Psychiatrists in San Diego, CA

Photo of Dr. Ronil Shah, Psychiatrist in San Diego, CA
Dr. Ronil Shah
Psychiatrist, MD
Verified Verified
San Diego, CA 92104
Dr. Shah is welcoming new patients for video appointments. As a Board-certified M.D. psychiatrist, he specializes in assessing and treating anxiety, depression, bipolar disorder, OCD, PTSD and other psychiatric issues. A holistic provider, he combines non-pharmacologic approaches - including psychodynamic psychotherapy and cognitive behavioral therapy - in addition to medication. He utilizes such therapeutic modalities in medication management appointments as well as dedicated therapy sessions. Consequently, patients benefit from well-integrated treatment that is both systematic and thorough.
Dr. Shah is welcoming new patients for video appointments. As a Board-certified M.D. psychiatrist, he specializes in assessing and treating anxiety, depression, bipolar disorder, OCD, PTSD and other psychiatric issues. A holistic provider, he combines non-pharmacologic approaches - including psychodynamic psychotherapy and cognitive behavioral therapy - in addition to medication. He utilizes such therapeutic modalities in medication management appointments as well as dedicated therapy sessions. Consequently, patients benefit from well-integrated treatment that is both systematic and thorough.
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Photo of R.D. Dipp, D.O., Psychiatrist in San Diego, CA
R.D. Dipp, D.O.
Psychiatrist, DO
Verified Verified
2 Endorsed
San Diego, CA 92101
Not accepting new clients
We provide both psychiatric medication evaluation management and psychoanalytic therapy, an approach that offers the opportunity to explore both best means to address the struggles that an individual is going through, as well as looking for ways to facilitate internal psychology growth in terms of sense of self, and relationship with others.
We provide both psychiatric medication evaluation management and psychoanalytic therapy, an approach that offers the opportunity to explore both best means to address the struggles that an individual is going through, as well as looking for ways to facilitate internal psychology growth in terms of sense of self, and relationship with others.
(858) 215-1935 View (858) 215-1935
Photo of Milka Galvez, Psychiatric Nurse Practitioner in San Diego, CA
Milka Galvez
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Diego, CA 92127  (Online Only)
I am a Psychiatric Mental Health Nurse Practitioner (PMHNP). I received my Master’s Degree from Walden University. I have experience working as a nurse in an acute and outpatient setting. I am passionate in working with adolescents, adults and the geriatric patients by not only caring for them but assisting them to wellness. When I’m not working I enjoy hiking, traveling and spending time with my family.
I am a Psychiatric Mental Health Nurse Practitioner (PMHNP). I received my Master’s Degree from Walden University. I have experience working as a nurse in an acute and outpatient setting. I am passionate in working with adolescents, adults and the geriatric patients by not only caring for them but assisting them to wellness. When I’m not working I enjoy hiking, traveling and spending time with my family.
(858) 723-0277 View (858) 723-0277
Photo of Amanda Dehart, Psychiatric Nurse Practitioner in San Diego, CA
Amanda Dehart
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
San Diego, CA 92122
I am a psychiatric mental health nurse practitioner with over ten years of experience in inpatient psychiatric nursing, including crisis stabilization, here in San Diego County. I am familiar with many of the resources available here in San Diego County to assist our families with various treatment options. I have worked with clients who have anxiety, depression, Bipolar and schizophrenia. I aim to adopt a comprehensive and interconnected method in identifying the underlying cause of symptoms and strive towards discovering solutions that encompass each person’s physical, mental, and spiritual aspects and unique requirements.
I am a psychiatric mental health nurse practitioner with over ten years of experience in inpatient psychiatric nursing, including crisis stabilization, here in San Diego County. I am familiar with many of the resources available here in San Diego County to assist our families with various treatment options. I have worked with clients who have anxiety, depression, Bipolar and schizophrenia. I aim to adopt a comprehensive and interconnected method in identifying the underlying cause of symptoms and strive towards discovering solutions that encompass each person’s physical, mental, and spiritual aspects and unique requirements.
