Psychotherapy training for Psychiatrists
Psychotherapy is integral to the training of
psychiatrists and is part of the core
curriculum for general
psychiatry (ST1-6). The psychotherapy
training requirements for
CT1-3 pre MRCPsych exam are outlined in the core
curriculum, with specific guidance on how to acquire psychotherapy
Financial Support for Medical Psychotherapy Trainees’ Personal
CT1-3 Core curriculum guides
Specialist Training ST4-6 in Psychotherapy to become a
Consultant Psychiatrist in Psychotherapy
It is possible to obtain a Certificate of Completion of
Training (CCT) in Psychotherapy through specialising in
CBT, psychodynamic, or systemic therapy.
This training comprises three years at ST 4-6 level in a
GMC approved Psychotherapy scheme quality assured by local
deaneries through the schools of psychiatry.
Trainees acquire an in depth knowledge
of theory and practice of their major approach, and also
receive training in the other two (psychodynamic, CBT or
systemic) approaches. The specialist curriculum is available
At the end of this training they will gain a
CCT as specialists in psychotherapy
and are able to apply to be on the Specialist Register of the
As such they will be able to train Specialty Registrars in
psychotherapy and to take the role of leading multi-modal
psychological therapy teams. It is also possible to spend a year in
psychotherapy which will lead to an endorsement in psychotherapy
(see information pack, link above).
Psychotherapy training for ST4-6 in specialties other
The curriculum indicates that trainees continue
to develop their psychotherapeutic expertise as
they become higher trainees, according to their interest and
specialty. For example:
- a rehabilitation or general adult trainee might seek to
gain experience of cognitive therapy of psychosis
- a trainee interested in eating disorders may gain further
experience of family therapy
- psychodynamic psychotherapy, or training on group therapy
may interest a learning disability trainee.
The combinations are many and tailored
programmes of experience can be devised in conjunction
with Psychotherapy Tutors and Training Programme Directors.
Related CPD Online learning modules and
These RCPsych CPD online modules and podcasts are relevant to
medical psychotherapy. All links will open in a new window.
CPD for SAS
and Consultant Psychiatrists
SAS doctors and Consultant Psychiatrists can access
psychotherapy training by attachments to Departments of
Psychotherapy organised by the Psychotherapy Tutors of
the organisation they work in, achieving and advancing competencies
in the main psychotherapy modalities, working
with individuals, couples, families or groups.
Each core training programme should have a Psychotherapy Tutor
who is a Consultant Psychiatrist in Psychotherapy.
The tutor works together with the Training Programme Director (
TPD) of core training and the Director of Medical Training of the
Trust to make sure psychotherapy training requirements
are met in the training scheme.
This includes making sure that:
- case based discussion groups(CBDs) are available in years 1and
- CBT, psychodynamic, systemic or integrative trainings and
supervision are available for trainees
- liaising with and advising supervisors, who may be non-
medical, of the training requirements
- advising trainees when and what kind of psychotherapy cases are
The Psychotherapy Tutor and other Consultant Psychiatrists in
Psychotherapy will also conduct and advise on the workplace
based assessments such as the ACE on the psychotherapy long
The Psychotherapy Tutor will then contribute to the review of
the trainee's progress by advising the TPD whether the
psychotherapy requirements have been met.
The overall aim of the Psychotherapy Tutor is to help core
psychiatric trainees develop habits of self reflection and
emotional curiosity, to have an understanding of the therapeutic
relationship, unconscious modes of communication and learn
about different models of psychotherapy enough to be able to refer
or work alongside as the patient undergoes therapy.
Programme Director (Scheme Organiser)
Training Programme Directors (TPD) have responsibility
for managing specialty training programmes including Fixed
Term Specialty Training Appointments. TPDs responsibilities
- making sure the programmes deliver the specialty
curriculum and enable trainees to gain the relevant competences,
knowledge, skills, attitudes and experience
- taking into account the collective needs of the trainees in the
programme when planning individual programmes
- providing support for clinical and educational supervisors
within the programme and contribute to the annual assessment
outcome process in the specialty.
- careers advice.
- helping the Postgraduate Dean manage trainees who are running
into difficulties by supporting educational supervisors in their
assessments and in identifying remedial placements.
TPDs work within the Trust with:
- the Director of Medical education, the Schools of Psychiatry
within the Deanery
- delegated College/Faculty representatives (e.g. college tutors,
- national College/Faculty training or Specialty Advisory
Psychotherapy advisors at Schools of Psychiatry
Each school of psychiatry has access to a
Regional Representative in Psychotherapy who:
- makes sure the Deanery is aware of the
requirements for psychotherapy training for core and generic
training ST1-6 and higher specialist training
- offer advice on how to make sure
information is available to trainees and that they attain
appropriate competencies in psychotherapy pre and post MRCPsych