Psychiatrists in Helena, MT

Photo of Michelle Herron, DNP, PMHNPBC, Psychiatric Nurse Practitioner
Michelle Herron
Psychiatric Nurse Practitioner, DNP, PMHNPBC
Verified Verified
1 Endorsed
Helena, MT 59601
Michelle Herron grew up in Helena, Montana. She has been specializing in psychiatric care for 13 years. Michelle graduated with her Doctor of Nursing Practice from Montana State University in 2022; she is passionate about providing inclusive psychiatric services to Montanans. Michelle believes that the provider and client work together to find an individualized treatment that promotes health, healing, and hope.
Michelle Herron grew up in Helena, Montana. She has been specializing in psychiatric care for 13 years. Michelle graduated with her Doctor of Nursing Practice from Montana State University in 2022; she is passionate about providing inclusive psychiatric services to Montanans. Michelle believes that the provider and client work together to find an individualized treatment that promotes health, healing, and hope.
(406) 991-1616 View (406) 991-1616
Photo of Carly Sell, DNP, PMHNPBC, Psychiatric Nurse Practitioner
Carly Sell
Psychiatric Nurse Practitioner, DNP, PMHNPBC
Verified Verified
Helena, MT 59601
Carly Sell, a Montana native, has worked as a psychiatric nurse for the past 15 years. Carly graduated in 2007 from Carroll College with her bachelor’s degree in nursing and from Montana State University in 2022 with her Doctor of Nursing Practice. Carly has always been passionate about improving overall mental health and well-being throughout Montana through suicide prevention, mental health awareness education, and trauma-informed care.
Carly Sell, a Montana native, has worked as a psychiatric nurse for the past 15 years. Carly graduated in 2007 from Carroll College with her bachelor’s degree in nursing and from Montana State University in 2022 with her Doctor of Nursing Practice. Carly has always been passionate about improving overall mental health and well-being throughout Montana through suicide prevention, mental health awareness education, and trauma-informed care.
(406) 351-7792 View (406) 351-7792
Photo of Holly L Gomez Levine - At Your Service Psychiatry PLLC, PMHNP, APRN, Psychiatric Nurse Practitioner
At Your Service Psychiatry PLLC
Psychiatric Nurse Practitioner, PMHNP, APRN
Verified Verified
1 Endorsed
Helena, MT 59601
Online Telepsychiatry Practice. No need to call or email an office. To see availability and schedule, go to AtYourServicePsychiatry.com. Prescription medications are sent to your local pharmacy after the visit. You finally decided to reach out for help, but it takes months to get in. I established this online telepsychiatry practice with the busy person in mind. In our psychiatric mental health practice, we care for people with ADHD, depression, anxiety, PTSD, OCD, bipolar, and more. We strive to offer compassionate and convenient psychiatric care.
Online Telepsychiatry Practice. No need to call or email an office. To see availability and schedule, go to AtYourServicePsychiatry.com. Prescription medications are sent to your local pharmacy after the visit. You finally decided to reach out for help, but it takes months to get in. I established this online telepsychiatry practice with the busy person in mind. In our psychiatric mental health practice, we care for people with ADHD, depression, anxiety, PTSD, OCD, bipolar, and more. We strive to offer compassionate and convenient psychiatric care.
Photo of Michael German, MSN, APRN,  PMHNP, Psychiatric Nurse
Michael German
Psychiatric Nurse, MSN, APRN, PMHNP
Verified Verified
Helena, MT 59602  (Online Only)
I am a Psychiatric Mental Health Nurse Practitioner with 4 years of evaluating, diagnosing and treating many mental health disorders for children, adolescents and adults. I have experience working in the outpatient setting, telehealth appointments, inpatient unit and adolescent residential homes. In addition to my experience as a prescriber, I have over 15 years of nursing experience in multiple medical fields.
I am a Psychiatric Mental Health Nurse Practitioner with 4 years of evaluating, diagnosing and treating many mental health disorders for children, adolescents and adults. I have experience working in the outpatient setting, telehealth appointments, inpatient unit and adolescent residential homes. In addition to my experience as a prescriber, I have over 15 years of nursing experience in multiple medical fields.
(406) 295-1645 View (406) 295-1645
Photo of Jen Buscher, DNP, PMHNP, Psychiatric Nurse Practitioner
Jen Buscher
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
3 Endorsed
Helena, MT 59601
Now accepting new patients! As a PMHNP proudly serving with Luvita, I am dedicated to fostering mental wellness within Montana communities. With a robust foundation in medical education & enriched by my experiences as a mother & a leader, I bring a distinct & empathetic perspective to my practice. Specializing in pediatric & perinatal psychiatry, I extend my support to children, adolescents, & women grappling with a spectrum of mental health challenges, including but not limited to depression, anxiety, PTSD, postpartum depression, ADHD, & bipolar disorder.
Now accepting new patients! As a PMHNP proudly serving with Luvita, I am dedicated to fostering mental wellness within Montana communities. With a robust foundation in medical education & enriched by my experiences as a mother & a leader, I bring a distinct & empathetic perspective to my practice. Specializing in pediatric & perinatal psychiatry, I extend my support to children, adolescents, & women grappling with a spectrum of mental health challenges, including but not limited to depression, anxiety, PTSD, postpartum depression, ADHD, & bipolar disorder.
(406) 642-7587 View (406) 642-7587
Photo of Heidi Geil - Optimize Psychiatry, LLC, DO, Psychiatrist
Optimize Psychiatry, LLC
Psychiatrist, DO
Verified Verified
Helena, MT 59601
Not accepting new clients
Optimize Psychiatry offers a modern & natural approach to psychiatry that is Personalized, Holistic, Functional & Scientifically Informed. We take a root-cause analytic approach to each client's unique biochemistry, genetics & psychological factors and work to align physiology, neurology, and psychodynamics by incorporating insights from various disciplines within and outside of medicine. Our goal is always to help you retrieve or discover your Optimized Self through insight and future-driven change designed to improve your health across life domains and aligned with your deepest values. (More details at optimizepsychiatry.com)