(858) 330-4107 View (858) 330-4107
Photo of Dr. Krista Roybal, Psychiatrist in San Diego, CA
Dr. Krista Roybal
Psychiatrist, MD
Verified Verified
San Diego, CA 92121
*Please Note, I currently only see adults enrolled in True Life Center for Wellbeing Intensive Outpatient (IOP) program.* At True Life Center, patients receive compassionate, individualized, holistic care from a full team of diverse and talented practitioners. In addition to an approach to psychotherapy that is suited to you, we offer couples & family therapy, mindfulness self-compassion & meditation, individualized yoga, acupuncture, massage, nutrition, and fitness. Our approach to care is rooted in the belief that achieving optimal mental health requires attention to the needs of the whole individual - mind, body, and spirit.
*Please Note, I currently only see adults enrolled in True Life Center for Wellbeing Intensive Outpatient (IOP) program.* At True Life Center, patients receive compassionate, individualized, holistic care from a full team of diverse and talented practitioners. In addition to an approach to psychotherapy that is suited to you, we offer couples & family therapy, mindfulness self-compassion & meditation, individualized yoga, acupuncture, massage, nutrition, and fitness. Our approach to care is rooted in the belief that achieving optimal mental health requires attention to the needs of the whole individual - mind, body, and spirit.
(858) 386-7265 View (858) 386-7265
Photo of Margaret Gold, Psychiatrist in San Diego, CA
Margaret Gold
Psychiatrist, MD
Verified Verified
San Diego, CA 92103
I specifically treat unrelenting depression, anxiety, insomnia, and PTSD, otherwise not well treated by traditional psychiatric medications. With a trauma informed, holistic, integrative approach to psychiatric treatment, I offer a safe container for you to explore and heal from the inside. With 1:1 individualized treatment, using Ketamine Assisted Psychotherapy, unlike other ketamine clinics, I will stay by your side throughout in a safe, home like setting. We believe in your innate ability to heal in a setting of safety, feeling heard and seen, and empathy. If you are looking for a new approach, please let us know.
I specifically treat unrelenting depression, anxiety, insomnia, and PTSD, otherwise not well treated by traditional psychiatric medications. With a trauma informed, holistic, integrative approach to psychiatric treatment, I offer a safe container for you to explore and heal from the inside. With 1:1 individualized treatment, using Ketamine Assisted Psychotherapy, unlike other ketamine clinics, I will stay by your side throughout in a safe, home like setting. We believe in your innate ability to heal in a setting of safety, feeling heard and seen, and empathy. If you are looking for a new approach, please let us know.
(760) 428-1916 View (760) 428-1916
Photo of Randall Bailey, Psychiatrist in San Diego, CA
Randall Bailey
Psychiatrist, MD
Verified Verified
San Diego, CA 92101  (Online Only)
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
(424) 339-0459 View (424) 339-0459
Photo of Phuong Pham, Psychiatric Nurse Practitioner in San Diego, CA
Phuong Pham
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
San Diego, CA 92128
Phuong provides safe, high-quality, patient-centered care. She is driven by compassion, knowledge, honesty, and integrity.
Phuong provides safe, high-quality, patient-centered care. She is driven by compassion, knowledge, honesty, and integrity.
(858) 568-7546 View (858) 568-7546
Photo of Dr. Jon Deam, Psychiatrist in San Diego, CA
Dr. Jon Deam
Psychiatrist, MD
Verified Verified
1 Endorsed
San Diego, CA 92103
Ever feel like something’s missing? Like it’s harder than it should be? The journey of turning inward to find strength, resilience, and meaning is not always an easy one, but it is one we were never meant to take alone. Dr. Jon, founder of Aveo Wellness, knows all about helping you face that challenge and lean into profound growth, with expert medication optimization and identifying where you feel stuck.
Ever feel like something’s missing? Like it’s harder than it should be? The journey of turning inward to find strength, resilience, and meaning is not always an easy one, but it is one we were never meant to take alone. Dr. Jon, founder of Aveo Wellness, knows all about helping you face that challenge and lean into profound growth, with expert medication optimization and identifying where you feel stuck.
(619) 940-1200 View (619) 940-1200
Photo of Leah Haddad, Psychiatric Nurse Practitioner in San Diego, CA
Leah Haddad
Psychiatric Nurse Practitioner, MSN, PMHNP, FNP
