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A career as a psychiatrist can be highly rewarding, both professionally and financially, with the average annual salary in the U.S. coming in at $259,497, according to ZipRecruiter.

Becoming a psychiatrist requires a lot of dedication and time — 12 years on average. But as the need for mental health services outstrips demand in the U.S., the outlook for a career in psychiatry is strong. Indeed, the U.S. Health Resources & Services Administration predicts a shortage of 39,550 psychiatrists by 2030 if current supply and utilization patterns continue.

Read on to learn more about how much a psychiatrist makes, as well as the job’s requirements, duties, and benefits.

What Are Psychiatrists?

Psychiatrists are medical doctors who specialize in mental health. They are qualified to assess mental health disorders, including depression, anxiety, and substance abuse, and prescribe medication.

The duties of a psychiatrist generally include:

•   Assessing patients’ mental health through interviews, reviewing medical history, and testing

•   Delivering an accurate diagnosis and developing a treatment plan

•   Consulting with other mental health professionals

•   Prescribing medication if needed

•   Following up with patients and making treatment adjustments if necessary

•   Documenting each patient’s diagnosis and progress

•   Offering emotional support and coping mechanisms

•   Staying current on new developments and psychiatric treatment methods

An effective psychiatrist should be able to:

•   Be compassionate and empathetic. These qualities allow a psychiatrist to understand what’s going on with their patients.

•   Establish trust. Patients need to feel safe opening up to their doctors.

•   Be patient. The road to mental wellness can be a long one.

•   Possess strong communication skills. Psychiatry is not a job for introverts. A successful psychiatrist needs to be able to actively listen, provide guidance, and communicate solutions.

•   Maintain flexibility. The job requires flexibility in both your schedule and treatment approaches in order to provide customized help for each patient.

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How Much Do Starting Psychiatrists Make a Year?

Professional psychiatrists can make over $100,000, even as a starting salary. Both the bottom 10% of earners and beginning psychiatrists make, on average, $133,000 a year.

What is the Average Salary for a Psychiatrist?

Being a psychiatrist is one of the highest paying jobs in the U.S. The typical salary ranges from $68,500 to $399,000 a year, with the average psychiatrist salary in the U.S. landing at $259,497. However, location makes a significant impact on how much a psychiatrist gets paid, with the average salary in New York City coming in at $283,899.

A psychiatrist can command a yearly salary or an hourly wage in a private practice. As for how much a psychiatrist makes in an hour, the national average is $125.

What is the Average Psychiatrist Salary by State?

Psychiatrists can earn competitive pay no matter where they live and work. However, geographic location does have an influence on how much a psychiatrist makes. Here’s a look at the average psychiatrist annual salary by state.

Recommended: What Is a Good Entry-Level Salary?

Psychiatrist Job Considerations for Pay & Benefits

A professional psychiatrist can earn a high salary while helping to improve the lives of others. But there are a lot of steps you need to take in order to become a licensed psychiatrist. These include:

1.    Earning a bachelor’s degree, preferably in psychology, biology or biochemistry.

2.    Taking the Medical College Admission Test (MCAT). The MCAT is a challenging standardized test used as an admissions requirement when applying for a medical degree program.

3.    Applying to and attending medical school. Medical school typically takes about four years to complete as a full-time student.

4.    Completing a four-year medical residency. This is required to obtain your medical license and involves treating patients in real-world scenarios. It’s generally a good idea to obtain your license in the same state you intend to practice in.

In addition to a strong job prospects and a high salary, psychiatrists who work for a public, private, or government institution may be eligible for the following job benefits:

•   Health insurance — medical, vision, and dental

•   Life and disability insurance

•   Vacation and holiday pay

•   Paid sick leave

•   Retirement plans

•   Malpractice coverage

Of course, if you open your own practice, you’ll have to cover those benefits yourself. But you’ll have the flexibility to set your own schedule and session rates.


💡 Quick Tip: Income, expenses, and life circumstances can change. Consider reviewing your budget a few times a year and making any adjustments if needed.

Pros and Cons of Being a Psychiatrist

As with any profession, there are positive and negative sides to being a psychiatrist. Here’s a closer look at the jobs pros and cons.

Pros of Being a Psychiatrist

•   Opportunity to help others: One of the reasons people enter the field of psychiatry is to help change people for the better and, in some cases, save their lives.

•   Mix of patients: You’ll be challenged with helping people of all different ages and backgrounds to achieve mental wellness.

•   Work in a variety of places: Psychiatrists can work in private offices, hospitals, schools, mental health clinics, and other institutions.

•   Form relationships: In addition to establishing relationships with their patients, many psychiatrists have the opportunity to work with other professionals, including psychologists and occupational therapists, as part of a holistic treatment plan.

