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  • Become a psychiatrist

    Become a psychiatrist

    • Choose Psychiatry

      Choose Psychiatry

      • What is psychiatry?
      • How to become a psychiatrist
      • Why choose psychiatry?
      • What next?
      • On a break from training?
      • Help support our campaign
      • Choose Psychiatry – Guidance for Medical Schools
      • 'Make this a better world'
      • Continue to choose psychiatry
    • Sixth formers and school students
    • Medical students

      Medical students

      • Becoming a student associate
      • Psychiatry attachments
      • Awards, prizes and bursaries for medical students
      • PsychSocs
      • National Student Psychiatry Conference
      • Summer and autumn schools
      • FuturePsych – the student associate magazine
    • Foundation doctors

      Foundation doctors

      • Foundation doctor associates
      • Making the most of your psychiatry placement
      • Opportunities for foundation doctors
      • FuturePsych - the associate magazine
      • Applying to Core and Higher Training
      • Careers in mental health research
    • Help us promote psychiatry

      Help us promote psychiatry

      • How can I help?
      • Ideas to inspire you
      • Resources to help you promote psychiatry
      • RCPsych Recruitment Strategy 2022-2027
    • Supporting Medical Students: Medical Schools
    • Choose Psychiatry
      • What is psychiatry?
      • How to become a psychiatrist
      • Why choose psychiatry?
      • What next?
      • On a break from training?
      • Help support our campaign
      • Choose Psychiatry – Guidance for Medical Schools
      • 'Make this a better world'
      • Continue to choose psychiatry
    • Sixth formers and school students
    • Medical students
      • Becoming a student associate
      • Psychiatry attachments
      • Awards, prizes and bursaries for medical students
      • PsychSocs
      • National Student Psychiatry Conference
      • Summer and autumn schools
      • FuturePsych – the student associate magazine
    • Foundation doctors
      • Foundation doctor associates
      • Making the most of your psychiatry placement
      • Opportunities for foundation doctors
      • FuturePsych - the associate magazine
      • Applying to Core and Higher Training
      • Careers in mental health research
    • Help us promote psychiatry
      • How can I help?
      • Ideas to inspire you
      • Resources to help you promote psychiatry
      • RCPsych Recruitment Strategy 2022-2027
    • Supporting Medical Students: Medical Schools
  • Training

    Training

    • Exams

      Exams

      • Can I take an exam?
      • Contact the Exams team
      • Preparing for exams
      • Applying for your exam
      • Exam results
      • A fair exam
      • Examiners and exam panels recruitment
      • FAQs about applying for exams
      • FAQs about preparing for exams
      • FAQs about the day of the exam
      • FAQs about assessment and results
      • Exams news and updates
      • Exams Reading List
      • FAQs about our exam diet in Doha
    • Curricula and guidance

      Curricula and guidance

      • 2022 Curricula Implementation Hub
      • 2014 GMC approved curricula (ending July 2024)
      • Specialty training guides
      • Dual training
      • Assessment Strategy Review
      • Formative Assessment
    • Portfolio Online
    • Your training

      Your training

      • Psychiatric Resident Doctors' Committee: supporting you
      • Routes to Registration
      • Applying for training
      • Run-through training
      • Training less than full time
      • Time out of training
      • Academic Training
      • Understanding Career Choices in Psychiatry
      • Leadership and Management Fellow Scheme
      • Prizes and bursaries for resident doctors
      • Cost of Training
      • Industrial action FAQs
      • Distribution of medical training posts
      • Presenting evidence at mental health tribunals
    • Medical training initiative (MTI)
    • International Medical Graduates
    • Employer Hub
    • Undergraduate education forum
    • Quality Assurance in Training

      Quality Assurance in Training

      • Externality
    • Credentialing
    • CPD eLearning
    • Dean's Quarterly Updates

      Dean's Quarterly Updates

      • Dean's Quarterly Update - July 2025
      • Dean's Quarterly Update - April 2025
      • Dean's Quarterly Update - January 2025
      • Dean's Quarterly Update - September 2024
      • Dean's Quarterly Update - June 2024
      • Dean's Quarterly Update - February 2024
      • Dean's Quarterly Update - October 2023
      • Dean's Quarterly Update - June 2023
      • Dean's Quarterly Update - March 2023
      • Dean's update - 2022
    • Building Capacity in Perinatal Psychiatry

