Psychiatrists in Portland, OR

Photo of Robert Geistwhite, MD, Psychiatrist in Portland, OR
Robert Geistwhite, MD
Psychiatrist, MD
Verified Verified
Portland, OR 97210
Despite being successful, many creative and talented people live with a negative inner world. Often thinking, "If I only had someone to talk to." They are stuck but reluctant to seek help. It seems shameful or overwhelming. The fact is, once we are able to connect many of my patients quickly start to feel better. I listen in a way that respects their own perspective, pace and autonomy. Together we strive to deepen our understanding of the problems, while expanding our appreciation of a unique inner life.
Despite being successful, many creative and talented people live with a negative inner world. Often thinking, "If I only had someone to talk to." They are stuck but reluctant to seek help. It seems shameful or overwhelming. The fact is, once we are able to connect many of my patients quickly start to feel better. I listen in a way that respects their own perspective, pace and autonomy. Together we strive to deepen our understanding of the problems, while expanding our appreciation of a unique inner life.
(503) 828-9929 View (503) 828-9929
Photo of Davonna (Dee) Wilson, Psychiatric Nurse Practitioner in Portland, OR
Davonna (Dee) Wilson
Psychiatric Nurse Practitioner, DNP, PMHNP, BC, FNP
Verified Verified
1 Endorsed
Portland, OR 97223
I am a board-certified Mental Health Nurse Practitioner. My primary goal is to empower clients to regain their well-being and fully embrace their personal and professional lives. I believe compassionate care is at the heart of effective treatment. I prioritize active listening and open communication, allowing patients to express their concerns, fears, and aspirations freely. Creating a non-judgmental space fosters a strong therapeutic alliance based on trust and mutual respect, my approach goes beyond the diagnosis and treatment of mental health conditions, I like to get to know my patients as a whole person.
I am a board-certified Mental Health Nurse Practitioner. My primary goal is to empower clients to regain their well-being and fully embrace their personal and professional lives. I believe compassionate care is at the heart of effective treatment. I prioritize active listening and open communication, allowing patients to express their concerns, fears, and aspirations freely. Creating a non-judgmental space fosters a strong therapeutic alliance based on trust and mutual respect, my approach goes beyond the diagnosis and treatment of mental health conditions, I like to get to know my patients as a whole person.
(971) 251-1623 View (971) 251-1623
Photo of Heather Richardson, Psychiatric Nurse Practitioner in Portland, OR
Heather Richardson
Psychiatric Nurse Practitioner, PMHNP, RN
Verified Verified
Portland, OR 97203  (Online Only)
I have experience working with people of all age ranges, but primarily I focus on working with adults between 18-60 years of age. As a PMHNP I am trained and have experience working with the whole spectrum of mental health including anxiety, bipolar, depression, mood, personality, psychosis, sleep, trauma and other mental health disorders. I strive to provide compassionate, caring, and honest mental health care.
I have experience working with people of all age ranges, but primarily I focus on working with adults between 18-60 years of age. As a PMHNP I am trained and have experience working with the whole spectrum of mental health including anxiety, bipolar, depression, mood, personality, psychosis, sleep, trauma and other mental health disorders. I strive to provide compassionate, caring, and honest mental health care.
(971) 253-7704 View (971) 253-7704
Photo of Quimson Behavioral Health: Dr Pia Quimson-Guevarra, Psychiatrist in Portland, OR
Quimson Behavioral Health: Dr Pia Quimson-Guevarra
Psychiatrist, DO
Verified Verified
Portland, OR 97229  (Online Only)
Waitlist for new clients
Are you ready to get better? I am a board-certified psychiatrist (medical doctor) who partners with patients using a personalized treatment approach which can include medications, education, and talk therapy. While I treat a variety of mental health conditions, I specialize in helping those with anxiety and depression to get to a better place. I also help others explore the impact of society, culture, and relationships on their mental health. I am a BIPOC/AAPI/Asian provider and identify as Filipina-American.
Are you ready to get better? I am a board-certified psychiatrist (medical doctor) who partners with patients using a personalized treatment approach which can include medications, education, and talk therapy. While I treat a variety of mental health conditions, I specialize in helping those with anxiety and depression to get to a better place. I also help others explore the impact of society, culture, and relationships on their mental health. I am a BIPOC/AAPI/Asian provider and identify as Filipina-American.
