Psychiatrists in Staten Island, NY

Photo of Elena Frish, PMHNP, Psychiatric Nurse Practitioner
Elena Frish
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Staten Island, NY 10305
Elena Frish is a board-certified psychiatric nurse practitioner (ages 18+). Her goal is to partner with her patients during their journeys to life fulfillment and improved performance by providing an individualized approach to treatment. She uses evidence-based psychopharmacology, which is integrated with lifestyle modification, mindfulness, and brief solution-focused therapy.
Elena Frish is a board-certified psychiatric nurse practitioner (ages 18+). Her goal is to partner with her patients during their journeys to life fulfillment and improved performance by providing an individualized approach to treatment. She uses evidence-based psychopharmacology, which is integrated with lifestyle modification, mindfulness, and brief solution-focused therapy.
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Photo of Alexis Sciarrino, NPP, Psychiatric Nurse Practitioner
Alexis Sciarrino
Psychiatric Nurse Practitioner, NPP
Verified Verified
Staten Island, NY 10305
Hello! I am a New York born and bred compassionate, Board-Certified Psychiatric Nurse Practitioner. You will find that my goal in our sessions is to help you live a more fulfilling life. My approach to treatment is dynamic, holistic and individualistic. You will find in our sessions a compassionate, and safe therapeutic environment that fosters both healing and change. I look forward to meeting you!
Hello! I am a New York born and bred compassionate, Board-Certified Psychiatric Nurse Practitioner. You will find that my goal in our sessions is to help you live a more fulfilling life. My approach to treatment is dynamic, holistic and individualistic. You will find in our sessions a compassionate, and safe therapeutic environment that fosters both healing and change. I look forward to meeting you!
(718) 808-8230 View (718) 808-8230
Photo of Detty Darly, NP-P, Psychiatric Nurse Practitioner
Detty Darly
Psychiatric Nurse Practitioner, NP-P
Verified Verified
Staten Island, NY 10314  (Online Only)
When it comes to dealing with traumatic experiences and stressful factors of life, Mrs. Darly has mastered the art of winning hearts of the mentally challenged. Her warm personality and passion in healing is her major approach towards her clients. Detty brought her career to maturity by completing her fellowship at Crasmere Psychiatric Services, PC where she gained deeper insight in aiding individuals, couples and groups.
When it comes to dealing with traumatic experiences and stressful factors of life, Mrs. Darly has mastered the art of winning hearts of the mentally challenged. Her warm personality and passion in healing is her major approach towards her clients. Detty brought her career to maturity by completing her fellowship at Crasmere Psychiatric Services, PC where she gained deeper insight in aiding individuals, couples and groups.
(347) 830-7442 View (347) 830-7442
Photo of Yuan Zhang, PMHNP, Psychiatric Nurse Practitioner
Yuan Zhang
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Staten Island, NY 10305  (Online Only)
For those seeking for support, and treatment for co-occurring emotional/mental health issues and substance use, our team offers compassionate expertise.
For those seeking for support, and treatment for co-occurring emotional/mental health issues and substance use, our team offers compassionate expertise.
(718) 957-1819 View (718) 957-1819
Photo of Olga Katz, MD, Psychiatrist
Olga Katz
Psychiatrist, MD
Verified Verified
1 Endorsed
Staten Island, NY 10314
Olga Katz, MD is a Board-Certified Psychiatrist and a recognized expert in treating psychiatric disorders in children, adolescents and adults. As the founder and Medical Director of Crasmere Psychiatric Services for 23 years, Dr. Olga Katz dedicated her career to improving the mental health of her patients. She utilizes bio psychosocial model which allows her to focus on the appropriate medications and psychodynamic psychotherapy to successfully treating the most challenging variety of psychiatric pathologies, including Panic Disorder, ADHD, Mood Disorders, Generalized Anxiety Disorder, Social Anxiety Disorder, and PTSD.
Olga Katz, MD is a Board-Certified Psychiatrist and a recognized expert in treating psychiatric disorders in children, adolescents and adults. As the founder and Medical Director of Crasmere Psychiatric Services for 23 years, Dr. Olga Katz dedicated her career to improving the mental health of her patients. She utilizes bio psychosocial model which allows her to focus on the appropriate medications and psychodynamic psychotherapy to successfully treating the most challenging variety of psychiatric pathologies, including Panic Disorder, ADHD, Mood Disorders, Generalized Anxiety Disorder, Social Anxiety Disorder, and PTSD.
