can i visit psychiatrist without referral

Manage your mental health

Do I need a referral to see a psychiatrist?  

Some insurance policies require a referral from your primary care physician—but not all. Review your insurance policy online or by calling the number on your insurance card.

Key takeaways

It’s no secret that mental health is crucial to your overall well-being. When your mental health is in a great place, it’s easier to enjoy your favorite activities, be present in daily life, and feel more like yourself. However, the reality is that seeking mental health care for the first time may feel intimidating, and in some cases, require multiple doctor’s appointments.  

If you’ve considered seeing a mental health professional, you might be wondering whether you need a referral to see a psychiatrist. In most cases, the short answer is no, you don’t need one—but it depends on your specific circumstances and insurance policy. Here, we’ll answer common questions about accessing psychiatric care with your health insurance, including when you don’t need a referral.

We're in-network with 60+ major insurance plans.

Can you see a psychiatrist without a referral  .

In doctor's appointments, a referral is when your family doctor or general practitioner recommends you to see a specialist. Being referred to a specialist doesn't mean anything about your potential diagnosis.  

The same way your primary care doctor might refer you to a podiatrist for an issue with your foot, they'll often send you to a psychiatrist for your mental health. It's just a way your doctor can ensure you're getting the best possible care, since psychiatrists have specialized training and expertise. It’s also mandatory for insurers to cover mental and physical health services at the same rate .  

You can see a psychiatrist without a referral in two main scenarios.The first is if your medical insurance doesn’t require one. Some insurance policies do require a referral from your primary care physician—but not all. Review your insurance policy online or by calling the number on your medical insurance card. Ask if you need a referral from your primary care provider to see a psychiatrist. While you’re talking to them, it’s a great idea to also ask about your mental health care coverage so you know how much you’ll owe at your psychiatry appointments. They’ll also be able to tell you whether you can submit paperwork for reimbursement if you see someone that doesn’t accept your insurance.

Another way you may be able to see a psychiatrist without a referral is if you don’t plan to use insurance. Since you’re paying on your own (self-pay), you don’t need to show an insurance company your referral. The same applies if your insurance company doesn’t cover mental health care. If you choose to go this route, make sure to call the psychiatrist’s office before your appointment to make sure they don’t require a referral. It can also be helpful to find out how much how much you’ll pay out of pocket (self-pay costs) if the psychiatrist is out of network or doesn’t take your insurance, as it it’s typically much more expensive than seeing an in-network doctor.

How do I know if I need to see a psychiatrist?  

If you’re struggling with your mental health, you may be wondering whether it’s the right time to see a psychiatrist. The truth is that only you can decide when it’s time to seek treatment for your mental health. However, a good rule of thumb is that if your mental health is disrupting your life, seeking help is a good idea.  

Here are some signs that you should look into speaking with a psychiatrist:

• Persistent worry
• Irrational fears ‍
• Intense sadness or anger
• Behavioral changes, like isolating yourself and doing worse  at school or work
• Disordered eating
• Engaging in high-risk behaviors

If you’re still not sure about whether it’s time to talk to a professional, check out: When to see a psychiatrist .

How to get a referral for a psychiatrist  

Getting a referral for a psychiatrist is a relatively straightforward process. If you’ve ever been referred to another specialist—like a neurologist, dermatologist, or ENT specialist—you know what this process is like.

Here’s what you can expect:

1 Find a primary care physician

If you don’t currently see a primary care physician—a main doctor for general care—it’s a great idea to start. Look for primary care providers in your area that accept your insurance. You can typically find a list of providers on your health insurance company’s website, or you can call a primary care provider’s office and ask if they accept your insurance policy.  

Primary care physicians are responsible for helping you with your overall wellness. That means analyzing annual blood work, discussing long-term health plans, and providing specialist referrals.

2. Make an appointment with your primary care physician

Once you’ve established a primary care physician, make an appointment. You can request a psychiatry referral in your annual primary care appointment or in a one-off appointment. Feel free to let your primary care doctor’s office know that you want to discuss your mental health when you make the appointment.

If it’s your first time seeing this primary care physician, they’ll likely ask about your medical history, have you complete paperwork, and may request bloodwork.  

3. Explain your symptoms and request a referral

At your appointment, your physician will ask if you have any concerns. Let them know how you’ve been feeling—physically, emotionally—and that you’d like a referral to see a psychiatrist. Describe any specific symptoms you have been experiencing, like changes in mood, difficulty concentrating, or persistent feelings of sadness or anxiety. Some medical doctors feel comfortable treating mental health conditions and prescribing medication like antidepressants themselves. But when something falls outside of their expertise they usually will refer patients to a psychiatrist.

Be as detailed as possible to help your doctor understand your situation. They may have follow-up questions to make sure they refer you to the correct specialist.  

If you already have a psychiatrist in mind that you want to see, let them know. If not, they’ll refer you to someone in the area or even in the same medical center or hospital.

Looking for professional help? See if Talkiatry is right for you

4. make sure the psychiatrist accepts your insurance.

It’s important to make sure the psychiatrist is in your health insurance network. Ask your physician or the administrators at the doctor’s office to check whether the psychiatrist accepts your insurance. You can also check once you get home. If the psychiatrist is not in network, ask for a referral to a different doctor or make sure you understand whether you’ll need to submit receipts to your insurance company for reimbursement.  

Talkiatry is are a virtual psychiatry practice of over 300+ psychiatrists. All our psychiatrists take insurance, and we are in-network with 60+ major insurance plans. You can also check whether or not we accept yours using our insurance eligibility checker.  

How do psychiatrists treat patients?  

Psychiatrists are mental health professionals who go to medical school and can diagnose conditions and prescribe medicine.

When you meet with a psychiatrist, they will diagnose any mental health conditions you may have and develop a treatment plan—which is a long-term plan to treat your condition(s). Treatment plans look different for everyone and may involve multiple treatment options.

There are many different ways psychiatrists can treat your mental health condition. However, the most common treatment options include:

Psychotherapy

Also called talk therapy, psychotherapy is a form of treatment in which you talk about your emotions, life experiences, and struggles in an effort to understand the root of your mental health concerns and form healthy coping mechanisms. Psychologists, therapists, and social workers can also provide psychotherapy.  

Learn about the differences between psychiatrists and therapists .

Since psychiatrists can prescribe medication, they may recommend a medication to help with your condition. If they do, make sure to ask about any potential side effects and be sure to follow their directions and follow up once you’ve been taking the medication for a few weeks. It’s typically important to take mental health medication at the same time each day and not to stop taking it abruptly.  

Learn more about common medicines psychiatrists prescribe .

Can you see a psychiatrist online?

In today’s digital world, many psychiatrists see patients online. Seeing a mental health care provider online makes treatment easy and convenient because you can do it from your home.  

However, it’s important to consider whether you’d prefer seeing a psychiatrist in person. Although online psychiatry is flexible, in-person treatment allows you to get out of the house and into a new space. Some people, especially people who live with others or have roommates, may prefer treatment at a psychiatry office.

If you’re interested in online psychiatric care, Talkiatry might be right for you. We’re a national psychiatry practice with over 300 doctors, 60 insurance partners to help bring you in-network virtual care. To get started, fill out a short online assessment .  We treat patients with anxiety, depression, trauma, ADHD, and more.

What types of conditions do psychiatrists treat?

Psychiatrists treat a wide variety of mental health conditions, including:

• Anxiety disorders
• Attention-deficit/hyperactivity disorder (ADHD)*
• Autism spectrum disorder
• Bipolar disorder  
• Body dysmorphic disorder
• Dissociative disorders
• Eating disorders
• Gender dysphoria
• Hoarding disorder
• Mood disorders ‍
• Obsessive-compulsive disorder (OCD) ‍
• Panic disorder
• Personality disorders ‍
• Post-traumatic stress disorder (PTSD) ‍
• Postpartum depression
• Schizophrenia
• Substance abuse use issues and and gambling disorders

Seeking mental health care is an important step toward living a fulfilling and meaningful life. You’ve already taken a big first step by researching whether you need a referral to see a psychiatrist. The short answer is no, you don’t always need a referral, but in many cases you do. Check your insurance policy to be sure.  

Once you know whether you need a referral, you can schedule your appointment—with a primary care physician or a psychiatrist directly—and get started on the mental health treatment options that are right for you.  

The information in this article is for informational and educational purposes only and should never be substituted for medical advice, diagnoses, or treatment. If you or someone you know may be in danger, call 911 or the National Suicide and Crisis Lifeline at 988 right now.

Learn about the conditions we treat

Frequently asked questions

Does talkiatry take my insurance.

We're in network with major insurers, including:

• Blue Cross Blue Shield
• United Healthcare

Even if your insurer isn't on the list, we might still accept it. Use the insurance eligibility checker in our online assessment to learn more.

Can I get an estimate of my visit cost?

The best way to get a detailed estimate of your cost is to contact your insurance company directly, since your cost will depend on the details of your insurance.  

For some, it’s just a co-pay. If you have an unmet deductible it could be more.  

Call the number on your insurance card and ask about your plan’s coverage for outpatient psychiatric services.

What kind of treatment does Talkiatry provide?

At Talkiatry, we specialize in psychiatry, meaning the diagnosis and treatment of mental health conditions. Your psychiatrist will meet with you virtually on a schedule you set together, devise a treatment plan tailored to your specific needs and preferences, and work with you to adjust your plan as you meet your goals.

If your treatment plan includes medication, your psychiatrist will prescribe and manage it. If needed, your psychiatrist can also refer you to a Talkiatry therapist.

What's the difference between a therapist and psychiatrist?

Psychiatrists are doctors who have specialized training in diagnosing and treating complex mental health conditions through medication management. If you are experiencing symptoms of a mental health condition such as depression, anxiety, bipolar disorder, PTSD, or similar, a psychiatrist may be a good place to start.  

Other signs that you should see a psychiatrist include:  

• Your primary care doctor or another doctor thinks you may benefit from the services of a psychiatrist and provides a referral    
• You are interested in taking medication to treat a mental health condition  
• Your symptoms are severe enough to regularly interfere with your everyday life

The term “therapist” can apply to a range of professionals including social workers, mental health counselors, psychologists, professional counselors, marriage and family therapists, and psychoanalysts. Working with a therapist generally involves regular talk therapy sessions where you discuss your feelings, problem-solving strategies, and coping mechanisms to help with your condition.

How does Talkiatry compare to face-to-face treatment?

For most patients, Talkiatry treatment is just as effective as in-person psychiatry (American Psychiatric Association, 2021), and much more convenient. That said, we don’t currently provide treatment for schizophrenia, primary eating disorder treatment, or Medication Assisted Treatment for substance use disorders.

Who can prescribe medication?

All our psychiatrists (and all psychiatrists in general) are medical doctors with additional training in mental health. They can prescribe any medication they think can help their patients. In order to find out which medications might be appropriate, they need to conduct a full evaluation. At Talkiatry, first visits are generally scheduled for 60 minutes or more to give your psychiatrist time to learn about you, work on a treatment plan, and discuss any medications that might be included.

Dr. Austin Lin is a double board-certified adult and addiction psychiatrist who has been in practice for over 9 years. At the center of Dr. Lin’s clinical approach is a strong emphasis on establishing trust and using a collaborative approach to help patients develop an individualized and cohesive plan so that they are able to achieve their goals.

Dr. Lin's practice focuses on medication management. Typically, he offers this in conjunction with supportive therapy, motivational interviewing, and/or cognitive behavioral therapy in 30-minute follow-up visits. Occasionally, Dr. Lin may recommend that additional therapy is needed and ask that you bring a therapist into your care team in order to provide the best outcome.

Dr. Lin received his medical degree from St. George’s University School of Medicine. He went on to complete his residency in psychiatry at Harvard South Shore, an affiliate of Harvard Medical School, where he served as Chief Resident and earned his 360° Professionalism award. He then had additional training in Addiction Psychiatry through his fellowship at the University of Texas Southwestern Medical Center. After completing training, Dr. Lin has worked as an Addiction Psychiatrist and Director of Adult Services in the Trauma and Resilience Center (TRC) at the University of Texas Health Science Center at Houston (UTHealth). He specialized in treating patients with a history of depression, anxiety, trauma, and substance use disorders.

Dr. Lin has held an academic appointment at UTHealth, and he has spent his professional career supervising and teaching medical students and psychiatry residents.

How therapy and psychiatry work together

Does talkiatry work we did the research., therapist vs psychiatrist: choosing the right mental health professional , how to find the best child psychiatrist for you, how to find a blue cross blue shield psychiatrist, mental health is personal. so is our approach to psychiatry..

The Talkiatry branded Psychiatry practice is independently owned and operated by a licensed Psychiatrist. For more information about the relationship click here .

The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at openpaymentsdata.cms.gov .

© 2024 Talkiatry Management Services, LLC. All Rights Reserved.

Do I Need a Referral to See a Psychiatrist?

May 23, 2024

Looking for a Therapist or Psychiatrist that accepts your insurance?

When it comes to taking care of your mental health, questions often outnumber answers. “Do I Need a Referral to See a Psychiatrist?” is one of those essential questions, and it’s a concern that deserves clarity and understanding. At Geode Health, we’re committed to providing you with the knowledge and guidance you need to navigate the complexities of mental healthcare. In this comprehensive guide, we’ll explore the referral process, delve into the scenarios where referrals may or may not be necessary, and provide actionable steps to obtain the care you deserve.

Understanding the Mental Health Landscape

Before we dive into the referral process, let’s take a moment to understand the mental health landscape. Mental health is an integral part of your overall well-being. It encompasses a wide range of conditions, from anxiety and depression to bipolar disorder and substance use disorders. If you’re experiencing any mental health issues, you’re not alone. Millions of individuals seek mental health care each year, and the good news is that effective treatments are available.

