Key Takeaways

  • Psychiatrists are medical doctors and psychiatric mental health nurse practitioners (PMHNPs) are nurse practitioners. They focus on identifying, diagnosing, and treating mental health concerns, like PTSD.

  • In addition to prescribing medication to help you manage PTSD symptoms, psychiatric providers  will track the effectiveness of your medication and make changes as necessary.

  • Psychiatric providers can also support your recovery in other ways. They can recommend trauma therapies, collaborate with your other providers, help you learn about the science of PTSD, and more.

If you or a loved one is living with post-traumatic stress disorder (PTSD), it can be difficult to know where to turn for help. There are so many different options for PTSD treatment today. And that’s a good thing! But this can also complicate the process of finding the right support. 

For example, you might be wondering, “Can a psychiatrist diagnose PTSD?” The answer is yes, psychiatric providers can diagnose PTSD. Psychiatric providers can identify, diagnose, and treat PTSD with medication. But they can also support your recovery in several other ways. 

How a psychiatrist diagnoses PTSD

One of the first and most important steps in PTSD treatment is the evaluation. This ensures you receive an accurate diagnosis before moving into treatment. Evaluations can vary based on the setting where you’re receiving care. 

But an evaluation typically includes a review of the following:

  • Your medical history 
  • Your mental health history
  • Family history
  • Family mental health history
  • Your trauma history
  • When your symptoms started
  • The severity of your symptoms
  • How your symptoms affect your daily functioning
  • Known triggers

To gather this information, your psychiatric provider will review your records. They’ll also ask you questions and observe your behavior. For example, they’ll assess how you communicate and process ideas during your appointments. 

Psychiatric providers use a patient’s feedback and history, along with their own observations, to determine if a person has PTSD. However, some mental health concerns share similar symptoms. So, your provider may need to rule out other conditions before making a final diagnosis of PTSD.

How a psychiatrist creates a treatment plan

Your psychiatric provider will use your assessment to create a personalized treatment plan. PTSD affects people in different ways. So your treatment plan will reflect your needs and preferences. It will also take into account the severity of your symptoms. 

For example, someone who has severe PTSD might be experiencing intense flashbacks or engaging in self-harm. In that case, their psychiatric provider may start with safety planning before moving into other aspects of care. Sometimes this can include the use of medication. It can also involve collaborating with other providers. So the psychiatric provider might work with a person’s doctor or therapist to help them achieve stability.

Throughout your recovery, your psychiatric provider will focus on medication management. Their primary role is to ensure you receive the right medication and dose for your needs. Medications approved for treating PTSD can help you manage your symptoms. Your provider can help you determine whether medication is the right choice for you.

Over time, your provider will track the effectiveness of your medication. If something isn’t working, they’ll make changes as necessary. Some mental health medications can cause unwanted side effects. If that happens to you, your provider can recommend alternatives. 

If you’re taking a mental health medication, and your symptoms get worse or something doesn’t feel right, talk to your provider right away. You don’t have to wait until your next appointment to raise these concerns.

Other ways a psychiatrist can support you with PTSD

Medication management is the primary way that psychiatric providers support people with PTSD. But it isn’t the only way they can help. They can also provide:

  • A supportive relationship: Your psychiatric provider can provide a safe, judgment-free space to talk about your experiences with PTSD. They’ll also seek your input on treatment planning decisions and respect your autonomy. Having a good relationship with your psychiatrist can help promote positive outcomes.
  • Tailored recommendations: A variety of talk therapies can help you manage symptoms of PTSD. Your psychiatric provider can provide a referral to a trauma-informed therapist.
  • Collaborative care: Medication management is just one aspect of PTSD care. Depending on your medical and mental health needs, you may work with other providers. Your psychiatric provider  can collaborate with these other members of your care team. For example, they can work with your doctor and therapist to help you meet your goals.
  • Education and skill-building: Psychiatric providers can help you learn about the biological aspects of PTSD. Understanding how and why PTSD occurs can foster self-acceptance and combat stigma. Psychiatric providers can also help you learn new coping skills and stay engaged with care.
Clinician's take
A psychiatrist can get you set up with trauma-informed therapists to help guide you through your treatment using evidence-based approaches. Also, during medication management appointments, they may offer supportive therapy and a safe space.
Halee Fullerton, PMHNP-BC
Halee Fullerton, PMHNP-BC
Clinical reviewer

Find care with Rula

Working with a psychiatrist can be an important part of healing from PTSD. Psychiatrists have extensive training in treating mental health conditions with medication. But they can also support their patients in other ways. Psychiatrists can provide a safe space to talk about PTSD, offer therapy recommendations, and collaborate with your care team. 

At Rula, we’re committed to delivering a comprehensive behavioral health experience that helps people feel seen and understood so they can get back to feeling their best. 

Rula makes it easier to find a licensed therapist or psychiatric provider who accepts your insurance so you don’t have to choose between affordable care and excellent care. With a diverse network of more than 15,000 providers, 24/7 crisis support, and appointments available as soon as tomorrow, we’re here to help you make progress — wherever you are on your mental health journey.

About the author

Liz Talago

Rula's editorial process

Rula's editorial team is on a mission to make science-backed mental health insights accessible and practical for every person seeking to better understand or improve mental wellness.

Members of Rula’s clinical leadership team and other expert providers contribute to all published content, offering guidance on themes and insights based on their firsthand experience in the field. Every piece of content is thoroughly reviewed by a clinician before publishing.

More From Rula

woman learning about the signs of parental burnout
Five ways to cope with burnout when parenting a child with ADHD
person who identifies as aroace
Aroace: Where aromanticism and asexuality intersect
woman meeting with a psychiatrist and asking questions about ADHD
Four tips for talking to a psychiatrist about ADHD