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Psychiatric Nurse Practitioner

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What is a Psychiatric Nurse Practitioner

Psychiatric nurse practitioners (NPs), also called psychiatric mental-health nurse practitioners (PMHNPs), provide a range of holistic treatments to those with mental, emotional, and behavioral medical problems. 

Some PMHNPs work together with psychiatrists; others can work independently depending on their location in the country. While psychiatrists and psychiatric NPs both manage the care of similar patients, there are differences. Psychiatrists are medical doctors who are more likely to work in private practice. On the other hand, psychiatric NPs often work in mental health clinics and additionally provide education and resources for patients and families. 

Psychiatric nurse practitioners who are board-certified provide comprehensive care for their patients. They are licensed to diagnose, prescribe medications, and can refer to other practitioners. Depending on their interest, psychiatric nurse practitioners can focus on family health or a specialty area. For example, a psychiatric nurse practitioner can further specialize in pediatrics, addiction medicine, or geriatrics.   

In approximately 27 states (including D.C.), NPs can practice independently from physicians. In 13 states, they can work with partial supervision, while in 11 states, NPs have more restricted practices.

Psychiatric nurse practitioners (NPs) have obtained their advanced practice nursing degrees by obtaining either a master’s or doctoral degree and completing additional clinical hours. Their practice area determines what further education, clinical training, and certifications they need.

What does a Psychiatric Nurse Practitioner Do?

The setting where the psychiatric nurse practitioner works determine much of their role, but general activities may include:

  • Perform initial assessment, diagnosis, ongoing management, and follow-up care of mental health patients
  • Provide counseling and psychotherapy with patients and their families
  • Collaborate with other health providers to integrate mental health needs with other medical issues
  • Order psychopharmacologic medications after collaboration with a psychiatrist
  • Create patient-specific care plans to manage mental health issues
  • Document findings and maintain records
  • Provide psychiatric-mental health education to patients and their families
  • Advocate for psychiatric-mental health patients and their families
Psychiatric Nurse Practitioner

What skills does a Psychiatric Nurse Practitioner need?

Psychiatric nurse practitioners must be compassionate to help those who likely cannot control their mental and emotional state. Psychiatric nurse practitioners are good listeners and are able to observe and analyze both the verbal and non-verbal behavior of the patients.  

They must be able to integrate both medical and nursing knowledge. PMHNPs learn how to interpret assessment findings, arrive at a working diagnosis, and develop a treatment plan.  

Psychiatric nurse practitioners must increase their knowledge in order to prescribe and administer psychopharmacologic medications safely. Overall, NPs must learn to think independently, follow their instincts, and utilize strong critical thinking skills.

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What skills does a Psychiatric Nurse Practitioner need?

Psychiatric nurse practitioners must be compassionate to help those who likely cannot control their mental and emotional state. Psychiatric nurse practitioners are good listeners and are able to observe and analyze both the verbal and non-verbal behavior of the patients.  

They must be able to integrate both medical and nursing knowledge. PMHNPs learn how to interpret assessment findings, arrive at a working diagnosis, and develop a treatment plan.  

Psychiatric nurse practitioners must increase their knowledge in order to prescribe and administer psychopharmacologic medications safely. Overall, NPs must learn to think independently, follow their instincts, and utilize strong critical thinking skills.

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Psychiatric Nurse Practitioners

Work settings for Psychiatric Nurse Practitioners

Psychiatric nurse practitioners work in hospitals, mental health clinics, schools, in-patient psychiatric facilities, correctional facilities, addiction centers, and in-home healthcare.

Common Cases Psychiatric Nurse Practitioners Encounter

Psychiatric nurse practitioners manage patients with:

  • ADHD
  • Anxiety
  • Autism Spectrum
  • Dementia
  • Mood disorders
  • Substance abuse
  • Suicide prevention
  • Trauma

How to Become A Psychiatric Nurse Practitioner

  1. Complete an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) degree: takes about two to four years based on the program
  2. Pass the NCLEX-RN exam and apply for your RN license after graduation
  3. Gain experience working as a registered nurse for two years, which most programs require
  4. Attend a Psychiatric-Mental Health Nurse Practitioner program. Nurses with ADN degrees can complete their BSN in conjunction with their master’s or doctoral degree. These programs take about 18 months to three years or longer to complete. 
  5. Take the exam to become a certified Psychiatric-Mental Health Nurse Practitioner (PMHNP)
  6. Apply for PMHNP certification in the state you wish to practice.

How to Advance Your Career As A Psychiatric Nurse Practitioner

Nurse practitioners who already practice in another area can complete a postgraduate program in mental health-psychiatric care to become psychiatric mental-health nurse practitioners (PMHNPs). Courses are either in person or online. The PMHNP program must include a minimum of 500 faculty-supervised clinical hours.

To become a Pediatric Primary Care Mental Health Specialist (PMHS), you must already be certified as either a:  

  • Primary Care Pediatric Nurse Practitioner (PNP)
  • Family Nurse Practitioner (FNP)
  • Child/Adolescent Psychiatric & Mental Health CNS (PMHCNS-BC) 
  • Psychiatric-Mental Health NP (PMHNP-BC).  

 

Over the last five years, you must have completed 2,000 clinical hours in pediatric developmental, behavioral, and mental health (DBMH) and additional pediatric developmental, behavioral, and mental health (DBMH) coursework.