      Building Capacity in Perinatal Psychiatry

      • Perinatal Psychiatry Masterclass Series
      • About the Building Capacity Project
    • RCPsych Learn
    • Exams
      • Can I take an exam?
      • Contact the Exams team
      • Preparing for exams
      • Applying for your exam
      • Exam results
      • A fair exam
      • Examiners and exam panels recruitment
      • FAQs about applying for exams
      • FAQs about preparing for exams
      • FAQs about the day of the exam
      • FAQs about assessment and results
      • Exams news and updates
      • Exams Reading List
      • FAQs about our exam diet in Doha
    • Curricula and guidance
      • 2022 Curricula Implementation Hub
      • 2014 GMC approved curricula (ending July 2024)
      • Specialty training guides
      • Dual training
      • Assessment Strategy Review
      • Formative Assessment
    • Portfolio Online
    • Your training
      • Psychiatric Resident Doctors' Committee: supporting you
      • Routes to Registration
      • Applying for training
      • Run-through training
      • Training less than full time
      • Time out of training
      • Academic Training
      • Understanding Career Choices in Psychiatry
      • Leadership and Management Fellow Scheme
      • Prizes and bursaries for resident doctors
      • Cost of Training
      • Industrial action FAQs
      • Distribution of medical training posts
      • Presenting evidence at mental health tribunals
    • Medical training initiative (MTI)
    • International Medical Graduates
    • Employer Hub
    • Undergraduate education forum
    • Quality Assurance in Training
      • Externality
    • Credentialing
    • CPD eLearning
    • Dean's Quarterly Updates
      • Dean's Quarterly Update - July 2025
      • Dean's Quarterly Update - April 2025
      • Dean's Quarterly Update - January 2025
      • Dean's Quarterly Update - September 2024
      • Dean's Quarterly Update - June 2024
      • Dean's Quarterly Update - February 2024
      • Dean's Quarterly Update - October 2023
      • Dean's Quarterly Update - June 2023
      • Dean's Quarterly Update - March 2023
      • Dean's update - 2022
    • Building Capacity in Perinatal Psychiatry
      • Perinatal Psychiatry Masterclass Series
      • About the Building Capacity Project
    • RCPsych Learn
  • Members

    Members

    • Membership

      Membership

      • Members login
      • Receipts
      • Pay Your Subscription
      • Direct Debit
      • Your subscription
      • Grades of membership
      • Benefits of membership
      • Fellowship and other Honours
    • Submitting your CPD
    • Supporting your professional development

      Supporting your professional development

      • New consultants (StartWell)
      • Revalidation
      • Assessing and managing risk of patients causing harm
      • Leadership and management
      • Working less than full time
      • Writing clinic letters
      • If a patient dies by suicide
    • CPD eLearning
    • Your faculties

      Your faculties

      • Faculty of Academic Psychiatry
      • Faculty of Addictions Psychiatry
      • Faculty of Child and Adolescent Psychiatry
      • Faculty of Eating Disorders Psychiatry
      • Faculty of Forensic Psychiatry
      • Faculty of General Adult Psychiatry
      • Faculty of the Psychiatry of Intellectual Disability
      • Faculty of Liaison Psychiatry
      • Faculty of Medical Psychotherapy
      • Faculty of Neuropsychiatry
      • Faculty of Old Age Psychiatry
      • Faculty of Perinatal Psychiatry
      • Faculty of Rehabilitation and Social Psychiatry
      • Faculty job descriptions
    • Specialty and Specialist Psychiatrists

      Specialty and Specialist Psychiatrists

      • A message from the Chair
      • Who are SAS psychiatrists?
      • How to enter the SAS grade
      • SAS doctors resources
      • College SAS training and events
      • Startwell and Staywell
      • SAS Strategy
      • SAS careers
    • Devolved Nations

      Devolved Nations

      • RCPsych in Scotland
      • RCPsych in Wales
      • CBSeic Cymru
      • RCPsych in Northern Ireland
      • Executive Committee job descriptions
    • English Divisions

      English Divisions

      • Eastern Division
      • London Division
      • Northern and Yorkshire Division
      • North West Division
      • South Eastern Division
      • South West Division
      • Trent Division
      • West Midlands Division
      • Executive Committee job descriptions
      • All Division events
    • Special Interest Groups

