Psychiatrists in San Miguel County, CO

Photo of Melissa Shulman, PMHNP, Psychiatric Nurse Practitioner
Melissa Shulman
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Telluride, CO 81435  (Online Only)
Hello! My name is Melissa Shulman and I am a Psychiatric Nurse Practitioner with The 40/20 Collective. As your provider, it is my goal that you feel truly seen and supported. During our sessions I will get to know you and your unique needs, and we will develop a treatment plan that is guided by what’s most important to you. Wherever you are on your mental health journey, I will meet you where you’re at. I provide holistic care and medication management for a variety of mental health needs, including Anxiety, Depression, ADHD, Substance Use Disorder, Bipolar Disorder, Complex Trauma, PTSD and OCD.
Hello! My name is Melissa Shulman and I am a Psychiatric Nurse Practitioner with The 40/20 Collective. As your provider, it is my goal that you feel truly seen and supported. During our sessions I will get to know you and your unique needs, and we will develop a treatment plan that is guided by what’s most important to you. Wherever you are on your mental health journey, I will meet you where you’re at. I provide holistic care and medication management for a variety of mental health needs, including Anxiety, Depression, ADHD, Substance Use Disorder, Bipolar Disorder, Complex Trauma, PTSD and OCD.
(970) 699-4313 View (970) 699-4313
Photo of Kyle Brown, PNP, PMHNP, Psychiatric Nurse Practitioner
Kyle Brown
Psychiatric Nurse Practitioner, PNP, PMHNP
Verified Verified
Telluride, CO 81435
Accepting New Patients! Kyle is a dual board certified psychiatric mental health nurse practitioner and a family nurse practitioner with prescriptive authority in Colorado. Mr. Brown received his advanced degree from Regis University in Denver Colorado and has 14 years of experience in the healthcare arena; including pediatrics, communicable disease control, and integrated family practice. Kyle has a passion for current research and treatment therapies in psychiatry, with a focus on both pharmacological and non-medication management of psychiatric disorders. He has a particular interest in treatment resistant mood disorders and OCD.
Accepting New Patients! Kyle is a dual board certified psychiatric mental health nurse practitioner and a family nurse practitioner with prescriptive authority in Colorado. Mr. Brown received his advanced degree from Regis University in Denver Colorado and has 14 years of experience in the healthcare arena; including pediatrics, communicable disease control, and integrated family practice. Kyle has a passion for current research and treatment therapies in psychiatry, with a focus on both pharmacological and non-medication management of psychiatric disorders. He has a particular interest in treatment resistant mood disorders and OCD.
(720) 727-6596 View (720) 727-6596
Photo of Heather Shannon Ford, PMHNP, Psychiatric Nurse Practitioner
Heather Shannon Ford
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Telluride, CO 81435
With backgrounds in both conventional and alternative therapies, I love personalizing care to your individual mental health needs. Your symptoms are often rooted in a deeper cause (or causes) that require considering your mind, body, daily habits and relationships. I specialize in working with adults 18 and older who want to go beyond just 'a pill for every ill' worldview and incorporate lifestyle changes, hormone optimization and effective supplement regimes. Appointments Online and In Person in Grand Junction.
With backgrounds in both conventional and alternative therapies, I love personalizing care to your individual mental health needs. Your symptoms are often rooted in a deeper cause (or causes) that require considering your mind, body, daily habits and relationships. I specialize in working with adults 18 and older who want to go beyond just 'a pill for every ill' worldview and incorporate lifestyle changes, hormone optimization and effective supplement regimes. Appointments Online and In Person in Grand Junction.
(970) 517-1848 View (970) 517-1848
Photo of Lashandra Saulsberry, PMHNP, BC, Psychiatric Nurse Practitioner
Lashandra Saulsberry
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
12 Endorsed
Telluride, CO 81435  (Online Only)
Shandra is dedicated to providing warm, compassionate care to each individual throughout their healing journey. She treats depression and complex mood disorders, anxiety disorders, panic disorder, Post Traumatic Stress Disorder, Women’s Health, Attention Deficit/Hyperactivity Disorder, Insomnia, Grief and Loss, Life transitions, Obsessive Compulsive Disorder, panic disorder and more.
Shandra is dedicated to providing warm, compassionate care to each individual throughout their healing journey. She treats depression and complex mood disorders, anxiety disorders, panic disorder, Post Traumatic Stress Disorder, Women’s Health, Attention Deficit/Hyperactivity Disorder, Insomnia, Grief and Loss, Life transitions, Obsessive Compulsive Disorder, panic disorder and more.
(720) 586-4755 View (720) 586-4755
Photo of Dr. Sarah Alsgaard, DNP, PMHNP, Psychiatric Nurse Practitioner
Dr. Sarah Alsgaard
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Telluride, CO 81435
Dr. Sarah Alsgaard is a board-certified Psychiatric Mental Health Nurse Practitioner who specializes in treating anxiety, depression, bipolar disorder, OCD, PTSD, schizophrenia and other psychiatric diagnoses. She earned her Doctorate in Nursing Practice in 2017 from George Mason University in Fairfax, Virginia. Following, she joined the Durango, Colorado community and has practice psychiatric care across the lifespan in multiple settings for patients ages 12 and older.
Dr. Sarah Alsgaard is a board-certified Psychiatric Mental Health Nurse Practitioner who specializes in treating anxiety, depression, bipolar disorder, OCD, PTSD, schizophrenia and other psychiatric diagnoses. She earned her Doctorate in Nursing Practice in 2017 from George Mason University in Fairfax, Virginia. Following, she joined the Durango, Colorado community and has practice psychiatric care across the lifespan in multiple settings for patients ages 12 and older.
(970) 715-6359 View (970) 715-6359