•   Be your own boss: If you decide to form your own practice, you’ll be able to set your own schedule and session rates.

•   Job security: As noted above, psychiatry is one of the types of jobs that are currently in demand.

Cons of Being a Psychiatrist

•   Emotionally draining: Caring for patients, especially those who have dealt with traumatic experiences, can be emotionally exhausting. The stress of responsibility coupled with intense sessions can potentially lead to professional burnout.

•   Substantial educational debt: The 12 years or more of school plus residency required to become a psychiatrist can be costly and leave you a lot of student loans to repay.

•   Irregular hours: Many psychiatrists have to be flexible in order to accommodate working patients and don’t work the traditional nine-to-five hours.

•   Fluctuating income: The goal of any psychiatrist is to help people manage their lives on their own, which means patients (hopefully) come and go. If you have a private practice, you could experience fluctuations in income from year to year.

•   Physical danger: Unfortunately, some more severely mentally ill patients can potentially become physically violent with their doctors.

•   Risk of lawsuits: Patients can sue their psychiatrist for prescription errors, a misdiagnosis, or session misconduct. Your place of work or private practice will have to have malpractice insurance.

Recommended: Best Entry-Level Jobs for Antisocial People

The Takeaway

You can earn a lot of money working as a psychiatrist if you are willing to spend years on your education, with the average psychiatrist salary coming in at $259,497. But helping others is also calling. When you make a difference in a person’s life, the rewards can be more than financial.

Whatever type of job you pursue, you’ll want to make sure your earnings can cover your everyday expenses. To help ensure your monthly inflows always exceed your monthly outflows, try creating a budget and check out financial tools that can help track your income and spending.

FAQ

Can you make $100k a year as a psychiatrist?

Yes. The average salary range for a psychiatrist is $68,500 and $399,000 a year.

Do people like being a psychiatrist?

While the job can be emotionally draining at times, many psychiatrists find tremendous satisfaction in helping others.

Is it hard to get hired as a psychiatrist?

No. There is currently a great demand for psychiatrists, and there will likely always be a need to help patients with mental health issues.

Photo credit: iStock/SDI Productions

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After graduation and your six-month federal student loan grace period, it’ll be time to start paying your dues. If you are on the Standard Repayment Plan, you’ll pay at least $50 a month for 10 years. But there are other ways to pay back your student loans: through income-driven repayment plans.

Not all of these plans have the same repayment strategy, and not all federal loans qualify for income-driven repayment. We’ll help you find the one that aligns with your financial situation before you commit.

How Does Income-Driven Repayment Work?

The U.S. Department of Education offers two income-driven repayment (IDR) plans for holders of federal student loans. (Two other plans, PAYE and Income-Contingent Repayment, are no longer accepting new enrollments.) The current plans are:

•   Income-Based Repayment (IBR)

•   Saving on a Valuable Education (SAVE) Plan

For IDR plans, your monthly payment is calculated as a portion of your discretionary income. The Department of Education defines discretionary income as your adjusted gross income in excess of a protected amount.

Discretionary income under the SAVE Plan, for example, is any adjusted gross income you have above 225% of the federal poverty guideline appropriate to your family size. You’ll have a $0 monthly payment under the SAVE Plan if your annual income doesn’t exceed the protected amount of $32,805 for a single borrower and $67,500 for a family of four in 2023.

If you don’t qualify for a $0 monthly payment on the SAVE Plan, your monthly payment beginning in July 2024 is set at 5% of discretionary income for undergraduate loans, 10% for graduate loans, and a weighted average if you have both.

On the IBR plan, your monthly payment is typically set at 10% to 15% of your discretionary income above 150% of the federal poverty guideline appropriate to your family size. But unlike the SAVE Plan, a borrower’s monthly payment on the IBR plan will never be more than what you would have paid through the Standard Repayment Plan.

IDR Loan Forgiveness

All federal IDR plans can end with your remaining loan balance being forgiven after 20 or 25 years, but some borrowers may receive forgiveness sooner under the SAVE Plan. Beginning in July 2024, federal student loan borrowers with original principal balances of less than $12,000 can have their remaining loan balance forgiven after 10 years of monthly qualifying payments on the SAVE Plan.

For more details on federal IDR debt relief benefits, check out our Guide to Student Loan Forgiveness.

Your personal circumstances and goals may dictate which student loan repayment plan is right for you. You can estimate how much your monthly payments will be through the federal Loan Simulator calculator.

💡 Quick Tip: Ready to refinance your student loan? You could save thousands.

