Psychiatrists in Lake George, NY

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Photo of Eloise Palmisano PMHNP , Psychiatric Nurse Practitioner in Lake George, NY
Eloise Palmisano PMHNP
Psychiatric Nurse Practitioner, RN, PMHNP, BC
Verified Verified
Glens Falls, NY 12801
I am Eloise Palmisano a Psychiatric Nurse Practitioner who has been a Registered Nurse for 30 years with many years of practice Mental Health and various types of practice. In 2009 I became a Nurse Practitioner, graduated from Sage College in Troy New York. My practice is private I specialize in Anxiety, PTSD, Bipolar Disorder, Eating Disorders including Binge Eating and Major Depressive Disorders. My patients should be engaged in therapy with a therapist and must be compliant with my treatment plan. I treat adults from the age of 18 to 80. I am available for new patients . I am also a Suboxone provider Certified Spravato site.
I am Eloise Palmisano a Psychiatric Nurse Practitioner who has been a Registered Nurse for 30 years with many years of practice Mental Health and various types of practice. In 2009 I became a Nurse Practitioner, graduated from Sage College in Troy New York. My practice is private I specialize in Anxiety, PTSD, Bipolar Disorder, Eating Disorders including Binge Eating and Major Depressive Disorders. My patients should be engaged in therapy with a therapist and must be compliant with my treatment plan. I treat adults from the age of 18 to 80. I am available for new patients . I am also a Suboxone provider Certified Spravato site.
(518) 621-4792 View (518) 621-4792
Photo of Geoffrey Robinson, Psychiatric Nurse Practitioner in Lake George, NY
Geoffrey Robinson
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
2 Endorsed
Queensbury, NY 12804  (Online Only)
Challenging life experiences happen to everyone, but we often have little information and guidance on how to navigate things like burnout, trauma, relationship turmoil... Whether this is your first time seeking treatment or if you are returning or continuing treatment, we can work together to help achieve your goals, better manage stressors, and improve the quality of your every day life. Your mental well-being should not be considered taboo, it should be a priority.
Challenging life experiences happen to everyone, but we often have little information and guidance on how to navigate things like burnout, trauma, relationship turmoil... Whether this is your first time seeking treatment or if you are returning or continuing treatment, we can work together to help achieve your goals, better manage stressors, and improve the quality of your every day life. Your mental well-being should not be considered taboo, it should be a priority.
(518) 864-1582 View (518) 864-1582
Photo of Dr. Griffan Randall, D.O., PLLC, Psychiatrist in Lake George, NY
Dr. Griffan Randall, D.O., PLLC
Psychiatrist, DO
Verified Verified
Queensbury, NY 12804
Dr. Randall specializes in Psychiatry for Adolescents through Geriatrics. She offers Medication Management therapy, Various Individual Psychotherapies, Genetic testing, Court ordered evaluations, Medical Marijuana Certification, Maternal/Fetal Psychiatric Care, and Pre-Surgical Psychiatric Evaluations.
Dr. Randall specializes in Psychiatry for Adolescents through Geriatrics. She offers Medication Management therapy, Various Individual Psychotherapies, Genetic testing, Court ordered evaluations, Medical Marijuana Certification, Maternal/Fetal Psychiatric Care, and Pre-Surgical Psychiatric Evaluations.
(518) 255-7541 View (518) 255-7541
Photo of Victoria M VanScoy-McAllister, Psychiatric Nurse Practitioner in Lake George, NY
Victoria M VanScoy-McAllister
Psychiatric Nurse Practitioner, NPP, BC
Verified Verified
Glens Falls, NY 12801  (Online Only)
Victoria VanScoy McAllister, NPP is a Nurse Practitioner specialist in Glens Falls New York. She graduated from Sage College in 2012. Prior to graduating as a Nurse Practitioner, she had over 20 years of diverse experience in psychiatric nursing. Victoria prides herself on providing high-quality individual care. She provides a full comprehensive 60 minute intake and 30-45 minute follow up appointments for medication management and psychotherapy. In addition, she provides a relaxed, friendly atmosphere that allows her patients to feel comfortable. She takes pride in providing a collaborative holistic approach to her treatment.