Online Psychiatrists

Photo of Lisa Isenberg, DNP, CPNP, PMHNP-B, Psychiatric Nurse
Lisa Isenberg
Psychiatric Nurse, DNP, CPNP, PMHNP-B
Verified Verified
1 Endorsed
Bayfield, CO 81122
I specialize in working with children, adolescents, and adults with a variety of mental health concerns. I work hard to maintain a strong relationship with my clients, so I get to know them well, and they are comfortable talking to me about their concerns, what they feel is working, or any changes they think are needed. I value continuity in the provider-client relationship as it is essential for stable mental health. Appointments consist of a psychiatric evaluation and medication discussion in a nonjudgmental, therapeutic, and counseling environment.
I specialize in working with children, adolescents, and adults with a variety of mental health concerns. I work hard to maintain a strong relationship with my clients, so I get to know them well, and they are comfortable talking to me about their concerns, what they feel is working, or any changes they think are needed. I value continuity in the provider-client relationship as it is essential for stable mental health. Appointments consist of a psychiatric evaluation and medication discussion in a nonjudgmental, therapeutic, and counseling environment.
(970) 647-7767 View (970) 647-7767
Photo of Chidi Enwere, PMHNP, MSN, APRN, Psychiatric Nurse Practitioner
Chidi Enwere
Psychiatric Nurse Practitioner, PMHNP, MSN, APRN
Verified Verified
20 Endorsed
Durango, CO 81301  (Online Only)
I am a dual board-certified Psychiatric Nurse Practitioner and Family Nurse Practitioner. I started my healthcare career working in a mental health hospital while obtaining my undergraduate degree. I completed my Bachelor of Science and Master of Science degrees at Case Western Reserve University. I went on to complete my Psychiatric Nurse Practitioner certification from The University of Texas Rio Grande Valley.
I am a dual board-certified Psychiatric Nurse Practitioner and Family Nurse Practitioner. I started my healthcare career working in a mental health hospital while obtaining my undergraduate degree. I completed my Bachelor of Science and Master of Science degrees at Case Western Reserve University. I went on to complete my Psychiatric Nurse Practitioner certification from The University of Texas Rio Grande Valley.
(719) 223-4544 View (719) 223-4544
Photo of Stacey Salmonson, PMHNP, RXN, Psychiatric Nurse Practitioner
Stacey Salmonson
Psychiatric Nurse Practitioner, PMHNP, RXN
Verified Verified
Board certified Psychiatric Mental Health Nurse Practitioner with clinical experience in outpatient, inpatient, substance abuse treatment centers, and jail settings. Education includes a Master of Science in Nursing, Psychiatric Nurse Practitioner specialization, from the University of South Alabama in Mobile, Alabama. Experience treating people across the life span, including veterans, for anxiety disorders, ADHD, bipolar, psychotic disorders, substance use disorders, PTSD, trauma, and depression.
Board certified Psychiatric Mental Health Nurse Practitioner with clinical experience in outpatient, inpatient, substance abuse treatment centers, and jail settings. Education includes a Master of Science in Nursing, Psychiatric Nurse Practitioner specialization, from the University of South Alabama in Mobile, Alabama. Experience treating people across the life span, including veterans, for anxiety disorders, ADHD, bipolar, psychotic disorders, substance use disorders, PTSD, trauma, and depression.
(970) 713-9525 View (970) 713-9525
Photo of Christa Marie Aslanian, PMHNP, Psychiatric Nurse Practitioner
Christa Marie Aslanian
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Christa Marie Aslanian is a Psychiatric Mental Health Nurse Practitioner in Colorado who has been practicing since 2020. Christa provides patient-centered, collaborative care where she and the client work as a team to achieve the goals of each individual. Outside of work, Christa enjoys fly-fishing, kayaking, mountain-biking, snowboarding, and running.
Christa Marie Aslanian is a Psychiatric Mental Health Nurse Practitioner in Colorado who has been practicing since 2020. Christa provides patient-centered, collaborative care where she and the client work as a team to achieve the goals of each individual. Outside of work, Christa enjoys fly-fishing, kayaking, mountain-biking, snowboarding, and running.
