Psychiatrists in Hendersonville, NC

Photo of Kimberly Floyd, Psychiatric Nurse Practitioner in Hendersonville, NC
Kimberly Floyd
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
Hendersonville, NC 28791  (Online Only)
Kimberly Floyd is a board-certified psychiatric-mental health nurse practitioner who utilizes evidence-based psychotherapy and psychopharmacology in a compassionate and whole-person approach to the treatment of a wide range of mental health concerns. Kimberly has worked with adults and older adult clients in both inpatient and outpatient settings.
Kimberly Floyd is a board-certified psychiatric-mental health nurse practitioner who utilizes evidence-based psychotherapy and psychopharmacology in a compassionate and whole-person approach to the treatment of a wide range of mental health concerns. Kimberly has worked with adults and older adult clients in both inpatient and outpatient settings.
(828) 546-3296 View (828) 546-3296
Photo of Susan Caceres, Psychiatric Nurse Practitioner in Hendersonville, NC
Susan Caceres
Psychiatric Nurse Practitioner, PMHNP, MSN
Verified Verified
Hendersonville, NC 28739  (Online Only)
Reaching out for mental health support can feel overwhelming. As a Psychiatric Mental Health Nurse Practitioner, I strive to provide compassionate and evidenced based care to all of my clients. I use a collaborative approach to help you find the most appropriate interventions to meet your needs through supportive discussions and medication management. I recognize that everyone’s lived experience is unique and there is no one-size-fits-all solution. It is my goal to ensure that you have the most up to date information to make well-informed healthcare decisions that you feel comfortable with.
Reaching out for mental health support can feel overwhelming. As a Psychiatric Mental Health Nurse Practitioner, I strive to provide compassionate and evidenced based care to all of my clients. I use a collaborative approach to help you find the most appropriate interventions to meet your needs through supportive discussions and medication management. I recognize that everyone’s lived experience is unique and there is no one-size-fits-all solution. It is my goal to ensure that you have the most up to date information to make well-informed healthcare decisions that you feel comfortable with.
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Photo of Jason Fredericks, Physician Assistant in Hendersonville, NC
Jason Fredericks
Physician Assistant, PA-C, MPH
Verified Verified
6 Endorsed
Hendersonville, NC 28739
I have been practicing psychiatry and psychotherapy for the past 6 years in WNC. My promise to you is to remain dedicated to your health and helping you achieve lasting change as we work together. I feel strongly that an individualized approach is key in the management of all clients. While many people may present with similar symptoms, the causes and context of these can vary greatly from person to person. The decision to prescribe medications, develop a therapy plan, or an amalgamation of both is made with careful consideration of the situation and your needs and wishes. I enjoy working together to find a plan that works for you.
I have been practicing psychiatry and psychotherapy for the past 6 years in WNC. My promise to you is to remain dedicated to your health and helping you achieve lasting change as we work together. I feel strongly that an individualized approach is key in the management of all clients. While many people may present with similar symptoms, the causes and context of these can vary greatly from person to person. The decision to prescribe medications, develop a therapy plan, or an amalgamation of both is made with careful consideration of the situation and your needs and wishes. I enjoy working together to find a plan that works for you.
(828) 274-1415 View (828) 274-1415
Photo of Food For Thought Mental Health and Wellness PLLC, Psychiatric Nurse Practitioner in Hendersonville, NC
Food For Thought Mental Health and Wellness PLLC
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Hendersonville, NC 28739
Welcome to Food For Thought Mental Health and Wellness Services PLLC! We focus on a more balanced approach to emotional health which includes not only medication management, but incorporation of nutritional and other therapeutic wellness practices for much better overall results.
Welcome to Food For Thought Mental Health and Wellness Services PLLC! We focus on a more balanced approach to emotional health which includes not only medication management, but incorporation of nutritional and other therapeutic wellness practices for much better overall results.
(828) 332-5641 View (828) 332-5641
Photo of Thabit Al-Khateeb, Psychiatrist in Hendersonville, NC
Thabit Al-Khateeb
Psychiatrist, MD
Verified Verified
Hendersonville, NC 28739
Concierge Medicine and Psychiatry is a concierge psychiatric practice offering integrative treatment modalities, Ketamine treatment, psychedelic-assisted psychotherapy, and individualized, private psychiatric care in office or home-based settings. Our outpatient Psychiatry practice has recently added Dr. Al-Khateeb, and we are now accepting new patients for a limited time. Dr. Al-Khateeb is a board certified general adult psychiatrist, providing medication management as well as psychotherapy in office based or telemedicine formats.
Concierge Medicine and Psychiatry is a concierge psychiatric practice offering integrative treatment modalities, Ketamine treatment, psychedelic-assisted psychotherapy, and individualized, private psychiatric care in office or home-based settings. Our outpatient Psychiatry practice has recently added Dr. Al-Khateeb, and we are now accepting new patients for a limited time. Dr. Al-Khateeb is a board certified general adult psychiatrist, providing medication management as well as psychotherapy in office based or telemedicine formats.
(828) 268-3320 View (828) 268-3320
Photo of Dr. Mona Venzon Rice, Psychiatrist in Hendersonville, NC
Dr. Mona Venzon Rice
Psychiatrist, MD
Verified Verified
Hendersonville, NC 28791
Your child is having a hard time learning or has significant behavioral issues. Perhaps excessive worry, obsessive fixations, past trauma or deep sadness prevent her from making friends, going to school or enjoying life. Or his moods & thoughts can be strange & disruptive. Or their social & emotional development appear off. You're very concerned but not sure where to start or what to do. You have tried to understand & adjust your parenting to attempt to help. Or you may have taken him to therapist/s or doctor/s & tried various treatments, but he continues to struggle & something is still missing.
Your child is having a hard time learning or has significant behavioral issues. Perhaps excessive worry, obsessive fixations, past trauma or deep sadness prevent her from making friends, going to school or enjoying life. Or his moods & thoughts can be strange & disruptive. Or their social & emotional development appear off. You're very concerned but not sure where to start or what to do. You have tried to understand & adjust your parenting to attempt to help. Or you may have taken him to therapist/s or doctor/s & tried various treatments, but he continues to struggle & something is still missing.
(828) 600-4919 View (828) 600-4919

