Psychiatrist vs. psychiatric NP vs. therapist: who should you see?

When you’re looking for mental health care, the titles can be confusing. Here’s a simple guide to who does what.

Psychiatrists

Psychiatrists are medical doctors (MD or DO) who completed medical school and a psychiatry residency. They diagnose mental health conditions, prescribe medication and often focus on complex or severe cases.

Psychiatric nurse practitioners

Psychiatric mental health nurse practitioners (PMHNPs) are advanced practice nurses with graduate training in psychiatry. In California, they can evaluate, diagnose, prescribe medication and provide therapy. Many PMHNPs, like Earl Johns, PMHNP-BC, offer longer visits that combine medication management with talk therapy.

Therapists

Therapists, including psychologists, licensed clinical social workers (LCSWs), marriage and family therapists (LMFTs) and professional clinical counselors (LPCCs), specialize in talk therapy. In California, they don’t prescribe medication.

Which one is right for you?

If you want therapy only, a therapist may be a great fit. If you’re considering medication, or you want medication and therapy in one place, a psychiatric NP or psychiatrist is a good place to start. Many people see both, and we’re happy to coordinate with your therapist.