(970) 446-8953 View (970) 446-8953
Photo of K. Robinson, PMHNP, FNP, RN, Psychiatric Nurse Practitioner
K. Robinson
Psychiatric Nurse Practitioner, PMHNP, FNP, RN
Verified Verified
1 Endorsed
Gunnison, CO 81230
Accepting insurance and new patients. I'm a Johns Hopkins-trained, board-certified Psychiatric Nurse Practitioner who brings a deeply empathetic, evidence-based, and down-to-earth approach to mental health. I work with adults experiencing anxiety, depression, difficulty sleeping, life transitions, attention and focus issues/ADHD, bipolar, OCD, PTSD, and the mental health aspects of chronic pain. I take the time to get to know my patients, understand what they're going through, and make sure they are well-informed to make the best decisions for themselves.
Accepting insurance and new patients. I'm a Johns Hopkins-trained, board-certified Psychiatric Nurse Practitioner who brings a deeply empathetic, evidence-based, and down-to-earth approach to mental health. I work with adults experiencing anxiety, depression, difficulty sleeping, life transitions, attention and focus issues/ADHD, bipolar, OCD, PTSD, and the mental health aspects of chronic pain. I take the time to get to know my patients, understand what they're going through, and make sure they are well-informed to make the best decisions for themselves.
(720) 794-5175 View (720) 794-5175
Photo of Miesha Anderson, DNP,  PMHNP-, Psychiatric Nurse
Miesha Anderson
Psychiatric Nurse, DNP, PMHNP-
Verified Verified
Dr. Miesha Anderson, PMHNP, practices at LifeStance Health, offering compassionate care to individuals across Colorado. She believes in empowering her patients to overcome mental health challenges and achieve holistic wellness. With a deep commitment to evidence-based practices, Miesha specializes in medication management and addressing substance abuse issues. Miesha's clinical expertise spans a wide range of conditions, including ADHD, anxiety, depression, PTSD, and women's health issues such as post-partum depression and reproductive challenges.
Dr. Miesha Anderson, PMHNP, practices at LifeStance Health, offering compassionate care to individuals across Colorado. She believes in empowering her patients to overcome mental health challenges and achieve holistic wellness. With a deep commitment to evidence-based practices, Miesha specializes in medication management and addressing substance abuse issues. Miesha's clinical expertise spans a wide range of conditions, including ADHD, anxiety, depression, PTSD, and women's health issues such as post-partum depression and reproductive challenges.
(970) 614-4731 View (970) 614-4731
Photo of Monique Carrera, MSN, Psychiatric Nurse Practitioner
Monique Carrera
Psychiatric Nurse Practitioner, MSN
Verified Verified
2 Endorsed
My patients are actively seeking to improve their mental well-being and are open to a collaborative approach to treatment. They value the importance of mental health and understand the benefits of therapy, lifestyle changes, and medication when necessary. They are committed to engaging in the therapeutic process, willing to communicate openly with their providers, and are proactive in their care journey. Whether facing anxiety, depression, or other mental health challenges, my patients are ready to take the next step toward a better day.
My patients are actively seeking to improve their mental well-being and are open to a collaborative approach to treatment. They value the importance of mental health and understand the benefits of therapy, lifestyle changes, and medication when necessary. They are committed to engaging in the therapeutic process, willing to communicate openly with their providers, and are proactive in their care journey. Whether facing anxiety, depression, or other mental health challenges, my patients are ready to take the next step toward a better day.
(970) 329-9015 View (970) 329-9015
Photo of Sonya Riske - Desert Foothills Mental Health, PMHNP, Psychiatric Nurse Practitioner
Sonya Riske - Desert Foothills Mental Health
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Durango, CO 81301  (Online Only)
