Photo of Sheila Jourdain, Psychiatric Nurse Practitioner in Berks County, PA
Sheila Jourdain
Psychiatric Nurse Practitioner, CRNP, PMHNP, BC
Verified Verified
Wyomissing, PA 19610  (Online Only)
**ACCEPTING NEW PATIENTS ** I am a board certified psychiatric mental health nurse practitioner who provides a holistic approach in the treatment of mental challenges and conditions. I specialize in the treatment of adults in providing motivational talk psychotherapy, medication management, consulting, and alternative treatments when applicable. I develop comprehensive and thorough treatment plans. I am eager and excited to assist patients in achieving their individual goals for their mental health. I like to work alongside my patients as a guide to help them decide the best treatment options for their diagnosis.
**ACCEPTING NEW PATIENTS ** I am a board certified psychiatric mental health nurse practitioner who provides a holistic approach in the treatment of mental challenges and conditions. I specialize in the treatment of adults in providing motivational talk psychotherapy, medication management, consulting, and alternative treatments when applicable. I develop comprehensive and thorough treatment plans. I am eager and excited to assist patients in achieving their individual goals for their mental health. I like to work alongside my patients as a guide to help them decide the best treatment options for their diagnosis.
(610) 981-2413 View (610) 981-2413
Photo of Sheila Jourdain, Psychiatric Nurse Practitioner in Berks County, PA
Sheila Jourdain
Psychiatric Nurse Practitioner, CRNP, PMHNP, BC
Verified Verified
Wyomissing, PA 19610  (Online Only)
Accepting New Patients! I am a board certified psychiatric mental health nurse practitioner who provides a holistic approach in the treatment of mental challenges and conditions. I specialize in the treatment of adults in providing motivational talk psychotherapy, medication management, consulting, and alternative treatments when applicable. I develop comprehensive and thorough treatment plans. I am eager and excited to assist patients in achieving their individual goals for their mental health. I like to work alongside my patients as a guide to help them decide the best treatment options for their diagnosis.
Accepting New Patients! I am a board certified psychiatric mental health nurse practitioner who provides a holistic approach in the treatment of mental challenges and conditions. I specialize in the treatment of adults in providing motivational talk psychotherapy, medication management, consulting, and alternative treatments when applicable. I develop comprehensive and thorough treatment plans. I am eager and excited to assist patients in achieving their individual goals for their mental health. I like to work alongside my patients as a guide to help them decide the best treatment options for their diagnosis.
(610) 490-8436 View (610) 490-8436
Photo of Sheila Jourdain, Psychiatric Nurse Practitioner in Berks County, PA
Sheila Jourdain
Psychiatric Nurse Practitioner, CRNP, PMHNP, BC
Verified Verified
Wyomissing, PA 19610  (Online Only)
Accepting New Patients! I am a board certified psychiatric mental health nurse practitioner who provides a holistic approach in the treatment of mental challenges and conditions. I specialize in the treatment of adults in providing motivational talk psychotherapy, medication management, consulting, and alternative treatments when applicable. I develop comprehensive and thorough treatment plans. I am eager and excited to assist patients in achieving their individual goals for their mental health. I like to work alongside my patients as a guide to help them decide the best treatment options for their diagnosis.
Accepting New Patients! I am a board certified psychiatric mental health nurse practitioner who provides a holistic approach in the treatment of mental challenges and conditions. I specialize in the treatment of adults in providing motivational talk psychotherapy, medication management, consulting, and alternative treatments when applicable. I develop comprehensive and thorough treatment plans. I am eager and excited to assist patients in achieving their individual goals for their mental health. I like to work alongside my patients as a guide to help them decide the best treatment options for their diagnosis.
(610) 995-6204 View (610) 995-6204
Photo of Nicholas T Armao, Psychiatric Nurse Practitioner in Berks County, PA
Nicholas T Armao
Psychiatric Nurse Practitioner, PMHNP, LPC, LBS, RN
Verified Verified
Wyomissing, PA 19610  (Online Only)
Hello, I'm glad you're taking the first step in seeking a therapist/psychiatric mental health nurse practitioner and I am hoping we get the opportunity to work together on your goals! I am on a mission to help my clients in any way that I can. I believe in unconditional compassion and use a client-centered approach as a way to promote growth and help clients of all races, genders, and cultures. I will strive to guide you or your family member in making positive and sustainable changes that will ultimately yield in experiencing a more rewarding and satisfying life. I enjoy working with children, adolescents and adults.
Hello, I'm glad you're taking the first step in seeking a therapist/psychiatric mental health nurse practitioner and I am hoping we get the opportunity to work together on your goals! I am on a mission to help my clients in any way that I can. I believe in unconditional compassion and use a client-centered approach as a way to promote growth and help clients of all races, genders, and cultures. I will strive to guide you or your family member in making positive and sustainable changes that will ultimately yield in experiencing a more rewarding and satisfying life. I enjoy working with children, adolescents and adults.
