Do you see a therapist or psychiatrist first

The three main differences between psychiatrists and psychologists are:

  1. Psychiatrists are medical doctors, psychologists are not.

  2. Psychiatrists prescribe medication, psychologists can't.
  3. Psychiatrists diagnose illness, manage treatment and provide a range of therapies for complex and serious mental illness. Psychologists focus on providing psychotherapy (talk therapy) to help patients.

Many people get psychiatrists and psychologists confused with each other.

Both psychiatrists and psychologists understand how the brain works, our emotions, feelings and thoughts. Both can treat mental illness with psychological treatments (talking therapies).

However, psychiatrists attend medical school and become medical doctors before doing specialist training in mental health. Because they are doctors, psychiatrists understand the links between mental and physical problems. They can also prescribe medications.

To go into it in some more detail, the main differences relate to:

  • training
  • treatments provided
  • conditions treated
  • getting an appointment.

Training

Psychiatrists are medical doctors with at least 11 years of training – usually more. 

They first do a medical degree at university. Next they spend at least 1 or 2 years training as a general doctor.

They then complete at least 5 years training in the diagnosis and treatment of mental illness.  

Psychologists have at least 6 years of university training and supervised experience.

They may also hold a Masters or Doctorate level qualification in psychology. If they have a Doctorate (PhD) a psychologist can call themselves ‘Dr’, but they are not medical doctors.  

Clinical psychologists have special training in the diagnosis and treatment of mental illness.

Treatments provided

Psychiatrists can provide a wide range of treatments, according to the particular problem and what will work best. These include:

  • medication
  • general medical care, including checking your physical health and the effects of medication
  • psychological treatments
  • brain stimulation therapies such as electroconvulsive therapy (ECT).

Psychologists focus on providing psychological treatments.

Conditions treated 

Psychiatrists tend to treat people who need their medical, psychological and social needs considered.

These are usually people with complex conditions, for example:

  • severe depression
  • schizophrenia
  • bipolar disorder.

Someone who has attempted suicide or has suicidal thoughts will usually be seen by a psychiatrist.

Psychologists are more likely to see people with conditions that can be helped effectively with psychological treatments. This might include behavioural problems, learning difficulties, depression and anxiety.

Getting an appointment

As with all medical specialists, to see a psychiatrist you need a referral from your GP (family doctor).

To see a psychologist you don’t need a referral. However, in Australia a GP can refer you to a psychologist as part of a Mental Health Treatment Plan.

There are around 4000 psychiatrists working across Australia and New Zealand, while there are about 27,000 registered psychologists.

Working together

Psychiatrists and psychologists often work together. A psychiatrist might make an initial assessment and diagnosis, then refer you to a psychologist for ongoing psychological treatment (talking therapy).

Psychiatrists and psychologists also work together in hospitals as part of mental health teams.

Who should I see?

If you are unsure whether you should see a psychiatrist or a psychologist, talk to your GP. They can give you advice about whether a psychiatrist or a psychologist is right for you.

It will depend on your unique situation and the type of treatment you need. Some people might see both.

More about first steps to get help

More about psychiatrists

Do you see a therapist or psychiatrist first

Reviewed by Jodi Jaspan, MS, LPC

If you or a loved one struggles with a mental health condition, you may be wondering whether you need a referral to get treatment from a clinician, typically a psychologist or psychiatrist. The answer depends on which specialist you’re trying to see.

A psychologist has a doctorate degree in the field of psychology (either a PhD or PsyD), and is trained in therapy and psychological testing. A psychiatrist earns a medical degree and can prescribe medication, as well as provide therapy. This is the main difference between the two; a psychologist cannot prescribe medication.

You typically don’t need a referral for a psychologist, but to see a psychiatrist, you will need a referral from your doctor. However, if you enter a mental health treatment program, you will likely have access to both types of professionals.

The Light Program employs psychologists and psychiatrists in our outpatient programs. Contact our admissions team at (610) 644-6464to start treatment.

If you feel you need to see a psychiatrist, schedule an appointment with your primary care provider and ask them if they will provide a referral. Your doctor may not grant the request right away. Doctors will often prescribe medication first and only refer you if your condition does not improve. There are also many conditions that can be effectively managed with therapy and other holistic techniques. Your physician may recommend you try outpatient therapy first before progressing to a medication.

How to See a Psychologist

You can contact a mental health treatment center yourself and schedule an appointment with a psychologist there. The most complex part of the process is making sure the psychologist is in your insurance coverage network. When you make the initial phone call or fill out a contact form, be sure to ask about this. You can also explore the center’s website to see if they have a list of accepted insurances.

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Other Options

You don’t always need to see a psychologist or psychiatrist for your condition. Therapists, counselors, and social workers are all trained in therapeutic techniques. There are also alternative therapies available at some mental health centers, such as art or music therapy, yoga, and meditation.

Anyone can see a therapist for a variety of reasons. Some therapists specialize in treating certain mental illnesses, but they are also available for everyday challenges and issues. You may seek their help to sort through conflicts, improve relationships, process your emotions, or reach a personal goal.

How Do You Start Treatment?

You can choose to start treatment for a mental health condition at any time by simply scheduling an appointment. Some mental health professionals own a private practice. Others work at clinics or centers, and scheduling is handled by an entire admissions department. The staff at the treatment center will schedule an intake appointment where you will be paired with a specialist who can best serve your needs.

Situations Where You Should Seek Immediate Care

If you are in crisis, you should go to your local emergency room for immediate care and a referral to a psychiatrist. A crisis situation includes suicidal thoughts or ideation; thoughts of harming yourself or others; or an episode of psychosis, which could cause delusions and auditory or visual hallucinations.

If you or a loved one experiences any of these urgent symptoms, please call 911 or a crisis line such as the National Suicide Prevention Lifeline: 1-800-273-8255.

It’s important to get appropriate care as soon as possible in this situation. Hospital emergency rooms have psychiatrists on-staff who can provide immediate care. Following your stay, you will likely receive a referral to an outpatient or intensive outpatient program.

Schedule an Appointment with The Light Program

The Light Program has a team of dedicated treatment professionals that includes psychologists, psychiatrists, licensed professional counselors, and therapists. We will work with you to create an individualized treatment plan, and we take a conservative approach to medication. You can learn more about our programs or find a location near you.

If you are interested in seeing a mental health professional for yourself or a loved one, contact The Light Program by calling (610) 644-6464 or filling out a contact form on our website. We will schedule an appointment at the earliest available date and time.

Can I see a psychiatrist and a therapist at the same time?

Most psychiatrists only manage patients' prescriptions and other medical treatments and do not offer talk therapy. Patients often work with both a therapist and a psychiatrist to best treat their mental health disorders. However, some psychiatrists offer talk therapy and other clinical treatments to patients.

Do psychiatrists diagnose first visit?

The first visit is the longest. You'll fill out paperwork and assessments to help determine a diagnosis. After that, you'll have a conversation with the psychiatrist and an NP or PA may observe. The doctor will get to know you and come to understand why you are seeking treatment.

Can a therapist refer you to a psychiatrist?

Split-treatment is the standard practice in which therapists have to refer clients to psychiatrists or primary care physicians for prescriptions, and psychiatrists are increasingly unable to see clients for long-term talk therapy.

Should I see a therapist or psychiatrist for anxiety?

However, you may need to see a mental health specialist if you have severe anxiety. A psychiatrist is a medical doctor who specializes in diagnosing and treating mental health conditions. A psychologist and certain other mental health professionals can diagnose anxiety and provide counseling (psychotherapy).