In fact, seeking help for mental health conditions is a sign of strength and self-awareness. It’s a step towards bettering your quality of life, just like seeking treatment for any physical ailment. Understanding your options for accessing mental healthcare is crucial to getting your needed support.

The Role of a Psychiatrist

One of the key players in mental healthcare is the psychiatrist. Psychiatrists are medical doctors who specialize in diagnosing and treating mental health disorders. They have the expertise to prescribe psychiatric medication and provide a range of therapies, including talk therapy and medication management. If you believe you might have a mental health condition, consulting a psychiatrist is a valuable step toward understanding and managing your symptoms. One common question is ‘is a psychiatrist covered by insurance,’ and this typically depends on your individual health plan.

Psychiatrists undergo extensive training and education to provide comprehensive care. They can assess your mental health, make a diagnosis, and recommend appropriate treatments. Whether you’re struggling with anxiety, depression, bipolar disorder, or any other mental health problem, a psychiatrist is equipped to help.

The Referral Process: When Is It Necessary?

Now, let’s address the central question: “Do I Need a Referral to See a Psychiatrist?” Many people often wonder, ‘is therapy covered by insurance,’ Like many things in healthcare, the answer can vary based on several factors, including your health insurance and state laws. Here are scenarios where a referral might be necessary:

Insurance Requirements: Many health insurance plans require a referral from a primary care physician (PCP) or primary care provider (PCP) before covering visits to a psychiatrist. This means that your first step in seeking psychiatric care may involve a visit to your primary care doctor.

• It’s essential to understand your specific health plan requirements regarding referrals. Some plans may mandate referrals for any psychiatric visit, while others may have more flexible policies.

Health Plan Regulations: Some health plans have specific regulations regarding the need for referrals. It’s crucial to review your health plan’s policy or contact their customer service to understand their requirements.

• Regulations can vary widely from one plan to another. Some may require referrals only for certain mental health services or specialists.

Specialized Treatment: If your condition requires specialized psychiatric treatment, your PCP may recommend you to a psychiatrist with expertise in that area. In such cases, a referral ensures you receive the most appropriate care.

• Specialized treatment may include services such as substance abuse treatment, eating disorder management, or child and adolescent psychiatry. Your PCP will consider your specific needs when making a referral decision.

Bypassing the Referral Requirement

While referrals are common, there are situations where you can bypass the referral requirement:

Emergency Situations: In emergencies, such as severe mental health crises, you can directly seek help from a psychiatrist or visit an emergency room without a referral. Your safety is the top priority.

• If you or someone you know is in immediate danger due to a mental health issue, please don’t wait for a referral. Seek help promptly.

Insurance Plans: Some health insurance plans offer direct access to psychiatric care without a referral. Check your plan’s network to see if this option is available.

• Direct access plans can streamline the process, allowing you to schedule an appointment with a psychiatrist without prior approval.

Obtaining a Referral: A Step-by-step Guide

For many individuals, obtaining a referral is the initial step towards accessing psychiatric care. Here’s a step-by-step guide to help you navigate this process:

1. Schedule an Appointment with Your Primary Care Physician (PCP):

Call your primary care doctor and explain your mental health concerns.

Be open and honest about your symptoms, which will help your PCP understand your needs.

Remember that your PCP is your ally in managing your mental health. They are trained to assess and address a wide range of health issues, including mental health problems.

2. Discuss Your Symptoms:

During your appointment, discuss your mental health problem in detail.

Share how your symptoms affect your daily life, work, and relationships.

The more information you provide, the better your PCP can evaluate your situation and recommend appropriate care.

3. Request a Referral:

If your PCP believes you would benefit from seeing a psychiatrist, ask for a referral.

Mention any specific concerns or preferences you have regarding psychiatric care.

Your PCP will consider your history, symptoms, and any prior treatments when making the referral decision.

4. Verify Your Insurance:

Before proceeding, verify whether your insurance plan covers psychiatric services and if they require a referral.

This information will help you understand potential costs.

Understanding your insurance coverage is essential to avoid unexpected expenses during your mental health treatment.

5.Follow Up:

If you receive a referral, promptly schedule an appointment with the recommended psychiatrist.

If your referral is denied, work with your PCP to explore alternative solutions or seek a second opinion if necessary.

Remember that your journey to better mental health may involve a few steps, but persistence is key. Your PCP is there to support you throughout the process.

Navigating the Referral Process

To provide you with a more comprehensive understanding, let’s explore two hypothetical examples that illustrate different pathways to psychiatric care:

Example 1: Emily’s Journey

Emily experiences symptoms of severe anxiety. She contacts her PCP, who diagnoses her with an anxiety disorder. Recognizing the need for specialized care, Emily’s PCP provides her with a referral to a psychiatrist within her insurance network. Emily schedules an appointment and begins receiving the treatment she needs.

Emily’s case highlights the collaborative nature of mental health care. Her PCP and psychiatrist work together to ensure she receives the most appropriate care. Through the referral process, Emily gains access to specialized expertise in managing anxiety disorders, increasing her chances of improvement.

Example 2: Mark’s Direct Access

Mark’s health insurance plan offers direct access to psychiatric services without a referral. When he experiences symptoms of depression, he researches psychiatrists in his plan’s network and schedules an appointment directly. This quick and direct access to care allows Mark to address his mental health concerns promptly.

Mark’s case demonstrates the advantages of direct access plans. They give individuals more control and flexibility in choosing their mental health care provider.

By seeking help promptly, Mark can start his mental health treatment without delay, which is crucial for managing depression effectively.

Your Path to Mental Health Care

Your journey to mental health care is unique, and your path may differ from the examples above. What’s essential is that you take the first step in seeking help when you need it. At Geode Health, we understand the importance of accessibility and quality care. Whether you require therapy, medication, or a combination of both, our dedicated team of mental health professionals is here to support you.

Our mission is to make quality mental health care accessible to all individuals. We believe that everyone deserves the opportunity to live a fulfilling life, free from the burden of mental health issues.

Our commitment to patient-centered care means that we focus on your unique needs and preferences, ensuring that you receive the right care for you.

In Conclusion

“Do I Need a Referral to See a Psychiatrist?” is a question that can have varied answers. It depends on your specific circumstances, including your health insurance plan and the nature of your mental health concerns. What remains constant is the importance of seeking help when you’re struggling with your mental health. Don’t hesitate to contact your primary care physician or explore direct access options if available. Your well-being is worth every effort, and Geode Health is here to guide you on your path to mental wellness.

We recognize that making the decision to seek mental health care can be challenging, but it’s a step towards a happier and more fulfilling life.

You’re not alone in this journey, and there’s always room for improvement when it comes to your mental health. We’re here to help you take those steps toward a brighter, healthier future.

• https://pa.highfocuscenters.com/do-you-need-a-referral-to-get-treatment/
• https://www.talkspace.com/blog/do-you-need-a-referral-to-see-a-psychiatrist/ https://www.sondermind.com/blog/do-you-need-a-referral-to-see-a-therapist/
• High Focus Centers. (2019). Do you need a referral to see a psychologist or psychiatrist? Retrieved from https://pa.highfocuscenters.com/do-you-need-a-referral-to-get-treatment/
• Talkspace. (n.d.). Do you need a referral to see a psychiatrist? Retrieved from https://www.talkspace.com/blog/do-you-need-a-referral-to-see-a-psychiatrist/
• SonderMind. (n.d.). Do you need a referral to see a therapist? Retrieved from https://www.sondermind.com/blog/do-you-need-a-referral-to-see-a-therapist/

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How to Find a Psychiatrist

And how to prepare for your first appointment

Toketemu has been multimedia storyteller for the last four years. Her expertise focuses primarily on mental wellness and women’s health topics. 

Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania.

SDI Productions / Getty Images

Making the decision or realizing that you need a psychiatrist can seem scary at first. The process of finding one can seem even more daunting. However, with the right resources, the process can be seamless and stress-free.

Where to find one, how much they cost, how often you'll need to go in are all questions you'll probably be asking yourself. This article provides you with information on finding a psychiatrist to cater to your needs. 

Why You Might Need to Find a Psychiatrist 

Before finding a psychiatrist, it's great to think about why you might need one. This places a key role in helping you pick the best psychiatrist for your needs.

For instance, if you have a specific mental health condition like bipolar disorder, you might want to consider a psychiatrist who has had more experience treating such disorders. Here are a few reasons you might need to find a psychiatrist:  

• You have a mental health condition : If you've been diagnosed with a mental health condition, therapy is often recommended as part of a treatment plan for most mental health conditions like depression or anxiety. 
• You simply want to speak to someone : You don't need to have an official diagnosis before deciding to talk to a psychiatrist. If you feel like your mental well-being is at risk and need to speak to a psychiatrist, don't hesitate to reach out to one.
• Your doctor has referred you : Your first stop when exhibiting symptoms of a physical or mental condition is typically a general physician or your local healthcare provider. After they have examined you, they might refer you to a psychiatrist. 
• Drug or alcohol use : If you've been abusing drugs or alcohol to the extent that it interferes with your daily functioning, you might need to consult a psychiatrist. 

Where to Find a Psychiatrist 

There are a few places to go when you are looking for a psychiatrist. Here's a list of some of the most common places to consider. 

Through your Healthcare Provider 

If you are looking for a psychiatrist, the most reliable first step is to speak to your doctor or healthcare provider.

Your doctor will give you a list of certified and dependable psychiatrists to choose from. After this is done, take some time to conduct your research into each of the names on your list.

Cross-reference each person with a list of things that might be important to you, like age, race, or gender.

Speak to Family and Friends 

While you might be reluctant to tell your family and loved ones that you are looking for a psychiatrist, they could be a great resource to help you find a fantastic one. They can point you in the direction of psychiatrists they have tried, or they've come across in their personal lives or at work.

They can also assist in helping you do the groundwork involved in looking for a psychiatrist. Your family and friends have your best interest at heart and will do their best to find you a great fit.

Do Some Research Online

The internet has many resources to help you find a great psychiatrist. However, you don't want to pick the first person you see.

It would be best if you remembered to do thorough research into each potential psychiatrist you consider. The directory at the American Psychiatric Association is a good place to start.

Consider Medical Journals 

Reading medical journals can seem like an unusual way to find a psychiatrist, but it's one to consider. You can look up research articles relevant to your particular condition and come up with a list of psychiatrists by looking at the authors of these articles.

You can reach out to them, and even though they might not be a good fit for your needs, they may be able to refer you to someone who is.  

Things to Consider When Looking for a Psychiatrist 

Picking a good psychiatrist is key to taking care of your mental well-being if you've been diagnosed with a mental condition. You also don't need to have been diagnosed with a mental disorder to see a psychiatrist.

Here are some things to consider when you are looking for one: 

• Shop around: You can meet with and consult several psychiatrists before committing to one person. You don't have to sign up with the first person you were referred to. 
• Experience/Expertise : Your psychiatrist's expertise plays a crucial role in deciding whether you'll sign up with them. If you have a specific condition, you'll want to consider a specialist who has had more time treating that condition. 
• Make a list of what's important to you: Different things are important to different people. Before you start your search and meet with psychiatrists, make a list of the most important things you are looking for in a psychiatrist.
• Check what your insurance covers : Speak to your insurance provider to find out to what extent your coverage will protect your psychiatrist sessions. You might need to pay some amount out of pocket in some situations.
• Location : It's essential to factor in your psychiatrist's location before committing to one.
• Read reviews : When looking up the psychiatrists you consider, you are very likely to come across patient reviews. It's a good idea to read through these reviews and carefully consider them before deciding. 
• Do your research : If you've found a psychiatrist that's a good fit, make sure to carefully look up their credentials to ensure they have the proper certifications. 
• Telehealth availability: You might not always feel like going for every session in person. You should find out if the psychiatrist you are considering offers online services . 

Preparing for Your First Appointment 

Making a first-time appointment with  a psychiatrist  doesn't mean you have to commit them. Consider it a trial run.

Before your first appointment, you should do a few things to prepare yourself:

• Come along with a detailed list of any medication you are on alongside your medical or family history.
• Make a list of symptoms you've been feeling and any other things you want to discuss with your psychiatrist so that you''ll remember to bring it up.
• Make sure you have your insurance information ready.
• Bring a notepad with you to write down any important pieces of information your psychiatrist tells you during your session.

Your First Session

Your first appointment will typically last around an hour. Your psychiatrist will ask you a series of questions to medically evaluate you. They might also order for a couple of tests to be done. Don't be afraid to ask as many questions as you need to ensure that you are comfortable with them.

A Word From Verywell 

Looking for a psychiatrist is nothing to feel embarrassed about. While the process might seem daunting and frustrating, patience is vital. Take time to find a psychiatrist that's a good fit for all of your needs. Before committing to one, please make sure all of their credentials check out and they have the proper certifications that qualify them to cater to your needs. 

University of Rochester Medical Center. Top 5 reasons to seek help - mental health & wellness.

National Alliance on Mental Illness. Finding the Best Psychiatrist for You . April 8, 2019

NHS UK. Psychiatry . July 20, 2018.

By Toketemu Ohwovoriole Toketemu has been multimedia storyteller for the last four years. Her expertise focuses primarily on mental wellness and women’s health topics.

I need to see a Psychiatrist/Therapist. How can I find one?

