Psychiatrists in Oswego, IL

Derick Johnson
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
Oswego, IL 60543
The goal is to assist all clients to reach the optimal self while creating improved mental health and resilience.
The goal is to assist all clients to reach the optimal self while creating improved mental health and resilience.
(331) 258-8648 x104 View (331) 258-8648 x104
Photo of Diana Wells, PMHNP, Psychiatric Nurse Practitioner
Diana Wells
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Oswego, IL 60543
Diana Wells is a board-certified Psychiatric Nurse Practitioner. She started her medical journal from the University of St. Francis, Joliet IL, where she obtained a bachelorette of science in Nursing. She practiced as a Registered Nurse for three years focusing on behavioral/mental health. She gained a vast knowledge in mental health disorders and Emergency medicine before advancing her career as an Advanced Practice Nurse with a specialty in psychiatric. Her practicum/residency experiences were in an inpatient/outpatient setting, and Telehealth.
Diana Wells is a board-certified Psychiatric Nurse Practitioner. She started her medical journal from the University of St. Francis, Joliet IL, where she obtained a bachelorette of science in Nursing. She practiced as a Registered Nurse for three years focusing on behavioral/mental health. She gained a vast knowledge in mental health disorders and Emergency medicine before advancing her career as an Advanced Practice Nurse with a specialty in psychiatric. Her practicum/residency experiences were in an inpatient/outpatient setting, and Telehealth.
(855) 641-1658 View (855) 641-1658
Photo of Derik Johnson, PMHNP, BC, Psychiatric Nurse Practitioner
Derik Johnson
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
1 Endorsed
Oswego, IL 60543  (Online Only)
I'm a certified Psychiatric Mental Health Nurse Practitioners passionate about helping people find their best selves. I understand that everyone's journey is unique, and I'm here to listen, support, and collaborate with you as you navigate yours.
I'm a certified Psychiatric Mental Health Nurse Practitioners passionate about helping people find their best selves. I understand that everyone's journey is unique, and I'm here to listen, support, and collaborate with you as you navigate yours.
(815) 420-4027 View (815) 420-4027
Photo of Melissa Tatum - Plainfield/Oswego Wellness, PMHNP, BC, Psychiatric Nurse Practitioner
Plainfield/Oswego Wellness
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
Oswego, IL 60543
My name is Melissa Tatum, APRN-PMHNP and in my fifteen plus years as a mental health advocate and champion I have dedicated my career to delivering compassionate, culturally competent care and support to the men, women and children I serve.
My name is Melissa Tatum, APRN-PMHNP and in my fifteen plus years as a mental health advocate and champion I have dedicated my career to delivering compassionate, culturally competent care and support to the men, women and children I serve.
(815) 934-3086 View (815) 934-3086
Photo of Psychiatry At Fcs, APRN, Psychiatric Nurse Practitioner
Psychiatry At Fcs
Psychiatric Nurse Practitioner, APRN
Verified Verified
Oswego, IL 60543
We are a group of psychiatric nurse practitioners, clinical psychologists, social workers and therapists with nearly 100 years of experience in behavioral health care. In our practice at Family Counseling Service, we treat children, adolescents, and adults. Our team of professional counselors/social workers and medication providers work together to help individuals achieve successful outcomes in their lives.
We are a group of psychiatric nurse practitioners, clinical psychologists, social workers and therapists with nearly 100 years of experience in behavioral health care. In our practice at Family Counseling Service, we treat children, adolescents, and adults. Our team of professional counselors/social workers and medication providers work together to help individuals achieve successful outcomes in their lives.
(331) 244-5030 View (331) 244-5030
Photo of Connie Shyu, PA, Physician Assistant
Connie Shyu
Physician Assistant, PA
Verified Verified
Oswego, IL 60543