      Special Interest Groups

      • How to join a Special Interest Group (SIG)
      • Adolescent Forensic Psychiatry Special Interest Group (AFPSIG)
      • Arts Psychiatry Special Interest Group (ArtSIG)
      • Digital Psychiatry Special Interest Group (DPSIG)
      • Evolutionary Psychiatry Special Interest Group (EPSIG)
      • History of Psychiatry Special Interest Group (HoPSIG)
      • Neurodevelopmental Psychiatry Special Interest Group (NDPSIG)
      • Occupational Psychiatry Special Interest Group (OPSIG)
      • Philosophy Special Interest Group 
      • Private and Independent Practice Special Interest Group (PIPSIG)
      • Rainbow Special Interest Group
      • Spirituality and Psychiatry Special Interest Group (SPSIG)
      • Sport and Exercise Psychiatry Special Interest Group (SEPSIG)
      • Transcultural psychiatry Special Interest Group (TSIG)
      • Volunteering and International Psychiatry Special Interest Group (VIPSIG)
      • Women and Mental Health Special Interest Group (WMHSIG)
      • Annual SIG Newsletters
      • Special Interest Group (SIG) events
    • Workforce Wellbeing Hub

      Workforce Wellbeing Hub

      • Psychiatrists' Support Service (PSS)
      • Top 10 tips for wellbeing
      • Coaching and mentoring
      • If a patient dies by suicide
      • If a patient commits homicide
      • Support for Refugee Psychiatrists
      • Wellbeing Committee
    • Public members list
    • Publications and books
    • Posts for members
    • eLearning Hub
    • Membership
      • Members login
      • Receipts
      • Pay Your Subscription
      • Direct Debit
      • Your subscription
      • Grades of membership
      • Benefits of membership
      • Fellowship and other Honours
    • Submitting your CPD
    • Supporting your professional development
      • New consultants (StartWell)
      • Revalidation
      • Assessing and managing risk of patients causing harm
      • Leadership and management
      • Working less than full time
      • Writing clinic letters
      • If a patient dies by suicide
    • CPD eLearning
    • Your faculties
      • Faculty of Academic Psychiatry
      • Faculty of Addictions Psychiatry
      • Faculty of Child and Adolescent Psychiatry
      • Faculty of Eating Disorders Psychiatry
      • Faculty of Forensic Psychiatry
      • Faculty of General Adult Psychiatry
      • Faculty of the Psychiatry of Intellectual Disability
      • Faculty of Liaison Psychiatry
      • Faculty of Medical Psychotherapy
      • Faculty of Neuropsychiatry
      • Faculty of Old Age Psychiatry
      • Faculty of Perinatal Psychiatry
      • Faculty of Rehabilitation and Social Psychiatry
      • Faculty job descriptions
    • Specialty and Specialist Psychiatrists
      • A message from the Chair
      • Who are SAS psychiatrists?
      • How to enter the SAS grade
      • SAS doctors resources
      • College SAS training and events
      • Startwell and Staywell
      • SAS Strategy
      • SAS careers
    • Devolved Nations
      • RCPsych in Scotland
      • RCPsych in Wales
      • CBSeic Cymru
      • RCPsych in Northern Ireland
      • Executive Committee job descriptions
    • English Divisions
      • Eastern Division
      • London Division
      • Northern and Yorkshire Division
      • North West Division
      • South Eastern Division
      • South West Division
      • Trent Division
      • West Midlands Division
      • Executive Committee job descriptions
      • All Division events
    • Special Interest Groups
      • How to join a Special Interest Group (SIG)
      • Adolescent Forensic Psychiatry Special Interest Group (AFPSIG)
      • Arts Psychiatry Special Interest Group (ArtSIG)
      • Digital Psychiatry Special Interest Group (DPSIG)
      • Evolutionary Psychiatry Special Interest Group (EPSIG)
      • History of Psychiatry Special Interest Group (HoPSIG)
      • Neurodevelopmental Psychiatry Special Interest Group (NDPSIG)
      • Occupational Psychiatry Special Interest Group (OPSIG)
      • Philosophy Special Interest Group 
      • Private and Independent Practice Special Interest Group (PIPSIG)
      • Rainbow Special Interest Group
      • Spirituality and Psychiatry Special Interest Group (SPSIG)
      • Sport and Exercise Psychiatry Special Interest Group (SEPSIG)
      • Transcultural psychiatry Special Interest Group (TSIG)
      • Volunteering and International Psychiatry Special Interest Group (VIPSIG)
      • Women and Mental Health Special Interest Group (WMHSIG)
      • Annual SIG Newsletters
      • Special Interest Group (SIG) events
    • Workforce Wellbeing Hub
      • Psychiatrists' Support Service (PSS)
      • Top 10 tips for wellbeing
      • Coaching and mentoring
      • If a patient dies by suicide
      • If a patient commits homicide
      • Support for Refugee Psychiatrists
      • Wellbeing Committee
    • Public members list
    • Publications and books
    • Posts for members
    • eLearning Hub
  • Events

