Healthcare Practitioners and Technical

Advanced Practice Psychiatric Nurse Salary (2026), outlook and how to become one

Assess, diagnose, and treat individuals and families with mental health or substance use disorders or the potential for such disorders.

Median pay
$97,550
Growth to 2035
+5.6%
Openings a year
180,800
Typical entry
Bachelor's

Advanced Practice Psychiatric Nurses earn a median of $97,550 per year ($46.90/hr) (BLS OEWS, May 2025). Employment is projected to grow 5.6% through 2035, with about 180,800 openings a year (BLS EP, 2025–2035). Typical entry-level education: Bachelor's degree.

  • SOC 29-1141
  • Healthcare Practitioners and Technical
  • Last updated October 15, 2026

At a glance

Advanced Practice Psychiatric Nurse in four numbers

Median pay
$97,550a year, or $46.90/hr
Lowest 10% $69KTop 10% $137K

US median, all jobs: $50,980

BLS OEWS, May 2025
Projected growth
+5.6%Faster than average
This career
+5.6%
All jobs
+3.5%
Projected employment change, 2025–2035
ItemValue
This career+5.6%
All jobs+3.5%
BLS EP, 2025–2035
Openings a year
180,8003,465,400 jobs today
  • Jobs in 20253.5M
  • Projected 20353.7M
Employment, 2025–2035
ItemValue
Jobs in 20253.5M
Projected 20353.7M
BLS EP, 2025–2035
Typical education
Bachelor'sneeded to enter
  • Master's87%
  • Professional degree4.4%
  • Doctorate8.7%
Highest education held by advanced practice psychiatric nurses
SegmentValue
Master's87%
Professional degree4.4%
Doctorate8.7%
BLS EP, 2025–2035; mix: O*NET

Also advertised as: Adult Psychiatric Mental Health APRN (Adult Psychiatric Mental Health Advanced Practice Registered Nurse), Advanced Practice Psychiatric Nurse, APN (Advanced Practice Nurse), Board Certified Psychiatric Mental Health Clinical Nurse Specialist (BC PMH-CNS), PMHNP (Psychiatric-Mental Health Nurse Practitioner), Psychiatric APN (Psychiatric Advanced Practice Nurse).

Pay

How much do advanced practice psychiatric nurses make?

Advanced Practice Psychiatric Nurses earn a median of $97,550 a year ($46.90 an hour, or about $8,130 a month); the lowest-paid 10% earn less than $68,940 and the top 10% more than $137,470 (BLS OEWS, May 2025).

The best-paying state is California, with a median of $140,270. See Advanced practice psychiatric nurse salary in California and every other state. By city, pay is highest around San Jose ($194,960 average): salary in every city.

Annual pay, lowest-paid to highest-paid

Every advanced practice psychiatric nurse in the US, by percentile of annual wage

Median

$97,550

Middle half earn $80,330 to $112,350

10th
$68,940
25th
$80,330
75th
$112,350
90th
$137,470

All US occupations: $50,980

Advanced Practice Psychiatric Nurse annual wages
PercentileValue
10th$68,940
25th$80,330
Median$97,550
75th$112,350
90th$137,470
All US occupations$50,980

Source: BLS OEWS, May 2025

Median annual wage
$97,550
Median hourly wage
$46.90/hr
Mean annual wage
$101,420
People employed
3,379,720

Versus all US occupations

At $97,550, Advanced Practice Psychiatric Nurses earn 91% above the $50,980 median across all US occupations, a difference of $46,570 a year.

Versus healthcare practitioners and technical occupations

Inside the Healthcare Practitioners and Technical group, where the middle occupation pays $102,760, this is 5% below the group median.

Pay range

The top 10% earn $137,470 or more while the bottom 10% earn $68,940, a gap of 2.0×. That is a typical spread for a US occupation.

Rank in the bank

This median pays more than 70% of the 1,741 occupations in the NueCareer career bank.

Highest-paying state

California pays the most at $140,270, and still leads at $126,689 once local prices are taken into account.

Pay by state

Which states pay advanced practice psychiatric nurses the most?

State medians come from the same OEWS release as the national figures. The cost-of-living column divides each state median by that state's BEA Regional Price Parity, restating pay in national-average dollars so a high-cost state and a low-cost one can be compared directly.

Top 10 states by median annual wage for Advanced Practice Psychiatric Nurses
StateMedianCOL-adjustedEmployed
1California$140,270$126,689338,940
2Hawaii$136,320$123,98312,940
3Oregon$129,010$124,81539,730
4Washington$124,200$116,06169,260
5Alaska$109,480$106,9577,510
6New York$109,440$101,408205,810
7New Jersey$106,500$97,88292,680
8Massachusetts$104,550$98,85988,200
9Nevada$103,670$103,69227,070
10Connecticut$102,740$99,16040,110
See all 53 states, sortable, with cost-of-living adjustments

Job outlook

Is advanced practice psychiatric nurse a growing career?