More Psychiatrists Nearby

Photo of New Moon Psychiatry, Psychiatric Nurse Practitioner in Hendersonville, NC
New Moon Psychiatry
Psychiatric Nurse Practitioner, BA, RN, PMHNP
Verified Verified
1 Endorsed
Fletcher, NC 28732
Waitlist for new clients
We are currently working from a waitlist. If you'd like to be notified when we are able to accept new clients please contact us. We do not accept walk in appointments. Please do not visit the office location unless you have a confirmed in person appointment. This is a shared office space and New Moon Psychiatry staff are not always on site.
We are currently working from a waitlist. If you'd like to be notified when we are able to accept new clients please contact us. We do not accept walk in appointments. Please do not visit the office location unless you have a confirmed in person appointment. This is a shared office space and New Moon Psychiatry staff are not always on site.
(828) 888-9306 View (828) 888-9306
Photo of Anne Fulbright, Physician Assistant in Hendersonville, NC
Anne Fulbright
Physician Assistant, MA, MMS, PA
Verified Verified
Arden, NC 28704
Not accepting new clients
People do best when they are curious about furthering their own understanding of themselves, and want to learn to demonstrate empathy and forgiveness, this solves problems for people. Improving coping skills and healing from trauma help people feel better as well. The foundations of treatment success are compassion, trust and support, which allow for the development of skills and insights as well as improved self care. Many stressors are related to health, and it is valuable to think "whole person" as medical problems, such as thyroid disease, can cause anxiety, for example.
People do best when they are curious about furthering their own understanding of themselves, and want to learn to demonstrate empathy and forgiveness, this solves problems for people. Improving coping skills and healing from trauma help people feel better as well. The foundations of treatment success are compassion, trust and support, which allow for the development of skills and insights as well as improved self care. Many stressors are related to health, and it is valuable to think "whole person" as medical problems, such as thyroid disease, can cause anxiety, for example.
(828) 554-2798 View (828) 554-2798
Photo of Ricardo Bierrenbach Psychiatry, Psychiatrist in Hendersonville, NC
Ricardo Bierrenbach Psychiatry
Psychiatrist, MD
Verified Verified
1 Endorsed
Arden, NC 28704
Life can be difficult for everyone, don't suffer alone. I am dedicated to helping people overcome suffering, experience healing and achieve lasting change through compassionate, individualized care. Dr Bierrenbach is a board certified Psychiatrist and has been practicing Psychiatry for over 20 years.
Life can be difficult for everyone, don't suffer alone. I am dedicated to helping people overcome suffering, experience healing and achieve lasting change through compassionate, individualized care. Dr Bierrenbach is a board certified Psychiatrist and has been practicing Psychiatry for over 20 years.
(828) 372-5744 View (828) 372-5744