Shyu treats patients between the ages of 18 and 99 years old Connie Shyu is a board certified Physician Assistant who treats a wide range of psychiatric conditions with special interest in anxiety, depression, PTSD, OCD, and women's issues like post partum/perimenopausal mood and anxiety conditions. Connie earned a B.S. from University of Illinois and an MA in Medical Sciences from Midwestern University in Downers Grove, IL. She practiced in a variety of medical specialties including pulmonary and sleep medicine, pain management, and inpatient and outpatient psychiatry.
Shyu treats patients between the ages of 18 and 99 years old Connie Shyu is a board certified Physician Assistant who treats a wide range of psychiatric conditions with special interest in anxiety, depression, PTSD, OCD, and women's issues like post partum/perimenopausal mood and anxiety conditions. Connie earned a B.S. from University of Illinois and an MA in Medical Sciences from Midwestern University in Downers Grove, IL. She practiced in a variety of medical specialties including pulmonary and sleep medicine, pain management, and inpatient and outpatient psychiatry.
(815) 862-8969 View (815) 862-8969
Photo of Amanda Twait, PMHNP, Psychiatric Nurse Practitioner
Amanda Twait
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Oswego, IL 60543
Amanda Twait is a Psychiatric Mental Health Nurse Practitioner in Illinois who has been practicing since 2009. She has a BSN from St. Joseph College of Nursing and an MSN from Rush University. Amanda recognizes that each person has a strong desire and need to be seen and heard. She makes a point of actively listening with compassion and respect. Amanda prefers to work as a team with individuals who are seeking assistance with their well-being. She views obtaining help and support for mental health issues as one of the bravest actions a person can take.
Amanda Twait is a Psychiatric Mental Health Nurse Practitioner in Illinois who has been practicing since 2009. She has a BSN from St. Joseph College of Nursing and an MSN from Rush University. Amanda recognizes that each person has a strong desire and need to be seen and heard. She makes a point of actively listening with compassion and respect. Amanda prefers to work as a team with individuals who are seeking assistance with their well-being. She views obtaining help and support for mental health issues as one of the bravest actions a person can take.
(815) 885-5358 View (815) 885-5358
Photo of Joyce Almacen, APRN (C, Psychiatric Nurse Practitioner
Joyce Almacen
Psychiatric Nurse Practitioner, APRN (C
Verified Verified
Oswego, IL 60543
Joyce Almacen is a Psychiatric Mental Health Nurse Practitioner in Illinois. She has a double major in Psychology and Nursing (B.S. in Psychology and B.S. in Nursing) from Clarke University and an MSN - PMHNP from University of St. Francis. Joyce has a unique set of psychiatric work experiences coming from a background of being a psychiatric nurse for many years and now as a psychiatric-mental health nurse practitioner. Joyce has dealt with various types of mental disorders such as depression, anxiety, bipolar disorder, schizophrenia, ADHD, PTSD, substance abuse/addiction, and many more.
Joyce Almacen is a Psychiatric Mental Health Nurse Practitioner in Illinois. She has a double major in Psychology and Nursing (B.S. in Psychology and B.S. in Nursing) from Clarke University and an MSN - PMHNP from University of St. Francis. Joyce has a unique set of psychiatric work experiences coming from a background of being a psychiatric nurse for many years and now as a psychiatric-mental health nurse practitioner. Joyce has dealt with various types of mental disorders such as depression, anxiety, bipolar disorder, schizophrenia, ADHD, PTSD, substance abuse/addiction, and many more.
(815) 336-4594 View (815) 336-4594
Photo of Erin Williams, PMHNP-B, Psychiatric Nurse Practitioner
Erin Williams
Psychiatric Nurse Practitioner, PMHNP-B
Verified Verified
Oswego, IL 60543
Erin Williams, PMHNP Erin Williams is a Psychiatric Mental Health Nurse Practitioner in Illinois. She has Master's degrees in Health Education and Nursing. She has double-board certification in Family Practice and Psychiatry. As a professional psychiatric nurse practitioner, Erin's approach to helping patients is rooted in comprehensive and compassionate care. She begins by establishing a nurturing environment that fosters trust and comfort, encouraging open dialogue. Through thorough interviews and active listening, Erin gathers extensive information about the patient's history, symptoms, and aspirations.
