A psychiatrist is a medical specialist. To become a psychiatrist, you must first be a medical doctor and then complete a formal four year university specialization in mental illness. This training is in hospitals and clinics and covers neuropsychiatry, old age psychiatry, forensic psychiatry, child and adolescent psychiatry, general adult psychiatry and psychotherapy. Psychiatric training includes training in the use of biological treatments (medication, electroconvulsive therapy and others) and psychotherapy. A qualified psychiatrist in South Africa has completed the examinations process through their university and the Colleges of Medicine of South Africa and must be registered with the Health Professions Council of South Africa.