Optimize Psychiatry offers a modern & natural approach to psychiatry that is Personalized, Holistic, Functional & Scientifically Informed. We take a root-cause analytic approach to each client's unique biochemistry, genetics & psychological factors and work to align physiology, neurology, and psychodynamics by incorporating insights from various disciplines within and outside of medicine. Our goal is always to help you retrieve or discover your Optimized Self through insight and future-driven change designed to improve your health across life domains and aligned with your deepest values. (More details at optimizepsychiatry.com)
Photo of Jennifer Foresman, DNP, CRNP, PMHNP, Psychiatric Nurse Practitioner
Jennifer Foresman
Psychiatric Nurse Practitioner, DNP, CRNP, PMHNP
Verified Verified
Helena, MT 59601  (Online Only)
Do you feel like you’ve tried everything to overcome your mental illness? Are you suffering from persistent feelings of sadness, chaotic mood swings, or debilitating anxiety? You might not remember a time when you didn’t feel this way. You are desperate for relief but beginning to wonder if there is hope of feeling better. Clients come to me looking for a provider with the experience and knowledge to manage challenging chronic symptoms, because mental health treatment does not need to be a constant unconquerable quest.
Do you feel like you’ve tried everything to overcome your mental illness? Are you suffering from persistent feelings of sadness, chaotic mood swings, or debilitating anxiety? You might not remember a time when you didn’t feel this way. You are desperate for relief but beginning to wonder if there is hope of feeling better. Clients come to me looking for a provider with the experience and knowledge to manage challenging chronic symptoms, because mental health treatment does not need to be a constant unconquerable quest.
(878) 217-0537 View (878) 217-0537
Photo of Jiff (Jennifer) McAnally, DNP, APRN, PMHNPBC, Psychiatric Nurse Practitioner
Jiff (Jennifer) McAnally
Psychiatric Nurse Practitioner, DNP, APRN, PMHNPBC
Verified Verified
Helena, MT 59601
Jiff is a board-certified psychiatric mental health nurse practitioner. She earned her Doctor of Nursing Practice degree from Montana State University & focused her research on treating Adverse Childhood Experiences. She has worked & trained at Montana State Hospital, the VA, & many regional hospitals & outpatient facilities where she has served all ages & complexities. She authors continuing education for nurses & instructs nursing courses. Jiff grew up in the small-town, farming, ranching, and rodeo ways of life in Montana. She operates from the values of community learned here.
Jiff is a board-certified psychiatric mental health nurse practitioner. She earned her Doctor of Nursing Practice degree from Montana State University & focused her research on treating Adverse Childhood Experiences. She has worked & trained at Montana State Hospital, the VA, & many regional hospitals & outpatient facilities where she has served all ages & complexities. She authors continuing education for nurses & instructs nursing courses. Jiff grew up in the small-town, farming, ranching, and rodeo ways of life in Montana. She operates from the values of community learned here.
(406) 431-1336 View (406) 431-1336
Photo of Doug Mitchell, ARNP-BC, Psychiatric Nurse Practitioner
Doug Mitchell
Psychiatric Nurse Practitioner, ARNP-BC
Not Verified Not Verified
Helena, MT 59601  (Online Only)
ACCEPTING NEW CLIENTS IN NY, FL, MT & CA. I'm Dr. Mitchell, PMHNP- BC, DNP & retired USAF Veteran. As a Psychiatric provider, my aim is to identify, address and modify conditions, limiting patterns and behaviors that diminish function and suppress growth. My philosophy is Bio-Psycho-Social; I acknowledge the whole dynamic being and maintain the explicit intent of fostering personal accountability, growth and development. I approach each therapeutic encounter as a unique opportunity to facilitate the process of expanding awareness and elevating consciousness. We believe illuminating barriers is the first step toward eliminating them.
ACCEPTING NEW CLIENTS IN NY, FL, MT & CA. I'm Dr. Mitchell, PMHNP- BC, DNP & retired USAF Veteran. As a Psychiatric provider, my aim is to identify, address and modify conditions, limiting patterns and behaviors that diminish function and suppress growth. My philosophy is Bio-Psycho-Social; I acknowledge the whole dynamic being and maintain the explicit intent of fostering personal accountability, growth and development. I approach each therapeutic encounter as a unique opportunity to facilitate the process of expanding awareness and elevating consciousness. We believe illuminating barriers is the first step toward eliminating them.
(347) 479-1352 View (347) 479-1352
Photo of Liz Gage, PMHNP, Psychiatric Nurse Practitioner
Liz Gage
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Helena, MT 59601  (Online Only)
Not accepting new clients
Have you trialed multiple medications without lasting benefit? Are you interested in treating symptoms with minimal use of pharmaceuticals? Or seeking more comprehensive and approachable psychiatric care? I am committed to providing personalized and holistic psychiatry to improve outcomes. Functional medicine treats root biological causes for symptoms. Treatment includes assessment of individual genetics, nutritional deficiencies, infections, and toxins guided by lab testing; and methodical intervention with supplements, medications, and lifestyle guidance. This method moves beyond symptom management to offer recovery and healing.
Have you trialed multiple medications without lasting benefit? Are you interested in treating symptoms with minimal use of pharmaceuticals? Or seeking more comprehensive and approachable psychiatric care? I am committed to providing personalized and holistic psychiatry to improve outcomes. Functional medicine treats root biological causes for symptoms. Treatment includes assessment of individual genetics, nutritional deficiencies, infections, and toxins guided by lab testing; and methodical intervention with supplements, medications, and lifestyle guidance. This method moves beyond symptom management to offer recovery and healing.
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More Psychiatrists Nearby

