Psychiatrists in San Diego County, CA

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Photo of Pamela Velardi, FNP, BC, Psychiatric Nurse Practitioner
Pamela Velardi
Psychiatric Nurse Practitioner, FNP, BC
Verified Verified
San Diego, CA 92108
Pamela helps adolescents and adults with anxiety, attention-deficit/hyperactivity disorder, bipolar disorder, depression, obsessive-compulsive disorder, panic disorders, post-traumatic stress disorder, and schizophrenia.
Pamela helps adolescents and adults with anxiety, attention-deficit/hyperactivity disorder, bipolar disorder, depression, obsessive-compulsive disorder, panic disorders, post-traumatic stress disorder, and schizophrenia.
(619) 332-0810 View (619) 332-0810
Photo of Leah Haddad, MSN, PMHNP, FNP, Psychiatric Nurse Practitioner
Leah Haddad
Psychiatric Nurse Practitioner, MSN, PMHNP, FNP
Verified Verified
3 Endorsed
San Diego, CA 92108
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
(858) 302-4113 View (858) 302-4113
Photo of Mae Caragay, PA-C, MPAS, Physician Assistant
Mae Caragay
Physician Assistant, PA-C, MPAS
Verified Verified
San Diego, CA 92101  (Online Only)
Accepting New Patients - I am a board-certified Psychiatric Physician Associate (PA) with extensive training in Family Practice, Psychiatry, and Addiction Medicine. My journey has taken me from rural to urban communities, equipping me with a diverse skill set to better serve my patients. With a strong emphasis on collaboration and empathy, I strive to provide the highest quality of care.
Accepting New Patients - I am a board-certified Psychiatric Physician Associate (PA) with extensive training in Family Practice, Psychiatry, and Addiction Medicine. My journey has taken me from rural to urban communities, equipping me with a diverse skill set to better serve my patients. With a strong emphasis on collaboration and empathy, I strive to provide the highest quality of care.
(619) 848-3095 View (619) 848-3095
Photo of Asher Gorelik, MD, Psychiatrist
Asher Gorelik
Psychiatrist, MD
Verified Verified
San Diego, CA 92123
In his practice, Dr. Gorelik is particularly passionate about addressing psychosis and schizophrenia, sleep disorders, and insomnia. He understands the profound impact these conditions can have on an individual’s life and is committed to helping patients find stability and improve their quality of life. With a focus on medication management, Dr. Gorelik carefully monitors and adjusts treatment plans to optimize outcomes, working closely with his patients to ensure they feel supported throughout their mental health journey. Dr.
In his practice, Dr. Gorelik is particularly passionate about addressing psychosis and schizophrenia, sleep disorders, and insomnia. He understands the profound impact these conditions can have on an individual’s life and is committed to helping patients find stability and improve their quality of life. With a focus on medication management, Dr. Gorelik carefully monitors and adjusts treatment plans to optimize outcomes, working closely with his patients to ensure they feel supported throughout their mental health journey. Dr.
(858) 330-1431 View (858) 330-1431
Photo of Marita Grace Dailo - Kaya Mental Health & Wellness, PMHNP, Psychiatric Nurse Practitioner
Kaya Mental Health & Wellness
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Encinitas, CA 92024  (Online Only)
My name is Marita and I will be one of your guides on your journey to wellness. I bring more than a decade of clinical expertise with me with experience caring for patients at inpatient psychiatric hospitals, crisis stabilization units, outpatient clinics and community mental health centers. I’m an expert with psychotropic medications but I believe in partnering with you to create a holistic person centered treatment plan.
My name is Marita and I will be one of your guides on your journey to wellness. I bring more than a decade of clinical expertise with me with experience caring for patients at inpatient psychiatric hospitals, crisis stabilization units, outpatient clinics and community mental health centers. I’m an expert with psychotropic medications but I believe in partnering with you to create a holistic person centered treatment plan.
(760) 462-7226 View (760) 462-7226
