What’s the Difference Between a Psychologist and a Psychotherapist

What’s the Difference Between a Psychologist and a Psychotherapist, and Who Should You See?

When it comes to taking care of your mental health, choosing the right professional can be both empowering and confusing. Many people begin their mental health journey by asking: “What’s the difference between a psychologist and a psychotherapist?” While both roles are essential in the landscape of mental wellness and offer talk-based therapy, they differ in training, scope, qualifications, and areas of specialization. Understanding these differences helps ensure that you receive the type of support best suited to your individual needs.

At Wellman Psychology, our Chicago Psychologist aims to demystify the process of seeking mental health care by matching individuals with professionals who are not only highly trained but also the right fit emotionally and clinically. This guide will help you navigate the distinction between psychologists and psychotherapists so you can take the next step confidently and effectively.

Understanding the Roles of Mental Health Professionals

In today’s world, mental health is more openly discussed than ever, but the roles and titles of mental health professionals can still cause confusion. Whether you're experiencing symptoms of anxiety, dealing with trauma, facing life transitions, or simply looking for a space to process emotions, knowing who to turn to is key.

There are various mental health professionals, including psychotherapists, psychologists, psychiatrists, social workers, and counselors, who play unique and overlapping roles in emotional and psychological care. The first step in getting the right help is understanding what each professional does, how they are trained, and what kind of support they can provide.

What’s the Difference Between a Psychologist and a Psychotherapist?

The fundamental difference between a psychologist and a psychotherapist lies in their educational background, clinical training, and legal authority, especially regarding mental health diagnoses.

• Psychologists undergo rigorous academic training and are qualified to assess, diagnose, and treat a wide range of mental health conditions. In many jurisdictions (such as Ontario), psychologists, alongside physicians and nurse practitioners, are authorized to formally communicate mental health diagnoses.

• Psychotherapists, by contrast, specialize in providing talk-based therapy aimed at supporting individuals through emotional and behavioral challenges. While they are highly skilled in therapeutic techniques, they typically do not offer formal psychological diagnoses unless they have dual credentials.

Despite these differences, both professionals can provide effective therapy, and your choice may depend on the complexity of your condition, your treatment goals, and the therapeutic approach you prefer.

What is a Psychotherapist Also Known As?

A psychotherapist is commonly referred to as a therapist, or in some contexts, a talking therapist. These titles are often used interchangeably in day-to-day conversations. Psychotherapists work with clients to explore their emotions, behaviors, relationships, and life challenges through structured dialogue.

They create a safe, empathetic space where clients feel seen, heard, and supported. The primary goal of a psychotherapist is to guide individuals toward mental clarity, emotional regulation, and personal growth through evidence-based therapeutic methods.

Psychotherapist: Education, Training, and Role

Education and Training

Psychotherapists typically hold a Bachelor’s or Master’s degree in fields such as:

• Psychology

• Counselling

• Psychotherapy

• Social Work

• Mental Health Studies

Their training includes clinical supervision, therapeutic workshops, and hands-on practice with various client populations. Psychotherapists must meet professional standards set by regional regulatory bodies, ensuring they’re equipped to support clients ethically and effectively.

Therapy Modalities

Psychotherapists are trained in multiple therapeutic approaches, including:

• Cognitive Behavioral Therapy (CBT)

• Psychodynamic Therapy

• Humanistic and Person-Centered Therapy

• Art and Play Therapy

• Systemic and Family Therapy
  

Core Role

The primary role of a psychotherapist is to help individuals:

• Process emotions and life events

• Cope with stress, depression, and anxiety

• Overcome traumatic experiences

• Improve self-esteem and relationships

Sessions may range from short-term problem-solving to long-term in-depth therapy depending on the individual’s needs.

Psychologist: Education, Training, and Role

Education and Credentials

Psychologists are among the most highly trained mental health professionals. Their academic path typically includes:

• A Master’s degree followed by a Doctoral degree (PhD or PsyD) in psychology

• At least 5–6 years of advanced education

• Over 2500 clinical hours, including practicum, residency, and supervised practice

Specializations

Psychologists often choose a specific field of practice, such as:

• Clinical Psychology

• Counseling Psychology

• Educational or School Psychology

• Forensic Psychology

• Sports Psychology

Core Role

Psychologists:

• Conduct psychological assessments and diagnostic testing

• Help clients understand the root causes of their thoughts and behaviors

• Provide evidence-based therapy

• Work with complex mental health disorders such as schizophrenia, bipolar disorder, or personality disorders

They do not prescribe medications, but often collaborate with psychiatrists when pharmacological intervention is needed.