(971) 307-9602 View (971) 307-9602
Photo of private practice, Psychiatric Nurse Practitioner in Portland, OR
private practice
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Portland, OR 97212
I love being a Psychiatric Mental Health Nurse Practitioner (PMHNP) and am honored to help individuals achieve optimal mental health through collaboration and support. I believe everyone can improve mental health and wellness by building on our strengths, learning coping skills, and addressing social supports and physical health. For some clients psychiatric medications are one of the tools for effective healing along with counseling,health education and lifestyle changes. I am happy to provide medication management alone for those already in counseling.
I love being a Psychiatric Mental Health Nurse Practitioner (PMHNP) and am honored to help individuals achieve optimal mental health through collaboration and support. I believe everyone can improve mental health and wellness by building on our strengths, learning coping skills, and addressing social supports and physical health. For some clients psychiatric medications are one of the tools for effective healing along with counseling,health education and lifestyle changes. I am happy to provide medication management alone for those already in counseling.
(503) 738-1719 View (503) 738-1719
Photo of Jeffrey Carlson, Psychiatrist in Portland, OR
Jeffrey Carlson
Psychiatrist, DO
Verified Verified
Portland, OR 97205
Providing psychiatric consultation and ongoing treatment, primarily serving late adolescents and young adults. At the present time, I am not taking new patients.
Providing psychiatric consultation and ongoing treatment, primarily serving late adolescents and young adults. At the present time, I am not taking new patients.
(503) 738-1781 View (503) 738-1781
Photo of Walker B. Dixon MD, Summit Wellness center, Psychiatrist in Portland, OR
Walker B. Dixon MD, Summit Wellness center
Psychiatrist, MD
Verified Verified
Portland, OR 97212
Not accepting new clients
Dr. Bryan Dixon has over 20 years experience treating patients in the field of psychiatry in both inpatient and outpatient settings. Dr. Dixon provides a complete treatment experience with psychiatric diagnostic assessment, medication evaluation and management, and collaboration with or referral to new or established providers and therapists for continuation of care when indicated. With over a decade of experience treating opioid dependence with Suboxone and Subutex , this treatment is available for maintenance including the application of unique and effective ways to lower doses and discontinue this medication.
Dr. Bryan Dixon has over 20 years experience treating patients in the field of psychiatry in both inpatient and outpatient settings. Dr. Dixon provides a complete treatment experience with psychiatric diagnostic assessment, medication evaluation and management, and collaboration with or referral to new or established providers and therapists for continuation of care when indicated. With over a decade of experience treating opioid dependence with Suboxone and Subutex , this treatment is available for maintenance including the application of unique and effective ways to lower doses and discontinue this medication.
(503) 483-0871 View (503) 483-0871
Photo of Hannah Frazee, Physician Assistant in Portland, OR
Hannah Frazee
Physician Assistant, PA
Verified Verified
Portland, OR 97209
I specialize in psychiatric medication management. I believe that medication can do great things for people in the right context. I also think there are times that medication should be used in addition to other modalities, like therapy, if needed.
I specialize in psychiatric medication management. I believe that medication can do great things for people in the right context. I also think there are times that medication should be used in addition to other modalities, like therapy, if needed.
(971) 206-3110 View (971) 206-3110
Photo of Erika Bales, Psychiatric Nurse Practitioner in Portland, OR
Erika Bales
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
2 Endorsed
Portland, OR 97206  (Online Only)
Accepting new patients! Are you feeling overwhelmed? Taking the first step towards healing can be daunting, but you're not alone on this journey. I am here to help guide you towards a more fulfilling life with symptom relief. I believe in fostering a strong therapeutic alliance built on trust and respect. Together, we will create an effective treatment plan tailored to you. I combine evidence-based techniques with a holistic approach, taking into account your physical, emotional, and mental well-being. My goal is to support you in restoring and maintaining a healthier state of mind.