Psychotherapeutic services require a very personal connection with a provider, and it’s not uncommon to go through a trial-and-error process to find a provider who is a good “fit” for you/your loved one. The important thing is to find one that you/your loved one trusts, where you feel “heard” by the provider. In the meantime, you may want to consider the following resources for finding a mental health provider:

Low-Cost or No-Cost Resources

• SAMHSA Treatment Locator is a source of information about treatment facilities in the United States or US Territories for substance use/addiction and/or mental health problems. Use the treatment locator to search by location, and narrow the search by distance, service type, service setting, type of care, payment accepted, whether payment assistance is available, and more. Contact SAMHSA at (800) 662-4357. 
• The Health Resources and Services Administration (an agency of the US Department of Health and Human Services) operates the Find a Health Center webpage, which offers a treatment locator to search for Federally-Funded Health Centers that provide care to underserved areas or populations regardless of ability to pay. 
• National Association of Free & Charitable Clinics offers a treatment locator to search for clinics in your area that provide free or low-cost behavioral health services for economically disadvantaged individuals.  
• HelpWhenYouNeedIt  is an online service that offers a searchable directory of  over 350,000 listings nationwide of private and public resources, including local mental health & substance use treatment and free clinics. 
• Open Path  is a non-profit nationwide network of mental health professionals dedicated to providing in-office and online mental health care at reduced rates to clients in financial need. Open Path requires an initial, one-time “lifetime” membership fee of $65. You can reach Open Path at (800) 268-2833. 
• Theravive is a network of licensed psychotherapists who strive to make mental health care safe, affordable, and accessible. Theravive provides a resource directory of low-cost therapists, listed by state, and a directory of therapists who provide telehealth services (U.S. & Canada). 
• Give an Hour offers barrier-free access to mental health care for those impacted by human-made trauma, including military/veterans, and those affected by mass violence, opioid crisis response, interpersonal violence, and rare disease caregivers. Give an Hour provides a referral to free therapy from a mental health professional who has donated an hour of their time. 

Public Health Coverage (Medicaid, Medicare) 

• Medicare.gov  has a treatment locator to search for providers that take Medicare in your area.
• SAMHSA Treatment Locator is a source of information about treatment facilities in the United States or US Territories for substance use/addiction and/or mental health problems. Use the treatment locator to search by location, and narrow the search by distance, service type, service setting, type of care, type of payment accepted and more. Contact SAMHSA at (800) 662-4357. 
• Psychology Today  offers a “Find a Therapist” link on the site; you can also search for a psychiatrist  here . Use the locator to search by location, and filter the search by insurance carrier, mental health issues treated, type of therapy offered, languages spoken and more. 
• Zocdoc offers a treatment locator where you can search for therapists and psychiatrists. Search by specialty, location, preferred date of service, and insurance carrier. 
• American Psychological Association  is the largest scientific and professional organization of psychologists in the United States. Their website offers a psychologist locator where you can search for a therapist; search by location and then filter by insurance carrier, treatment methods, specialization, languages spoken and more. 
• Open Counseling  is a for-profit organization sponsored by BetterHelp that provides a searchable directory of public resources for accessing local mental health & substance use treatment. 
• American Association for Marriage and Family Therapy  (AAMFT) is the professional association for the field of marriage and family therapy. Their website offers online education and training, webinars, and publications related to marriage and family therapy, and a “Find a Therapist” directory that is searchable by zip code. Inquire with the individual provider whether they accept Medicaid or Medicare. 

Private Insurance

• Open Counseling  is a for-profit organization sponsored by BetterHelp that provides a searchable directory of private resources for accessing local mental health & substance use treatment. 
• Choosing Therapy  is a for-profit organization sponsored by BetterHelp that provides basic information about therapy methods, types of therapists, choosing a therapist, preparing for a first session, and offers a therapist locator for finding licensed therapists. Use the therapist locator to search by location, and filter the search by specialty, type of insurance accepted, level of experience, languages spoken and more. 
• Doctor on Demand  provides online/telehealth psychotherapy and psychiatry services. Some insurance plans may participate; verify with your insurance carrier whether Doctor on Demand is an in-network provider. 
• e-psychiatry  is an online service which provides access to virtual therapy services in all 50 states; they accept most insurance. Once matched with a provider, individuals schedule a first appointment and connect over videoconferencing, phone, or messaging.  
• Talkspace  is an online telehealth service that offers virtual therapy and evaluation/psychiatric medication management services. (They accept most insurance and self-pay; individuals should verify participation in their health plan.)
• American Association for Marriage and Family Therapy  (AAMFT) is the professional association for the field of marriage and family therapy. Their website offers online education and training, webinars, and publications related to marriage and family therapy, and a “Find a Therapist” directory that is searchable by zip code.

You might also want to contact your insurance company directly. Insurance companies may provide list of providers who are “in network.” Individuals should verify with their insurance company once they have identified a provider to confirm coverage. 

Self Pay Options

• e-psychiatry  is an online service which provides access to virtual therapy services in all 50 states; individuals without insurance may elect to self-pay. Once matched with a provider, individuals schedule a first appointment and connect over videoconferencing, phone, or messaging.  
• Good RX Care  is a fee-based telehealth service that offers evaluation and psychiatric medication services fora limited range of mental health conditions, including depression and anxiety. (Note: this service is not available in every state.)
• LemonAid Health  is a fee-based telehealth service that offers evaluation and psychiatric medication services, and medication delivery, for a limited range of mental health conditions including depression and anxiety. 

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Can I See a Psychiatrist Without a Referral?

Seeking help for mental health should be as straightforward and stress-free as possible. You can see a psychiatrist without a referral , allowing you direct access to psychiatric services without the need for prior approval from a primary care doctor. This means you can schedule an appointment directly with psychiatrists who are equipped to assist you with a comprehensive range of treatments tailored to your individual needs.

This approach simplifies your access to mental health care, respects your privacy, and reduces wait times. Whether you’re considering psychotherapy, psychiatry, or advanced treatments like TMS therapy, you have the freedom to explore these options on your own terms. The focus is on providing comfort and autonomy, ensuring you receive timely and effective care.

Finding a Psychiatrist without a Referral

Seeking mental health treatment without a referral is entirely possible, especially if you prefer a more direct approach or if your insurance allows self-referral to specialists. This can expedite your access to mental health services, allowing you to address your concerns promptly and efficiently. Here’s how you can find a psychiatrist without needing a referral:

• Research Psychiatrists: Utilize online directories and healthcare websites to find psychiatrists in your area. These resources typically list the psychiatrist’s specialties, qualifications, and patient reviews, which can help you make an informed decision.
• Check Insurance Coverage: Even if you don’t need a referral, it’s important to ensure that the psychiatrist accepts your insurance to avoid high out-of-pocket costs. Most insurance websites provide a directory of in-network providers.
• Consider Telepsychiatry: Many psychiatrists offer online sessions, which can be more convenient. Telepsychiatry can be an excellent option for initial consultations and ongoing treatment, especially in remote areas or for those with limited mobility.
• Contact the Psychiatrist’s Office Directly: Once you’ve identified a potential psychiatrist, contact their office directly to inquire about availability, treatment methods, and whether they are accepting new patients without referrals.

This direct approach not only simplifies the process of getting mental health care but also puts you in control of choosing the provider that best fits your needs and personal preferences. Luxury Psychiatry offers both in-person therapy and telepsychiatry to individuals within Illinois or Florida and we invite you to learn more about our psychiatry services .

Paying Cash vs. Using Insurance

When seeking psychiatric care, you have the option to pay cash or use your health insurance. Each method has its advantages and implications, and the right choice depends on your personal circumstances and preferences.

Paying Cash

Paying cash for psychiatric services offers several benefits, including privacy, flexibility, and sometimes faster access to care. When you pay out-of-pocket, your treatment details are less likely to be shared with insurance companies, providing an additional layer of confidentiality. This option can also free you from the restrictions and paperwork associated with insurance providers, allowing you to choose any psychiatrist regardless of network affiliations. Additionally, some psychiatrists might offer sliding scale fees based on income, which can make treatments more affordable without insurance.

Using Insurance

Using insurance for psychiatric services can significantly reduce your financial burden. Insurance coverage often includes a substantial part of the cost of psychiatric consultations, therapy sessions, and medications. However, it’s essential to verify whether your chosen psychiatrist is in-network to avoid higher out-of-pocket costs. Insurance may also dictate certain limitations, such as the number of covered sessions or choice of psychiatrist based on network constraints. Always check your benefits and understand the terms of your coverage, including any deductibles and copayments, before scheduling an appointment. Of course, depending on your insurance plan, it may be necessary for you to obtain a referral before seeing your desired psychiatrist.

Ready to Book An Appointment With Our Psychiatrists?

What is a Referral?

A referral is a formal recommendation or authorization, typically provided by a primary care physician, that directs a patient to a specialist or specialized medical service. In the context of mental health care, a referral often acts as a gateway for patients to access specialized treatments and consultations with psychiatrists or therapists. The primary care doctor assesses the patient’s condition and decides if specialized care is necessary, facilitating the process by informing the specialist of the patient’s medical history and needs.

Referrals are commonly used in health systems that operate within managed care organizations where such processes help manage and streamline patient care. However, in many mental health scenarios, especially in private practice settings, patients may seek help directly from a mental health professional without a referral. This can expedite access to necessary services, allowing patients to address their mental health concerns more promptly.

How Do You Know When to See a Psychiatrist?

Deciding when to see a psychiatrist is an important step towards managing your mental health. If you’re experiencing persistent feelings or behaviors that disrupt your daily life, it might be time to consult a professional. Psychiatrists specialize in diagnosing and treating mental health disorders and can provide both medical and therapeutic interventions. Here are some signs that indicate it may be beneficial to see a psychiatrist:

• Persistent sadness or depression
• Anxiety that is difficult to control
• Emotional outbursts or unstable moods
• Changes in sleep patterns
• Unexplained physical ailments
• Withdrawal from social interactions
• Difficulties in thinking or concentrating
• Substance abuse

How to Get a Referral for a Psychiatrist

If you believe that you need specialized mental health treatment, obtaining a referral to see a psychiatrist may be required, especially if your health insurance demands it for coverage purposes. Typically, this process begins with a visit to your primary care physician (PCP), who can evaluate your symptoms and determine the appropriateness of psychiatric care.

Seek Your Primary Care Physician (PCP)

Start by scheduling an appointment with your primary care physician. Your PCP serves as your first point of contact in the healthcare system and is crucial in managing your overall health. They can provide a preliminary assessment and guide you through the next steps if they determine that specialist care is needed.

Tell Your PCP About Your Symptoms

During your appointment, it’s important to be open and honest about all your symptoms. Describe how they affect your daily life, their frequency, and their intensity. Providing a detailed account will help your PCP understand your situation better and decide whether a psychiatric evaluation is necessary.

Ask Your PCP for a Referral

If your PCP agrees that seeing a psychiatrist could be beneficial, the next step is to ask for a referral. Depending on your health care plan, this referral might be necessary for coverage purposes. Your doctor will provide documentation that explains why the referral to a psychiatrist is medically necessary.

Ensure the Psychiatrist Accepts Your Insurance

Before finalizing the appointment with the psychiatrist, confirm that the psychiatrist accepts your insurance plan. This ensures that the costs associated with psychiatric consultations and potential treatments are covered. Your PCP’s office may help with this process, or you might need to contact your insurance provider directly for a list of in-network psychiatrists.

Consider Luxury Psychiatry for Improving Your Mental Health

As you explore your options for psychiatric care, consider how Luxury Psychiatry Medical Spa can accommodate your needs. Whether you prefer the privacy of paying cash or the affordability provided by insurance coverage, our facility is equipped to support you. We accept both cash payments and most major insurance providers, ensuring that our services are accessible to a diverse range of clients.

Understanding the specifics of your insurance coverage can be confusing, and we strive to make this process as easy as possible. The best way to ensure that we accept your insurance and to understand your coverage benefits is to contact us directly. Our dedicated staff is here to help you navigate the details of your plan and to assist in making your treatment as affordable as possible.

Choosing the right psychiatric care is a significant step towards better mental health. At Luxury Psychiatry Medical Spa, we are committed to providing personalized care that respects your privacy and financial preferences. Call us today to discuss how we can support your journey to improved mental well-being and to verify your insurance compatibility with our services.

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Can I See a Psychiatrist Without a Referral?

Learn more about what a psychiatrist can treat and if a psychiatrist visit is the right treatment option for you.

Is a Referral Necessary for a Psychiatric Visit?

To see a psychiatrist, people will typically require a referral. Some insurance companies won’t cover the medical cost if you don’t obtain a specific referral from a general practitioner. Getting a psychiatrist referral from a healthcare provider will help the psychiatrist identify the appropriate treatment and procedure for one’s needs. Individuals can obtain a psychiatrist referral by visiting their general practitioner and describing their condition. 1

What Is a Psychiatrist?

A psychiatrist is a medical professional specializing in diagnosing and treating mental health disorders. Psychiatrists frequently collaborate with general practitioners and other health providers to treat patients’ mental and emotional disorders. Psychiatrists primarily treat symptoms of mental health issues with medicines, but they may also employ various types of psychotherapy .

Psychiatrists diagnose illnesses, oversee treatment, and provide a variety of therapies for complicated and severe mental conditions. A psychiatrist prioritizes medication in their treatment plan. After an accurate diagnosis, psychiatrists develop a treatment plan for the patient, focusing on symptom management through drugs and psychotherapy. 

Psychiatrists vs. Psychologists

Both psychologists and psychiatrists can provide psychotherapy. While psychologists primarily focus on giving a talk or behavioral therapy, the majority of psychiatrists treat patients by administering medication. However, several states now allow psychologists prescription privileges after they have completed the necessary education and training. 