Erin Williams, PMHNP Erin Williams is a Psychiatric Mental Health Nurse Practitioner in Illinois. She has Master's degrees in Health Education and Nursing. She has double-board certification in Family Practice and Psychiatry. As a professional psychiatric nurse practitioner, Erin's approach to helping patients is rooted in comprehensive and compassionate care. She begins by establishing a nurturing environment that fosters trust and comfort, encouraging open dialogue. Through thorough interviews and active listening, Erin gathers extensive information about the patient's history, symptoms, and aspirations.
(815) 393-2833 View (815) 393-2833
Photo of Angela Sohn, PMHNP, APRN, Psychiatric Nurse Practitioner
Angela Sohn
Psychiatric Nurse Practitioner, PMHNP, APRN
Verified Verified
Oswego, IL 60543
My approach to behav­ioral health care con­sid­ers all aspects of my clients’ lives, includ­ing their unique strengths, sources of sup­port, challenges, and goals for treatment.
My approach to behav­ioral health care con­sid­ers all aspects of my clients’ lives, includ­ing their unique strengths, sources of sup­port, challenges, and goals for treatment.
(630) 454-9431 View (630) 454-9431
Photo of Dr. Lawrence Abah - Holistic behavioral and TMS therapy , DNP, PMHNP, FNP, FPA, Psychiatric Nurse Practitioner
Holistic behavioral and TMS therapy
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP, FPA
Verified Verified
Oswego, IL 60543
Dr. Lawrence Abah, DNP, PMHNP treats patients starting from 12 years old. Lawrence is dual board certified in Across the lifespan psychiatry and Family practice. Lawrence believes in using holistic approach to behavioral health and partnering with his clients for the best treatment outcome. He believes in development of good therapeutic alliance with his patients. He prides himself in providing patient focused, high quality and individualized care to his patients. Lawrence has more than 15 years experience in behavioral health, and he understands how difficult it is finding that provider.
Dr. Lawrence Abah, DNP, PMHNP treats patients starting from 12 years old. Lawrence is dual board certified in Across the lifespan psychiatry and Family practice. Lawrence believes in using holistic approach to behavioral health and partnering with his clients for the best treatment outcome. He believes in development of good therapeutic alliance with his patients. He prides himself in providing patient focused, high quality and individualized care to his patients. Lawrence has more than 15 years experience in behavioral health, and he understands how difficult it is finding that provider.
(815) 242-3127 View (815) 242-3127
Photo of Karyn Kudrna, PMHNP, Psychiatric Nurse Practitioner
Karyn Kudrna
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
8 Endorsed
Oswego, IL 60543  (Online Only)
Immediate openings for telehealth visits. I enjoy working with adults and adolescents treating mood disorders, anxiety disorders, OCD, and other mental health issues. I believe in developing strong therapeutic relationships with the goal of providing personalized care tailored to meet each person's individual needs. I am a board certified Psychiatric Mental Health Nurse Practitioner. I earned a Bachelor of Science degree in Nursing from the University of Illinois at Chicago in 1989 and a Master of Science degree in Nursing from the University of St. Francis in 2018.
Immediate openings for telehealth visits. I enjoy working with adults and adolescents treating mood disorders, anxiety disorders, OCD, and other mental health issues. I believe in developing strong therapeutic relationships with the goal of providing personalized care tailored to meet each person's individual needs. I am a board certified Psychiatric Mental Health Nurse Practitioner. I earned a Bachelor of Science degree in Nursing from the University of Illinois at Chicago in 1989 and a Master of Science degree in Nursing from the University of St. Francis in 2018.
(331) 241-6676 View (331) 241-6676

