Psychosomatic medicine & psychotherapy

Psychosomatic medicine and psychotherapy: you work with conversation, relationship and the course of illness, hardly with devices.
Training in Germany (model regulations)
• Training 60 months, including 12 in somatic patient care
• Self-experience (120–150 hours depending on the method) and 35 double sessions of Balint group work
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Core task
Holding long conversations
A one-to-one session often lasts 50 minutes. You listen, ask follow-up questions and sit with silences.
Core task
Leading group therapy
You sit in a circle with eight patients and see how conflicts and dynamics play out in the group.
Core task
Reflecting on yourself
Self-experience, supervision and Balint groups are part of the training. You talk about your own reactions to patients.
Bearing slow progress
You see whether a treatment works after weeks or months, usually without a measurement or a clear number.
Physical symptoms without an organic finding
Pain, dizziness or palpitations with normal investigations. You explain how mind and body are connected.
Hearing distressing life stories
Trauma, eating disorders, suicidality. You take it seriously without taking it home with you.
Liaison work in somatic medicine
You co-treat hospital patients with cancer, heart disease or pain, for example in psychocardiology or psycho-oncology.
A calm, predictable routine
Few emergencies, fixed appointments, often fewer night shifts. But also little action.
Core task
Doing without procedures
No catheters, no ultrasound, no procedures. Your tool is conversation.
This test is a structured self-assessment, not a validated psychometric instrument. The specialty profiles are informed estimates. Use the result as a starting point for conversations and check it with shadowing days and talks with specialists. Training information applies to Germany; the binding rules are those of the relevant state medical chamber. Specialty preferences often change during medical school, so retake the test after new rotations.
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