Psychology
Content
A psychiatrist is a physician who specializes in psychiatry. A psychiatrist specializes in the
diagnosis and treatment of mental disorders. Psychiatrists are medical doctors, unlike psychologists,
and must evaluate patients to determine whether their symptoms are the result of a physical illness,
a combination of physical and mental, or a strictly psychiatric one. The translation from Greek and
Latin origin is as follows: "Psych"-Greek transliterated meaning breath, life, soul, spirit or mind;
"Iatro" is Greek for physician and -ist in Latin comes from "ista or iste" and the pronoun means "that
one" or "specialist".
As part of the clinical assessment process they may employ a mental status examination, a physical
examination, brain imaging such as computerized tomography (CT/CAT scan), magnetic resonance
imaging (MRI), andpositron emission tomography (PET) scanning, and blood testing. Psychiatrists
prescribe medicine, and may also use psychotherapy, although the vast majority do medical
management and refer to a psychologist or another specialized therapist for weekly to bi-monthly
psychotherapy.
Contents
[hide]
1 Subspecialties
2 Consultant Psychiatrist
3 Professional requirements
o
3.1 US and Canada
o
3.2 United Kingdom and Republic of Ireland
o
3.3 Netherlands
4 See also
5 References
6 Further reading
Subspecialties[edit]
The field of psychiatry has many subspecialties (also known as fellowship that require additional
training which are certified by the American Board of Psychiatry and Neurology (ABPN) and require
Maintenance of Certification Program (MOC) to continue. The following include:
Clinical neurophysiology
Forensic psychiatry
Addiction psychiatry
Child and Adolescent Psychiatry
Geriatric psychiatry
Hospice and palliative medicine
Pain management
Psychosomatic medicine (also known as consultation-liaison psychiatry)
Sleep medicine
Further, other specialties that exist include:[1]
Cross-cultural psychiatry
Emergency psychiatry
Learning disability
Neurodevelopmental disorder
Cognition diseases as in various forms of dementia
Some psychiatrists specialize in helping certain age groups. Pediatric psychiatry is the area of the
profession working with children in addressing psychological problems. [1] Psychiatrists specializing
in geriatric psychiatry work with the elderly and are called geriatric psychiatrists or geropsychiatrists.
[1]
Those who practice psychiatry in the workplace are called occupational psychiatrists in the United
States and occupational psychology is the name used for the most similar discipline in the UK.
[1]
Psychiatrists working in the courtroom and reporting to the judge and jury, in both criminal and civil
court cases, are called forensic psychiatrists, who also treat mentally disordered offenders and other
patients whose condition is such that they have to be treated in secure units. [1][2]
Other psychiatrists and mental health professionals in the field of psychiatry may also specialize
in psychopharmacology, psychotherapy, psychiatric genetics, neuroimaging, dementia-related
disorders/ sicknesses as Alzheimer's disease, attention deficit hyperactivity disorder, sleep
medicine, pain medicine, palliative medicine, eating disorders, sexual disorders, women's
health, Global Mental Health, early psychosis intervention, mood disorders and anxiety
disorders (including obsessive-compulsive disorder and post-traumatic stress disorder).[1][2]
Consultant Psychiatrist[edit]
The psychiatric consultant supports in treating patients with behavioral health problems. This role
can be performed by any expert (Specialist with Ph.D in Psychiatry, Neuroscience and Psychology )
who can assist the primary care team diagnosis, treatment planning and recommendations about
changes in treatment the patient,The psychiatric consultant may suggest treatment modifications for
the to consider, recommend the see the patient for an in-person consultation, or consult on patients
who are clinically challenging or who need specialty mental health services. The consultant does not
see the patient, except in rare circumstances, and does not prescribe medications.
Professional requirements[edit]
While requirements to become a psychiatrist differ from country to country, all require a medical
degree.[1][3]
US and Canada[edit]
In the U.S. and Canada one must first attain the degree of M.D. or D.O., followed by practice as
a psychiatric resident for another four years (five years in Canada). This extended period involves
comprehensive training in psychiatric diagnosis, psychopharmacology, medical care issues, and
psychotherapies. All accredited psychiatry residencies in the United States require proficiency
in cognitive-behavioral, brief, psychodynamic, and supportive psychotherapies. Psychiatry residents
are required to complete at least four post-graduate months of internal medicine or pediatrics, plus a
minimum of two months of neurology during their first year of residency, referred to as an
"internship".[3] After completing their training, psychiatrists are eligible to take a specialty board
examination to become board-certified.[3] The total amount of time required to complete educational
and training requirements in the field of psychiatry in the United States is 12 years after high school.