Accepting new patients! Are you feeling overwhelmed? Taking the first step towards healing can be daunting, but you're not alone on this journey. I am here to help guide you towards a more fulfilling life with symptom relief. I believe in fostering a strong therapeutic alliance built on trust and respect. Together, we will create an effective treatment plan tailored to you. I combine evidence-based techniques with a holistic approach, taking into account your physical, emotional, and mental well-being. My goal is to support you in restoring and maintaining a healthier state of mind.
(971) 298-8186 View (971) 298-8186
Photo of Steven Knott, Psychiatric Nurse Practitioner in Portland, OR
Steven Knott
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Portland, OR 97205  (Online Only)
I am a board certified, licensed psychiatric mental health nurse practitioner. I graduated from college with recognition for outstanding scholastic performance in the major of nursing at the University of Nevada-Las Vegas. I spent the next 7 years working in mental health with all different populations and facilities within Las Vegas, then graduated from top-ranked Psychiatric Mental Health Nurse Practitioner program in the United States through Vanderbilt University. I was a recipient of the Vanderbilt School of Nursing Scholarship fund and was invited to the Iota Chapter of Sigma Theta Tau International Honor Society of Nursing.
I am a board certified, licensed psychiatric mental health nurse practitioner. I graduated from college with recognition for outstanding scholastic performance in the major of nursing at the University of Nevada-Las Vegas. I spent the next 7 years working in mental health with all different populations and facilities within Las Vegas, then graduated from top-ranked Psychiatric Mental Health Nurse Practitioner program in the United States through Vanderbilt University. I was a recipient of the Vanderbilt School of Nursing Scholarship fund and was invited to the Iota Chapter of Sigma Theta Tau International Honor Society of Nursing.
(971) 545-8153 View (971) 545-8153
Photo of Marisa Bell, Psychiatric Nurse Practitioner in Portland, OR
Marisa Bell
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Portland, OR 97214  (Online Only)
I believe people in early adulthood deserve high-quality and compassionate care tailored for this challenging phase of every person’s life. Your twenties (and thirties) can be awesome. Let’s make it happen for you! I am straightforward in my approach, listen carefully and work at your pace. In treatment I attempt to balance my expertise– the science supporting medication decisions– with your own expertise– your body and mind. At the core, I work with people who are struggling and want to reclaim their lives. If you don’t know what’s going on or how to get better, I’m happy to guide you on your path to finding out.
I believe people in early adulthood deserve high-quality and compassionate care tailored for this challenging phase of every person’s life. Your twenties (and thirties) can be awesome. Let’s make it happen for you! I am straightforward in my approach, listen carefully and work at your pace. In treatment I attempt to balance my expertise– the science supporting medication decisions– with your own expertise– your body and mind. At the core, I work with people who are struggling and want to reclaim their lives. If you don’t know what’s going on or how to get better, I’m happy to guide you on your path to finding out.
(541) 920-1081 View (541) 920-1081
Photo of Lillian Nagi, Psychiatric Nurse Practitioner in Portland, OR
Lillian Nagi
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Portland, OR 97232  (Online Only)
At your first visit we will discuss what you are looking to obtain from my service and next to try to create a plan. This way, I can accommodate both our expectations and come up with a realistic, achievable plan. There is not a one size fits all approach when it comes to mental health. The goal is to build a solid relationship with you and continue this journey until treatment is completed or ongoing desired stability is achieved. As the saying goes, some things cannot be fixed, they can only be carried- but they still can be managed! And we can work on that.
At your first visit we will discuss what you are looking to obtain from my service and next to try to create a plan. This way, I can accommodate both our expectations and come up with a realistic, achievable plan. There is not a one size fits all approach when it comes to mental health. The goal is to build a solid relationship with you and continue this journey until treatment is completed or ongoing desired stability is achieved. As the saying goes, some things cannot be fixed, they can only be carried- but they still can be managed! And we can work on that.
(503) 506-7946 View (503) 506-7946
Photo of Jenna Brown Albright, Psychiatric Nurse Practitioner in Portland, OR
Jenna Brown Albright
Psychiatric Nurse Practitioner, DNP, PMHNP, -BC
Verified Verified
Portland, OR 97209
