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Why psychiatry wasn’t seen as prestigious medical profession in Australia until more recently

by souhaib
June 16, 2021
in Australia
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Why psychiatry wasn't seen as prestigious medical profession in Australia until more recently
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Psychiatrists now earn average salaries of more than $235,000 but for a long time they were viewed as a ‘low income’ medical specialty.

On the surface, the doctors who prescribe drugs for mental illness are well paid.

They have average salaries of $235,558, new tax office data showed.

Like any other medical specialist, they need a Bachelor of Medicine degree which takes seven years to complete.

They also have to complete another five years of post-graduate study, and spend at least 12 years at university.

 Psychiatrists now earn average salaries of more than $235,000 but for a long time they were viewed as a ‘low income’ medical specialty. Western Sydney-based psychiatrist Tanveer Ahmed, 46, who has practised for more than a decade, said that little more than a decade ago, other medical specialists looked down on psychiatry

What psychiatrists REALLY earn compared to other medical specialists

PSYCHIATRIST: $235,558

ENDOCRINOLOGIST: $253,528 

HAEMATOLOGIST: $268,380 

GYNAECOLOGIST: $360,596

ANAETHETIST: $386,065

SURGEON: $394,303 

OPTHALMOLOGIST: $524,804 

Source: Australian Taxation Office average taxable incomes, 2018-19

Western Sydney-based psychiatrist Tanveer Ahmed, 46, said that little more than a decade ago, other medical specialists looked down on psychiatry.

‘When I was training as a psychiatrist, it actually had low prestige and it was considered a low-income specialty,’ Dr Ahmed told Daily Mail Australia.

But changes in attitudes to mental health have seen demand soar for psychiatrists.

‘The mental health stigma is lower, people are more comfortable seeking mental health help, and they’re more comfortable being on medication,’ Dr Ahmed said.

‘For this reason, psychiatrists are in great demand.’

Compared with other medical specialists, psychiatrists are still paid significantly less than most other medical specialists, including surgeons who are typically paid $394,303.

Gynaecologists earn average taxable incomes of $360,596.

Anaethetists make $386,065 while opthalmologist eye doctors have average pay of $524,804.

Haematologists, who specialise in blood diseases, had mean pay of $268,380 compared with $253,528 for endocrinologists who treat hormonal disorders.

Compared with other medical specialists, psychiatrists are still paid significantly less than most other medical specialists, including surgeons who are typically paid $394,303. Pictured is a stock image

Compared with other medical specialists, psychiatrists are still paid significantly less than most other medical specialists, including surgeons who are typically paid $394,303. Pictured is a stock image

The jobs in Australia paying average, six-figure salaries

Television journalist: $101,939 

Land valuer: $105,920

University lecturer: $107,497 

Meteorologist: $112,833 

Police inspector: $116,284 

Train and tram driver: $119,384

Industrial relations manager: $124,326

School principal: $124,338 

Solicitor: $130,177 

Dentist: $131,589 

Economist: $140,382 

Geologist: $139,960 

Bank manager: $140,876 

Chief executives: $164,896

General practitioner: $169,317

Mining engineers: $184,507

Actuaries: $195,829 

Politician: $207,354 

Neurologists: $288,116

Psychiatrists: $235,558

Share market analyst: $262,144

Investment broker: $304,258 

Gynaecologist: $360,596

Surgeons: $394,303

Gastroenterologists: $419,707

Urologist: $450,255 

Ophthalmologists: $524,804

Source: Australian Taxation Office data for 2018-19 on average taxable incomes

Neurologists, who treat brain and spinal problems, had salaries of $288,116 compared with $229,513 for paediatricians who treat children.

Dr Ahmed said like other medical professionals, psychiatrists had to have an intimate understanding of human biology. 

‘At a lay level, people barely differentiate between psychiatrists and psychologists but their training is really quite different,’ he said.

‘Psychiatrists are medical doctors so the training is really not terribly different between say a cardiologist or a surgeon where they’ve done a medical degree, they do at least two years of generalist medical training and then they do a minimum of five years of specialist training.’

On the surface, psychiatrists treat mental illness and trauma, much like psychologists.

Psychologists, however, focus on cognitive behavioural therapy.

They now usually complete a masters degree and focus on correcting behavioural problems with cognitive thinking instead of prescribing medication. 

Unlike psychiatrists, psychologists don’t complete a Bachelor of Medicine and have much lower average salaries of $81,867. 

Dr Ahmed said psychiatrists were often held responsible if the medication they prescribed didn’t help suicidal people or violent prison inmates.

‘We’re ultimately responsible. You carry a lot greater risks with the most difficult patients,’ he said.

By comparison counsellors, who don’t prescribe drugs, earned even less than Australia’s average taxable income of $62,549 during the 2018-19 financial year. 

Drug and alcohol counsellors had average salaries of $54,124. 

By comparison, school counsellors earned $53,219.

Dr Ahmed said the decline of religion and membership of community groups, in wealthy nations like Australia, had seen a significantly higher proportion of the population rely on antidepressants, which suburban GPs or psychiatrists can prescribe.

Unlike psychiatrists, psychologists don't complete a Bachelor of Medicine and have much lower average salaries of $81,867. Pictured is a stock image

 Unlike psychiatrists, psychologists don’t complete a Bachelor of Medicine and have much lower average salaries of $81,867. Pictured is a stock image

‘Mental health has become a bigger net encompassing law, disability as well as being the language of emotional distress,’ he said.

‘Collective structures such as community, clan and tradition have also declined significantly.’ 

An OECD report from 2015 showed Australia had the second highest antidepressant usage in the world after Iceland. 

‘We don’t tend to rely on religion to make sense of our problems so we’re much more open to using medications to mitigate some of the psychological distress we feel,’ Dr Ahmed said.

‘I don’t think that’s entirely a bad thing but it’s possible it’s being over prescribed.’  

If this story has raised issues, you can call Beyond Blue on 1300 22 4636



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