(610) 486-3195 View (610) 486-3195
Photo of Sheila Jourdain, Psychiatric Nurse Practitioner in Berks County, PA
Sheila Jourdain
Psychiatric Nurse Practitioner, CRNP, PMHNP, BC
Verified Verified
Wyomissing, PA 19610  (Online Only)
Accepting New Patients I am a Board Certified psychiatric mental health nurse practitioner who provides a holistic approach in the treatment of mental challenges and conditions. I specialize in the treatment of adults in providing motivational talk psychotherapy, medication management, consulting, and alternative treatments when applicable. I develop comprehensive and thorough treatment plans. I am eager and excited to assist patients in achieving their individual goals.
Accepting New Patients I am a Board Certified psychiatric mental health nurse practitioner who provides a holistic approach in the treatment of mental challenges and conditions. I specialize in the treatment of adults in providing motivational talk psychotherapy, medication management, consulting, and alternative treatments when applicable. I develop comprehensive and thorough treatment plans. I am eager and excited to assist patients in achieving their individual goals.
(610) 798-1041 View (610) 798-1041
Photo of Sheila Jourdain, Psychiatric Nurse Practitioner in Berks County, PA
Sheila Jourdain
Psychiatric Nurse Practitioner, CRNP, PMHNP, BC
Verified Verified
Wyomissing, PA 19610  (Online Only)
**ACCEPTING NEW PATIENTS ** I am a board certified psychiatric mental health nurse practitioner who provides a holistic approach in the treatment of mental challenges and conditions. I specialize in the treatment of adults in providing motivational talk psychotherapy, medication management, consulting, and alternative treatments when applicable. I develop comprehensive and thorough treatment plans. I am eager and excited to assist patients in achieving their individual goals for their mental health. I like to work alongside my patients as a guide to help them decide the best treatment options for their diagnosis.
**ACCEPTING NEW PATIENTS ** I am a board certified psychiatric mental health nurse practitioner who provides a holistic approach in the treatment of mental challenges and conditions. I specialize in the treatment of adults in providing motivational talk psychotherapy, medication management, consulting, and alternative treatments when applicable. I develop comprehensive and thorough treatment plans. I am eager and excited to assist patients in achieving their individual goals for their mental health. I like to work alongside my patients as a guide to help them decide the best treatment options for their diagnosis.
(610) 215-2536 View (610) 215-2536
Photo of VirtualPsychiatricCare.com, Psychiatric Nurse in Berks County, PA
VirtualPsychiatricCare.com
Psychiatric Nurse, MSN, CRNP, PMHNP
Verified Verified
Reading, PA 19606  (Online Only)
We are board-certified to treat Children and Adults. Accepting new patients in Pennsylvania via telehealth visits for psychiatric evaluations and medication management. Our clients are looking to be properly diagnosed and treated using the safest prescribing principles. Make your appointment online today. Evening and weekend hours available. Affordable rates-Initial Psychiatric Eval $199, Follow-ups are $99. Also accepting some insurances.
We are board-certified to treat Children and Adults. Accepting new patients in Pennsylvania via telehealth visits for psychiatric evaluations and medication management. Our clients are looking to be properly diagnosed and treated using the safest prescribing principles. Make your appointment online today. Evening and weekend hours available. Affordable rates-Initial Psychiatric Eval $199, Follow-ups are $99. Also accepting some insurances.
(833) 303-0897 View (833) 303-0897
Photo of Sheila Jourdain, Psychiatric Nurse Practitioner in Berks County, PA
Sheila Jourdain
Psychiatric Nurse Practitioner, CRNP, PMHNP, BC
Verified Verified
Wyomissing, PA 19610  (Online Only)
**ACCEPTING NEW PATIENTS ** I am a board certified psychiatric mental health nurse practitioner who provides a holistic approach in the treatment of mental challenges and conditions. I specialize in the treatment of adults in providing motivational talk psychotherapy, medication management, consulting, and alternative treatments when applicable. I develop comprehensive and thorough treatment plans. I am eager and excited to assist patients in achieving their individual goals for their mental health. I like to work alongside my patients as a guide to help them decide the best treatment options for their diagnosis.
**ACCEPTING NEW PATIENTS ** I am a board certified psychiatric mental health nurse practitioner who provides a holistic approach in the treatment of mental challenges and conditions. I specialize in the treatment of adults in providing motivational talk psychotherapy, medication management, consulting, and alternative treatments when applicable. I develop comprehensive and thorough treatment plans. I am eager and excited to assist patients in achieving their individual goals for their mental health. I like to work alongside my patients as a guide to help them decide the best treatment options for their diagnosis.
(610) 890-9649 View (610) 890-9649

