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.
Advanced Practice Psychiatric Nurse Salary (2026): Data, Outlook & How to Become One
Advanced Practice Psychiatric Nurses earn a median of $97,550 per year ($46.90/hr) (BLS OEWS, May 2025). Employment is projected to grow 4.9% through 2034, with about 189,100 openings a year (BLS EP, 2024–2034). Typical entry-level education: Bachelor's degree.
- Median pay
- $97,550
- Projected growth
- +4.9%
- Openings a year
- 189,100
- Typical education
- Bachelor's
BLS OEWS, May 2025
BLS EP, 2024–2034
BLS EP, 2024–2034
BLS EP, 2024–2034
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).
How much do Advanced Practice Psychiatric Nurses make?
Entry / lowest-paid tenth
Lower quartile
Half earn more, half earn less
Upper quartile
Top-paid tenth
| 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
The median is typical for the Healthcare Practitioners and Technical group, where the middle occupation pays $97,870.
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 76% of the 923 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.
Which states pay Advanced Practice Psychiatric Nurses the most?
| State | Median | COL-adjusted | Employed |
|---|---|---|---|
| California | $140,270 | $126,689 | 338,940 |
| Hawaii | $136,320 | $123,983 | 12,940 |
| Oregon | $129,010 | $124,815 | 39,730 |
| Washington | $124,200 | $116,061 | 69,260 |
| Alaska | $109,480 | $106,957 | 7,510 |
| New York | $109,440 | $101,408 | 205,810 |
| New Jersey | $106,500 | $97,882 | 92,680 |
| Massachusetts | $104,550 | $98,859 | 88,200 |
| Nevada | $103,670 | $103,692 | 27,070 |
| Connecticut | $102,740 | $99,160 | 40,110 |
Is Advanced Practice Psychiatric Nurse a growing career?
+4.9% projected growth vs 3.1% for all occupations.
Faster than average
BLS projects employment of Advanced Practice Psychiatric Nurses to change 4.9% over 2024–2034, against 3.1% projected for all occupations. That is 166,100 more jobs.
Annual openings
About 189,100 openings are projected each year, 5.6% of the 3,391,000 jobs that existed in 2024. 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 will increase because of the large number of older people, who typically have more medical problems than younger people. Registered nurses also will 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 or in residential care facilities, registered nurses will be in demand in those settings.
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.
| Typical entry-level education | Bachelor's degree |
|---|---|
| Preparation needed (O*NET job zone) | Considerable preparation |
| Work experience in a related occupation | None |
| Typical on-the-job training | None |
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 Degree87.0%
- Doctoral Degree8.7%
- First Professional Degree4.4%
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
- Assess patients' mental and physical status, based on the presenting symptoms and complaints.
- Diagnose psychiatric disorders and mental health conditions.
- Document patients' medical and psychological histories, physical assessment results, diagnoses, treatment plans, prescriptions, or outcomes.
- Educate patients and family members about mental health and medical conditions, preventive health measures, medications, or treatment plans.
- Monitor patients' medication usage and results.
- Evaluate patients' behavior to formulate diagnoses or assess treatments.
- Distinguish between physiologically- and psychologically-based disorders, and diagnose appropriately.
- Develop and implement treatment plans.
O*NET core tasks, ordered by reported importance.
Where advanced practice psychiatric nurses work
| Hospitals; state, local, and private | 59% |
|---|---|
| Ambulatory healthcare services | 19% |
| Nursing and residential care facilities | 6% |
| Government, excluding state and local education and hospitals | 5% |
| Educational services; state, local, and private | 3% |
BLS Occupational Outlook Handbook, 2024–2034 edition.
Core skills
- Active Listening4.4/5
- Speaking4.1/5
- Reading Comprehension4.0/5
- Writing4.0/5
- Critical Thinking4.0/5
- Monitoring4.0/5
- Active Learning3.9/5
- Learning Strategies3.8/5
Transferable skills
- Social Perceptiveness4.3/5
- Judgment and Decision Making4.0/5
- Time Management4.0/5
- Complex Problem Solving3.9/5
- Coordination3.8/5
- Instructing3.8/5
- Service Orientation3.8/5
- Persuasion3.6/5
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.
What personality type suits an Advanced Practice Psychiatric Nurse?
Interest profile: O*NET Occupational Interests, scored 1–7
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.
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.
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.
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 considerable preparation. In O*NET's survey of people already doing the job, 87.0% hold master's degree.
Is Advanced Practice Psychiatric Nurse a growing career?
Yes. Employment is projected to grow 4.9% over 2024–2034, faster than the 3.1% average for all occupations (BLS EP, 2024–2034). BLS still projects about 189,100 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.
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 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 923 occupations in the bank.