Choosing Your Therapist - Expert Qualifications and What They Mean

People get confused. I get confused. Can one alwaysproper dosage to start with, the time of day to take
remember the difference between an optometrist andthe medicine, and other important factors that makes
an ophthalmologist, an astrologist and an astronomer,the medicine work better for you.
or a podiatrist and a pediatrician? When you don'tNote: Many psychiatrists prefer that while you are on a
work in a specific field, or people tend to use certainpsychotropic medicine they have prescribed that you
words interchangeably, meanings get blurred.see one of the following professionals:
I may not be able to tell you about other fields, but IPsychologists are those who usually have a PhD or
can explain the field that I work in. I work in a field thatPsyD. This means they are Doctors, as in having a
people refer to in many different ways. This is aDoctorate degree- but they are not Medical Doctors
perfect example of using words interchangeably:and they cannot prescribe medicine. PhD Psychologists
Counselor, therapist, psychologist, psychiatrist, mentalhave been educated in clinical practice, research,
health provider, behavioral health provider, familytraining and assessment. PsyD Psychologists are
therapist, or marriage counselor.trained primarily in clinical practice (counseling). All
People who don't work in the field can refer to any ofPsychologists have an average of 5-7 years of
us in the above ways, and we are fine with it- as longeducation beyond their Bachelor's degree. Licensed
as you understand our intent is to be of assistance.Psychologists have at least two years of supervised
However, just for the record, I want to point out somework and have passed a National Exam. In addition to
specific differences that may be helpful to you if youcounseling services, Psychologists may provide
or a family member are trying to make a decision onpersonality, IQ, and other evaluative testing.
who can best assist you.Licensed Clinical Social Workers (LCSW) have earned
Let's start with mental health and behavioral health.a Masters in Social Work and have completed the
The word "behavioral" refers to how one behaves orlicensing requirements of the state they practice in,
acts, while "mental" refers to something to do withwhich usually includes two years of work supervised
how one thinks. Both of these terms are used in theby an LCSW and passing the very extensive
profession synonymously. Many prefer to use theLicensing exam. Social Workers are trained in working
"behavioral health" term because of the previouslywith groups... from the small group of two to the larger
strong stigma attached to the word "Mental". Manysocietal groups and everything in between. Social
facilities that used to be termed "Mental Health" areWorkers are trained with culture sensitivity and with
now "Behavioral Health", allowing people to seek reliefclient focus. LCSW's provide couples, family, group, and
without the feeling like they will be labeled "crazy" justindividual counseling.
because they need to talk to a counselor.The Licensed Marriage and Family Therapist (LMFT)
Let's move on to who's who:has graduate training in Marriage and Family Therapy
Psychiatrists are the only ones in this field who canand at least two years of clinical experience before
write prescriptions. Regardless of what you have seenthey take their state licensing exam. LMFT's specialize
on TV or the movies, if you see a Psychiatrist in mostin treating their clients within the context of marriage,
states, you will not be able to have an hour session ofcouples and family systems.
therapy. Specifically, there is a shortage ofLicensed Professional Counselors (LPC's) have either
Psychiatrists in the whole state of NC. Although it isa Masters degree or a Doctorate Degree in counseling
possible your first session will be 30 min to an hour,or a related field. They have passed the National
follow up sessions will usually be 20 min or less.Counseling Exam and meet the requirements for
Psychiatrists usually only have time to manage alicensing in the state in which they practice. LPC's work
person's medication. Psychiatrists are Medical Doctorswith all populations.
who are specialists in the field of Psychiatry and arePastoral Counselors are trained both in psychology
experts in the area of psychotropic medicinesand theology. Pastoral Counselors provide spiritual
(antidepressants, anti-anxiety meds, etc.) Psychiatristsguidance in addition to their counseling services. They
are able to make an appropriate diagnosis of ausually have a Masters in Divinity Degree in addition to
person's symptoms, and choose from a vast array ofother academic work. Currently, Pastoral Counselors
medicines that will assist a person to function better.are licensed in some states (to include NC) and
Many general practitioner Medical Doctors (MD's) refercertified in others.
depressed or anxious people to Psychiatrists so thatThere you have it! So now, even though you might
they can get the best medicine, dosage, etc for thehave to google what an astronomer does, you will
symptoms they are experiencing. A Psychiatrist is notalready know who to call should you need assistance.
only able to prescribe the meds, but also tell you the