(347) 396-1656 View (347) 396-1656
Photo of Tuzeen Shakir M D., MD, Psychiatrist
Tuzeen Shakir M D.
Psychiatrist, MD
Verified Verified
Staten Island, NY 10306  (Online Only)
I am a Board Certified Psychiatrist. Licensed in NY and NJ. I have 20+ years of experience treating a diverse population of adult and geriatric patients with various Psychiatric illnesses, like Anxiety, depressive disorders, mood disorders, OCD, PTSD, and Bipolar Disorders. A patient needs a doctor that is understanding, compassionate and has the vast medical experience to cater to the mental issues they might be facing. I cater to all of these needs with my extensive experience dealing with psychiatric illnesses and empathetic personality. My goal with the patients I see is to improve their mental and physical well-being.
I am a Board Certified Psychiatrist. Licensed in NY and NJ. I have 20+ years of experience treating a diverse population of adult and geriatric patients with various Psychiatric illnesses, like Anxiety, depressive disorders, mood disorders, OCD, PTSD, and Bipolar Disorders. A patient needs a doctor that is understanding, compassionate and has the vast medical experience to cater to the mental issues they might be facing. I cater to all of these needs with my extensive experience dealing with psychiatric illnesses and empathetic personality. My goal with the patients I see is to improve their mental and physical well-being.
(347) 697-4518 View (347) 697-4518
Photo of Cherrisse Bunch, DNP, Psychiatric Nurse Practitioner
Cherrisse Bunch
Psychiatric Nurse Practitioner, DNP
Verified Verified
Staten Island, NY 10303
I am a doctorate adavanced nurse practitioner with experience and compassion in treating individuals with abnormal mood symptoms including anxiety, depression and posttraumatic stress conditions. I also provide a person centered approach to address older adults with cognitive behavioral disturbance problems, women's mental health and adults of all ages seeking education or treatment for symptom management.
I am a doctorate adavanced nurse practitioner with experience and compassion in treating individuals with abnormal mood symptoms including anxiety, depression and posttraumatic stress conditions. I also provide a person centered approach to address older adults with cognitive behavioral disturbance problems, women's mental health and adults of all ages seeking education or treatment for symptom management.
(646) 491-8638 View (646) 491-8638
Photo of Dr. Alicia Johnson, Psychiatric Nurse Practitioner
Dr. Alicia Johnson
Psychiatric Nurse Practitioner
Verified Verified
Staten Island, NY 10302  (Online Only)
My name is Dr. Johnson. I am a double-board certified psychiatric provider. I love to help people dealing with real-life issues including depression, anxiety, trauma and those struggling with self-defeating behaviors. Delivering a safe, comfortable, non-judgmental environment and making a difference is what it is all about. My passion is assisting others in their journey, will prescribe medication, if needed, as I can make a difference. I am here to help.
My name is Dr. Johnson. I am a double-board certified psychiatric provider. I love to help people dealing with real-life issues including depression, anxiety, trauma and those struggling with self-defeating behaviors. Delivering a safe, comfortable, non-judgmental environment and making a difference is what it is all about. My passion is assisting others in their journey, will prescribe medication, if needed, as I can make a difference. I am here to help.
(347) 252-3810 View (347) 252-3810
Photo of Emmanuel Ahipue, DNP, PMHNP, BC, FNP-C, Psychiatric Nurse Practitioner
Emmanuel Ahipue
Psychiatric Nurse Practitioner, DNP, PMHNP, BC, FNP-C
Verified Verified
Staten Island, NY 10306  (Online Only)
I have a background in child, adolescent, adult, family mental health, and substance abuse treatments. My years of experience include providing care in inpatient settings, integrated primary care settings, wellness, and recovery centers. My clinical interests include holistic care of clients across lifespan with an emphasis on disease prevention, health maintenance, chronic disease management, mental health and addiction. I believe everyone has a purpose and should not view their mental disorder as a weakness. Recovery of mental health symptoms is possible when managed with kindness, respect, and dignity.