Photo of Dr. Stephen Signer, MD, Psychiatrist
Dr. Stephen Signer
Psychiatrist, MD
Verified Verified
San Diego, CA 92128
Dr. Stephen Signer focuses on neurobehavior and neuropsychiatry for adults.
Dr. Stephen Signer focuses on neurobehavior and neuropsychiatry for adults.
(858) 568-7546 View (858) 568-7546
Photo of Integrative Psychiatrist - Patricia Pop, MD, Psychiatrist
Integrative Psychiatrist - Patricia Pop
Psychiatrist, MD
Verified Verified
1 Endorsed
Solana Beach, CA 92075  (Online Only)
Suspect or diagnosed with ADHD? Spinning your wheels but somehow getting nowhere?! Self-compassion and a thoughtful approach can help you shift from overwhelm to peace. I’m a Stanford-trained psychiatrist specializing in working women with ADHD and anxiety, offering medications & more (supplements, exercise, nutrition, mind-body skills, ADHD coaching) in a way that is warm, detailed, and thorough. Medications are just one piece of a much larger puzzle. Together, we’ll take a whole-person, whole-body approach. We'll consider your life, and all that makes you unique when making discerning decisions together.
Suspect or diagnosed with ADHD? Spinning your wheels but somehow getting nowhere?! Self-compassion and a thoughtful approach can help you shift from overwhelm to peace. I’m a Stanford-trained psychiatrist specializing in working women with ADHD and anxiety, offering medications & more (supplements, exercise, nutrition, mind-body skills, ADHD coaching) in a way that is warm, detailed, and thorough. Medications are just one piece of a much larger puzzle. Together, we’ll take a whole-person, whole-body approach. We'll consider your life, and all that makes you unique when making discerning decisions together.
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Photo of Laurie Costa, MSN, PMHNP, Psychiatric Nurse Practitioner
Laurie Costa
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
1 Endorsed
Carlsbad, CA 92008
As a Psychiatric Nurse Practitioner, an amazing experience for me is to participate and observe an individual improve the quality of their mental health and their life through personalized and collaborative treatment plans that may include medication management, supportive therapy, and lifestyle educational strategies. I value mental health as a core element in achieving recovery and a meaningful life through the instillation of hope, connection, and empowerment of the individual.
As a Psychiatric Nurse Practitioner, an amazing experience for me is to participate and observe an individual improve the quality of their mental health and their life through personalized and collaborative treatment plans that may include medication management, supportive therapy, and lifestyle educational strategies. I value mental health as a core element in achieving recovery and a meaningful life through the instillation of hope, connection, and empowerment of the individual.
(858) 295-7601 View (858) 295-7601
Photo of Emily Econie, PMHNP, Psychiatric Nurse Practitioner
Emily Econie
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Diego, CA 92120
Emily Econie is a Psychiatric Mental Health Nurse Practitioner in California who has been practicing since 2021. She has a Bachelor of Arts in Psychology and Master of Science in Homeland Security from San Diego State University and a Bachelor of Science in Nursing and Master of Science in Nursing/Nurse Practitioner from Azusa Pacific University. Emily has a diverse background working in a variety of environments including San Diego's busiest Emergency Departments as well as the acute inpatient psychiatric setting. Most people are surprised to hear that nursing is not her first career.
Emily Econie is a Psychiatric Mental Health Nurse Practitioner in California who has been practicing since 2021. She has a Bachelor of Arts in Psychology and Master of Science in Homeland Security from San Diego State University and a Bachelor of Science in Nursing and Master of Science in Nursing/Nurse Practitioner from Azusa Pacific University. Emily has a diverse background working in a variety of environments including San Diego's busiest Emergency Departments as well as the acute inpatient psychiatric setting. Most people are surprised to hear that nursing is not her first career.