Online Psychiatrists

Photo of Chen Zhou, Psychiatrist in Berks County, PA
Chen Zhou
Psychiatrist, MD
Verified Verified
4 Endorsed
Narberth, PA 19072
Welcome to a space that's all about you and your well-being. I'm here to support young adults, especially those from immigrant backgrounds, and folks of all ages, cultures, sexual orientations, and gender identities. I'm a board-certified psychiatrist, and I'm here to help with everything from dealing with depression and anxiety to managing ADHD, OCD, and PTSD using a mix of medication and talk therapy. Think of our time together as a safe and nurturing space where you can be yourself and explore who you are. Together, we'll work towards positive changes that make your life more fulfilling.
Welcome to a space that's all about you and your well-being. I'm here to support young adults, especially those from immigrant backgrounds, and folks of all ages, cultures, sexual orientations, and gender identities. I'm a board-certified psychiatrist, and I'm here to help with everything from dealing with depression and anxiety to managing ADHD, OCD, and PTSD using a mix of medication and talk therapy. Think of our time together as a safe and nurturing space where you can be yourself and explore who you are. Together, we'll work towards positive changes that make your life more fulfilling.
(484) 246-8766 View (484) 246-8766
Photo of Eileen Ruth Teyim, Psychiatric Nurse Practitioner in Berks County, PA
Eileen Ruth Teyim
Psychiatric Nurse Practitioner, DNP, FNP-BC, PMHNP-B
Verified Verified
Allentown, PA 18106
Dr Eileen Teyim is an ANCC board certified psychiatric Nurse practitioner and is a graduate of Desales University, Center Valley, Pa. She strives to provide culturally informed and patient centered care tailored to each individual and values the meaningful connections made with her patients. She is dual certified as a Family Nurse Practitioner and a Psychiatric Mental Health Nurse Practitioner. This allows her to treat each patient with a holistic approach. She has extensive experience in dealing with diagnosis such as ADHD, Anxiety, Depression, Bipolar, Schizophrenia, Insomnia. We are an approved center for Spravato (Ketamine).
Dr Eileen Teyim is an ANCC board certified psychiatric Nurse practitioner and is a graduate of Desales University, Center Valley, Pa. She strives to provide culturally informed and patient centered care tailored to each individual and values the meaningful connections made with her patients. She is dual certified as a Family Nurse Practitioner and a Psychiatric Mental Health Nurse Practitioner. This allows her to treat each patient with a holistic approach. She has extensive experience in dealing with diagnosis such as ADHD, Anxiety, Depression, Bipolar, Schizophrenia, Insomnia. We are an approved center for Spravato (Ketamine).
(610) 421-0243 View (610) 421-0243
Photo of Michael Silver, Psychiatrist in Berks County, PA
Michael Silver
Psychiatrist, MD
Verified Verified
Media, PA 19063
Trained at Harvard, Johns Hopkins, and the University of Pennsylvania, I have been in the clinical practice of psychiatry, psychotherapy, and psychopharmacology in the Philadelphia area for over forty years, and provide crisis-intervention, consultation and short- and long-term therapy for children, adolescents, adults, couples, and families. I have extensive experience in the treatment of psychosomatic and eating disorders, depression and suicidal behavior, anxiety, psychosis, sexual and physical abuse, and addictions, among other problems, and also provide consultation and ongoing clinical supervision for mental health professionals of all disciplines.
Trained at Harvard, Johns Hopkins, and the University of Pennsylvania, I have been in the clinical practice of psychiatry, psychotherapy, and psychopharmacology in the Philadelphia area for over forty years, and provide crisis-intervention, consultation and short- and long-term therapy for children, adolescents, adults, couples, and families. I have extensive experience in the treatment of psychosomatic and eating disorders, depression and suicidal behavior, anxiety, psychosis, sexual and physical abuse, and addictions, among other problems, and also provide consultation and ongoing clinical supervision for mental health professionals of all disciplines.
(610) 364-5269 View (610) 364-5269
Photo of Dr. Doss M.D., at Feel Good Behavioral Health, Psychiatrist in Berks County, PA
Dr. Doss M.D., at Feel Good Behavioral Health
Psychiatrist, MD , MRCPsyc
Verified Verified
Plymouth Meeting, PA 19462  (Online Only)
I am committed to providing high quality of care in a safe and comfortable environment, to meet your mental health needs via Feel Good Behavioral Health. You being the most important team member, my focus is to have a good therapeutic relationship by treating You with Respect, Honesty & Compassion. I am 3 times board-certified in General Adult, as well as Child and Adolescent Psychiatry, after being trained in different countries including United States, United Kingdom & India. As a mental health advocate, my primary goal is to promote overall emotional and mental health well-being, as well as better quality of life for my patients.