A psychologist or psychiatrist generally uses various therapies to treat mental health disorder symptoms and aid individuals in overcoming challenges in their lives. Psychologists are trained to administer psychometric tests, assessing a person’s personality and mental health. Scheduling a psychologist appointment is easier than getting referred to a psychiatrist.

What Does a Psychiatrist Do?

A psychiatrist evaluates, recognizes, and treats emotional, behavioral, and mental illnesses. Since they are medical professionals, psychiatrists can order and administer various physiological and psychological tests. Psychiatrists help identify mental health issues by combining these tests with a medical record and family history.

Following criteria from the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) of the American Psychiatric Association, psychiatrists diagnose particular mental health conditions. Psychiatrists also create personalized treatment programs that may involve psychotherapy, medication, and other medical procedures for individuals suffering from mental illnesses. 2

Providing Psychological Treatment

Talk therapy and a variety of other treatment options are used by psychiatrists to diagnose and treat people with complex mental disorders. Psychological treatments cover a variety of approaches, including improved coping skills and cognitive behavioral therapy. One of the most successful types of psychiatrist psychological treatment is cognitive behavioral therapy. 

Prescribing Medications

Medication can be prescribed by a psychiatrist to treat mental illnesses. The most effective treatment methods psychiatrists employ are frequently a mix of psychotherapy and medication. There are several factors psychiatrists consider when choosing which drugs to recommend. The type of medication a psychiatrist will recommend will be based on the diagnosis. 

Doing Procedures

Depending on each individual’s needs, psychiatrists employ various treatments, such as different types of psychotherapy, drugs, psychological interventions, and other therapies. Due to their medical training, psychiatrists can order or perform several medical laboratory and psychological tests. A psychiatrist offers advice and opinions to other medical specialists. Psychiatrists may recommend further medical specialists or admit an individual to the hospital if they deem it necessary.

What Does a Psychiatrist Treat?

A psychiatrist evaluates, recognizes, and treats emotional, behavioral, and mental illnesses. A psychiatrist may diagnose and treat the following mental health conditions:

• Anxiety disorders
• Eating disorders
• Substance abuse disorders
• Schizophrenia
• Post-traumatic stress disorder (PTSD)
• Bipolar disorder
• Obsessive-compulsive disorder (OCD)

How Do I See a Psychiatrist?

In most cases, individuals must first obtain a referral from their primary care physician or another medical professional before seeing a psychiatrist. The primary care physician may refer the person to a psychiatrist, who will examine them and recommend the best treatment option .

If an individual feels the need to see a psychiatrist, they should schedule an appointment with their primary care provider and ask if they will provide a referral. The person can also consult a psychiatrist privately, but most request a referral from a doctor. People suffering from mental health disorders can contact a psychiatric clinic or use online psychiatry services.

Generally, people need a referral to see a psychiatrist. However, some psychiatrists do not require individuals to get a referral from their general practitioners. Some insurance companies will not pay the medical cost if the individual’s primary care physician doesn’t make a specific referral. 

How to Get a Referral for a Psychiatrist

To schedule a consultation with a psychiatrist, individuals must first visit their primary care physician for a checkup and then get a recommendation from them. Getting a referral from a general practitioner can take time. Private doctors also provide referrals for a psychiatrist.

Can You Self Refer to See a Psychiatrist?

If your insurance does not require a referral, you can self-refer to the psychiatrist of your choosing. In this case, individuals can find a psychiatrist via an online search, recommendation, or directory and schedule an appointment for a consultation. However, most private psychiatrists prefer a referral from your primary care physician.

Why Are Referrals So Difficult?

The level of difficulty surrounding obtaining a referral to a psychiatrist depends on the doctor and the severity of the person’s mental health disorder. While some doctors will refer the person to a psychiatrist, others may opt to treat the condition themselves. If you feel the need to see a psychiatrist, search online for “psychiatrists near me” who do not require a referral before booking an appointment.

Why It's Important to Make Appropriate Referrals

Appropriate referrals help the psychiatrist quickly diagnose and choose the best treatment option for you. Doctors are in a good position to offer a preliminary diagnosis. To achieve this, they will most likely conduct a short interview, a physical examination, and potentially some laboratory testing to determine one’s mental health. 

The doctor will also inquire about one’s symptoms and if there is a family history of mental illness. The general practitioner will then suggest a psychiatrist, depending on the individual’s needs.

Medications That a Psychiatrist May Prescribe

Psychiatrists have a range of options when deciding which medications to administer. Psychiatrists give prescriptions depending on the individual’s condition. In the course of treatment, psychiatrists may prescribe the following medications.

Antidepressants

Antidepressants are medications that are used to treat depression. Antidepressants function by regulating neurotransmitters in the brain, which help boost an individual’s mood and manage emotions. In cases of significant depressive disorder or when more conventional forms of therapy have failed, a psychiatrist may recommend antidepressants. 

Psychiatrists prescribe stimulants to help people manage their confused or disorganized thought processes. Stimulant drugs can help treat attention deficit hyperactivity disorder (ADHD). The stimulants boost a person’s ability to concentrate on a task without being distracted by thoughts or other events. A psychiatrist may prescribe sedatives and antipsychotics to aid insomnia, panic attacks, or other conditions that impact your mood, such as obsessive-compulsive disorder (OCD).

Mood Stabilizers

Mood stabilizers, often known as anticonvulsant drugs, assist individuals who experience unpredictable mood swings. The mood fluctuations associated with bipolar disorder or severe depressive disorders may be treated by psychiatrists prescribing mood stabilizers. 3

Antipsychotic Medications

Antipsychotic drugs act by changing brain chemistry to decrease psychotic symptoms like hallucinations, delusions, and disordered thinking. Sometimes, antipsychotic medicine may prevent the symptoms from being obtrusive rather than totally eliminating them. These medications help the person feel more stable and productive. If a person has schizophrenia or other severe mental illnesses, a psychiatrist may recommend an antipsychotic to treat such conditions.

Psychiatrists frequently recommend hypnotic drugs as an alternative to traditional treatments for sleep disturbances. These drugs help the individual feel calm, safe, and at ease while also slowing their thoughts to make it easy to go to sleep. Depending on the kind of sleep disorder one has, a doctor may recommend or prescribes any forms of hypnotic medications available. 4

Find Out More About Finding the Right Psychiatrist for you at Essence Healthcare

Finding a psychiatrist that helps you work toward your goals is essential for recovery. This process requires extreme care, research, and consideration. Essence Healthcare will guide you in finding a psychiatrist based on your needs and situation. 

Essence Healthcare is driven to provide every patient with the highest quality care. Contact Essence Healthcare to find the best psychiatrist for you. 

• https://content.naic.org/article/consumer-insight-understanding-health-insurance-referrals-and-prior-authorizations
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3777342/
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3565922/
• https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/sleep-disorder-sedative-hypnotic-drug-information

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Do You Need A Referral To See A Therapist?

The process of initiating therapy can seem daunting. If you have never sought mental health care before, you may feel overwhelmed or intimidated at the thought of reaching out to a therapist. You may wonder where to even start looking for a provider. If you find a therapist you like, you might want to know what’s next in the process. Finally, you might inquire about whether to talk to your doctor to get a referral to see a therapist, the way you may need to do for other health specialists.  

Referrals and health insurance

Due to the Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act (MHPAEA), insurance plans are required to cover mental health conditions in the same way they would provide coverage for physical health conditions. Health insurance plans must legally comply with the ACA and the MHPAEA if they are offered through the public federal health insurance exchange marketplace, through a person’s employer, through most forms of Medicaid, and through the Children’s Health Insurance Program (CHIP). So, odds are, your health insurance company must provide coverage for mental health care. 

However, many health insurance companies may require clients to receive a formal diagnosis of a mental health condition and be referred to therapy for that condition before they agree to cover therapy services. Your primary care provider may be able to diagnose a mental health condition based on your symptoms, or they may refer you to a therapist for a diagnosis. Many primary care physicians are not specifically trained in mental health care. Thus, a lack of expertise combined with the fact that many mental health conditions require multiple visits for a diagnosis may prompt your doctor to give you a referral.

If you have a diagnosed mental health condition or your primary care doctor has referred you to a therapist for a diagnosis, your health insurance may be more likely to cover your therapeutic treatment. In these instances, referrals may save you quite a bit of money. Consider reaching out to your insurance company yourself to talk to them about your coverage and to confirm that you’ve found a provider within your network. 

Types of therapists

While many therapists can be reached without a referral, there are some kinds of therapists for whom a referral may be helpful or even necessary. It can be beneficial to have a basic understanding of some of the different types of therapists and the forms of treatment they provide. A therapist’s education level can sometimes be useful to determine whether a referral is necessary.

Therapists with master's degrees

Most states require mental health professionals to earn both a bachelor’s and a master’s degree to qualify for a mental health care license. Many therapists fall into this category, including those in the following specialty areas:

• Licensed mental health counselors (LMHCs) or licensed professional counselors (LPCs): LMHCs and LPCs may fall into the “general practitioner” role within the therapeutic community, but they might also have educational backgrounds in certain specialty areas such as trauma treatment or addiction medicine, for instance. 
• Licensed marriage and family therapists (LMFTs): LMFTs typically work with clients on challenges they are experiencing with family members or romantic partners. LMFTs can meet with clients individually to address their interpersonal concerns, or they may facilitate couples therapy or family therapy. LMFTs might also specialize in certain areas within relationship counseling such as sex therapy or divorce counseling, for example. 
• Licensed clinical social workers (LCSWs): Licensed clinical social workers work not only to provide their clients with therapeutic services but also to connect them to social support service networks. LCSWs often serve clients with needs beyond mental health care such as those who are experiencing financial challenges or having difficulty providing adequate care for their children. LCSWs typically manage a caseload of clients, providing referrals to support systems and resources in the local community as needed.

If the therapist you are hoping to connect with falls into any of the categories listed above, you won’t likely need a referral to see them. Still, a referral may help with availing insurance coverage for your treatment.

Therapists with doctoral degrees

In addition to bachelor’s degrees and master’s degrees, some therapists may also hold doctoral degrees (i.e., Ph.Ds., or Psy.Ds.). Mental health care professionals with a doctorate in psychology or a related mental health field are usually referred to as psychologists.

Some psychologists may focus primarily on conducting psychology and mental health research, not on providing therapeutic care. Other psychologists may provide therapy services to clients. You typically do not need a referral to see a psychologist, but they might have longer waiting lists than other types of therapists. Thus, a referral could be a useful tool to help you get care from a psychologist sooner than you would without one. Psychologists may also charge higher fees than other kinds of therapists, so seeking insurance coverage through a referral could be beneficial.

Therapists with medical degrees

Mental health professionals with an M.D. (Medical Doctor) or D.O. (Doctor of Osteopathic Medicine) degree are psychiatrists. Psychiatrists are the only mental health professionals who can prescribe psychiatric medication such as antidepressants or benzodiazepines, for example. 

In more recent years, the field of psychiatry has shifted away from providing talk therapy services and more toward focusing on medical interventions in mental health care. Some psychiatrists still provide therapy, but they are rare. It may be helpful for you to see a psychiatrist for medication management in addition to regularly talking to a therapist who can provide you with mental and emotional support. 

It is likely that you will need a referral to see a psychiatrist. Your primary care physician may refer you, or you can receive a referral from another therapist or mental health professional. 

Initiating the therapeutic process

Therapy can be beneficial for a range of people and for a variety of reasons. You do not need to have a diagnosed mental health condition to go to therapy or to receive a referral to see a therapist (though it may be required if you are hoping to see a psychiatrist or other specialized professional). 

Therapy can be time-consuming, though, especially if you are attending therapy sessions in person. It can also be difficult to find a provider you connect well with through in-person services. If you are not planning to use a referral to find a therapist, you may want to consider online therapy. Through online platforms like BetterHelp, you can get matched with a licensed therapist who has experience in the area of care you’re seeking. Using a smart device and a steady internet connection, you can speak with your therapist according to your schedule through video chats, phone calls, or in-app messaging. This may make getting the care you need more available and could also be more cost-effective. 

Research has demonstrated that therapy online can lead to similar outcomes as attending therapy sessions in person. One study found that participating in a course of online cognitive behavioral therapy  reduced mental health symptoms in individuals with a variety of different mental health conditions , including depression, anxiety, post-traumatic stress disorder (PTSD), mood disorders, and more. CBT is an approach that addresses unwanted behaviors by helping a person identify and change their unhelpful thoughts. If you are interested in convenient therapy with no referral required, consider reaching out to one of the thousands of licensed and accredited mental health professionals available through BetterHelp .  

• Fibromyalgia Cognitive Behavioral Therapy: How Therapeutic Support Can Help Medically reviewed by Laura Angers Maddox , NCC, LPC
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When to See a Psychiatrist

Here’s why you might seek out these medically trained, mental health experts.

This article is based on reporting that features expert sources.

The brain-body connection is real. For mental health conditions with a strong biological basis, seeing a psychiatrist could be your best choice to receive appropriate treatment. As medical doctors, psychiatrists take a holistic, comprehensive approach that can involve medications, brain-stimulating devices or talk therapy.

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With extremely serious or urgent conditions, or when a mental health problem’s cause is unclear, psychiatrists are ideally the first stop for patients. However, not every mental health issue requires a psychiatrist, and in many cases a psychologist or other clinical therapist can give all the help you need.

Here’s when to see a psychiatrist – right away or for ongoing, next-level care – and what they can do for you.

What Is a Psychiatrist?

