Psychiatrists in San Diego, CA

Photo of Ashok Parameswaran, Psychiatrist in San Diego, CA
Ashok Parameswaran
Psychiatrist, MD
Verified Verified
San Diego, CA 92122  (Online Only)
Dr. Ashok Parameswaran is a licensed and board-certified psychiatrist. Born outside of Philadelphia PA, he moved to San Diego for residency. In San Diego, he has worked in a variety of outpatient clinical care settings serving patients from diverse socioeconomic backgrounds.
Dr. Ashok Parameswaran is a licensed and board-certified psychiatrist. Born outside of Philadelphia PA, he moved to San Diego for residency. In San Diego, he has worked in a variety of outpatient clinical care settings serving patients from diverse socioeconomic backgrounds.
(858) 630-6582 View (858) 630-6582
Photo of Karine Khatchatrian, Psychiatrist in San Diego, CA
Karine Khatchatrian
Psychiatrist, MD
Verified Verified
San Diego, CA 92128
Dr. Karine Khatchatrian helps adults with anxiety, depression, bipolar disorder, and schizophrenia.
Dr. Karine Khatchatrian helps adults with anxiety, depression, bipolar disorder, and schizophrenia.
(858) 568-7546 View (858) 568-7546
Photo of Raphael Morris, Psychiatrist in San Diego, CA
Raphael Morris
Psychiatrist, MD
Verified Verified
San Diego, CA 92130
Raphael Morris, MD is board certified in general psychiatry. He has extensive experience in assessing and treating adults and adolescents in both psychotherapy and with medications. Following forensic psychiatry fellowship training, he opened a clinical and forensic private practice and is particularly adept at assessing psychiatric disabilities, and managing the treatment needs of clients when there has been some involvement with the legal system, e. g. divorce, custody disputes, juvenile delinquency, and substance abuse histories.
Raphael Morris, MD is board certified in general psychiatry. He has extensive experience in assessing and treating adults and adolescents in both psychotherapy and with medications. Following forensic psychiatry fellowship training, he opened a clinical and forensic private practice and is particularly adept at assessing psychiatric disabilities, and managing the treatment needs of clients when there has been some involvement with the legal system, e. g. divorce, custody disputes, juvenile delinquency, and substance abuse histories.
(858) 533-0652 View (858) 533-0652
Photo of Joshua Dougherty, Psychiatric Nurse Practitioner in San Diego, CA
Joshua Dougherty
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
San Diego, CA 92108
Josh primarily helps children, adolescents, and young adults with anxiety, attention-deficit/hyperactivity disorder, depression, mood disorder, and autism-related behaviors.
Josh primarily helps children, adolescents, and young adults with anxiety, attention-deficit/hyperactivity disorder, depression, mood disorder, and autism-related behaviors.
(619) 457-4410 View (619) 457-4410
Photo of Robert McLay, Psychiatrist in San Diego, CA
Robert McLay
Psychiatrist, MD, PhD
Verified Verified
1 Endorsed
San Diego, CA 92108
Robert McLay is a psychiatrist and pain medicine physician who received board certifications in three areas: General Psychiatry, Pain Medicine, and Psychosomatic Medicine (the overlap between medical and mental health). He has a special focus on military, their families, and high-performance issues, but treats all mental health conditions. Dr. McLay received his bachelor’s and master’s degrees from The Johns Hopkins University, and his Ph.D. in neuroscience and M.D. from Tulane University. He received specialty training from Naval Medical Center, the University of California San Diego, and the American Psychoanalytic Association.
Robert McLay is a psychiatrist and pain medicine physician who received board certifications in three areas: General Psychiatry, Pain Medicine, and Psychosomatic Medicine (the overlap between medical and mental health). He has a special focus on military, their families, and high-performance issues, but treats all mental health conditions. Dr. McLay received his bachelor’s and master’s degrees from The Johns Hopkins University, and his Ph.D. in neuroscience and M.D. from Tulane University. He received specialty training from Naval Medical Center, the University of California San Diego, and the American Psychoanalytic Association.
(619) 393-7968 View (619) 393-7968
Photo of Deval A Shah, Psychiatrist in San Diego, CA
Deval A Shah
Psychiatrist, MD
Verified Verified
San Diego, CA 92130
I provide psychiatric evaluations, medication management and consultation as well as psychotherapy for children, adolescents and adults. I also work with other providers who are providing psychotherapy where I would manage the psychiatric medications of the patient. I believe in working together with all providers as a team.
I provide psychiatric evaluations, medication management and consultation as well as psychotherapy for children, adolescents and adults. I also work with other providers who are providing psychotherapy where I would manage the psychiatric medications of the patient. I believe in working together with all providers as a team.