I help people who are worried and feeling anxious about many issues in their lives. Are you experiencing worry, feeling edgy, tired, and not sleeping well? I can help you with that. Do you find yourself constantly on edge, anticipating the possibility of an impending anxiety attack? I understand the sensations all too well: the rapid heartbeat, the breathlessness, the overwhelming sense of needing an immediate escape. These attacks can be frightening, and I want to help you break free from their grip. I am eager to guide you in acquiring the tools to regain control of your life.
I help people who are worried and feeling anxious about many issues in their lives. Are you experiencing worry, feeling edgy, tired, and not sleeping well? I can help you with that. Do you find yourself constantly on edge, anticipating the possibility of an impending anxiety attack? I understand the sensations all too well: the rapid heartbeat, the breathlessness, the overwhelming sense of needing an immediate escape. These attacks can be frightening, and I want to help you break free from their grip. I am eager to guide you in acquiring the tools to regain control of your life.
(720) 802-0177 View (720) 802-0177
Photo of Mila Mirdo, PMHNP, FNP, Psychiatric Nurse Practitioner
Mila Mirdo
Psychiatric Nurse Practitioner, PMHNP, FNP
Verified Verified
1 Endorsed
Cortez, CO 81321
I am a psychiatric nurse NP specializing in psychopharmacology. As much as people do not want to take medication for their mental health, it is essential for some in order to get healthy. It takes a village to keep your mental health at its optimum prime. My goal is to be part of your team and get you on the right medication that will help you get where you want to be.
I am a psychiatric nurse NP specializing in psychopharmacology. As much as people do not want to take medication for their mental health, it is essential for some in order to get healthy. It takes a village to keep your mental health at its optimum prime. My goal is to be part of your team and get you on the right medication that will help you get where you want to be.
(505) 324-6300 View (505) 324-6300
Photo of Ann M Cox - Ann Cox Orchid Isle Wellness Center, DNP, PMHNP, FNP, Psychiatric Nurse Practitioner
Ann Cox Orchid Isle Wellness Center
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP
Verified Verified
1 Endorsed
Grand Junction, CO 81501  (Online Only)
Practicing in Colorado and Hawaii via Telehealth. Dr. Cox has over 40 years experience in healthcare and is dual board certified as a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner. She has a vision to build a healthy community of individuals and families in Colorado and the Big Island of Hawaii. By providing compassionate patient-centered care to clients across the life span, her focus is a holistic approach to your treatment plan. Psychotherapy is also provided as part of our services with the primary focus on Medication Management.
Practicing in Colorado and Hawaii via Telehealth. Dr. Cox has over 40 years experience in healthcare and is dual board certified as a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner. She has a vision to build a healthy community of individuals and families in Colorado and the Big Island of Hawaii. By providing compassionate patient-centered care to clients across the life span, her focus is a holistic approach to your treatment plan. Psychotherapy is also provided as part of our services with the primary focus on Medication Management.
(808) 204-4388 View (808) 204-4388
Photo of Susan Short, PMHNP, Psychiatric Nurse Practitioner
Susan Short
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Susan Short, PMHNP Susan Short is a Psychiatric Mental Health Nurse Practitioner in Colorado who has been practicing since 2000. She has earned a BSN, MSN, FNP, and PMHNP-BC. Susan utilizes evidence-based practices based on APA and AACAP psychiatric standards of care, her clinical experience, and the patient's personal values and situations. These assist Susan with informed clinical decision making in the psychiatric care of the child, adolescents, and their families. Outside of work, Susan enjoys golf, hiking, dogs, fitness, reading, and traveling.
Susan Short, PMHNP Susan Short is a Psychiatric Mental Health Nurse Practitioner in Colorado who has been practicing since 2000. She has earned a BSN, MSN, FNP, and PMHNP-BC. Susan utilizes evidence-based practices based on APA and AACAP psychiatric standards of care, her clinical experience, and the patient's personal values and situations. These assist Susan with informed clinical decision making in the psychiatric care of the child, adolescents, and their families. Outside of work, Susan enjoys golf, hiking, dogs, fitness, reading, and traveling.
