Psychiatrists in Cambridge, MA

Photo of Mended Root LLC, Psychiatric Nurse Practitioner in Cambridge, MA
Mended Root LLC
Psychiatric Nurse Practitioner
Verified Verified
1 Endorsed
Cambridge, MA 02138  (Online Only)
The ideal client might be someone who struggles with anxiety, depression, trauma, or other mental health concerns. They may be seeking help with managing their symptoms, improving their mood and general outlook, and finding meaningful ways to cope with their issues. They likely want a compassionate and supportive environment where they can feel safe and understood. They may also be looking for individualized treatment tailored to their unique needs. Furthermore, they may have goals related to improving their daily functioning, building positive relationships, or pursuing personal growth.
The ideal client might be someone who struggles with anxiety, depression, trauma, or other mental health concerns. They may be seeking help with managing their symptoms, improving their mood and general outlook, and finding meaningful ways to cope with their issues. They likely want a compassionate and supportive environment where they can feel safe and understood. They may also be looking for individualized treatment tailored to their unique needs. Furthermore, they may have goals related to improving their daily functioning, building positive relationships, or pursuing personal growth.
(781) 556-6258 View (781) 556-6258
Photo of Michael D Alpert, Psychiatrist in Cambridge, MA
Michael D Alpert
Psychiatrist, MD
Verified Verified
1 Endorsed
Cambridge, MA 02138
I am a Board-Certified Psychiatrist and a faculty member at Harvard Medical School. I am also a therapist in psychedelic research trials. I offer psychotherapy, which I combine with medication management or ketamine-assisted psychotherapy if and when needed. I have experience working with a diverse range of patients, including immigrants and their families.
I am a Board-Certified Psychiatrist and a faculty member at Harvard Medical School. I am also a therapist in psychedelic research trials. I offer psychotherapy, which I combine with medication management or ketamine-assisted psychotherapy if and when needed. I have experience working with a diverse range of patients, including immigrants and their families.
(857) 858-2591 View (857) 858-2591
Kim Foehl
Psychiatrist, MD
Verified Verified
Cambridge, MA 02138
I work with adults, teens, and children in talk therapy, couples therapy, play therapy, or parent guidance. I can be especially helpful for anxiety and depression, love and relationship issues, parenting and family concerns, loss and grief, separation and divorce, adjustment to medical illness, eating and body image concerns, college life adjustment, career concerns, child behavioral problems, and child development issues.
I work with adults, teens, and children in talk therapy, couples therapy, play therapy, or parent guidance. I can be especially helpful for anxiety and depression, love and relationship issues, parenting and family concerns, loss and grief, separation and divorce, adjustment to medical illness, eating and body image concerns, college life adjustment, career concerns, child behavioral problems, and child development issues.
(617) 812-2949 View (617) 812-2949
Photo of Caroline Lee Clark, Psychiatric Nurse Practitioner in Cambridge, MA
Caroline Lee Clark
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
2 Endorsed
Cambridge, MA 02140  (Online Only)
I am a board certified Psychiatric Mental Health Nurse Practitioner with over 10 years of clinical practice across a variety of settings. My approach to mental health and medication management is patient centered. Understandably, many come to new providers feeling nervous or even jaded and unheard by previous experiences in health care. I like to collaborate with my patients to design a treatment plan that feels right. I practice psychiatry and medication management but I can also offer integrative approaches for those who are not interested in meds or would like to augment their treatment plan.
I am a board certified Psychiatric Mental Health Nurse Practitioner with over 10 years of clinical practice across a variety of settings. My approach to mental health and medication management is patient centered. Understandably, many come to new providers feeling nervous or even jaded and unheard by previous experiences in health care. I like to collaborate with my patients to design a treatment plan that feels right. I practice psychiatry and medication management but I can also offer integrative approaches for those who are not interested in meds or would like to augment their treatment plan.
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Photo of Queendroline Nkeh, Psychiatric Nurse Practitioner in Cambridge, MA
Queendroline Nkeh
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
13 Endorsed
Cambridge, MA 02142  (Online Only)