Victoria VanScoy McAllister, NPP is a Nurse Practitioner specialist in Glens Falls New York. She graduated from Sage College in 2012. Prior to graduating as a Nurse Practitioner, she had over 20 years of diverse experience in psychiatric nursing. Victoria prides herself on providing high-quality individual care. She provides a full comprehensive 60 minute intake and 30-45 minute follow up appointments for medication management and psychotherapy. In addition, she provides a relaxed, friendly atmosphere that allows her patients to feel comfortable. She takes pride in providing a collaborative holistic approach to her treatment.
(518) 216-0463 View (518) 216-0463
Photo of Daniel Breeyear, Psychiatric Nurse Practitioner in Lake George, NY
Daniel Breeyear
Psychiatric Nurse Practitioner, MSN, APRN, MHNP-BC, BHCC, FMHC
Verified Verified
Glens Falls, NY 12801
My ideal client is someone who wishes to take a more comprehensive approach to their overall care. This individual could be experiencing a first time mental health concern but isn’t interested in a medicine only approach. This individual can also be someone who has experienced the traditional approach to care where medications are always the answer and wants something different for themselves. Medications are an important tool in psychiatry but we believe in taking a comprehensive approach to care. Allowing the body to do what nature designed by properly caring for the whole person can lead to improved outcomes for our patients.
My ideal client is someone who wishes to take a more comprehensive approach to their overall care. This individual could be experiencing a first time mental health concern but isn’t interested in a medicine only approach. This individual can also be someone who has experienced the traditional approach to care where medications are always the answer and wants something different for themselves. Medications are an important tool in psychiatry but we believe in taking a comprehensive approach to care. Allowing the body to do what nature designed by properly caring for the whole person can lead to improved outcomes for our patients.
(518) 900-1334 View (518) 900-1334
Patricia Ann Ford
Psychiatric Nurse, NPP
Verified Verified
2 Endorsed
Queensbury, NY 12801
I received my Bachelors and Masters of Arts in Psychology and Health Communications from the State University of New York at Albany. I received my Masters of Science Degree in Nursing from the Sage Colleges. I am a board certified Adult Psychiatric and Mental Health Nurse practitioner and I also hold a current certification in College Health Nursing.
I received my Bachelors and Masters of Arts in Psychology and Health Communications from the State University of New York at Albany. I received my Masters of Science Degree in Nursing from the Sage Colleges. I am a board certified Adult Psychiatric and Mental Health Nurse practitioner and I also hold a current certification in College Health Nursing.
(518) 631-5531 View (518) 631-5531
Photo of Julio Riascos, Psychiatrist in Lake George, NY
Julio Riascos
Psychiatrist, MD
Verified Verified
Glens Falls, NY 12801
I'm Dr. Julio Riascos, MD, a psychiatrist with over 10 years of experience in providing comprehensive mental health care. I earned my medical degree from the esteemed Icahn School of Medicine at Mount Sinai. Throughout my career, I've focused on understanding and treating a wide range of psychiatric conditions, including mood disorders, anxiety disorders, psychotic disorders, and ADHD.
I'm Dr. Julio Riascos, MD, a psychiatrist with over 10 years of experience in providing comprehensive mental health care. I earned my medical degree from the esteemed Icahn School of Medicine at Mount Sinai. Throughout my career, I've focused on understanding and treating a wide range of psychiatric conditions, including mood disorders, anxiety disorders, psychotic disorders, and ADHD.
(518) 240-9415 View (518) 240-9415
Photo of Laurie B Teal, Psychiatric Nurse Practitioner in Lake George, NY
