My pdoc is a psychiatrist. I have a separate therapist. My psychiatrist mainly prescribes and manages my medications. I generally see him every month or so depending on how I'm doing. Our visits are scheduled to be 20 minutes, but he goes over if needed. Very few psychiatrist in our area do therapy. It would be horrendously expensive and I doubt insurance would cover it. My pdoc takes charge of my care especially during a bipolar depressive or manic episode, and if I require hospitalization, he manages my care in the hospital where he is the director. I love him dearly, and he is highly skilled with medication management. I was very fortunate to stumble across him. He does consult with my therapist from time to time, usually when things are not going well and hospitalization is under consideration.