Feeling overwhelmed, or stressed? are you easily forgetful, distracted, and making careless mistakes at your job? Do you feel all over the place and jumping? You do not have to go through it alone. I can help you through this journey with ease. I am Queendroline Nkeh, A board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), I approach my clients with a focus on understanding the peculiarity of their psychiatric & mental health needs. My goal is to cut through various barriers that may place limitations in getting mental health care and providing the treatment necessary to begin a client’s journey to recovery.
Feeling overwhelmed, or stressed? are you easily forgetful, distracted, and making careless mistakes at your job? Do you feel all over the place and jumping? You do not have to go through it alone. I can help you through this journey with ease. I am Queendroline Nkeh, A board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), I approach my clients with a focus on understanding the peculiarity of their psychiatric & mental health needs. My goal is to cut through various barriers that may place limitations in getting mental health care and providing the treatment necessary to begin a client’s journey to recovery.
(319) 349-2840 View (319) 349-2840
Photo of Ah Lahm Shin, Psychiatrist in Cambridge, MA
Ah Lahm Shin
Psychiatrist
Verified Verified
2 Endorsed
Cambridge, MA 02138
As a Harvard-trained psychiatrist specializing in child, adolescent, and adult care, I offer my patients an exceptional level of expertise and knowledge. To further our commitment to providing comprehensive and specialized care, I have collaborated with two academic psychiatrists to establish a group private practice called ReThink Minds, LLC. We offer a broad range of services tailored to our patients' needs. I strongly believe in the importance of personalized care, as every patient has unique circumstances and experiences. My aim is to deliver personalized treatment that addresses not only symptoms, but also individual needs.
As a Harvard-trained psychiatrist specializing in child, adolescent, and adult care, I offer my patients an exceptional level of expertise and knowledge. To further our commitment to providing comprehensive and specialized care, I have collaborated with two academic psychiatrists to establish a group private practice called ReThink Minds, LLC. We offer a broad range of services tailored to our patients' needs. I strongly believe in the importance of personalized care, as every patient has unique circumstances and experiences. My aim is to deliver personalized treatment that addresses not only symptoms, but also individual needs.
(617) 925-9148 View (617) 925-9148
Photo of Sara Lozyniak, Psychiatrist in Cambridge, MA
Sara Lozyniak
Psychiatrist, MD
Verified Verified
1 Endorsed
Cambridge, MA 02139  (Online Only)
I am a Board-Certified, Harvard-trained psychiatrist in private practice in Cambridge, MA. Most of my work is currently with undergraduate students, graduate students, and professionals. My initial consultation typically involves multiple appointments as I gather information about you and your concerns. Then, we can discuss pros and cons of potential next steps, and work together to form a plan. I see most patients for psychotherapy (talk therapy), and some for a combination of psychotherapy and medication management.
I am a Board-Certified, Harvard-trained psychiatrist in private practice in Cambridge, MA. Most of my work is currently with undergraduate students, graduate students, and professionals. My initial consultation typically involves multiple appointments as I gather information about you and your concerns. Then, we can discuss pros and cons of potential next steps, and work together to form a plan. I see most patients for psychotherapy (talk therapy), and some for a combination of psychotherapy and medication management.
(617) 299-8967 View (617) 299-8967
Photo of Leah Fichera, Psychiatric Nurse Practitioner in Cambridge, MA
Leah Fichera
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Cambridge, MA 02142  (Online Only)
I am a Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and have spent the last 20 years in the Psychiatric / Mental Health field. My experience includes working in various settings of behavioral health including acute inpatient and extended stay inpatient in a teaching hospital, outpatient, and telemedicine.
I am a Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and have spent the last 20 years in the Psychiatric / Mental Health field. My experience includes working in various settings of behavioral health including acute inpatient and extended stay inpatient in a teaching hospital, outpatient, and telemedicine.
(617) 855-1019 View (617) 855-1019
Photo of Liza Hunter, Psychiatric Nurse Practitioner in Cambridge, MA
Liza Hunter
Psychiatric Nurse Practitioner, ANP-BC, PMHNP
Verified Verified
Cambridge, MA 02141
