The most common and most likely answer to this crossword clue is the 8 letter word ALIENIST
I've seen this crossword clue in The Times
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More clues leading to the result ALIENIST
Buddy explains!

The straight part
We know that "US psychiatrist" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case us psychiatrist = alienist.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.
What does ALIENIST mean?
ALIENIST noun- An expert in mental illness, especially with reference to legal ramifications.
- A psychiatrist or psychologist.