric provider and 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.
(726) 227-2098 View (726) 227-2098
Photo of Holistic Health and Psychiatry PLLC, Psychiatric Nurse Practitioner in San Antonio, TX
Holistic Health and Psychiatry PLLC
Psychiatric Nurse Practitioner, PMHNP-C
Verified Verified
San Antonio, TX 78240  (Online Only)
I am a psychiatric mental health nurse practitioner and a counselor who has worked across the spectrum of age groups. Many of my clients have commented that they like my insight and non-judgmental approach. In my experience, the right therapy and if needed, the right medication can be life changing. It can liberate a life. The right treatment does not solve all your problems but when needed, it can remove obstacles and allow you to discover your full potential to live your best life, the life you deserve to have.
I am a psychiatric mental health nurse practitioner and a counselor who has worked across the spectrum of age groups. Many of my clients have commented that they like my insight and non-judgmental approach. In my experience, the right therapy and if needed, the right medication can be life changing. It can liberate a life. The right treatment does not solve all your problems but when needed, it can remove obstacles and allow you to discover your full potential to live your best life, the life you deserve to have.
(210) 981-6747 View (210) 981-6747
Photo of Steve Scott, Psychiatric Nurse Practitioner in San Antonio, TX
Steve Scott
Psychiatric Nurse Practitioner, PMHNP, FNP, APRN
Verified Verified
1 Endorsed
San Antonio, TX 78232
Mental health problems are challenging in so many ways. I can help you navigate evaluation, diagnosis, and medication management in a patient-centered manner. I am passionate about treating Post Traumatic Stress Disorder (PTSD) including Complex Post Traumatic Stress Disorder (C-PTSD) and Mood Disorders like Depression, Treatment Resistant Depression, Anxiety and Bipolar Depression. I also diagnose and treat Attention Deficit Hyperactivity Disorder (ADHD), Obsessive Compulsive Disorder (OCD), and Personality disorders.
Mental health problems are challenging in so many ways. I can help you navigate evaluation, diagnosis, and medication management in a patient-centered manner. I am passionate about treating Post Traumatic Stress Disorder (PTSD) including Complex Post Traumatic Stress Disorder (C-PTSD) and Mood Disorders like Depression, Treatment Resistant Depression, Anxiety and Bipolar Depression. I also diagnose and treat Attention Deficit Hyperactivity Disorder (ADHD), Obsessive Compulsive Disorder (OCD), and Personality disorders.
(726) 224-7384 View (726) 224-7384
Photo of Raquel Vallejo-Moore, Physician Assistant in San Antonio, TX
Raquel Vallejo-Moore
Physician Assistant, MSHP, PA-C
Verified Verified
1 Endorsed
San Antonio, TX 78259
I am a Physician Assistant with Specialization in Psychiatry. My interest in Psychiatry was triggered due to my observation that mental health issues underlie a lot of the other medical issues that people deal with. I also observed that people around me did not seem to be getting compassionate care from their providers. I felt like patients are not being heard so I wanted to make a difference. I diagnose and treat PTSD, Depression, Anxiety, Panic, OCD, ADHD, Eating Disorder, Bipolar Disorder, Schizophrenia, Schizoaffective Disorder, and other psychiatric disorders.
I am a Physician Assistant with Specialization in Psychiatry. My interest in Psychiatry was triggered due to my observation that mental health issues underlie a lot of the other medical issues that people deal with. I also observed that people around me did not seem to be getting compassionate care from their providers. I felt like patients are not being heard so I wanted to make a difference. I diagnose and treat PTSD, Depression, Anxiety, Panic, OCD, ADHD, Eating Disorder, Bipolar Disorder, Schizophrenia, Schizoaffective Disorder, and other psychiatric disorders.
(726) 207-9860 View (726) 207-9860
Photo of Sarah Kane, Psychiatric Nurse Practitioner in San Antonio, TX
Sarah Kane
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP-B
Verified Verified
San Antonio, TX 78213
Treats persons 8 years and older who struggle with mental health and behavioral issues.
Treats persons 8 years and older who struggle with mental health and behavioral issues.
