User content image
Play
Royal College of Psychiatrists - Logo
SKIP NAVIGATION
  • SKIP NAVIGATION
  • About the College
  • News and features
  • International
Logout MY CONTENT 
Login
DONATE
Search
  • 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
    • 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
    • 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
      • 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
      • 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
    • 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
      • 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
      • 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 packs for schools
    • About our mental health information
    • Mental health information disclaimer
    • Mental health and psychiatry FAQs
Menu   
  • Home
  • News and features
  • Blogs
Back to Blog

Interview with Destroyer

Cultural blog, Minds in music

20 July, 2018


A colleague and fellow admirer of your work said to me that he thinks you are both an existentialist and an Adlerian. How would you respond to such charges? Have you any particular interest in psychology and philosophy?

The blank I draw upon being called an Adlerian is probably an answer in itself. I took an existentialism and phenomenology course before dropping out of school, 25 years ago.

I think I'm more attracted to the landscape and era that existentialism is attached to (crumbling 20th Century Europe) than the writing. 20th century, continental poses. The music playing in the background of those discussions, etc.

I don't know much about psychology. I think about Stella Adler instead, and psychology in terms of method acting. That's probably about it. Is Cioran philosophy? I love the titles of his books.

One of your recent songs, ‘Saw you at the Hospital’, appears to address a person with some form of mental illness. However you mentioned in a recent interview that while you are interested in aspects of ‘madness’, you are reluctant to address mental illness directly in your writing.

This is somewhat surprising given the range of subjects you have addressed in your lyrics. Why is this?

With that song I was really thinking about Asylum literature, which I've always loved. Like that really good section in Heart Berries. Or rock song tropes probably based around ODing poetry. I got really sick on tour with pneumonia once and ended up in a Swiss hospital and in the bottom of my codeine haze started thinking about Rolling Stones couplets.

Leonard Cohen is also really into hospital tunes. The language around madness is instantly vivid, you want to use it. The language around decay is newer to me, but I also want to use it If I use those kinds of words in songs it's cause something in me wants to at one moment portray the world in an unknowable flurry, or disappearing pallor. I think...

You also mentioned in this interview that you were hospitalised with pneumonia while on tour, and that you were ‘not living well’ at the time. I have spoken to other interviewees about the challenges that a life in music present to musicians’ health, particularly while on tour. How do you cope with these, both on the road and off?

I think I was not living well in very basic senses of the word. Not sleeping. Drinking too much. Smoking out of boredom. And singing my guts out every night, which I suspect is the most useless antidote for pneumonia there is!

When I'm home I have at least 3 out of 4 of those nipped in the bud! I think also in your 40s things catch up to you which in your 20s you just seem to outrun with great ease.

Many of our readers will be interested in the concept of personae. It seems to be that you are part of a lineage of personae in popular music, stretching back to Dylan and Bowie, and more recently, Drag City artists. Can you comment on this? What attracts you to ‘the mask’, or do you think too much is made of this in your writing?

This is interesting to me, but I'm not sure I see it like you. I'm leery of getting into discussions about personae and masks cause as someone in showbiz (singer, actor, dancer, comedian, someone who entertains with their body), well, it seems pointless to intellectualize it too much. Or not pointless, but you know, low-hanging fruit.

Bowie's version of personae seemed very drama school. Dylan's seemed on the other hand, freakishly complete, like I can't picture anything left of his actual self. He is more or less a creature that just breathes the air of how words bang off melodies. I love his work, especially Tempest, but he couldn't seem less wise to me. And listening to his music and watching him perform, I can only assume he has literally no life outside of what he sings. There is nothing to be learned from him, except how to write and sing magnificently.

The Drag City aesthetic was important for me in the 1990s, when I first started to write songs. Strong personae. Kind of old-fashioned that way.

Further to this, although you have many admirers for both your music and lyrics, you have been accused of being excessively cryptic in your writing style.

This seems to align with a school of thought that holds Smokey Robinson and Brian Wilson as the archetypal great songwriter, with a focus on melody and delivery over the actual words, and with a suspicion towards serious, or at least more literary, writing within popular song. Would you agree?

I'm pretty sure the time for what I do has come to a close, or was closed before I even really got going. This strange secret handshake that happened between John Lennon and Dylan in 1965 and they said we will make pop music lyrics high modernist. I mean, as far as Americans and top 40 music goes, the experiment's been over for decades.

How I write is just me documenting how I get off throwing words around or chasing certain concerns down a hole in the most melodious way I know how. Cause melody quadruples the meaning of every single thing that you say. I don't utter a single thing that I don't get some kind of emotional charge out of (I think this is what people refer to as "meaning"). But my project is antiquated, and I don't expect it to come off that well, or different from like a rockabilly act or something.