Photo of Richard Mitchell, DO, MS, Psychiatrist
Richard Mitchell
Psychiatrist, DO, MS
Verified Verified
Montana City, MT 59634  (Online Only)
NOW credentialed with Montana Medicaid! Accepting new telepsychiatry clients in Montana! Dr. Mitchell utilizes a BioPsychoSocial approach and provides psychiatric evaluations, medication management, and laboratory monitoring as needed.
NOW credentialed with Montana Medicaid! Accepting new telepsychiatry clients in Montana! Dr. Mitchell utilizes a BioPsychoSocial approach and provides psychiatric evaluations, medication management, and laboratory monitoring as needed.
(406) 770-2324 View (406) 770-2324
Photo of Kristel Kishbaugh - Mental Health Connections, LLC, DNP, APRN, PMHNP, Psychiatric Nurse Practitioner
Mental Health Connections, LLC
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Verified Verified
Montana City, MT 59634
Good health includes both physical and mental health which is why I believe a holistic perspective is key. I became an RN in 2008 and later, in 2016, I completed a Masters in Nursing with an Emphasis in Leadership later graduating with a Doctorate of Nursing Practice specializing in Psychiatric Mental Health in 2022.
Good health includes both physical and mental health which is why I believe a holistic perspective is key. I became an RN in 2008 and later, in 2016, I completed a Masters in Nursing with an Emphasis in Leadership later graduating with a Doctorate of Nursing Practice specializing in Psychiatric Mental Health in 2022.
(406) 416-4963 View (406) 416-4963

