Mental Health Professionals: The Difference Between A Therapist And Psychiatrist
Making the right choice for your mental health: Therapist and psychiatrist
If you are considering starting counseling, you might need clarification about the various health professionals available for you to consult, including whether online psychiatry could be a viable option for you. There are often many options, which can make it hard to choose. Understanding the difference between different types of therapists and a psychiatrist can help you make the right choice.
A psychiatrist is a licensed medical doctor who can prescribe medication. Therapists, on the other hand, are typically licensed mental health professionals who use various treatment methods, such as talk therapy, to help people with mental health conditions. You can connect with a therapist in person or online.
Therapist expertise: Therapeutic approaches
A therapist often has a wide range of expertise in providing treatment to improve their clients’ lives and mental well-being. Therapists can be social workers, counselors, or clinical psychologists.
In addition, therapists may specialize in behavioral therapy, cognitive therapy, or other therapeutic approaches. They may use a combination of techniques to help their clients.
What kinds of licenses do professionals like therapists have?
Professional therapists typically must be licensed in the state where they practice, and there are several different types of licenses a therapist can hold. These include but are not limited to the following:
- Licensed Marriage and Family Therapists (LMFTs)
- Licensed Clinical Social Workers (LCSWs)
- Licensed Mental Health Counselors (LMHCs)
- Licensed Professional Counselors (LPCs)
Some therapists focus on specific mental health conditions, such as treating people with substance use disorders, eating disorders, or conditions like post-traumatic stress disorder (PTSD) or bipolar disorder. Others specialize in particular types of therapy, such as child therapy, group therapy, or marriage and family therapy.
Psychiatrist expertise: Diagnosis and medication
Psychiatrists typically use The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to aid in their diagnosis and treatment approach. The DSM-5 describes the criteria for various recognized mental illnesses, such as major depressive disorder, schizophrenia, bipolar disorder, and many others.
How are psychiatrists different from primary care medical doctors?
Psychiatry is a specialized field of medicine, and a psychiatrist is not the same as a primary care doctor who practices general medicine. While both a psychiatrist and primary care doctor hold doctoral degrees and are licensed to prescribe medications, psychiatrists focus on treating mental health conditions.
If your primary care doctor suspects you may be experiencing mental health symptoms, they may refer you to a psychiatrist.
A psychiatrist, as a provider of comprehensive psychological services, may interview patients, run psychological tests to diagnose disorders, and prescribe medications based on their diagnoses and other factors.
How medical school provides psychiatrists with medication management privileges
As a medical doctor, a psychiatrist has the training to monitor medications and adjust dosages as a client receives treatment. This medication supervision allows psychiatrists to monitor medical conditions, side effects, and other factors that may affect how a person responds to certain medications. For example, while certain mood stabilizers are commonly prescribed for people with bipolar disorder, they may not be the right fit for everyone.
A psychiatrist may recommend that their patients attend psychotherapy in addition to using medication, and some psychiatrists may also provide mental health counseling and talk therapy to their patients. Not all people who go to therapy may use psychiatry services, and medication may not be the most effective option for every person.
The BetterHelp platform is not intended for any information regarding which drugs, medication, or medical treatment may be appropriate for you. The content provides generalized information that is not specific to one individual. You should not take any action without consulting a qualified medical professional.
The differences between mental health professionals: Therapist and psychiatrist
Both psychiatrists and therapists are trained mental health care providers and can help clients manage mental health disorders. However, the primary difference between a therapist and a psychiatrist is that psychiatrists are medical doctors who hold a medical doctorate and who specialize in psychiatry. As medical doctors, they can diagnose and treat mental illnesses and prescribe medications. Therapists, on the other hand, may have a master’s or doctoral degree in psychology, social work, or counseling and typically offer various forms of talk therapy to treat mental health conditions. Therapists cannot prescribe medications.
Education and licensure
Therapists have at least a master’s degree in psychology, social work, or counseling, and some go on to get a Ph.D. in their field of study. Their education and training typically prepare them to apply for a state-issued license to practice therapy professionally.
Therapists may practice as social workers or family therapists, or they may specialize in specific types of psychotherapy. Cognitive-behavioral therapy (CBT), behavior modifications, and exposure therapy are some specialized treatments psychologists and therapists can provide to treat mental health conditions.
Remember that both are mental health professionals
Some people seeking mental health care see both a therapist and a psychiatrist. Their psychiatrist may use the DSM-5 to offer a diagnosis by studying and researching their symptoms. They may or may not prescribe medication as part of the client’s mental health treatment. With a clear diagnosis, the patient may then seek the services of a therapist to receive psychotherapy to further their progress. However, one does not require a diagnosis or have to live with a mental illness to go to therapy. Therapy is for anyone.
Choosing the right mental health professionals for bipolar disorder and other mental health challenges
Here are a few things to consider before starting the process of finding help for mental or behavioral health challenges and researching health services:
- What kind of mental health benefits does my insurance offer? Do I have to see a particular type of provider for insurance coverage?
- What other options are available to me if I do not have insurance? Are there mental health services in my area that are low-cost or free that I might be able to reach?
- What type of mental health condition or behavior do I need help with, or do I need someone to help me determine this?
- What am I hoping to gain from therapy? How can I best articulate this to a mental health professional?
- What would I like to know about the process of treating mental health conditions or types of treatment options before getting started?
- Would online therapy be a good option for me?
Initial sessions with psychotherapists or psychiatric medical doctors
Some people feel nervous about their first session with a mental health provider. However, even though you may feel uncomfortable talking about personal matters with a therapist, this person is usually trained to be an empathetic listener and is highly unlikely to be shocked or judgmental about what you say.