I am committed to providing high quality of care in a safe and comfortable environment, to meet your mental health needs via Feel Good Behavioral Health. You being the most important team member, my focus is to have a good therapeutic relationship by treating You with Respect, Honesty & Compassion. I am 3 times board-certified in General Adult, as well as Child and Adolescent Psychiatry, after being trained in different countries including United States, United Kingdom & India. As a mental health advocate, my primary goal is to promote overall emotional and mental health well-being, as well as better quality of life for my patients.
(267) 682-6908 View (267) 682-6908
Photo of Wendy Ann Reiss, Psychiatric Nurse Practitioner in Berks County, PA
Wendy Ann Reiss
Psychiatric Nurse Practitioner, MSN, PMHNP, BC
Verified Verified
Center Valley, PA 18034  (Online Only)
Are you struggling with anxiety, depression or perhaps addiction. Look no further you have come to the right place. We offer qualified providers to help get your life back on track. We provide Telepsychiatry and in person office visits. We also treat children Your road to recovery is just a phone call away.
Are you struggling with anxiety, depression or perhaps addiction. Look no further you have come to the right place. We offer qualified providers to help get your life back on track. We provide Telepsychiatry and in person office visits. We also treat children Your road to recovery is just a phone call away.
(610) 347-8036 View (610) 347-8036
Photo of Dr. Daisy Lara, Psychiatric Nurse Practitioner in Berks County, PA
Dr. Daisy Lara
Psychiatric Nurse Practitioner, DNP, CRNP, FNP, PMHNP
Verified Verified
2 Endorsed
Downingtown, PA 19335
Life can be hard… Life can be full of adversity, especially in the stressful world that we live in today. The good news is we’re here to help, to listen, and to nurture your mental, emotional and psychological health. We are a resource to help you sort through the complex emotions and stressors in your life. Whether it’s a specific trauma or a condition that affects your day-to-day life. Our goal is to help you live your best life. We will do a thorough assessment and develop a treatment plan that is personalized for you.
Life can be hard… Life can be full of adversity, especially in the stressful world that we live in today. The good news is we’re here to help, to listen, and to nurture your mental, emotional and psychological health. We are a resource to help you sort through the complex emotions and stressors in your life. Whether it’s a specific trauma or a condition that affects your day-to-day life. Our goal is to help you live your best life. We will do a thorough assessment and develop a treatment plan that is personalized for you.
(610) 609-7414 View (610) 609-7414
Photo of VirtualPsychiatricCare.com, Psychiatric Nurse Practitioner in Berks County, PA
VirtualPsychiatricCare.com
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Verified Verified
Scranton, PA 18504  (Online Only)
We are board-certified to treat Children and Adults. Accepting new patients in Pennsylvania via telehealth visits for psychiatric evaluations and medication management. Our clients are looking to be properly diagnosed and treated using the safest prescribing principles. Make an appointment using our website today. Evening and weekend hours available. Affordable rates-Initial Psychiatric Eval $199, Follow-ups are $99. Also accepting some insurances.
We are board-certified to treat Children and Adults. Accepting new patients in Pennsylvania via telehealth visits for psychiatric evaluations and medication management. Our clients are looking to be properly diagnosed and treated using the safest prescribing principles. Make an appointment using our website today. Evening and weekend hours available. Affordable rates-Initial Psychiatric Eval $199, Follow-ups are $99. Also accepting some insurances.
(833) 775-0571 View (833) 775-0571
Photo of Aviva Zohar, Psychiatrist in Berks County, PA
Aviva Zohar
Psychiatrist, MD
Verified Verified
7 Endorsed
Narberth, PA 19072
Here at Thalia Medical Center, we don’t tolerate self-shame. We don’t care what you look like, the car you drive, your background, or your history. Our treatment philosophy balances meeting you where you are and supporting you to get to where you want to be. TMC's services include medication management for depression, anxiety, ADHD, substance use disorder therapy and Ketamine Assisted Psychotherapy. We are powered by a balanced approach — curating an individualized, evidence-based recovery program that supports our clients not just medically, but emotionally, physically, and socially as well.
Here at Thalia Medical Center, we don’t tolerate self-shame. We don’t care what you look like, the car you drive, your background, or your history. Our treatment philosophy balances meeting you where you are and supporting you to get to where you want to be. TMC's services include medication management for depression, anxiety, ADHD, substance use disorder therapy and Ketamine Assisted Psychotherapy. We are powered by a balanced approach — curating an individualized, evidence-based recovery program that supports our clients not just medically, but emotionally, physically, and socially as well.
(610) 365-1743 View (610) 365-1743
Photo of Austin Reed, Psychiatric Nurse Practitioner in Berks County, PA
Austin Reed
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Center Valley, PA 18034