“A psychiatrist is a medical doctor who specializes in mental health,” explains Dr. Melissa Stennett Deuter, a psychiatrist in San Antonio, Texas, and founder of Sigma Mental Health Urgent Care, which provides immediate psychiatric and therapeutic services both in person and virtually. “A person should see a psychiatrist when they may need consultation with regard to the medical piece of mental health – either because they need to clarify their diagnosis, or because they need to take medication or suspect that (medication) could be a need.”

A psychiatrist must graduate from medical school and complete an additional four-year psychiatry residency. Many psychiatrists go on to receive additional training in specific types of mental health conditions .

What Conditions Do Psychiatrists Treat?

Psychiatrists treat a wide range of conditions including:

• Anxiety disorders.
• Bipolar disorder.
• Depression .
• Eating disorders.
• Obsessive-compulsive disorder, or OCD.
• Post-traumatic stress disorder.
• Schizophrenia.
• Substance use disorders.

A suicide attempt, or new onset of suicide ideation – having suicidal thoughts or planning suicide – is a major reason that a person should see a psychiatrist.

The onset of psychotic symptoms – hearing voices or not being able to discern reality from not-reality – or profound inability to sleep combined with excessively high energy – are “situations where absolutely a person should go find a psychiatrist,” Deuter says.

Who to See for Mental Health Evaluation

Psychiatrists are trained differently than other mental health providers such as psychologists, therapists or clinical social workers. If you’re wondering which type to see first, “one of the key things driving that decision is that fact that many, if not all, psychiatric conditions have a strong biological basis,” says Dr. Maria Oquendo, a professor and chair of psychiatry at the Perelman School of Medicine at the University of Pennsylvania and president of the American Foundation for Suicide Prevention.

“Psychologists are very well-trained to understand the psychological aspects but are not biologically trained,” notes Oquendo, who is also a past president of the American Psychiatric Association.

As physicians, psychiatrists can order medical as well as psychological tests. That allows them to diagnose physical conditions that may be the underlying cause of symptoms, such as blood tests for high or low thyroid levels, or brain or other imaging scans that may reveal tumors or abnormalities.

Another kind of mental health provider can prescribe psychiatric medications, too: “Clinicians who are trained as nurse practitioners do have a biological background and if the condition is not super-complex, they’re a very reasonable first approach as well,” Oquendo says. However, she adds, it can be best to see a psychiatrist, “especially if it’s a complex type of situation, for example multiple diagnoses, or maybe even the presence of a complex psychosis.”

Therapies Psychiatrists Offer

Psychiatrists treat mental health conditions using a variety of approaches:

• Medications.
• Procedures.
• Talk therapy.

Medications

Depression, anxiety, bipolar disorder , OCD, attention deficit hyperactivity disorder , schizophrenia and some types of personality disorders are among conditions that typically require treatment with psychotropic drugs. These drugs affect how the brain works and affect mental function, mood, emotions, thoughts, awareness or behavior.

Antidepressants , antianxiety agents, anti-obsessive agents, antipsychotics, stimulants, anti-panic agents and mood stabilizers are the main psychotropic drug categories. Psychiatrists initiate psychotropic drug treatment for new patients and adjust doses or substitute medications for better effectiveness as treatment progresses.

Psychiatrists are also versed in prescribing certain cutting-edge medications, such as using the drug ketamine to treat people with suicidal thoughts. “We also now have biological approaches, such as emerging data suggesting that use of either intranasal or intravenous ketamine can be very useful,” Oquendo says.

Psychiatrists can evaluate patients for and prescribe device-based treatments to treat certain brain-based mental health conditions, particularly when standard medications have failed or cannot be tolerated. Treatments include:

• Transcranial magnetic stimulation . TMS, also known as repetitive TMS, or rTMS, is a noninvasive procedure using magnetic fields to stimulate nerve cells, or neurons, in the brain. Treatment is typically delivered through an electromagnetic coil placed on the scalp. In the U.S., it’s approved to treat major depression and OCD, or as smoking-cessation therapy.
• Electroconvulsive therapy. ECT, sometimes called “shock therapy,” is used to treat severe depression that doesn’t respond to standard antidepressants. With ECT, electrodes are placed on the head to deliver small electrical pulses to the brain and intentionally cause a brief seizure. ECT is performed under general anesthesia and patients are given muscle relaxants to prevent injury. “For somebody who is severely suicidal, electroconvulsive therapy is a very effective treatment,” Oquendo says. ECT also has indications for bipolar disorder, schizophrenia, psychosis, mania and catatonia.
• Deep brain stimulation. DBS uses electrodes that can be surgically implanted in targeted areas of the brain to regulate abnormal brain impulses in conditions including OCD.
• Vagus nerve stimulation. Similar to DBS, vagus nerve stimulation uses an implantable device under the skin of the chest to transmit electrical signals from the left vagus nerve to the brainstem, and is approved to treat depression (and epilepsy).
• Light therapy. Treatment using a lightbox that provides bright light to treat seasonal affective disorder , or SAD, is sometimes recommended to improve sleep and mood symptoms.

Talk Therapy

Psychiatrists may use several forms of talk therapy, often in conjunction with medication, including these:

• Cognitive behavioral therapy. CBT helps patients identify, change and control negative or irrational thoughts and feelings (cognition), and instead use helpful thinking to promote a healthy plan or response (behavior) for mental health disorders like depression or physical problems like chronic pain.
• Dialectical behavioral therapy. A form of CBT, dialectical behavioral therapy includes both individual and group therapy during which patients learn mindfulness techniques to regulate their emotions, cope with distress and interact with others in a healthier way.
• Group therapy. In group therapy , several patients facing similar mental health issues meet regularly with a psychiatrist (or other clinician) to promote coping skills, offer support, reduce stigma and isolation and provide a sounding board of people with similar experiences.
• Psychoanalysis. Treatments like psychoanalysis help patients resolve deep-rooted internal conflicts that are often based on childhood trauma or experiences. However, this time-intensive therapy is used less frequently than in the past, declining by half since the 1990s, according to a study published Dec. 8, 2021, in the American Journal of Psychiatry.
• Mentalization. Mentalization-based therapy encourages people to reflect clearly about their own thoughts, emotional responses, intentions and actions and those of others (mentalizing), and avoid non-mentalizing patterns such as distortion, catastrophizing, generalizing and thinking in negative extremes. It can be particularly helpful for people with personality disorders, Deuter says.

Getting a Diagnosis

If you’re seeing a psychologist or other mental clinician and you realize it’s not working, it may be time to switch over to a psychiatrist for clarity about your individual condition.

“The one thing I would really, really counsel patients and families to do is insist on a diagnosis,” Oquendo says. “It may be that it’s impossible to know what the precise diagnosis is, and that’s true even if you see a psychiatrist.” However, she adds, “The (psychiatrist) might say: Look, my leading diagnosis is a bipolar that is just showing up now with depression (perhaps) because of family history.”

Child Psychiatrists

Parents need to know where to go when a child shows signs of a serious emotional problem. “Child psychiatrists very often are treating self-harms or self-harm ideation, or aggression,” Deuter says, “and, sometimes, problems like emotional meltdowns or inability to regulate emotions.”

If your child shows signs of issues like these, it’s better to seek an evaluation sooner rather than later, Oquendo emphasizes.

“With any presentation that happens in childhood, I would strongly recommend starting with a psychiatrist, just because for most conditions that start early on in life, generally it means that the condition is stronger or maybe even more severe,” Oquendo says, while noting that some psychiatric disorders seen in early childhood, like autism, are neurodevelopmental in nature. (Neurodevelopment conditions are lifelong, begin at a very young age or at birth, and may include physical, behavioral and cognitive symptoms.)

“But, for example, if you have a child who is showing symptoms of anxiety or of depression at age 5, 7 or 9, usually those illnesses don’t show up until, on average, at age 15 to 17,” Oquendo says. “So if they’re showing up earlier, it may be that that child has a more severe variant of the illness and you can make a huge difference by getting the symptoms under control earlier. In particular, because if the child is very depressed or anxious, that’s going to interfere with their maturation and their ability to develop skills to cope later on. So, the sooner you can get things under control, the better.”

When Not to See a Psychiatrist

Seeing a psychiatrist is not always indicated. “A psychiatrist is a medical doctor – and some issues don’t require a medical approach,” Deuter says. “For example, if someone is having a parent-child conflict like defiance, I recommend a counseling professional.”

Mental health or emotional situations that may benefit just as much or more by working with a psychologist or other therapist include:

• Stage-of-life crisis. A midlife or quarter-life crisis can churn up emotional turmoil.
• Transitioning to college. Campus mental health counselors are well-versed in helping students cope with related anxiety and stress.
• Major move or career change. Talk therapy helps most when adjusting to big life changes.
• Divorce, marital or relationship problems. Marriage counseling, couples therapy and divorce therapy focus on these issues.
• Relatively mild problems. If you’re experiencing temporary blues or having normal anxiety about a coming event – like a cross-country trip or a first date – prescription medicine likely isn’t the answer.
• Managing general health problems . High blood pressure, diabetes and other common conditions like thyroid disease can sometimes cause mental health symptoms. Once your primary care doctor diagnoses and treats underlying conditions, behavioral and emotional symptoms may resolve.

“One of the concerns that I have is people run pretty quickly, for example, to their primary care doctor when they’re having trouble with their emotional health and get thrown on medication for a normal life stressor,” Deuter says. “If you think about these kinds of things – stress, job loss or job change, relationship problems – it’s probably more helpful to go to a counseling professional who can walk with you and help you wrap your mind around and adapt to those issues than to jump into a medication.”

Issues With Access to Mental Health Care

It can be difficult to find an available, local psychiatrist for a number of reasons. Psychiatrist shortages have been an ongoing issue. By 2030, the supply of adult psychiatrists in the U.S. workforce will have further decreased by 20%, according to Health Resources and Services Administration statistics.

In addition, reimbursements to psychiatrists from insurers are typically quite low, Oquendo says. Some psychiatrists only accept direct pay rather than working with insurers, leaving patients to seek any reimbursement on their own.

“In my local community, there’s easily a two-month wait for cash-pay, unrestricted access – and three to six-months for insurance-based care,” Deuter says. That’s one of the reasons she opened her urgent care clinic: “Because many of those illnesses will get worse during the wait time and will be worse lifelong for that individual due to that two-month or six-month wait for care.”

The National Alliance on Mental Illness suggests these sources for finding a psychiatrist to meet your needs:

• A referral from your primary care doctor or therapist.
• Recommendations from family members or friends living with mental health issues.
• Online directories like the U.S. News doctor finder .
• Checking with medical centers in your area.
• Looking for psychiatric subspecialty websites such as the American Academy of Addiction Psychiatry.

Treatment Time Frame

It may not take too long to see results from psychiatric treatment. “ For most common conditions like anxiety disorders and depressive disorders, there is a significant proportion of the population that get better in 12 to 16 weeks,” Oquendo says. “That’s not instantaneous, and it also requires that the person actively participate in the treatment: You’re going to get homework, and you’re going to have to do it.”

Although there’s no magic wand to wave for instant improvement, “people can get better relatively quickly,” Oquendo says. “In the case of medications, people oftentimes start seeing some improvement within three to four weeks."

Some patients who are responsive to the treatment may see their symptoms resolve with six to 10 weeks, she says. Overall, she adds, “It might take a while, but most people get better.”

Mental Health Support Tips

The U.S. News Health team delivers accurate information about health, nutrition and fitness, as well as in-depth medical condition guides. All of our stories rely on multiple, independent sources and experts in the field, such as medical doctors and licensed nutritionists. To learn more about how we keep our content accurate and trustworthy, read our  editorial guidelines .

Deuter is a psychiatrist in San Antonio, Texas, and founder of Sigma Mental Health Urgent Care.

Oquendo is a professor and chair of psychiatry at the Perelman School of Medicine at the University of Pennsylvania, president of the American Foundation for Suicide Prevention and past president of the American Psychiatric Association.

Tags: mental health , psychiatry , depression , anxiety , suicide

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Mental health providers: tips on finding one.

Mental health providers: Credentials, services offered and what to expect

If you've never seen a mental health provider before, you may not know how to find one who meets your needs. Here are some things to keep in mind as you search for a mental health provider.

What type of mental health provider do you need?

Mental health providers identify and treat mental health conditions. Most have at least a master's degree. Some may have a higher level of education, training and credentials. Make sure that the provider you choose is licensed to offer mental health services. Licensing and services depend on the provider's training, specialty area and state law.

Below you'll find some of the most common types of mental health providers. Some may specialize in areas such as depression, alcohol or drug misuse, or family therapy. They may work in a private practice or hospital, for a community agency, or at another facility.

Psychiatrist

A psychiatrist is a physician — doctor of medicine (M.D.) or doctor of osteopathic medicine (D.O.) — who specializes in mental health. This type of doctor may further specialize in areas such as child and adolescent, geriatric, or addiction psychiatry. This provider can identify and treat mental health conditions and prescribe medicine. A psychiatrist also can offer talk therapy, sometimes called psychotherapy.

Psychologist

A psychologist is trained in psychology — a science that deals with thoughts, emotions and behaviors. Typically, a psychologist holds a doctoral degree, such as a Ph.D. or Psy.D.

A psychologist can identify and treat many types of mental health conditions. This provider offers different types of talk therapy. In the U.S., most psychologists are not licensed to prescribe medicine. But they may work with another provider who can prescribe medicine if needed.

Psychiatric mental health nurses

A psychiatric mental health nurse (P.M.H.N.) is a registered nurse (R.N.) with training in mental health issues. A psychiatric mental health advanced-practice registered nurse (P.M.H.-A.P.R.N.) has at least a master's degree in psychiatric mental health nursing. Other types of advanced-practice nurses who offer mental health services include a clinical nurse specialist (C.N.S.), a nurse practitioner (N.P.) and a nurse with a doctorate of nursing practice degree (D.N.P.).

