A psychiatrist is a physician who specializes in psychiatry, the branch of medicine devoted to the diagnosis, prevention, study, and treatment of mental disorders. Psychiatrists usually work within a multi-disciplinary team, which may include clinical psychologists, social workers, occupational therapists, and nursing staff. Psychiatrists have broad training in a biopsychosocial approach to the assessment and management of mental illness.
General Adult Psychiatry: the management of mental disorder in adults aged 18 -65 in inpatient and outpatient settings. This includes psychiatric intensive care, acute psychiatry, eating disorders and neuropsychiatry. Sub-specialties include liaison, substance misuse, rehabilitation psychiatry, eating disorder psychiatry and neuropsychiatry.
Liaison Psychiatry: the assessment and management of psychiatric disorders in hospital patients with medical disorders.
Rehabilitation Psychiatry: the rehabilitation of patients with chronic psychiatric disorders.
Substance Abuse / Addictions Psychiatry: the management of patients with addictions to alcohol, drugs, gambling or other behaviours.
Child and Adolescent Psychiatry: the management of mental disorder in children and adolescents up to age 18 and their families in an in patient, out patient and community setting.
Old Age Psychiatry: the management of mental disorder in adults above age 65, including dementia.
Forensic Psychiatry: the provision of psychiatric care in prisons and secure hospitals. Forensic psychiatrists can also act as expert witnesses in courts of law.
Psychiatry of intellectual disability: the management of patients who have a learning disability.
Medical psychotherapy: the provision of psychological treatments for mental disorders.
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Candidates for psychiatrist jobs must have a medical degree and a postgraduate qualification in psychiatry obtained on conclusion of a structured residency or postgraduate training program.
Preferred Qualifications include the following:
United Kingdom and Ireland: FRCPsych or MRCPsych - Fellowship or Membership of the Royal College of Psychiatrists and a Certificate of Completion of Training (CCT).
USA: American Board of Psychiatry and Neurology
Canada: FRCPC - Fellowship of the Royal College of Physicians of Canada
Australia and New Zealand: FRANZCP Fellowship of the Royal and Australian College of Psychiatrists
South Africa: MMed / FCPsych (SA)
Germany: Facharzt
France: DES
Spain: Spanish Board of Psychiatry
Italy: Italian Board of Psychiatry
Singapore: MMed
If you want to practice in the primary speciality of general adult psychiatry further subspecialist training is generally not required but if you wish to practice in one of the highly specialised fields of psychiatry, you may be required to have completed a further fellowship or period of training in this secondary speciality. Examples include child and adolescent psychiatry, forensic psychiatry and old age psychiatry.
The bulk of psychiatry jobs available are in general adult psychiatry and if you are qualifed in this field and have a broad range of skills and experience you can maximise your chance of getting a job.
There are a smaller number of jobs available in old age psychiatry and child and adolscent psychiatry which are the most common subspecilaist fields. It is more difficult to find jobs in forensic psychiatry, psychotherapy, learning disabilities and other subspecialist disciplines as these jobs are generally available only in tertiary and larger secondary hospitals.
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