I have a background in child, adolescent, adult, family mental health, and substance abuse treatments. My years of experience include providing care in inpatient settings, integrated primary care settings, wellness, and recovery centers. My clinical interests include holistic care of clients across lifespan with an emphasis on disease prevention, health maintenance, chronic disease management, mental health and addiction. I believe everyone has a purpose and should not view their mental disorder as a weakness. Recovery of mental health symptoms is possible when managed with kindness, respect, and dignity.
(718) 395-9478 View (718) 395-9478
Photo of Dr. Olubunmi Adetule - Pro Peace NP in Psychiatry PLLC, DNP, PMHNP, APN-C, Psychiatric Nurse Practitioner
Pro Peace NP in Psychiatry PLLC
Psychiatric Nurse Practitioner, DNP, PMHNP, APN-C
Verified Verified
Staten Island, NY 10305
Dr. Olubunmi Adetule, DNP, Psychiatric-Mental Health Nurse Practitioner-BC, has a rich background in patient assessment, clinical diagnoses, and treatment plan formulation. I provide culturally competent care across the lifespan (children, adolescents, and adults) to clients with diverse mental health needs, including anxiety, depression, and ADHD treatment and management, to improve their overall conditions.
Dr. Olubunmi Adetule, DNP, Psychiatric-Mental Health Nurse Practitioner-BC, has a rich background in patient assessment, clinical diagnoses, and treatment plan formulation. I provide culturally competent care across the lifespan (children, adolescents, and adults) to clients with diverse mental health needs, including anxiety, depression, and ADHD treatment and management, to improve their overall conditions.
(347) 846-2316 View (347) 846-2316
Photo of Sebrina Henderson - SMPsychotherapy & Counseling Services, FNP-BC, NP-C, Psychiatric Nurse Practitioner
SMPsychotherapy & Counseling Services
Psychiatric Nurse Practitioner, FNP-BC, NP-C
Verified Verified
1 Endorsed
Staten Island, NY 10314
Have you ever been prescribed medication and rushed out of the provider's door? No more! Are you in therapy now but feel like your symptoms are not improving? Our NY board-certified Family Nurse Practitioners are here to help you. We have experience in treating ADHD, anxiety, depression, and other mental illnesses. We help women and families. We also have Medical Marijuana Practitioner.
Have you ever been prescribed medication and rushed out of the provider's door? No more! Are you in therapy now but feel like your symptoms are not improving? Our NY board-certified Family Nurse Practitioners are here to help you. We have experience in treating ADHD, anxiety, depression, and other mental illnesses. We help women and families. We also have Medical Marijuana Practitioner.
(929) 481-3284 View (929) 481-3284
Photo of Juliana Tacardon - SMPsychotherapy & Counseling Services , APRN, NP-C, Psychiatric Nurse Practitioner
SMPsychotherapy & Counseling Services
Psychiatric Nurse Practitioner, APRN, NP-C
Verified Verified
Staten Island, NY 10314
My ideal client is aware they have physical or mental health and concerns needing to be addressed by a medical professional. I understand there can be a wide range of issues and I am more than ready to guide and assist clients to reach their health goals. My ideal client is prepared to work together and achieve our planned objectives.
My ideal client is aware they have physical or mental health and concerns needing to be addressed by a medical professional. I understand there can be a wide range of issues and I am more than ready to guide and assist clients to reach their health goals. My ideal client is prepared to work together and achieve our planned objectives.
(929) 419-4615 View (929) 419-4615
Photo of Adewunmi Julius Bankole, DNP, PMHNP, Psychiatric Nurse Practitioner
Adewunmi Julius Bankole
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
2 Endorsed
Staten Island, NY 10314
My name is Dr. Adewunmi Bankole, I am a doctoral prepared Psychiatric and Mental Health Nurse Practitioner with vast experience in psychiatry treating adults, children, adolescent and geriatric population. I am passionate about making sure that clients have a holistic care experience. My approach to treatment is emphasized on the importance of understanding your emotional stressors and helping you navigate complex relationships with co-workers, friends and families. I am an active listener and passionate about making you feel better.
