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How Psychiatrists Can Help Psychiatrists evaluate symptoms by conducting medical testing, reviewing the patient's history, and having ongoing discussions with them. They can also prescribe medication to treat symptoms. After four years of college and medical school, psychiatrists complete the residency program for four years. They are then able to be certified by passing an exam. Signs That Someone Might need a psychiatrist Everyone experiences rough patches and emotional turmoil from time to time But if these issues p