The services offered by mental health nurses depend on their education, level of training, experience and state law. They can identify and treat mental illnesses. If state law allows, advanced-practice nurses can prescribe medicine.

Physician assistant

A physician assistant (P.A.) practices medicine as a primary care provider or works together with a physician. Physician assistants can specialize in psychiatry.

They can identify and treat mental health conditions. They also can counsel on causes, treatments and outlook. A physician assistant can prescribe medicine.

Licensed clinical social worker

If you prefer a social worker, look for a licensed clinical social worker (L.C.S.W.) with training and experience in mental health. A licensed clinical social worker must have a master's degree in social work. Some have a doctorate in social work.

Social workers offer assessment, counseling and a range of other services. What services they offer depends on their licensing and training. They are not licensed to prescribe medicines. But they may work with another provider who can prescribe medicine if needed.

Licensed professional counselor

Training required for a licensed professional counselor (L.P.C.), licensed clinical professional counselor (L.C.P.C.) or similar titles may vary by state, but most have at least a master's degree with clinical experience.

These licensed counselors identify mental health conditions and give counseling for a range of concerns. They are not licensed to prescribe medicine. But they may work with another provider who can prescribe medicine if needed.

Marriage and family therapist

A marriage and family therapist (M.F.T.) is trained in family and individual therapy. This type of therapist can help you overcome family problems or issues in other relationships. They have at least a master's degree. License and certificate requirements vary by state. Look for a licensed marriage and family therapist (L.M.F.T.). These therapists may work independently or in partnership with other professionals.

What other issues should you think about?

Think about these issues when choosing a mental health provider:

• Your concern or condition. Most mental health providers treat a range of conditions, but one with a specialized focus may best meet your needs. For example, if you have an eating disorder, you may need to see a psychologist who specializes in that area. If you're having marital problems, you may want to see a licensed marriage and family therapist. In general, the more severe your symptoms or complex your diagnosis, the more expertise and training you need to look for in a mental health provider.
• Whether you need medicines, counseling or both. Some mental health providers are not licensed to prescribe medicines. So you may need to see more than one mental health provider. For example, you may need to see a psychiatrist to manage your medicines and a psychologist or another mental health provider for counseling.
• Your health insurance coverage. Your insurance policy may list specific mental health providers who are covered. Coverage may apply to only certain types of mental health providers. Check with your insurance company, Medicare or Medicaid to find out what types of mental health services are covered and your benefit limits.

How can you find a mental health provider?

To find a mental health provider, you can:

• Ask your health insurance company for a list of covered providers. Many insurance companies post a list of these providers on the internet.
• Seek a referral or recommendation from your primary care provider.
• Ask trusted friends, family or someone from your faith community.
• Check to see if your employer offers an employee assistance program (EAP). Or find out whether your school's student health center offers mental health services. Or ask for a referral.
• Contact a local or national mental health organization by phone or on the internet, such as the National Alliance on Mental Illness (NAMI).
• Search the internet for professional associations that have directories of mental health providers, such as the American Medical Association, American Psychiatric Association, American Psychological Association, or Association for Behavioral and Cognitive Therapies.
• Check phone book listings or search the internet under categories such as community service numbers, counselors, psychologists, psychiatrists or social service organizations.

What should you look for in a mental health provider?

When choosing a mental health provider, think about these issues:

• Education, training, licensing and years in practice. Licensing requirements vary by state.
• Areas a provider specializes in and services offered.
• Treatment approaches and philosophy.
• Which insurance providers can be used.
• Office hours, fees and length of sessions.

Make a list of questions to ask. Finding the right match is key to setting up a good relationship and getting the most out of your treatment.

• Types of mental health professionals. National Alliance on Mental Illness. http://www.nami.org/Learn-More/Treatment/Types-of-Mental-Health-Professionals. Accessed Feb. 23, 2023.
• Finding a mental health professional. National Alliance on Mental Illness. http://www.nami.org/Find-Support/Living-with-a-Mental-Health-Condition/Finding-a-Mental-Health-Professional. Accessed Feb. 22, 2023.
• Finding a health care provider. Depression and Bipolar Support Alliance. https://www.dbsalliance.org/wellness/treatment-options/finding-a-health-care-provider/. Accessed Feb. 22, 2023.
• Occupational outlook handbook: Marriage and family therapists. U.S. Bureau of Labor Statistics. https://www.bls.gov/ooh/community-and-social-service/marriage-and-family-therapists.htm. Accessed Feb. 22, 2023.
• Occupational outlook handbook: Psychologists. U.S. Bureau of Labor Statistics. https://www.bls.gov/ooh/life-physical-and-social-science/psychologists.htm. Accessed Feb. 22, 2023.
• Psychiatric-mental health nurses. American Psychiatric Nurses Association. https://www.apna.org/i4a/pages/index.cfm?pageID=3292#7. Accessed Feb. 22, 2023.
• What is psychiatry? American Psychiatric Association. https://www.psychiatry.org/patients-families/what-is-psychiatry. Accessed Feb. 23, 2023.
• How to choose a psychologist. American Psychological Association. http://www.apa.org/helpcenter/choose-therapist.aspx. Accessed Feb. 22, 2023.
• What is a PA? American Academy of PAs. https://www.aapa.org/what-is-a-pa/. Accessed Feb. 22, 2023.
• Finding a provider. PTSD: National Center for PTSD. https://www.ptsd.va.gov/gethelp/find_therapist.asp. Accessed Feb. 22, 2023.
• Types of providers. PTSD: National Center for PTSD. https://www.ptsd.va.gov/understand_tx/types_therapist.asp. Accessed Feb. 22, 2023.
• Credentials. National Association of Social Workers. https://www.socialworkers.org/credentials. Accessed Feb. 22, 2023.
• Overview of state licensing of professional counselors. American Counseling Association. https://www.counseling.org/knowledge-center/licensure-requirements/overview-of-state-licensing-of-professional-counselors. Accessed Feb. 22, 2023.
• Occupational outlook handbook: Substance abuse, behavioral disorder and mental health counselors. U.S. Bureau of Labor Statistics. https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm. Accessed Feb. 22, 2023.
• MFR licensing boards. American Association for Marriage and Family Therapy. https://www.aamft.org/Directories/MFT_Licensing_Boards.aspx. Accessed Feb. 24, 2023.

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How to Get a Referral without a Primary Doctor: Navigating the U.S. Healthcare System

The U.S. healthcare system can be complex and challenging to navigate, especially when it comes to obtaining referrals for specialist care. Many individuals rely on their primary care doctors to facilitate these referrals, but what happens when you don't have a primary doctor or your doctor won't refer you to a specialist? In this article, we'll explore the intricacies of the referral process, discuss when and why referrals are necessary, and provide unorthodox strategies for obtaining referrals without a primary doctor.

Understanding Referrals and the Healthcare System

Before delving into the alternatives, it's crucial to understand the basics of referrals in the healthcare system. A referral is essentially a recommendation from your primary care doctor to see a specialist for further evaluation or treatment. This recommendation is based on your primary doctor's assessment of your condition and their belief that a specialist's expertise is needed to address your healthcare needs effectively.

The Role of a Primary Doctor

Your primary care doctor, often referred to as a primary care physician (PCP) or primary care provider (PCP), plays a central role in your healthcare journey. They serve as your first point of contact for medical care, offering routine check-ups, preventive care, and initial diagnoses for common health issues. Additionally, they manage your medical history, track chronic conditions, and provide referrals when necessary.

Reasons for Not Having a Primary Doctor

Not everyone has a primary doctor for various reasons. Some individuals may have recently moved or changed insurance plans, making it challenging to establish a long-term relationship with a PCP. Others might opt for alternative healthcare models like direct primary care , which may not require a designated primary doctor. Additionally, some people may simply prefer to seek medical care on an as-needed basis, visiting urgent care centers or clinics when necessary.

Do I Need a Referral to See a Specialist?

The necessity of a referral to see a specialist depends on your insurance policy and the specific healthcare issue you're facing. Health maintenance organizations (HMOs) typically require referrals for specialist visits, as they emphasize a coordinated approach to healthcare. On the other hand, preferred provider organizations (PPOs) often offer more flexibility, allowing patients to consult specialists without referrals.

When and Why Referrals for Specialists Are Necessary

Referrals to specialists are typically needed when your primary care doctor determines that your condition requires specialized expertise or procedures that they cannot provide. Some common scenarios that warrant specialist referrals include:

• Chronic Conditions: If you have a chronic condition like diabetes, heart disease, or cancer, your PCP may refer you to specialists who can offer specialized treatment and management plans.
• Suspected Serious Illness: When your PCP suspects a severe or potentially life-threatening condition, such as cancer, they will refer you to an appropriate specialist for further evaluation and diagnosis.
• Specific Procedures: Certain medical procedures, such as orthopedic surgeries or mammograms, may require referrals to specialists who can perform these interventions safely and effectively.
• Second Opinions: In cases where you seek a second opinion or want to explore alternative treatment options, your PCP may refer you to another specialist for a fresh perspective.

How to Get a Doctor's Referral

If you don't have a primary doctor or your doctor won't provide a referral, there are alternative ways to obtain one:

• Urgent Care Centers: Urgent care centers are an option for obtaining referrals for non-emergency conditions. They can evaluate your health issue and provide referrals to specialists if needed.
• Telemedicine: Many telemedicine providers can connect you with a healthcare professional who can assess your condition and provide a referral, if necessary.
• Nurse Practitioners and Physician Assistants: These healthcare professionals can often provide referrals, especially for routine or non-complex specialist visits.
• Online Medical Platforms: Some online medical platforms offer consultation services with board-certified physicians who can assess your condition and provide referrals electronically.

Obtaining a Referral from Emergency Care

In certain situations, emergency care can serve as a referral to a specialist. For example, if you visit the emergency room (ER) with a severe orthopedic injury, the ER physician may refer you to an orthopedic specialist for follow-up care. However, relying on the ER for referrals has its drawbacks:

• Limited Scope: Emergency care is designed to address immediate medical emergencies, not to provide comprehensive assessments or referrals for ongoing healthcare needs.
• Long Wait Times: ERs can have long wait times, making it an inefficient way to obtain referrals for non-urgent issues.

Getting a Referral from Other Medical Professionals

Physician assistants (PAs), nurse practitioners (NPs), and other medical professionals can often provide referrals for specialist care. Here are the steps to obtain a referral through these professionals:

• Schedule an Appointment: Make an appointment with a PA, NP, or other medical professional who offers the specific care you need.
• Explain Your Situation: During your appointment , explain your healthcare concerns and any symptoms you're experiencing. Be clear about your desire to see a specialist.
• Assessment and Referral: The medical professional will assess your condition and determine if a specialist referral is necessary. If warranted, they will provide the referral.

It's essential to understand that the availability of referrals may vary depending on state regulations and the specific policies of the healthcare provider you visit.

Navigating the US Healthcare System without a Primary Doctor

Managing your healthcare without a designated primary doctor can be challenging but it is possible with some strategic approaches:

• Establish a Relationship with a Specialist: In some cases, you may be able to establish a relationship with a specialist directly, bypassing the need for a primary doctor. However, this approach may not be suitable for managing routine or preventive care.
• Seek Direct Primary Care: Consider enrolling in a direct primary care (DPC) model, which provides comprehensive primary care services without the need for insurance. DPC providers often have relationships with specialists and can facilitate referrals when necessary.
• Understand Legalities and Policies: Familiarize yourself with the laws and policies in your state regarding access to specialists without a referral. Some states have more lenient regulations, while others may require strict adherence to the referral process.

In conclusion, while having a primary care doctor is beneficial for coordinating your healthcare, there are alternative ways to obtain referrals for specialist care if you don't have one or if your doctor won't provide a referral. By understanding the nuances of the healthcare system and exploring other avenues, you can still access the specialized care you need to maintain your health.

Remember that it's essential to be proactive and informed when seeking referrals without a primary doctor, and always prioritize your health and well-being.

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• What is Bipolar Disorder?
• What is OCD – Obsessive-Compulsive Disorder?
• What Is Munchausen Syndrome by Proxy (MSBP)?
• What Causes Social Anxiety?
• What are the Types of Depression?
• What Causes Depression and Anxiety?
• What Are the Types of Mental Health Disorders?
• What is PTSD (Post-Traumatic Stress Disorder) ?
• What Is Kleptomania?
• What is Emotional Disturbance?
• What Are the Types of Therapy for Mental Health Disorders?
• Importance of Vocational support in mental health treatment
• Is Cognitive therapy effective for bipolar disorder?
• How can Music Therapy Help Improve Mental Health?
• How to find the right therapist for me?
• Symptoms and Causes of Personality Disorders
• What is Cognitive Behavioral Therapy?
• What is Dialectical Behavioral Therapy?
• What is Acceptance and Commitment Therapy?
• What is Behavioral therapy?
• What is trauma informed therapy?
• What is Psychotherapy ?
• What is Somatic Psychotherapy?
• What is Psychodynamic Therapy
• What is motivational enhancement therapy?
• What are Psychoeducational Groups?
• What is Group Therapy?
• Will Emotionally Focused Therapy Help in PTSD?
• What is Narrative Therapy?
• What is systemic therapy?
• Mental health benefits of art therapy
• Link between Nutrition and mental health
• What can psychologists treat?
• Can I see a psychiatrist without a referral?
• Holistic Approach in Mental Health Treatment
• How can a mental health counselor help?
• Psychiatrist vs psychologist
• What is a group therapy?
• What is Clinical mental health counseling?
• What is psychoanalysis?
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In most cases, a recommendation from your primary care physician is required before seeing a psychiatrist.