Online Psychiatrists

Photo of Jessica Rivera, PMHNP, APRN, MSN, Psychiatric Nurse Practitioner
Jessica Rivera
Psychiatric Nurse Practitioner, PMHNP, APRN, MSN
Verified Verified
1 Endorsed
Bozeman, MT 59771  (Online Only)
Welcome to Desert Creek Mental Health. I'm Jessica, a board certified Psychiatric Mental Health Nurse Practitioner. I believe strongly in the mind-body connection and use a variety of evidence-based approaches to meet the needs of my patients in order to achieve a high quality of life. I have steered my practice away from the modern model of short appointments that make you feel rushed and unimportant. I see a limited number of patients each day so that I have the time to get to know you and gain a deeper understanding of what you are experiencing, so together we can come to the correct diagnosis and best treatment plan.
Welcome to Desert Creek Mental Health. I'm Jessica, a board certified Psychiatric Mental Health Nurse Practitioner. I believe strongly in the mind-body connection and use a variety of evidence-based approaches to meet the needs of my patients in order to achieve a high quality of life. I have steered my practice away from the modern model of short appointments that make you feel rushed and unimportant. I see a limited number of patients each day so that I have the time to get to know you and gain a deeper understanding of what you are experiencing, so together we can come to the correct diagnosis and best treatment plan.
(406) 356-0595 View (406) 356-0595
Photo of Kathleen Johnson - Psychiatry 360, MSN, PMHNP-B, Psychiatric Nurse Practitioner
Psychiatry 360
Psychiatric Nurse Practitioner, MSN, PMHNP-B
Verified Verified
Bozeman, MT 59717  (Online Only)
Online new client & Saturday appointments available! If you are experiencing concerns of anxiety, depression, substance dependence, ADHD, autism or PTSD, I am here to support you. As a psychiatric nurse practitioner, I offer psychiatric services and mental health support as part of a complete treatment plan that includes nutrition, nootropics, supplements, medication, counseling and psychosocial support. It is my passion to support you in identifying the cause of the challenges you are experiencing and work with you to achieve the goal of full remission, so that you can truly thrive in your life.
Online new client & Saturday appointments available! If you are experiencing concerns of anxiety, depression, substance dependence, ADHD, autism or PTSD, I am here to support you. As a psychiatric nurse practitioner, I offer psychiatric services and mental health support as part of a complete treatment plan that includes nutrition, nootropics, supplements, medication, counseling and psychosocial support. It is my passion to support you in identifying the cause of the challenges you are experiencing and work with you to achieve the goal of full remission, so that you can truly thrive in your life.
(406) 607-8634 View (406) 607-8634
Photo of Carly Hatfield - Carly Hatfield APRN, PLLC, DNP, APRN, PMHNP, Psychiatric Nurse Practitioner
Carly Hatfield APRN, PLLC
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Verified Verified
Missoula, MT 59802
My goal is to provide patient driven care that focuses on your primary concerns. I utilize psychiatric medication and education in order to care for you in a holistic manner. I focus on building a therapeutic relationship through active listening and understanding. I see myself as someone who is here to help you accomplish your goals.
My goal is to provide patient driven care that focuses on your primary concerns. I utilize psychiatric medication and education in order to care for you in a holistic manner. I focus on building a therapeutic relationship through active listening and understanding. I see myself as someone who is here to help you accomplish your goals.
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Photo of Wade G Hill, PhD, DNP, PMHNP, Psychiatric Nurse Practitioner
Wade G Hill
Psychiatric Nurse Practitioner, PhD, DNP, PMHNP
Verified Verified
Bozeman, MT 59718
I offer complete psychiatric evaluations and medication management for children over 6 years of age and adults.
I offer complete psychiatric evaluations and medication management for children over 6 years of age and adults.
(406) 637-4483 View (406) 637-4483
Photo of Aline Paredes - VirtualPsychiatricCare.com, PMHNP, APRN, MSN, Psychiatric Nurse Practitioner
VirtualPsychiatricCare.com
Psychiatric Nurse Practitioner, PMHNP, APRN, MSN
Verified Verified
Missoula, MT 59801  (Online Only)