    Events

    • Conferences and training events

      Conferences and training events

      • Grand Rounds
      • Register your interest - CESR in Psychiatry Training
      • MHA Section 12 and Approved Clinician Training
      • Subscribe to receive the Events eNews
      • Old Age Faculty Resident Doctors
    • International Congress 2026

      International Congress 2026

      • Poster Presentations 2026
      • Exhibition opportunities 2026
      • Registration
      • Your guide to Congress
    • In-house training

      In-house training

      • Competing interests
    • Free webinars
    • Claiming expenses

      Claiming expenses

      • What can I claim
    • Terms and conditions for event booking

      Terms and conditions for event booking

      • Cancellation policy
      • Code of conduct for events
      • Parent and baby policy
    • Speaker guidance for online events
    • EventsAir FAQs
    • Speaker guidance for in-person events
    • Conferences and training events
      • Grand Rounds
      • Register your interest - CESR in Psychiatry Training
      • MHA Section 12 and Approved Clinician Training
      • Subscribe to receive the Events eNews
      • Old Age Faculty Resident Doctors
    • International Congress 2026
      • Poster Presentations 2026
      • Exhibition opportunities 2026
      • Registration
      • Your guide to Congress
    • In-house training
      • Competing interests
    • Free webinars
    • Claiming expenses
      • What can I claim
    • Terms and conditions for event booking
      • Cancellation policy
      • Code of conduct for events
      • Parent and baby policy
    • Speaker guidance for online events
    • EventsAir FAQs
    • Speaker guidance for in-person events
  • Improving care

    Improving care

    • College Centre for Quality Improvement (CCQI)

      College Centre for Quality Improvement (CCQI)

      • What we do in the CCQI
      • Quality Networks and Accreditation
      • National Clinical Audits
      • Multi-source feedback
      • CCQI resources
      • CCQI - who we are
      • CCQI research and evaluation
      • Health of Nation Outcome Scales (HoNOS)
    • Influencing and campaigning for better mental health policy

      Influencing and campaigning for better mental health policy

      • College Reports
      • Position Statements
      • Integrated care and mental health
      • Children and young people's mental health Green Paper
      • Cross-government mental health and wellbeing plan 
      • RCPsych in Parliament
      • Processes for producing College publications, consultations, surveys and endorsements
      • Other policy areas
      • Mental Health Watch
      • Reforming The Mental Health Act
      • The Mental Health Policy Group (MHPG)
      • Preventing mental illness: Our manifesto for the next UK general election
      • The 2024 General Election and our manifesto
      • Assisted dying/assisted suicide
    • Planning the psychiatric workforce

      Planning the psychiatric workforce

      • About our workforce unit
      • Job planning and recruitment
      • Our workforce census
      • Campaigning for the mental health workforce of the future
      • Workforce strategy
      • Job description approval process
    • Public Mental Health Implementation Centre (PMHIC)

      Public Mental Health Implementation Centre (PMHIC)

      • Partnerships and events  
      • How to work with the Public Mental Health Implementation Centre
      • About the PMHIC
      • PMHIC Aims and objectives
      • Reports
      • About public mental health
      • PMHIC Parliamentary Launch 
      • PMHIC Commercial Determinants of Mental Health (CDoMH) Symposium 
      • PMHIC Parliamentary Roundtable 
      • Smoking and Mental Health in Wales 
      • Public Mental Health Learning Community 
      • Weight management and mental health: A framework for action in Wales
      • Health inequalities briefing pack
    • National Collaborating Centre for Mental Health (NCCMH)

      National Collaborating Centre for Mental Health (NCCMH)