Subspecialists in child and adolescent psychiatry are required to complete a two-year fellowship
program, the first year of which can run concurrently with the fourth year of the general psychiatry
residency program. This adds one to two years of training.
United Kingdom and Republic of Ireland[edit]
In the United Kingdom, psychiatrists must hold a medical degree.[4] These degrees are often
abbreviated MB BChir, MB BCh, MB ChB, BM BS, or MB BS. Following this, the individual will work
as a Foundation House Officer for two additional years in the UK, or one year as Intern in the
Republic of Ireland to achieve registration as a basic medical practitioner. Training in psychiatry can
then begin and it is taken in two parts: three years of Basic Specialist Training culminating in the
MRCPsych exam followed by three years of Higher Specialist Training, referred to as "ST4-6" in the
UK and "Senior Registrar Training" in the Republic of Ireland. Candidates with MRCPsych degree
and complete basic training must reinterview for higher specialist training. At this stage, the
development of speciality interests such as forensic, child/adolescent take place. At the end of 3
years of higher specialist training, candidates are awarded a CCT (UK) or CCST (Ireland), both
meaning Certificate of Completion of (Specialist) Training. At this stage, the psychiatrist can register
as a specialist and the qualification of CC(S)T is recognized in all EU/EEA states. As such, training in
the UK and Ireland is considerably longer than in the US or Canada and frequently takes around 8–9
years following graduation from medical school. Those with a CC(S)T will be able to apply for
Consultant posts. Those with training from outside the EU/EEA should consult local medical boards
to review their qualifications and eligibility for equivalence recognition (for example, those with a US
residency and ABPN qualification).
Netherlands[edit]
In the Netherlands one must complete medical school after which one is certified as a medical
doctor. After a strict selection program one can specialize in psychiatry: a 4.5 year specialization.
During this specialization, the resident has to do a 6-month residency in the field of social psychiatry,
a 12-month residency in a field of their own choice (which can be child psychiatry, forensic
psychiatry, somatic medicine or medical research). To become an adolescent psychiatrist, one has to
do an extra specialization period of 2 more years. In short this means that it takes at least 10.5 years
of study to become a psychiatrist which can go up to 12.5 years if one becomes a children's and
adolescent psychiatrist.
See also[edit]
A psychiatrist is a physician who specializes in psychiatry. A psychiatrist specializes in the
diagnosis and treatment of mental disorders. Psychiatrists are medical doctors, unlike psychologists,
and must evaluate patients to determine whether their symptoms are the result of a physical illness,
a combination of physical and mental, or a strictly psychiatric one. The translation from Greek and
Latin origin is as follows: "Psych"-Greek transliterated meaning breath, life, soul, spirit or mind;
"Iatro" is Greek for physician and -ist in Latin comes from "ista or iste" and the pronoun means "that
one" or "specialist".
As part of the clinical assessment process they may employ a mental status examination, a physical
examination, brain imaging such as computerized tomography (CT/CAT scan), magnetic resonance
imaging (MRI), andpositron emission tomography (PET) scanning, and blood testing. Psychiatrists
prescribe medicine, and may also use psychotherapy, although the vast majority do medical
management and refer to a psychologist or another specialized therapist for weekly to bi-monthly
psychotherapy.
Contents
[hide]
1 Subspecialties
2 Consultant Psychiatrist
3 Professional requirements
o
3.1 US and Canada
o
3.2 United Kingdom and Republic of Ireland
o
3.3 Netherlands
4 See also
5 References
6 Further reading
Subspecialties[edit]
The field of psychiatry has many subspecialties (also known as fellowship that require additional
training which are certified by the American Board of Psychiatry and Neurology (ABPN) and require
Maintenance of Certification Program (MOC) to continue. The following include:
Clinical neurophysiology
Forensic psychiatry
Addiction psychiatry
Child and Adolescent Psychiatry
Geriatric psychiatry
Hospice and palliative medicine
Pain management
Psychosomatic medicine (also known as consultation-liaison psychiatry)
Sleep medicine
Further, other specialties that exist include:[1]
Cross-cultural psychiatry
Emergency psychiatry
Learning disability
Neurodevelopmental disorder
Cognition diseases as in various forms of dementia
Some psychiatrists specialize in helping certain age groups. Pediatric psychiatry is the area of the
profession working with children in addressing psychological problems. [1] Psychiatrists specializing
in geriatric psychiatry work with the elderly and are called geriatric psychiatrists or geropsychiatrists.
