精神科医 精神科医
What 精神科医 do
An English description is being prepared. Japanese description:
診療所やクリニックの精神科医の場合は、まず紹介状や問診票などで患者の状況を把握し、次に患者と話し合って悩みを聞き、相談にのる。食欲や睡眠の状態などの聞き取りや会話などから患者の調子や情報をくみ取る。心理検査などを用いて、患者の状態を明らかにする。認知行動療法、行動療法、認知療法など、患者に合わせた心理療法を組み合わせて治療を行う。薬を用いた薬物療法も行う。会社や学校を休む必要がある場合には、診断書を書くこともある。
病院の精神科医の場合には、入院の必要な重度の患者の治療にあたることが多い。薬物を用いた治療を主として、さまざまな心理療法を用いた治療を行う。緊急の場合には、患者の意思に関わらず入院治療することもある。総合病院では、内科や外科など他診療科の医師から、患者の精神面の問題について相談を受け（コンサルテーション）、診察を行う場合もある。
看護師、カウンセラー、精神保健福祉士、地域の社会福祉関係者などと連携し、患者の家族とも協力をしながら、患者の治療を行う。
心身症や自律神経失調症の患者の場合には、内科など他の診療科の医師とも協力しながら治療を進める。
他にも、企業の産業医として、従業員の健康相談・保健指導の実施や職場巡視などを行う場合もある。
◇ よく使う道具、機材、情報技術等
医療機器（聴診器、注射器、CT、MRI等）、パソコン
Employment type of workers
精神科医 salary
The average annual pay for 精神科医 in Japan is ¥15.12M (≈ $96,169; Basic Survey on Wage Structure (2025), national). The estimated median is ¥14.06M, the typical range is ¥7.86M–¥31.45M and the top 10% earn about ¥26.01M.
How does your pay compare with people your age?
Your numbers are not sent or stored. The distribution is estimated from Japan's national wage statistics, including pay differences by age.
Pay by ageest.
Estimated from the average pay and average age (45.7) using the age-wage curve of the Basic Survey on Wage Structure.
Pay by experienceest.
Pay by employment typeest.
The average hourly wage of ¥7,120 is 6.0× Japan's national average minimum wage of ¥1,177 (fiscal 2026). Minimum wage by prefecture →
Japanese pay is shown in yen (¥5.57M = 5.57 million yen ≈ 557万円). Dollar figures use the current rate of 157.25 yen per dollar and are for reference only; purchasing power differs.
Pay over time
| Year | Average pay | Employment | Openings ratio |
|---|---|---|---|
| 2021 | ¥13.78M | — | — |
| 2022 | ¥14.29M | — | — |
| 2023 | ¥14.36M | — | 2.18x |
| 2024 | ¥13.38M | — | 2.21x |
| 2025 | ¥15.12M | — | 1.95x |
Projected pay for 精神科医 (3, 5 and 10 years)est.
Today ¥15.12M → in 3 years ¥16.34M → in 5 years ¥17.21M → in 10 years ¥19.59M (10-year range ¥16.85M–¥22.74M). The model assumes pay growth of +2.6% per year.
What drives the annual growth rate
Projected pay = current pay × (1 + annual growth)^years. The annual growth rate starts from a base wage-growth rate and adds or subtracts labor demand (the job-openings-to-applicants ratio), wage momentum and AI replacement risk for each occupation. Projections are not guarantees. How it is calculated →
Outlook score for 精神科医
Each component is a percentile rank among all occupations in the same country (0–100). Weights: labor demand 25, wage momentum / openings 15, pay level 15, AI resistance 25, aging workforce 10 (Japan only), entry barrier 10.
Will AI replace 精神科医? AI replacement risk
How AI is changing this job
A written analysis for this occupation is being prepared.
AI replacement risk compares the parts of a job that are easy to hand to AI or software (processing information, documentation, repetitive computer work) with the parts that are hard to automate (physical work, working closely with people, judgment in unpredictable settings), using the MHLW job tag survey on work activities, work context, skills and knowledge. The result is a relative position among all occupations in the country, scaled to 0–100%. Methodology →
Labor demand for 精神科医
A ratio above 1.0 means there are more job openings than applicants (a labor shortage). The 5- and 10-year figures are estimates from the openings ratio, wage momentum and AI replacement risk.
The same job in the United States
| 精神科医 Japan | Psychiatrists United States | |
|---|---|---|
| Median / average pay | ¥15.12M ≈ $96,169 | $281,870 |
| Pay in 10 years (est.) | ¥19.59M | $386,700 |
| Outlook score | 71 | 67 |
| AI replacement risk | 28% Low | 43% Moderate |
| Workers | — | 28K |
Matched by occupation (SOC code). Yen converted at 157.25 JPY/USD for reference; Japanese figures are averages, U.S. figures are medians, and the surveys define occupations differently.
Skills, education and requirements for 精神科医
Key skills
Skill levels from the MHLW job tag worker survey.
Key knowledge areas
What the work involves
Important abilities
Licenses and certifications (Japan)
- 医師 National license
Related qualifications listed on job tag (names in Japanese). Some are mandatory, others recommended.
Education of workers
Training before entry
Related work experience
Difficulty of entry: ★★★★★ Hard to enter (from education, training, experience, licenses)
How to become 精神科医
The typical path in Japan is shown by the education, training and experience of current workers above and in the Japanese guidance below. A detailed English guide for this occupation is being prepared.
Guidance from job tag (Japanese)
臨床研修後には、病院などに勤務医として勤め、多くの経験を積んでいく。勤務先の病院で診療科長になるケースや、独立して開業医となるケースがある。大学で研究を続けながら講師や教授になることもある。
専門知識に加えて、様々な表現・行動をとる患者に接して診療を行うため、冷静な判断力、患者を否定しない温かな対応が求められる。
Career path and how to earn more as 精神科医
Career-path guidance is being prepared. Pay by experience is shown in the Pay section.