      • About NCCMH and our work
      • Clinical guideline development
      • Competence frameworks
      • Quality improvement programmes
      • Reviews, evaluations and reports
      • Service design and development
      • Work with us
      • Culture of Care Programme
      • A–Z of NCCMH publications
      • CARC - Learning programme
      • Research team and programmes
    • Act Against Racism

      Act Against Racism

      • Tackling racism in the workplace
      • Adopt the guidance and join our network
      • Act Against Racism: a toolkit to support the campaign
      • If you're experiencing racism at work
      • Allies: information and signposting
      • FAQs about the campaign
      • Act Against Racism campaign films
      • Resources
    • Sustainability, climate change and mental health

      Sustainability, climate change and mental health

      • Sustainability and mental health policy
      • Helping others work sustainably
      • Sustainability and climate change: Taking action at RCPsych
      • Why is sustainability important?
    • Public Health and its role in mental heath
    • Using quality improvement
    • Net Zero Mental Health Care Guidance and Education

      Net Zero Mental Health Care Guidance and Education

      • Net Zero Mental Health Care Report Launch Event
    • Mental Health Awareness Week
    • Invited Review Service
    • Physician Assistant Review

      Physician Assistant Review

      • Physician Associate Review Meeting Summaries
    • Providing Reasonable Adjustments - for mental health employers

      Providing Reasonable Adjustments - for mental health employers

      • Introducing the guidance
      • What are reasonable adjustments?
      • How to implement the 15 recommendations
      • Information about allyship
      • Case studies 
      • Help spread the word 
      • Sign up to adopt the guidance 
    • Seni Lewis Award

      Seni Lewis Award

      • Seni Lewis Award toolkit
    • College Centre for Quality Improvement (CCQI)
      • What we do in the CCQI
      • Quality Networks and Accreditation
      • National Clinical Audits
      • Multi-source feedback
      • CCQI resources
      • CCQI - who we are
      • CCQI research and evaluation
      • Health of Nation Outcome Scales (HoNOS)
    • Influencing and campaigning for better mental health policy
      • College Reports
      • Position Statements
      • Integrated care and mental health
      • Children and young people's mental health Green Paper
      • Cross-government mental health and wellbeing plan 
      • RCPsych in Parliament
      • Processes for producing College publications, consultations, surveys and endorsements
      • Other policy areas
      • Mental Health Watch
      • Reforming The Mental Health Act
      • The Mental Health Policy Group (MHPG)
      • Preventing mental illness: Our manifesto for the next UK general election
      • The 2024 General Election and our manifesto
      • Assisted dying/assisted suicide
    • Planning the psychiatric workforce
      • About our workforce unit
      • Job planning and recruitment
      • Our workforce census
      • Campaigning for the mental health workforce of the future
      • Workforce strategy
      • Job description approval process
    • Public Mental Health Implementation Centre (PMHIC)
      • Partnerships and events  
      • How to work with the Public Mental Health Implementation Centre
      • About the PMHIC
      • PMHIC Aims and objectives
      • Reports
      • About public mental health
      • PMHIC Parliamentary Launch 
      • PMHIC Commercial Determinants of Mental Health (CDoMH) Symposium 
      • PMHIC Parliamentary Roundtable 
      • Smoking and Mental Health in Wales 
      • Public Mental Health Learning Community 
      • Weight management and mental health: A framework for action in Wales
      • Health inequalities briefing pack
    • National Collaborating Centre for Mental Health (NCCMH)
      • About NCCMH and our work
      • Clinical guideline development
      • Competence frameworks
      • Quality improvement programmes
      • Reviews, evaluations and reports
      • Service design and development
      • Work with us
      • Culture of Care Programme
      • A–Z of NCCMH publications
      • CARC - Learning programme
      • Research team and programmes
    • Act Against Racism
      • Tackling racism in the workplace
      • Adopt the guidance and join our network
      • Act Against Racism: a toolkit to support the campaign
      • If you're experiencing racism at work
      • Allies: information and signposting
      • FAQs about the campaign
      • Act Against Racism campaign films
      • Resources
    • Sustainability, climate change and mental health
      • Sustainability and mental health policy
      • Helping others work sustainably
      • Sustainability and climate change: Taking action at RCPsych
      • Why is sustainability important?
    • Public Health and its role in mental heath
    • Using quality improvement
    • Net Zero Mental Health Care Guidance and Education
      • Net Zero Mental Health Care Report Launch Event
    • Mental Health Awareness Week
    • Invited Review Service
    • Physician Assistant Review
      • Physician Associate Review Meeting Summaries
    • Providing Reasonable Adjustments - for mental health employers
      • Introducing the guidance
      • What are reasonable adjustments?
      • How to implement the 15 recommendations
      • Information about allyship
      • Case studies 
      • Help spread the word 
      • Sign up to adopt the guidance 
    • Seni Lewis Award
      • Seni Lewis Award toolkit
  • Mental health

