Psychiatrists in Houston, TX

Photo of Dr. Ronil Shah, Psychiatrist in Houston, TX
Dr. Ronil Shah
Psychiatrist, MD
Verified Verified
Houston, TX 77002
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 Miranda Sanchez, Physician Assistant in Houston, TX
Miranda Sanchez
Physician Assistant, MPAS, PA-C
Verified Verified
Houston, TX 77054
Ms. Sanchez provides culturally sensitive and evidence-based care to all of her patients. She is a dedicated, compassionate provider who takes pride in caring for the adults and adolescents and treats a wide variety of psychiatric disorders across the lifespan, including depression, anxiety, bipolar disorder, panic attacks, &schizophrenia spectrum disorders.
Ms. Sanchez provides culturally sensitive and evidence-based care to all of her patients. She is a dedicated, compassionate provider who takes pride in caring for the adults and adolescents and treats a wide variety of psychiatric disorders across the lifespan, including depression, anxiety, bipolar disorder, panic attacks, &schizophrenia spectrum disorders.
(832) 793-8766 View (832) 793-8766
Photo of Memorial TMS, Psychiatrist in Houston, TX
Memorial TMS
Psychiatrist, MD
Verified Verified
Houston, TX 77024
Boris Rubashkin was born and educated in St. Petersburg, Russia. He graduated 1969 and took his psychiatric residency in 1973. He immigrated to the United States in 1974 and spent five years working in a mental health field in Minnesota. With his desire to escape from the cold weather, he moved to a warmer climate of Houston, Texas. From 1979 - 1983, he worked at University of Texas Health Science Psychiatric Residency. In 1983, he went into private practice. In 1997, he also became a consulting psychiatrist to Long Term Care Facilities. Additionally, he cofounded Behavioral Health Consultants, a multi-specialty outpatient psychiatric office.
Boris Rubashkin was born and educated in St. Petersburg, Russia. He graduated 1969 and took his psychiatric residency in 1973. He immigrated to the United States in 1974 and spent five years working in a mental health field in Minnesota. With his desire to escape from the cold weather, he moved to a warmer climate of Houston, Texas. From 1979 - 1983, he worked at University of Texas Health Science Psychiatric Residency. In 1983, he went into private practice. In 1997, he also became a consulting psychiatrist to Long Term Care Facilities. Additionally, he cofounded Behavioral Health Consultants, a multi-specialty outpatient psychiatric office.
(281) 709-6958 View (281) 709-6958
Photo of Alana R Spiwak, Psychiatrist in Houston, TX
Alana R Spiwak
Psychiatrist, MD, FAPA
Verified Verified
Houston, TX 77098
I specialize in helping individuals seeking to make significant changes in their sense of themselves, their relationships, and their overall level of functioning through the relationship with me. I enjoy helping individuals grow and realize their full potential. I utilize psychoanalysis and psychodynamic psychotherapy. I may use medications to facilitate or augment therapy.
I specialize in helping individuals seeking to make significant changes in their sense of themselves, their relationships, and their overall level of functioning through the relationship with me. I enjoy helping individuals grow and realize their full potential. I utilize psychoanalysis and psychodynamic psychotherapy. I may use medications to facilitate or augment therapy.
(281) 784-3298 View (281) 784-3298
Photo of Reconnecting Healthcare group, LLC, Psychiatric Nurse Practitioner in Houston, TX
Reconnecting Healthcare group, LLC
Psychiatric Nurse Practitioner, PHMNP
Verified Verified
Houston, TX 77084  (Online Only)
Are you stressed, having up-and-down moods, issues with life? Do you want a stabilized mood, looking for means to get back to functioning to full capacity? This is a place for you. Reconnecting healthcare group is a patient-focused psychiatric mental health facility that uses a holistic approach to provide compassionate, innovative care, while evidence-based practices in dealing with issues and patients' mental needs.
Are you stressed, having up-and-down moods, issues with life? Do you want a stabilized mood, looking for means to get back to functioning to full capacity? This is a place for you. Reconnecting healthcare group is a patient-focused psychiatric mental health facility that uses a holistic approach to provide compassionate, innovative care, while evidence-based practices in dealing with issues and patients' mental needs.
(832) 240-1849 View (832) 240-1849
