What Is A Psychiatrist?

A psychiatrist is a fully qualified medical doctor who has completed additional specialist training in the assessment, diagnosis, and treatment of mental health conditions. Psychiatrists are trained to understand the complex interaction between biological, psychological, and social factors that contribute to mental health presentations. They may provide care through psychological therapies, medication, or a combination of both.

To become a psychiatrist in Australia and New Zealand, a doctor must first complete:

A medical degree (e.g., MBBS)
Several years of work in general hospital medicine (e.g., emergency, surgery, internal medicine)
At least five years of formal specialist psychiatric training through the Royal Australian and New Zealand College of Psychiatrists (RANZCP)

This specialist training involves:

Rigorous assessments
Supervised clinical rotations across different areas of psychiatry (e.g., general adult, child and adolescent, inpatient, community)
Exams and workplace-based assessments to demonstrate knowledge, skills, and professional standards

Not everyone completes this demanding process. Only those who do are awarded the post-nominal FRANZCP, indicating they are a Fellow of the College and a fully qualified specialist psychiatrist.

What is a Child & Adolescent Psychiatrist?

A Child & Adolescent Psychiatrist is a psychiatrist who has completed additional, advanced training after their general psychiatry foundation. This sub-specialty training focuses specifically on the mental health of infants, children, adolescents, and families, including developmentally informed assessment and intervention.

Completion of this training results in the Certificate of Child and Adolescent Psychiatry (Cert C&A Psychiatry). Only psychiatrists who hold this certificate are legally entitled to use the title "Child & Adolescent Psychiatrist", which is a protected title under Australian law.

This is different from:

A psychiatric registrar (a doctor currently in training)
A doctor working in psychiatry without specialist qualifications
Both roles are essential within the mental health system, but they do not hold the same level of training or accreditation as a specialist psychiatrist.

When you see a psychiatrist with the titles FRANZCP and Cert C&A Psychiatry, this means they have completed:

Full medical training
Specialist psychiatry training
Sub-specialist certification in child and adolescent psychiatry
All associated assessments, supervision, and mandatory rotations

This combination reflects a high level of expertise in managing complex mental health concerns across developmental stages.

Understanding Mental Health Qualifications

Many health professionals work in mental health, and all contribute valuable care in their areas of expertise. However, their qualifications can vary widely and may not always be easy to interpret—especially when there are multiple letters after someone’s name.

Here's a quick guide to help make sense of them:

FRANZCP = Fellow of the Royal Australian and New Zealand College of Psychiatrists. This is the core qualification for a psychiatrist.
FRACP = Fellow of the Royal Australasian College of Physicians. This includes specialties such as paediatrics and internal medicine. These doctors are not psychiatrists but may work closely with mental health teams.
FRACGP = Fellow of the Royal Australian College of General Practitioners. A GP with this qualification has completed specialist GP training. Some GPs have extended roles in mental health (sometimes called “GPwSI” – General Practitioner with a Special Interest), but they are not psychiatrists.
NP = Nurse Practitioner. These are highly experienced registered nurses who may also hold doctoral degrees and use the title “Dr,” but they are not medical doctors or psychiatrists. In some settings, NPs can prescribe medication and offer excellent mental health support.
Psychiatric registrar = A medical doctor currently in the psychiatric training program. They work under supervision and are not yet fully qualified as psychiatrists.
Doctor working in psychiatry = This may refer to any medical doctor working in mental health, but without specialist psychiatry qualifications. Their exact level of training should be clarified.

How to Check a Doctor’s Registration

You can verify any doctor’s qualifications by searching the AHPRA (Australian Health Practitioner Regulation Agency) public register:
www.ahpra.gov.au

A fully qualified psychiatrist will be listed as having specialist registration in psychiatry.

If You're Unsure

If you're ever unsure about a professional’s qualifications:

You are entitled to ask the clinic or practitioner directly
Or you can check their registration via AHPRA

It’s important to feel confident in the qualifications of the person providing your care, especially in mental health settings where roles can look similar from the outside.

Our Treatment Philosophy

At the core of our approach is a commitment to patient agency and shared decision-making. We believe it is essential that individuals under our care feel informed, respected, and actively involved in shaping their treatment. We work collaboratively to ensure that each person understands the goals, benefits, risks, and rationale behind any proposed care—whether that involves medication, therapy, or a combination of both.

Medication is never a requirement for attending our service. We support patients who wish to explore non-medication pathways, as well as those seeking to reduce, cease, or rationalise their current treatment. Equally, we respect the decisions of those who experience benefit and choose to continue with medication. We only recommend medications when there is clear evidence to support their use, and when the potential benefits outweigh the risks.

We welcome individuals to engage in therapy alone, regardless of their choice about medication.

We recognise that mental health conditions and neurodevelopmental differences are real and valid, and that those who experience them deserve compassionate, experienced, and evidence-informed care. Our goal is to support each person in accessing tools and strategies that promote function, stability, and growth, in a way that aligns with their values, strengths, and life context.

What should we expect at our first appointment?

It is natural to be nervous for your first appointment, even if you have seen a psychiatrist before.

Safety

Everyone has the right to safety, including psychological safety, in their appointments. If you do not feel you can answer a question or discuss part of your life, this will be respected.

You will not be forced to talk about topics that are unsafe for you.

Aggression from one person to another is not part of a therapeutic space.

Who will be in the room?

For the parent or carer appointment, the carer/s are welcome to attend. This is a vital appointment so that I can understand you and your family.

For the patient's first and subsequent appointments, the decision rests with the patient. Some prefer a parent present, some prefer to be by themselves. It is your choice.

Patients under 12 or patients who find speaking difficult with new people usually need a parent to have a very active presence in their appointment.

Confidentiality

As a doctor and therapist, I hold your confidentiality to be of utmost importance. There will be times when this needs to be considered, but they are rare and involve acute and imminent risk.

I will not talk to your educational institution or employer without your express permission and I prefer phonecalls to them to be in your presence during an appointment, and letters to them will go through you so that you can decide if you are comfortable with the information being shared.

Be Yourself

Most importantly, please feel free to be yourself. I am a very accepting person and know that people deserve to be seen and heard as themselves rather than a list of problems or diagnoses.

I will ask you about your life, your interests, your physical health, what foods you love, your friends, your family, your pets - all these things make up the richness of your life and are very important. They help me understand what is central to your values and guide how I help and how I track your progress.