All psychiatric nurse practitioners must obtain MSN degrees, but some get doctoral degrees. These doctoral degrees are not to be confused with physicians’ medical doctor degrees.

Education Requirements & Helpful Certification

After completing all training and clinical hours, Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification (PMHNP-BC) from the ANCC may be taken.

Pediatric psychiatric nurse practitioners may also gain certification as a Pediatric Primary Care Mental Health Specialist (PMHS) through the PCNB.

Psychiatric nurse practitioners must be BCLS certified and renew their NP license every one to three years, depending on their state. Each state also requires a differing number of CEU hours.

Average Salary For Psychiatric Nurse Practitioners

Psychiatric nurse practitioners typically make between $100,240 - $123,000, with a median salary of $112,140, according to Salary.com.

The May 2021 Bureau of Labor and Statistics report shows which states have the highest and lowest wages for nurse practitioners. The highest-paid states are California, New Jersey, and New York. The lowest-paid states are Alabama, Kentucky, and South Carolina, which is tied with West Virginia.

Ideal Personality Traits

  • Focused, attentive, and patient
  • Calm and caring
  • Excellent communicator
  • Strong patient advocate

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Psychiatric Nurse Practitioner

Psychiatric Nurse Practitioners, also called Psychiatric-Mental Health Nurse Practitioners (PMHNPs), are advanced practice nurses who can serve as primary care providers for the mental health community. They care for people of all ages with a variety of mental illnesses and behavioral issues. 

Some PMHNPs work together with psychiatrists; others can work independently depending on their location in the country. PMHNPs deliver care by diagnosing, providing therapy, prescribing medications, and promoting health in other areas of their patients' lives.

Education Requirements

After completing all training and clinical hours, Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification (PMHNP-BC) from the ANCC may be taken.

Pediatric psychiatric nurse practitioners may also gain certification as a Pediatric Primary Care Mental Health Specialist (PMHS) through the PCNB.

Psychiatric nurse practitioners must be BCLS certified and renew their NP license every one to three years, depending on their state. Each state also requires a differing number of CEU hours.

How to advance/career pathway

Nurse practitioners who already practice in another area can complete a postgraduate program in mental health-psychiatric care to become psychiatric mental-health nurse practitioners (PMHNPs). Courses are either in person or online. The PMHNP program must include a minimum of 500 faculty-supervised clinical hours.

To become a Pediatric Primary Care Mental Health Specialist (PMHS), you must already be certified as either a:  

  • Primary Care Pediatric Nurse Practitioner (PNP)
  • Family Nurse Practitioner (FNP)
  • Child/Adolescent Psychiatric & Mental Health CNS (PMHCNS-BC) 
  • Psychiatric-Mental Health NP (PMHNP-BC).  

 

Over the last five years, you must have completed 2,000 clinical hours in pediatric developmental, behavioral, and mental health (DBMH) and additional pediatric developmental, behavioral, and mental health (DBMH) coursework.

All psychiatric nurse practitioners must obtain MSN degrees, but some get doctoral degrees. These doctoral degrees are not to be confused with physicians’ medical doctor degrees.

RESPONSIBILITIES

  • Intake of new patients or follow up visits on existing patients
  • Prescribe medications and treatments,
  • Monitor patient progress and make changes as needed
  • Provide education and counseling to patients/families

MOST COMMON CASES

Psychiatric nurse practitioners manage patients with:

  • ADHD
  • Anxiety
  • Autism Spectrum
  • Dementia
  • Mood disorders
  • Substance abuse
  • Suicide prevention
  • Trauma

How to become a

Psychiatric Nurse Practitioner

  1. Complete an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) degree: takes about two to four years based on the program
  2. Pass the NCLEX-RN exam and apply for your RN license after graduation
  3. Gain experience working as a registered nurse for two years, which most programs require
  4. Attend a Psychiatric-Mental Health Nurse Practitioner program. Nurses with ADN degrees can complete their BSN in conjunction with their master’s or doctoral degree. These programs take about 18 months to three years or longer to complete. 
  5. Take the exam to become a certified Psychiatric-Mental Health Nurse Practitioner (PMHNP)
  6. Apply for PMHNP certification in the state you wish to practice.

The Pros

  • Less physically demanding and more regular hours
  • Variety of mental health patients in different settings
  • Satisfaction of seeing people improve
  • Increased responsibility but still can defer to the psychiatrist

The Cons

  • Challenging to manage some patients
  • Some patients may be dangerous
  • Increased legal risk
  • Must obtain and maintain more nursing education
  • It can be isolating if not around other NPs in a work environment
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Personality Traits

  • Focused, attentive, and patient
  • Calm and caring
  • Excellent communicator
  • Strong patient advocate
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Average Salary

Psychiatric nurse practitioners typically make between $100,240 - $123,000, with a median salary of $112,140, according to Salary.com.

The May 2021 Bureau of Labor and Statistics report shows which states have the highest and lowest wages for nurse practitioners. The highest-paid states are California, New Jersey, and New York. The lowest-paid states are Alabama, Kentucky, and South Carolina, which is tied with West Virginia.

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Certifications

American Nurses Credentialing Center (ANCC) 

  • Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification (PMHNP-BC)

Pediatric Nurses Certification Board (PNCB)

  • Pediatric Primary Care Mental Health Specialist
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Work Setting

Psychiatric nurse practitioners work in hospitals, mental health clinics, schools, in-patient psychiatric facilities, correctional facilities, addiction centers, and in-home healthcare.