Therapist Or Psychologist?

When seeking advice and support for life changes and challenges, many individuals turn to licensed mental health professionals, including therapists and psychologists. However, understanding the differences between a therapist and a psychologist can help you in finding the most suitable professional for you. 

The differences between various professional titles in therapy

When seeking support for mental health conditions from therapists, it can be beneficial to first reach out to therapists in the mental health profession who may be the most qualified to support you and your therapy needs. This can help you find the right therapist to meet your needs.

Types of mental health counseling 

There are many different disciplines that fall under the category of therapy, including but not limited to the following: 

• Guidance counseling
• Educational therapy 
• Art therapy
• Occupational therapy
• Physical therapy
• Music therapy
• Dance therapy
• Hypnotherapy
• Rehabilitation counseling
• Substance use counseling
• Career counseling
• Couples therapy

In addition, other therapists may have various licensure titles, including:

• LCPC: Licensed Clinical Professional Counselor
• MD: Medical Doctor
• Ph.D.: Doctor of Philosophy
• PsyD: Doctor of Psychology
• MSW: Master of Social Work
• LMHC: Licensed Mental Health Counselor
• LCMHC: Licensed Clinical Mental Health Counselor
• MFCC: Marriage, Family, and Child Counselor
• CADC: Certified Alcohol And Drug Counselor
• CAC: Certified Addiction Counselor 

What conditions do therapists treat? 

Regardless of the discipline a counselor, therapist, or psychologist works in, whether they have an undergraduate degree or a doctoral degree, therapists must all have passed their state licensure exam to be licensed within their state to practice therapy. Each therapist may have their own specialty in human behavior, regardless of their official designation. The typical areas of concern in therapy addressed by a therapist or psychologist include:

• Anger
• Eating disorders
• Depression
• Suicidal thoughts or actions
• Stress
• Anxiety disorders
• Personality disorders
• Post-traumatic stress disorder (PTSD) 
• Substance use disorders
• Obsessive-compulsive disorder
• Relationship challenges
• Trauma, such as death, abuse, or sexual assault
• Life transitions, such as moving
• Pre-marital relationship concerns 

If you or a loved one is experiencing abuse, contact the Domestic Violence Hotline at 1-800-799-SAFE (7233). Support is available 24/7.

If you are experiencing trauma, support is available. Please see our Get Help Now page for more resources.

Mental health therapy with a licensed therapist

Participating in therapy with a licensed therapist or other mental health professional can help you mitigate symptoms associated with some mental health disorders. However, you do not need a mental health diagnosis from a therapist or severe concern to reach out for support and therapy from licensed therapists. Counseling and therapy can be used as a tool to achieve self-growth, learn new skills, and make positive changes in your life. Finding a suitable counselor or therapist can be critical to learning techniques to manage your thoughts and feelings while finding resources, tips, and advice from therapists to address the day-to-day challenges you may face. 

A quick note: life coaches offer support for a number of life challenges, but they are not licensed therapists. While some people find their services useful, this profession does not have the same educational and professional requirements a therapist or counselor receives. A licensed therapist may offer life coaching but be careful to check the qualifications of any therapist using this title. 

Therapists vs. psychologists: What’s the best therapy option? 

The most significant difference between a therapist and a psychologist involves the career options for each. The word "therapist" is often used as an umbrella term to discuss any mental health professional who works in a therapeutic counseling setting, such as counselors, clinical social workers, and marriage and family therapists. Psychologists can also work as therapists in clinical practice or therapy. 

However, the educational requirements for therapists and psychologists  job can differ, and someone who calls themselves a psychologist may not be a therapist, and a therapist may be a psychologist. Psychologists have a PsyD or a Ph.D. In these programs, they can focus on research, practice, or a combination of the two. Some of these psychologists may work in research, go on to be professors at a university, become authors, or work in a hospital setting. Therapists without this educational background may not have the same career possibilities, although both therapists and psychologists must undergo similar training and clinical supervision to practice therapy. 

PsyD vs PhD in psychology program

As a further distinction, an individual with a PsyD degree may not do as much research training as a person in a psychology Ph.D. program. Someone studying in a Ph.D. program in psychology will often have training in both research and practice. 

Social workers can teach at college level, many professors in both undergraduate and graduate programs only have MSW (without another Ph.D) or they may have a DSW (may also be true for counselors). However, they can provide therapy and counseling services in various environments. A psychologist may also be involved with the American Psychological Association (APA), the most prominent psychological association in the US. The American Psychological Association also provides an ethics code and various resources for mental health professionals such as therapists. Counselors may be involved in the American Counselors Association (ACA) as opposed to the American Psychological Association.

Can a therapist prescribe medication?

Most psychologists, therapists, and counselors cannot prescribe medications. However, in certain states, therapists and counselors have the right to do so if they are appropriately trained in mental health pharmacology. However, most individuals go to psychiatrists or a primary care physician for medication, as they are medical doctors trained to offer this service. In general, your therapist will not be able to prescribe medication in therapy.

Therapy session costs

Cost of therapy is often on many clients' minds when seeking a therapist. Often, the cost of sessions depends on a therapist or psychologist's location, therapy specialty, practice type, experience in specific mental disorders, and educational level. A therapist with a master's degree may earn less than a psychologist with a Ph.D. in psychology who is affiliated with the American Psychological Association. 

Generally, therapy prices may range from $65 to $250 or more per hour. Depending on what country you are in, you may expect to pay about $100 to $200 for each therapy session. If you have insurance, you probably need to co-pay as insurance coverage varies widely. Insurance may cover a few dollars to about $50 or more.