Your first meeting may be called an intake meeting, in which the provider will ask you for background information about yourself and your situation. The mental health provider may ask why you are there and what you hope to achieve from therapy. They may discuss what they can offer and what to expect from your meetings. In some cases, they might administer a psychological test or refer you to another mental health provider or medical doctor for evaluation.
Exercises to do outside of the session
Building strong therapeutic relationships
A mental health provider should make you feel comfortable and accepted; it can be essential to feel a sense of rapport with them. It is okay if you decide after a few sessions that you and your provider are not a good match, or if you have differences that may impact your relationship.
A therapy relationship can be a type of personal relationship; sometimes, people don't connect for various reasons. However, don’t give up if a therapist is not the right person for you. Instead, you might ask for a referral to someone else, or look for someone who may be better suited to you.
Consider online therapy or talk therapy with mental health professionals
If you are looking for an individual, couples, or family therapist, online therapy platforms may be one option worth considering. Numerous studies have confirmed that online therapy platforms can be as effective as in-person sessions for providing treatment such as cognitive behavioral therapy (CBT) to address anxiety and depression, two of the most common mental health conditions.
Online therapy with BetterHelp
You can quickly and conveniently connect with a licensed professional therapist via an online platform using video chat, phone calls, emails, or text messaging. You cannot receive medication services through an online platform like BetterHelp. However, some psychiatrists use other means to provide online consultations.
Takeaway
Differences between therapists and psychiatrists are generally that psychiatrists have medical degrees and can prescribe medications, whereas therapists typically do not have these credentials and do not prescribe medications. Therapists often work directly with clients using various treatment methods to help people manage and heal from conditions such as anxiety, depression, PTSD, and substance use disorder.
What questions do psychiatrists ask?
The questions a psychiatrist asks will vary from one patient to the next, but many of the questions or prompts in the first session may be similar. Some of them may be:
- What brings you here today?
- How can I help you?
- How are you feeling?
- Tell me about your childhood?
- Do you have a history of substance abuse?
- Do you have a family history of mental illness, like depression, anxiety, obsessive compulsive disorder, etc?
- Do you have a history of physical health problems or other medical treatments?
- Has anyone in your family committed suicide?
- Have you been having any sleep problems?
- Have you been diagnosed or treated for a mental illness?
What should not be included in what I tell my therapist?
You can talk to your therapist about any topic, but there are some things that you should not do. Your relationship with your therapist should be based on truth, so you should avoid lying or telling half-truths.
What do I need to know before talking to a psychiatrist?
There are a few things to consider before talking to both a therapist and a psychiatrist. First, it may be beneficial to contact your insurance company and see what kind of provider is covered and how much each session will cost you out of pocket.
If you don’t have insurance, talk to the clinician to see if they offer a payment plan. You can also look for any kind of discount, low-cost, or free services.
How does a psychiatrist diagnose someone with bipolar disorder, for instance?
Psychiatrists have medical training and can order medical tests and perform a range of psychological tests. They use the results of these tests combined with patient interviews and their family and personal medical history to diagnose mental health issues and determine a treatment plan according to the criteria in the DSM-V. This specialized training allows them to create a medication management plan and write prescriptions. The American Psychiatric Association also has formal practice guidelines.
How do therapists deal with their own problems?
According to the American Psychological Association, personal burnout can lead to professional impairment for some mental health professionals, highlighting the importance of wellness. Here are some things therapists, counselors, or psychiatric nurse practitioners can do to deal with their own stress to continue providing effective support for their clients.
- Monitor stress levels and emphasize self-care, including getting enough sleep, eating healthy foods, and maintaining a regular exercise routine.
- Be proactive. Practice self-care routinely instead of waiting for your stress and anxiety to creep up on you.
- Maintain a good work-life balance and enforce work boundaries. Demands for time and attention from work can be quite intense, which is why therapists should limit how much time they devote to work.
- Seek support from friends and family, consider talking to a mentor, joining a professional organization, or seeing a professional who can provide talk therapy.
Are therapists not supposed to give advice like medical doctors?
While many people may want their therapists or counseling psychologists to give them advice and help them make decisions, therapists may not be willing to give advice. The therapeutic process should focus on exploration and helping the person gain the skills to make their own decisions. A therapist may help you explore the benefits and risks of various choices to help you figure out what the best decision is for you.
Some things that may indicate that your therapist has inappropriate feelings for you may be if they focus too much on your sex or love life, flirt with you, compliment you, hint at their own love life, initiate and increase physical contact, play off of any fears you have of being alone, or contact you outside of your sessions about things that are not related to your treatment.
Do therapists have to like their clients in talk therapy or other therapy sessions?
A psychiatrist or therapist may not have to have affection for the client, but there should be enough of a connection between the therapist and the client to form an effective therapeutic relationship.
Can I be friends with my therapist after therapy?
All professional counseling organizations and certification bodies have ethical prohibitions against dual relationships with clients; many of which extend for years, or indefinitely, after the therapeutic relationship has ended. People can feel very connected to their therapist, but that relationship is imbalanced. The client opens up and is very vulnerable, but the therapist remains professional, not telling details about their personal lives, which cannot easily translate to a friendship. Therapists may also have difficulty stepping away from their obligations to their clients, wanting to continue to provide mental health care, making any friendship feel more like a therapeutic relationship.
Why do therapists ask where you feel the emotion?
Each therapist and psychiatrist have their own technique for providing therapy, and some may ask where in your body you feel an emotion. They may do this to encourage you to connect your body and mind.
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