Accepting new patients via telehealth visits in Montana state for psychiatric evaluations and medication management. We treat anyone suffering with depression, anxiety, or any mental health issue adversely affecting optimal functioning at work, deterring their best social self, or preventing being fully present for loved ones. Our clients are looking to be properly diagnosed and treated using the safest prescribing principles. Make your appointment on our website today. Evening and weekend hours available. Affordable rates-Initial Psychiatric Eval $199, Follow-ups $99, Counseling $89-$129. Also accepting some insurances.
Accepting new patients via telehealth visits in Montana state for psychiatric evaluations and medication management. We treat anyone suffering with depression, anxiety, or any mental health issue adversely affecting optimal functioning at work, deterring their best social self, or preventing being fully present for loved ones. Our clients are looking to be properly diagnosed and treated using the safest prescribing principles. Make your appointment on our website today. Evening and weekend hours available. Affordable rates-Initial Psychiatric Eval $199, Follow-ups $99, Counseling $89-$129. Also accepting some insurances.
(406) 318-8178 View (406) 318-8178
Photo of Rebecca Pogoda, APRN, PMHNP, PMH-C, Psychiatric Nurse Practitioner
Rebecca Pogoda
Psychiatric Nurse Practitioner, APRN, PMHNP, PMH-C
Verified Verified
1 Endorsed
Bozeman, MT 59718
With over 10 years of experience as a Psychiatric Mental Health Nurse Practitioner and a specialized certification in Perinatal Mental Health, I am dedicated to supporting women, parents, and caregivers through the challenges of conception, pregnancy, and postpartum. I provide comprehensive evaluations, diagnoses, and tailored treatment options that integrate medication and therapy to effectively address mental health concerns.
With over 10 years of experience as a Psychiatric Mental Health Nurse Practitioner and a specialized certification in Perinatal Mental Health, I am dedicated to supporting women, parents, and caregivers through the challenges of conception, pregnancy, and postpartum. I provide comprehensive evaluations, diagnoses, and tailored treatment options that integrate medication and therapy to effectively address mental health concerns.
(406) 612-6026 View (406) 612-6026
Photo of Allison Sears - Brightside Health, PMHNP, Psychiatric Nurse Practitioner
Brightside Health
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Bozeman, MT 59718  (Online Only)
It gets much better from here. No matter what you're going through, our expert providers are here to help with online mental health care tailored to you. Brightside Health offers personalized psychiatry, proven therapy, or both to help you feel better. Get started right from home, with appointments in as little as 2 days.
It gets much better from here. No matter what you're going through, our expert providers are here to help with online mental health care tailored to you. Brightside Health offers personalized psychiatry, proven therapy, or both to help you feel better. Get started right from home, with appointments in as little as 2 days.
(406) 802-3800 View (406) 802-3800
Photo of Brandi Starks, MSN, PMHNP, CLC, Psychiatric Nurse Practitioner
Brandi Starks
Psychiatric Nurse Practitioner, MSN, PMHNP, CLC
Verified Verified
4 Endorsed
Missoula, MT 59808
If you're a woman who usually has everything under control but now feels overwhelmed by life's pressures, or a mother grappling with a new reality and feeling detached from your baby and family, you're not alone. Fathers experiencing mood swings and parents seeking support for a child with ADHD and behavioral challenges can find solace here.
If you're a woman who usually has everything under control but now feels overwhelmed by life's pressures, or a mother grappling with a new reality and feeling detached from your baby and family, you're not alone. Fathers experiencing mood swings and parents seeking support for a child with ADHD and behavioral challenges can find solace here.
(346) 584-3299 View (346) 584-3299

How does your Psychiatrist compare?

Number of Psychiatrists in Helena, MT

10+

Average cost per session

$312

Psychiatrists in Helena, MT who prioritize treating:

100% Anxiety
90% Depression
90% ADHD
90% Trauma and PTSD
90% Sleep or Insomnia
90% Medication Management
80% Obsessive-Compulsive (OCD)

Average years in practice

11 Years

Top 3 insurances accepted

71% BlueCross and BlueShield
71% Medicaid
71% PacificSource

How Psychiatrists in Helena, MT see their clients

60% In Person and Online
40% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Helena?

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.