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A psychiatric mental health nurse practitioner (PMHNP) is a type of advanced practice registered nurse (APRN) who specializes in assessing, diagnosing and treating patients with mental health conditions. They combine clinical expertise in nursing and psychiatry, allowing them to provide holistic care that addresses the emotional, behavioral and physical aspects of mental well‑being.

1 in 5 Adults

The National Institute of Mental Health estimates that more than 1 in 5 adults are affected by a mental illness. (See disclaimer 1)

Psychiatric mental health nurse practitioners play a vital role in promoting mental wellness and patient-centered care. They help patients of all ages manage conditions such as anxiety, depression, substance use disorders and other psychiatric concerns.

• Performing physical exams and assessments: PMHNPs conduct physical and mental exams and assessments to evaluate a patient’s overall health and identify potential concerns.
• Conducting and ordering diagnostic tests: They conduct and order tests to gather essential information that supports accurate diagnoses and treatment planning.
• Tracking medical histories and symptoms: This is essential to monitor patient progress and provide more effective, personalized care.
• Prescribing medical treatments: They can also prescribe medical treatments to help manage symptoms and support long-term wellness, when necessary.
• Consulting with other medical professionals: These practitioners often consult with other medical professionals to ensure patients receive coordinated, multidisciplinary care.
• Creating individualized treatment plans that outline goals and interventions designed to promote recovery and stability.
• Following up on patient’s condition: PMHNPs evaluate treatment effectiveness and adjust plans as needed.

If you’re wondering how to become a PMHNP, it’s important to first understand the educational path you would pursue. The basis of this career is first becoming a registered nurse (RN). Read through the steps below to gain a better understanding of reaching PMHNP status.

Earning a high school diploma is the first step toward a PMHNP career. It provides the basic academic preparation in areas such as science, math and writing that you’ll build on in nursing school. During high school, you may also consider gaining experience in the field by completing a Certified Nursing Assistant (CNA) training program.

To become a PMHNP, you must first become an RN, which involves earning a Bachelor of Science in Nursing (BSN) and passing the NCLEX‑RN exam. Nurse practitioners must be RNs who have completed specialized graduate education. (See disclaimer 3) After your BSN, you must earn your Master of Science in Nursing (MSN) degree to become an APRN. Ideally, you would complete a master’s in nursing program with a focus on psychiatric mental health nurse practitioner.

Hands‑on experience and internships during your undergraduate program can play a role in preparing you for your graduate nursing education. Graduate NP programs may require applicants to have nursing experience and clinical exposure to help ensure readiness for advanced studies.

After earning your BSN, working as an RN in a clinical setting is a common entry‑level role that provides practical experience and exposure to diverse patient populations. This experience helps you develop assessment, communication and critical‑thinking skills that are crucial for advanced practice.

After obtaining your MSN and meeting clinical hour requirements, you must achieve national certification and state licensure to practice as a PMHNP. The American Nurse Credentialing Center (ANCC) administers a PMHNP certification exam that you must pass in order to gain certification in that area. There are different state‑specific requirements for certification, so be sure to check the requirements of your state.

The psychiatric mental health nurse practitioner master’s program is designed to provide nurses with specialized knowledge in that area of practice. You’ll be taught course material relevant to the assessment, treatment and all‑around compassionate care of those with mental health concerns.

A PMHNP nursing master’s program will typically cover the following topics:

• Physiology and pathophysiology
• Health assessment
• Psychiatric mental health foundations
• Integrative management

GCU offers master’s‑level nursing programs for BSN‑educated nurses looking to advance their education toward becoming a PMHNP, including a PMHNP‑specific MSN. If you have not yet completed your BSN, we also offer BSN programs to help you kickstart your journey in the nursing field. Explore these options to learn more about the curriculum and program format.

Psychiatric mental health nurse practitioners rely on a combination of skills to provide quality mental healthcare. They must balance assessment and diagnostic abilities with interpersonal skills that help them build trust and support patients through complex challenges.

Various skills that these professionals need to perform their best include:

• Communication
• Critical thinking
• Compassion
• Detail‑oriented
• Interpersonal
• Leadership

Psychiatric mental health nurse practitioners can work in a wide range of settings where mental health services are needed across the lifespan.

Some practitioners may provide mental health services to those requiring psychiatric help in state, local and private hospitals.

An example may be a clinic established within another health system, where PMHNPs can conduct evaluations, provide therapy or offer other treatments.

Other health practitioner offices

Some PMHNPs may work through other healthcare providers’ offices, providing specialized psychiatric care that they would not receive from another practitioner.

Educational services

These professionals may also work in various levels of schools, addressing and helping treat students’ mental health challenges.

Career advancement for PMHNPs may include pursuing clinical specializations in areas such as geriatric psychiatry, trauma‑informed care or adolescent mental health. Experienced PMHNPs may also consider pursuing leadership or academic positions, contributing to research and policy development or expanding their certifications into areas such as family practice or nurse executive roles. (See disclaimer 7)

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Make a difference in the lives of those struggling with mental health. Take the steps to become a PMHNP.