Otherwise, you may opt for online therapy service providers such as BetterHelp. The cost of therapy through BetterHelp can range from $70 to $100 per week. This is billed every 4 weeks. The cost can also vary based on your location, source, preferences, and therapist availability. There are also other online therapy options which can range anywhere from $65 to $95 per session.

Types of mental health professionals

There are many types of therapists, all of which cover therapy in various areas of mental health. Understanding the difference between each type of therapist can further guide you in choosing your provider and finding a therapist from a roster of qualified therapists who can meet your specific needs.

Psychologists: How they differ from therapists in treatment 

Many psychologists only have master's degrees, they may, for example, perform psychological testing in schools, or a related field and have often completed advanced studies. Clinical psychologists may also research topics that interest them, independently or as faculty for higher education facilities. They work with clients and determine treatments and therapy based on their observations. 

Counseling psychology practitioners provide support and guidance and can help clients make decisions, find support, and clarify their feelings in therapy. They often work as part of a team when tackling a client's concerns. For example, they might work alongside a psychiatrist to refer clients requiring medication. A psychologist can work in many practice areas; however, not all psychologists work in clinical psychology or therapy with clients. 

Marriage and family therapists: A look at therapy options

Family therapy is a type of therapy for families and couples. Marriage and family therapists (LMFT or MFCC) have specific therapeutic training and licensing in supporting individuals with topics from conflict to divorce. These therapists might also provide resources and specific family therapy modalities not practiced in the therapist's individual sessions. Often, these therapists have a master's or doctorate. 

Couples’ therapists 

Couples’ therapists, like LMFTs, could be grouped under the family therapist umbrella. However, couples' therapists might not have specific licensing in family or marriage concerns and instead support any couple. Couples' therapists meet with couples to help them set goals, learn coping mechanisms, and improve their relationships. These therapists may have a master's or doctorate that qualifies them to practice.

Substance use counselors

A counselor or therapist specializing in substance use disorders can help clients struggling with substance use and dependency in their lives. Also known as addiction therapists, these therapists providers often have a master's degree or higher in psychology or social work. In some states, individuals may be able to work as a chemical dependency counselor or support worker with a bachelor's degree and education in the impacts of substance use through an accredited university. 

Grief counselors

Grief counselors help clients cope with unique impacts of grief and loss. Grief counselors can support those who have experienced the death of a loved one, a traumatic experience surrounding loss, or a breakup or divorce. Those experiencing depressive disorders, grief, and related concerns due to loss may turn to this type of professional. Grief counselors often have a master's degree and specific training in the impact of grief. They may work in grief counseling centers, grief camps, or provide individual counseling or therapy.

Child and adolescent therapists

A child or adolescent therapist is a licensed mental health professional who works with those under 18 and young adults up to 25. A therapist with this specialty may support children and their families as they cope with mental health challenges. Both counseling psychologists or school psychologists can be valuable for adolescents when they are feeling anxious about growing pains, managing what comes after they finish high school, getting a job, managing their relationships, and coping with bullying they may face. At times, these therapists offer family therapy to involve the entire family in the child's therapeutic treatment, such as going to occupational therapy to treat physical, mental, developmental, emotional, and behavioral struggles that interfere with the patient's ability to complete everyday chores.  

Divorce counselors

Another professional one may talk to is a divorce counselor. Licensed mental health professionals and therapists specializing in divorce counseling can offer these divorcing couples advice and support, helping these couples navigate the challenges of separation and divorce.

Divorce counselors may use a collaborative process. The collaborative process is a divorce method that involves working as a team to reach an agreement. Settling assets and discussing custody in court can be expensive and emotionally exhausting. This process is designed to help the divorcing couples reach an amicable agreement and find clarity. 

Group therapists

In group therapy, a licensed therapist or mental health professional may lead a session with multiple clients living with similar mental disorders or mental health concerns. The therapist can create an environment where these participants feel free to discuss challenges with like-minded individuals and feel less alone in shared experiences. There are various types of group therapy sessions a therapist can lead, some therapists focusing on behavioral concerns and others focusing on a specific modality, like dialectical behavior therapy (DBT). 

Social workers

A licensed clinical social worker (LCSW) has a master's degree in clinical social work. LCSWs may work with communities, humanitarian causes, or as counselors offering advice and support. Licensed clinical social workers provide services for varied populations, helping their clients from many different walks of life cope with areas of concern like depression, substance abuse, and anxiety.

Therapist options and treatment plans

If you are hoping to find a therapist, there are many specialty therapists and counselors to choose from. First, consider any challenges or emotional problems that you'd like to address with the help of a therapist. Next, seek out potential therapists or psychologists in your area specializing in particular issues. Consider the treatment costs of these therapists or a specific therapist, whether you'd like to meet the therapist in an office or online, and therapist reviews from other clients before pursuing an initial therapy consultation with a specific therapist.

Find psychotherapy professionals in popular cities: What to know

Planning to see a therapist in your community can take time to research within a large roster of qualified therapists and time. It is generally easier to find in-person therapists in popular cities; if you live outside of populated areas, online therapists are also available. The information you may need to compile to choose between all therapist options can be scattered across the internet. However, if you decide to participate in talk therapy with a therapist through a platform like BetterHelp, you can view a therapist's biography to see their education, license, experience as a therapist, interests, and specialty areas.

Check alternatives for online counseling or psychology treatment

If you're unsure about the effectiveness of internet-based therapy with a therapist, note that one study found that over 53% of participants found therapy with an online therapist preferable to in-person therapy due to its personalized nature and the comfort of meeting a therapist through an internet connection from home. 

Online therapists can be trained and accredited psychologists (Ph.D./PsyD), licensed marriage and family therapists (LMFT), licensed clinical social workers (LCSW/LMSW), or licensed professional counselors (LPC). Online therapists also have a master's degree or a doctorate in their field.