Projected change in jobs

Employment change over 2025–2035, against every US occupation

Advanced Practice Psychiatric Nurses
+5.6%
All US occupations
+3.5%

Faster than average. +5.6% projected growth vs 3.5% for all occupations.

Projected employment change, 2025–2035
ItemValue
Advanced Practice Psychiatric Nurses+5.6%
All US occupations+3.5%

Source: BLS EP, 2025–2035

Faster than average

BLS projects employment of Advanced Practice Psychiatric Nurses to change 5.6% over 2025–2035, against 3.5% projected for all occupations. That is 194,700 more jobs.

Annual openings

About 180,800 openings are projected each year, 5.2% of the 3,465,400 jobs that existed in 2025. Most come from workers leaving the occupation, not from growth alone.

Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.

Demand for healthcare services is projected to increase because of the large number of older people, who typically have more medical problems than younger people. Registered nurses are expected to also be needed to educate and care for patients with chronic conditions, such as diabetes and obesity.

Job growth is expected across most types of healthcare settings, including hospitals and outpatient care centers that provide same-day services, such as chemotherapy, rehabilitation, and surgery. In addition, because many older people prefer to be treated at home, registered nurses will likely continue to be in demand in home healthcare settings.

AI exposure: high

BLS places this occupation in its high relative AI exposure category, above the middle of the pack: a substantial share of the work overlaps with what AI can do.

Getting in

How to become an advanced practice psychiatric nurse

Registered nurses usually take one of three education paths: a bachelor’s degree in nursing, an associate’s degree in nursing, or a diploma from an approved nursing program. Registered nurses must be licensed.

  1. 1

    Typical entry-level education

    Bachelor's degree

  2. 2

    Work experience in a related occupation

    None

  3. 3

    Typical on-the-job training

    None

  4. 4

    Preparation needed (O*NET job zone)

    Extensive preparation

BLS Employment Projections, 2025–2035; job zone from O*NET 31.0 Database.

What education people in the job have

O*NET incumbent survey: the highest level of education reported by people already working as advanced practice psychiatric nurses.

  • Master's Degree87%
  • Doctoral Degree8.7%
  • First Professional Degree4.4%
Highest education held by advanced practice psychiatric nurses
ItemValue
Master's Degree87%
Doctoral Degree8.7%
First Professional Degree4.4%

Source: O*NET 31.0 Database

Full BLS Occupational Outlook Handbook entry

The work

What does an advanced practice psychiatric nurse do?

Assess, diagnose, and treat individuals and families with mental health or substance use disorders or the potential for such disorders. Apply therapeutic activities, including the prescription of medication, per state regulations, and the administration of psychotherapy.

Registered nurses (RNs) provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their families.

Day-to-day tasks

  1. Assess patients' mental and physical status, based on the presenting symptoms and complaints.
  2. Diagnose psychiatric disorders and mental health conditions.
  3. Document patients' medical and psychological histories, physical assessment results, diagnoses, treatment plans, prescriptions, or outcomes.
  4. Educate patients and family members about mental health and medical conditions, preventive health measures, medications, or treatment plans.
  5. Monitor patients' medication usage and results.
  6. Evaluate patients' behavior to formulate diagnoses or assess treatments.
  7. Distinguish between physiologically- and psychologically-based disorders, and diagnose appropriately.
  8. Develop and implement treatment plans.

O*NET core tasks, ordered by reported importance.

Working conditions and hours

Fatal injury rate: 0.4 per 100,000 workers (0.1x the 3.3 average)

BLS Census of Fatal Occupational Injuries, 2024: 13 deaths that year.

Most dangerous jobs →

Nurses who work in hospitals and nursing care facilities usually work in shifts to provide round-the-clock coverage. They may work nights, weekends, and holidays. They may be on call, which means that they are on duty and must be available to work on short notice.

Nurses who work in offices, schools, and other places that do not provide 24-hour care are more likely to work regular business hours.

Where the work happens

  • Indoors, climate-controlled

    NeverEvery day
  • Outdoors in all weather

    NeverEvery day

    Almost never works outdoors.

Physical demands

  • Sitting

    NeverAlmost all the time

    Seated for more than half the working day.

  • Standing

    NeverAlmost all the time
  • Bending or twisting

    NeverAlmost all the time

Working with people

  • Contact with other people

    NoneConstant

    Constant contact with other people.

  • Face-to-face discussions

    NeverEvery day

    Face-to-face discussions every day.

  • Dealing with the public

    Not importantExtremely important

Pressure and stakes

  • Strict deadlines

    NeverEvery day

    Meeting strict deadlines at least weekly.

