How to Become a Psychiatrist

Bernard Grant, Ph.D.
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Updated on April 4, 2025
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The journey to a psychiatry career is long and rigorous. Learn how to become a psychiatrist on this page.

Many people use the words “psychologist” and “psychiatrist” interchangeably. However, psychiatrists are not psychologists.

While both professionals work to diagnose, treat, and prevent mental health conditions, psychiatrists are medical doctors, while psychologists do not attend medical school.

One major difference in their practice is that psychiatrists prescribe medications while psychologists do not. To become a psychiatrist, you’ll need to first earn a bachelor’s degree, then complete medical school and a four-year psychiatry residency.

You may also need to pass additional licensing exams. Keep reading to learn more about how to become a psychiatrist.

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How to Become a Psychiatrist in 5 Steps

Through your education and training, you’ll gain broad psychiatry skills, such as assessment, diagnosis, and treatment for mental health issues.

Step 1: Get a Bachelor’s Degree

The first step to becoming a psychiatrist is earning a bachelor’s degree. You’ll spend around four years in your bachelor’s program, earning around 120 credits in total — or around 30 credits per year. Ensure you’re on track for medical school, majoring in psychology, chemistry, biology, or a related field.

If you major in an unrelated field, you can complete a pre-med track at the same time or enroll in a post-bacc program afterward.

Step 2: Take the MCAT

You will have to take the MCAT in order to apply to medical school. You can take the MCAT at the same time as completing your bachelor’s degree or after you graduate. The MCAT is one of the biggest factors in getting into medical school, so make sure you get a good score.

Medical school is highly competitive, so in addition to a good MCAT score, boost your application by gaining clinical experience and getting good letters of recommendation.

Step 3: Go to Medical School

Once you get in, medical school lasts four years and includes classroom learning and clinical rotations in teaching hospitals.

You’ll also take two board exams. During the last few months of medical school, you’ll match into a residency program.

Step 4: Complete a Residency Program

During your residency, you can practice medicine under supervision. Your psychiatry residency will take four years to complete, and you won’t be able to practice alone until you’ve completed your specialty boards. You’ll take two exams before you can finish your residency.

Step 5: Earn Your License and Certification

Once you’ve completed your residency and passed your exams, you can acquire your board certification and practice without supervision.

To get certified, you’ll need to pass a licensing exam and meet state-specific requirements. You must also pass the psychiatry board exam, which involves written tests and clinical skills evaluations.

How Long Does It Take to Become a Psychiatrist?

After high school, you’ll spend 12 years in education and training before you can become a psychiatrist. You’ll likely spend at least four years in college, four years in medical school, and four years in a psychiatric residency program.

After your residency, you may choose to attend a voluntary fellowship in a subspecialty such as addiction, forensic, or child and adolescent psychiatry. Fellowships typically last one year.

Each person’s journey to becoming a psychiatrist can vary in length depending on your education choices, program timelines, and specific career goals.

What Does a Psychiatrist Do?

  • Psychiatrists conduct assessments to identify mental health conditions like anxiety, depression, bipolar, and schizophrenia.
  • Psychiatrists create treatment plans that may involve medication and therapy.
  • Key psychiatry skills include empathy, communication, logical reasoning, and critical thinking.
  • Psychiatrists work in a variety of settings like hospitals, outpatient care centers, residential mental health facilities, and private practice.
  • Psychiatrists earned a mean annual wage of nearly $257,000 as of May 2023, according to the Bureau of Labor Statistics (BLS).

How Much Does a Psychiatrist Make?

Psychiatrists earn high wages across the United States, according to the BLS. In the top-paying states, psychiatrists earn an average salary between $338,000 and $295,000 annually. Those in Connecticut, Louisiana, Minnesota, and Missouri earned the highest average salaries.

Practice in Missouri, and you can earn an average of nearly $300,000 annually; in Minnesota, you’d earn over $304,000. Psychiatrists in Louisiana earn an average of nearly $319,000 per year.

Top-Paying States for Psychiatrists
StateAverage Annual Salary (2023)
Connecticut$338,620
Louisiana$318,770
Minnesota$304,040
Missouri$299,560
Utah$295,870

Source: Bureau of Labor Statistics

Is Becoming a Psychiatrist Right for You?

Pros of Becoming a Psychiatrist

  • You’ll get plenty of opportunities to address mental health challenges and help people make positive life changes.
  • You’ll find plenty of intellectual challenges in this complex field as you explore the human mind.
  • As a psychiatrist, you’ll have specialized training in a high-demand field, leading to a high salary.

Cons of Becoming a Psychiatrist

  • The barrier to entry for this profession is high, involving many years of rigorous education and training.
  • You may face challenging patients, which requires advanced emotional and coping skills.
  • Psychiatrists may experience career burnout from facing mental health challenges each day.

Frequently Asked Questions About Becoming a Psychiatrist

A psychiatrist is a medical doctor who has completed a psychiatry residency. Psychologists, however, complete clinical internships and hold doctoral degrees in psychology, either a Ph.D. or a Psy.D.

Psychologists focus on the mental processes and behavior behind mental health conditions. Psychiatrists are more focused on the medical aspects of mental health conditions, and they prescribe medications to treat them.

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