Do You Need a Referral to See a Psychiatrist?

You've decided it's time to talk to a psychiatrist — that's an important and courageous step. But before you pick up the phone, you might be wondering: do I need a referral first? The short answer for most people is no, but it depends on your insurance plan. Let's break it down.

When You Don't Need a Referral

Most people can see a psychiatrist without a referral in these situations:

• Your insurance plan doesn't require one. Many PPO plans and some HMO plans allow you to see specialists — including psychiatrists — directly. Check your insurance card or call the member services number to find out.
• You're paying out of pocket (self-pay). If you're not using insurance, there's no referral needed. You can schedule directly with any psychiatrist who accepts self-pay patients.

When You Might Need a Referral

Some insurance plans — particularly HMO plans and certain Medicaid plans — require a referral from your primary care physician before covering a specialist visit. If your plan requires this, it's usually a straightforward process: call your primary care doctor's office, explain that you'd like to see a psychiatrist, and they'll submit the referral. It's not a judgment call on your need — it's simply a billing requirement.

How to Check Your Insurance Coverage

Before scheduling your first appointment, we recommend:

1. Call the number on the back of your insurance card
2. Ask: "Do I need a referral to see a psychiatrist?"
3. Ask: "What is my coverage for outpatient psychiatric services?"
4. Ask: "What is my copay or coinsurance for specialist visits?"

At Next Step Psychiatry, we work with most major insurance plans and our staff can help verify your benefits before your first visit.

Signs It's Time to See a Psychiatrist

Whether or not you need a referral, knowing when to seek psychiatric care is what matters most. Consider reaching out if you're experiencing:

• Persistent anxiety or worry that won't let up
• Depression that's affecting your work, relationships, or daily routine
• Difficulty concentrating, staying organized, or following through — potential signs of ADHD
• Mood swings that feel extreme or hard to control
• Trouble sleeping, eating, or functioning normally
• Feeling like your current treatment isn't working

What to Expect at Your First Appointment

Your initial psychiatric evaluation at Next Step Psychiatry typically lasts 45–60 minutes. Dr. Aneel Ursani or Fathima Chowdhury, PA-C will review your symptoms, medical history, family history, and any current medications. Together, you'll discuss a treatment plan that may include medication, lifestyle adjustments, or referrals for therapy.

We aim to make the process as comfortable and straightforward as possible — no hoops to jump through. Our Lilburn office is centrally located on Lawrenceville Highway, easily accessible from Lawrenceville, Snellville, Tucker, Stone Mountain, and throughout Gwinnett County.