Related to this, one of the themes of many of your songs appears to be the apparent conflict between so-called low and high art. For example, you make references to painting, opera and classic French cinema in some of your songs, while in others, you clearly make plays on lyrics from pop music.

Is this conflict something you have particular interest in?

Cause I spend my life singing in bars, I can't help it. I'm on the wrong side of the tracks. And I love any worldview that boils things down to haves and have nots. And because I know nothing of high art (fine art) and don't know how to have a legitimate reaction to it, like I do when my jaw drops or my heart stops at a moment in a film, or a song, or a line in a poem where I just have to put down the book and stare or shake my head. And I love gangs. Like in The Outsiders, with Greasers and Socs.

So I write about stuff like that. And what little exposure I've had to fine art just seems like court intrigue or a high school mixer, so it's interesting that way. I mean not really interesting at all, actually. I'd rather be able to write about a leaf. As far as me riffing on existing pop songs, I think that's blown way outta proportion.

Another theme in your writing is nostalgia. This appears to be a recurring feature of Canadian writing in many formats- I am thinking of Alice Munro as well as Neil Young. Is this a conscious impulse?

I don't think of myself as nostalgic. I haven't read Alice Munro since high school, so I can't speak to that. But there is a nostalgic quality to Joni Mitchell, who is deeply Canadian, and probably the single most important singer-songwriter I can think of. So maybe that has rubbed off.

Most of my nostalgia seems like moves, completely invented. Death bed reveries, but I'm not dying.

Your music is informed by quite a spectrum of artistic influences. Can you share some of what you view as your most important influences, musical and otherwise?

My influences have changed. Chronologically it was - American indie stuff like Pavement/Guided By Voices, then deep into Drag City, then Syd Barrett then 70s glam/late 60s/early 70s Canterbury scene (Kevin Ayers, Robert Wyatt), Tom Verlaine, Richard Hell, Patti Smith.

At one point 15 years ago I said I wanted to reconcile the first 10 Lou Reed solo records with the first 10 John Cale solo records, like a more true but forced VU reunion, also deep Scott Walker fixation around the time of Your Blues, and since around 2004 constant Van Morrison, Joni Mitchell, Bob Dylan (a kind of triumvirate for me that I always return to). The Fall, Felt, all things Smiths and Morrissey, always American soul music of the early 70s - Marvin Gaye, Al Green, Curtis Mayfield, Aretha.

An obsession with the sound of There's A Riot Goin On which I'm sure I share with millions. Certain Style Council records and certain David Sylvian records are very, very important to me. Have probably listened to Loveless more than any record in my lifetime, but I don't consider this an influence, more just a way forward. Leonard Cohen guides me. New Order guides me. Some of the songs by The Doors truly guide me. No brainers like Billie Holliday and Frank Sinatra. That's all a list of singing stuff.

Genre hacks like Michael Mann are really important to me, but I also love Mirror and The Assassin. I love the later poems of Ingeborg Bachman. I love Rebel Without A Cause. I loved Knight of Cups, I didn't want to, cause it's embarrassing and not good. I love the Selfish Giant. I love Pat Garrett and Billy The Kid. I love Tyrant Banderas and the Fleur Jaeggy book I read.

I've watched Apocalypse Now hundred times. I've watched La Dolce Vita and 8 1/2 too many times (is that existentialism?). Godard was a giant influence on me when I was younger. Visconti then became what I aspired to but could obviously never attain, these immaculate critiques that can only be obtained by being on the inside, and then are too immaculate and then not critiques. I love the Frank Stanford book I just read.

Listen to my Destroyer playlist.

Blog Author
Dr John Tully

Forensic psychiatrist and researcher at the Institute of Psychiatry, Psychology and Neuroscience, London

  • @MindsinMusic
Previous post Next post
  • Mental health
  • Members
  • Improving care
  • About the College
  • Contact the College
  • Work for us
  • Digital accessibility statement
  • Jobs Board for Members
  • Cookies
  • Data protection
  • Disclaimer
  • College copyright and permissions to use content
VISIT US

London Office
21 Prescot Street London E1 8BB
0208 618 4000

Royal College of Psychiatrists

© 2026 Royal College of Psychiatrists.

Registered charity no. 228636 (England and Wales)

Charity registration no. SC038369 (Scotland)

  • Become a psychiatrist
  • News and features
  • Training
  • Events
  • Bluesky
  • Facebook
  • Instagram
  • Linkedin
  • Soundcloud
  • Threads
  • X
  • YouTube