    Mental health

    • Mental illnesses and mental health problems

      Mental illnesses and mental health problems

      • ADHD in adults
      • Alcohol, mental health and the brain
      • Anorexia and bulimia
      • Anxiety and generalised anxiety disorder (GAD)
      • Autism and mental health
      • Avoidant/restrictive food intake disorder (ARFID)
      • Bereavement
      • Bipolar disorder
      • Cannabis and mental health
      • Catatonia
      • Cocaine dependence
      • Coping after a traumatic event
      • Debt and mental health
      • Delirium
      • Depression
      • Depression in older adults
      • Feeling overwhelmed
      • Gambling disorder
      • Heroin dependence
      • Hoarding
      • Intellectual disabilities
      • Medically unexplained symptoms
      • Memory problems and dementia
      • Obsessive-compulsive disorder (OCD)
      • Perinatal OCD
      • Perinatal OCD for carers
      • Personality disorder
      • Physical illness and mental health
      • Postnatal depression
      • Postnatal depression key facts
      • Postnatal depression for carers
      • Postpartum psychosis
      • Postpartum psychosis for carers
      • Post-traumatic stress disorder (PTSD) 
      • Schizoaffective disorder
      • Schizophrenia
      • Seasonal affective disorder (SAD)
      • Self-harm
      • Shyness and social phobia
      • Sleeping well
      • Psychosis
    • Support, care and treatment

      Support, care and treatment

      • Alzheimers drug treatments
      • Antidepressants
      • Antipsychotics
      • Antipsychotics in pregnancy
      • Being sectioned (in England and Wales)
      • Benefits, financial support and debt advice
      • Benzodiazepines
      • Caring for someone with a mental illness
      • Children's social services and safeguarding
      • Cognitive behavioural therapy (CBT)
      • Complementary and alternative medicines: herbal remedies
      • Complementary and alternative medicines: physical treatments
      • Long-acting injectable (depot) antipsychotics
      • Deprivation of Liberty Safeguards
      • Electroconvulsive therapy (ECT)
      • Hypnosis and hypnotherapy
      • Liaison psychiatry services
      • Lithium in pregnancy and breastfeeding
      • Mental capacity and the law
      • Mental health in pregnancy
      • Mental health rehabilitation services
      • Mental health services and teams in the community
      • Mental Health Tribunals
      • Mother and baby units (MBUs)
      • Neuromodulation
      • What are perinatal mental health services?
      • Planning a pregnancy
      • Psychotherapies and psychological treatments
      • Social prescribing
      • Spirituality and mental health
      • Stopping antidepressants
      • What to expect of your psychiatrist in the UK
      • COVID-19: for patients and carers
      • Veterans' mental health
    • Young people's mental health

      Young people's mental health

      • Bipolar disorder for young people
      • Cannabis and mental health for young people
      • Club drugs for young people
      • Cognitive behavioural therapy (CBT) for young people
      • Coping with stress for young people
      • Depression in children and young people
      • Drugs and alcohol for young people
      • Eco distress for young people
      • Physical activity, exercise and mental health for young people
      • OCD for young people
      • Psychosis for young people
      • Schizophrenia for young people
      • When a parent has a mental illness
      • When bad things happen for young people
      • Who is who in CAMHS?
      • Anxiety for young people
      • Weight, exercise and eating disorders for young people
      • Use of digital media for young people
      • Self-harm in children and young people
      • Tics and Tourette syndrome in young people
    • Translations of our mental health information