Therapist vs Psychologist: Key Differences

Category

Psychotherapist (Therapist)

Psychologist

Also Known As

Therapist, Talking Therapist

N/A

Education

Bachelor’s/Master’s

5–6 Years Master’s + Doctorate

Scope of Practice

Talk therapy, emotional support

Diagnosis, therapy, and psychological assessments

Can Diagnose?

Depends on jurisdiction

Yes (with license)

Can Prescribe?

No

No

Specializations

CBT, family therapy, trauma

Clinical, forensic, counseling, and educational psychology

Referral Capability

May refer to a psychologist or a psychiatrist

May refer to a psychiatrist if medication is needed

While psychotherapists focus on emotional processing and behavioral change, psychologists bring an analytical lens to mental health, making both roles valuable in different contexts.

Therapy Methods and Treatment Goals

Both psychotherapists and psychologists use talk-based therapy, but their goals and techniques may differ:

• Psychotherapists guide clients through emotional challenges using relationship-based and often experiential approaches.

• Psychologists apply theory-driven methods to explore and alter deeper cognitive patterns and psychological frameworks.

Treatment goals are always client-centered and may include:

• Reducing emotional distress

• Improving interpersonal relationships

• Enhancing self-awareness and coping skills

• Addressing trauma and past experiences

Who Should You Consult?

If you’re unsure which professional to choose, consider the following:

• For emotional support, stress management, or personal development, a psychotherapist may be ideal.

• For formal assessment, a clear diagnosis, or treatment of complex mental disorders, consult a psychologist.

• If medication may be necessary, either professional can refer you to a psychiatrist, who is a medical doctor.

The most important factor is finding someone you trust and feel safe with. Therapeutic progress often depends more on the quality of the relationship than the provider’s title.

Wrapping It Up

While psychologists and psychotherapists both play crucial roles in mental health care, their training, scope of practice, and approach to treatment differ significantly. Psychotherapists are ideal for ongoing emotional support, whereas psychologists are trained to offer deeper psychological insights and assessments. Knowing the distinction helps you access the right care at the right time.

Ready to Take the First Step Toward Better Mental Health?

At Wellman Psychology, we believe that mental health care should be accessible, personalized, and compassionate. Our experienced Chicago Psychologist and psychotherapists are here to support you, whether you’re facing a specific challenge or seeking to better understand yourself. We’ll help you explore which therapeutic path is right for you, whether it’s talk therapy, psychological testing, or a collaborative approach. Your healing journey starts with a single step, and we’re honored to walk alongside you.
Book a consultation today and take the first step toward clarity, balance, and emotional well-being.

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What Is Psychotherapy vs Therapy

When to See a Psychiatrist vs Therapist

Should I See a Therapist or a Psychiatrist

Is Therapy Confidential

Is Therapy Really Confidential? Here’s What Your Therapist Can and Can’t Share

Is therapy confidential? This is one of the most important questions individuals ask before they begin the journey of mental health care. The idea of disclosing your most private struggles—your fears, past mistakes, or vulnerable thoughts—to a professional can be intimidating. At the core of therapy is the expectation that what you share stays between you and your therapist. This principle of confidentiality builds a safe space for growth, reflection, and healing.

At Wellman Psychology, we recognize the tremendous courage it takes to reach out for support. That’s why we take therapist-client confidentiality seriously. Understanding what your therapist can and cannot share—by law and by ethics—can help you feel more confident and secure as you begin therapy.

Legal Frameworks and Ethical Obligations

Confidentiality in therapy isn’t just a professional courtesy—it’s a legal requirement and an ethical commitment. In the United States, therapists are required to follow the Health Insurance Portability and Accountability Act (HIPAA), which lays out strict rules for how your health information is protected and shared. In Europe, the General Data Protection Regulation (GDPR) serves a similar function. These laws are designed to ensure your information stays secure and your rights are upheld.