I treat using a patient-centered approach where patients play an active role in the management of their mental health. Mental health conditions can be effectively treated and an optimal state of wellness can be achieved by establishing a therapeutic partnership in approaching the management of your care. By incorporating empowerment and psychoeducation I will provide you with the tools needed to effectively manage your mental health. I treat and manage all mental health disorders, including mood/anxiety disorders, adjustment disorders, bipolar disorder, schizophrenia spectrum disorders, PTSD, and personality disorders.
I treat using a patient-centered approach where patients play an active role in the management of their mental health. Mental health conditions can be effectively treated and an optimal state of wellness can be achieved by establishing a therapeutic partnership in approaching the management of your care. By incorporating empowerment and psychoeducation I will provide you with the tools needed to effectively manage your mental health. I treat and manage all mental health disorders, including mood/anxiety disorders, adjustment disorders, bipolar disorder, schizophrenia spectrum disorders, PTSD, and personality disorders.
(484) 787-5436 View (484) 787-5436
Photo of VirtualPsychiatricCare.com, Psychiatric Nurse Practitioner in Berks County, PA
VirtualPsychiatricCare.com
Psychiatric Nurse Practitioner, MSN, APRN, CRNP
Verified Verified
1 Endorsed
Philadelphia, PA 19119  (Online Only)
We are board-certified to treat Children and Adults. Accepting new patients in Pennsylvania via telehealth visits for psychiatric evaluations and medication management. Our clients are looking to be properly diagnosed and treated using the safest prescribing principles. Make an appointment on our website for a video/phone visit today. Evening and weekend hours available. Affordable rates-Initial Psychiatric Eval $199, Follow-ups are $99. Also accepting Insurances.
We are board-certified to treat Children and Adults. Accepting new patients in Pennsylvania via telehealth visits for psychiatric evaluations and medication management. Our clients are looking to be properly diagnosed and treated using the safest prescribing principles. Make an appointment on our website for a video/phone visit today. Evening and weekend hours available. Affordable rates-Initial Psychiatric Eval $199, Follow-ups are $99. Also accepting Insurances.
(267) 440-7825 View (267) 440-7825
Photo of Carrie Malanga, Psychiatric Nurse Practitioner in Berks County, PA
Carrie Malanga
Psychiatric Nurse Practitioner, RN, MEd, PMHNP
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
I am a Psychiatric Nurse Practitioner, working with individuals ranging from young adults through the lifespan. My clinical approach to Psychopharmacology is solution focused and evidence based. I allow for 30-minute follow up sessions, in order to best meet the needs of my clients and offer a personalized and integrated approach to Psychiatry. I incorporate the strengths of western medicine as well as eastern philosophies, including contemplative psychology. In order to provide the highest level of patient care, our work together will extend beyond medication, allowing for holistic and co-created treatment planning.
I am a Psychiatric Nurse Practitioner, working with individuals ranging from young adults through the lifespan. My clinical approach to Psychopharmacology is solution focused and evidence based. I allow for 30-minute follow up sessions, in order to best meet the needs of my clients and offer a personalized and integrated approach to Psychiatry. I incorporate the strengths of western medicine as well as eastern philosophies, including contemplative psychology. In order to provide the highest level of patient care, our work together will extend beyond medication, allowing for holistic and co-created treatment planning.
(484) 222-4135 View (484) 222-4135
Photo of Lori A. Albright, Psychiatric Nurse Practitioner in Berks County, PA
Lori A. Albright
Psychiatric Nurse Practitioner, CRNP, PMHNPBC
Verified Verified
Philadelphia, PA 19103
Hello! My practice is in Rittenhouse Square with Southeastern Executive Health, and I have immediate appointments available for in-office or telemedicine appointments for PA and NJ clients. Extensive experience utilizing an evidence based approach specializing in the care and medication management of individuals with mood disorders, psychosis, anxiety, depression, trauma, co-occurring disorders, and addiction. I practice while prioritizing the client-provider relationship and maximizing access and support. MAT provider. Spravato (esketamine) provider. Long term injectables are done in-office. Clients have my cell phone and email.
Hello! My practice is in Rittenhouse Square with Southeastern Executive Health, and I have immediate appointments available for in-office or telemedicine appointments for PA and NJ clients. Extensive experience utilizing an evidence based approach specializing in the care and medication management of individuals with mood disorders, psychosis, anxiety, depression, trauma, co-occurring disorders, and addiction. I practice while prioritizing the client-provider relationship and maximizing access and support. MAT provider. Spravato (esketamine) provider. Long term injectables are done in-office. Clients have my cell phone and email.
(215) 789-4460 View (215) 789-4460