      Translations of our mental health information

      • Arabic عربى
      • Bengali বাঙালি
      • Chinese 中文
      • French Français
      • German Deutsch
      • Greek Ελληνική
      • Gujarati ગુજરાતી
      • Hindi हिंदीहिंदी
      • Italian Italiano
      • Japanese 日本語
      • Marathi मराठी
      • Persian (Farsi) فارسی
      • Polish Polski
      • Portuguese (Brazil) Português (Brasil)
      • Punjabi (Pakistan) پنجابی
      • Romanian Română
      • Russian Pусский
      • Sindhi سنڌي
      • Spanish Español
      • Swahili Kiswahili
      • Tamil தமிழ்
      • Telugu తెలుగు
      • Ukrainian украї́нська
      • Urdu اردو
      • Vietnamese Việt
      • Welsh Cymraeg
      • התמודדות לאחר אירוע טראומטי Coping after a traumatic event in Hebrew
      • Mijûlbûna piştî bûyerekê trawmatîk Coping after a traumatic event in Kurdish
      • Travmatik bir olayla başa çıkma Coping after a traumatic event in Turkish
      • စိတ်ထိခိုက်ဖွယ် ဖြစ်ရပ်တစ်ခုကို ရင်ဆိုင်ဖြေရှင်းခြင်း Coping after a traumatic event in Burmese
    • Order mental health leaflets and resources

      Order mental health leaflets and resources

      • Order mental health packs for schools
    • About our mental health information
    • Mental health information disclaimer
    • Mental health and psychiatry FAQs
    • Mental illnesses and mental health problems
      • ADHD in adults
      • Alcohol, mental health and the brain
      • Anorexia and bulimia
      • Anxiety and generalised anxiety disorder (GAD)
      • Autism and mental health
      • Avoidant/restrictive food intake disorder (ARFID)
      • Bereavement
      • Bipolar disorder
      • Cannabis and mental health
      • Catatonia
      • Cocaine dependence
      • Coping after a traumatic event
      • Debt and mental health
      • Delirium
      • Depression
      • Depression in older adults
      • Feeling overwhelmed
      • Gambling disorder
      • Heroin dependence
      • Hoarding
      • Intellectual disabilities
      • Medically unexplained symptoms
      • Memory problems and dementia
      • Obsessive-compulsive disorder (OCD)
      • Perinatal OCD
      • Perinatal OCD for carers
      • Personality disorder
      • Physical illness and mental health
      • Postnatal depression
      • Postnatal depression key facts
      • Postnatal depression for carers
      • Postpartum psychosis
      • Postpartum psychosis for carers
      • Post-traumatic stress disorder (PTSD) 
      • Schizoaffective disorder
      • Schizophrenia
      • Seasonal affective disorder (SAD)
      • Self-harm
      • Shyness and social phobia
      • Sleeping well
      • Psychosis
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Anomalisa

Cultural blog, Minds on film

14 November, 2016


This animation contains adult themes of a sexual nature and nudity. It is rated 15.

Film poster for 'Anomalisa'

Introduction

Anomalisa is a feature-length stop-motion animation film directed by Charlie Kaufman and Duke Johnson, its screenplay written by Kaufman and based on an earlier radio play that he wrote in 2005.

It has been very well received by critics, was nominated for an Academy Award in 2016 and has received 20 awards.

Stop motion is a painstaking technique of animation, which involves taking approximately 25 photographs per second of a puppet or scene as minute changes are made to them (an article written by Tim Martin in The Telegraph newspaper, in March 2016, provides a good understanding of this method of animation as he considers Kaufman and Johnson’s production).

Anomalisa is a psychological drama centred on the main protagonist Michael Stone (voiced by David Thewlis), an author and motivational speaker in the field of customer service. He is suffering from mid-life depression and is searching for a special person that will make him happy as he struggles with a sense of boredom and a feeling that everyone is the same.

The feeling of ‘sameness’ is represented in the film by all of the characters, except for that of Michael and Lisa (who is voiced by Jennifer Jason Leigh), being voiced by the same male actor (Tom Noonan). In addition, all of the puppet faces have the same central features, except for those of Michael and Lisa.

 

The Film

The soundtrack that accompanies Anomalisa’s opening credits presents us with a cacophony of voices of increasing intensity.

We see Michael on an airplane travelling to Cincinnati. He takes some prescribed medication just before landing and also looks at an angry letter from a former girlfriend.

As he walks through the airport terminal, Michael blocks out the voices around him by listening to some calming music through headphones.

The viewer might observe the similarity of the faces that surround Michael. Once Michael is in a taxi driving to The Fregoli hotel, the attentive viewer may become aware that the driver also has the same face and voice as the people chattering in the airport terminal.