I want to work with clients who are active partners rather than recipients. I view providing care as a partnership. My ideal patient is seeking care because they want to feel better and improve their life. An ideal patient makes their needs and goals known as we work together. I admire my patients who have an open mind to suggestions for interventions that may improve how they feel. I believe this flexibility can open up new possibilities for well-being.
I want to work with clients who are active partners rather than recipients. I view providing care as a partnership. My ideal patient is seeking care because they want to feel better and improve their life. An ideal patient makes their needs and goals known as we work together. I admire my patients who have an open mind to suggestions for interventions that may improve how they feel. I believe this flexibility can open up new possibilities for well-being.
(857) 392-5025 View (857) 392-5025
Cynthia Telingator
Psychiatrist, MD
Verified Verified
1 Endorsed
Cambridge, MA 02139
My career has focused on humanistic and relational approaches to taking care of children, adolescents, adults and families. Shame, stigma and loss impact development in a multitude of ways, and can deter people from reaching their personal and professional goals. Disruption due to trauma, loss, medical and mental health issues can have long lasting effects. I practice psychodynamic psychotherapy and focus on supporting one's resilience and strengths while exploring experiences and feelings which may interfere with forward movement.
My career has focused on humanistic and relational approaches to taking care of children, adolescents, adults and families. Shame, stigma and loss impact development in a multitude of ways, and can deter people from reaching their personal and professional goals. Disruption due to trauma, loss, medical and mental health issues can have long lasting effects. I practice psychodynamic psychotherapy and focus on supporting one's resilience and strengths while exploring experiences and feelings which may interfere with forward movement.
(617) 553-9082 View (617) 553-9082
Henry Friedman
Psychiatrist
Verified Verified
Cambridge, MA 02138
I am a psychiatrist trained in psychotherapy and psychoanalysis. My practice has been directed at individuals who have difficulty finding satisfaction in both their work and love lives despite having achieved considerable success in their professions. I have been seeing individuals and couples for over 30 years and I am experienced with providing combined therapy, including medication and psychotherapy. I work with patients from 1x/week to 4x/week depending on the patient's need for more or less intensive therapy. While the past as a determinant of the present is acknowledged the work is done in the here and now.
I am a psychiatrist trained in psychotherapy and psychoanalysis. My practice has been directed at individuals who have difficulty finding satisfaction in both their work and love lives despite having achieved considerable success in their professions. I have been seeing individuals and couples for over 30 years and I am experienced with providing combined therapy, including medication and psychotherapy. I work with patients from 1x/week to 4x/week depending on the patient's need for more or less intensive therapy. While the past as a determinant of the present is acknowledged the work is done in the here and now.
(617) 500-7464 View (617) 500-7464
Photo of Nhi-Ha T Trinh, Psychiatrist in Cambridge, MA
Nhi-Ha T Trinh
Psychiatrist
Verified Verified
Cambridge, MA 02139  (Online Only)
My goal is to work collaboratively with you to identify, understand, and tailor treatment to best address your concerns, using a compassionate, holistic, strengths-based perspective. I provide telehealth consultation, culturally responsive psychiatry, psychodynamic psychotherapy, and psychiatric medication management.
My goal is to work collaboratively with you to identify, understand, and tailor treatment to best address your concerns, using a compassionate, holistic, strengths-based perspective. I provide telehealth consultation, culturally responsive psychiatry, psychodynamic psychotherapy, and psychiatric medication management.
(617) 906-7330 View (617) 906-7330
Photo of Tyrone J Williams, Psychiatrist in Cambridge, MA
Tyrone J Williams
Psychiatrist, MD
Verified Verified
Cambridge, MA 02138
I am a psychiatrist in private practice in Cambridge, Massachusetts with board certification in adult and child & adolescent psychiatry. I have 15 years of experience in practice and most commonly treat ADHD, depression, bipolar disorder, anxiety disorders, and substance use. I specialize in individual therapy and provide guidance to parents and families. I normally emphasize diet, exercise, and sleeping habits as essential elements to therapy. If I think it makes sense, I will prescribe medications, collaborating with my patients and their healthcare providers to make safe and appropriate medication choices.