[1]
Those who practice psychiatry in the workplace are called occupational psychiatrists in the United
States and occupational psychology is the name used for the most similar discipline in the UK.
[1]
Psychiatrists working in the courtroom and reporting to the judge and jury, in both criminal and civil
court cases, are called forensic psychiatrists, who also treat mentally disordered offenders and other
patients whose condition is such that they have to be treated in secure units. [1][2]
Other psychiatrists and mental health professionals in the field of psychiatry may also specialize
in psychopharmacology, psychotherapy, psychiatric genetics, neuroimaging, dementia-related
disorders/ sicknesses as Alzheimer's disease, attention deficit hyperactivity disorder, sleep
medicine, pain medicine, palliative medicine, eating disorders, sexual disorders, women's
health, Global Mental Health, early psychosis intervention, mood disorders and anxiety
disorders (including obsessive-compulsive disorder and post-traumatic stress disorder).[1][2]
Consultant Psychiatrist[edit]
The psychiatric consultant supports in treating patients with behavioral health problems. This role
can be performed by any expert (Specialist with Ph.D in Psychiatry, Neuroscience and Psychology )
who can assist the primary care team diagnosis, treatment planning and recommendations about
changes in treatment the patient,The psychiatric consultant may suggest treatment modifications for
the to consider, recommend the see the patient for an in-person consultation, or consult on patients
who are clinically challenging or who need specialty mental health services. The consultant does not
see the patient, except in rare circumstances, and does not prescribe medications.
Professional requirements[edit]
While requirements to become a psychiatrist differ from country to country, all require a medical
degree.[1][3]
US and Canada[edit]
In the U.S. and Canada one must first attain the degree of M.D. or D.O., followed by practice as
a psychiatric resident for another four years (five years in Canada). This extended period involves
comprehensive training in psychiatric diagnosis, psychopharmacology, medical care issues, and
psychotherapies. All accredited psychiatry residencies in the United States require proficiency
in cognitive-behavioral, brief, psychodynamic, and supportive psychotherapies. Psychiatry residents
are required to complete at least four post-graduate months of internal medicine or pediatrics, plus a
minimum of two months of neurology during their first year of residency, referred to as an
"internship".[3] After completing their training, psychiatrists are eligible to take a specialty board
examination to become board-certified.[3] The total amount of time required to complete educational
and training requirements in the field of psychiatry in the United States is 12 years after high school.
Subspecialists in child and adolescent psychiatry are required to complete a two-year fellowship
program, the first year of which can run concurrently with the fourth year of the general psychiatry
residency program. This adds one to two years of training.
United Kingdom and Republic of Ireland[edit]
In the United Kingdom, psychiatrists must hold a medical degree.[4] These degrees are often
abbreviated MB BChir, MB BCh, MB ChB, BM BS, or MB BS. Following this, the individual will work
as a Foundation House Officer for two additional years in the UK, or one year as Intern in the
Republic of Ireland to achieve registration as a basic medical practitioner. Training in psychiatry can
then begin and it is taken in two parts: three years of Basic Specialist Training culminating in the
MRCPsych exam followed by three years of Higher Specialist Training, referred to as "ST4-6" in the
UK and "Senior Registrar Training" in the Republic of Ireland. Candidates with MRCPsych degree
and complete basic training must reinterview for higher specialist training. At this stage, the
development of speciality interests such as forensic, child/adolescent take place. At the end of 3
years of higher specialist training, candidates are awarded a CCT (UK) or CCST (Ireland), both
meaning Certificate of Completion of (Specialist) Training. At this stage, the psychiatrist can register
as a specialist and the qualification of CC(S)T is recognized in all EU/EEA states. As such, training in
the UK and Ireland is considerably longer than in the US or Canada and frequently takes around 8–9
years following graduation from medical school. Those with a CC(S)T will be able to apply for
Consultant posts. Those with training from outside the EU/EEA should consult local medical boards
to review their qualifications and eligibility for equivalence recognition (for example, those with a US
residency and ABPN qualification).
Netherlands[edit]
In the Netherlands one must complete medical school after which one is certified as a medical
doctor. After a strict selection program one can specialize in psychiatry: a 4.5 year specialization.
During this specialization, the resident has to do a 6-month residency in the field of social psychiatry,
a 12-month residency in a field of their own choice (which can be child psychiatry, forensic
psychiatry, somatic medicine or medical research). To become an adolescent psychiatrist, one has to
do an extra specialization period of 2 more years. In short this means that it takes at least 10.5 years
of study to become a psychiatrist which can go up to 12.5 years if one becomes a children's and
adolescent psychiatrist.
See also[edit]