(858) 926-5815 View (858) 926-5815
Photo of Anna Amour Ross, Psychiatric Nurse Practitioner in San Diego, CA
Anna Amour Ross
Psychiatric Nurse Practitioner, PMHNP, CNS-BC
Verified Verified
1 Endorsed
San Diego, CA 92122  (Online Only)
Are you looking for an experienced psych med provider with a conservative approach to prescription meds? Dual board certified Psychiatric Mental Health Nurse Practitioner with over 12 years of experience, Anna has proven success in assisting patients (age 17+) w/ complex dual diagnosis. Licenses in AZ, CA, OR, MD & WA providing prompt access to mental health services for conditions that include ADHD (non-stimulants), Anxiety, Bipolar, Depression, Chronic Pain, Insomnia, Mood, PTSD. Woman Veteran Owned Private Practice serving 5 States via convenient virtual telehealth appointments. Accepting New Patients Now!
Are you looking for an experienced psych med provider with a conservative approach to prescription meds? Dual board certified Psychiatric Mental Health Nurse Practitioner with over 12 years of experience, Anna has proven success in assisting patients (age 17+) w/ complex dual diagnosis. Licenses in AZ, CA, OR, MD & WA providing prompt access to mental health services for conditions that include ADHD (non-stimulants), Anxiety, Bipolar, Depression, Chronic Pain, Insomnia, Mood, PTSD. Woman Veteran Owned Private Practice serving 5 States via convenient virtual telehealth appointments. Accepting New Patients Now!
(619) 304-9879 View (619) 304-9879
Photo of Joshua Flatow, Psychiatrist in San Diego, CA
Joshua Flatow
Psychiatrist, MD
Verified Verified
San Diego, CA 92101
Pacific Mind Health approaches mental health using a variety of evidence-based treatments including medication, psychotherapy, telemedicine, Spravato and Transcranial Magnetic Stimulation (TMS). We are excited to offer Theta Burst Stimulation (TBS) - a revolutionary 3-minute procedure with equal or better efficacy to standard 40+ minute TMS protocols. We provide a thorough diagnostic evaluation to create a personalized treatment plan that will help guide you towards wellness. Please use this link for a free informational TMS session https://www.pacificmindhealth.com/tmsinfo.html
Pacific Mind Health approaches mental health using a variety of evidence-based treatments including medication, psychotherapy, telemedicine, Spravato and Transcranial Magnetic Stimulation (TMS). We are excited to offer Theta Burst Stimulation (TBS) - a revolutionary 3-minute procedure with equal or better efficacy to standard 40+ minute TMS protocols. We provide a thorough diagnostic evaluation to create a personalized treatment plan that will help guide you towards wellness. Please use this link for a free informational TMS session https://www.pacificmindhealth.com/tmsinfo.html
(424) 367-1395 View (424) 367-1395
Photo of Negean Shahnematollahi, Psychiatric Nurse Practitioner in San Diego, CA
Negean Shahnematollahi
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Diego, CA 92101
I am a Psychiatric Mental Health Nurse Practitioner with 15 years of nursing experience. My degree from CSU San Marcos as well as a rigorous externship at UCSD outpatient psychiatric services provided me with a well-rounded training and experience. I enjoy working with clients across the lifespan. I believe mental health and wellness is a journey guided by support, empowerment and growth. I provide a compassionate, collaborative and safe space to help guide my clients in this process of healing.
I am a Psychiatric Mental Health Nurse Practitioner with 15 years of nursing experience. My degree from CSU San Marcos as well as a rigorous externship at UCSD outpatient psychiatric services provided me with a well-rounded training and experience. I enjoy working with clients across the lifespan. I believe mental health and wellness is a journey guided by support, empowerment and growth. I provide a compassionate, collaborative and safe space to help guide my clients in this process of healing.
(619) 566-1302 View (619) 566-1302
Photo of Philip Liu | Eumens Growth & Wellness, Psychiatrist in San Diego, CA
Philip Liu | Eumens Growth & Wellness
Psychiatrist, MD
Verified Verified
San Diego, CA 92122
Children/adolescents, young adults, early career and young professionals tend to find our practice style matching well for their needs. I am a double board-certified child/adolescent and adult psychiatrist who specializes in combining up-to-date, evidence-based medical practice with the art of understanding our minds and being through in-depth psychotherapy.
Children/adolescents, young adults, early career and young professionals tend to find our practice style matching well for their needs. I am a double board-certified child/adolescent and adult psychiatrist who specializes in combining up-to-date, evidence-based medical practice with the art of understanding our minds and being through in-depth psychotherapy.