I am a psychiatrist in private practice in Cambridge, Massachusetts with board certification in adult and child & adolescent psychiatry. I have 15 years of experience in practice and most commonly treat ADHD, depression, bipolar disorder, anxiety disorders, and substance use. I specialize in individual therapy and provide guidance to parents and families. I normally emphasize diet, exercise, and sleeping habits as essential elements to therapy. If I think it makes sense, I will prescribe medications, collaborating with my patients and their healthcare providers to make safe and appropriate medication choices.
(617) 941-4632 View (617) 941-4632
Photo of Milena Djuric, Psychiatrist in Cambridge, MA
Milena Djuric
Psychiatrist, MD
Verified Verified
2 Endorsed
Cambridge, MA 02138  (Online Only)
Patients come for various reasons to see a psychiatrist -depression, anxiety, bipolar disorder, OCD, PTSD, acute stress, relationship, family, identity problems. My goal is to establish a trusted relationship and supportive environment in order to help my patients to meet their needs, build coping skills, enhance their strengths and resolve symptoms. I strongly believe in compassionate and nonjudgemental approach. I enjoy working with patients of all different backgrounds, ethnicities, religions, sexual orientations. My approach is patient centered and individualized.
Patients come for various reasons to see a psychiatrist -depression, anxiety, bipolar disorder, OCD, PTSD, acute stress, relationship, family, identity problems. My goal is to establish a trusted relationship and supportive environment in order to help my patients to meet their needs, build coping skills, enhance their strengths and resolve symptoms. I strongly believe in compassionate and nonjudgemental approach. I enjoy working with patients of all different backgrounds, ethnicities, religions, sexual orientations. My approach is patient centered and individualized.
(617) 826-8849 View (617) 826-8849
Photo of Crystal Han, Psychiatrist in Cambridge, MA
Crystal Han
Psychiatrist, MD
Verified Verified
Cambridge, MA 02140
Not accepting new clients
Many teens and young adults struggle with various aspects of their lives, be it identity, relationships, work/school, or past experiences that affect how they feel and navigate the world. I work with many young adults who may seem high functioning at first glance but struggle with depression, anxiety, stress, or other emotional issues. I have particular experience supporting Asians and Asian Americans navigating issues of race, identity and culture. Talk therapy and medications can be a powerful way to help people process, make sense of, and change these patterns that hold them back from living the life they want.
Many teens and young adults struggle with various aspects of their lives, be it identity, relationships, work/school, or past experiences that affect how they feel and navigate the world. I work with many young adults who may seem high functioning at first glance but struggle with depression, anxiety, stress, or other emotional issues. I have particular experience supporting Asians and Asian Americans navigating issues of race, identity and culture. Talk therapy and medications can be a powerful way to help people process, make sense of, and change these patterns that hold them back from living the life they want.
(781) 678-8163 View (781) 678-8163
Photo of Harmony Bay, Psychiatrist in Cambridge, MA
Harmony Bay
Psychiatrist
Verified Verified
Cambridge, MA 02141
Harmony Bay is a psychiatry and therapy office that provides primary mental health treatment programs for psychiatric conditions such as depression, anxiety, bipolar disorder, PTSD, and ADHD. We offer a clean, bright environment with a calming and positive tone. We offer programs and services for both therapy and psychiatry including individual therapy, group therapy, couples therapy, and medication management.
Harmony Bay is a psychiatry and therapy office that provides primary mental health treatment programs for psychiatric conditions such as depression, anxiety, bipolar disorder, PTSD, and ADHD. We offer a clean, bright environment with a calming and positive tone. We offer programs and services for both therapy and psychiatry including individual therapy, group therapy, couples therapy, and medication management.
(857) 887-2930 View (857) 887-2930
Photo of Edena Walden, Psychiatric Nurse Practitioner in Cambridge, MA
Edena Walden
Psychiatric Nurse Practitioner, MSN, PMHNP-B
Verified Verified
Cambridge, MA 02141
Ideally my patient is as invested in their care as I am. They could have a variety of diagnoses but the thing they have in common is they are willing to give the process time, are open to new ideas, and know there is no magic pill to fix all their problems. My patients want to get to the best version of themselves and are willing to try therapy as well as medications to help them reach that goal. My patient wants an empathetic, listening provider who can guide their care based on the evidence, but tailored to their individual needs.