My name is Dr. Adewunmi Bankole, I am a doctoral prepared Psychiatric and Mental Health Nurse Practitioner with vast experience in psychiatry treating adults, children, adolescent and geriatric population. I am passionate about making sure that clients have a holistic care experience. My approach to treatment is emphasized on the importance of understanding your emotional stressors and helping you navigate complex relationships with co-workers, friends and families. I am an active listener and passionate about making you feel better.
(817) 672-1566 View (817) 672-1566
Photo of Yelena Geller-Berdichevsky - MYM Child & Adult Psychiatry, PMHNP, Psychiatric Nurse Practitioner
MYM Child & Adult Psychiatry
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Staten Island, NY 10306  (Online Only)
Our Goal is to find the right balance between your need for appropriate therapeutic interventions and safe medication management for struggles with Depression, Anxiety, ADHD, PTSD, Mood Disturbances, Sleep Challenges, Obsessive-Compulsive, Trauma & Autism Spectrum Disorder.
Our Goal is to find the right balance between your need for appropriate therapeutic interventions and safe medication management for struggles with Depression, Anxiety, ADHD, PTSD, Mood Disturbances, Sleep Challenges, Obsessive-Compulsive, Trauma & Autism Spectrum Disorder.
(718) 550-6731 View (718) 550-6731
Photo of Dr. Anne Phan-Huy, MD, Psychiatrist
Dr. Anne Phan-Huy
Psychiatrist, MD
Verified Verified
Staten Island, NY 10314
Dr. Phan-Huy's philosophy of care is all about you. Your beliefs, your experiences, your goals. By partnering with Dr. Phan-Huy, you will be empowered with the tools necessary to achieve fulfilment. That’s because – with Board certification in psychiatry and specialty training from the University of Michigan – Dr. Phan-Huy is a beacon of clarity in the complex world of mental health.
Dr. Phan-Huy's philosophy of care is all about you. Your beliefs, your experiences, your goals. By partnering with Dr. Phan-Huy, you will be empowered with the tools necessary to achieve fulfilment. That’s because – with Board certification in psychiatry and specialty training from the University of Michigan – Dr. Phan-Huy is a beacon of clarity in the complex world of mental health.
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Photo of Anton Dragonetti, NP, Psychiatric Nurse Practitioner
Anton Dragonetti
Psychiatric Nurse Practitioner, NP
Verified Verified
Staten Island, NY 10312  (Online Only)
I believe in using evidence-based practice and treatment modalities. I take the extra time to complete prior authorizations so clients have the access to the newest medication needed to treat their mental health conditions. I strive to look at each individual holistically and focus on holistic treatment which includes: medication management, nutrition, exercise and sleep hygiene practices.
I believe in using evidence-based practice and treatment modalities. I take the extra time to complete prior authorizations so clients have the access to the newest medication needed to treat their mental health conditions. I strive to look at each individual holistically and focus on holistic treatment which includes: medication management, nutrition, exercise and sleep hygiene practices.
(347) 599-9483 View (347) 599-9483
Photo of Dr. Svetlana Beskina, DO, Psychiatrist
Dr. Svetlana Beskina
Psychiatrist, DO
Verified Verified
Staten Island, NY 10301
My interest in medicine can be traced back to my early childhood. I come from a family with several generations of physicians. My father, a pediatrician, had the greatest influence on me. What amazed me the most about him was the amount of care and genuine concern that he demonstrated for his patients, which in my mind are essential for an ideal physician. I received my bachelors degree from Columbia University, majoring in psychology. Vincent Van Gogh once said: "After all there is nothing in the world as interesting as people, and one can never study them enough."
My interest in medicine can be traced back to my early childhood. I come from a family with several generations of physicians. My father, a pediatrician, had the greatest influence on me. What amazed me the most about him was the amount of care and genuine concern that he demonstrated for his patients, which in my mind are essential for an ideal physician. I received my bachelors degree from Columbia University, majoring in psychology. Vincent Van Gogh once said: "After all there is nothing in the world as interesting as people, and one can never study them enough."
(347) 983-2310 View (347) 983-2310
Leonie Johnson-Sena
Psychiatrist, MD
Verified Verified
Staten Island, NY 10301
