Psychiatry

Psychiatry is a medical field concerned with the diagnosis, treatment and prevention of mental health conditions.

A doctor who works in psychiatry is called a psychiatrist.

Unlike other mental health professionals, such as psychologists and counsellors, psychiatrists must be medically qualified doctors who have chosen to specialise in psychiatry. This means they can prescribe medication as well as recommend other forms of treatment.

Mental health conditions that may be diagnosed and treated by a psychiatrist include:

• anxiety 
• phobias 
• obsessive compulsive disorder (OCD)
• post-traumatic stress disorder (PTSD) 
• personality disorders 
• schizophrenia and paranoia
• depression and bipolar disorder (previously known as manic depression)
• eating disorders, such as anorexia and bulimia
• sleep disorders, such as insomnia

Getting an appointment

You need a referral to see a psychiatrist. Your GP will refer you to a psychiatrist who specialises in the area of psychiatry related to your condition. For example, this may be:

• childhood and adolescent psychiatry
• general adult psychiatry
• older person’s psychiatry
• learning disabilities 
• psychotherapy (talking therapies)

In some areas, patients referred to mental health services may be asked to have an assessment with a different mental health professional, who may be better placed to meet their needs, before an appointment with a psychiatrist is arranged.

If you wish to see a psychiatrist privately, you can contact a psychiatric clinic directly to get an appointment. You can also access a consultant psychiatrist privately for diagnosis and referral through online services such as Psychiatry UK. Alternatively, you can ask your GP to refer you to a private psychatric clinic.

You can check the details of a psychiatrist, including their area of speciality, by looking on the medical register (a directory of all practising doctors in the UK).

If a clinician has the letters MRCPsych (Member of the Royal College of Psychiatrists) or FRCPsych (Fellow of the Royal College of Psychiatrists) after their name, they're a current member of the Royal College of Psychiatrists (RCPsych).

Your appointments

During your first appointment, the psychiatrist will carry out an initial assessment. This will look at both your mental and physical health and could involve:

• asking you questions about your life and thoughts
• getting information from other sources, such as your GP, relatives and social workers (if you have them)
• carrying out blood tests or scans to rule out other health conditions

After assessing your condition, the psychiatrist may prescribe medication for you or may recommend other treatments such as counselling or cognitive behavioural therapy (CBT).

The number of times you need to see a psychiatrist and the length of each appointment will depend on your circumstances. A psychiatrist may continue to manage your treatment or they may refer you to other mental health community services in your area.

Psychiatric practice has changed significantly in recent years. Hospitals for people who are mentally ill have largely been replaced with smaller units and clinics. These aim to help people manage their illness so they can lead a normal life within the community.