Trying to figure out the difference between a psychiatrist, psychologist, or therapist can feel overwhelming. Add in terms like CBT and DBT, and it’s easy to feel lost.

It can be easy to get lost in the “psychobabble”. The “psychology” and “babble”  of it all can be so overwhelming. As a licensed professional in the field of mental health, however, I am in the position to explain some of the psychobabble that most people may become easily confused about.

If you’re not sure what kind of mental health support you need—you’re not alone. This guide breaks down the most common mental health terms so you can confidently take your next step.

What is a Mental Health Counselor?

In the field of mental health, professionals who assist people in understanding their behaviors, emotions, and/or thoughts are referred to as “mental health counselors.” It is a generic term that is commonly applied to the following types of professionals: therapist, counselor, psychiatrist, psychologist, family therapist, behavioral health provider, mental health provider, or marriage counselor.

People in this field understand when outsiders use these words interchangeably. What matters is that the public recognizes that we help people sort out and resolve their issues, assess and diagnose symptoms of behavioral/emotional conditions, and provide treatment when a condition/disorder has been diagnosed. Different types of professionals may perform these tasks and achieve their treatment goals in different ways.

If you are seeking support, the last thing you want to do is bust out a dictionary. Let’s explore the differences together so that you can find a provider that is right for you!

What is the Difference Between a Psychiatrist and Psychologists?

• Similarities: Both receive rigorous training in helping people with mental health conditions or issues. Both professionals can assess, diagnose, and treat emotional or behavioral conditions. They can both help talk you through your concerns and provide therapy and tools to manage your day-to-day issues.

• Both can be “doctors”: A psychiatrist is a medical doctor specializing in psychiatry. They are well versed in the use of psychotropic medicines—anti-anxiety drugs, antidepressants, etc.—and, like any medical doctor, treat their patients by prescribing these medications. A psychologist may also be addressed as “Doctor” if they have successfully completed a doctorate degree (PhD or Psy.D). They are trained in research, clinical practice, and assessment, but they can’t write prescriptions in the state of NC.

• Medication vs. therapy: Psychiatrists are known to treat their patients using medication, while psychologists use various forms of therapy to achieve their treatment or wellness goals. A psychiatrist ensures that the medication will work by prescribing the right dosage and the ideal time of day to take it. Psychiatrists can also provide therapy to their patients, and psychologists can help clients with finding a provider for medication management. Aside from counseling, many psychologists can administer evaluations or tests—personality tests, aptitude tests, IQ tests, etc.

• Relationships with other professionals: Psychiatrists have a vast array of medical options to help their patients achieve functionality. As the only professionals who can prescribe psychotropic medication, they see patients referred by general practitioners and other mental health providers who cannot write prescriptions for these medications. Though most psychiatrists will help any patient seeking their help, they may prefer that their patients see therapists or other mental health providers first.

Types of Mental Health Professionals (LCSW, LCMHC, LMFT)

Aside from psychologists and psychiatrists, you can seek help from the following other types of professionals:

• Licensed Clinical Social Workers (LCSW): For a professional to earn this license, the prerequisites are a Master’s in Social Work (MSW) and completing the mandatory licensing requirements of the state. This usually requires the passing of a comprehensive licensure test after completing 2 years of supervised work. With their client focus and culture sensitivity training, LCSWs are most qualified to counsel couples, families, individuals, and small to large groups.

• Licensed Clinical Mental Health Counselors (LCMHC): This license requires candidates to finish a master’s or doctorate in counseling, or another related academic course. In addition, they must comply with all the requirements imposed by the state of North Carolina or any state where they intend to practice, as well as pass the national counseling exam. With this license, LCMHCs are qualified to work with people from all ages and social backgrounds.

• Licensed Marriage and Family Therapists (LMFT): A professional is qualified to take an LMFT state licensing exam if they complete the following requirements: 1) marriage and family therapy training and 2) clinical experience for a minimum of two years. Licensed marriage and family therapists specialize in treating couples and family systems.

Psychiatric Professionals and Their Roles

• Psychiatric Nurse Practitioners: PMHNPs are registered nurses with advanced degrees that are able to assess, diagnose and treat many mental health concerns with medication management. Some even provide counseling!

• Psychiatric Physician Assistants: PAs are also able to provide medication management after a thorough assessment to determine the best way to address your symptoms and concerns. 

What is the Difference Between Mental Health and Behavioral Health?

Two other psychobabble terms that often cause confusion, even among professionals themselves, are “behavioral health” and “mental health.” Many use both interchangeably, but there is a wider preference for “behavioral.” This word denotes how an individual acts, while “mental” denotes how a person thinks.

In a Psychology Today post, author Elana Premack Sandler, LCSW, MPH, acknowledges the synonymous use of the two words. She emphasized that “behavioral” is a “gentler” and more preferable term to use for many, as it is less stigmatized than “mental.” “Behavior” also denotes something that can still be transformed or modified, and so it sounds positive and hopeful for those with a disorder or an addiction. These are the reasons why “behavioral health” is preferred in many facilities.

Not Sure Which Type of Therapist Is Right for You?

Choosing the right mental health provider can feel confusing—but you don’t have to figure it out alone. Carolina Counseling Services in Pittsboro, NC contracts with skilled licensed therapists and psychiatric professionals who can help. Call CCS today to schedule your first appointment.

Our Pittsboro Office is conveniently located, serving not only Pittsboro but also Goldston, Cary, Siler City, Carrboro, Apex and surrounding areas. Online appointments are also available making getting the quality treatment you deserve – anywhere in North Carolina- easier than ever before!

Providers are in network with most major insurances including Aetna, Aetna State Health Plan, Blue Cross and Blue Shield of North Carolina (Blue Cross NC), Tricare, Medicaid, Medicare and many more.