Laurie B Teal
Psychiatric Nurse Practitioner, APRN-BC, PMHNP, NBCCH
Verified Verified
2 Endorsed
Glens Falls, NY 12801
Honoring your path to wholeness. I have 30 plus years of Psychiatric experience, hold numerous additional credentials and certifications, have been on a spiritually active path for as longs as I can remember. What brought me all this way might surprise you. Transforming my own pain into wisdom that education and credentials cannot begin to teach. So, what I truly offer is a heart centered space to reflect back to you who are, beyond your trauma, beyond your self judgements and limiting beliefs. My invitation is that you become aware of your own power to create a life worth living.
Honoring your path to wholeness. I have 30 plus years of Psychiatric experience, hold numerous additional credentials and certifications, have been on a spiritually active path for as longs as I can remember. What brought me all this way might surprise you. Transforming my own pain into wisdom that education and credentials cannot begin to teach. So, what I truly offer is a heart centered space to reflect back to you who are, beyond your trauma, beyond your self judgements and limiting beliefs. My invitation is that you become aware of your own power to create a life worth living.
(518) 636-1387 View (518) 636-1387
Photo of Peter Joseph Valastro Jr, Psychiatric Nurse Practitioner in Lake George, NY
Peter Joseph Valastro Jr
Psychiatric Nurse Practitioner, APRN, PMHNP-B, MSN
Verified Verified
Glens Falls, NY 12801
Hello and Welcome. I'm Peter Valastro, a board-certified Family Mental Health Nurse Practitioner based in Saratoga, New York seeing patients in person or via telehealth. After graduating with a Master of Science in Nursing from SUNY Upstate Medical University, I found my true passion in treating individuals who are managing depression, anxiety, bipolar disorder and ADHD. Currently treating patients from the age of 12 to 80 and taking new patients.
Hello and Welcome. I'm Peter Valastro, a board-certified Family Mental Health Nurse Practitioner based in Saratoga, New York seeing patients in person or via telehealth. After graduating with a Master of Science in Nursing from SUNY Upstate Medical University, I found my true passion in treating individuals who are managing depression, anxiety, bipolar disorder and ADHD. Currently treating patients from the age of 12 to 80 and taking new patients.
(518) 897-3482 View (518) 897-3482
Photo of Dr. Gundu Reddy, Online Psychiatrist in Stuart, FL, Psychiatrist in Lake George, NY
Dr. Gundu Reddy, Online Psychiatrist in Stuart, FL
Psychiatrist, MD, MBBS
Verified Verified
2 Endorsed
South Glens Fall, NY 12803  (Online Only)
I am a Board Certified Psychiatrist in New York City. I have trained in Psychodynamic psychotherapy, Cognitive Behavioral Therapy, Family and Marital therapy, as well as Psychiatric Medication Management. I have always believed that brain health is the key to every form of well being and every individual regardless of their diagnosis or symptoms has the potential to be healthier. Whether your reasons for seeking treatment include treatment-resistant hallucinations, persistent irritability, dysphoria, insomnia, wanting to perform better at work- the core principles of treatment are often similar.
I am a Board Certified Psychiatrist in New York City. I have trained in Psychodynamic psychotherapy, Cognitive Behavioral Therapy, Family and Marital therapy, as well as Psychiatric Medication Management. I have always believed that brain health is the key to every form of well being and every individual regardless of their diagnosis or symptoms has the potential to be healthier. Whether your reasons for seeking treatment include treatment-resistant hallucinations, persistent irritability, dysphoria, insomnia, wanting to perform better at work- the core principles of treatment are often similar.
(518) 722-3957 View (518) 722-3957
Photo of Rebecca Gillingham, Psychiatric Nurse Practitioner in Lake George, NY
Rebecca Gillingham
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
1 Endorsed
Glens Falls, NY 12801
(518) 348-4456 View (518) 348-4456