(858) 808-2070 View (858) 808-2070
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 Tiffany Holm at OmOmbre Mental Health Online, Psychiatric Nurse Practitioner in San Diego, CA
Tiffany Holm at OmOmbre Mental Health Online
Psychiatric Nurse Practitioner, NP
Verified Verified
San Diego, CA 92108  (Online Only)
OmOmbre provides life-changing, personalized, concierge mental healthcare online that is affordable and easily accessible so people can lead healthier and more vibrant lives. We believe in the old-fashioned idea that the patient-provider relationship is at the heart of good care. Visits are easy, you’ll be texted a Zoom link prior to the appointment to click on. Between visits, you have your providers cellphone and are encouraged to message anytime, 24/7 if you have a question or concern. OmOmbre membership is $125/month, can be canceled anytime without question and you’ll never be charged additional fees. See Yelp for our reviews!
OmOmbre provides life-changing, personalized, concierge mental healthcare online that is affordable and easily accessible so people can lead healthier and more vibrant lives. We believe in the old-fashioned idea that the patient-provider relationship is at the heart of good care. Visits are easy, you’ll be texted a Zoom link prior to the appointment to click on. Between visits, you have your providers cellphone and are encouraged to message anytime, 24/7 if you have a question or concern. OmOmbre membership is $125/month, can be canceled anytime without question and you’ll never be charged additional fees. See Yelp for our reviews!
(619) 350-4047 View (619) 350-4047
Photo of Raelin Bright Wellness, Psychiatric Nurse Practitioner in San Diego, CA
Raelin Bright Wellness
Psychiatric Nurse Practitioner, PhD, PMHNP
Verified Verified
San Diego, CA 92101  (Online Only)
Tired of ER visits due to panic attacks? Do you feel anxious, sad, out of control, or overwhelmed? Do you have racing thoughts, have nightmares or trouble sleeping, or trouble relaxing? Are you feeling sad, like a dark cloud is over you or experiencing trauma responses? Do you feel treated as a number, not a person, when seeking help? I provide mental health treatment that is tailored to fit your needs. My approach is person-centered; I have mastered listening and recognizing people’s needs. I treat with evidence-based practices and believe in medication reduction as much as possible to avoid people being on too many medications.
Tired of ER visits due to panic attacks? Do you feel anxious, sad, out of control, or overwhelmed? Do you have racing thoughts, have nightmares or trouble sleeping, or trouble relaxing? Are you feeling sad, like a dark cloud is over you or experiencing trauma responses? Do you feel treated as a number, not a person, when seeking help? I provide mental health treatment that is tailored to fit your needs. My approach is person-centered; I have mastered listening and recognizing people’s needs. I treat with evidence-based practices and believe in medication reduction as much as possible to avoid people being on too many medications.
(415) 599-8715 View (415) 599-8715
Photo of Jaclyn Joyce, Psychiatrist in San Diego, CA
Jaclyn Joyce
Psychiatrist, DO
Verified Verified
2 Endorsed
San Diego, CA 92106
Hi there. I'm a board-certified psychiatrist and psychotherapist based out of San Diego, California. I can prescribe medication, provide psychotherapy, or both. I genuinely enjoy working with clients, hearing unique life stories, and finding ways to help each person as an individual. I have experience working with a wide variety of psychiatric concerns. There are also a few areas in which I have a special focus, including: working with older adolescents and college students, pregnancy, and new parents.
Hi there. I'm a board-certified psychiatrist and psychotherapist based out of San Diego, California. I can prescribe medication, provide psychotherapy, or both. I genuinely enjoy working with clients, hearing unique life stories, and finding ways to help each person as an individual. I have experience working with a wide variety of psychiatric concerns. There are also a few areas in which I have a special focus, including: working with older adolescents and college students, pregnancy, and new parents.
(619) 431-2004 View (619) 431-2004
Photo of Fay M Azad, Psychiatrist in San Diego, CA
Fay M Azad
Psychiatrist, MD
Verified Verified
San Diego, CA 92130
I take new patients from anywhere within California and offer telehealth which makes my availability flexible. I have a special interest in treating insomnia, anxiety, depression, bipolar disorders, OCD, and ADHD. My recommended therapy may include over-the-counter medications, herbal supplements, lifestyle modifications, and antidepressant/ antianxiety/ other psychiatric medications. I use the lowest effective dosing and utilize genetic testing when indicated.
I take new patients from anywhere within California and offer telehealth which makes my availability flexible. I have a special interest in treating insomnia, anxiety, depression, bipolar disorders, OCD, and ADHD. My recommended therapy may include over-the-counter medications, herbal supplements, lifestyle modifications, and antidepressant/ antianxiety/ other psychiatric medications. I use the lowest effective dosing and utilize genetic testing when indicated.