(858) 544-6844 View (858) 544-6844
Photo of Randall Bailey, MD, Psychiatrist
Randall Bailey
Psychiatrist, MD
Verified Verified
San Diego, CA 92101  (Online Only)
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
(424) 339-0459 View (424) 339-0459
Photo of Riz Ahmad, MD , Psychiatrist
Riz Ahmad
Psychiatrist, MD
Verified Verified
San Diego, CA 92101  (Online Only)
We know asking for help is not an easy thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now welcoming new patients!
We know asking for help is not an easy thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now welcoming new patients!
(619) 648-4019 View (619) 648-4019
Photo of Alex Sahba - Psychiatric Evaluations - Dr. Alex Sahba, MD, Psychiatrist
Psychiatric Evaluations - Dr. Alex Sahba
Psychiatrist, MD
Verified Verified
Carlsbad, CA 92008
I'm Dr. Alex Sahba, board certified in general psychiatry/forensic psychiatry and trained at UCLA. As a recognized leader in the fields of psychiatry and qualified medical evaluations (QMEs), I am called upon to provide excellent service in various settings, including medical, legal, and academics. I conduct various types of evaluations, including: Legal/Forensics, Risk Assessment (Violence/Sexual), Drug/Alcohol Evals, Cognitive Evals, Competency Evals, Diagnostic Clarification, Fitness For Duty Evals.,​ Pre-employment Evals., Immigration-related Evals., and Workers’ Comp. (QME/AME).
I'm Dr. Alex Sahba, board certified in general psychiatry/forensic psychiatry and trained at UCLA. As a recognized leader in the fields of psychiatry and qualified medical evaluations (QMEs), I am called upon to provide excellent service in various settings, including medical, legal, and academics. I conduct various types of evaluations, including: Legal/Forensics, Risk Assessment (Violence/Sexual), Drug/Alcohol Evals, Cognitive Evals, Competency Evals, Diagnostic Clarification, Fitness For Duty Evals.,​ Pre-employment Evals., Immigration-related Evals., and Workers’ Comp. (QME/AME).
(760) 957-8987 View (760) 957-8987
Photo of Oscar Castillo, MSN, FNP, PMHNP, Psychiatric Nurse Practitioner
Oscar Castillo
Psychiatric Nurse Practitioner, MSN, FNP, PMHNP
Verified Verified
1 Endorsed
San Diego, CA 92103  (Online Only)
Hello! I'm Oscar Castillo, a dedicated and compassionate Psychiatric Mental Health Nurse Practitioner (PMHNP) based in Southern California. With a strong background in mental health, I specialize in caring for individuals of all ages dealing with ADHD, depression, anxiety, mood disorders, and PTSD. I am also proud to support the LGBTQ+ community and undocumented individuals, ensuring that everyone receives the care and respect they deserve.
Hello! I'm Oscar Castillo, a dedicated and compassionate Psychiatric Mental Health Nurse Practitioner (PMHNP) based in Southern California. With a strong background in mental health, I specialize in caring for individuals of all ages dealing with ADHD, depression, anxiety, mood disorders, and PTSD. I am also proud to support the LGBTQ+ community and undocumented individuals, ensuring that everyone receives the care and respect they deserve.
(619) 773-0238 View (619) 773-0238
Photo of Mark Melden, DO, FABPN, Psychiatrist
Mark Melden
Psychiatrist, DO, FABPN
Verified Verified
Coronado, CA 92118
Our numerous specialties include the following: MOOD, ANXIETY, Bipolar, Panic disorder, GERIATRIC DISORDERS, CHILD AND ADOLESCENT DISORDERS, ADD/ADHD, PSYCHOTIC DISORDERS, Schizophrenia and Schizophrenic, POST TRAUMATIC STRESS DISORDER and TRAUMATIC BRAIN INJURY, AUTISM and ASPERGER disorders, FORENSIC EVALUATIONS, Testamentary Changes, Disability Evaluations, Capacity Evaluations for Lanterman-Petris Short (LPS) and Probate Conservatorship, NEURO-PSYCHIATRIC TESTING, Attention-Deficit/Hyperactivity Disorders, Memory Loss and Cognitive Dysfunctions, SUBSTANCE AND ALCOHOL Treatment for Alcohol and Drug Abuse, Suboxone Prescribers for Opiate Dependence, WEIGHT LOSS PROGRAM