  • Conflict situations

    NeverEvery day
  • Cost of a mistake

    Not seriousExtremely serious

Autonomy

  • Freedom to decide

    NoneA lot

    A lot of freedom to make decisions without checking first.

Schedules: BLS Occupational Outlook Handbook, 2025–2035 edition. Conditions: O*NET Work Context survey. Each item has its own scale, so each dot is read against the two answers that end its own line.

Where advanced practice psychiatric nurses work

Share of jobs by employer type

  • Hospitals; state, local, and private59%
  • Ambulatory healthcare services19%
  • Nursing and residential care facilities6%
  • Government, excluding state and local education and hospitals5%
  • Educational services; state, local, and private3%
Largest employers of Advanced Practice Psychiatric Nurses
ItemValue
Hospitals; state, local, and private59%
Ambulatory healthcare services19%
Nursing and residential care facilities6%
Government, excluding state and local education and hospitals5%
Educational services; state, local, and private3%

Source: BLS Occupational Outlook Handbook, 2025–2035 edition

Core skills

O*NET importance, 1 to 5

  • Active Listening4.4
  • Speaking4.1
  • Reading Comprehension4.0
  • Writing4.0
  • Critical Thinking4.0
  • Monitoring4.0
  • Active Learning3.9
  • Learning Strategies3.8
Core skills for Advanced Practice Psychiatric Nurses
ItemValue
Active Listening4.4
Speaking4.1
Reading Comprehension4.0
Writing4.0
Critical Thinking4.0
Monitoring4.0
Active Learning3.9
Learning Strategies3.8

Source: O*NET 31.0 Database

Transferable skills

O*NET importance, 1 to 5

  • Social Perceptiveness4.3
  • Judgment and Decision Making4.0
  • Time Management4.0
  • Complex Problem Solving3.9
  • Coordination3.8
  • Instructing3.8
  • Service Orientation3.8
  • Persuasion3.6
Transferable skills for Advanced Practice Psychiatric Nurses
ItemValue
Social Perceptiveness4.3
Judgment and Decision Making4.0
Time Management4.0
Complex Problem Solving3.9
Coordination3.8
Instructing3.8
Service Orientation3.8
Persuasion3.6

Source: O*NET 31.0 Database

Tools and software

  • Analytical or scientific software · in demand
  • Data base user interface and query software · in demand
  • Electronic mail software · in demand
  • Office suite software · in demand
  • Project management software · in demand
  • Spreadsheet software · in demand
  • Word processing software · in demand
  • Internet browser software
  • Medical software
  • Video conferencing software

“In demand” marks an O*NET Employer-Based Hot Technology, software named in real job postings for this occupation.

The workforce

Who works as an advanced practice psychiatric nurse?

Women make up 87.3% of advanced practice psychiatric nurses, against 47.1% of all employed people: a female-dominated occupation.

21.4% are 55 or older, close to the 23.2% across all jobs.

The median worker is 42.3 years old (all workers: 42.1).

Women
87.3%All workers 47.1% · BLS CPS, 2025
Median age
42.3All workers 42.1 · BLS CPS, 2025
Aged 55+
21.4%All workers 23.2% · BLS CPS, 2025
Employed (CPS)
3,528,000BLS CPS, 2025
Share of advanced practice psychiatric nurses by sex, race, ethnicity and age, against all employed people
GroupShare of advanced practice psychiatric nursesAll employed people
Women
87.3%
47.1%
White
70.6%
75.7%
Black or African American
16.0%
12.7%
Asian
10.6%
7.5%
Hispanic or Latino (any race)
10.0%
20.0%
Aged 55 and over
21.4%
23.2%
Aged 16 to 24
5.7%
12.2%

Current Population Survey annual averages, 2025 (BLS tables 11 and 11b). Race groups can overlap with Hispanic or Latino ethnicity, so they do not sum to 100%.

Personality fit

What personality type suits an advanced practice psychiatric nurse?

Interest profile

O*NET Occupational Interests (RIASEC), scored 1 to 7

Advanced Practice Psychiatric Nurse · Realistic: 3Advanced Practice Psychiatric Nurse · Investigative: 6Advanced Practice Psychiatric Nurse · Artistic: 3Advanced Practice Psychiatric Nurse · Social: 6Advanced Practice Psychiatric Nurse · Enterprising: 2Advanced Practice Psychiatric Nurse · Conventional: 3
Advanced Practice Psychiatric Nurse interest profile
AxisAdvanced Practice Psychiatric Nurse
Realistic3
Investigative6
Artistic3
Social6
Enterprising2
Conventional3

Source: O*NET 31.0 Database

What the work is built around

Day to day this is work built around teaching, helping and working directly with other people, combined with investigating, analysing and solving problems with ideas and data.