See more therapy options for Berks County

Transgender Psychiatrists

As a gender-diverse individual, why might I want to see a therapist who is also gender diverse?

A trans or gender-diverse client may want to see a therapist who is also trans or gender diverse because the client may feel safer sharing their experiences and more confident that the therapist will understand, validate, and support them. But trans or gender-diverse clients can also benefit from therapy with cisgender therapists; this is a personal decision based on the connection between the client and the therapist, and if that connection is strong, therapy will be successful.

What if I cannot find a therapist who shares my gender identity?

Therapy can still be effective if a therapist does not share a client’s gender identity; a large body of research indicates that the most important factor in successful therapy is the therapeutic alliance. A therapist can also be interviewed for sensitivity and competence on gender identity and expression to ensure they possess appropriate knowledge and skills. Many therapists have excellent training and extensive experience working with gender-diverse clients, and that expertise can be invaluable despite a therapist not sharing the same firsthand experiences.

How can I recognize a good therapist for working with gender-diverse clients?

An experienced therapist should be able to help clients explore their gender identity and expression, alleviate discomfort related to their gender identity, treat mental health challenges and trauma, address existing relationships and communication with family members and loved ones, and determine the next steps pertaining to nonmedical or medical gender-affirming interventions. To recognize a good therapist, clients can ask about these topics and explore their comfort and connection with the clinician.

How might I inquire about a therapist’s experience working with transgender clients?

Clients should feel comfortable asking therapists directly about their experience working with transgender or gender-diverse clientele. For example, clients may ask about the therapist’s training and education with regard to gender identity, how many trans clients they’ve worked with in the past, and what sorts of matters were discussed. You may wish to inquire how a therapist specifically supports the needs of transgender clients or clients questioning their gender identity. A good clinician who is nonetheless not the right fit for you is often happy to make referrals to others based on the concerns you articulate in a preliminary conversation.