Online Psychiatrists

Photo of Sahil Talwar, Physician Assistant in Hendersonville, NC
Sahil Talwar
Physician Assistant, PA-C, MBA
Verified Verified
Charlotte, NC 28216
We do not require a referral and can typically see you in less than a week. Sahil Talwar is a physician assistant with 8 years of experience in emergency, inpatient and outpatient psychiatry. He is licensed in both South Carolina and North Carolina. He graduated from South College with his Master's in Physician Assistant studies in 2015. Sahil has utilized his experience by treating patients in both civilian and military settings. He is a Captain in the Army Reserves and has 15 years of military service. He is the owner of Carolina Psychiatry and Addiction Services.
We do not require a referral and can typically see you in less than a week. Sahil Talwar is a physician assistant with 8 years of experience in emergency, inpatient and outpatient psychiatry. He is licensed in both South Carolina and North Carolina. He graduated from South College with his Master's in Physician Assistant studies in 2015. Sahil has utilized his experience by treating patients in both civilian and military settings. He is a Captain in the Army Reserves and has 15 years of military service. He is the owner of Carolina Psychiatry and Addiction Services.
(704) 324-8177 View (704) 324-8177
Photo of Jason Darden, Psychiatric Nurse Practitioner in Hendersonville, NC
Jason Darden
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
Charlotte, NC 28269  (Online Only)
Working with patients in their own home relieves immediate stress and is a positive environment to establish immediate rapport. Telepsychiatry reduces delays in care, potential transportation barriers, such as lack of transportation or the need for long drives, and improves access to mental health specialty care that might not otherwise be available (e.g., in rural areas). Research also suggests telepsychiatry helps patients avoid the stigmas surrounding getting treatment and immediately increases comfort levels. At this time we are NOT accepting patients with Bipolar Disorder.
Working with patients in their own home relieves immediate stress and is a positive environment to establish immediate rapport. Telepsychiatry reduces delays in care, potential transportation barriers, such as lack of transportation or the need for long drives, and improves access to mental health specialty care that might not otherwise be available (e.g., in rural areas). Research also suggests telepsychiatry helps patients avoid the stigmas surrounding getting treatment and immediately increases comfort levels. At this time we are NOT accepting patients with Bipolar Disorder.
(704) 742-2716 View (704) 742-2716
Photo of Solari Mental & Behavioral Health Services, Psychiatric Nurse Practitioner in Hendersonville, NC
Solari Mental & Behavioral Health Services
Psychiatric Nurse Practitioner, PMHNP, APRN, MSN, MBA, CRRN
Verified Verified
Charlotte, NC 28212
Consistent and reliable evidenced based care within the framework of strict confidentiality, commitment to solutions, empowerment, psychoeducation, and understanding. Practice approach utilizes the best combination of medication management and psychotherapy if/as indicated.
Consistent and reliable evidenced based care within the framework of strict confidentiality, commitment to solutions, empowerment, psychoeducation, and understanding. Practice approach utilizes the best combination of medication management and psychotherapy if/as indicated.
(704) 936-0200 View (704) 936-0200
Photo of Carmen Chatten, Psychiatric Nurse Practitioner in Hendersonville, NC
Carmen Chatten
Psychiatric Nurse Practitioner, FNP-BC
Verified Verified
Charlotte, NC 28202
I am a board certified nurse practitioner who has been in practice for 12 years. I provide mental health care as a first line approach to health care and then branch patients, who desire, into primary care services as a secondary service. I use genetic testing and advanced lab work to assess general health and utilize behavioral approaches to chronic disease management.
I am a board certified nurse practitioner who has been in practice for 12 years. I provide mental health care as a first line approach to health care and then branch patients, who desire, into primary care services as a secondary service. I use genetic testing and advanced lab work to assess general health and utilize behavioral approaches to chronic disease management.
(919) 343-9899 View (919) 343-9899
Photo of Meredith Barrett, Psychiatric Nurse Practitioner in Hendersonville, NC
