Embarking on a career as a psychiatrist is an intriguing and rewarding journey, combining academic excellence, emotional resilience, and a dedication to mental health. Whether you’re aspiring to enter the field or simply interested in learning about it, this guide will illuminate the important role psychiatrists play in mental health care. 

Discover the path to becoming a psychiatrist, understand their key responsibilities, and explore the opportunities and growth potential in this dynamic profession.

What Is a Psychiatrist?

Psychiatrists are physicians who specialize in assessing, diagnosing, and treating patients suffering from mental issues and disorders such as depression, personality disorders, addictive behaviors, anxiety, eating disorders, and more.

What Does a Psychiatrist Do?

A psychiatrist’s duties vary based on their specific role or subspecialty, but generally include:

  • Having sessions with patients to explore their mental health concerns.
  • Assessing patients and recording their medical histories.
  • Diagnosing mental health conditions based on symptoms and previous treatments.
  • Prescribing and managing medication to relieve symptoms and treat disorders.
  • Regularly monitoring patients to evaluate the effectiveness of treatments and making necessary adjustments.

How To Become a Psychiatrist

The road to becoming a psychiatrist is long and demanding, often taking about 12 years after completing high school. This journey, while rigorous, shapes your expertise in mental health. It involves a series of structured steps, each critical to developing the skills and knowledge necessary for this profound profession.


Get a bachelor’s degree

The first step to pursuing a career in psychiatry is earning a bachelor’s degree. Although a specific degree or major isn’t required, taking courses related to science can help you build a strong foundation, which you’ll need during medical school. 

Take and pass the MCAT

An important step in your educational journey is taking and passing the MCAT. As a standardized, multiple-choice examination, it’s designed to assess your knowledge of natural and social concepts as well as your critical thinking and problem-solving skills. The test takes seven and a half hours to complete and is divided into four sections:

  1. Biological and Biochemical Foundations of Living Systems
  2. Chemical and Physical Foundations of Biological Systems
  3. Psychological, Social, and Biological Foundations of Behavior
  4. Critical Analysis and Reasoning Skills

Complete a four-year medical school program

The next step is completing a medical school program, during which you can pursue a degree as a Doctor of Medicine (MD) or a Doctor of Osteopathic Medicine (DO). They both allow you to become a physician; however, the main difference is that DOs take a holistic approach while MDs take a medication-focused approach. 

Medical school consists of four rigorous years of studying and training, with the first two being focused on classroom and laboratory settings and learning more about the foundations of medicine, chemistry, anatomy, pharmacology, neuroscience, biochemistry, and others. In the last two years, you’ll get hands-on experience in a clinical or hospital setting under the supervision of experienced physicians. 

Complete a medical residency program

Next, you’ll need to spend the following four years in a psychiatry residency program. This residency allows you to get hands-on training, practice, and education under supervision. During residency, you’ll get the chance to be acquainted with many subspecialties of psychiatry, such as forensic psychology, neurology, and more. You’ll also get to treat patients suffering from mental issues like anxiety, depression, substance abuse, and developmental disabilities. 

Secure a fellowship

After completing your residency and becoming a qualified psychiatrist, you may opt to further specialize by pursuing a fellowship. This advanced training focuses on a specific subspecialty and typically lasts one to two years. A fellowship allows you to deepen your expertise in a particular area of psychiatry.

Become licensed

Although the requirements differ from state to state, to be able to practice medicine, you’ll need to get a medical license by passing the U.S. Medical Licensing Examination (USMLE) for MDs or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) for DOs. 

Become certified

The journey to becoming a psychiatrist concludes with obtaining certification. This step involves passing a challenging exam that tests your knowledge and mastery in your chosen field. Board certification is a recognition of your expertise and dedication to maintaining high professional standards in psychiatry.

Essential Skills of a Psychiatrist

Even the best education and training can’t ensure your success as a psychiatrist if you don’t possess a strong skill set. Some of the essential skills you’ll need to develop to become a capable psychiatrist are:

  • Inductive and deductive reasoning: Inductive reasoning involves combining assorted bits of data to find a pattern, develop a theory, or reach a conclusion, whereas deductive reasoning involves analyzing known facts to reach a logical answer. They’re crucial to understanding the nuances of a patient’s behavior, emotions, and symptoms. 
  • Interpersonal skills: As a psychiatrist, you’ll have patients who have experienced unimaginable trauma or have a tendency to be violent. Therefore, it’s vital to recognize their emotional needs and approach them with understanding and compassion. 
  • Effective communication: Communication skills are the cornerstone of practicing psychiatry. You’ll get to spend a lot of time with patients, so you must be attentive and fully engaged in their concerns and emotions, including picking up nonverbal cues. You also should practice speaking clearly and in an understandable way for your patient and their families. 