Beyond legal obligations, therapists also follow ethical codes set by professional organizations like the American Psychological Association (APA). These codes reinforce the principle that a therapist’s office should be a sanctuary for open, nonjudgmental communication. Whether you’re speaking to a psychologist, counselor, or clinical social worker, you can expect them to honor your privacy as part of their professional and moral responsibility.

Why Confidentiality Matters

Imagine trying to unpack years of emotional pain or deep-rooted trauma while worrying that your words might later be used against you. Confidentiality ensures that you don’t have to carry that fear into therapy. It creates a foundation of trust that encourages honest communication. Whether you’re struggling with grief, trauma, anxiety, or relationship issues, knowing your therapist is legally and ethically bound to protect your privacy allows you to speak freely.

For many clients—especially those with social anxiety, PTSD, or histories of abuse—confidentiality is what makes therapy even possible. It transforms the therapist’s office into a secure space where personal experiences can be safely explored without concern for judgment or exposure.

Who Does Confidentiality Protect?

Confidentiality protects several parties involved in the therapeutic process, each in unique and essential ways:

• Clients: You are the primary beneficiary. What you say in therapy is not part of any public record. This means you can openly discuss sensitive or potentially problematic issues, such as substance use, interpersonal conflicts, or even past legal violations, without fear of repercussion, within reason and within the law.

• Therapists: Confidentiality protects therapists by limiting their obligation to testify in court about what is said during sessions. Without this protection, therapists could be called as witnesses in legal proceedings, which could undermine therapeutic trust and create legal burdens.

• The Legal System: Standardized confidentiality laws prevent the need for custom contracts between every therapist and client. This helps streamline legal expectations and avoid unnecessary litigation over privacy breaches, protecting court resources and maintaining therapeutic boundaries.
  

Situations Where Confidentiality May Be Breached

While confidentiality is critical, it is not absolute. There are situations where the law requires or permits therapists to disclose information, usually for safety or legal compliance.

Required Disclosures (Mandatory Reporting)

Therapists must breach confidentiality under these circumstances:

• Imminent danger to self: If a client is seriously considering suicide and poses a clear, immediate risk, the therapist must take steps to ensure safety, which may include hospitalization or notifying emergency contacts.

• Imminent danger to others: If a client expresses an intent to harm someone else, especially if a specific individual is named and the threat is credible, the therapist is required to take protective action. This may involve notifying the police or the intended target.

• Child abuse: Therapists are legally required to report suspected or disclosed abuse of minors, including physical, sexual, emotional abuse, or neglect.

• Elderly or dependent adult abuse: Similar mandatory reporting laws apply when abuse or neglect involves vulnerable adults.

• Court orders: In rare cases, a judge may issue a subpoena requiring a therapist to release client records or testify.
  

Permissible Disclosures (Structured Exceptions)

Certain situations allow therapists to share limited information, although they are not legally required to:

• Insurance billing: Sharing diagnostic codes or treatment plans with insurance companies may be necessary for reimbursement.

• Coordinated care: When working with a team of professionals (e.g., psychiatrists, primary care doctors), sharing relevant information may enhance treatment outcomes, with client consent.

• Treatment necessity: In emergencies, or if you're incapacitated and need care, limited disclosures may occur to facilitate your treatment.

Therapists approach these disclosures with caution and respect, always limiting the shared information to what is absolutely necessary.

Confidentiality in Everyday Practice

Confidentiality isn’t just about legal rules—it’s a mindset therapists carry into all aspects of their work. This includes how they write session notes, how they respond to public encounters with clients, and how they navigate sensitive conversations.

• Session notes: Therapists often choose to omit details like dreams or fantasies from notes if they might be misinterpreted or potentially harmful if reviewed by someone else.

• Public encounters: Many therapists set clear boundaries, such as not greeting a client in public unless the client initiates contact, to protect the client’s privacy.

• Suicidal thoughts: Therapists are trained to explore self-harm discussions without panicking or jumping to extreme measures. If you say something like “I sometimes feel like giving up,” your therapist will gently assess risk and possibly collaborate with you on a safety plan, which could include coping strategies, support systems, and emergency contacts. Only when the risk is deemed high and immediate will more serious interventions take place.

