Psychiatrists in San Francisco, CA

Photo of James Reich, Psychiatrist in San Francisco, CA
James Reich
Psychiatrist, MD, MPH
Verified Verified
San Francisco, CA 94123
Everyone from time to time needs a helping hand. I am experienced with professor appointments at UCSF and Stanford. I treat outpatients in person and by telepsychiatry with medication management and psychotherapy (CBT and Mindfulness). My patients tend to be talented professionals (doctors, lawyers, tech) who have done well but have hit a bump with emotional symptoms, stress, or life difficulties. I believe each patient has unique needs that must be individually assessed and addressed. When indicated I use medication. I am a good choice for someone seeking a therapist and psychiatrist in one person.
Everyone from time to time needs a helping hand. I am experienced with professor appointments at UCSF and Stanford. I treat outpatients in person and by telepsychiatry with medication management and psychotherapy (CBT and Mindfulness). My patients tend to be talented professionals (doctors, lawyers, tech) who have done well but have hit a bump with emotional symptoms, stress, or life difficulties. I believe each patient has unique needs that must be individually assessed and addressed. When indicated I use medication. I am a good choice for someone seeking a therapist and psychiatrist in one person.
(415) 594-4412 View (415) 594-4412
Photo of Mindful Health Solutions - Jennifer Guo, MD, PhD, Psychiatrist in San Francisco, CA
Mindful Health Solutions - Jennifer Guo, MD, PhD
Psychiatrist, MD, PhD
Verified Verified
San Francisco, CA 94108
I am focused on treating patients with depression, anxiety, bipolar disorder, and other psychiatric disorders. I am particularly interested in using interventional psychiatric approaches including Transcranial Magnetic Stimulation (TMS) for treatment-resistant depression.
I am focused on treating patients with depression, anxiety, bipolar disorder, and other psychiatric disorders. I am particularly interested in using interventional psychiatric approaches including Transcranial Magnetic Stimulation (TMS) for treatment-resistant depression.
(415) 338-9307 View (415) 338-9307
Photo of Mindful Health Solutions - Nikhil Majumdar, MD, Psychiatrist in San Francisco, CA
Mindful Health Solutions - Nikhil Majumdar, MD
Psychiatrist, MD
Verified Verified
San Francisco, CA 94108
I work with patients who may be experiencing clinical depression or other psychiatric disorders. I consider Transcranial Magnetic Stimulation (TMS) to be at the forefront of neurological and psychiatric treatment. I can use this treatment to stimulate the brain in a specific area to improve symptoms from depression.
I work with patients who may be experiencing clinical depression or other psychiatric disorders. I consider Transcranial Magnetic Stimulation (TMS) to be at the forefront of neurological and psychiatric treatment. I can use this treatment to stimulate the brain in a specific area to improve symptoms from depression.
(415) 908-1928 View (415) 908-1928
Photo of Nefretiri Abat, Psychiatric Nurse Practitioner in San Francisco, CA
Nefretiri Abat
Psychiatric Nurse Practitioner, JD, PMHNPBC, RN, BSN
Verified Verified
3 Endorsed
San Francisco, CA 94108  (Online Only)
My ideal client is a highly ambitious young adult or adult navigating the complexities of ADHD. They face hurdles with concentration, managing time, impulsivity, and social interactions. They need personalized telepsychiatry services, evidence-based therapies, and practical tools to manage their ADHD symptoms. Their ambition is to conquer ADHD-related obstacles, enhance focus, attain their academic and professional objectives, and foster healthier relationships. They are determined to unleash their innate potential and harmonize their aspirations with mental well-being.
My ideal client is a highly ambitious young adult or adult navigating the complexities of ADHD. They face hurdles with concentration, managing time, impulsivity, and social interactions. They need personalized telepsychiatry services, evidence-based therapies, and practical tools to manage their ADHD symptoms. Their ambition is to conquer ADHD-related obstacles, enhance focus, attain their academic and professional objectives, and foster healthier relationships. They are determined to unleash their innate potential and harmonize their aspirations with mental well-being.
(628) 345-8464 View (628) 345-8464
Photo of Marla Richard, Psychiatrist in San Francisco, CA
Marla Richard
Psychiatrist, MD
Verified Verified
San Francisco, CA 94111
