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Your family nurse practitioner can be a good place to start if you believe that you suffer from depression or anxiety. However, only psychiatrists and psychiatric nurse practitioners are able to provide diagnosis, treatment, and monitoring for more complex psychiatric disorders.
The main difference between the two roles is that the psychiatrist is a medical doctor and the PNP is an advanced practice nurse. However, there are subtle differences in the steps to become a PNP and a psychiatrist and the salary for each role.
Psychiatric Mental Health Nurse Practitioner Salary in California Annual SalaryHourly Wage Top Earners $177,642 $85 75th Percentile $152,000 $73 Average $152,651 $73 25th Percentile $118,900 $57
Both psychiatrists and psych NPs can assess, diagnose, and treat patients with mental health conditions. They may also prescribe medication. However, psychiatric nurse practitioners can practice autonomously only in 22 states and the District of Columbia.
A licensed psychiatric nurse practitioner is legally allowed to conduct therapy as part of their prescribed treatment plan. In most cases, however, the therapeutic component of a patients treatment is conducted by mental health counselors, social, workers, therapists, or psychologists.

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Psychiatrists are able to subspecialize with different aspects of the mental health system, going more in-depth and treating more complex mental disorders than psychiatric nurse practitioners.
A psychiatric mental health nurse practitioner (PMHNP) is a type of APRN that is growing in demand. PMHNPs specialize in the care of those with mental health disorders, often including substance abuse.
Like psychologists, therapists cannot prescribe medication. Psychiatric nurse practitioners are advanced practice nurses who have completed a masters or doctoral degree in nursing specializing in psychiatry. They are trained to diagnose and treat mental health conditions and can prescribe medication.