Dr. Amanda McCaw
Lakewood Ranch, FL
Understanding the different roles of mental health providers
What's the difference between a psychologist, psychiatrist, therapist, counselor, and coach?
A psychologist has completed advanced graduate level training and has obtained a doctorate degree. To become a psychologist you have to complete an undergraduate degree followed by five years of graduate school, including a year long internship. Additionally, psychologists complete training during their years of school called practicum. Upon completing internship a postdoc is completed (generally at least a year) and two licensing exams must be passed in order to be a psychologist. Psychologists are uniquely qualified to administer, score, and interpret psychological tests. The longer training also assists in increasing and refining clinical skill sets. However, psychologists generally do not prescribe medications except in select states and requires the completion of an additional masters degree and supervised training.
Psychiatrists, physician assistants, and nurse practitioners that specialize in mental health medications (aka psychotropics) prescribe medications to help certain mental health issues. These professions have completed advanced training in the medical realm, such as completing medical school, obtaining a masters degree in physician assistant studies, or a masters or doctorate in nursing.
Therapists and counselors also attend graduate school after their undergraduate degree, but it is typically two years in length. Masters degrees are often obtained in social work, mental health counseling, and marriage and family therapy. Counselors sometimes hold a degree in school counseling. Therapists and counselors also complete supervised hours to qualify sitting for their licensing exam. Both can treat mental health disorders. Counselors often focus on shorter term treatments and use more solution-focused approaches, but this can vary.
Coaches help guide people with self-improvement, goal setting, and everyday stressors. Coaches cannot diagnose or treat mental health disorders. Coaches are not required to complete any formal training and are not regulated by any licensing board. However, many often complete training and may obtain a certification to enhance credibility.
Depending on the reasons you are presenting for treatment will assist you in determining what type of professional will best suite your needs. It is my hope that by providing information on the various professionals you will be able to determine which profession may be the best fit for you.