Photo of Agnes Benjamin, Psychiatric Nurse Practitioner in Houston, TX
Agnes Benjamin
Psychiatric Nurse Practitioner, PMHNPBC
Verified Verified
1 Endorsed
Houston, TX 77019  (Online Only)
Agnes is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). Her educational specialty and clinical training in psychiatric mental health gives her the ability to diagnose, prescribes treat, manage, and evaluate patients across the life span suffering from mental illness such as depression, anxiety, schizophrenia, bipolar disorders, OCD, PTSD, autism, ADHD, gender dysphoria, neurocognitive, and neurodevelopmental disorders with empathy and passion. She has over 20 years of registered nursing experience in a variety of settings including an Acute Psychiatric Hospital, having patients with psychiatric issues.
Agnes is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). Her educational specialty and clinical training in psychiatric mental health gives her the ability to diagnose, prescribes treat, manage, and evaluate patients across the life span suffering from mental illness such as depression, anxiety, schizophrenia, bipolar disorders, OCD, PTSD, autism, ADHD, gender dysphoria, neurocognitive, and neurodevelopmental disorders with empathy and passion. She has over 20 years of registered nursing experience in a variety of settings including an Acute Psychiatric Hospital, having patients with psychiatric issues.
(346) 633-4115 View (346) 633-4115
Photo of Circle of Hope Services, Psychiatrist in Houston, TX
Circle of Hope Services
Psychiatrist, MD
Verified Verified
Houston, TX 77074
At Houston Circle Of Hope Services we are committed to working with clients to improve their quality of life. We encourage, motivate and train clients to take control of their life. The services we provide are client-centered and focused on transforming hope into wellness. We serve adults and children who are in need of psychiatric intervention, medication management, daily skills training and psychotherapy.
At Houston Circle Of Hope Services we are committed to working with clients to improve their quality of life. We encourage, motivate and train clients to take control of their life. The services we provide are client-centered and focused on transforming hope into wellness. We serve adults and children who are in need of psychiatric intervention, medication management, daily skills training and psychotherapy.
(832) 376-6767 View (832) 376-6767
Photo of Dr Perez @ Evolve Psychiatry, Psychiatrist in Houston, TX
Dr Perez @ Evolve Psychiatry
Psychiatrist, MD
Verified Verified
Houston, TX 77027
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances?
Tired of the relentless cycle of self-doubt, fatigue, and panic attacks? Struggling with poor concentration, restless sleep, or irrational fears? Feeling hypersensitive or overwhelmed by a need for control? Are these emotional and behavioral patterns fixable? Which ones stem from genetics or brain chemistry, and which are rooted in upbringing or circumstances?
(832) 979-4625 View (832) 979-4625
Photo of Life Patterns Behavioral Health Services , Psychiatric Nurse Practitioner in Houston, TX
Life Patterns Behavioral Health Services
Psychiatric Nurse Practitioner, PMHNP-C
Verified Verified
1 Endorsed
Houston, TX 77099
Have your mental and emotional health got in the way of living your best life lately?
Have your mental and emotional health got in the way of living your best life lately?
(832) 864-7921 View (832) 864-7921
Photo of Dr. Karolyn Skalany, Psychiatrist in Houston, TX
Dr. Karolyn Skalany
Psychiatrist, MD
Verified Verified
Houston, TX 77096  (Online Only)
Dr. Karolyn Skalany focuses on providing patient centered medical care for the treatment of depression, anxiety, panic disorder, ADHD, and insomnia. Dr. Skalany is also a specialist in female reproductive psychiatry, including perinatal and post-partum depression, pre-menstrual dysphoric disorder, and mood issues related to perimenopause.
Dr. Karolyn Skalany focuses on providing patient centered medical care for the treatment of depression, anxiety, panic disorder, ADHD, and insomnia. Dr. Skalany is also a specialist in female reproductive psychiatry, including perinatal and post-partum depression, pre-menstrual dysphoric disorder, and mood issues related to perimenopause.
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Photo of Obianuju Okafor, Psychiatric Nurse Practitioner in Houston, TX
Obianuju Okafor
Psychiatric Nurse Practitioner, PMHNP-B, MSN, APRN
Verified Verified
Houston, TX 77006