Is Everything I Say to My Therapist Confidential?

Almost everything. Your therapist is legally and ethically bound to protect your information, but exceptions exist for safety reasons and legal compliance. Past actions—like a petty crime years ago—typically remain private. But if you talk about harming someone or committing a serious crime in the future, that changes the scenario. Therapists will go over confidentiality rules during your first session, so you’re never caught off guard.

Is It Possible to Overshare With a Therapist?

No—therapy is your space to be fully honest. Many people worry about saying too much, but the truth is that sharing openly is often what leads to breakthroughs. Therapists are skilled at navigating everything from trauma and grief to anxiety and identity issues. There is no shame in voicing your thoughts, even if they feel messy, confusing, or embarrassing. Your therapist is there to support—not judge—you.

Wrapping It Up

Therapist confidentiality is a vital part of the therapeutic process. It builds the foundation for trust, encourages honesty, and creates a safe space for healing. While there are specific, clearly defined exceptions for safety and legal compliance, these are rare and carefully managed. Most of what you share with your therapist will never leave the room—and that’s exactly how it should be.

At Wellman Psychology, we hold your privacy in the highest regard. We believe that confidentiality isn’t just a legal duty—it’s a cornerstone of healing. If you're unsure about what therapy entails or worried about your privacy, our Psychotherapy Lincoln Park is here to provide clarity and compassion every step of the way. Our licensed therapists will walk you through what you can expect, help you feel empowered in your healing process, and answer any questions you may have.

Take the first step today—reach out to Wellman Psychology and discover the support and safety you deserve.

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What Is Psychotherapy vs Therapy

When to See a Psychiatrist vs Therapist

Should I See a Therapist or a Psychiatrist

What Is a Psychotherapist vs Therapist

Psychotherapist vs Therapist: What’s the Real Difference and Does It Matter?

When beginning your mental health journey, you may find yourself wondering: What is a psychotherapist vs therapist? Are these terms interchangeable? Do they involve the same kind of treatment or require different qualifications? The short answer is that while they are closely related, they are not exactly the same. Each plays a distinct role in helping people improve their mental and emotional well-being.

At Wellman Psychology, we believe that clarity leads to confidence, especially when it comes to something as personal as mental health care. In this article, we’ll walk you through the essential differences and overlaps between therapists and psychotherapists, explore how they compare to psychologists, and help you determine which professional might be the best fit for your needs.

What Is Therapy?

The word therapy refers broadly to treatment intended to relieve or heal a disorder. It doesn’t apply exclusively to mental health. For instance:

• Physical therapy helps patients recover movement and strength after injury.

• Occupational therapy aids people in regaining daily living skills.

• Massage therapy focuses on relieving physical tension and pain.

Mental health therapy, or talk therapy, is where terms like “therapist” and “psychotherapist” typically come into play. This type of therapy addresses emotional and psychological challenges through structured conversations, strategies, and support systems.

What Is Psychotherapy?

Psychotherapy—often called talk therapy—is a specific type of mental health treatment used to explore underlying emotions, behavioral patterns, and thought processes. Delivered by trained and licensed professionals, psychotherapy dives deep into the mind to address complex and chronic issues.

Unlike brief, problem-focused conversations, psychotherapy:

• Often unfolds over months or years

• Encourages deep self-reflection

• Focuses on healing from trauma, managing mental disorders, and fostering long-term personal growth

It is especially helpful for individuals dealing with conditions such as depression, anxiety, PTSD, bipolar disorder, and more.

Types of Therapists

“Therapist” is a general term that applies to professionals in a wide range of therapeutic disciplines. Below are some of the common types:

• Mental Health Counselors: Provide support for anxiety, depression, grief, and substance abuse.

• Marriage and Family Therapists: Help couples and families navigate communication, conflict, and emotional intimacy.

• Occupational Therapists: Assist patients recovering from physical limitations to improve independence in daily tasks.

• Physical Therapists: Specialize in helping clients regain strength, flexibility, and mobility following injury or surgery.
  

While they all carry the title of "therapist," each focuses on a very different kind of healing. Educational requirements vary as well, from bachelor’s degrees for some roles to doctoral degrees and licensing for others.

Is a Psychotherapist the Same as a Therapist?