What is a Psychiatrist?

Most people wonder if you need a referral note to see a clinician, psychologist, or psychiatrist. In most cases, it is best – and required – that you have a referral to see a psychiatrist or psychologist. However, when you are enrolled at a mental health treatment facility, you may have access to both psychiatrists and psychologists without needing a referral. Additionally, some psychiatrists may talk to you after making an appointment over the phone without a psychiatrist referral. 

Psychiatry is a medical field that involves diagnosing and treating mental, behavioral, and emotional problems. One who specializes in this field is known as a psychiatrist. There are many different types of psychiatrists.

Psychologists vs. Psychiatrist

Psychologists and psychiatrists may have overlapping responsibilities, but they come from different disciplines. Psychologists use non-medical support and psychotherapy to help treat mental disorders. In contrast, psychiatrists prescribe medications and receive certifications through their schooling and other training to treat mental health problems in other ways.  1

What Does a Psychiatrist Do?

A referral to a psychiatrist enables you to work hand in hand with the psychiatrist to ensure a holistic recovery. Psychiatrists are medical doctors and use medications on most occasions with the following interventions:

Providing Psychological Treatment

You and a psychiatrist will work together to develop an effective treatment plan uniquely designed for your situation. The recommended psychiatrist treatment may include the following interventions:  2

• Talk therapy/psychotherapy
• Medicated assisted treatment (MAT)
• Light therapy that primarily treats seasonal depression
• Brain stimulation therapies like vagus nerve stimulation (VNS), deep brain stimulation (DBS), transcranial magnetic stimulation (TMS), and others

Prescribing Medications

As mentioned above, a psychiatrist may also prescribe medicated assisted treatment (MAT). Medications for treating mental health conditions from a referral to a psychiatrist may include:

• Antidepressants
• Antipsychotic medications
• Sedatives and anxiolytics
• Mood stabilizers

Conducting Procedures

Psychiatrists ask about your mental and physical symptoms during an appointment. This may be in the form of lab tests, physical examination, psychological evaluation, or all of these tests.

Psychiatrists also use the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to know your mental disorder. The American Psychiatric Association publishes this manual for use in diagnoses by mental health providers. Insurance companies also use this manual to make reimbursements for treatment costs.

What Does a Psychiatrist Treat?

By getting a referral to a psychiatrist, a psychiatrist helps you treat a range of mental health problems; these will be detailed below.

Anxiety Disorders

Anxiety disorders are mental health conditions that create feelings of fear and dread in situations you shouldn’t be fearing. While anxiety is sometimes a healthy feeling to have, anxiety disorders paralyze and prevent you from taking action and create other side effects as well. 

Depression is a disorder that creates intense sadness and apathy. You experience little joy even in things you had loved doing before the illness.

Eating Disorders

Eating disorders are a range of serious illnesses characterized by eating behaviors that negatively impact your emotions, mental health, and normal functioning. Symptoms may include binge-eating, anorexia nervosa, and bulimia nervosa.

How Do I See a Psychiatrist?

In order to see a psychiatrist, you can use the following avenues:

• Ask your therapist for a psychiatrist referral, or use a walk-in clinic if you don’t have a doctor
• Check at the community health facility
• Look for psychiatrists online or in your community

If you are wondering if you need a referral to see a psychiatrist, many psychiatrists do require your primary doctor to write a referral before seeing you. However, others may only require you to schedule a psychiatrist appointment over the phone or official website without a psychiatrist referral note. 

How to Get a Referral to See a Psychiatrist

Looking for a psychiatrist may be challenging, especially when you don’t have a regular doctor. In these cases, you can use a walk-in clinic or ask any doctor for a referral. Sometimes, you may “self-refer” yourself to a mental health program, though this doesn’t always give you access to a psychiatrist.  

Why Are Referrals So Difficult?  

Referrals tend to be hard to get because of the long waiting lists many places have. The difficulty of acquiring the referral may also depend on your general practitioner and how severe your problems are. However, making referrals to help the patient recover, get enough support, and transition well into the next recovery step is crucial. Ask your doctor for advice if you feel like a psychiatrist may be of help to you. 

Medications That a Psychiatrist May Prescribe

Psychiatrists use medicated assisted treatment options to treat the above mental health issues. These medicines can include drugs such as:  4

• Antidepressants: These help relieve depressive symptoms like anxiety, worthlessness, restlessness, and more. They have different classes, including selective serotonin reuptake inhibitors (SSRIs), serotonin antagonist and reuptake inhibitors (SARIs), and serotonin and norepinephrine reuptake inhibitors (SNRIs).
• Stimulants: These may work with antidepressants like SSRIs to help treat depression.
• Sedatives and Anxiolytics: These can stimulate the central nervous system, relieving stress and anxiety while promoting deep sleep and calm feelings.
• Mood Stabilizers: These are used for treating depression and bipolar disorder and preventing mood shifts. They sometimes treat people struggling with borderline personality or schizophrenia as well.

Antipsychotic Medications: Some commonly prescribed antipsychotic medicines include Stelazine (trifluoperazine), Thorazine (chlorpromazine), Trilafon (perphenazine), and others.

• Hypnotics: These are ideal for people battling sleep problems to get restful sleep.

Find Out More About Finding Psychiatrists at Anew Treatment Center

Good psychologists and psychiatrists provide a safe space to work through your mental health problems. At Anew Treatment Center , we understand that finding the right psychiatrist may take a considerable time. Do not hesitate to seek psychiatric help, and schedule a free consultation today to get expert advice. 

• 1 https://www.bls.gov/ooh/life-physical-and-social-science/psychologists.htm
• 2 https://cet.org/light-therapy-its-discovery-and-applications/
• 3 https://nami.org/About-Mental-Illness/Mental-Health-Conditions
• 4 https://www.pharmacologyeducation.org/antidepressant-drugs

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If you are struggling with a mental health condition, a psychiatrist can help in many ways. Looking for a psychiatrist and figuring out how to go to a psychiatrist can be confusing. You may also wonder, “do I need a referral to see a psychiatrist?”

What Is a Psychiatrist?

A psychiatrist is a medical doctor specializing in mental health diagnosis, treatment, and prevention. Psychiatrists are qualified to assess psychological problems’ mental and physical aspects. A psychiatrist is also licensed to prescribe medications to help treat the symptoms of mental illness if needed. 1

Where Does a Psychiatrist Work?

How do you know if you need a psychiatrist.

Psychiatrists can treat several different mental health conditions. Common signs that you might need to see a psychiatrist include: 2

• Being unable to control alcohol or drug use
• Body image problems
• Emotional outbursts
• Hallucinations or delusions
• Hurting yourself
• Lasting depression
• Obsessive thinking
• Ongoing anxiety or worry
• Problems adjusting to life changes
• Suicidal thoughts or actions
• Trouble concentrating
• Trouble sleeping

If you struggle with a severe mental health issue and are working with your doctor or another mental health professional, they may refer you to a psychiatrist as an additional resource or if they believe taking medication may help treat the symptoms of your condition. Psychologists will often refer clients to a psychiatrist since a psychiatrist is licensed to prescribe medications for mental health treatment .

Most insurance plans will require a referral from your doctor to see a psychiatrist to cover the cost of the appointment. If you are receiving treatment from a psychologist, they may also be able to refer you to a psychiatrist if they believe you need more intensive treatment.

Do You Need a Referral to See an Online Psychiatrist?

How to get a referral to a psychiatrist, how to get an appointment with a psychiatrist.

If you are wondering how to schedule a psychiatrist appointment, there are several ways you can do this. A simple online search can often help you find different options for psychiatrists in your area. You can often use their website or call their office to set up a consultation.

When you receive a psychiatrist referral, your doctor or referring mental health professional may also give you recommendations for psychiatrists you could see and can help you get in touch with them to schedule an appointment. If you are looking for a mental health treatment center, you can also ask them if they have a psychiatrist on staff that you could work with during the treatment program .

Getting Started with a Psychiatrist at Great Oaks Recovery Center

If you are looking for a psychiatrist, seeing one at a mental health treatment center is a good idea, as it provides a well-rounded and thorough treatment process. At Great Oaks Recovery Center, we have knowledgeable psychiatrists on staff who know how to treat various mental health conditions. When working with a treatment center, you will not only get treatment from a psychiatrist, but you will also get around-the-clock care from our friendly and supportive treatment staff.

Treatment Professionals

Our treatment professionals will help you create a plan that works best for your needs and will lead to higher success rates. If you’re struggling and need help, you don’t have to go through it alone. Contact us today for more information about treatment at Great Oaks Recovery Center and how you can get started working with a psychiatrist.

• https://psychiatry.org/patients-families/what-is-psychiatry
• https://www.webmd.com/a-to-z-guides/what-is-psychiatrist
• https://thelightprogram.pyramidhealthcarepa.com/do-you-need-a-referral-to-get-treatment/
• https://www.talkspace.com/blog/do-you-need-a-referral-to-see-a-psychiatrist/

Can I See a Psychiatrist Without a Referral?

If you’re looking for a psychiatrist, you may wonder if you need a referral from your doctor. read on to learn more., what is a psychiatrist.

If you or someone you know is struggling with mental health or other co-occurring disorders, going to a psychiatrist could be a good idea to help learn healthy coping mechanisms and other practices than can help with daily life. A psychiatrist can provide therapy services, prescribe medications, and help you build life skills that lead to long-term success.

Psychiatrist Meaning

A psychiatrist is a medical doctor who specializes in mental health treatment. Psychiatrists can also help patients who struggle with co-occurring disorders such as substance use disorders, relationship problems , issues at work or school, and other behavioral or life circumstances that someone may be struggling with. Psychiatrists can also prescribe medication to patients to help with these things. 1  

Where Does a Psychiatrist Work?

Psychiatrists can work in a variety of places and settings. If you are looking to work with a psychiatrist or mental health therapist, there will likely be a number of places you can go for psychiatry appointments. These locations may vary depending on the circumstances a person is in and their reason for visiting a mental health therapist. Places where a psychiatrist may work include:

• Community agencies
• Courts and prisons
• Emergency rooms
• Government buildings
• Hospice programs
• Military settings
• Nursing homes
• Private practices
• Rehabilitation programs
• University medical centers  

The Difference Between a Psychologist and a Psychiatrist

While both psychiatrists and psychologists work with patients on a one-to-one basis to treat mental health conditions, there is a difference between the two professions. The main difference between the two is that psychiatrists are medical professionals who understand how biological factors impact a person’s mental health and are able to prescribe medications as part of the treatment process. Psychologists, on the other hand, are more focused on the mind, emotions, and behavior that is related to mental health issues. Psychologists can employ a variety of therapeutic techniques during treatment but are not licensed to prescribe medications. 2  

What Does a Psychiatrist Do?

Psychiatrists may provide a number of services to their patients that can be beneficial for treating a mental health condition.  

Providing Psychological Treatment

A psychiatrist can provide psychological treatment and mental health counseling to patients. Psychiatry will typically provide you with traditional one-on-one counseling therapy that can help you work on coping mechanisms, discover other underlying conditions that may be contributing to mental health issues, and work on a long-term plan for success.

Prescribing Medications

A medical psychiatrist is also licensed to prescribe medications that can help with mental health conditions. Medications a clinical psychiatrist will prescribe are scientifically studied and have shown to be beneficial for the treatment of mental health.

Doing Procedures

Brain stimulation therapies.

Brain stimulation therapies are a common procedure that may be conducted by a psychiatrist doctor. Brain stimulation therapies commonly used in psychiatry include:

• Vagus nerve stimulation (VNS)  
• Repetitive transcranial magnetic stimulation (rTMS)
• Magnetic seizure therapy (MST)
• Deep brain stimulation (DBS) 3  

These procedures have been tested and shown to be beneficial in treating mental health conditions.

Medications That a Psychiatrist May Prescribe

There are many different medications that a psychiatrist may prescribe. For those who struggle with serious mental health conditions, medications can be helpful in making a mental health counseling program more successful. 

Antidepressants

Antidepressants are a class of medication used to treat depression. They work by restoring balance in the brain, which will lead to better overall moods on a daily basis. A psychiatrist may prescribe antidepressants for those who struggle with major depressive disorder or for those where traditional treatment methods haven’t been effective.  

A psychiatrist might recommend a stimulant medication like Ritalin or Adderall for someone who has trouble focusing or staying awake at school or work. Stimulant medications can be beneficial for the treatment of conditions such as attention-deficit hyperactivity disorder (ADHD).  

Sedatives and Anxiolytics

A psychiatrist may use sedatives and anxiolytics to help with sleep, anxiety attacks, or other conditions that affect your moods, such as obsessive-compulsive disorder (OCD) .  

Mood Stabilizers

Psychiatrists may prescribe mood stabilizers to treat mood swings that occur with bipolar disorder or major depressive disorders.  

Antipsychotic Medications

A psychiatrist may prescribe an antipsychotic if their patient has been diagnosed as having schizophrenia or other serious forms of mental illness like bipolar disorder and major depression.  

Hypnotics are often prescribed by psychiatrists as an alternative treatment for sleep disorders. These medications work by making you feel relaxed, comfortable, and safe while also calming your mind so it’s easier to fall asleep.  

What Does a Psychiatrist Treat?

A psychiatrist or mental therapist can also treat a variety of mental health conditions. For those who struggle with substance abuse, an addiction psychiatrist may also be recommended during addiction treatment. Common conditions a psychiatrist may treat include:

• Anxiety disorders
• Eating disorders
• Substance abuse disorders
• Schizophrenia
• Bipolar disorder

If you’re looking to find a psychiatrist, you may be wondering if you need a referral first in order to schedule an appointment.

