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Psychiatry focuses on mental health. Psychiatrists diagnose, treat, and help prevent emotional and behavioral disorders such as anxiety attacks, depression, and hallucinations. Psychiatrists employ a variety of treatment modalities including psychotherapy, psychosocial interventions, and medication.

This guide includes information on how to become a psychiatrist, including educational requirements, licensure, salary expectations, specialty areas, and much more. Although many psychiatrists establish a private practice, they work in a variety of settings, depending on their area of expertise.

Becoming a psychiatrist takes years of rigorous study. Psychiatrists are medical doctors, which means they go to medical school after earning their undergraduate degree. They have to complete a residency, undergo two or more years of supervised practice, and meet other requirements for licensure, which vary among states.

According to the Bureau of Labor Statistics, psychiatrists earned a mean annual salary of $220,430 in 2019. However, several factors impact salary levels.

Psychiatrists who work for local governments (excluding schools and hospitals) receive the highest compensation ($255,070). Other top-paying industries include home health care services ($253,090), outpatient care centers ($250,230), and residential care facilities ($240,630).

Experience greatly influences a professional's earning potential. PayScale reports that early career psychiatrists (less than one year of experience) typically earn an average salary of $194,486. More experienced practitioners (5-9 years of experience) earn $205,504. Seasoned professionals (over 20 years of experience) earn significantly higher salaries, pegged in 2019 at $237,315.

The state where a psychiatrist practices also influences their annual compensation. The following states pay the highest annual mean salaries for psychiatrists:

Becoming a psychiatrist involves several steps. The profession requires a significant investment of time and money, considerable planning, and an ongoing commitment to continuing education. Read the steps below for a realistic perspective on how to become a psychiatrist.

Lists from reputable websites typically evaluate key factors such as accreditation, acceptance rates, MCAT scores, and specialty areas. Many students begin their search for the ideal psychiatry program by investigating the schools included in such a list.

The cost for attending medical school continues to climb, and many students need some type of financial assistance to afford enrollment. Several universities administer financial assistance programs including fellowships, scholarships, and research grants. For example, the University of Florida awards a forensic psychiatry fellowship, giving recipients the opportunity to conduct forensic evaluations involving competency, guardianship, and criminal responsibility. Professional medical organizations also award financial assistance packages such as the American Medical Association's Physicians of Tomorrow Awards.

Medical students typically focus on a specific field of practice in their third or fourth year of residency. Residents who opt to pursue a specialization in psychiatry can expect to enroll in classes such as the ones described below. Keep in mind, however, that each curriculum is crafted to support specific educational objectives for students. Because of this, course offerings can vary greatly among schools. Psychiatry residents with a clear idea of the specialization they wish to pursue should examine a school's roster of courses closely to make sure it offers the coursework that supports their area of specialization.

The U.S. Department of Education (ED) and the Council for Higher Education Accreditation (CHEA) oversee the school and programmatic accreditation process. Accreditation refers to the process of evaluating an institution's educational programs to determine its quality and adherence to established academic standards. Accreditation is a voluntary process in the U.S.

Nonprofit public and private colleges and universities typically seek regional accreditation. Vocational for-profit schools (including sectarian institutions) often seek national accreditation. Accreditation not only attests to the quality of education, it also plays an important role when applying for student aid. Federal financial assistance is only through accredited institutions.

ED and CHEA recognize the Accreditation Council for Graduate Medical Education (ACGME) as the primary accrediting body for medical programs. ACGME accredits institutions, residency and fellowship programs, and specific sub-specialties under general medical practice.

Psychiatry students can select a subspecialty after completing their residency. Most subspecialties require an additional year of fellowship, although some require longer. For example, fellowships in child/adolescent psychiatry typically require the completion of a two-year fellowship. At the end of a fellowship program, graduates earn a certificate in their subspecialty.

ACGME currently recognizes eight psychiatric subspecialties, including addiction medicine, child and adolescent psychiatry, consultation liaison psychiatry, forensic psychiatry, and hospice and palliative medicine. Although psychiatrists can practice without a sub-specialty, many choose to invest an additional year or two of study and training into a subfield that holds their professional interest.

A subspecialty allows psychiatrists to work with a specific population or in a particular work environment. They keep up with the latest advances in treatment options and pharmacological solutions that work best with patients within their field of specialization. Psychiatrists with a subspecialty can still treat patients outside their specialized arena, which enhances their employability and expands their client base.

Psychiatrists need the ability to show genuine empathy and compassion toward their patients while maintaining a professional demeanor and objectivity. They must also be able to create a non-threatening physical and emotional space that elicits trust and openness from their patients. Psychiatrists need well-developed critical and analytical thinking skills to help patients through their mental, emotional, and sometimes physical struggles.

Recent advances in the study of the human brain and its functions have contributed to the practice of psychiatry, including the enhancement of treatment protocols and increasing pharmacological options. States require psychiatrists to enroll in continuing education courses to maintain or renew their license. This ensures that psychiatrists are well aware of the most recent developments and applications in their field.

Psychiatrists can now take advantage of advanced medical software developed specifically for the mental health profession. For example, the SoftPsych Psychiatric Diagnosis helps psychiatrists compile a thorough psychiatric history, formulate a diagnosis, craft treatment options, and maintain accurate medical records.

Professional organizations give psychiatrists the chance to learn the most recent research findings and developments in the field. They also provide excellent networking and mentoring opportunities. Through membership in professional organizations, psychiatrists provide and receive support to and from colleagues locally, nationally, and globally.

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