(970) 427-2835 View (970) 427-2835
Photo of Dr. Lisa Boffa - Montrose Psychiatric Nurse Practitioners, PMHNP, FNP, ND, Psychiatric Nurse Practitioner
Montrose Psychiatric Nurse Practitioners
Psychiatric Nurse Practitioner, PMHNP, FNP, ND
Verified Verified
Montrose, CO 81401
My name is Dr. Lisa Boffa. My ideal clients would be motivated to partner with me to help themselves and improve their lives.
My name is Dr. Lisa Boffa. My ideal clients would be motivated to partner with me to help themselves and improve their lives.
(970) 480-8851 View (970) 480-8851
Photo of Caitlin Prescott, DNP, PMHNP, Psychiatric Nurse Practitioner
Caitlin Prescott
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Durango, CO 81303
Welcome to Red Mountain Psychiatry! With a master's in nursing and doctorate in nursing practice, I bring a wealth of expertise to mental health care. Specializing in general psychiatry, medication for opioid use disorder, and gender-affirming care hormone treatment, I am dedicated to providing comprehensive and compassionate treatment tailored to each individual I see. Please visit www.redmountainpsychiatry.com to connect and make an appointment.
Welcome to Red Mountain Psychiatry! With a master's in nursing and doctorate in nursing practice, I bring a wealth of expertise to mental health care. Specializing in general psychiatry, medication for opioid use disorder, and gender-affirming care hormone treatment, I am dedicated to providing comprehensive and compassionate treatment tailored to each individual I see. Please visit www.redmountainpsychiatry.com to connect and make an appointment.
(970) 410-6597 View (970) 410-6597
Photo of Margaret Anne Parnell - Telepsychiatric Bridge Services, LLC., DNP, MSN, ARNP, PMHNPBC, Psychiatric Nurse Practitioner
Telepsychiatric Bridge Services, LLC.
Psychiatric Nurse Practitioner, DNP, MSN, ARNP, PMHNPBC
Verified Verified
Fruita, CO 81521
Be seen this week! Exceptional reviews, check me out on Google. Come to our office to be seen and meet our therapy dogs. Want to receive mental health treatment and medication management from the comfort and convenience of your own home or office? I see patients in office or over a HIPAA compliant telepsychiatry service, providing psychiatric evaluations and medication management. I e-prescribe to the pharmacy of your choice.
Be seen this week! Exceptional reviews, check me out on Google. Come to our office to be seen and meet our therapy dogs. Want to receive mental health treatment and medication management from the comfort and convenience of your own home or office? I see patients in office or over a HIPAA compliant telepsychiatry service, providing psychiatric evaluations and medication management. I e-prescribe to the pharmacy of your choice.
(970) 540-5412 View (970) 540-5412
Photo of Zachary Wight - Inner Joy Psychiatry | Zachary Wight PMHNP, PMHNP, APRN, Psychiatric Nurse Practitioner
Inner Joy Psychiatry | Zachary Wight PMHNP
Psychiatric Nurse Practitioner, PMHNP, APRN
Verified Verified
Durango, CO 81301
Accepting New Patients! I specialize in integrative psychiatry for individuals ages 16+ combining evidence-based medication management with holistic and non-traditional "whole-body" approaches for full-spectrum treatment of mental illnesses and substance abuse. I am accepting of all people and I provide non-judgmental care. Viewing the mind, body, emotions, and soul as beautifully interconnected, I will strive to gain a deep understanding of your unique history, the current struggles that are hindering mental wellness, and adaptation skills that can be enhanced to inspire a lasting sense of inner joy.
Accepting New Patients! I specialize in integrative psychiatry for individuals ages 16+ combining evidence-based medication management with holistic and non-traditional "whole-body" approaches for full-spectrum treatment of mental illnesses and substance abuse. I am accepting of all people and I provide non-judgmental care. Viewing the mind, body, emotions, and soul as beautifully interconnected, I will strive to gain a deep understanding of your unique history, the current struggles that are hindering mental wellness, and adaptation skills that can be enhanced to inspire a lasting sense of inner joy.
(970) 514-5359 View (970) 514-5359