Ideally my patient is as invested in their care as I am. They could have a variety of diagnoses but the thing they have in common is they are willing to give the process time, are open to new ideas, and know there is no magic pill to fix all their problems. My patients want to get to the best version of themselves and are willing to try therapy as well as medications to help them reach that goal. My patient wants an empathetic, listening provider who can guide their care based on the evidence, but tailored to their individual needs.
(857) 371-1683 View (857) 371-1683
Photo of Ayelet Barkai, Psychiatrist in Cambridge, MA
Ayelet Barkai
Psychiatrist, MD
Verified Verified
Cambridge, MA 02139
People are often unaware of, and frustrated by, the emotional and relational roadblocks that repeatedly thwart them. I work with you to clarify and understand these issues and their origins, to help you effect positive change. I believe that the self-understanding that catalyzes such change is best reached by cultivating a psychotherapeutic relationship in which compassionate, honest and constructive communication can occur. I strive to create an environment that encourages the development of empathic and reflective self-awareness, recognizes and fosters resilience, and promotes your optimal well-being.
People are often unaware of, and frustrated by, the emotional and relational roadblocks that repeatedly thwart them. I work with you to clarify and understand these issues and their origins, to help you effect positive change. I believe that the self-understanding that catalyzes such change is best reached by cultivating a psychotherapeutic relationship in which compassionate, honest and constructive communication can occur. I strive to create an environment that encourages the development of empathic and reflective self-awareness, recognizes and fosters resilience, and promotes your optimal well-being.
(617) 440-3237 View (617) 440-3237
Photo of Sakil Chundydyal, Psychiatrist in Cambridge, MA
Sakil Chundydyal
Psychiatrist, MD
Verified Verified
1 Endorsed
Cambridge, MA 02138  (Online Only)
I treat a broad array of psychological and psychiatric conditions, with a particular expertise in mood disorders, stress and anxiety, and psycho-sexual issues. My clinical interests also include LGBT-focused care, trauma, as well as self esteem and relationship difficulties.
I treat a broad array of psychological and psychiatric conditions, with a particular expertise in mood disorders, stress and anxiety, and psycho-sexual issues. My clinical interests also include LGBT-focused care, trauma, as well as self esteem and relationship difficulties.
(857) 856-6765 View (857) 856-6765
Photo of Menekse Alpay, Psychiatrist in Cambridge, MA
Menekse Alpay
Psychiatrist, MD
Verified Verified
1 Endorsed
Cambridge, MA 02138
I work with individuals who have anxiety, depression, mood disorders, insomnia, relationship problems, trauma history, medical illness, neurological illness, and/or individuals who are helping family members with these problems. My experience over the last 25 years in psychiatry has shown that medications are helpful but do not take care of all problems in life. I offer combined psychiatric treatment. I received my psychiatric residency training from Georgetown University Hospital and fellowship in Psychosomatic Medicine from Massachusetts General Hospital, Harvard Medical School.
I work with individuals who have anxiety, depression, mood disorders, insomnia, relationship problems, trauma history, medical illness, neurological illness, and/or individuals who are helping family members with these problems. My experience over the last 25 years in psychiatry has shown that medications are helpful but do not take care of all problems in life. I offer combined psychiatric treatment. I received my psychiatric residency training from Georgetown University Hospital and fellowship in Psychosomatic Medicine from Massachusetts General Hospital, Harvard Medical School.
(617) 231-9618 View (617) 231-9618

How does your Psychiatrist compare?

Number of Psychiatrists in Cambridge, MA

100+

Average cost per session

$300

Psychiatrists in Cambridge, MA who prioritize treating:

93% Depression
93% Anxiety
70% Trauma and PTSD
67% Medication Management
66% Bipolar Disorder
64% Obsessive-Compulsive (OCD)
63% ADHD

Average years in practice

13 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
74% UnitedHealthcare UHC | UBH
72% Cigna and Evernorth

How Psychiatrists in Cambridge, MA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

58% Female
42% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Cambridge?

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.