This is one of the most common questions asked in mental health circles. The answer is no, they are not the same, though the terms are often used interchangeably in casual conversation.

• A therapist is a broad title that can refer to professionals working in both physical and mental health.

• A psychotherapist is a specific type of therapist focused on treating mental and emotional issues using psychological methods.

For example, a psychotherapist might use cognitive behavioral therapy (CBT) to help a client change harmful thinking patterns, while a physical therapist might use strength training to help a patient recover from knee surgery.

What Is the Difference Between a Psychotherapist and a Psychologist?

Understanding the distinction between psychotherapists and psychologists is also important:

• Psychotherapists may be counselors, clinical social workers, or marriage and family therapists who have advanced training in talk therapy. They typically cannot prescribe medication and focus purely on therapeutic interventions.

• Psychologists hold doctoral degrees in psychology and are trained in diagnosis, psychological testing, and research in addition to psychotherapy. In some U.S. states, psychologists can prescribe medication if they receive additional training and certification.

In essence, all psychologists can be psychotherapists, but not all psychotherapists are psychologists.

Core Duties of a Psychotherapist

Psychotherapists are specially trained to:

• Assess emotional and psychological health

• Diagnose mental health disorders

• Deliver long-term treatment plans using various therapeutic models
  

They use a range of evidence-based techniques, including:

• CBT (Cognitive Behavioral Therapy) – changing negative thought patterns

• DBT (Dialectical Behavioral Therapy) – managing intense emotions

• ACT (Acceptance and Commitment Therapy) – embracing thoughts while committing to change

Sessions are usually held weekly and can span several months to years, depending on the client’s goals and mental health needs.

Main Types of Psychotherapy

Each client is different, and psychotherapists use various modalities depending on the client’s needs:

1. Psychodynamic Therapy
   Explores unconscious thoughts and early childhood experiences to understand present behavior.
   

2. Cognitive Therapy
   Targets distorted thinking patterns that negatively impact emotions and behavior.
   

3. Behavior Therapy
   Uses conditioning techniques to reinforce healthy behaviors and eliminate harmful ones.
   

4. Humanistic Therapy
   Promotes personal growth and helps clients reach self-actualization through empathy and authenticity.
   

5. Integrative Therapy
   Combines several methods to provide a holistic, customized approach to care.
   

Psychotherapy vs. Counseling

Key Differences

Psychotherapy

Counseling

Long-term focus on deep emotional issues

Short-term focus on current life challenges

Guided by theories and structured protocols

More flexible and informal

Involves chronic or complex mental health concerns

Often helps with adjustment, stress, or grief

Delivered only by licensed professionals

May be offered by trained professionals or volunteers

Addresses root causes

Focuses on coping strategies and problem-solving

Shared Features

• Foster therapeutic relationships

• Encourage emotional expression and self-reflection

• Help reduce symptoms of distress

• Empower clients to set and achieve goals

• Can complement each other in a treatment plan
  

Choosing the Right Approach

To determine which path is best for you, ask yourself:

• Do I need help with long-standing emotional struggles or recent life stressors?

• Am I looking for deep self-exploration or practical guidance?

• Do I prefer a structured, long-term process or a short-term solution?

• Am I comfortable with seeing a specialist for a diagnosis?

• What are my goals for therapy—healing, growth, coping, or clarity?
  

Both psychotherapy and counseling can be transformative—it all depends on your unique situation.

Final Thoughts

The difference between a psychotherapist and a therapist may seem subtle, but it has meaningful implications. A therapist can serve many roles across different types of care, while a psychotherapist specifically provides psychological support for mental and emotional wellness. Understanding these differences empowers you to make better choices for your mental health, and the right professional can make all the difference in your healing journey.

Take the First Step with Wellman Psychology

At Wellman Psychology, we understand that no two people are alike, and neither are their mental health needs. Whether you’re struggling with anxiety, depression, relationship issues, or simply seeking greater self-awareness, our team of compassionate and licensed Chicago psychologists is here to support you.

We offer both psychotherapy and counseling to guide you toward lasting healing.
Our personalized approach ensures that you receive the care that works best for you.
Don’t wait for the “right” time to prioritize your mental health—the time is now.
Reach out today and schedule your first session. Let’s take this step forward together.