Verified Verified
4 Endorsed
San Diego, CA 92108
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/CA
(619) 789-1656 View (619) 789-1656
Photo of Riz Ahmad, Psychiatrist in San Diego, CA
Riz Ahmad
Psychiatrist, MD
Verified Verified
San Diego, CA 92101  (Online Only)
We know asking for help is not an easy thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now welcoming new patients!
We know asking for help is not an easy thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now welcoming new patients!
(619) 648-4019 View (619) 648-4019
Photo of Cindy L Butler, Psychiatric Nurse Practitioner in San Diego, CA
Cindy L Butler
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Verified Verified
3 Endorsed
San Diego, CA 92128
Are you experiencing depressed mood, irritability, anxiety, sleep problems, or struggling with relationships or motivation? Would you like to improve your mental wellness? You are taking the first step right now by connecting with a mental health provider. I can help you consider medications and learn and effective therapeutic tools that you can use independently to nurture your mental health. I work with adults to address periodic or persistent mental health conditions. We will define your treatment goals and work to optimize your mental health, improve your overall functioning and enrich your quality of life.
Are you experiencing depressed mood, irritability, anxiety, sleep problems, or struggling with relationships or motivation? Would you like to improve your mental wellness? You are taking the first step right now by connecting with a mental health provider. I can help you consider medications and learn and effective therapeutic tools that you can use independently to nurture your mental health. I work with adults to address periodic or persistent mental health conditions. We will define your treatment goals and work to optimize your mental health, improve your overall functioning and enrich your quality of life.
(858) 330-1289 View (858) 330-1289
Photo of Gisela Ayub, Psychiatric Nurse Practitioner in San Diego, CA
Gisela Ayub
Psychiatric Nurse Practitioner, NP
Verified Verified
San Diego, CA 92123
Gisela Ayub is a Psychiatric Nurse Practitioner with an advanced degree, as Doctor in Nursing Practice. She is also licensed in different states as an Advanced Practice Registered Nurse, or Psychiatric Nurse Practitioner. Gisela holds two Masters in Science in Nursing (MSN) degrees. Her first MSN degree with emphasis on Psychiatry as a Clinical Nurse Specialist from Point Loma Nazarene University in San Diego, CA, and her second MSN degree emphasis in Psychiatry as a Nurse Practitioner from Gonzaga University in Spokane, WA.
Gisela Ayub is a Psychiatric Nurse Practitioner with an advanced degree, as Doctor in Nursing Practice. She is also licensed in different states as an Advanced Practice Registered Nurse, or Psychiatric Nurse Practitioner. Gisela holds two Masters in Science in Nursing (MSN) degrees. Her first MSN degree with emphasis on Psychiatry as a Clinical Nurse Specialist from Point Loma Nazarene University in San Diego, CA, and her second MSN degree emphasis in Psychiatry as a Nurse Practitioner from Gonzaga University in Spokane, WA.
(858) 901-7076 View (858) 901-7076
Photo of M Zenilde A M De Lima, Psychiatrist in San Diego, CA
M Zenilde A M De Lima
Psychiatrist, MD
Verified Verified
San Diego, CA 92127  (Online Only)
I am an Adult, Child, and Adolescent Psychiatrist with a background in Pediatrics. My 15-year experience as a pediatrician has helped me integrate Biology, Psychological Development, and Social Environment in my work.
I am an Adult, Child, and Adolescent Psychiatrist with a background in Pediatrics. My 15-year experience as a pediatrician has helped me integrate Biology, Psychological Development, and Social Environment in my work.
(619) 382-2364 View (619) 382-2364
Photo of Sarah Blue, Psychiatrist in San Diego, CA
Sarah Blue
Psychiatrist, MD-BC
Verified Verified
San Diego, CA 92101  (Online Only)
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
(619) 815-7735 View (619) 815-7735
Photo of Lauren Prasek, Psychiatric Nurse Practitioner in San Diego, CA
Lauren Prasek
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
1 Endorsed
San Diego, CA 92131
I am board-certified to see all ages but my primary focus is to empower women on their wellness journey by offering an approachable and causal setting for treatment.
I am board-certified to see all ages but my primary focus is to empower women on their wellness journey by offering an approachable and causal setting for treatment.
(619) 771-0505 View (619) 771-0505
Photo of Milka Galvez, Psychiatric Nurse Practitioner in San Diego, CA
