How to become a Psychiatrist

This article provides in-depth information into Who is a Psychiatrist? What Psychiatrists do? Degrees for Psychiatrists, Steps to become Psychiatrist and much more.

In layman’s language, a psychiatrist is a medical doctor specializing in mental health, including substance use disorders. Psychiatrists can assess both the mental and physical aspects of psychological problems. Although psychiatrists do not treat organic or structural disorders such as epilepsy, consequences of strokes, or brain cancers but these orders may also cause psychiatric symptoms and mental alteration in certain patients which requires the ability to make a differential diagnosis and apply the correct treatment. This article emphasizes that becoming a psychiatrist is simple.

The following are the steps to become a Psychiatrist. 

  • Earn a bachelor's degree in a science-related field.
  • Clear the MCAT
  • Complete an advance Medicine degree
  • Gain experience through Residency and Fellowship
  • Gain a Medical License
  • Become Board-certified

The following tables serve in understanding the job outlook of psychiatrists better,

Career Title

Psychiatrist

Degree Requirements

Degree of Medicine or Doctor of Osteopathic Medicine

Experience required

Minimum of 4 years

Salary (2020)

$229,300

How long to become a psychiatrist

12 years

Required Skills

Communication, Active listening, problem-solving, ability to connect with patients

What does a Psychiatrist do ?

Psychiatrists need to have an excellent understanding of basic psychology and must possess psychotherapy skills to attempt to influence the patient’s disorder with less medication. Medication in psychiatry is used only when counseling and therapy fail to produce noticeable results. Many psychiatric disorders such as depression, anxiety, and certain phobias may be effectively treated through psychotherapy. 

Psychiatrists treat a variety of mental disorders ranging from mild and temporary to severe and chronic. 


Steps for becoming a Psychiatrist

1

Complete A Bachelor’s Degree

Students must complete their bachelor’s degree program from an accredited institution before applying to med school. Although there is no specific major required for aspiring psychiatrists, a good choice would be to focus on pre-med, physical sciences or psychology or a combination of all the three by utilizing a double major or minor. 

Medical school admissions are very competitive. Hence maintaining high grades and an impressive list of courses during undergraduate are of utmost importance. Students may plan ahead for the next step in their journey by taking advantage of any prep classes offered for the MCA.

Step 1  Complete a Bachelor’s Degree

2

Take The Medical College Admission Test

Most medical schools in the United States use the standardized Medical College Admission Test (MCAT) as the eligibility criteria of a student interested to study psychiatry. MCAT comprises three multiple-choice sections covering biological science, physical science, writing, and oral reasoning. Students should take the test a year before they intend to apply for medical school. Students are allowed to take the test as many times as necessary in order to pass.

Those that need to retake the test can sign up for a new test two days after their previous exam. The evaluation process for admission into a med school is determined by the prospective student’s MCAT score and their undergraduate study performance.

Step 2  Take the Medical College Admission Test

3

Graduate From Med School

Students need to choose between two designations to become a psychiatrist: Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO). Each degree focuses on the same methods of treatment but a DO degree also focuses on osteopathic manipulative medicine. Medical school generally lasts four years. The first two years in the medical school are spent in classrooms and labs studying courses including behavioral science, biochemistry, chemistry, anatomy, physiology, neuroscience, psychiatry, and pharmacology.

During the final two years of psychiatry students work in clinical settings diagnosing and treating real-time patients under the supervision of experienced doctors. Students have to serve clinical clerkships to gain experience in at least five specialized areas. Clerkship in psychiatry involves treating patients with mental disorders.

Step 3 Graduate from Med School

4

Complete A Residency

After graduating from medical schools, psychiatry students must complete at least 4 years in residency training. During the first year of residency a student must treat a broad range of medical illnesses in patients. The resident then trains for at least three more years diagnosing and treating mental illnesses. Residents must hone their psychotherapy abilities during their time in residency. Prospective psychiatrists work directly with patients under the supervision of experienced psychiatrists. Residents participate in didactic learning, seminars, and research. 

Step 4 Complete a Residency

5

Serve A Fellowship

Some psychiatrists opt for a career in a psychiatric subspecialty which requires additional training. As per the American Board of Psychiatry and Neurology, there are ten psychiatric subspecialties including geriatric psychiatry, psychosomatic medicine, child and youth psychiatry, addictions, and forensic psychiatry. A subspecialty fellowship involves 1 year training period after psychiatry residency training. Fellowship programs involve clinical work under the supervision of licensed doctors as well as courses, seminars, case conferences, and research projects. 

