Medical Psychotherapy (ST4)
Walk into your Medical Psychotherapy ST4 interview already knowing how you will answer
Rehearse for your Medical Psychotherapy ST4 interview against an AI interviewer who challenges your answers that asks the demanding follow-ups. Get instant feedback on every answer and walk in calm, sharp and prepared.
What is the Medical Psychotherapy ST4 interview, and how do you practise for it?
The Medical Psychotherapy ST4 interview assesses how you reason and communicate under pressure in front of interviewers. The most effective preparation is rehearsing your answers out loud to realistic questions — with MedMock you practise against an AI interviewer who asks the demanding follow-ups and get instant feedback.
Last reviewed September 2026
Knowing the material is not the same as performing on the day
The Medical Psychotherapy ST4 interview is won in the room, not on paper. Strong candidates lose offers because they ramble, lose their thread on a follow-up, or fail to convey their reasoning clearly under pressure.
The solution is rehearsal — out loud, against someone who probes like a real interviewer. Yet mock interviews are hard to arrange, expensive when available, and candidates rarely get more than one or two before the real interview.
Medical Psychotherapy ST4 interview practice, on demand
RCPsych national selection ST4 Medical Psychotherapy — two 15-minute panel interviews scored against the Faculty of Medical Psychotherapy person specification. Probes long-case psychotherapy experience, personal-therapy depth, training-therapy modality breadth (psychodynamic / MBT / CAT / IPT / DBT / group analytic), supervision, reflective practice, audit, and leadership.
MedMock gives you an AI interviewer who challenges your answers, available 24/7. Pick a station, have a genuine spoken conversation, and get instant, examiner-style feedback the moment you finish — scored against what genuinely matters in the Medical Psychotherapy ST4. No rota conflicts, no study partner, no waiting your turn. Simply practise whenever you have a few minutes.
How it works
Choose a station
Choose the kind of question or scenario you want to rehearse — ethics, motivation, a role-play, and more.
Have the conversation
Speak naturally, out loud. The AI interviewer listens and asks the demanding follow-ups, just as a real interviewer would.
Get instant feedback
The moment you finish, you get specific, examiner-style feedback and a score — what you did well, what cost you marks, and precisely what to fix before the next attempt.
Why candidates practise with MedMock
Practise out loud, any time
No study partner, no booking, no rota clash. Open MedMock at 6am or midnight and run a full station in minutes.
Both stations, endless variations
You will never simply memorise answers. Each run is different, so you build the real skill — adapting in the moment.
Examiner-level feedback in seconds
Know exactly where you lost marks and how to address it, instead of guessing why a mock session went poorly.
Turn nerves into muscle memory
By the time you sit the Medical Psychotherapy ST4, the format feels familiar — because you have already done it dozens of times.
A fraction of the cost of courses
Avoid the hundreds of pounds you would spend on a one-off interview course, and practise a deep bank of scenarios instead.
Practise anywhere, from your phone
On a break, during the commute, between lessons or shifts — your preparation goes wherever you do.
Practise every scenario
MedMock covers the stations you will face in the Medical Psychotherapy ST4 interview. Rehearse each one until it feels routine.
Portfolio Station
Part A of the generic ST4 psychiatry interview: a six-minute scenario question on managing a complex case, set in medical psychotherapy. The examiner describes the situation aloud and questions you on how you would approach it. There is no portfolio in the room.
Audit and Development of Leadership
Part B of the generic ST4 psychiatry interview: a six-minute scenario question on working or training within a stretched system, set in medical psychotherapy. The examiner describes the situation aloud and questions you on how you would respond. There is no portfolio in the room.
Example scenarios
A sample of the scenarios you will practise — each plays out as a live, spoken conversation, not a script to read.
“Tell us about your motivation for a long-term career in Medical Psychotherapy and walk us through one long-case psychodynamic patient you have brought to a clinically meaningful endpoint — formulation evolution, transference/counter-transference work, supervision, and outcome.”
“Discuss a closed-loop psychotherapy-service audit you have led — standard, denominator, intervention, re-audit, sustainability — then give your definition of leadership anchored in a named UK framework and a specific personal leadership example using STAR.”
Medical Psychotherapy (ST4) practice — your questions answered
How realistic is MedMock's Medical Psychotherapy ST4 practice?
Every scenario is built around the real Medical Psychotherapy ST4 interview format and the domains examiners assess. You speak out loud and the AI interviewer asks genuine follow-ups, so it feels far closer to the day than reading notes or rehearsing silently.
How does the feedback work?
As soon as you finish a station, MedMock gives you instant, examiner-style feedback and a score — highlighting what you did well, what cost you marks, and exactly what to work on next.
Can I practise specific Medical Psychotherapy ST4 stations?
Yes. You can pick either station to drill a weak area, or run a mixed set to simulate the real interview.
Do I need a study partner or a fixed time slot?
No. That is the point — MedMock is available 24/7 and you practise alone, out loud, whenever it suits you. No coordinating diaries, no waiting for a course date.
Is MedMock right for me if I am sitting the Medical Psychotherapy ST4?
If your Medical Psychotherapy ST4 interview involves speaking — thinking on your feet in front of interviewers — then spoken rehearsal is exactly what MedMock is built for.
How much does it cost?
Far less than a one-off interview course. Every plan includes a monthly credit allowance, and everyone starts with a free trial — no card required — so you can see how it works before paying. See current options on our pricing page.
Disclaimer: National medical recruitment formats and Royal College examination criteria are subject to change annually. While Medmock checks each format against the latest published guidance from the responsible body (the Royal Colleges, the Federation of Royal Colleges of Physicians, NHS England, the GMC and others), always consult your official candidate guidance or applicant handbook for the definitive, up-to-date station requirements for your specific cohort.
Ready for your Medical Psychotherapy ST4 interview?
Rehearse real Medical Psychotherapy ST4 scenarios out loud and get instant, examiner-style feedback.
- Instant, personalised feedback
- Real voice-to-voice conversation
- Repeatable attempts, endless variations
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Be ready for your Medical Psychotherapy ST4 interview before you walk in
Start rehearsing Medical Psychotherapy ST4 interview scenarios out loud today, get instant feedback, and turn exam-day nerves into something you have already done a hundred times.
Practise your Medical Psychotherapy ST4 interview