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Custom-Built Mental Health: Do You Need A Psychiatrist Or Psychiatric Nurse Practitioner?

The process of taking care of your mental health is a long and tricky one. Fortunately, plenty of professionals can help us overcome and/or cope with various mental illnesses

But if you want a custom-built mental health plan, there are usually two ways to go about it: seeking help from a psychiatrist or a psychiatric nurse practitioner (PMHNP). Both professionals have similar roles and responsibilities, making it difficult to choose between them.

In this article, we’ll look at the similarities and differences between a PMHNP and a psychiatrist. We’ll look at their educational requirements as well as their authority. By the end of this blog post, you can decide which professional you’ll need. 

An Overview of a Psychiatric Nurse Practitioner

What is a bpd favorite person? A psychiatric nurse practitioner could be the professional you’re looking for, especially if you require them to take on specific nursing duties. Let’s look at what a PMHNP does.

Custom-Built Mental Health: Do You Need A Psychiatrist Or Psychiatric Nurse Practitioner?

What is a Psychiatric Nurse Practitioner (PMHNP)?

A psychiatric mental health nurse practitioner is a nurse practitioner who specializes in mental health care. A PMHNP has all the responsibilities of a nurse practitioner, except they specialize in mental health services. They can use their specialized medical knowledge to administer treatment strategies and provide diagnoses for patients of all ages and demographics. 

What Does a PMHNP Do and Where Do They Work?

A PMHNP will help people through multiple mental health issues. They’ll use diagnostic criteria to connect specific physical symptoms with mental health disorders.

They’re also therapists who combine counseling, medication, and education to improve a patient’s general well-being. 

These professionals often work in addiction or behavioral health clinics but are sometimes called into hospitals, private practices, schools, or prisons.

A PMHNP will direct other nurse practitioners in a clinical setting and work closely with physicians, families, and the community. 

An Overview of a Clinical Psychiatrist 

When you think of getting help for mental health, your first thought is to probably go to a clinical psychiatrist. And for good reason, as these professionals are experienced in this area.

What is a Psychiatrist?

A psychiatrist is a medical doctor who specializes in mental health. They assess and diagnose the mental and physical components of psychological problems.

To do so, they will often run laboratory and psychological tests and speak to patients to help them understand their mental states. They treat patients with medication, psychopathy, and other alternative therapies.

What Does a Psychiatrist Do and Where Do They Work?

Psychiatrists will use their years of education and expertise to provide empathetic, responsive, and genuine support to patients and their families. They often combine talk therapy tactics (i.e., cognitive behavioral therapy) and medication (i.e., antidepressants) in patient care.

A psychiatrist will often specialize to better understand their clients.

Their specialty will determine where they work. For example, a child psychiatrist may work in a school or clinical setting. That said, most specialties can all be practiced in a traditional healthcare setting.

In our next section, we’ll look at how to pick between both professionals, as they seem similar at first glance.

If you want more help with this subject, we recommend checking out this article on choosing between a psychiatrist and a nurse practitioner by Rula.

How to Choose Between a PMHNP and a Psychiatrist

When reading both professions side by side, they don’t appear to be that different. However, it’s their differences that can help you make a decision on what professional is right for you. 

The Similarities Between PMHNPs and Psychiatrists 

Psychiatrists and PMHNPs work together in many healthcare settings, and most of their roles overlap. They both diagnose conditions, administer therapy, and prescribe medication. 

Due to the shortage of psychiatrists in the US, PMHNPs are serving as legitimate alternatives.

PMHNPs also collaborate closely with psychiatrists to reduce their workload and implement care strategies. With that said, their differences in authority make things tricky.

The Differences Between Educational Requirements

A psychiatrist is a medical doctor typically earning a bachelor’s degree in chemistry, biology, or a related field before taking the MCAT.

Once they graduate from medical school, they gain a state license (which they must keep current), complete psychiatric residency, and obtain other certifications. The whole process takes 12 years and continuous education.

A PMHNP isn’t a medical doctor. However, they will earn their Bachelor of Science in Nursing, become licensed RNs, and complete a PMHNP program. After completing the required clinical hours and passing an exam, they must only renew their license every five years.

This process takes six years to complete but may take ten if they decide to go to graduate school.

Since you can become a PMHNP faster, they’re typically cheaper to hire. However, they won’t be able to perform specific tasks without the help of a practicing doctor or psychiatrist.

The Differences Between Prescribing and Administrative Authority

In 2023, both psychiatrists and PMHNPs have the authority to prescribe medications in the United States. However, in some states, a PMHNP needs to get a supervising physician’s approval first.

It’s recommended to research if your PMHNP has full authority to prescribe the type of medication you need (i.e., schedule II drugs or higher) before choosing your specialist.

Similarly, psychiatrists and PMHNPs have the authority to open their own practice. They can both conduct research and publish their studies in medical journals without much red tape.

With that said, PMHNPs often work under psychiatrists, meaning they don’t have the same administrative authority.

A psychiatrist can be a supervisor in a psychiatric hospital and review or sign off on decisions made by PMHNPs. A PMHNP can’t sign off on their own decisions.

In Conclusion, The Differences are Skin Deep 

A psychiatrist and PMHNP perform the same roles and duties as one another, but the major difference lies in their ability to sign off on medications and treatment plans.

If a PMHNP works in a state where they have more authority, then the decision comes down to cost and availability.

However, if the PMHNP has to wait for their supervising psychiatrists’ approval before administering treatment, you may have to wait to get on a plan. If you’re okay with waiting, then a PMHNP is right. If not (and you have more cash flow), a psychiatrist is best. 

In the end, you need to find a professional that works best for you and your needs. This may require some trial and error, but eventually, you’ll be on your way to improved mental health.