Psychiatrist — Training, Education, and Comparison With Psychologist

What Is a Psychiatrist?

What Is a Psychiatrist?
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A psychiatrist is a medical doctor specializing in diagnosing and treating mental, emotional, and behavioral health issues. They can prescribe medication, offer therapy, and provide other treatments for psychological and physical symptoms of psychiatric conditions. Psychiatrists evaluate your mental health based on factors including your social, biological, and environmental influences.

What Does a Psychiatrist Do?

Psychiatrists help diagnose, treat, and prevent mental health conditions. They complete medical school and are licensed in how physical conditions relate to mental and emotional disorders.

Because of this training, they understand whether a patient's mental and physical distress is due to physical or psychiatric factors. Psychiatrists evaluate and diagnose mental health conditions by interviewing patients, ordering labs, consulting with other healthcare providers, and gathering medical and family histories. They may also use psychological tests to confirm diagnoses.

They develop treatment plans to meet the unique needs of their patients. They may recommend and offer the following:

  • Psychotherapy, which is a formal term for therapy, talk therapy, or counseling
  • Medication, which they may prescribe to treat disorders and correct chemical imbalances in the brain
  • Psychosocial interventions that focus on interpersonal, psychological, or social behavior activities to create change

  • Medical treatments, such as electroconvulsive therapy (ECT), which involves deep brain stimulation (DBS), vagus nerve stimulation (VNS), or transcranial magnetic stimulation (TMS), which are used after other options have been exhausted to manage severe depression

When to See a Psychiatrist

Psychiatrists are trained to manage various interpersonal relationships and manage a wide range of mental conditions, including:

Medical diagnosis can sometimes take a toll on your mental health. For example, iIf you live with a chronic medical condition that leads to overwhelming distress, your healthcare provider may refer you to a psychiatrist to help process those feelings.

Psychiatrist Specializations

Some psychiatrists complete a fellowship and are subspecialty-certified by the Accreditation Council on Graduate Medical Education (ACGME) after four years of general psychiatric training. Alternately, during their four-year training, many general psychiatry residents will develop their specialty without pursuing a fellowship.

Psychiatric subspecialties include:

  • Addiction psychiatry or addiction medicine
  • Child and adolescent psychiatry
  • Consultation-liaison psychiatry supports patients with complex medical and psychiatric issues
  • Forensic psychiatry supports patients involved in the legal or correctional system
  • Geriatric psychiatry
  • Hospice and palliative medicine, end-of-life and comfort care for patients with serious illnesses
  • Pain medicine
  • Sleep medicine
Sometimes, your primary care provider or general psychiatrist might recommend a specialized psychiatrist, for example, in cases of a substance use disorder.

What Education Does a Psychiatrist Need?

All psychiatrists must complete medical school to earn a doctor of medicine (MD) or doctor of osteopathy (DO) degree. They then complete a four-year psychiatric residency program.

What Type of Certification Does a Psychiatrist Need?

Board certification through the American Board of Psychiatry and Neurology is optional, but most psychiatrists take the exam. Board-certified psychiatrists meet high standards that ensure clinical expertise and promote high-quality, inclusive psychiatric care.

How Long Does It Take to Become a Psychiatrist?

Becoming a general psychiatrist usually requires 12 years of post–high school education and longer to specialize in a specific area of psychiatry.

Psychiatrists must complete the following:

  • Bachelor’s degree: four years of undergraduate education
  • Medical school: four years to obtain an MD or DO degree
  • Psychiatric residency program: four years of special psychiatric training in a clinical setting
  • Subspecialty fellowship: one to two years of additional training, depending on the specialty

How to Choose a Psychiatrist

It is important to take time to research and choose a psychiatrist who's a good fit for you. Here are some things to consider.

Ask for references. Reach out to your healthcare provider for a list of psychiatrists or clinics. If you feel comfortable sharing personal info, you can also ask loved ones and friends for a referral. 

Check your health insurance's website. Starting there allows you to choose someone who accepts your health insurance, which can offset out-of-pocket costs. It is also an excellent place to look for someone close to your home. You may also want to call your insurance company to see what psychiatric services your insurance plan covers and what portion you'll need to pay toward a deductible if you have one.

Do research. A quick internet search for reviews can help to provide insights into a psychiatrist's interaction with patients. 

Find a specialist. To customize your treatment, seek out the specialty that best aligns with your health concerns.

Try telemedicine. If you live in a densely populated area, there are likely many psychiatrists that you can easily access. But if you live in a rural area, it may be more challenging to find help. If that's the case and you don't have the time or resources to get to an in-person appointment, telehealth may be a good option for you.

If you or a loved one is experiencing significant distress or having thoughts about suicide and need support, call or text 988 to reach the 988 Suicide & Crisis Lifeline, available 24/7. If you need immediate help, call 911.

The Takeaway

  • A psychiatrist is a medical doctor specializing in diagnosing and treating mental health conditions, often using a combination of therapy, medication, and other specialized interventions.
  • Psychiatrists help address both the mental and physical symptoms of psychiatric conditions, providing tailored treatment for complex mental health issues like depression, anxiety, and schizophrenia.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Psychiatrist. Cleveland Clinic. April 10, 2022.
  2. What Is Psychiatry? American Psychiatric Association. January 2023.
  3. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. National Library of Medicine, National Center for Biotechnology Information. September 18, 2015.
  4. Understanding the Link Between Chronic Disease and Depression. National Institute of Mental Health. 2024.
  5. What is a Substance Use Disorder? American Psychiatric Association. April 2024.
  6. ABPN Mission. American Board of Psychiatry and Neurology.
  7. Ponte K. Finding the Best Psychiatrist for You. National Alliance on Mental Illness. April 8, 2019.
Angela-Harper-bio

Angela D. Harper, MD

Medical Reviewer

Angela D. Harper, MD, is in private practice at Columbia Psychiatric Associates in South Carolina, where she provides evaluations, medication management, and psychotherapy for adul...

Angela McPhillips

Angela McPhillips, DNP

Author

Angela McPhillips is a registered nurse and doctor of nursing practice with over 15 years of healthcare experience. She earned her nursing degrees from the University of Illinois C...

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Psychiatrist. Cleveland Clinic. April 10, 2022.
  2. What Is Psychiatry? American Psychiatric Association. January 2023.
  3. Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards. National Library of Medicine, National Center for Biotechnology Information. September 18, 2015.
  4. Understanding the Link Between Chronic Disease and Depression. National Institute of Mental Health. 2024.
  5. What is a Substance Use Disorder? American Psychiatric Association. April 2024.
  6. ABPN Mission. American Board of Psychiatry and Neurology.
  7. Ponte K. Finding the Best Psychiatrist for You. National Alliance on Mental Illness. April 8, 2019.
Additional Sources