  • Social6.1
  • Investigative5.9
  • Conventional3.4
  • Artistic2.8
  • Realistic2.6
  • Enterprising2.0

Closest MBTI types

NueCareer fit scores: cosine similarity between each MBTI type's interest vector and this occupation's O*NET interest profile. Not a BLS or O*NET figure; the method is documented on our methodology page.

Questions

Advanced Practice Psychiatric Nurse: frequently asked questions

How much do advanced practice psychiatric nurses make?

Advanced Practice Psychiatric Nurses earn a median of $97,550 a year (BLS OEWS, May 2025). That is 91% above the $50,980 median for all US occupations. That works out at $46.90/hr. The middle half earn between $80,330 and $112,350. The top 10% earn $137,470 or more.

How much do advanced practice psychiatric nurses make an hour?

The median hourly wage for advanced practice psychiatric nurses is $46.90 (BLS OEWS, May 2025). On a full-year basis the $97,550 annual median works out to about $8,130 a month before tax.

What is the starting salary for an advanced practice psychiatric nurse?

BLS does not publish a starting salary. The nearest measure is the low end of the pay range: the lowest-paid 10% of advanced practice psychiatric nurses earn less than $68,940 a year and the bottom quarter less than $80,330 (BLS OEWS, May 2025). New workers often start near that end, but where a particular job starts depends on the employer, the state and the credentials you bring, so read these as the bottom of the range rather than a guaranteed entry wage.

Do advanced practice psychiatric nurses make $100k?

Some do. $100,000 sits between the median ($97,550) and the 75th percentile ($112,350), so roughly a quarter to a half of advanced practice psychiatric nurses earn more than that (BLS OEWS, May 2025). In 14 states the median itself is above $100,000: California ($140,270), Hawaii ($136,320), Oregon ($129,010), Washington ($124,200), and 10 more.

Which states pay advanced practice psychiatric nurses the most?

The highest state medians for Advanced Practice Psychiatric Nurses are California ($140,270), Hawaii ($136,320), Oregon ($129,010) (BLS OEWS, May 2025).

What kind of advanced practice psychiatric nurse earns the most?

BLS does not split advanced practice psychiatric nurses' pay by specialty or employer, but its range shows how far the top end runs: the highest-paid 10% earn more than $137,470, against a median of $97,550 (BLS OEWS, May 2025). Location moves pay the most in the published data: the best-paying states are California ($140,270), Hawaii ($136,320), Oregon ($129,010).

Do you need a degree to become an advanced practice psychiatric nurse?

Yes. BLS reports a bachelor's degree as the typical entry-level education for Advanced Practice Psychiatric Nurses, and O*NET rates the preparation needed as extensive preparation. In O*NET's survey of people already doing the job, 87.0% hold master's degree.

How long does it take to become an advanced practice psychiatric nurse?

BLS does not publish a fixed length; it depends on the route. What it does publish: the typical way in for advanced practice psychiatric nurses is a bachelor's degree. O*NET classes the work as needing extensive preparation.

Is advanced practice psychiatric nurse a growing career?

Yes. Employment is projected to grow 5.6% over 2025–2035, faster than the 3.5% average for all occupations (BLS EP, 2025–2035). BLS still projects about 180,800 openings a year, mostly from workers retiring or moving to other work.

What does an advanced practice psychiatric nurse do?

Registered nurses (RNs) provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their families. A core O*NET task: assess patients' mental and physical status, based on the presenting symptoms and complaints. Employers most often ask for Analytical or scientific software, Data base user interface and query software, Electronic mail software.

Do advanced practice psychiatric nurses work 40 hours a week?

Most work more than 40. In O*NET's survey of people in the job, 57% of advanced practice psychiatric nurses usually work more than 40 hours a week, 39% work exactly 40 and 4% work fewer. 96% say their schedule is regular and 4% irregular. Source: O*NET 31.0 Database, Work Context.

What personality type suits an advanced practice psychiatric nurse?

O*NET scores Advanced Practice Psychiatric Nurses highest on the Social, Investigative and Conventional interest areas, so the work mixes teaching, helping and working directly with other people with investigating, analysing and solving problems with ideas and data. On NueCareer's MBTI-to-interest mapping the closest types are INFJ, INFP. Personality is a fit signal, not a gate. The free NueCareer quiz scores your own profile against all 1,731 careers in the bank.

What percentage of advanced practice psychiatric nurses are women?

Women make up 87.3% of advanced practice psychiatric nurses, against 47.1% of all employed people: a female-dominated occupation. 21.4% are 55 or older, close to the 23.2% across all jobs. The median worker is 42.3 years old (all workers: 42.1). Source: BLS Current Population Survey, 2025 annual averages.