I am a Psychiatric Nurse Practitioner and I have been providing mental health services for 2 years in outpatient settings. I see Individuals and address Anxiety, Depression, Hyperactive Disorder (ADD/ADHD), and Mood Disorder. I am a board-certified psychiatric nurse practitioner with years of experience providing mental health services to individuals of all ages and gender. Prior to becoming a nurse practitioner, I spent over six years working as a nurse in different nursing specialties.
I am a Psychiatric Nurse Practitioner and I have been providing mental health services for 2 years in outpatient settings. I see Individuals and address Anxiety, Depression, Hyperactive Disorder (ADD/ADHD), and Mood Disorder. I am a board-certified psychiatric nurse practitioner with years of experience providing mental health services to individuals of all ages and gender. Prior to becoming a nurse practitioner, I spent over six years working as a nurse in different nursing specialties.
(832) 688-4769 View (832) 688-4769
Photo of Michael Adelowo, Psychiatric Nurse Practitioner in Houston, TX
Michael Adelowo
Psychiatric Nurse Practitioner, NP
Verified Verified
Houston, TX 77006
I am an experienced psychiatric NP who is committed to developing patient-centered care involving psychotherapy, medication management, education, and empowerment. I treat patients and families with respect and compassion. My goal is to find solutions to your challenges, restore hope, and create a healthy and happier you. I work one-on-one with my clients, tailoring their treatment to their unique experience and their disease process. Every treatment starts with us building a therapeutic relationship of trust. I believe the client is a product of their social environment and culture. So I focus on the holistic approach to care.
I am an experienced psychiatric NP who is committed to developing patient-centered care involving psychotherapy, medication management, education, and empowerment. I treat patients and families with respect and compassion. My goal is to find solutions to your challenges, restore hope, and create a healthy and happier you. I work one-on-one with my clients, tailoring their treatment to their unique experience and their disease process. Every treatment starts with us building a therapeutic relationship of trust. I believe the client is a product of their social environment and culture. So I focus on the holistic approach to care.
(832) 688-4685 View (832) 688-4685
Photo of Manizeh Mirza-Gruber, Psychiatrist in Houston, TX
Manizeh Mirza-Gruber
Psychiatrist, MD
Verified Verified
Houston, TX 77005
Hello and Welcome! I started my private practice in 2017, to follow a lifelong passion of helping individuals become their true and authentic selves. In the midst of our challenges, we often forget who we are, and can become. As an individual, parent, and psychiatrist, I follow a holistic approach to life. I believe in connecting mind, body, and spirit for healing. I am "mindful in practice", taking one moment at a time to help you on your journey toward discovering your true nature. Together, we will travel on this path with mindfulness and compassion.
Hello and Welcome! I started my private practice in 2017, to follow a lifelong passion of helping individuals become their true and authentic selves. In the midst of our challenges, we often forget who we are, and can become. As an individual, parent, and psychiatrist, I follow a holistic approach to life. I believe in connecting mind, body, and spirit for healing. I am "mindful in practice", taking one moment at a time to help you on your journey toward discovering your true nature. Together, we will travel on this path with mindfulness and compassion.
(346) 214-6535 View (346) 214-6535
Photo of Gregory Scott Brown, Psychiatrist in Houston, TX
Gregory Scott Brown
Psychiatrist, MD, FAIHM
Verified Verified
Houston, TX 77056  (Online Only)
If you are looking for an integrative approach to mental healthcare, consider booking an appointment with us. I am a board-certified psychiatrist and director of the Center for Green Psychiatry. Our practice takes an evidence-based approach to holistic health. We prescribe medications and recommend talk-therapy, however, we are not aggressive in our prescribing practices and are mindful of potential medication side effects. We champion a recovery model, and many of our patients after a period of successful treatment no longer need to see us. I am licensed in Texas and California and can see patients via telemedicine in both states.