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What Does a DBT Therapist Do

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Should I See a Therapist or a Psychiatrist

Therapist or Psychiatrist—Who Should You See First? Here’s How to Decide

Struggling with your mental health can be confusing, and one of the first hurdles is figuring out where to begin. Should you start with a therapist or jump straight to a psychiatrist? If you’ve been asking yourself, "Should I see a therapist or a psychiatrist?", you’re not alone. The path to mental wellness isn’t one-size-fits-all, and understanding the unique roles of these professionals can help you take that all-important first step with confidence.

In this guide, we’ll break down the key differences between therapists and psychiatrists, explore when it’s best to see one over the other, and help you decide which route might be right for your situation. Whether you're dealing with stress, anxiety, mood swings, or something more complex, knowing who to turn to first can make all the difference in getting the right support.

What Is a Psychiatrist?

Psychiatrists are medical doctors (MD or DO) who specialize in diagnosing and treating mental health conditions. Their journey includes:

• Completing medical school

• Undergoing a residency in psychiatry

• Receiving training to understand the biological, neurological, and psychological components of mental health
  

Because of this medical background, psychiatrists can:

• Prescribe medications

• Order lab tests or imaging to rule out underlying medical issues

• Diagnose complex psychiatric conditions
  

• Develop comprehensive treatment plans, including medication management and, in some cases, talk therapy
  

Psychiatrists are typically consulted for conditions such as:

• Major depressive disorder
  

• Bipolar disorder
  

• Post-traumatic stress disorder (PTSD)
  

• Schizophrenia
  

• Obsessive-compulsive disorder (OCD)
  

Their approach often combines medication with psychotherapy or referrals to therapists for integrated care.

Psychologist vs. Psychiatrist: What’s the Difference?

While psychiatrists are trained as medical doctors, psychologists hold doctoral degrees (PhD or PsyD) in psychology and are experts in:

• Psychological testing and assessment

• Behavioral interventions

• Talk therapy and counseling

• Research and clinical diagnostics

However, psychologists cannot prescribe medication (except in a few U.S. states with additional certification). Their work often overlaps with therapists, but they bring added expertise in evaluating cognitive, developmental, and emotional functioning.

Therapy vs. Psychiatry: A Side-by-Side Comparison

Category

Therapists

Psychiatrists

Education

Master’s degree (e.g., LPC, LCSW, LMFT)

Medical Doctor (MD or DO)

Prescribe Medications

❌ No

✅ Yes

Approach

Talk-based techniques

Medication management, possibly therapy

Typical Duration

Varies (short-term to long-term)

Often ongoing, especially for chronic cases

Referral Flow

May refer to a psychiatrist if meds needed

May recommend therapy as a companion

How Do You Know If You Should Start With a Therapist?

Therapists are often the first line of support for people experiencing emotional or situational challenges. You may benefit from therapy if:

• You’re feeling overwhelmed by stress, grief, or life transitions

• You want to learn healthier coping mechanisms

• You're struggling with relationships or self-esteem

• You prefer a non-medication approach to mental health

• Your symptoms are manageable, but affecting your day-to-day life

Therapy is especially effective when your issues are rooted in behavioral patterns, emotional responses, or thought distortions that can be improved with structured conversations and skills-building.

When Therapy Alone Might Not Be Enough

Despite its many benefits, therapy does have limitations:

• No access to medication: If your condition requires it, you’ll need to see a psychiatrist

• Slower progress: Healing can take time and regular effort

• Not always effective for severe mental illness without additional medical care

• Costs can add up without insurance or sliding-scale options

• Can be emotionally intense: Processing trauma or long-held beliefs may initially feel uncomfortable

Signs It Might Be Time to See a Psychiatrist

If you're noticing the following signs, it may be helpful to consult a psychiatrist:

• Persistent or severe symptoms that interfere with your daily life

• Lack of progress after several therapy sessions

• Family history of mental health disorders

• Experiences of psychosis, such as hallucinations or delusions

• Suicidal thoughts or extreme mood swings

• Interest in exploring medication as part of your treatment

Primary care providers often refer patients to psychiatrists when they observe signs that require specialized mental health care.