Dr. Marla Richard is Stanford trained board-certified psychiatrist and board eligible in geriatric psychiatry from UCSD. She has been practicing in a variety of settings for the last 30 years. Dr. Richard uses an an integrated health paradigm with general and geriatric patients using traditional psychopharmacology, interpersonal neurobiology practices, and personality assessments to look at root motivations for behaviors to address core issues and with medication management as needed. Dr. Marla believes that you need to take a whole-person approach to both mental and physical health.
Dr. Marla Richard is Stanford trained board-certified psychiatrist and board eligible in geriatric psychiatry from UCSD. She has been practicing in a variety of settings for the last 30 years. Dr. Richard uses an an integrated health paradigm with general and geriatric patients using traditional psychopharmacology, interpersonal neurobiology practices, and personality assessments to look at root motivations for behaviors to address core issues and with medication management as needed. Dr. Marla believes that you need to take a whole-person approach to both mental and physical health.
(415) 524-7861 View (415) 524-7861
Photo of Kelechi Okwaraji, Psychiatric Nurse Practitioner in San Francisco, CA
Kelechi Okwaraji
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Francisco, CA 94132  (Online Only)
I graduated from Charles R Drew University of Medicine and Science. Thereafter had my post-graduation experience at community health center in Stamford Connecticut, where I had was opportune to care for patients across all ages including but not limited to child/adolescent, adults, geriatrics, people using substances not only that I was also able to coordinate group therapy for those using substances. I'm also LGBTQI friendly. I render my care passionately in a nonjudgmental way.
I graduated from Charles R Drew University of Medicine and Science. Thereafter had my post-graduation experience at community health center in Stamford Connecticut, where I had was opportune to care for patients across all ages including but not limited to child/adolescent, adults, geriatrics, people using substances not only that I was also able to coordinate group therapy for those using substances. I'm also LGBTQI friendly. I render my care passionately in a nonjudgmental way.
(415) 634-1621 View (415) 634-1621
Photo of SinclairMethod.org, Psychiatrist in San Francisco, CA
SinclairMethod.org
Psychiatrist, MD
Verified Verified
San Francisco, CA 94104  (Online Only)
Clinical expertise in The Sinclair Method for treating Alcohol Use Disorder.
Clinical expertise in The Sinclair Method for treating Alcohol Use Disorder.
(415) 799-5667 View (415) 799-5667
Photo of Siva Sundaram, Psychiatrist in San Francisco, CA
Siva Sundaram
Psychiatrist, MD
Verified Verified
San Francisco, CA 94102
I work primarily from a psychodynamic perspective with a focus on the therapeutic relationship and incorporate principles from Dialectical Behavioral Therapy (DBT) and Acceptance and Commitment Therapy (ACT). I completed my undergraduate degree and medical school at Harvard University, with time in between spent working as a wilderness therapy guide for adolescents. I am currently in my final year of psychiatry residency at UCSF.
I work primarily from a psychodynamic perspective with a focus on the therapeutic relationship and incorporate principles from Dialectical Behavioral Therapy (DBT) and Acceptance and Commitment Therapy (ACT). I completed my undergraduate degree and medical school at Harvard University, with time in between spent working as a wilderness therapy guide for adolescents. I am currently in my final year of psychiatry residency at UCSF.
(628) 277-5643 View (628) 277-5643
Photo of Raghu Kiran Appasani, Psychiatrist in San Francisco, CA
Raghu Kiran Appasani
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94123
Dr. Raghu Kiran Appasani is an Integrative Psychiatrist, Neuroscientist, and Social Entrepreneur focused on bridging the gap between western and eastern practices to create a wholesome society by taking a proactive approach to health. His current interests lie at the intersection of psychodynamic psychotherapy, integrative/nutritional psychiatry, mental health literacy, advocacy, wellness, entrepreneurship, and psychedelics.
Dr. Raghu Kiran Appasani is an Integrative Psychiatrist, Neuroscientist, and Social Entrepreneur focused on bridging the gap between western and eastern practices to create a wholesome society by taking a proactive approach to health. His current interests lie at the intersection of psychodynamic psychotherapy, integrative/nutritional psychiatry, mental health literacy, advocacy, wellness, entrepreneurship, and psychedelics.
(415) 426-2654 View (415) 426-2654