Other important skills include critical thinking, patience, stress management, problem-solving, attention to detail, flexibility, etc. 

Career Growth and Opportunities

Embarking on a career in psychiatry opens a world of possibilities. As a psychiatrist, you will find diverse paths for growth and specialization. Each specialization offers unique opportunities to impact lives, whether you’re drawn to the intricacies of child psychiatry, the challenges of addiction treatment, or the evolving landscape of telepsychiatry.

Telepsychiatry, for instance, has become a significant area within mental health, leveraging online therapy platforms to provide care. These platforms facilitate flexible, accessible care that can significantly broaden a psychiatrist’s reach and improve patient engagement. Embracing such advancements ensures that psychiatrists are equipped to offer the best possible care in today’s digital world.

Beyond clinical practice, psychiatrists often engage in research, contributing to the advancement of mental health care. Teaching opportunities are also plentiful, allowing you to shape the minds of future psychiatrists and instill in them a passion for innovation and compassionate care.

For those seeking independence, private practice offers flexibility and personal fulfillment. Moreover, in the broader healthcare system, your expertise will be vital in interdisciplinary teams and community mental health initiatives.

In psychiatry, your journey is not just about becoming a doctor but continuously evolving as a professional. It involves adapting to new advances and making a lasting difference in the field of mental health. The integration of new technologies such as online therapy platforms into your practice can enrich your professional toolkit, ensuring that you remain at the forefront of your field.

The Financial Perspective

Another benefit to becoming a psychiatrist is the financial stability. A psychiatrist earns an impressive average salary of $247,350. However, several factors influence this figure, including geographical location, level of education, additional skills, and years of experience.

It’s important to also consider the financial commitment required for education in this field. A substantial number of medical students, approximately 70%, rely on loans to fund their education, with an average debt of $250,995. This debt can take years to repay. Therefore, it’s crucial to factor in these financial obligations when planning a career in psychiatry.

Challenges and Considerations

Becoming a psychiatrist is a journey filled with both rewards and challenges. Here are some key considerations to keep in mind:

  • Extended Education: The path involves many years of study, from undergraduate education to medical school and psychiatric residency.
  • Emotional Resilience: Dealing with mental health issues requires emotional strength and the ability to manage stress effectively.
  • Financial Investment: The cost of medical education can be significant, often leading to student debt.
  • Keeping Pace With Change: Psychiatry is an evolving field. Staying updated with the latest research and treatments is crucial.
  • Ethical and Legal Responsibilities: Upholding ethical standards and legal requirements is essential in psychiatric practice.
  • Work-Life Balance: Managing the demands of the profession while maintaining personal well-being can be challenging, especially during the demanding residency years.

The Bottom Line

Embarking on a career in psychiatry is no small feat. It demands not only a robust educational background but also a deep-seated commitment and genuine empathy. Psychiatrists endure a rigorous journey through medical school and residency, driven by a profound passion for helping and healing. If this path resonates with you and you’re considering a career in this impactful field, our medical school is an excellent place to start. Take your first step toward a career that’s not just professionally rewarding but also rich in making a difference in the lives of others.


How long does it take to become a psychiatrist?

Becoming a psychiatrist typically requires about 12 years of education and training following high school. This journey starts with a four-year bachelor’s degree, followed by another four years in medical school. After that, you’ll embark on a four-year psychiatry residency program. Should you choose to specialize further, a fellowship in your chosen subspecialty awaits, adding an additional one to two years to your training, depending on the area of focus.

Is it hard to be a psychiatrist? 

A career in psychiatry, while rewarding, comes with its own set of challenges. Psychiatrists often encounter emotionally intense sessions with patients, which can lead to compassion fatigue and burnout. The field also presents complexities in diagnosis and treatment, as many mental health conditions lack standardized testing methods. Additionally, psychiatrists must navigate the professional risk of malpractice lawsuits, as errors or misjudgments can significantly impact patients’ lives.

Is psychiatry a good career?

Psychiatry is a highly rewarding field, offering the chance to significantly help those with mental health challenges. It’s a dynamic profession where no two days are the same, keeping the work engaging and varied. Psychiatrists also enjoy diverse work settings, from hospitals to private practices, ensuring a rich and fulfilling career.