My intention is to understand what is important to you in supporting your wellness. Medication can be a tool to use along with therapy and skills. Through mutual collaboration and trust, we will work to determine which medication will be helpful. I will provide education and support while we work together, being sensitive to your questions and concerns.
My intention is to understand what is important to you in supporting your wellness. Medication can be a tool to use along with therapy and skills. Through mutual collaboration and trust, we will work to determine which medication will be helpful. I will provide education and support while we work together, being sensitive to your questions and concerns.
Photo of Mohamed Bah, Psychiatric Nurse Practitioner in Portland, OR
Mohamed Bah
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
3 Endorsed
Portland, OR 97221
Psychiatric medication management in person and via telepsychiatry or telehealth that sees Adults and adolescents in Oregon. I am accepting new patients with no waiting list, or less than a week. I even see patients on the weekend. I am dedicated to providing compassionate and evidence-based care. Life is not often filled with puppies, rainbows, and unicorns, but it can result in trauma, stress, and the unexpected. I know you are not looking for a provider because things are going well in your life, and that is my purpose for being here. I became a mental health nurse practitioner because I wanted to help others.
Psychiatric medication management in person and via telepsychiatry or telehealth that sees Adults and adolescents in Oregon. I am accepting new patients with no waiting list, or less than a week. I even see patients on the weekend. I am dedicated to providing compassionate and evidence-based care. Life is not often filled with puppies, rainbows, and unicorns, but it can result in trauma, stress, and the unexpected. I know you are not looking for a provider because things are going well in your life, and that is my purpose for being here. I became a mental health nurse practitioner because I wanted to help others.
(503) 386-0402 View (503) 386-0402
Photo of Crabtree Mental Health, Psychiatric Nurse Practitioner in Portland, OR
Crabtree Mental Health
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
2 Endorsed
Portland, OR 97214
I am currently accepting new clients. As a Psychiatric Mental Health Nurse Practitioner (PMHNP), I have been trained in evidence based and trauma informed treatment modalities that aim to address the entire patient as a whole. We are more than just a diagnosis or a grouping of symptoms, we are individuals seeking balance and understanding of how and why we interact with our environment and in our relationships in the ways that we do. Through collaboration in a holistic and therapeutic relationship, we can work together to build a picture of what good mental health means to you.
I am currently accepting new clients. As a Psychiatric Mental Health Nurse Practitioner (PMHNP), I have been trained in evidence based and trauma informed treatment modalities that aim to address the entire patient as a whole. We are more than just a diagnosis or a grouping of symptoms, we are individuals seeking balance and understanding of how and why we interact with our environment and in our relationships in the ways that we do. Through collaboration in a holistic and therapeutic relationship, we can work together to build a picture of what good mental health means to you.
(971) 306-4257 View (971) 306-4257
Photo of Tiffany McClean, Psychiatric Nurse Practitioner in Portland, OR
Tiffany McClean
Psychiatric Nurse Practitioner, DNP, PMHNP, LPC
Verified Verified
2 Endorsed
Portland, OR 97201  (Online Only)
I am board certified in psychiatry and a proud therapist with the American Alpine Association's Climbing Grief Fund and the American Avalanche Association Resilience Project. I earned a B.S. in biology from Virginia Tech and a masters in counseling at George Washington University. I worked as an LPC in eating disorders, addictions, and general psychiatry for 7 years before completing my Doctor of Nursing Practice. My doctoral project focused on cognitive behavioral therapy for eating disorders and the relationship between exercise, anxiety/depression, and cardiovascular health. I am also a former paramedic.
I am board certified in psychiatry and a proud therapist with the American Alpine Association's Climbing Grief Fund and the American Avalanche Association Resilience Project. I earned a B.S. in biology from Virginia Tech and a masters in counseling at George Washington University. I worked as an LPC in eating disorders, addictions, and general psychiatry for 7 years before completing my Doctor of Nursing Practice. My doctoral project focused on cognitive behavioral therapy for eating disorders and the relationship between exercise, anxiety/depression, and cardiovascular health. I am also a former paramedic.
(503) 406-4268 View (503) 406-4268
Photo of Scot Maclean, Psychiatrist in Portland, OR
Scot Maclean
Psychiatrist, MD