(747) 529-7992 View (747) 529-7992
Photo of Pacific Mind Health, Physician Assistant in San Diego, CA
Pacific Mind Health
Physician Assistant, PA-C
Verified Verified
San Diego, CA 92101
Pacific Mind Health approaches mental health using a variety of evidence-based treatments including medication, Psychotherapy, Telemedicine, Spravato, and Transcranial Magnetic Stimulation (TMS). We are excited to offer Theta Burst Stimulation (TBS) - a revolutionary 3-minute procedure with equal or better efficacy to standard 40+ minute TMS protocols. We provide a thorough diagnostic evaluation to create a personalized treatment plan that will help guide you towards wellness. Please use this link for a free informational TMS session https://www.pacificmindhealth.com/tmsinfo.html
Pacific Mind Health approaches mental health using a variety of evidence-based treatments including medication, Psychotherapy, Telemedicine, Spravato, and Transcranial Magnetic Stimulation (TMS). We are excited to offer Theta Burst Stimulation (TBS) - a revolutionary 3-minute procedure with equal or better efficacy to standard 40+ minute TMS protocols. We provide a thorough diagnostic evaluation to create a personalized treatment plan that will help guide you towards wellness. Please use this link for a free informational TMS session https://www.pacificmindhealth.com/tmsinfo.html
(424) 300-1164 View (424) 300-1164
Photo of Bryan Amaro, Psychiatric Nurse Practitioner in San Diego, CA
Bryan Amaro
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
1 Endorsed
San Diego, CA 92103
I want my patients to know that their concerns are my priority. I care deeply about mental health and take very seriously the trust my patients have in me. You can count on me to be present, focused, and solution oriented during our visits. It's important to me that my patients know I'm a regular person-just like them, and my goal is to use the skills I've learned through my experience in treating mental health conditions.
I want my patients to know that their concerns are my priority. I care deeply about mental health and take very seriously the trust my patients have in me. You can count on me to be present, focused, and solution oriented during our visits. It's important to me that my patients know I'm a regular person-just like them, and my goal is to use the skills I've learned through my experience in treating mental health conditions.
(858) 264-3622 View (858) 264-3622
Photo of Caleb Bragg, Psychiatrist in San Diego, CA
Caleb Bragg
Psychiatrist, MD
Verified Verified
San Diego, CA 92120
Dr. Bragg is board certified in Adult Psychiatry. He completed his residency and training at Rush University Medical Center in Chicago, Illinois. While at Rush, he served as chief resident, and was actively involved in teaching medical students and residents. His clinical experience encompasses treatment for a variety of psychiatric disorders including mood disorders, treatment-resistant depression, anxiety disorders and schizophrenia.
Dr. Bragg is board certified in Adult Psychiatry. He completed his residency and training at Rush University Medical Center in Chicago, Illinois. While at Rush, he served as chief resident, and was actively involved in teaching medical students and residents. His clinical experience encompasses treatment for a variety of psychiatric disorders including mood disorders, treatment-resistant depression, anxiety disorders and schizophrenia.
(858) 299-7911 View (858) 299-7911
Photo of Dmitriy Sivtsov, Psychiatrist in San Diego, CA
Dmitriy Sivtsov
Psychiatrist, MD
Verified Verified
1 Endorsed
San Diego, CA 92101
Starting with the first phone call or email, our central location, knowledgeable staff, expert physicians, seamless process of evaluation, treatment planning and delivery all designed to take unnecessary stress off your shoulders. We will work behind the scenes so you and your doctor can focus on the one most important thing - fighting depression.
Starting with the first phone call or email, our central location, knowledgeable staff, expert physicians, seamless process of evaluation, treatment planning and delivery all designed to take unnecessary stress off your shoulders. We will work behind the scenes so you and your doctor can focus on the one most important thing - fighting depression.
(858) 230-7585 View (858) 230-7585
Photo of Bruce Hubbard M.D., Psychiatrist in San Diego, CA
Bruce Hubbard M.D.
Psychiatrist, MD
Verified Verified
San Diego, CA 92108
I can't imagine an ideal client because I see a broad range of clients and I enjoy helping them all. The typical patient who comes to me needs help with depression, anxiety, ADHD, bipolar disorder, addiction, or another disorder and may have a family history of these symptoms or diagnoses. They are usually wanting to understand their symptoms and gain an accurate understanding or diagnosis. Medication may be appropriate for some of these patients. For patients who do not find relief from medication or who experience side effects, we offer TMS (Transcranial Magnetic Stimulation) which is non-drug treatment for depression and anxiety
I can't imagine an ideal client because I see a broad range of clients and I enjoy helping them all. The typical patient who comes to me needs help with depression, anxiety, ADHD, bipolar disorder, addiction, or another disorder and may have a family history of these symptoms or diagnoses. They are usually wanting to understand their symptoms and gain an accurate understanding or diagnosis. Medication may be appropriate for some of these patients. For patients who do not find relief from medication or who experience side effects, we offer TMS (Transcranial Magnetic Stimulation) which is non-drug treatment for depression and anxiety
(619) 485-6837 View (619) 485-6837

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
75% 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.