AFAM institutions may offer "Diploma di perfezionamento o Master" and "Diploma accademico di specializzazione". These are one year and two year qualifications respectively and may be offered at second cycle or third cycle level, distinguished by adding "(I)" or "(II)" after the qualification name. Higher Schools for Language Mediators offer the "Diploma di mediatore linguistico", a first cycle degree taking three years (180 ECTS credits), which gives access to the "laurea specialistica". Specialisation Institutes/Schools in Psychoterapy offer the "Diploma di specializzazione in psicoterapia", a third cycle qualification taking at least four years and requiring a "laurea magistrale/specialistica" in either Psychology or Medicine and Surgery, along with professional registration.