The Difference Between Income-Driven Repayment Plans

Deciding which IDR plan is right for you (and that you may qualify for) depends on your financial situation and your loan type(s). Here’s what they mean:

•   IBR (Income-Based Repayment). This plan is based on your income and family size. The potential IBR payment must be less than what you would pay under the Standard Repayment Plan to qualify. Any remaining balance is forgiven after 20 or 25 years.

•   SAVE (Saving on a Valuable Education). This IDR plan replaced the former REPAYE Plan. Anyone with qualifying student loans can enroll into the SAVE Plan. However, you could end up paying more per month under this plan than the Standard Repayment Plan. You’ll have a $0 monthly payment under the SAVE Plan if your annual income falls below 225% of the federal poverty guideline appropriate to your family size.

Alternatives to Income-Driven Repayment Plans

The 2023 debt ceiling bill officially ended the three-year Covid-19 forbearance, requiring federal student loan interest accrual to resume on Sept. 1, 2023, and payments to resume in October 2023.

Aside from the Standard Repayment Plan, there are a few options to consider instead of IDR:

Consolidation

If you have federal student loans, you can get a Direct Consolidation Loan. This will move all your eligible federal student loans into one monthly payment. Your new interest rate is the weighted average of all your loans, rounded up to the nearest eighth of a percent.

This can be helpful if you have many smaller loans that each have a minimum monthly payment. It typically won’t lower your monthly payment, however, but it can make it manageable and easier to keep track of. Only federal loans are eligible for a Direct Consolidation Loan.

Refinancing

Refinancing is similar to consolidation. You get one loan to replace all of your other loans, but it’s a new loan with a new interest rate from a private lender or bank. Your credit report and other personal financial factors are considered to see if you’re a responsible borrower. If you previously had a co-borrower, such as a parent, you can look into refinancing without a cosigner.

Many lenders allow you to refinance all of your student loans, not just federal student loans. So if you have a mix of private student loans and federal student loans, refinancing will create one new loan with one payment to replace them.

If you qualify for a lower interest rate and a shorter term, it could reduce the amount of money paid in interest over the life of the loan. You may pay more interest over the life of the loan if you refinance with an extended term. You can explore different scenarios with our Student Loan Refinance Calculator.

You may ask, “Should I refinance my federal student loans?” Refinancing federal student loans with a private lender forfeits your access to Public Service Loan Forgiveness (PSLF), Teacher Loan Forgiveness, and federal IDR plans. You can weigh the pros and cons when determining whether student loan refinancing is right for you.


💡 Quick Tip: Refinancing could be a great choice for working graduates who have higher-interest graduate PLUS loans, Direct Unsubsidized Loans, and/or private loans.

How Do You Calculate Income for an Income-Driven Plan?

The Department of Education considers three different components when calculating a borrower’s income. While this may seem needlessly complicated, it actually benefits borrowers:

Annual Income

Any income that’s taxable counts toward the Education Department’s calculation. That means regular wages, plus interest and dividends from savings and investments, unemployment benefits, etc. On the flip side, any income that isn’t taxed doesn’t count: gifts and inheritances, cash rebates from retailers, child support payments, and so on.

Spouse’s Income

If you and your spouse file a joint tax return, then their income must also be factored in. If you file separately, only your income counts.

Family Size

Your family size is the number of people who live with you and receive more than half their support from you. This includes children but also dependent adults, such as an older parent.

The Takeaway

There are now two income-driven repayment plans for federal student loan holders, IBR and SAVE. The PAYE and Income-Contingent Repayment plans stopped accepting new borrowers as of July 1, 2024, although current enrollees can remain on the plan after that date.

Looking to lower your monthly student loan payment? Refinancing may be one way to do it — by extending your loan term, getting a lower interest rate than what you currently have, or both. (Please note that refinancing federal loans makes them ineligible for federal forgiveness and protections. Also, lengthening your loan term may mean paying more in interest over the life of the loan.) SoFi student loan refinancing offers flexible terms that fit your budget.

SoFi Student Loan Refinance
Terms and conditions apply. SoFi Refinance Student Loans are private loans. When you refinance federal loans with a SoFi loan, YOU FORFEIT YOUR ELIGIBILITY FOR ALL FEDERAL LOAN BENEFITS, including all flexible federal repayment and forgiveness options that are or may become available to federal student loan borrowers including, but not limited to: Public Service Loan Forgiveness (PSLF), Income-Based Repayment, Income-Contingent Repayment, extended repayment plans, PAYE or SAVE. Lowest rates reserved for the most creditworthy borrowers. Learn more at SoFi.com/eligibility. SoFi Refinance Student Loans are originated by SoFi Bank, N.A. Member FDIC. NMLS #696891 (www.nmlsconsumeraccess.org).

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