Meredith Barrett
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Charlotte, NC 28206
Waitlist for new clients
Do you find yourself struggling to get by each day? Do you feel like you keep hitting a wall? Or that no matter what you do, you cannot climb your way out of the hole? To struggle is to be human, but it is possible to find balance. It is possible to find contentment and joy. It is possible to discover release, to experience freedom from mental anguish. Unrelieved mental and emotional hurdles make our worlds small, and tend to propel us further and further into isolation. I am here to listen, and to help you achieve mental wellness by giving you the tools you need to regain control of your life.
Do you find yourself struggling to get by each day? Do you feel like you keep hitting a wall? Or that no matter what you do, you cannot climb your way out of the hole? To struggle is to be human, but it is possible to find balance. It is possible to find contentment and joy. It is possible to discover release, to experience freedom from mental anguish. Unrelieved mental and emotional hurdles make our worlds small, and tend to propel us further and further into isolation. I am here to listen, and to help you achieve mental wellness by giving you the tools you need to regain control of your life.
(919) 328-3474 View (919) 328-3474
Photo of Advanced Psychiatric Associates, Psychiatric Nurse Practitioner in Hendersonville, NC
Advanced Psychiatric Associates
Psychiatric Nurse Practitioner, DNP, FNP-C, PMHNPBC
Verified Verified
Charlotte, NC 28202
Dr. Tina is a highly experienced and compassionate provider who leaves no stone untouched when it comes to healthcare delivery. She utilizes her years of experience as a dual certified Nurse Practitioner in Family medicine and Psychiatric/Behavioral medicine to take care of her clients. Dr. Okonkwo has exceptional listening skills, and she engages her clients in a relaxing way. She understands that there is no "one size fits all" in healthcare; hence, she approaches each client as a person and not a patient, and she treats the conditions and not the symptoms.
Dr. Tina is a highly experienced and compassionate provider who leaves no stone untouched when it comes to healthcare delivery. She utilizes her years of experience as a dual certified Nurse Practitioner in Family medicine and Psychiatric/Behavioral medicine to take care of her clients. Dr. Okonkwo has exceptional listening skills, and she engages her clients in a relaxing way. She understands that there is no "one size fits all" in healthcare; hence, she approaches each client as a person and not a patient, and she treats the conditions and not the symptoms.
(336) 715-3561 View (336) 715-3561
Photo of Dr Julie Chilton, MD, PLLC, Psychiatrist in Hendersonville, NC
Dr Julie Chilton, MD, PLLC
Psychiatrist, MD, DFAACAP
Verified Verified
1 Endorsed
Asheville, NC 28814  (Online Only)
I am a board-certified child, adolescent and adult psychiatrist in private practice in Asheville, NC and on faculty at the Yale Child Study Center in New Haven, CT. I provide therapy as well as medication management, when necessary. The primary modalities I use with clients are Cognitive Behavioral Therapy and Psychodynamic Psychotherapy. One of my biggest passions is providing excellent resources to supplement therapy, so clients feel well-versed in their treatment and realize they are not the only ones going through these struggles. Mental health issues are common and treatable and there should be no shame in getting help!
I am a board-certified child, adolescent and adult psychiatrist in private practice in Asheville, NC and on faculty at the Yale Child Study Center in New Haven, CT. I provide therapy as well as medication management, when necessary. The primary modalities I use with clients are Cognitive Behavioral Therapy and Psychodynamic Psychotherapy. One of my biggest passions is providing excellent resources to supplement therapy, so clients feel well-versed in their treatment and realize they are not the only ones going through these struggles. Mental health issues are common and treatable and there should be no shame in getting help!
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Photo of Amanda Alston, Physician Assistant in Hendersonville, NC
Amanda Alston
Physician Assistant, PA
Verified Verified
Charlotte, NC 28287
Amanda provides a safe, welcoming space for adults. Her objective is to get her patients “back on their feet” while growing and gaining confidence in themselves and their treatment.