Photo of Mindful Health Solutions - Aarti Chhatlani, MD, Psychiatrist in San Francisco, CA
Mindful Health Solutions - Aarti Chhatlani, MD
Psychiatrist, MD
Verified Verified
San Francisco, CA 94108  (Online Only)
I treat patients with major depressive disorder, bipolar disorder, and other mood disorders. My individualized patient plans provide evidence-based treatment options, including medication management. I am a Board-Certified Psychiatrist who has a collaborative and empathetic approach based on mindfulness principles. For me, telepsychiatry is the modern equivalent to a home visit, where a patient can have their video appointment in a familiar environment such as their home or office. Our practice, founded in 2007, provides innovative, patient-centric care and accepts most major insurance plans.
I treat patients with major depressive disorder, bipolar disorder, and other mood disorders. My individualized patient plans provide evidence-based treatment options, including medication management. I am a Board-Certified Psychiatrist who has a collaborative and empathetic approach based on mindfulness principles. For me, telepsychiatry is the modern equivalent to a home visit, where a patient can have their video appointment in a familiar environment such as their home or office. Our practice, founded in 2007, provides innovative, patient-centric care and accepts most major insurance plans.
(415) 908-1486 View (415) 908-1486
Photo of David Krassner, Psychiatrist in San Francisco, CA
David Krassner
Psychiatrist
Verified Verified
San Francisco, CA 94111  (Online Only)
Dr. David Krassner is a board-certified adult psychiatrist who has been practicing for over 20 years. His practice focuses on medication management, typically offered with supportive therapy. If Dr. Krassner feels you would benefit from working with a therapist, he welcomes collaboration with your therapist to work toward an optimal outcome for you. Dr. Krassner is a graduate of the University of Rochester School of Medicine. He completed residency at the UCSF-Fresno Psychiatry Training Program in Fresno, California. Dr. Krassner's expertise lies in psychopharmacology, with a focus on individualized treatment strategies.
Dr. David Krassner is a board-certified adult psychiatrist who has been practicing for over 20 years. His practice focuses on medication management, typically offered with supportive therapy. If Dr. Krassner feels you would benefit from working with a therapist, he welcomes collaboration with your therapist to work toward an optimal outcome for you. Dr. Krassner is a graduate of the University of Rochester School of Medicine. He completed residency at the UCSF-Fresno Psychiatry Training Program in Fresno, California. Dr. Krassner's expertise lies in psychopharmacology, with a focus on individualized treatment strategies.
(415) 480-5496 View (415) 480-5496
Photo of Cheryl Person, Psychiatrist in San Francisco, CA
Cheryl Person
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94111  (Online Only)
Dr. Cheryl Person is the National Director of Clinical Quality at Talkiatry. She is board certified in general adult psychiatry and has been in practice for 20 years. Dr. Person focuses on medication management but believes that is only part of successful treatment. She will spend her time providing motivational interviewing or supportive therapy, and believes it is often critical to have a therapist as part of the treatment team. Dr. Person received her medical degree from Tulane University School of Medicine. She completed her residency at Johns Hopkins as well as a psychiatric epidemiology fellowship.
Dr. Cheryl Person is the National Director of Clinical Quality at Talkiatry. She is board certified in general adult psychiatry and has been in practice for 20 years. Dr. Person focuses on medication management but believes that is only part of successful treatment. She will spend her time providing motivational interviewing or supportive therapy, and believes it is often critical to have a therapist as part of the treatment team. Dr. Person received her medical degree from Tulane University School of Medicine. She completed her residency at Johns Hopkins as well as a psychiatric epidemiology fellowship.
(415) 849-7678 View (415) 849-7678
Photo of Erika Pizarro, Psychiatrist in San Francisco, CA
Erika Pizarro
Psychiatrist, MD
Verified Verified
San Francisco, CA 94104
Dr. Erika Pizarro is a board-certified adult psychiatrist. Dr. Pizarro provides a holistic approach to treating patients with distinctive backgrounds.
Dr. Erika Pizarro is a board-certified adult psychiatrist. Dr. Pizarro provides a holistic approach to treating patients with distinctive backgrounds.
