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September, 2002
What is psychiatry?
Psychiatry is the medical specialty that focuses on the human brain and the brain, mind, body
intertie.
What is a psychiatrist?
A psychiatrist is a licensed physician who has specialty training in the brain, mind, body
intertie. Psychiatric physicians (psychiatrists) are trained to diagnose and treat illnesses that
cause psychosis or abnormal behavior. That illness may be a brain disorder commonly called a
"mental illness," such as schizophrenia, or it may be one of hundreds of other illnesses,
such as a thyroid malfunction, circulatory problem or cancer, that is causing the mental symptoms.
What training does a psychiatrist receive?
A psychiatrist has a college degree with a heavy biological science emphasis, a medical degree
(M.D. or D.O), and 4 or more years of residency training emphasizing psychiatry and neurology.
What are the most common mental illnesses and how are they treated?
The most common mental illnesses are depression, bipolar disorder (manic depression),
schizophrenia, panic disorder, obsessive-compulsive disorder, other anxiety disorders, and eating
disorders such as anorexia or bulimia. They are usually treated with a combination of medication and
psychotherapy.
What is a psychotropic drug or medication?
The phrase "psychotropic" describes a medication that primarily affects the brain.
However, this distinction is somewhat artificial, since medications go through the entire body, and
are often used for several different purposes. For example, bupropion is used to stop smoking (Zyban)
and for depression (Wellbutrin). All medications have intended or desirable affects, and secondary,
undesirable effects, usually called "side effects."
What is the difference between a psychiatrist and a psychologist?
Psychologists hold academic doctoral degrees (Ph.D. or Psy.D.) in human behavior. Their training
emphasizes psychotherapy and psychological testing. The psychologist does not have to have any
medical training.
Is there a shortage of psychiatrists in California?
It is open to debate whether there is a shortage of the total number of psychiatrists, but there
are clearly underserved areas, as there are with most medical specialties. There is a shortage of
child psychiatrists nationally, as a result of federal policies that have reduced training slots for
most medical subspecialties, including child psychiatry.
Are psychologists more widely distributed than psychiatrists?
No. The research we have done clearly demonstrates that psychiatrists and psychologists are
largely in the same places. The most widely distributed health care providers are physicians and
nurses.
How do we address the problems of access to psychiatrists and psychiatric care?
CPA recommends a 6-part strategy: (1) increasing the numbers of training slots in psychiatry; (2)
loan forgiveness programs as an incentive to practice in underserved areas; (3) competitive
compensation and working conditions for psychiatrists in public and other systems; (4) removing
impediments to psychiatrists consulting and collaborating with primary care physicians; (5)
increasing training slots for Nurse Practitioners and Physician Assistants specializing in
psychiatry; and (6) increased use of telepsychiatry and other technology.
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