Why a Psychiatrist Might Refer You to a Therapist

Psychiatrists often recommend talk therapy in conjunction with medication, as research shows this combination can be especially effective. You may be referred to a therapist to:

• Address emotional processing and behavioral changes

• Learn coping strategies to manage stress, anxiety, or trauma

• Explore relationship dynamics and lifestyle changes that affect mental health

This team-based approach ensures that both the medical and emotional aspects of your care are covered.

Why a Therapist Might Refer You to a Psychiatrist

Therapists are trained to monitor changes in your symptoms and can spot when a referral to a psychiatrist is necessary. They might suggest a psychiatric consultation if:

• You're not improving with talk therapy alone

• Symptoms become more severe, persistent, or disruptive

• There’s concern about safety or suicidal thoughts

• You show signs of a condition like bipolar disorder, schizophrenia, or major depression

This referral is not a failure—it's a sign that your therapist wants to ensure you receive the full spectrum of care available.

Making the Right Choice for Your Mental Health

Choosing between a therapist and a psychiatrist can feel like a big decision, but you don’t need to get it perfect on the first try. The most important thing is taking that first step toward support.

Whether you start with a therapist or a psychiatrist:

• Both can guide you to the right treatment path

• They often work collaboratively for your best care

• You can switch or add providers as your needs evolve
  

How Wellman Psychology Can Help

At Wellman Psychology, we’re here to support you through every phase of your mental health journey. Our compassionate Chicago psychologists are trained to help you navigate challenges with insight and care. If medication or psychiatric consultation becomes necessary, we can help connect you with trusted psychiatrists in our network.

You're not alone—and you don’t have to figure this out by yourself. Reach out today to start feeling better and living more fully.

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How Is Psychotherapy Different From Counselling

What Is EMDR Therapy Used for

How Long Does EMDR Therapy Take

When to See a Psychiatrist vs Therapist

When Should You See a Psychiatrist Instead of a Therapist? How to Know the Difference

Navigating the world of mental health care can be confusing, especially when trying to determine what kind of help you need. One of the most common and important questions people ask is: “When should I see a psychiatrist vs a therapist?” The answer isn’t always simple, but understanding the roles, training, and treatment methods of different mental health professionals can make your decision easier and more informed.

While both psychiatrists and therapists aim to improve your mental well-being, they use different approaches and tools. Some people may need talk therapy to sort through emotions and behaviors. Others may require medical management for more complex mental health disorders. Knowing which professional to see — and when — can make a big difference in your recovery and mental health journey.

At Wellman Psychology, we understand that taking the first step toward mental health treatment is often the hardest. That’s why our Psychotherapy Andersonville team of experienced psychologists, therapists, and psychiatrists works collaboratively to ensure you receive the right support from the start.

What Is a Psychiatrist?

A psychiatrist is a licensed medical doctor (MD or DO) who specializes in diagnosing and treating mental, emotional, and behavioral disorders. Because of their medical background, psychiatrists are qualified to prescribe medications, order lab tests, and perform physical exams when evaluating your mental health condition.

Psychiatrists often work with patients dealing with more complex or severe mental health issues, including chemical imbalances in the brain. Their treatment plans may include:

• Prescription medications (antidepressants, mood stabilizers, antipsychotics)
  
  

• Psychotherapy (less commonly but sometimes included in treatment)
  
  

• Ongoing psychiatric evaluations to track medication effectiveness
  
  

They are especially helpful for individuals who may have a dual diagnosis (a combination of mental health and substance use disorders) or who require hospitalization or intensive care.

What Is a Psychologist?

A psychologist is a mental health professional who holds a doctoral degree (Ph.D., Psy.D., or Ed.D) and is trained in psychological assessment and therapy. Psychologists are not medical doctors, so they generally cannot prescribe medication (unless licensed to do so in certain states or provinces with additional qualifications).

Instead, psychologists focus on:

• Psychological testing and diagnosis
  
  

• Behavioral interventions
  
  

• Talk therapy approaches such as cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT), and dialectical behavior therapy (DBT)
  
  

Psychologists help clients understand the underlying emotional patterns and thought processes that contribute to mental health challenges.

What Is a Therapist?

