The Psychiatrist Career by Wicked Pixxel is a custom active career mod for The Sims 4 where Sims can practice psychiatry. They conduct client sessions, diagnose a variety of mental health conditions, and provide treatments such as medication or therapy. The career is designed to add realism, emotional depth, and storytelling opportunities focused on psychological care.
Key Features
- The career requires the Psychiatrist trait, which can be assigned in CAS. Sims can use the computer to invite clients for sessions.
- During sessions, Sims run assessments through dialogue interactions, identify conditions like anxiety, depression, bipolar disorder, psychosis, borderline personality disorder, or eating disorders, then make official diagnoses.
- Once diagnosed, treatment options become available, such as prescribing medication or referring clients to group therapy.
- Clients can return for ongoing treatment, making the career feel continuous rather than one-off.
Mod Release Date
Originally uploaded: May 11, 2022
Gameplay Role / Impact
This mod broadens medical and therapeutic gameplay by letting Sims pursue a realistic specialty. Instead of generic career tracks, it emphasizes mental health care, ongoing relationships with clients, and psychological storytelling that ties into emotions and traits. It is particularly impactful for players who enjoy immersive or drama-heavy save files.
Community Feedback
Players often praise the career for adding depth and realism to Sims’ professional lives, with many enjoying the ability to create therapy stories. Some note the menus and client management add complexity, but overall find it rewarding and unique compared to vanilla options.
About the Creator
Wicked Pixxel is known for creating detailed, narrative-driven mods with active careers and custom traits. Their work often explores psychological or mature storytelling themes, while maintaining compatibility with new patches.
Editor’s Note
Who It’s For: Players who want more immersive careers focused on psychology and therapy.
Why Use It: It deepens career gameplay by adding diagnostic, treatment, and client management systems, making Sims feel like real practitioners.
Recommended Pairings: Emotional overhaul mods, custom clinic lots, or other medical career mods for a full mental health gameplay experience.
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