Medical psychotherapists are trained psychiatrists who specialise in psychotherapy, the use of psychological or talking treatments.
You’ll assess complex psychiatric cases and decide the most appropriate treatment or advise on the management of a patient.
Life as a medical psychotherapist
- anxiety and depression disorders
- health anxiety and eating disorders
- personality disorders
- post-traumatic stress disorder (PTSD)
- psychotic disorders
Patients may be experiencing more than one psychological disorder or other difficulties such as anger, low self-esteem and self-harm.
Medical psychotherapists use their expertise to give psychological and relationship-oriented elements to psychiatric care. This could be recognising the impact of mental illness on a patient’s life or the role a patient’s carers and relatives play in their treatment.
There are many different forms of psychotherapy and as a medical psychotherapist working in the NHS, you’re likely to specialise in one type while having a working knowledge of all main forms.
The main types of therapies are:
- psychoanalytic/psychodynamic psychotherapy – the relationship between the psychotherapist and the patient is used to explore past and present ways of relating to others and to enable change. Early family and other important relationships are often explored.
- cognitive behaviour therapy (CBT) – helps patients to identify unhelpful thought patterns and behaviours which may have contributed to symptoms such as depression and encourages more helpful ways of thinking and reacting to situations. The emphasis is on the present rather than the past, homework between sessions and developing new skills to get well and stay well.
- cognitive analytic therapy (CAT) – looks at the way a person thinks, feels and acts and also explores past and present in examining the events and relationships that underpin these experiences. The relationship between the client and therapist is also used to help achieve recognition and change.
- systemic therapy – looks at the relationships between individuals as part of a unit and how systems work together. Groups and family therapy are examples of this approach.
- trauma-focused therapy – such as eye movement desensitising and reprocessing therapy (EMDR), focuses on the bodily felt-sense and aims to help the patient digest or process traumatic experiences which may have caused a variety of symptoms including PTSD.
Medical psychotherapists have an extremely varied working life. You’ll work in general hospitals and outpatients, contribute to the community mental health team (CMHT) and could run units dealing with specific disorders such as eating disorders, personality disorders and trauma.
How much can I earn?
How about the benefits?
- make a difference
- flexible and part-time working
- high income early in your career
- work anywhere in the world
- excellent pension scheme
- good holiday entitlement
- NHS discounts in shops and restaurants
- excellent communication skills to manage a wide range of relationships with colleagues, and patients and their families
- emotional resilience, a calm temperament and the ability to work well under pressure
- teamwork and the capacity to lead multidisciplinary teams
- problem-solving and diagnostic skills
- outstanding organisational ability and effective decision-making skills
- first-class time and resource management for the benefit of patients
In addition, medical psychotherapists need to demonstrate:
- empathy and compassion and the ability to treat others with understanding and respect
- patience – progress can sometimes be slow
- self-understanding and the willingness to learn by applying some of the principles of their therapeutic approach to their own lives
If you already have a degree, you could study for a four-year postgraduate degree in medicine.
Some medical schools look to recruit a mix of students from different backgrounds and geographical areas, so your educational and economic background and family circumstances could be considered as part of your application.
How to become a medical psychotherapist
After your foundation programme, you can apply for paid specialty training to become a medical psychotherapist, which will take a minimum of six years.
What are my chances of starting a career in a medical psychotherapy?
Where a career as a medical psychotherapist can take you
- specialise or conduct research
- teach medical students or postgraduate students in training
- get involved in research at universities, the NHS or private sector
Find a vacancy
These organisations have further information about being a doctor in medical psychotherapy, particularly as your career progresses. Take a look.