A therapist is a general term that includes a range of licensed mental health professionals, such as:

• Licensed Professional Counselors (LPCs)
  
  

• Licensed Clinical Social Workers (LCSWs)
  
  

• Marriage and Family Therapists (LMFTs)
  
  

• Psychotherapists and mental health counselors
  
  

Therapists are trained to provide talk therapy, helping individuals work through life stressors, emotional challenges, or specific issues like trauma, grief, or relationship problems.

Therapists often specialize in certain methods or client groups and may help with:

• Day-to-day stress
  
  

• Coping with divorce or major life changes
  
  

• Relationship conflicts
  
  

• Building self-esteem
  
  

• Managing anxiety and depression
  
  

Difference Between Psychiatrist and Psychologist

Here’s a breakdown to better understand the key differences between the two:

Category

Psychiatrist

Psychologist

Education

Medical degree (MD or DO) + psychiatry residency

Doctoral degree (Ph.D., Psy.D., or Ed.D.) in psychology

Medication

Can prescribe medications

Cannot prescribe (except in limited regions with extra training)

Therapy

May offer some therapy, but is more focused on medication

Specializes in various types of talk therapy

Ideal For

Severe mental illness, complex diagnoses, and medication needs

Talk therapy, behavior change, and emotional support

Both professionals are critical in mental health care, often working together in integrated treatment plans.

When to See an Online Psychiatrist

Online psychiatry has made mental health care more accessible than ever. With the convenience of virtual appointments, patients can receive professional care without needing to visit a clinic.

You might want to consult with an online psychiatrist if you’re dealing with the following conditions:

• Major Depressive Disorder (MDD): If therapy alone hasn’t helped, a psychiatrist can assess your symptoms and prescribe medications.

• Bipolar Disorder: Managing mania and depressive episodes often requires mood stabilizers and close monitoring.

• Schizophrenia or Psychosis: Antipsychotic medication and professional supervision are essential.

• Obsessive-Compulsive Disorder (OCD): A psychiatrist can help manage severe compulsions through both medication and therapy referrals.

• ADHD: Psychiatrists can diagnose and prescribe stimulants or non-stimulant medications to improve focus.

• Borderline Personality Disorder (BPD): Comprehensive care often involves therapy and targeted medications for mood regulation.

If your symptoms are severe, persistent, or worsening, starting with an online psychiatrist could provide the immediate medical help you need.

How Do I Know If I Should See a Psychiatrist or Psychologist?

Not sure where to begin? Here are some signs to help you decide:

See a Psychiatrist If…

See a Psychologist If…

You’re experiencing suicidal thoughts

You need help coping with stress or grief

You suspect you may have a serious mental illness (e.g., bipolar disorder)

You want to understand emotional patterns or improve relationships

You’re considering psychiatric medication

You need psychological testing or evaluations

You’ve tried therapy but need additional support

You want long-term support for anxiety or depression

In many cases, people benefit from both professionals — a psychiatrist for medication and a psychologist for therapy.

Is a Therapist or Psychiatrist Better for Anxiety?

It depends on how severe your anxiety is and how it's affecting your life:

• For mild to moderate anxiety: A therapist is a great place to start. Therapies like CBT have proven highly effective at reducing anxious thoughts and behaviors.
  
  

• For severe, panic-driven, or chronic anxiety: A psychiatrist may be necessary to provide medication that helps balance brain chemistry while you work on coping strategies.
  
  

Often, the best approach is a combination therapy for skills and support, and psychiatry for medical management when needed.

Final Thoughts

Understanding the difference between psychiatrists, psychologists, and therapists is a crucial first step in your mental health journey. Each professional offers unique tools and approaches, and the right one for you depends on your personal needs, condition severity, and treatment goals.

Whether you're exploring therapy for the first time or need comprehensive psychiatric support, Wellman Psychology is ready to help you every step of the way.

Don’t guess your way through mental health. Let Wellman Psychology guide you to the right care. Our compassionate Psychotherapy Andersonville team offers therapy, psychological evaluations, and psychiatric services all in one place.

We believe in treating the whole person with science, heart, and understanding. Call or visit us online to schedule a consultation with a provider who truly listens. Take the first step with Wellman Psychology — your mental wellness partner.

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Find out more articles that can help you below:

How to Find a DBT Therapist

What Is a DBT Therapist

How to Become a DBT Therapist