Verified Verified
1 Endorsed
Portland, OR 97239
Hello, I offer psychotherapy and medication management for adults in Oregon. Presently, I am offering both telemedicine visits and in person visits. My preferred approach to working with you is to get a good sense of who you are, how difficulties started, and how you can find solutions for yourself. When I prescribe medication we will talk about the options in detail and then help you decide what makes most sense.
Hello, I offer psychotherapy and medication management for adults in Oregon. Presently, I am offering both telemedicine visits and in person visits. My preferred approach to working with you is to get a good sense of who you are, how difficulties started, and how you can find solutions for yourself. When I prescribe medication we will talk about the options in detail and then help you decide what makes most sense.
(503) 967-2938 View (503) 967-2938
Photo of Dr Mark Chofla | Empathy Therapy, Psychiatrist in Portland, OR
Dr Mark Chofla | Empathy Therapy
Psychiatrist, DO
Verified Verified
Portland, OR 97239  (Online Only)
Dr. Mark Chofla is a board-certified psychiatrist and physician who completed his specialty residency training at the Los Angeles County + University of Southern California Medical Center. After receiving his Bachelor of Science degree in Neurobiology, Physiology, and Behavior from the University of California at Davis, Dr. Chofla earned his medical degree from Midwestern University: Arizona College of Osteopathic Medicine.
Dr. Mark Chofla is a board-certified psychiatrist and physician who completed his specialty residency training at the Los Angeles County + University of Southern California Medical Center. After receiving his Bachelor of Science degree in Neurobiology, Physiology, and Behavior from the University of California at Davis, Dr. Chofla earned his medical degree from Midwestern University: Arizona College of Osteopathic Medicine.
(971) 606-5344 View (971) 606-5344
Photo of Donna D Templeton, Psychiatric Nurse Practitioner in Portland, OR
Donna D Templeton
Psychiatric Nurse Practitioner, PMHNP, LAC
Verified Verified
Portland, OR 97205
ACCEPTING NEW CLIENTS. I am a board-certified psychiatric/mental health nurse practitioner with over twenty years of experience. One thing I have learned in working with a wide variety of clients is that each person is a unique individual. Even though there may be similarities in problems and symptoms, there is no "one size fits all" treatment approach. When you come to me for treatment, I want to get to know you so that together we can figure out the best ways to help you manage the symptoms and deal with the problems you are experiencing. Together we will work toward achieving optimal well being and life satisfaction for you.
ACCEPTING NEW CLIENTS. I am a board-certified psychiatric/mental health nurse practitioner with over twenty years of experience. One thing I have learned in working with a wide variety of clients is that each person is a unique individual. Even though there may be similarities in problems and symptoms, there is no "one size fits all" treatment approach. When you come to me for treatment, I want to get to know you so that together we can figure out the best ways to help you manage the symptoms and deal with the problems you are experiencing. Together we will work toward achieving optimal well being and life satisfaction for you.
(971) 257-1188 View (971) 257-1188
Photo of Nancy C Winters, Psychiatrist in Portland, OR
Nancy C Winters
Psychiatrist, MD
Verified Verified
Portland, OR 97210
I specialize in psychoanalysis, an intensive, in-depth form of psychotherapy for people who are confronting repetitive and confusing patterns in life preventing them from living more fully. My approach involves careful listening and responsiveness to your unique mind and a sharing of your curiosity and commitment to deeper self-understanding and progressive freedom.
I specialize in psychoanalysis, an intensive, in-depth form of psychotherapy for people who are confronting repetitive and confusing patterns in life preventing them from living more fully. My approach involves careful listening and responsiveness to your unique mind and a sharing of your curiosity and commitment to deeper self-understanding and progressive freedom.
(503) 567-2034 View (503) 567-2034

How does your Psychiatrist compare?

Number of Psychiatrists in Portland, OR

400+

Average cost per session

$250

Psychiatrists in Portland, OR who prioritize treating:

96% Anxiety
95% Depression
81% Medication Management
75% Trauma and PTSD
73% ADHD
72% Bipolar Disorder
64% Obsessive-Compulsive (OCD)

Average years in practice

10 Years

Top 3 insurances accepted

73% BlueCross and BlueShield
72% Aetna
67% PacificSource

How Psychiatrists in Portland, OR see their clients

62% In Person and Online
38% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Portland?

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.