Amanda provides a safe, welcoming space for adults. Her objective is to get her patients “back on their feet” while growing and gaining confidence in themselves and their treatment.
(855) 698-1551 View (855) 698-1551
Photo of Austin Sowell, Psychiatric Nurse Practitioner in Hendersonville, NC
Austin Sowell
Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
Verified Verified
Charlotte, NC 28209
I enjoy working with my clients to figure out what they want their life to be like and help them identify their goals. From there, I see it as my job to support the client in their journey towards improving their life. Whether I am working with a young child or an adult, I recognize how brave it is to seek help. For my clients suffering from general psychiatric illnesses, I asses for psychiatric stability along with the appropriateness for therapy and/or medications.
I enjoy working with my clients to figure out what they want their life to be like and help them identify their goals. From there, I see it as my job to support the client in their journey towards improving their life. Whether I am working with a young child or an adult, I recognize how brave it is to seek help. For my clients suffering from general psychiatric illnesses, I asses for psychiatric stability along with the appropriateness for therapy and/or medications.
(980) 372-3747 View (980) 372-3747
Photo of Mountain Mental Health and Wellness, PLLC, Psychiatric Nurse Practitioner in Hendersonville, NC
Mountain Mental Health and Wellness, PLLC
Psychiatric Nurse Practitioner, NP-BC
Verified Verified
3 Endorsed
Asheville, NC 28803
I'm a nurse practitioner specialist, providing compassionate mental health care for residents of NC. At your first appointment we will explore your life's journey and evaluate any previous treatment response. Then medication is prescribed or adjusted, and a plan of action is made through collaboration. My philosophy for prescribing medication incorporates evidence-based science and wellness. I will keep in touch with you in between appointments with a medical app giving you the best opportunity for successful and sustained wellness.
I'm a nurse practitioner specialist, providing compassionate mental health care for residents of NC. At your first appointment we will explore your life's journey and evaluate any previous treatment response. Then medication is prescribed or adjusted, and a plan of action is made through collaboration. My philosophy for prescribing medication incorporates evidence-based science and wellness. I will keep in touch with you in between appointments with a medical app giving you the best opportunity for successful and sustained wellness.
(828) 759-5470 View (828) 759-5470
Photo of Amy Langston, Psychiatric Nurse Practitioner in Hendersonville, NC
Amy Langston
Psychiatric Nurse Practitioner, PMHNPBC
Verified Verified
Charlotte, NC 28262  (Online Only)
Before transitioning into advanced practice, Amy was a board certified Psychiatric Mental Health Nurse, that had the privilege of working at several prestigious psychiatric hospitals in a variety of settings. In both her academic and professional life, she strives to deliver comprehensive evidence-based mental health and wellness services. As a Mental Health Nurse Practitioner, she aims to provide holistic care, taking into consideration the psychological, social, biological, and cultural needs of each individual patient.
Before transitioning into advanced practice, Amy was a board certified Psychiatric Mental Health Nurse, that had the privilege of working at several prestigious psychiatric hospitals in a variety of settings. In both her academic and professional life, she strives to deliver comprehensive evidence-based mental health and wellness services. As a Mental Health Nurse Practitioner, she aims to provide holistic care, taking into consideration the psychological, social, biological, and cultural needs of each individual patient.
(704) 610-0188 View (704) 610-0188

See more therapy options for Hendersonville

How does your Psychiatrist compare?

Number of Psychiatrists in Hendersonville, NC

< 10

Psychiatrists in Hendersonville, NC who prioritize treating:

83% Depression
83% Anxiety
83% Trauma and PTSD
83% Bipolar Disorder
83% Sleep or Insomnia
67% ADHD
67% Grief

Average years in practice

13 Years

Top 3 insurances accepted

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

How Psychiatrists in Hendersonville, NC see their clients

67% In Person and Online
33% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Hendersonville?

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.