The taxi driver spots that Michael has a British accent, asks where he is from, and urges him to visit the local zoo. Michael informs him that he actually lives in Los Angeles and then asks if there is a toy store near to his hotel.

Once Michael arrives at the hotel

Once in his hotel room, Michael makes a phone call home to his wife Donna and their son Henry. The lack of emotional connection with his family is palpable.

He tries to rehearse his presentation for the following day but his thoughts soon turn once again to his former girlfriend Bella, still living in Cincinnati. He calls her, wanting to apologise for the way in which he abruptly ended their relationship many years before, and tells her that he misses her. He asks her to meet him in the bar of the hotel. He tells Bella that he thinks he has psychological problems and she comments on his drinking habit. Michael suggests that they go upstairs to his room, which shocks and angers Bella prompting her to leave the bar immediately. Gaining no satisfaction from the meeting, Michael seems sadder and more alone than ever.

He goes out to the suggested toyshop in search of a gift for his son, but discovers that the taxi driver has actually sent him to a sex shop. Here he finds an antique Japanese doll, a sex toy, which he buys despite it being so obviously inappropriate as a gift.

Back in his room and after a shower he has a strange perceptual experience while looking at his face in the bathroom mirror and at the same time hears the voice of someone else nearby which frightens him. He runs out of his room knocking on doors nearby.

Meeting Emily and Lisa

It is then that he meets two women Emily and Lisa, who are booked to see him speak at the customer services conference the following day. Michael invites them to have drinks in the bar and he becomes instantly attracted to Lisa, in part because of her lovely voice (which is distinct because it is actually voiced by a female actor).

Lisa has had past trauma and is marked by a scar on her face. Michael invites her back to his room and seduces her by trying to counter her lack of self-esteem related to her disfigured face and her feelings of alienation. She sees herself as different, an anomaly, and Michael creates a name for her and the film in Anomalisa. He feels that Lisa is ‘the special one’ for him, the person who might release him from his entrapped and boring life. After having sex they go to bed and sleep. Michael has a torrid nightmare in which he experiences fear and paranoia and expresses the belief that everyone is the same one person, except for him and Lisa.

Once awake and during their breakfast the next morning he hears Lisa’s voice differently, overlaid by the same male voice of all of the other characters, reprising the taxi driver’s recommendation to visit the local zoo. At this point he begins to feel different and suspicious about her. Michael accuses her of being controlling and seems to become more agitated, even as he discusses plans to leave his wife for her. He is so distressed that he finds himself unable to perform at the conference presentation a little later.

The film ends with him returning home to his wife and son and asking her "who are you Donna, who are you really?"

 

Relevance to the Field of Mental Health

This is a film about mid-life depression, which also hints at a rare delusional disorder called the Fregoli syndrome, in which the person believes that everyone is actually the same person in disguise.

It is classed as one of the Delusional Misidentification Syndromes (DMS) and the signs and symptoms usually occur in the context of other disorders, most commonly schizophrenia, affective disorders, substance misuse, organic brain disorders and traumatic brain injury. More recent studies using neuroimaging suggest that these DMS may be associated with identifiable lesions in the right frontoparietal and adjacent regions of the brain.

In the extra features on the DVD, Kaufman acknowledges that his interest in the Fregoli syndrome was sparked by reading an article about the condition, which inspired him to incorporate the concept into his script although he denies that Michael’s character actually suffers from the syndrome (more about this is outlined in an article written by Julia Llewellyn Smith in  The Telegraph newspaper in March 2016).

Anomalisa is an intriguing animation, which powerfully conveys emotion and psychological crisis through its puppets in a most remarkable way, including a sensitively portrayed scene of sexual encounter. At times the film leaves the viewer unsure of what they are seeing and perhaps lacking trust in knowing what is real and what is not real in the protagonist’s world. This filmic experience might open up a window on the world of someone suffering from abnormal perceptions and in particular of the bizarre Fregoli delusion. The film will sharpen the viewer’s powers of observation and I cannot recommend it more highly, especially as it invites any mental health professionals to consider a more unusual and challenging diagnostic formulation in the context of Michael’s mid-life depression.

 

  • More information about Anomalisa can be found at IMDB, as can a short trailer.
Blog Author
Dr Joyce Almeida
Dr Joyce Almeida

Consultant Psychiatrist

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