Our numerous specialties include the following: MOOD, ANXIETY, Bipolar, Panic disorder, GERIATRIC DISORDERS, CHILD AND ADOLESCENT DISORDERS, ADD/ADHD, PSYCHOTIC DISORDERS, Schizophrenia and Schizophrenic, POST TRAUMATIC STRESS DISORDER and TRAUMATIC BRAIN INJURY, AUTISM and ASPERGER disorders, FORENSIC EVALUATIONS, Testamentary Changes, Disability Evaluations, Capacity Evaluations for Lanterman-Petris Short (LPS) and Probate Conservatorship, NEURO-PSYCHIATRIC TESTING, Attention-Deficit/Hyperactivity Disorders, Memory Loss and Cognitive Dysfunctions, SUBSTANCE AND ALCOHOL Treatment for Alcohol and Drug Abuse, Suboxone Prescribers for Opiate Dependence, WEIGHT LOSS PROGRAM
(619) 432-6510 View (619) 432-6510
Photo of Ryan Bolt, PMHNP, -BC, FNP-C, Psychiatric Nurse Practitioner
Ryan Bolt
Psychiatric Nurse Practitioner, PMHNP, -BC, FNP-C
Verified Verified
1 Endorsed
San Diego, CA 92131
I believe in an integrative approach with a focus on wholeness and client-centered care. Using these foundations, I strive to provide comprehensive care that incorporates complementary treatments, genetic testing, lifestyle modification, therapy, and medication management. My goal is to foster an environment of trust and understanding so that we can work together to achieve your goals. I am easily accessible even outside of clinic hours via text, email, or phone.
I believe in an integrative approach with a focus on wholeness and client-centered care. Using these foundations, I strive to provide comprehensive care that incorporates complementary treatments, genetic testing, lifestyle modification, therapy, and medication management. My goal is to foster an environment of trust and understanding so that we can work together to achieve your goals. I am easily accessible even outside of clinic hours via text, email, or phone.
(858) 946-4241 View (858) 946-4241
Crownview Concierge Services
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
1 Endorsed
Coronado, CA 92118
We are currently accepting new patients! Concierge services allow you to have appointments more conveniently without long waiting periods! We prioritize your schedule and respond within 48 hours. We take pride in being upfront and honest as well as being available to answer any questions that you have. First adult member: $240 a month, $720/quarter, or $2800/ year and Each additional member: $200 off per year. Services include coordination between specialists, emergency help, and unlimited visits. Services do not include TMS, ketamine treatments, infusions, and injections but we offer these services at our Thrive location.
We are currently accepting new patients! Concierge services allow you to have appointments more conveniently without long waiting periods! We prioritize your schedule and respond within 48 hours. We take pride in being upfront and honest as well as being available to answer any questions that you have. First adult member: $240 a month, $720/quarter, or $2800/ year and Each additional member: $200 off per year. Services include coordination between specialists, emergency help, and unlimited visits. Services do not include TMS, ketamine treatments, infusions, and injections but we offer these services at our Thrive location.
(619) 374-4788 View (619) 374-4788
Photo of Dr. Theodore Germanos, MD, Psychiatrist
Dr. Theodore Germanos
Psychiatrist, MD
Verified Verified
Encinitas, CA 92024
My goal is to work with each patient and each family as a team when identifying how I may be helpful, determining areas of concern or diagnoses, and developing a comprehensive treatment plan. Common diagnoses in those that I work with include ADHD, autism, depression, bipolar disorder, anxiety, OCD, behavioral concerns, mood disorders, personality disorders, substance use, addiction, and emotional dysregulation.
My goal is to work with each patient and each family as a team when identifying how I may be helpful, determining areas of concern or diagnoses, and developing a comprehensive treatment plan. Common diagnoses in those that I work with include ADHD, autism, depression, bipolar disorder, anxiety, OCD, behavioral concerns, mood disorders, personality disorders, substance use, addiction, and emotional dysregulation.
(760) 820-3237 View (760) 820-3237
Photo of Ibrahim Mulic, PA-C, CAQ-PSY, Physician Assistant
Ibrahim Mulic
Physician Assistant, PA-C, CAQ-PSY
Verified Verified
San Diego, CA 92103