As a Child, Adolescent and Adult Psychiatrist with years of experience, I treat the full spectrum of psychiatric conditions. The enitire focus of my practice is personal empowerment and the elimination of shame in regard to mental, behavioral and emotional health. It is my delight to help bring dignity back to the lives of adults and children. If you have taken the first steps to go see a psychiatrist for whatever the reason, reaching is a sign of strength, not weakness. The goal of my practice is for my patients to gain strength, useful tools and insight to successfully manage
As a Child, Adolescent and Adult Psychiatrist with years of experience, I treat the full spectrum of psychiatric conditions. The enitire focus of my practice is personal empowerment and the elimination of shame in regard to mental, behavioral and emotional health. It is my delight to help bring dignity back to the lives of adults and children. If you have taken the first steps to go see a psychiatrist for whatever the reason, reaching is a sign of strength, not weakness. The goal of my practice is for my patients to gain strength, useful tools and insight to successfully manage
(201) 870-0989 View (201) 870-0989
Photo of Pavel Filimonov, MD, Psychiatrist
Pavel Filimonov
Psychiatrist, MD
Verified Verified
Staten Island, NY 10306
Hello, my name is Dr. Pavel Filimonov, M.D. and I am a Holistic Psychiatrist. I am a bit different because I don't limit myself to just writing prescriptions and using talk therapy. I integrate Eastern healing techniques with the best researched principles of Western medicine, combining these elements to evoke change in the system as a whole--physically, mentally, spiritually and emotionally. This combined approach helps me to deal with my patients' anxiety, fear and overwhelment in a much more efficient way, markedly REDUCING NEED FOR MEDICATIONS. *IMPORTANT: Insurance pays ONLY a small portion of Holistic treatment.
Hello, my name is Dr. Pavel Filimonov, M.D. and I am a Holistic Psychiatrist. I am a bit different because I don't limit myself to just writing prescriptions and using talk therapy. I integrate Eastern healing techniques with the best researched principles of Western medicine, combining these elements to evoke change in the system as a whole--physically, mentally, spiritually and emotionally. This combined approach helps me to deal with my patients' anxiety, fear and overwhelment in a much more efficient way, markedly REDUCING NEED FOR MEDICATIONS. *IMPORTANT: Insurance pays ONLY a small portion of Holistic treatment.
(347) 983-9320 View (347) 983-9320
Photo of Yewande Mikoku, PMHNP, BC, Psychiatric Nurse Practitioner
Yewande Mikoku
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
1 Endorsed
Staten Island, NY 10314  (Online Only)
Yewande Mikoku is a board-certified Mental Health Nurse Practitioner. Yewande empowers her patients by working in collaboration with them to choose the best treatment for their mental health needs. As a holistically-minded provider, she uses active listening and shared decision making in helping patients find right treatment. Yewande encourages patients to live up to their full potential. Yewande provides practicals that are easy to implement to promote optimal health. Yewande's approach begins with commitment to individuals needs and resources that support evidence based practices. Yewande works with patients 18-64.
Yewande Mikoku is a board-certified Mental Health Nurse Practitioner. Yewande empowers her patients by working in collaboration with them to choose the best treatment for their mental health needs. As a holistically-minded provider, she uses active listening and shared decision making in helping patients find right treatment. Yewande encourages patients to live up to their full potential. Yewande provides practicals that are easy to implement to promote optimal health. Yewande's approach begins with commitment to individuals needs and resources that support evidence based practices. Yewande works with patients 18-64.
(929) 335-9646 View (929) 335-9646
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How does your Psychiatrist compare?

Number of Psychiatrists in Staten Island, NY

30+

Average cost per session

$250

Psychiatrists in Staten Island, NY who prioritize treating:

100% Depression
94% Anxiety
81% Medication Management
75% Obsessive-Compulsive (OCD)
72% ADHD
72% Trauma and PTSD
69% Bipolar Disorder

Average years in practice

6 Years

Top 3 insurances accepted

85% Aetna
78% Cigna and Evernorth
59% Oxford

How Psychiatrists in Staten Island, NY see their clients

54% In Person and Online
46% Online Only

Gender breakdown

74% Female
26% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Staten Island?

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.