(210) 934-5759 View (210) 934-5759
Photo of Aura Psychiatry, PLLC, Psychiatric Nurse Practitioner in San Antonio, TX
Aura Psychiatry, PLLC
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
San Antonio, TX 78216
At Aura Psychiatry we are committed to provide the BEST of the BEST Mental & Behavioral Health Services to Children (6+), Teens/ Adolescence & Adult clients. Our Mission is to Improve the Quality of Life of our clients, to overcome Mental Barriers & truly live the life they deserve. We pride ourselves on our Patient-Focused approach that emphasizes the Highest possible Standards. Our purpose is to Support, Educate, & Empower clients & their families by providing them a safe & reliable place to share their problems and stories. SAME Day/ Immediate Appts Available! Evenings & Weekend appts available. Visit us at www.AuraPsychiatry.com
At Aura Psychiatry we are committed to provide the BEST of the BEST Mental & Behavioral Health Services to Children (6+), Teens/ Adolescence & Adult clients. Our Mission is to Improve the Quality of Life of our clients, to overcome Mental Barriers & truly live the life they deserve. We pride ourselves on our Patient-Focused approach that emphasizes the Highest possible Standards. Our purpose is to Support, Educate, & Empower clients & their families by providing them a safe & reliable place to share their problems and stories. SAME Day/ Immediate Appts Available! Evenings & Weekend appts available. Visit us at www.AuraPsychiatry.com
(210) 592-4774 View (210) 592-4774
Photo of Jordan Davis, Psychiatric Nurse Practitioner in San Antonio, TX
Jordan Davis
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
2 Endorsed
San Antonio, TX 78251
I am open to see new patients who are seeking help for their mental health needs and need a listening ear. I treat depression, anxiety, panic attacks, PTSD, anger issues, bipolar disorder, schizophrenia, misuse of recreational substances and other mental health disorders. I am trained to prescribe medications that can be helpful for your mental health needs and I enjoy being a part of your journey to wholesome health.
I am open to see new patients who are seeking help for their mental health needs and need a listening ear. I treat depression, anxiety, panic attacks, PTSD, anger issues, bipolar disorder, schizophrenia, misuse of recreational substances and other mental health disorders. I am trained to prescribe medications that can be helpful for your mental health needs and I enjoy being a part of your journey to wholesome health.
(210) 964-6724 View (210) 964-6724
Photo of Olubunmi Oladosu, Psychiatrist in San Antonio, TX
Olubunmi Oladosu
Psychiatrist, PMHNP
Verified Verified
1 Endorsed
San Antonio, TX 78229  (Online Only)
My passion is working with people who want to make their lives better. If you are experiencing stress, struggling with low self-esteem. I use evidence-based practices in my assesement to determine if you have a diagnosis that medication can help. If so, we discuss options that may improve the quality of your life. You will find that I truly seek to understand you..... who you are, how you feel, and why you feel the way you do.
My passion is working with people who want to make their lives better. If you are experiencing stress, struggling with low self-esteem. I use evidence-based practices in my assesement to determine if you have a diagnosis that medication can help. If so, we discuss options that may improve the quality of your life. You will find that I truly seek to understand you..... who you are, how you feel, and why you feel the way you do.
(210) 987-8378 View (210) 987-8378
Photo of Dr. James T. Fuqua - Board Certified Psychiatrist, Psychiatrist in San Antonio, TX
Dr. James T. Fuqua - Board Certified Psychiatrist
Psychiatrist, MD
Verified Verified
San Antonio, TX 78230  (Online Only)
Accepting new patients. Dr. Fuqua is a medical doctor certified in General Psychiatry by the American Board of Psychiatry and Neurology. He is skilled in the diagnosis and treatment of a broad range of mental health issues including depression, anxiety, insomnia, bipolar disorder, PTSD, and many other conditions. He started his practice with the goal of providing Texans with psychiatric care that is comprehensive and readily accessible. Visit our website for more information!
Accepting new patients. Dr. Fuqua is a medical doctor certified in General Psychiatry by the American Board of Psychiatry and Neurology. He is skilled in the diagnosis and treatment of a broad range of mental health issues including depression, anxiety, insomnia, bipolar disorder, PTSD, and many other conditions. He started his practice with the goal of providing Texans with psychiatric care that is comprehensive and readily accessible. Visit our website for more information!
(210) 880-2350 View (210) 880-2350

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.