Ibrahim Mulic, a Psychiatry Specialized & Certified Physician Associate, boasts extensive experience in diverse psychiatric disorders. His passion for psychology and medicine ignited during his youth, leading to active volunteerism and early immersion in the field. Graduating from St. John’s University's PA program at a young age, Ibrahim swiftly entered psychiatric medicine, collaborating with leading experts and eventually managing clinics independently.
Ibrahim Mulic, a Psychiatry Specialized & Certified Physician Associate, boasts extensive experience in diverse psychiatric disorders. His passion for psychology and medicine ignited during his youth, leading to active volunteerism and early immersion in the field. Graduating from St. John’s University's PA program at a young age, Ibrahim swiftly entered psychiatric medicine, collaborating with leading experts and eventually managing clinics independently.
(833) 408-8326 View (833) 408-8326
Photo of Trenice Johnson, PMHNP, Psychiatric Nurse Practitioner
Trenice Johnson
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Diego, CA 92101  (Online Only)
I am a board certified psychiatric mental health nurse practitioner with dual certification as a family practice nurse practitioner and I also obtained my Doctor of Nursing practice degree. I have practiced for several years in family practice and mental health services and strongly believe in the importance of mental healthcare. I am thrilled to be treating each person holistically and individually. I am comfortable diagnosing and treating patients struggling with depression, anxiety/panic, insomnia, PTSD, PMDD, Eating disorders, ADHD, bipolar disorder, schizoaffective disorder, and schizophrenia.
I am a board certified psychiatric mental health nurse practitioner with dual certification as a family practice nurse practitioner and I also obtained my Doctor of Nursing practice degree. I have practiced for several years in family practice and mental health services and strongly believe in the importance of mental healthcare. I am thrilled to be treating each person holistically and individually. I am comfortable diagnosing and treating patients struggling with depression, anxiety/panic, insomnia, PTSD, PMDD, Eating disorders, ADHD, bipolar disorder, schizoaffective disorder, and schizophrenia.
(951) 517-4576 View (951) 517-4576
Photo of Nicole Miller, PMHNP, Psychiatric Nurse Practitioner
Nicole Miller
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Diego, CA 92115  (Online Only)
My name is Nicole Miller, and I am a double-board-certified nurse practitioner. I am certified by the American Academy of Nurse Practitioners (AANP) as a Family Nurse Practitioner (FNP) and through the American Nurses Credentialing Center (ANCC) as a Psychiatric-Mental Health Nurse Practitioner (PMHNP). I have found that patients are more compliant with their treatment plan if they participate in their care. Each patient receives individualized treatment plans and participates in care decisions from the first visit. I also utilize a multi-disciplinary approach in my practice.
My name is Nicole Miller, and I am a double-board-certified nurse practitioner. I am certified by the American Academy of Nurse Practitioners (AANP) as a Family Nurse Practitioner (FNP) and through the American Nurses Credentialing Center (ANCC) as a Psychiatric-Mental Health Nurse Practitioner (PMHNP). I have found that patients are more compliant with their treatment plan if they participate in their care. Each patient receives individualized treatment plans and participates in care decisions from the first visit. I also utilize a multi-disciplinary approach in my practice.
(747) 349-3234 View (747) 349-3234
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How does your Psychiatrist compare?

Number of Psychiatrists in San Diego County, CA

700+

Average cost per session

$230

Psychiatrists in San Diego County, CA who prioritize treating:

94% Anxiety
93% Depression
79% Bipolar Disorder
77% ADHD
72% Obsessive-Compulsive (OCD)
72% Trauma and PTSD
62% Medication Management

Average years in practice

10 Years

Top 3 insurances accepted

95% Aetna
95% Cigna and Evernorth
86% UnitedHealthcare UHC | UBH

How Psychiatrists in San Diego County, CA see their clients

57% Online Only
43% In Person and Online

Gender breakdown

65% Female
34% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in San Diego 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.