(855) 743-2006 View (855) 743-2006
Photo of Gabriel Aranovich, Psychiatrist in San Francisco, CA
Gabriel Aranovich
Psychiatrist
Verified Verified
San Francisco, CA 94109  (Online Only)
Dr. Gabriel Aranovich is a top-rated board certified psychiatrist, specializing in psychotherapy and medication management for optimizing mental health. At The Clinic, with locations in with locations in San Francisco, Palo Alto, San Jose, Berkeley, and Marin County, California, Dr. Aranovich treats both adults and adolescents with a wide range of issues, such as: depression, anxiety, ADHD, Bipolar Disorder, substance use and other common and complex mental health conditions. In addition, Dr. Aranovich, who speaks both English and Spanish, offers video and telemedicine services to patients residing in the state of California.
Dr. Gabriel Aranovich is a top-rated board certified psychiatrist, specializing in psychotherapy and medication management for optimizing mental health. At The Clinic, with locations in with locations in San Francisco, Palo Alto, San Jose, Berkeley, and Marin County, California, Dr. Aranovich treats both adults and adolescents with a wide range of issues, such as: depression, anxiety, ADHD, Bipolar Disorder, substance use and other common and complex mental health conditions. In addition, Dr. Aranovich, who speaks both English and Spanish, offers video and telemedicine services to patients residing in the state of California.
(844) 950-3167 View (844) 950-3167
Photo of Dr. Reem Libdeh, Psychiatrist in San Francisco, CA
Dr. Reem Libdeh
Psychiatrist, MD
Verified Verified
San Francisco, CA 94104
Welcome! I am a board-certified psychiatrist based in San Francisco, with clinical expertise in eating disorders, addiction medicine, and women’s mental health. I’m passionate about helping patients get to the underlying causes of their distress, using a trauma-informed approach that includes psychotherapy techniques, lifestyle changes, and, when indicated, medications. I also treat mood disorders, psychotic disorders, anxiety disorders, OCD, trauma disorders, and other psychiatric ailments. I have extensive experience working with high-functioning professionals struggling with their mental health and/or substance use.
Welcome! I am a board-certified psychiatrist based in San Francisco, with clinical expertise in eating disorders, addiction medicine, and women’s mental health. I’m passionate about helping patients get to the underlying causes of their distress, using a trauma-informed approach that includes psychotherapy techniques, lifestyle changes, and, when indicated, medications. I also treat mood disorders, psychotic disorders, anxiety disorders, OCD, trauma disorders, and other psychiatric ailments. I have extensive experience working with high-functioning professionals struggling with their mental health and/or substance use.
(415) 876-5583 View (415) 876-5583
Photo of Ryan Blum, Psychiatrist in San Francisco, CA
Ryan Blum
Psychiatrist, MD
Verified Verified
San Francisco, CA 94102
Ryan Blum, M.D. is a psychiatrist who works with adults of all ages in medication management and psychotherapy. He graduated from Harvard College and Yale School of Medicine and completed adult psychiatry residency at Yale in 2016. He has worked in a variety of public and private settings and taught students and residents at Yale, UCSF, and OHSU in Portland, Oregon where he currently lives and practices full time. He believes that good psychiatry involves building understanding in depth of who you are and how you developed into this person.
Ryan Blum, M.D. is a psychiatrist who works with adults of all ages in medication management and psychotherapy. He graduated from Harvard College and Yale School of Medicine and completed adult psychiatry residency at Yale in 2016. He has worked in a variety of public and private settings and taught students and residents at Yale, UCSF, and OHSU in Portland, Oregon where he currently lives and practices full time. He believes that good psychiatry involves building understanding in depth of who you are and how you developed into this person.
(628) 277-5646 View (628) 277-5646
Photo of Pacific Mind Health, Physician Assistant in San Francisco, CA
Pacific Mind Health
Physician Assistant, PA-C
Verified Verified
San Francisco, CA 94104  (Online Only)
Pacific Mind Health approaches mental health using a variety of evidence-based treatments including medication, psychotherapy, telemedicine, and Transcranial Magnetic Stimulation (TMS). We are excited to offer Theta Burst Stimulation (TBS) - a revolutionary 3-minute procedure with equal or better efficacy to standard 40+ minute TMS protocols. We provide a thorough diagnostic evaluation to create a personalized treatment plan that will help guide you towards wellness. Please use this link for a free informational TMS session https://www.pacificmindhealth.com/tmsinfo.html
