TEP Psiquiatria
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ExploreAbout this exam
The Título de Especialista em Psiquiatria (TEP Psiquiatria) is the Portuguese specialty title examination that physicians must pass to be recognised as specialists in psychiatry. It is intended for residents who have completed specialty training in Portugal and for candidates whose foreign qualifications are being assessed for equivalence, and it is set at the level of a doctor ready to practise independently. The exam is multiple choice and samples the whole discipline: psychopathology and diagnostic formulation, mood, anxiety, obsessive-compulsive and trauma-related disorders, psychosis, addictions, organic psychiatry and neurocognitive disorders, psychopharmacology and biological treatments including ECT, psychotherapy, child and adolescent psychiatry, forensic and legal psychiatry, consultation-liaison and emergency work, and the epidemiology and evidence appraisal that underpins clinical decisions. Preparation should be built around supervised clinical work rather than question drilling alone. Work through a current Portuguese and international classification, consolidate guideline-based treatment algorithms, and rehearse formulation on real cases. Reading in the original language of the guidelines, revising drug interactions and legal frameworks, and practising timed multiple-choice sets will expose gaps quickly. The examining body publishes the current format, calendar, fees and scoring rules on its official website, and candidates should confirm those details there before applying, since they change between sittings.
What you'll study
About TEP Psiquiatria preparation
What is the TEP Psiquiatria exam for?
It certifies that a physician has reached specialist level in psychiatry and can practise independently in Portugal. It is used both by residents finishing national training and by candidates seeking recognition of foreign specialist qualifications. Passing it is a milestone in a career, not a licence to skip continuing professional development afterwards.
What is the exam format?
It is a multiple-choice examination. The number of questions, the time allowed, whether negative marking applies and whether there is an oral or clinical component are set by the examining body and can change between sittings. Check the official notice for your sitting rather than relying on what earlier candidates describe.
How hard is it?
It is a specialist-level paper, so questions assume working clinical knowledge rather than undergraduate recall. The difficulty comes from breadth and from items that combine diagnosis, risk assessment and treatment choice. Candidates in active clinical posts usually find the clinical items manageable; the epidemiology and legal sections are where confident generalists can still lose marks.
How long should I study?
Most candidates spread revision over the final year of training, with the last three to four months focused on timed practice and weak domains. There is no official recommended preparation period. Judge by your baseline: if your last formal study of psychopharmacology was several years ago, start earlier and protect weekly slots.
Can I retake it if I fail?
Retake rules, waiting periods and any limit on attempts are defined by the examining body, and they are not uniform across years. Read the regulation attached to the current call for applications, or ask the body directly, before you plan a second attempt. Do not assume the conditions that applied to a colleague will apply to you.
How much does it cost and when is it held?
Fees and the examination calendar are published by the official body for each sitting and are not fixed from year to year. Consult its website for the current figures and dates. Budget also for documentation, translations and certification of foreign qualifications, which can cost more than the examination fee itself.
What should I study first?
Start with psychopathology and diagnostic formulation, because nearly every other item depends on getting the diagnosis right. Then move to psychopharmacology, which carries the largest single weighting, and build treatment algorithms disorder by disorder. Leave forensic and health-law material for a dedicated block late in preparation, when you can memorise it fresh.
What are the common failure modes?
Candidates lose marks by memorising drug lists without knowing when to use them, by ignoring legal and ethical items as low-yield, and by never practising under time pressure. Another frequent error is answering from personal habit rather than from current guideline recommendations. Review every wrong practice answer and trace it back to a source.
Where do the official details come from?
The examining body's own website and the official notice for your sitting are the only reliable sources for question count, duration, fee, pass mark, retake policy and validity of the title. This page gives preparation guidance only and has no official connection to the examination or to the body that administers it.