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Herzing University

FNP vs. PMHNP: which specialty should I choose?

Both of those common types of nurse practitioner specialties are highly rewarding and represent a big step forward for a registered nurse looking to advance their career.

  • Choose Psychiatric-Mental Health Nurse Practitioner (PMHNP) if…you want to be a true psychiatric/mental health specialist, and enjoy giving a voice to patients who are too often misunderstood. An excellent pathway for nurses who have gained practical experience behavioral health or worked in a community mental health facility and want to continue in the psychiatric field.
  • Choose Family Nurse Practitioner (FNP) if…you want to specialize in the broader field of family practice across the lifespan and prefer a hands-on approach to patient care. You may pursue many different specialties in neonatal (NICU), pediatric or geriatric care. As an FNP you’ll have a strong educational foundation to pursue your unique career path in family practice. Learn more about the Herzing University MSN – Family Nurse Practitioner program.

Learn more about the biggest differences between FNP vs. PMHNP.

What is it like to be a psychiatric nurse practitioner?

There is a significant difference between being a medical/surgical nurse and a psychiatric nurse. General nursing in a medical or surgical role is based primarily on physical illness, while psychiatric nursing is based on mental illness. As a psychiatric-mental health nurse practitioner, your role will be much more verbal than hands-on.

Daily tasks include new patient evaluations and follow-up appointments, reviewing patient charts and lab results, monitoring and documenting medication, adjusting patient care strategies, responding promptly to patient questions and concerns, and working with additional healthcare staff to deliver the best possible psychiatric care.

What does a psychiatric-mental health nurse practitioner do?

A PMHNP is a type of Advanced Practice Registered Nurse (APRN) who holds expertise in behavioral health and wellness. Their role is to assess, diagnose and treat patients exhibiting psychiatric or addictive disorders. A PMHNP’s job description and scope of practice can include:

  • Provide psychological counseling (psychotherapy)
  • Prescribe medication and monitor its effects
  • Collaborate with additional health professionals: doctors/physicians, nurses, administrators and other healthcare staff
  • Conduct research to improve the delivery of mental healthcare
  • Educate and consult nurses and other mental health professionals
  • Order and interpret diagnostic tests

Whole health begins with mental health—including all ages and demographics across the lifespan. As a nurse practitioner within the mental health specialty, you will have the opportunity to continue your education and focus your experience in many different types of care, including pediatric, geriatric/adult, women’s health, public health and much more.

Where do they work? PMHNPs may work in many different healthcare environments, including hospitals, private practices, mental health centers, primary care offices or governmental institutions.

Do I need to be certified to practice as a PMHNP?

There is a difference between being licensed and certified. Becoming a certified PMHNP shows employers you are capable of patient care in a psychiatric setting. Licensure determines if you are legally allowed to practice in your state of residence. Employers may require board certification before hiring a PMHNP even if practicing without certification is legally permissible.

Each state has their own requirements for licensure. You will need to find the requirements from your state’s board of nursing.

We strongly recommend getting certified after graduating with your degree. You’ll be in the best position to find a great job and follow your career path in nursing.

Psychiatrist vs. psychiatric nurse practitioner: what's the difference?

The role of a PMHNP can overlap with psychiatrists, psychologists, social workers and other healthcare professionals who routinely perform psychotherapy. However, the total scope of practice for each role is different and varies by state requirements.

Psychiatric-mental health nurse practitioners hold a master’s degree or doctorate in nursing, while a psychiatrist is a physician who went to medical school and completed a residency program specializing in psychiatry.

PMNHPs can do many things a psychiatrist does, including psychotherapy, prescribing medications, developing and managing treatment plans and educating patients and their families.

Psychiatrists are typically able to treat more complex types of disorders, but PMNHPs may treat many common disorders like anxiety, depression, Attention Deficit Disorder (ADD), Schizophrenia, substance abuse/addiction, and much more.

What are the educational requirements to be a psychiatry/mental health nurse?

While registered nurses with an ADN or BSN may pursue roles related to mental health and gain professional experience there, working as a nurse practitioner represents the next level of clinical knowledge and education.

To become a board certified psychiatric-mental health nurse practitioner, you will need to earn at least a master’s degree from an accredited PMHNP program. View all of eligibility requirements from the American Nurses Credentialing Center (ANCC).

How much does a psychiatric nurse practitioner make?

According to the Bureau of Labor Statistics, nurse practitioners earn an average salary of $128,490 per year ($61.78 per hour).*

NPs specializing in psychiatry/mental health may increase their earning potential by becoming board certified, gaining valuable experience and continuing their education.

Learn more about how much NPs can make, including a state-by-state breakdown and estimates across several unique healthcare facilities.