Pacific Mind Health approaches mental health using a variety of evidence-based treatments including medication, psychotherapy, telemedicine, and Transcranial Magnetic Stimulation (TMS). We are excited to offer Theta Burst Stimulation (TBS) - a revolutionary 3-minute procedure with equal or better efficacy to standard 40+ minute TMS protocols. We provide a thorough diagnostic evaluation to create a personalized treatment plan that will help guide you towards wellness. Please use this link for a free informational TMS session https://www.pacificmindhealth.com/tmsinfo.html
(949) 998-4690 View (949) 998-4690
Photo of Cara Hoepner, Psychiatric Nurse Practitioner in San Francisco, CA
Cara Hoepner
Psychiatric Nurse Practitioner, RN, MS, CS, PMHNP
Verified Verified
1 Endorsed
San Francisco, CA 94111
I'm interested in a person's priorities, what engages them in life, and how they want to get there. I take a whole-person, root cause approach that delivers enhanced resilience and renewed feelings of wellbeing beyond "good enough”. I strive for truly well, without side effects. Integrative psychiatry offers solutions to support the complexity and sustained recovery of mood, anxiety, trauma, cognition/ADHD, and sleep-related challenges, including "treatment resistance," which may simply indicate the correct diagnosis has not been found, a biological clue has been missed, or a treatment strategy is not optimal.
I'm interested in a person's priorities, what engages them in life, and how they want to get there. I take a whole-person, root cause approach that delivers enhanced resilience and renewed feelings of wellbeing beyond "good enough”. I strive for truly well, without side effects. Integrative psychiatry offers solutions to support the complexity and sustained recovery of mood, anxiety, trauma, cognition/ADHD, and sleep-related challenges, including "treatment resistance," which may simply indicate the correct diagnosis has not been found, a biological clue has been missed, or a treatment strategy is not optimal.
(415) 527-3365 View (415) 527-3365
Photo of Kristin Dominguez, Psychiatrist in San Francisco, CA
Kristin Dominguez
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94118
Dr. Dominguez is a board-certified adult psychiatrist practicing in the outpatient setting. She takes a comprehensive, holistic approach to determine an individualized treatment plan for each patient. Although she specializes in medication management, her approach to improving mental health is multi-faceted and may include combining medication and psychotherapy, along with making lifestyle changes to improve your overall well-being.
Dr. Dominguez is a board-certified adult psychiatrist practicing in the outpatient setting. She takes a comprehensive, holistic approach to determine an individualized treatment plan for each patient. Although she specializes in medication management, her approach to improving mental health is multi-faceted and may include combining medication and psychotherapy, along with making lifestyle changes to improve your overall well-being.
(415) 797-0485 x1 View (415) 797-0485 x1
Photo of Melinda Tyler, Psychiatrist in San Francisco, CA
Melinda Tyler
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94118  (Online Only)
Dr. Tyler understands that a treatment plan will only be successful if time is taken to understand each individual patient’s wants and needs. She will listen to her patients and involve each patient in the decision-making process of establishing their care.
Dr. Tyler understands that a treatment plan will only be successful if time is taken to understand each individual patient’s wants and needs. She will listen to her patients and involve each patient in the decision-making process of establishing their care.
(415) 304-8907 View (415) 304-8907

See more therapy options for San Francisco

How does your Psychiatrist compare?

Number of Psychiatrists in San Francisco, CA

300+

Average cost per session

$300

Psychiatrists in San Francisco, CA who prioritize treating:

93% Anxiety
90% Depression
78% Medication Management
68% ADHD
68% Trauma and PTSD
68% Bipolar Disorder
62% Obsessive-Compulsive (OCD)

Average years in practice

12 Years

Top 3 insurances accepted

91% Aetna
86% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Psychiatrists in San Francisco, CA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

57% Female
42% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in San Francisco?

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.