More Psychiatrists Nearby

Photo of Mary LoGalbo, PMHNP, Psychiatric Nurse Practitioner
Mary LoGalbo
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Aurora, IL 60504
Dr. Mary LoGalbo is a Psychiatric Mental Health Nurse Practitioner in Illinois who has been practicing since 2014. She has a Master of Science in Nursing and Pediatric Nurse Practitioner from Rush University and a Doctor of Nursing Practice and Psychiatric Mental Health Nurse Practitioner from Liberty University. Dr. LoGalbo values the uniqueness of each person and seeks to understand each person's perspective of themselves and the world around them. She is motivated to create an atmosphere of acceptance and trust, so clients feel safe and are better able to tell their stories.
Dr. Mary LoGalbo is a Psychiatric Mental Health Nurse Practitioner in Illinois who has been practicing since 2014. She has a Master of Science in Nursing and Pediatric Nurse Practitioner from Rush University and a Doctor of Nursing Practice and Psychiatric Mental Health Nurse Practitioner from Liberty University. Dr. LoGalbo values the uniqueness of each person and seeks to understand each person's perspective of themselves and the world around them. She is motivated to create an atmosphere of acceptance and trust, so clients feel safe and are better able to tell their stories.
(630) 760-2335 View (630) 760-2335
Photo of Maricela Perez, MSN, FNP-BC, PMHNP-B, Psychiatric Nurse Practitioner
Maricela Perez
Psychiatric Nurse Practitioner, MSN, FNP-BC, PMHNP-B
Verified Verified
Aurora, IL 60505
After 30 years of healthcare experience, it's become very evident that there is no separation between wellness of the body and wellness of the mind. Unfortunately in most healthcare settings, only the wellness of the body is assessed. My philosophy is to assess the whole person. And in order to achieve this, I listen to my patients' concerns, but most importantly, I listen to their stories.I believe in providing patient centered care in a professional, yet compassionate nature, with emphasis of balance of mind, body, and spirit.
After 30 years of healthcare experience, it's become very evident that there is no separation between wellness of the body and wellness of the mind. Unfortunately in most healthcare settings, only the wellness of the body is assessed. My philosophy is to assess the whole person. And in order to achieve this, I listen to my patients' concerns, but most importantly, I listen to their stories.I believe in providing patient centered care in a professional, yet compassionate nature, with emphasis of balance of mind, body, and spirit.
(630) 796-7684 View (630) 796-7684
Photo of Michael McDowell, DNP, PMHNP, FNP, MSBA, MBA, Psychiatric Nurse Practitioner
Michael McDowell
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP, MSBA, MBA
Verified Verified
Yorkville, IL 60560  (Online Only)
My ideal client is ready to embark on a journey to improved mental and physical health. Through our therapeutic relationship we will find the most effective path to complete that journey.
My ideal client is ready to embark on a journey to improved mental and physical health. Through our therapeutic relationship we will find the most effective path to complete that journey.
(630) 793-4190 View (630) 793-4190
Photo of Linda Marie Banks, PHMNP, Psychiatric Nurse Practitioner
Linda Marie Banks
Psychiatric Nurse Practitioner, PHMNP
Verified Verified
Naperville, IL 60564
Linda is a board-certified nurse practitioner in both psychiatry and family medicine. She completed her training at Samford University and has undergraduate degrees in both Psychology and Nursing. She is trained to work with all ages, including children. Linda uses her education and experience to provide trauma-informed, inclusive, personalized care for every patient. She uses a holistic and integrative approach to take the whole patient into consideration. Her training helps her to understand both physical and mental health, and how to address the mind-body connection in her care.
Linda is a board-certified nurse practitioner in both psychiatry and family medicine. She completed her training at Samford University and has undergraduate degrees in both Psychology and Nursing. She is trained to work with all ages, including children. Linda uses her education and experience to provide trauma-informed, inclusive, personalized care for every patient. She uses a holistic and integrative approach to take the whole patient into consideration. Her training helps her to understand both physical and mental health, and how to address the mind-body connection in her care.
(408) 478-4142 View (408) 478-4142
Photo of Amber Altidor, DNP, APN, PMHNP, Psychiatric Nurse Practitioner
Amber Altidor
Psychiatric Nurse Practitioner, DNP, APN, PMHNP
Verified Verified
