A psychiatrist can practice in a hospital with very sick patients, or in an outpatient setting, such as a private practice or clinic.
Informed friend: "Let that be your very last resort! A huge majority of the antidepressants contain fluoride compounds that basically anesthetize your brain and accumulate as toxins in your nerve tissue. Electroshock therapy literally damages your brain in order to "heal" it. Get better nutrition, more exercise, sunlight, clean air, rest, and love in your life first. Confide in a truly caring and well-trained therapist. Call me when you feel the need to chat! Avoid financially supporting the snake oil doctors at all costs!