Step 5 Serve a Fellowship

6

Get Licensed And Board Certified

After successful completion of medical school and residency, students have to apply for their medical license and board certification to be able to practice. Those that graduate as MD take the US Medical Licensing Examination (USMLE) while those that graduate as DO take the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA). Eligibility criteria for licensure include graduation from an accredited medical program, finishing residency training, and passing required licensing tests.

After receiving their medical license, students take the examination for board certification which is offered through the American Board of Psychiatry and Neurology (ABPN). Students can take this test as many times as necessary in order to pass and it is optional. Certification improves job prospects and must be renewed every ten years.

Step 6 Get Licensed and Board Certified 

7

Continue Education

Those that opt for a board certification and get certified must enter into continuing education programs throughout their career in order to remain certified. Psychiatrists have to earn an average of 30 credits per year. Some states require more continuing medical education credits in order to continue practicing.

Step 7 Continue Education


Psychiatrist Salaries

Psychiatrist

Psychiatrist Degree Levels

Associate

Although an associate degree program in psychiatry does not exist, individuals do have the option to earn an Associate degree in psychiatric technology. Associate degree programs in psychiatric technology differ from certificate programs because they include general education courses, such as English, mathematics, and science. They also touch upon psychological and fundamental nursing concepts, as well as include clinical work.

Mental and developmental disabilities
  • Developmental disabilities

  • Legislation and court decisions

  • Mental retardation

Objectives
  • Define and classify developmental disabilities

  • Describe the impact of various disabilities

  • Recognize the uniqueness of various disabilities

Community mental health
  • Illness Management

  • Wellness & Recovery

  • Co-occurring Disorders

Objectives
  • Students will explore community mental health theories and practices

  • Students will be able to identify the socio-cultural factors

  • Students will become familiar with the practice of Community Mental Health

Drug and alcohol treatment
  • Addiction and the Family

  • Medical Model of the Addictions

  • Treatment Settings

Objectives
  • Social Alcohol Use and its Effects

  • Chronic Alcohol Use and its Consequences

  • Addictive Behaviors

Bachelors

The first prerequisite to becoming a psychiatrist is to complete a four years bachelor’s degree program. While there is no mandatory concentration needed to pursue psychiatry in medical school, students who take up courses including Math, Biology, Chemistry, and physics have better chances of getting through their choice of medical school. Admission in medical schools is competitive and hence it is important to maintain good grades throughout bachelor’s degree programs. Students can improve their chances of acceptance by engaging in extracurricular college activities and volunteering in hospitals and other health care settings. 

Developmental psychology
  • Lifespan Development

  • Biological Beginnings & Prenatal Development

  • Physical & Cognitive Development

Objectives
  • Distinguish between major theoretical perspectives in developmental psychology

  • Articulate various developmental terms and concepts

  • Apply developmental concepts and theories to everyday relationships and situations

Life science
  • Domains of organisms

  • Development of cell theory

  • Eutrophication, climate changes, and catastrophic disturbances

Objectives
  • Demonstrate an understanding of scientific reasoning, logic, and the nature of science

  • Investigate and understand patterns of cellular organization of living things

  • investigate and understand the classification of organisms

Ethics
  • Ethical Principles of Psychiatrists

  • Ethical Conflicts in Psychology

  • Confidentiality, & Duty to Protect

Objectives
  • To familiarize students with contemporary ethical and professional conduct issues

  • To provide students with guidelines for evaluating and resolving ethical dilemmas

  • To provide students with models for how psychology can contribute to matters of social policy

Masters

To become psychiatrist students must complete four years of medical school to earn a Doctor of Osteopathic Medicine (DO) or Doctor of Medicine (MD) degree. All psychiatrists go through the same medical training as all other doctors, with a focus on learning how the body functions, how to treat all types of disease, and explore processes of the mind. 

A student is eligible to apply for medical school programs after completion of four years of undergraduate studies and typically takes 4 years to complete and lead to a doctor’s degree. However, according to BLS, some colleges combined bachelors and medical degrees in accelerated six or seven-year programs. The curriculum for psychiatry students includes classes in psychiatry, physiology, chemistry, biochemistry, and neuroscience. During the first two years, students engage in classroom and laboratory activities. In the final two years, students work in hospital settings diagnosing and treating patients under the supervision of experienced doctors. Some possible rotations include psychiatry, family practice, pediatrics, etc.