Typically, you will need a referral to see a psychiatrist, especially if you want to have your psychiatry appointment covered by insurance. You can get a psychiatrist referral by going to your primary doctor and discussing the condition you are struggling with. Getting a psychiatrist referral from your doctor will help you find the right psychiatrist for your needs, and your appointments will likely be covered through insurance. 4  

How Much Does a Psychiatrist Cost?

What to expect from a psychiatrist.

When you visit a psychiatrist, they will want to know what’s going on in your life and how it is affecting you. They will likely ask you a variety of questions pertaining to your condition and the reason for the visit. This will provide them with insight into treatment options and medications that may be prescribed that can help.

A psychiatrist appointment will usually last between forty to sixty minutes. However, the initial consultation will likely take longer, between one to two hours.

Getting Started with a Psychiatrist at Pacific Beach Health

If you or a loved one are experiencing any of the conditions discussed in this article, or if you just don’t feel like yourself, it might be time to seek help from a professional. A psychiatrist can provide you with an accurate diagnosis and start you on the path to feeling like your old self again. Pacific Beach Health is here to help make that process as easy and comfortable for you as possible. Contact us today to get started on your mental health journey.

• https://psychiatry.org/patients-families/what-is-psychiatry
• https://www.psychology.org/resources/differences-between-psychology-and-psychiatry/
• https://www.nimh.nih.gov/health/topics/brain-stimulation-therapies/brain-stimulation-therapies
• https://www.talkspace.com/blog/do-you-need-a-referral-to-see-a-psychiatrist/
• https://electronichealthreporter.com/how-much-does-a-psychiatrist-cost/

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Does Medicare Require A Referral To See A Specialist? 

Although a primary care doctor can help you navigate many of your healthcare needs, you may have medical conditions that require the care of a specialist. Understanding when a specialist should be consulted and whether or not your Medicare benefits provider requires a referral beforehand can help you streamline your access to care.

Determining When to See a Specialist

The function of a primary care physician is to help you establish health needs and then help you maintain common health goals and preventive care. An appointment with your primary care doctor is typically your first step in addressing any chronic or acute symptoms.

While they may offer an initial diagnosis or order certain tests to confirm or rule out any medical condition, they are not always trained or experienced to address more complex health needs. In those situations, your primary care doctor will refer you to a specialist.

According to the Association of American Medical Colleges (AAMC), there are over 120 specialty and subspecialty branches of medical practice. Their focus can be targeted on a disease or group of diseases, a specific organ or system of organs within the body. Depending on your medical needs, you may be referred to more than one specialist as a treatment plan is developed.

Original Medicare Referral Requirements

Original Medicare benefits through Part A, hospital insurance and Part B, medical insurance, do not need their primary care physician to provide a referral in order to see a specialist. Complications with coverage can occur if you see a specialist who is not Medicare-approved or opts out of accepting Medicare payments.

While some Medigap plans can help cover costs that occur from visits with these specialists, Medicare recipients should speak to any specialists beforehand to confirm whether or not they accept Medicare assignment.

Medicare Advantage Plan Referral Requirements

Medicare works with private insurers to offer Medicare recipients more choices for coverage. These Medicare Advantage plans must provide the same benefits as Original Medicare, but they often include additional benefits and have their own specific provider network. They also operate under different organizational categories.

• Health Maintenance Organization (HMO) Plans.  The structural concept of HMO plans is care coordination, where your team of healthcare professionals work together to help you maintain your health needs. Because of this, your plan may need your physician’s referral for specialists, and the specialist must be an in-network provider when seen for non-emergency needs.
• Preferred Provider Organization (PPO) Plans.  This plan offers coverage for both in and out-of-network providers, but your out-of-pocket expenses will typically be lower if you see in-network specialists. Referrals are rarely needed for most circumstances.
• Private Fee-for-Service (PFFS) Plans.  Referrals are not usually necessary with this type of plan, but you should check with the specialist to confirm they accept this type of coverage and the fee schedule it sets.
• Special Needs Plans (SNPs).  Some common yearly screenings and exams performed by specialists may not require a referral, but most do. As with other plans, non-emergency specialists must be in-network providers in order to qualify for coverage.

Each insurer can have policies that differ from these general guidelines, so it may be necessary to consult with a representative for your specific plan to verify their policy with regard to specialist referrals.

Related articles:

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Psychiatry is a medical field concerned with the diagnosis, treatment and prevention of mental health conditions.

A doctor who works in psychiatry is called a psychiatrist. Unlike other mental health professionals, such as psychologists and counsellors, psychiatrists must be medically qualified doctors who have chosen to specialise in psychiatry. This means they can prescribe medication as well as recommend other forms of treatment.

Most psychiatrists work as part of community mental health teams (CMHTs), in outpatient clinics or hospital wards. Some carry out sessions in GP surgeries.

What conditions can psychiatrists treat?

Mental health conditions that may be diagnosed and treated by a psychiatrist include:

• anxiety and panic attacks
• obsessive compulsive disorder (OCD)
• post-traumatic stress disorder (PTSD)
• personality disorders
• schizophrenia  
• depression and bipolar disorder
• dementia and Alzheimer's disease
• eating disorders , such as anorexia and bulimia
• sleep disorders, such as  insomnia
• addictions , such as drug or  alcohol misuse

Psychiatrists may also provide psychological support for people with long-term, painful or terminal physical health conditions.

Getting an appointment with a psychiatrist

You'll usually need a referral from your GP or another doctor to see a psychiatrist on the NHS.

Your GP may refer you directly to a psychiatrist or to a member of a local mental health team, who can assess your needs and help determine if you need to see a psychiatrist or a different mental health professional.

If you are under 18, you may be referred to your local children and young people's mental health services.

You can also see a psychiatrist privately, although most private psychiatrists prefer a referral from your GP. Your GP may be able to recommend psychiatrists in your area. You can also try contacting a psychiatric clinic directly or using online psychiatry services.

You'll see a psychiatrist who specialises in the area of psychiatry most relevant to your situation. The main areas of expertise include:

• childhood and adolescent psychiatry
• general adult psychiatry
• older person's psychiatry
• learning disabilities
• psychotherapy (talking therapies)

You can check the details of a psychiatrist, including their area of speciality, by looking on the medical register , a list of doctors in the UK.

If they have the letters MRCPsych (Member of the Royal College of Psychiatrists) or FRCPsych (Fellow of the Royal College of Psychiatrists) after their name, they're a current member of the Royal College of Psychiatrists (RCPsych) .

What happens during your appointments

During your first appointment, your psychiatrist will carry out an initial assessment. They'll look at both your mental and physical health, and may ask:

• about the problem that brought you to see them
• general questions about your life and thoughts
• to carry out a simple physical examination, such as checking your blood pressure – for example, before prescribing certain medications
• for information from other sources, such as your GP, relatives and social workers

After assessing your condition, your psychiatrist may prescribe medication or recommend other treatments, such as counselling or cognitive behavioural therapy (CBT) .

The number of times you need to see a psychiatrist and the length of each appointment will depend on your circumstances.

A psychiatrist may continue to manage your treatment or they may refer you to other community mental health services in your area. These services work in small units or clinics and aim to help people manage their illness so they can lead a normal life within the community.

Further information and support

The Royal College of Psychiatrists (RCPsych) has mental health information in a number of areas, including problems and disorders, support and treatment, and advice for parents or carers and young people.

Page last reviewed: 17 June 2022 Next review due: 17 June 2025

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Video edited to make it appear Biden tried to sit down when there wasn’t a chair

A video shows President Joe Biden trying to sit in a chair that wasn’t there during a ceremony in Normandy, France. However, full footage of the ceremony shows the president looking over his shoulder for his chair and pausing before taking a seat.

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CLAIM: A video shows President Joe Biden trying to sit in a chair that wasn’t there during a ceremony in Normandy, France, commemorating the 80th anniversary of D-Day.

AP’S ASSESSMENT: False. The video, in which Biden’s chair is for the most part clearly visible, is cut before the president sits down. Full footage of the ceremony shows the president looking over his shoulder for his chair and pausing before taking a seat.

THE FACTS: As World War II veterans and world leaders gathered to honor the famed Allied invasion of Nazi-occupied France, social media users shared the short clip to further an ongoing narrative that Biden is infirm.

In the video, Biden and French President Emmanuel Macron shake hands while standing between their wives, first ladies Jill Biden and Brigitte Macron. The president then briefly looks over his left shoulder, bends over and hovers in that position as U.S. Defense Secretary Lloyd Austin is announced as the event’s next speaker.

“This is disturbing,” reads one X post. “Pres. Biden is literally trying to find the invisible chair to sit in. It’s just all so sad, and disgraceful to those in attendance who desire to honor the brave men who died to protect our nation from tyrannical governments.”

Another X post states: “Biden is trying to sit in a chair that doesn’t exist. The problem is that he intends to continue running for the presidential elections.”

But the video spreading online cuts off right before Biden takes a seat. In footage of the ceremony in its entirety , the president glances at his chair, bends over, pauses as Austin’s introduction begins and then sits down at the same time as Macron, their wives and the people sitting behind them. Biden’s chair is visible throughout the video although it is obscured in some sections.

Biden spoke later in the event , pledging “we will not walk away” from Ukraine, drawing a direct line from the fight to liberate Europe from Nazi domination to today’s war against Russian aggression. He called D-Day a “powerful illustration of how alliances, real alliances make us stronger.”

The June 6, 1944, D-Day invasion was unprecedented in its scale and audacity, using the largest-ever armada of ships, troops, planes and vehicles to punch a hole in Adolf Hitler’s defenses in western Europe and change the course of World War II.

Nearly 160,000 Allied troops landed in Normandy that day, most from the U.S., Britain and Canada. They faced around 50,000 German troops. ___ This is part of the AP’s effort to address widely shared false and misleading information that is circulating online. Learn more about fact-checking at AP .

Morning Rundown: Judge's handling of Trump docs case questioned, heat dome keeps temps high in eastern U.S., student not charged in fatal stabbing of burglary suspect

Senate probes A Place for Mom, referral service accused of putting seniors at risk

The Senate Special Committee on Aging is launching an investigation into A Place for Mom, the country’s largest for-profit senior care referral service, which has been accused of steering people toward facilities with documented safety and regulatory violations while collecting lucrative commissions.

Committee Chair Bob Casey, D-Pa., sent a letter Tuesday to A Place for Mom accusing it of misleading users about the role commissions play in its referrals and discriminating against low-income families. The letter, obtained by NBC News, requested three years’ worth of information about revenue the company has received from assisted living communities.

A Place for Mom, launched in 2000, which bills itself as the biggest online referral service for senior living options, lists roughly 14,000 establishments in the U.S. and accepts payments from those facilities. But seniors and their families might not realize that’s less than half of the facilities on the market, the letter states.

Casey’s letter also criticizes A Place for Mom for encouraging families to spend more than they can afford. It cites a frequently asked questions section of the company’s website that encourages facilities not to worry if they charge more than a family’s stated upper limit . According to the FAQ, nearly 40% of families who moved to senior living paid roughly $1,000 more per month than they had budgeted. 

“It is clear A Place for Mom is upselling families, and the company ultimately benefits from families spending beyond their means,” Casey wrote. 

The FAQ also says its advisers do their best “to ensure that no federally funded family is referred” to the communities, effectively barring families who want to use Medicaid funding to cover assisted living costs.A Place for Mom did not immediately respond to a request for comment.

Assisted living and elder care are part of a booming industry that’s expected to continue expanding in the next two decades. The average monthly cost of assisted living is around $4,500 to $5,300 , but it varies depending on location and the level of care required. A majority of the facilities are affiliated with chains or large corporations, and the quality of care has increasingly been called into question as private equity firms have taken greater ownership of the industry.

In 2010, The Seattle Times reported that A Place for Mom referred people to senior living homes without inspecting them for quality or safety, directing families toward facilities with documented abuse and neglect violations. The company said at the time that its advisers sometimes fall behind on visiting facilities in person but that many families were satisfied with its services.

This year, a Washington Post analysis found that more than a third of the facilities the website recommended as “Best of Senior Living” across 28 states had been “cited for neglect or substandard care in the past two years.” State oversight records reviewed by the Post alleged the facilities failed to properly tend to injuries, mismanaged medication and did not adequately monitor patients who later died. The company told the Post it encourages families to do their own research to make “an informed decision.”

While A Place for Mom is the biggest senior living referral service, it is not the only website that receives commissions from facilities for finding them residents.

Kate Granigan, board president of the Aging Life Care Association, a nonprofit group that advocates for ethical standards in elder care, said that as long as the facilities foot the bill for referrals — rather than the consumers’ paying advisers for recommendations — the model is “ripe for conflict.” She said she would support legislation to require minimum transparency standards for referral services.

“Transparency about how they get paid is important to the consumer. “As is the fact that they don’t represent everything that’s out there — they represent who pays them. I also think there should be transparency about their expertise,” Granigan said, noting that consumers may not understand that not all of the advisers who help them have medical backgrounds.

A Place for Mom was previously owned by a private equity firm that simultaneously had invested in assisted living facilities, before the website was sold to the two other private equity firms that currently hold it, according to Casey’s letter.

Casey’s letter asked A Place for Mom for its total revenue for each of the last three years and for the 100 facilities it received the most money from and referred the most people to over the same period. The letter also requested details on A Place for Mom's process for vetting facilities and the total number of move-in fees it received last year, along with copies of sample contracts. The company has until July 15 to provide the requested information.

Tyler Kingkade is a national reporter for NBC News, based in Los Angeles.