If you are looking for an integrative approach to mental healthcare, consider booking an appointment with us. I am a board-certified psychiatrist and director of the Center for Green Psychiatry. Our practice takes an evidence-based approach to holistic health. We prescribe medications and recommend talk-therapy, however, we are not aggressive in our prescribing practices and are mindful of potential medication side effects. We champion a recovery model, and many of our patients after a period of successful treatment no longer need to see us. I am licensed in Texas and California and can see patients via telemedicine in both states.
(512) 710-1200 View (512) 710-1200
Photo of Linzi Leighton, Psychiatric Nurse Practitioner in Houston, TX
Linzi Leighton
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Houston, TX 77024
Linzi Leighton is a board certified Psychiatric Mental Health Nurse Practitioner, who has been practicing since 2012. She graduated from Arizona State University with a Bachelor of Science in Psychology in 2005 and earned her Master of Science in Nursing from Vanderbilt University in 2012. Linzi believes in using a collaborate approach that is patient-centered and individualized. She provides support, guidance, and education to address individual needs and enhance emotional well-being.
Linzi Leighton is a board certified Psychiatric Mental Health Nurse Practitioner, who has been practicing since 2012. She graduated from Arizona State University with a Bachelor of Science in Psychology in 2005 and earned her Master of Science in Nursing from Vanderbilt University in 2012. Linzi believes in using a collaborate approach that is patient-centered and individualized. She provides support, guidance, and education to address individual needs and enhance emotional well-being.
(832) 688-6614 View (832) 688-6614
Photo of Joanna P Tuazon, Psychiatric Nurse Practitioner in Houston, TX
Joanna P Tuazon
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Houston, TX 77070  (Online Only)
As a Psychiatric-Mental Health Nurse Practitioner, I am committed to providing comprehensive and compassionate care to individuals seeking assistance with their mental health and psychiatric needs. My philosophy of care are based on core principles of person-centered care, holistic approach, evidence-based practice, collaboration and communication, and cultural competence. I believe in the worth and uniqueness of each individual. I approach every patient with respect, empathy, and a deep understanding of their experiences and challenges.
As a Psychiatric-Mental Health Nurse Practitioner, I am committed to providing comprehensive and compassionate care to individuals seeking assistance with their mental health and psychiatric needs. My philosophy of care are based on core principles of person-centered care, holistic approach, evidence-based practice, collaboration and communication, and cultural competence. I believe in the worth and uniqueness of each individual. I approach every patient with respect, empathy, and a deep understanding of their experiences and challenges.
(281) 524-4201 View (281) 524-4201
Photo of Shaterria Warren, Psychiatric Nurse Practitioner in Houston, TX
Shaterria Warren
Psychiatric Nurse Practitioner, NP
Verified Verified
Houston, TX 77044  (Online Only)
Sometimes, our minds appear to work against us, weaving a false narrative about our true selves and our actual appearance. Despite years of effort and a desire to excel, the mind can still convince us that we are not worthy. It has the power to construct barriers, diverting us from realizing our full potential and preventing us from achieving what is truly attainable in life. This internal struggle may manifest as underperformance at work, challenges at home, or difficulties in nurturing friendships.
Sometimes, our minds appear to work against us, weaving a false narrative about our true selves and our actual appearance. Despite years of effort and a desire to excel, the mind can still convince us that we are not worthy. It has the power to construct barriers, diverting us from realizing our full potential and preventing us from achieving what is truly attainable in life. This internal struggle may manifest as underperformance at work, challenges at home, or difficulties in nurturing friendships.
(346) 660-4980 View (346) 660-4980
Photo of Compass Mental Health & Wellness, Psychiatric Nurse Practitioner in Houston, TX
Compass Mental Health & Wellness
Psychiatric Nurse Practitioner, MSN , APRN, PMHNPBC