See more therapy options for San Miguel County

How does your Psychiatrist compare?

Number of Psychiatrists in San Miguel County, CO

< 10

Psychiatrists in San Miguel County, CO who prioritize treating:

100% Depression
100% Anxiety
100% ADHD
100% Trauma and PTSD
100% Bipolar Disorder
80% Obsessive-Compulsive (OCD)
80% Sleep or Insomnia

Average years in practice

8 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH

How Psychiatrists in San Miguel County, CO see their clients

60% In Person and Online
40% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in San Miguel County?

The Psychology Today Directory enables users to search specifically for psychiatrists by selecting the provider type from the drop-down menu, and filtering results by city, zip code, or the psychiatrist's name. The search results feature detailed profiles that outline each professional's treatment approach, areas of expertise, credentials, fees, payment options, and accepted insurance. Results include both psychiatrists (MDs) and psychiatric mental health nurse practitioners (PMHNPs), who hold advanced practice nursing degrees. Users can refine their search for a specific type of psychiatric provider using the "Provider Type" filter.

What is the difference between a psychiatrist and a psychologist?

Psychiatrists are medical specialists dedicated to understanding, diagnosing, and treating brain disorders and mental health conditions. As physicians, they are trained to identify the often subtle biological factors underlying mental disorders and to monitor how mental health treatments may impact other physical conditions, such as heart disease. Psychiatrists are licensed to prescribe medication and typically conduct shorter sessions that focus on medication management rather than intensive psychotherapy.

In contrast, psychologists are particularly attuned to the impact of early experiences on development, behavior, emotions, and cognitive processes. They often take a holistic approach to assessing and treating clients, considering aspects of personality and social functioning. Although psychologists cannot prescribe medication, they are frequently skilled in administering psychological tests—such as IQ tests, personality assessments, and behavioral evaluations—to assess an individual's functioning. Psychologists often engage in longer, more psychotherapy-focused sessions compared to psychiatrists.

What is a psychiatric nurse practitioner and what is the difference with a psychiatrist?

A psychiatric mental health nurse practitioner (PMHNP), also known as a mental health nurse practitioner or psychiatric nurse practitioner, is an advanced practice registered nurse (APRN) who has completed advanced training in psychiatric care, earning at least a master’s degree in psychiatric nursing. To become Board-Certified (PMHNP-BC), psychiatric nurse practitioners must also pass a national exam that tests their clinical psychiatric knowledge.

Like psychiatrists, PMHNPs are trained to assess, diagnose, and treat mental health conditions. However, PMHNPs and psychiatrists differ in their training experience. While PMHNPs can complete their credentialing requirements (full bachelor's and master's degree training) in as few as 6 years, psychiatrists often spend upwards of 12 years to complete their bachelor's, medical doctorate degree, and residency training requirements. Because of training differences, some states require PMHNPs to be supervised by or enter into a collaborative agreement with a physician in order to prescribe medication.

