Psychiatry

Psychiatry is the medical specialty focused on diagnosing, treating, and preventing mental, emotional, and behavioral disorders. At TidalHealth, our psychiatrists work with people of all ages, including infants, children, adolescents, adults, older adults, and families. We care for individuals with a wide range of mental health concerns, including those that are complex or have not responded well to past treatment.

How We Help

Our team provides thorough psychiatric evaluations and develops personalized treatment plans that may include:

• Medication management
• Psychotherapy (counseling)
• Lifestyle changes
• Support for overall well-being

We often coordinate care with therapists, primary care teams, and community resources so that you receive the support you need. In times of crisis or when urgent psychiatric care is needed, we are here to help.

Our Team Approach

Effective psychiatric care is built on teamwork. Our specialists include psychiatrists, psychiatric nurse practitioners, psychologists, licensed therapists, social workers, case managers, pharmacists, and primary care clinicians. Together, we look at all aspects of health—biological, psychological, and social factors—to guide treatment.

Treatment plans may include:

• Medications to manage mental health conditions
• Psychotherapy or counseling for emotional support
• Lifestyle and sleep interventions to improve overall well-being
• Treatment for substance use as part of recovery
• Connections to community supports for additional help and resources

Where We Provide Care

TidalHealth offers psychiatry services in a range of settings, including:

• Outpatient clinics
• Hospitals
• Emergency departments
• Inpatient units
• Community mental health centers
• Telepsychiatry (virtual visits) for added convenience

We strive to make mental health support accessible, safe, respectful, and tailored to your preferences. Communication, cultural sensitivity, and shared decision-making are always at the heart of what we do.

What is the difference between a psychiatrist and a psychologist or therapist?
A psychiatrist is a medical doctor who can diagnose mental health conditions, prescribe and manage medications, and offer psychotherapy. Psychologists and licensed therapists primarily provide psychotherapy and psychological testing but usually do not prescribe medication. Many people find that working with both a psychiatrist and a therapist is helpful, as it combines medication management with ongoing therapy.

When should I see a psychiatrist instead of my primary care doctor?
You may want to see a psychiatrist if:

• Symptoms are severe or long-lasting
• Mental health issues are interfering with daily life or safety
• Symptoms have not improved with standard treatments
• You need specialized medication management

Primary care doctors can help with mild to moderate depression or anxiety, but psychiatrists are often necessary for more complex or resistant cases.

What happens at the first psychiatric appointment?
During your first visit, your psychiatrist will:

• Review your medical history, symptoms, and current medications
• Discuss your family history and any substance use
• Assess how your mental health is affecting your work, school, and relationships
• Perform a mental health examination
• Order lab tests or coordinate with other providers if needed
• Develop a personalized treatment plan with your input

Are psychiatric medications safe, and are there alternatives?
Psychiatric medications can be safe and effective when prescribed and monitored by a qualified clinician. They may have benefits as well as side effects, which is why regular monitoring and dose adjustments are important. Many treatment plans combine medication with psychotherapy, lifestyle changes, stress management, and other supports. Your psychiatrist will explain risks, benefits, and alternatives to help you make an informed decision.

How is confidentiality handled?
Your privacy is a top priority. Psychiatric care is confidential, protected by privacy laws. There are a few exceptions, such as situations where there is a risk of serious harm or when required by law. Your clinician will discuss when information might need to be shared and ensure that your consent is obtained when needed.

Can children and older adults receive psychiatric care?
Yes, our psychiatry team serves all ages, from children to older adults. We provide specialized care for child and adolescent psychiatry and geriatric psychiatry, with treatment plans that involve families when appropriate.

Do you offer telepsychiatry?
Yes, we offer telepsychiatry services for evaluations, medication follow-ups, and coordination of care. Telehealth provides more flexibility and convenience for those who need it. In-person visits or lab tests may still be necessary depending on the situation.

What should I do in a crisis or if I have thoughts of harming myself or others?
If you're in immediate danger, please call emergency services or go to the nearest emergency department. If you are having thoughts of harming yourself but are not in immediate danger, reach out to your clinician or a crisis hotline right away. We offer safety planning and urgent care as part of our services.

How are treatment decisions made?
Treatment is a team effort. Your psychiatrist will:

• Review the available options with you
• Explain the potential benefits and side effects
• Consider your preferences and life situation
• Set realistic goals and adjust the treatment plan as needed based on your progress