Milka Galvez
Psychiatric Nurse Practitioner
Verified Verified
San Diego, CA 92121  (Online Only)
Are you going through a difficult time? Is it tough to get yourself out of bed in the morning and start the day? Feeling overwhelmed, sad, or anxious that it's difficult to concentrate on daily tasks. Please know that you are at the right place. Your life does not have to stay this way and we can work together to get you back in control of your life. The peaks and valleys will not be as drastic anymore. The cloud over your head will no longer follow you throughout the day. Together we will work on controlling your emotions rather than your emotions controlling you.
Are you going through a difficult time? Is it tough to get yourself out of bed in the morning and start the day? Feeling overwhelmed, sad, or anxious that it's difficult to concentrate on daily tasks. Please know that you are at the right place. Your life does not have to stay this way and we can work together to get you back in control of your life. The peaks and valleys will not be as drastic anymore. The cloud over your head will no longer follow you throughout the day. Together we will work on controlling your emotions rather than your emotions controlling you.
(708) 742-7856 View (708) 742-7856
Photo of Mae Caragay, Physician Assistant in San Diego, CA
Mae Caragay
Physician Assistant, PA-C, MPAS
Verified Verified
San Diego, CA 92101  (Online Only)
Accepting New Patients - I am a board-certified Psychiatric Physician Associate (PA) with extensive training in Family Practice, Psychiatry, and Addiction Medicine. My journey has taken me from rural to urban communities, equipping me with a diverse skill set to better serve my patients. With a strong emphasis on collaboration and empathy, I strive to provide the highest quality of care.
Accepting New Patients - I am a board-certified Psychiatric Physician Associate (PA) with extensive training in Family Practice, Psychiatry, and Addiction Medicine. My journey has taken me from rural to urban communities, equipping me with a diverse skill set to better serve my patients. With a strong emphasis on collaboration and empathy, I strive to provide the highest quality of care.
(619) 848-3095 View (619) 848-3095
Photo of Robert Zalewski-Zaragoza, Psychiatrist in San Diego, CA
Robert Zalewski-Zaragoza
Psychiatrist, MD
Verified Verified
1 Endorsed
San Diego, CA 92101
I believe in a individualized approach to treatment. Although many patients may present with similar symptoms, the causes and context underlying those symptoms can be very different and thus the treatment plans are unique. Some patients may benefit from psychotropic medications either for a short period of time or for long term maintenance treatment. Others would gain more benefit from psychotherapy or talk therapy, where some of the root causes underlying the symptoms can be addressed and healed. The choice to use medications, therapy or a combination of both depends on the context of symptoms and the patient's wishes.
I believe in a individualized approach to treatment. Although many patients may present with similar symptoms, the causes and context underlying those symptoms can be very different and thus the treatment plans are unique. Some patients may benefit from psychotropic medications either for a short period of time or for long term maintenance treatment. Others would gain more benefit from psychotherapy or talk therapy, where some of the root causes underlying the symptoms can be addressed and healed. The choice to use medications, therapy or a combination of both depends on the context of symptoms and the patient's wishes.
(619) 618-4216 View (619) 618-4216
Photo of Ike Uzowulu, Psychiatric Nurse Practitioner in San Diego, CA
Ike Uzowulu
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
2 Endorsed
San Diego, CA 92128  (Online Only)
I am a board-certified family psychiatric nurse practitioner. I have a master's degree in psychiatric nursing specializing in mental and behavioral health medicine. I have verifiable experience in treating variety of psychiatric disorders such as; mood disorders including resistant depression, eating disorders, ADHD, OCD, PTSD, schizophrenia, stress and sleep related disorders.
I am a board-certified family psychiatric nurse practitioner. I have a master's degree in psychiatric nursing specializing in mental and behavioral health medicine. I have verifiable experience in treating variety of psychiatric disorders such as; mood disorders including resistant depression, eating disorders, ADHD, OCD, PTSD, schizophrenia, stress and sleep related disorders.
(858) 221-9527 View (858) 221-9527