Online Psychiatrists

Photo of Michelle Marchand, Psychiatric Nurse Practitioner in Lake George, NY
Michelle Marchand
Psychiatric Nurse Practitioner
Verified Verified
Albany, NY 12205
Michelle is a board certified psychiatric nurse practitioner providing medication management and brief supportive psychotherapy. She specializes in working with children, teens and adults. Michelle takes a holistic and inclusive approach to the care she provides her clients. It’s is her goal to promote mental health across the life span and help clients achieve their best life.
Michelle is a board certified psychiatric nurse practitioner providing medication management and brief supportive psychotherapy. She specializes in working with children, teens and adults. Michelle takes a holistic and inclusive approach to the care she provides her clients. It’s is her goal to promote mental health across the life span and help clients achieve their best life.
(518) 806-7832 View (518) 806-7832
Photo of Dr. Ronil Shah, Psychiatrist in Lake George, NY
Dr. Ronil Shah
Psychiatrist, MD
Verified Verified
Albany, NY 12210
Why choose Dr. Ronil Shah? Because his top-notch expertise combines with compassionate, personalized care. Treatment with Dr. Shah is a two-way collaboration. Working together, you will design a mental wellness strategy that’s tailored just for you. His philosophy? Your path to wellness should be as unique as you are, shaped by empathy and expertise, and empowered by evidence-based insights and tools.
Why choose Dr. Ronil Shah? Because his top-notch expertise combines with compassionate, personalized care. Treatment with Dr. Shah is a two-way collaboration. Working together, you will design a mental wellness strategy that’s tailored just for you. His philosophy? Your path to wellness should be as unique as you are, shaped by empathy and expertise, and empowered by evidence-based insights and tools.
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Photo of Bick Wanck, Psychiatrist in Lake George, NY
Bick Wanck
Psychiatrist, MD
Verified Verified
Saratoga Springs, NY 12866
Our practice is located at 401 Geyser Road, Saratoga Springs, NY with 12 mental health practitioners - therapists as well as prescribers - with an emphasis on psychotherapy and counseling. Please visit our website: www.bickwanckmdandassociates.com or contact the office at 518 583-3035 for further information. We accept commercial insurance only - no Medicare or Medicaid plans. You can also check out Bick’s author website at www.bickwanckmd.com to check out blogs and links to his book Mind Easing: the 3-layered healing plan for anxiety and depression.
Our practice is located at 401 Geyser Road, Saratoga Springs, NY with 12 mental health practitioners - therapists as well as prescribers - with an emphasis on psychotherapy and counseling. Please visit our website: www.bickwanckmdandassociates.com or contact the office at 518 583-3035 for further information. We accept commercial insurance only - no Medicare or Medicaid plans. You can also check out Bick’s author website at www.bickwanckmd.com to check out blogs and links to his book Mind Easing: the 3-layered healing plan for anxiety and depression.
(518) 650-3364 View (518) 650-3364
Photo of Sarah Covert, Psychiatric Nurse Practitioner in Lake George, NY
Sarah Covert
Psychiatric Nurse Practitioner, MS, APRN, NPP-BC
Verified Verified
Albany, NY 12205
During this unprecedented time, mental health treatment is more important then ever. I am here to be your partner in health and well-being. I am a masters prepared, board certified psychiatric nurse practitioner. I am able to prescribe medications & provide treatment for individuals. I specialize in the treatment of OCD, trauma related disorders, and peri/postpartum depression, anxiety, OCD & mood disorders. I develop holistic treatment recommendations which are based on the most up to date evidence, as well as individual needs.
During this unprecedented time, mental health treatment is more important then ever. I am here to be your partner in health and well-being. I am a masters prepared, board certified psychiatric nurse practitioner. I am able to prescribe medications & provide treatment for individuals. I specialize in the treatment of OCD, trauma related disorders, and peri/postpartum depression, anxiety, OCD & mood disorders. I develop holistic treatment recommendations which are based on the most up to date evidence, as well as individual needs.
(518) 348-4387 View (518) 348-4387
Photo of Kelly Dorman, Psychiatric Nurse Practitioner in Lake George, NY
Kelly Dorman
Psychiatric Nurse Practitioner, FPMHNP, -BC
Verified Verified
Sherrill, NY 13461
In order to assist her patients with the journey, she strives to meet each person right where they are in the life process. She values education and autonomy in treatment and wants her patients to know that she comes from a place free of judgement. Kelly aims to facilitate a therapeutic space where patients feel comfortable to speak at ease. Kellys treatment approach is grounded in empowering each individual with access and space to help themselves identify personal goals, address individual barriers and move forward. Her interest focuses on individual wellness & treatment optimization.
