Should I see a therapist/counsellor or psychologist?
When choosing between a therapist/counsellor, and a psychologist, you should consider your needs and the type of mental health issues you are facing.
But. It’s hard to make the decision between these health professionals if you don’t understand what you’re deciding between.
And the choice is not just between these two roles; there are also psychotherapists and psychiatrists.
Regarding the differences, it is not 100% clear, and there is alot of overlap – and some practitioners combine roles.
The common thing is that they are all forms of mental health ‘therapist’ (i.e. deliver therapy or care) for mental health problems.
Therapist/counsellor
These professionals can diagnose and treat more general mental health conditions, and may be better equipped to deal with issues like mild anxiety/depression, PTSD and OCD.
Their assessments are less formal and deep compared to a psychologists. And they take a more holistic approach that focuses on your emotional state and the whole person, and may help you understand and manage your problems.
Therapists may also be a good choice if you’re looking for ongoing care to overcome emotional, behavioural, social, or relationship concerns.
There are NHS therapist/counsellors called IAPTs. They are often a good place to start.
Top tip. In many areas you can self refer to IAPTs. You don’t need to see your GP first. Google ‘IAPT’ and your area. If you are not sure that is possible in your area, why not ring your GPs receptionist? They should know.
Psychologist
These highly trained professionals can help people overcome problems, identify signs of mental illness, and study how people think, act, and feel. They can also perform assessments and make complex diagnoses.
Psychologists may be a good choice if you have a chronic mental health condition that is causing distress, or if you want to learn more about how your thoughts and behaviours interact with your environment.
Some ‘clinical psychologists’ are available on the NHS. Many are just private [sorry” MyHSN Ed].
Basic guide about who to choose for mental health care
- Therapist/counsellor (including NHS IAPTs) – mild mental health problem, e.g. mild depression or anxiety; or ‘life problems’
- Psychologist (not often on NHS) – when you want to know why you have a problem, and therefore how it can be sorted. And may need long-term care
- Psychiatrist (can be on NHS) – a doctor who specialises on major mental health problem, including severe depression or psychosis
- Specialist therapist – for specific issues, e.g. PTSD, autism etc.
Other resources
What’s the difference between a counsellor, therapist, psychotherapist, psychologist and psychiatrist?
What is an NHS IAPT (talking therapist)?