Verified Verified
Houston, TX 77068
Compass Mental Health & Wellness (MHW) invites you to partner with us. At Compass MHW, you are not just another patient, you are part of a team. We believe in a holistic approach to mental health and wellness, in which the care is not focused solely on existing illness or pathology but expanded to allow for an integrative treatment program. During your sessions, you and your provider may discuss factors such as your daily habits and any existing physical conditions, in addition to your current symptoms. It is through that engagement that the provider is able to develop a customized program of care to better treat your concerns.
Compass Mental Health & Wellness (MHW) invites you to partner with us. At Compass MHW, you are not just another patient, you are part of a team. We believe in a holistic approach to mental health and wellness, in which the care is not focused solely on existing illness or pathology but expanded to allow for an integrative treatment program. During your sessions, you and your provider may discuss factors such as your daily habits and any existing physical conditions, in addition to your current symptoms. It is through that engagement that the provider is able to develop a customized program of care to better treat your concerns.
(832) 990-8808 View (832) 990-8808
Photo of Zoraya Ahumada, Psychiatrist in Houston, TX
Zoraya Ahumada
Psychiatrist, MD
Verified Verified
Houston, TX 77027
I am a child, adolescent and adult psychiatrist in private practice in Houston’s Galleria area. The purpose of my practice is to provide a thorough and individualized assessment of each of my patient’s unique needs, being mindful of all the different aspects of their lives and what matters to them and defines them. Each particular individual suffers from more than just a list of signs and symptoms, more than a condition. I want to work with you to help you understand yourself from a multidimensional and developmental perspective and provide the needed therapeutic methods to sustain a healthier and satisfying life.
I am a child, adolescent and adult psychiatrist in private practice in Houston’s Galleria area. The purpose of my practice is to provide a thorough and individualized assessment of each of my patient’s unique needs, being mindful of all the different aspects of their lives and what matters to them and defines them. Each particular individual suffers from more than just a list of signs and symptoms, more than a condition. I want to work with you to help you understand yourself from a multidimensional and developmental perspective and provide the needed therapeutic methods to sustain a healthier and satisfying life.
(346) 214-2454 View (346) 214-2454
Photo of Rahab Mbugua, Psychiatric Nurse Practitioner in Houston, TX
Rahab Mbugua
Psychiatric Nurse Practitioner, PMHNP, NP
Verified Verified
Houston, TX 77070
Rahab Mbugua is Dual Board-Certified Family and Psychiatric Nurse Practitioner. She earned her Family Nurse Practitioner from Chamberlain University and Psychiatric Nurse Practitioner from Liberty University. She fosters a safe environment and an easy-going communication style that makes it easy for patients to express themselves. She believes the patient is an expert on his/her health and the goal is to work with the patient to navigate the mental health difficulties in his/her life.
Rahab Mbugua is Dual Board-Certified Family and Psychiatric Nurse Practitioner. She earned her Family Nurse Practitioner from Chamberlain University and Psychiatric Nurse Practitioner from Liberty University. She fosters a safe environment and an easy-going communication style that makes it easy for patients to express themselves. She believes the patient is an expert on his/her health and the goal is to work with the patient to navigate the mental health difficulties in his/her life.
(281) 738-5861 View (281) 738-5861

How does your Psychiatrist compare?

Number of Psychiatrists in Houston, TX

500+

Average cost per session

$200

Psychiatrists in Houston, TX who prioritize treating:

95% Depression
95% Anxiety
83% Bipolar Disorder
72% Trauma and PTSD
68% Obsessive-Compulsive (OCD)
68% Medication Management
66% ADHD

Average years in practice

8 Years

Top 3 insurances accepted

93% Cigna and Evernorth
91% Aetna
91% UnitedHealthcare UHC | UBH

How Psychiatrists in Houston, TX see their clients

52% In Person and Online
48% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in Houston?

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.