TEP Psiquiatria study materials
TEP Psiquiatria study resources

TEP Psiquiatria study plan

TEP Psiquiatria · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Psychopharmacology and biological treatments (including ECT) & Psychopathology and clinical interview / diagnostic formulation

  • Build a one-page drug table covering mechanism, starting dose, titration, therapeutic range where relevant, key adverse effects and monitoring for the main antidepressant, antipsychotic, mood-stabiliser and benzodiazepine classes

  • Rehearse a structured 15-minute diagnostic interview (chief complaint, timeline, functional impact, risk assessment, mental state examination) aloud on two recorded occasions and audit each recording against a checklist

  • Explain the difference between potency, efficacy and tolerability for antipsychotics, and state which receptor profiles predict which adverse effects

  • Summarise the principles of ECT (indications, consent, cognitive adverse effects, maintenance strategy) in your own words without notes

  • List the main drug interactions and monitoring requirements (lithium levels, clozapine blood counts, ECG for QT) that examiners test repeatedly

Your checkpoint

A single A4 double-sided pharmacology and interview cheat sheet, self-quizzed to 90 percent accuracy on 40 drug facts

Week 2

Psychopharmacology and biological treatments (including ECT) & Mood disorders (depressive and bipolar spectrum)

  • Distinguish unipolar from bipolar depression on clinical grounds and justify why antidepressant monotherapy is risky in bipolar disorder

  • Map the full depressive episode criteria and specifiers onto three worked vignettes, assigning severity and the correct first-line treatment

  • Compare augmentation, switching and combination strategies for treatment-resistant depression and state the evidence tier for each

  • Describe the acute and maintenance management of mania and of bipolar depression, including which agents are avoided in each phase

  • Calculate and interpret a corrected QT interval and a lithium level in the context of toxicity risk

Your checkpoint

Three fully written case answers (unipolar moderate, bipolar I manic, treatment-resistant depression) each under 250 words with a management plan

Week 3

Mood disorders (depressive and bipolar spectrum) & Schizophrenia spectrum and other psychotic disorders

  • Differentiate the schizophrenia spectrum (brief psychotic disorder, schizophreniform, schizophrenia, schizoaffective, delusional disorder) by duration, functional decline and mood overlap

  • Apply the first-episode psychosis pathway: assessment, physical workup to exclude organic causes, antipsychotic choice, metabolic monitoring

  • Explain positive, negative and cognitive symptom domains and how each responds to treatment

  • State the criteria and management of neuroleptic malignant syndrome versus serotonin syndrome versus acute dystonia

  • Analyse the evidence for clozapine in treatment-resistant schizophrenia and list its mandatory monitoring

Your checkpoint

A comparison grid of six psychotic disorders plus a 10-item self-test on antipsychotic adverse effects, scored and errors corrected

Week 4

Anxiety, obsessive-compulsive and trauma-related disorders & Schizophrenia spectrum and other psychotic disorders

  • Separate panic disorder, generalised anxiety disorder, social anxiety disorder and PTSD by onset pattern, trigger and core cognition

  • Outline first-line psychological and pharmacological treatment for each of those four conditions and name the treatments to avoid

  • Describe OCD as a distinct entity: insight, compulsions, and why SSRIs at higher dose and exposure with response prevention are preferred

  • Explain trauma-related presentations including acute stress reaction, PTSD and complex PTSD, and the timing of intervention

  • Recognise psychotic features inside mood and anxiety presentations and justify the diagnostic hierarchy used

Your checkpoint

A decision flowchart from presenting anxiety symptom to diagnosis and first-line treatment, plus 20 rapid-fire diagnostic questions answered in under 20 minutes

Week 5

Substance use disorders and addictive behaviours & Consultation-liaison psychiatry and emergency psychiatry

  • Apply withdrawal, intoxication and maintenance management for alcohol, opioid and benzodiazepine dependence, including thiamine and benzodiazepine-taper protocols

  • Score and interpret a withdrawal scale and state admission criteria for medically assisted detoxification

  • Assess suicide risk using a structured framework and document a defensible risk formulation with a management plan

  • Manage the agitated or violent patient in the emergency department: de-escalation, choice of agent, route and monitoring

  • Distinguish delirium from dementia and from acute functional psychosis in the emergency setting, and state the first investigation steps

Your checkpoint

Two timed emergency stations written out in full (alcohol withdrawal, acute agitation) with risk assessment and disposition documented

Week 6

Neurocognitive disorders, delirium and organic psychiatry & Child and adolescent psychiatry

  • Classify the major neurocognitive disorders by pattern of onset, domain affected and reversibility, and list the reversible causes to screen for

  • Interpret a mini-mental state score in the context of education and premorbid function, and describe when formal neuropsychological testing is indicated

  • Distinguish delirium, depression and dementia using the standard differentiating features

  • Describe the core features and first-line management of autism spectrum disorder, ADHD and adolescent depression

  • Explain the principles and safeguards of assessing capacity in an older adult with cognitive impairment

Your checkpoint

A cognitive-disorders comparison table plus a written capacity assessment for a constructed vignette, checked against legal criteria

Week 7

Psychotherapy and psychosocial interventions & Forensic psychiatry, ethics and mental health law

  • Match CBT, psychodynamic, interpersonal, systemic and supportive approaches to the presentations where each has the strongest evidence

  • Describe the structure of a CBT session and the role of behavioural activation, exposure and cognitive restructuring

  • Outline the legal framework for involuntary admission, consent to treatment and confidentiality, and apply it to two scenarios

  • Explain fitness to stand trial and criminal responsibility concepts and the psychiatrist's role in each

  • State the ethical duties around boundary-setting, dual agency and reporting risk to third parties

Your checkpoint

Two one-page legal case analyses (involuntary detention, fitness to stand trial) with the statute or principle cited and the ethical conflict named

Week 8

Research methodology, epidemiology and evidence-based practice & Psychopathology and clinical interview / diagnostic formulation & Mood disorders (depressive and bipolar spectrum) & Anxiety, obsessive-compulsive and trauma-related disorders & Schizophrenia spectrum and other psychotic disorders & Substance use disorders and addictive behaviours & Neurocognitive disorders, delirium and organic psychiatry & Psychopharmacology and biological treatments (including ECT) & Psychotherapy and psychosocial interventions & Child and adolescent psychiatry & Forensic psychiatry, ethics and mental health law & Consultation-liaison psychiatry and emergency psychiatry

  • Interpret sensitivity, specificity, positive predictive value, likelihood ratios, number needed to treat and confidence intervals in a short clinical trial abstract

  • Identify the main study designs and their biases, and judge whether a paper's conclusion follows from its method

  • Complete two full-length timed mock examinations under exam conditions and log every error by domain

  • Re-teach your five weakest error clusters aloud from memory and rewrite those notes in condensed form

  • Consolidate the pharmacology, diagnostic criteria and legal facts you repeatedly miss into a final revision sheet

Your checkpoint

A scored mock-exam error log by domain with a written remediation plan for the five weakest areas

Milestones

Week 2: Score at least 85 percent on a self-made 30-item pharmacology and mood-disorder quiz, with every error rewritten in your own words

Week 4: Correctly classify 18 of 20 mixed anxiety, trauma and psychosis vignettes and justify each diagnosis in one sentence

Week 6: Produce the cognitive-disorders table and capacity assessment from memory in under 45 minutes, then verify against source notes

Week 8: Achieve at least 70 percent on both timed mock examinations with no domain scoring below 50 percent