Aurora, IL 60505  (Online Only)
Are you struggling with anxiety or depression at home, at school, at work or socially? Have you become frustrated with not meeting your goals in these settings because of how you're feeling emotionally? Are you experiencing trouble concentrating or sleeping? Are you hoping to develop new coping strategies that support your lifestyle and functioning? I am able to provide medication management with psychotherapy to treat your symptoms so that you can start to or get back to enjoying your life and meeting your goals.
Are you struggling with anxiety or depression at home, at school, at work or socially? Have you become frustrated with not meeting your goals in these settings because of how you're feeling emotionally? Are you experiencing trouble concentrating or sleeping? Are you hoping to develop new coping strategies that support your lifestyle and functioning? I am able to provide medication management with psychotherapy to treat your symptoms so that you can start to or get back to enjoying your life and meeting your goals.
(773) 917-1067 View (773) 917-1067
Photo of Stacey M Schulte, MSN, AGPCNP, PMHNP, Psychiatric Nurse Practitioner
Stacey M Schulte
Psychiatric Nurse Practitioner, MSN, AGPCNP, PMHNP
Verified Verified
1 Endorsed
Naperville, IL 60540
I am currently accepting new patients! I am a Board Certified Psychiatric Mental Health Nurse Practitioner. I provide psychiatric medication management services for clients who are 6-99 years old. I specialize in treating ADHD, depression, anxiety, mood disorders, and women's mental health issues. I understand that life changes bring anxiety, and affect sleep, your appetite, and your work and social life. I would like to work with you to find solutions to make life better.
I am currently accepting new patients! I am a Board Certified Psychiatric Mental Health Nurse Practitioner. I provide psychiatric medication management services for clients who are 6-99 years old. I specialize in treating ADHD, depression, anxiety, mood disorders, and women's mental health issues. I understand that life changes bring anxiety, and affect sleep, your appetite, and your work and social life. I would like to work with you to find solutions to make life better.
(872) 233-4576 View (872) 233-4576
Photo of Muhammad Nouman Azhar - Shifa Therapeutics LLC, MD, Psychiatrist
Shifa Therapeutics LLC
Psychiatrist, MD
Verified Verified
Aurora, IL 60504
SHIFA THERAPEUTICS LLC HAS IN OFFICE AND TELEHEALTH APPOINTMENTS AVAILABLE FOR PSYCHIATRIC AND PSYCHOLOGICAL EVALUATION TREATMENT. INITIAL APPOINTMENT MUST BE IN OFFICE (630) 397-8347.
SHIFA THERAPEUTICS LLC HAS IN OFFICE AND TELEHEALTH APPOINTMENTS AVAILABLE FOR PSYCHIATRIC AND PSYCHOLOGICAL EVALUATION TREATMENT. INITIAL APPOINTMENT MUST BE IN OFFICE (630) 397-8347.
(630) 756-2905 View (630) 756-2905
Photo of Grace Esmalla, APRN, PMHNP, Psychiatric Nurse Practitioner
Grace Esmalla
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
Naperville, IL 60564
Our clinic is accepting new patients. We endeavors to partner with our patients, approaching their care from a holistic and integrative standpoint. We listen to and get to know our patients, addressing their needs from a medical, mental, and social health perspective. We provide medication management, supportive therapy, and several other services. Our clinic specializes in treating ADHD, anxiety, depression, OCD, and other mood and personality disorders. Email us or call us today to book an appointment. You shouldn’t have to struggle to also find a provider.
Our clinic is accepting new patients. We endeavors to partner with our patients, approaching their care from a holistic and integrative standpoint. We listen to and get to know our patients, addressing their needs from a medical, mental, and social health perspective. We provide medication management, supportive therapy, and several other services. Our clinic specializes in treating ADHD, anxiety, depression, OCD, and other mood and personality disorders. Email us or call us today to book an appointment. You shouldn’t have to struggle to also find a provider.
(815) 396-6903 View (815) 396-6903

How does your Psychiatrist compare?

Number of Psychiatrists in Oswego, IL

10+

Average cost per session

$200

Psychiatrists in Oswego, IL who prioritize treating:

92% Depression
92% Anxiety
92% Bipolar Disorder
83% ADHD
58% Grief
58% Obsessive-Compulsive (OCD)
58% Trauma and PTSD

Average years in practice

52 Years

Top 3 insurances accepted

92% Cigna and Evernorth
92% UnitedHealthcare UHC | UBH
83% Aetna

How Psychiatrists in Oswego, IL see their clients

84% In Person and Online
16% Online Only

Gender breakdown

70% Female
30% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Oswego?

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.