How does your Psychiatrist compare?

Number of Psychiatrists in San Diego, CA

300+

Average cost per session

$225

Psychiatrists in San Diego, CA who prioritize treating:

94% Anxiety
92% Depression
76% ADHD
76% Bipolar Disorder
74% Trauma and PTSD
72% Obsessive-Compulsive (OCD)
69% Medication Management

Average years in practice

11 Years

Top 3 insurances accepted

91% Aetna
89% Cigna and Evernorth
86% UnitedHealthcare UHC | UBH

How Psychiatrists in San Diego, CA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

59% Female
40% Male
1% Non-Binary
FAQs - About Psychiatrists and Psychiatric Nurses

How can I find a psychiatrist in San Diego?

The Psychology Today Directory enables you to search specifically for psychiatrists, using the drop down provider menu in the navigation bar, by city or zip code, or by the name of the psychiatrist. Search results provide detailed profiles of professionals, including their treatment approach and areas of expertise. In addition, listings provide important information about each psychiatrist’s credentials, fees, payment options, and insurance affiliations. Directory users can select psychiatrists who meet an array of personally-desired criteria, such as familiarity with a specific community or condition.

What is the difference between a psychiatrist and a psychologist?

Psychiatrists are medical specialists who focus on understanding, diagnosing, and treating diseases of the brain and disorders of the mind and behavior. As physicians, psychiatrists are trained to recognize the often-subtle biological causes of mental disorders and to monitor the effects of mental disturbances on physical conditions, such as heart disease. Psychologists are especially attuned to the influence of early experience on development and behavior, emotional and cognitive processes, the nature of personality, and social functioning. They are also trained to deploy an array of psychological tests—IQ tests, personality tests, behavioral assessments—to gauge a person’s functioning.

What is a psychiatric nurse practitioner?

A psychiatric nurse practitioner, also known as a mental health nurse practitioner, is a registered nurse who completes advanced training in psychiatric care, earning either a master’s or doctoral degree in psychiatric nursing, and in the U.S., passes a national certification exam. Like psychiatrists, psychiatric nurse practitioners are trained to assess, diagnose, and treat mental health conditions. In some locales, psychiatric nurse practitioners can offer the full range of psychiatric care, including prescribing and managing medication. In other places, they must work in collaboration with a physician.

Is everyone in the Psychology Today Therapy Directory a licensed psychiatrist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychiatrists, psychologists, social workers, and counselors. All psychiatrists listed in the directory have a valid license issued by the state(s) in which they practice and are certified by the American Board of Psychiatry and Neurology. Providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some individuals or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

Can a psychiatrist prescribe medication?

Psychiatrists are licensed medical doctors who are trained to recognize the many ways body processes affect the functioning of the brain and mind. As physicians, they can prescribe medication. Patients who are prescribed medications will typically need to continue to see a psychiatrist so that the effects of the medication can be monitored. For many psychiatric conditions, including common disorders such as anxiety and depression, the preferred treatment is combination therapy—medication accompanied by psychotherapy.

Do psychiatrists offer therapy?

Psychiatrists are generally trained in a number of treatment modalities, including psychotherapy, pharmacotherapy, and, increasingly, somatic therapies. Typically, psychiatrists make a diagnosis and determine a course of treatment based on chemical or biological factors, using lab tests, brain scans and physical and psychological evaluations. While psychotherapy may be used in the first session to aid in diagnosis, it is not typically utilized in subsequent visits. In fact, after the introductory session, most sessions with a psychiatrist may only be 15-20 minutes in length and are largely focused on medication management. Many psychiatrists who do not offer psychotherapy work collaboratively with psychologists and other mental health clinicians and can refer clients seeking talk therapy to those providers.

How do I know if I need a psychiatrist or a therapist?

It is not always easy to know which type of mental health practitioner to choose. Many people are unaware of the root of their mental or behavioral problem. One way many people learn which type of care is best for them is by seeing their primary care provider first. Depending on the nature and severity of the symptoms, the physician may review their medical history or perform medical tests to determine whether biological factors are involved before making a referral. It is not necessary for a person to know precisely what type of care they need in order to seek help. Many psychiatrists and psychologists refer clients to each other depending on client needs.

Do I need a referral to see a psychiatrist?

A referral to a psychiatrist is often not required. However, seeing your primary care physician first can be helpful and actually prove to be a shortcut to getting what you need. Your PCP may have a clear idea whether psychiatric help is needed and/or which kind of mental health care would be most beneficial and refer you to the right type of practitioner. For that reason alone, some psychiatrists require a referral. Further, many insurance plans require a referral from a PCP if they cover all of part of the cost of seeing a specialist; if, however, you are paying out of pocket, you may not need a referral. In any case, a referral may speed the process of securing an appointment with a psychiatrist, especially in areas where there is a shortage of mental health specialists and new patients face long waits for appointments.