Anatomy
  • Introduction to Anatomy

  • Skull

  • Nervous Tissue and Nervous System

Objectives
  • To learn the names and functions of anatomical structures

  • Be able to effectively utilize anatomic terminology

  • Possess a basic understanding of the structures and relationships of the human body

Psychology
  • Introduction to Psychology

  • Psychology of Personality

  • Law and Social Psychology

Objectives
  • Explain the major perspectives of psychology

  • Describe psychology in relation to other disciplines

  • Demonstrate knowledge and understanding of theory and research

Pathology
  • General Pathology

  • Cardiac Pathology

  • Laboratory Medicine Theme

Objectives
  • Classify diseases of various body systems

  • Management of pathologic conditions

  • Pathology’s role in the diagnosis, staging, and management of disease


Salary and Job Growth of a Psychiatrist

Salary of a psychiatrist ranges anywhere between $200,00 and $250,000. Salary ranges vary widely depending on several important factors like education, certifications, additional skills, and work experience. 

According to BLS, the job growth of a psychiatrist is projected at 16.2 percent between 2012 and 2022. A psychiatrist has the highest projected growth rate than the national average for all other occupations.

Job Concentrations

Following are the most common Job concentrations for a psychiatrist:

  • Geriatric Psychiatry: Geriatric psychiatry revolves around the evaluation, diagnosis, treatment, and prevention of mental and emotional disorders in the elderly and the improvement of psychiatric care for healthy and ill elderly patients. Geriatric psychiatry emphasizes the biological and psychological aspects of normal aging.

  • Forensic Psychiatry: Psychiatrist specializing in forensic psychiatry deals with the assessment and treatment of offenders in prison, secure hospitals, and the community mental health problems. Forensic psychiatrists also provide specialist advice to the courts, the probation service, and the prison service.  It requires an understanding of the links between mental health and the law. 

  • Child and Adolescent Psychiatry: a child and adolescent psychiatrist specializing in the diagnosis and the treatment of disorders of thinking, feeling, and/or behavior of children and adolescents and their families. The study investigates the biopsychosocial factors that influence the development and course of these disorders and treatment responses to various interventions.

  • Addiction Psychiatry: addiction psychiatrists are responsible for identifying concurrent psychiatric and substance use problems in individuals seeking treatment. Addiction psychiatry has ample job opportunities as there is a shortage of specialists in this field. 

Standout skills to become a good Psychiatrist

In order to be a good psychiatrist, you need to possess both hard and soft skills which are detailed below:

  • Diagnostic Skills - Psychiatry involves interaction with another human being which itself is a complicated process. It becomes even more challenging when the person is coping with emotional disruptions or even psychosis. Psychiatrists need to be able to take in complex information and analyze it to reach a conclusion. A psychiatrist must be able to understand human biology, psychology, group, and individual social behavior and cultural differences so as to correctly diagnose a patient’s problems. A psychiatrist must be able to make decisions about what exactly the patient’s needs are and then prescribe the right treatment which may involve interactive therapy, medication, or a combination of the two. 

  • Up to Date Pharmaceutical Knowledge - A wide array of drugs are available in the market to treat mental disorders. These drugs range from relatively mild sedatives such as Valium all the way to heavy-duty drugs such as Thorazine. A psychiatrist must be able to understand the options that are available and be able to prescribe a particular or a combination of medications to a particular patient. There are constant and ongoing changes in the world of pharmaceuticals and a psychiatrist should continually educate himself about new drugs and treatments 

  • Good Listening Skills - One of the most important skills, in order to be a good psychiatrist, is to be a good listener in order to hear both what the patient says and discern what is not said. A psychiatrist must pay attention to the tone and expression the patient uses when discussing different issues and be alert to repetitive comments that may indicate strong feelings. A psychiatrist must have no preconceived notions about the patient and be open to the patient’s opinions. A psychiatrist must be an active listener who doesn’t interrupt but knows when to ask the appropriate questions

  • Empathetic - In order to be successful as a psychiatrist, they must be able to empathize with other humans and gain insight into their motivations, difficulties, and sufferings. A psychiatrist must always remember the fine line between empathy and being a friend. A psychiatrist is supposed to be empathetic towards the patient so as to be able to relate with the patient’s experience maintaining professional boundaries so as to be able to avoid taking the patient's stress and emotional upheaval. Being empathetic helps a psychiatrist be able to determine the right course of action for the patient.

  • Objectivity - One of the most difficult tasks for a psychiatrist is to be able to maintain a balance between empathy and detachment. It is important that a psychiatrist remember their purpose which is to analyze the patient and decide on the right therapies, drugs, and treatments. 

  • Good Communication Skills - As a psychiatrist, you will need to communicate with many people on a daily basis. In addition to the patient, a psychiatrist may have to talk to family members to get other perspectives on the patient’s problems and to assess family dynamics. A psychiatrist’s job involves talking to other health care professionals to coordinate a treatment plan for the patient. A psychiatrist must be able to communicate easily with both medical professionals and laymen.