When deciding to work with a psychiatrist or PMHNP, clients should consider factors such therapeutic fit, cost, and availability. Psychiatrists may have more substantial training in treating more severe psychiatric conditions, as well as in providing more specialized treatment services, such as child psychiatry. However, psychiatrists may be inaccessible to some clients, as their cost and availability may be prohibitive. It can often be easier for clients to find a PMHNP with openings for new clients when compared to psychiatrists, and PMHNPs may also offer lower cost treatment options for clients looking to minimize out-of-pocket costs.

Can a psychiatrist or a PMHNP prescribe medication?

The Psychology Today directory features two primary types of psychiatric professionals: psychiatrists and psychiatric mental health nurse practitioners (PMHNPs). Both are generally authorized to prescribe psychiatric medications. In 28 states, PMHNPs have full practice authority, allowing them to provide the complete spectrum of psychiatric care, including independent medication prescribing and management. In other states, however, PMHNPs are required to work under the supervision or in collaboration with a physician to prescribe medication. Both psychiatrists and PMHNPs may also offer additional services, such as psychotherapy, counseling, and care coordination, for clients seeking psychiatric care.

Do psychiatrists or PMHNPs offer therapy?

Both psychiatrists and psychiatric mental health nurse practitioners (PMHNPs) are generally trained in a number of treatment modalities, including traditional psychotherapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), pharmacotherapy, and, occasionally, various somatic therapies. Typically, psychiatrists and PMHNPs make a diagnosis and determine a course of treatment based on chemical or biological factors, using lab tests, brain scans and physical and psychological evaluations.

While psychotherapy may be used in the first session to aid in diagnosis, it is not typically utilized in subsequent visits. In fact, after the introductory session, most psychiatry sessions may only be 15-20 minutes in length and are largely focused on medication management; this is frequently the case for both psychiatrists and PMHNPs. However, medication providers who do not offer psychotherapy usually work collaboratively with psychologists and other mental health clinicians who do offer these services, and they can refer clients seeking more traditional psychotherapy services to their care.

How do I know if I need a psychiatrist, a PMHNP, or a therapist?

It is not always easy to know which type of mental health practitioner to choose. Many people are unaware of the root of their mental or behavioral problem and may be unaware of the differences in support provided by various mental health professionals. One way many people learn which type of care is best for them is by seeing their primary care provider (PCP) first. Depending on the nature and severity of the symptoms, the PCP may review their medical history and provide guidance or a referral to the appropriate type of provider.

A referral to a psychiatrist or PMHNP is most often made when a client is in need of psychiatric medication management or assessment. These professionals are specifically trained to prescribe psychiatric medications, when necessary, for a client; however, they generally do not provide supportive psychotherapy on an ongoing basis. A therapist or psychologist, in contrast, can provide supportive psychotherapy but is unable to prescribe medications. Because of their unique roles, some clients see both a medication prescriber (either a psychiatrist or PMHNP) and a therapist at the same time to address their psychiatric concerns holistically. Many psychiatrists and psychologists are very open to referring clients to other professionals if unable to meet the client's needs or if they think the client could use additional support from a different type of professional.

Do I need a referral to see a psychiatrist or a PMHNP?

A referral to a psychiatrist or psychiatric mental health nurse practitioner (PMHNP) is often not required. However, consulting your primary care physician (PCP) first can be beneficial and may streamline the process of getting the care you need. Your PCP can help determine whether psychiatric care is necessary or if another type of mental health support might be more appropriate. Additionally, some insurance plans require a PCP referral to cover part or all of the costs associated with seeing a specialist. Obtaining a referral can also expedite the appointment process, particularly in areas with provider shortages or for clients seeking specialists in fields like child psychiatry.

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

Yes, all professionals listed in the Psychology Today Therapy Directory are licensed to provide mental health services in the state(s) where they practice. The directory includes a variety of providers such as psychiatrists, psychiatric mental health nurse practitioners (PMHNPs), physician assistants, psychologists, social workers, and counselors. Each provider must hold a valid license issued by their state regulatory body to be listed. In addition, Psychology Today offers a verification process for certain providers, signified by a 'Verified' symbol next to their profile. This badge indicates that the provider’s primary credential or license has been independently verified by Psychology Today.