In order to assist her patients with the journey, she strives to meet each person right where they are in the life process. She values education and autonomy in treatment and wants her patients to know that she comes from a place free of judgement. Kelly aims to facilitate a therapeutic space where patients feel comfortable to speak at ease. Kellys treatment approach is grounded in empowering each individual with access and space to help themselves identify personal goals, address individual barriers and move forward. Her interest focuses on individual wellness & treatment optimization.
(315) 895-8189 View (315) 895-8189
Photo of Ketsia Guerrier, Psychiatric Nurse Practitioner in Lake George, NY
Ketsia Guerrier
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Albany, NY 12207  (Online Only)
Ketsia Guerrier is a psychiatric mental health nurse practitioner in New York City. Ketsia manages and treats various mental health concerns, including depression, anxiety, ADHD, PTSD, OCD, and mood disorders.
Ketsia Guerrier is a psychiatric mental health nurse practitioner in New York City. Ketsia manages and treats various mental health concerns, including depression, anxiety, ADHD, PTSD, OCD, and mood disorders.
(518) 759-5707 View (518) 759-5707
Photo of Ceci Hayes, Psychiatric Nurse Practitioner in Lake George, NY
Ceci Hayes
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
Saratoga Springs, NY 12866
Ceci Hayes is a board certified psychiatric mental health nurse practitioner with over 25-years of experience as a registered nurse and over 18-years of experience in mental health. Her goals are to assist individuals achieve their personal and professional aspirations and aid in removing the stigma associated with mental illness. Ceci's approach includes medication management, psycho-educational learning, psychotherapy encompassing DBT, CBT, group and individual therapy. This holistic approach includes exploring biological, social, emotional, occupational, financial, environmental, intellectual, and spiritual factors.
Ceci Hayes is a board certified psychiatric mental health nurse practitioner with over 25-years of experience as a registered nurse and over 18-years of experience in mental health. Her goals are to assist individuals achieve their personal and professional aspirations and aid in removing the stigma associated with mental illness. Ceci's approach includes medication management, psycho-educational learning, psychotherapy encompassing DBT, CBT, group and individual therapy. This holistic approach includes exploring biological, social, emotional, occupational, financial, environmental, intellectual, and spiritual factors.
(518) 245-3288 View (518) 245-3288
Photo of Amarjot Surdhar, Psychiatrist in Lake George, NY
Amarjot Surdhar
Psychiatrist, MD
Verified Verified
Saratoga Springs, NY 12866
Hello, I am here to assist you with depression, anxiety, panic, OCD, social anxiety, Bipolar disorder, paranoia, hopelessness, emotional, family conflict, divorce issues, alcohol, drug use, and Behavioral addictions like food, sex, gambling, and many other types of dependency issues. I am Double Board-certified Addiction Psychiatrist and Medical Director for an Addition Clinic. I work in a Psychiatric emergency room as well. I have a lot of experience in handling crisis situations. I can prescribe Suboxone. I help people get sober.
Hello, I am here to assist you with depression, anxiety, panic, OCD, social anxiety, Bipolar disorder, paranoia, hopelessness, emotional, family conflict, divorce issues, alcohol, drug use, and Behavioral addictions like food, sex, gambling, and many other types of dependency issues. I am Double Board-certified Addiction Psychiatrist and Medical Director for an Addition Clinic. I work in a Psychiatric emergency room as well. I have a lot of experience in handling crisis situations. I can prescribe Suboxone. I help people get sober.
(516) 252-3132 View (516) 252-3132
Photo of Christopher Viagrande NP Psychiatry, PLLC, Psychiatric Nurse Practitioner in Lake George, NY
Christopher Viagrande NP Psychiatry, PLLC
Psychiatric Nurse Practitioner, BSN, MSN, APRN, NPP-BC
Verified Verified
Latham, NY 12110
60 Five-Star reviews and 20 years of experience in the field of Psychiatry. Most of my clients come to me after attempting treatment either with another psychiatric provider or their primary care provider. When it comes to your mental health there is a delicate balance between choosing the right medication for you and a personalized approach with therapy. If relief and success is what you seek, search no more and book today!
60 Five-Star reviews and 20 years of experience in the field of Psychiatry. Most of my clients come to me after attempting treatment either with another psychiatric provider or their primary care provider. When it comes to your mental health there is a delicate balance between choosing the right medication for you and a personalized approach with therapy. If relief and success is what you seek, search no more and book today!
(518) 516-5436 View (518) 516-5436

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How does your Psychiatrist compare?

Number of Psychiatrists in Lake George, NY

< 10

Psychiatrists in Lake George, NY who prioritize treating:

How Psychiatrists in Lake George, NY see their clients

2% Online Only
1% In Person and Online
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Lake George?

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.