Psychologists psychotherapists and mental health specialists

Deborah C. Escalante

Many types of mental health care professionals can help you achieve your recovery goals. These professionals work in inpatient facilities, such as general hospitals and psychiatric facilities, and outpatient facilities, such as community mental health clinics, schools and private practices.

Health care professional job titles and specialties can vary by state. The descriptions below give an overview of what to look for and what credentials to expect from a mental health professional. Finding the right professional is easier when you understand the different areas of expertise and training.

The NAMI HelpLine can provide information on how to find various mental health professionals and resources in your area. Please note that we are unable to provide specific recommendations to individual providers as we are unable to speak to the quality of their care.

Assessment and Therapy

Therapists can help someone better understand and cope with thoughts, feelings and behaviors. They can also offer guidance and help improve a person’s ability to achieve life goals. These mental health professionals may also help assess and diagnosis mental health conditions.

Psychologists

Psychologists hold a doctoral degree in clinical psychology or another specialty such as counseling or education. They are trained to evaluate a person’s mental health using clinical interviews, psychological evaluations and testing. They can make diagnoses and provide individual and group therapy. Some may have training in specific forms of therapy like cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT) and other behavioral therapy interventions.

Degree requirements: Doctor of Philosophy (Ph.D.) in a field of psychology or Doctor of Psychology (Psy.D.).
Licensure & credentials: Psychologists are licensed by licensure boards in each state.

Counselors, Clinicians, Therapists

These masters-level health care professionals are trained to evaluate a person’s mental health and use therapeutic techniques based on specific training programs. They operate under a variety of job titles—including counselor, clinician, therapist or something else—based on the treatment setting. Working with one of these mental health professionals can lead not only to symptom reduction but to better ways of thinking, feeling and living.

Degree requirements: master’s degree (M.S. or M.A.) in a mental health-related field such as psychology, counseling psychology, marriage or family therapy, among others.
Licensure & Certification: Varies by specialty and state. Examples of licensure include:

  • LPC, Licensed Professional Counselor
  • LMFT, Licensed Marriage and Family Therapist
  • LCADAC, Licensed Clinical Alcohol & Drug Abuse Counselor

Clinical Social Workers

Clinical social workers are trained to evaluate a person’s mental health and use therapeutic techniques based on specific training programs. They are also trained in case management and advocacy services.

Degree requirements: master’s degree in social work (MSW).
Licensure & credentials: Examples of licensure include:

  • LICSW, Licensed Independent Social Workers
  • LCSW, Licensed Clinical Social Worker
  • ACSW, Academy of Certified Social Worker

Prescribe and Monitor Medication

The following health care professionals can prescribe medication. They may also offer assessments, diagnoses and therapy.

Psychiatrists

Psychiatrists are licensed medical doctors who have completed psychiatric training. They can diagnose mental health conditions, prescribe and monitor medications and provide therapy. Some have completed additional training in child and adolescent mental health, substance use disorders or geriatric psychiatry.

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Degree requirements: Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), plus completion of residency training in psychiatry.
Licensure & credentials: Licensed physician in the state where they are practicing; may also be designated as a Board Certified Psychiatrist by the Board of Neurology and Psychiatry.

Psychiatric or Mental Health Nurse Practitioners

Psychiatric or mental health nurse practitioners can provide assessment, diagnosis and therapy for mental health conditions or substance use disorders. In some states, they are also qualified to prescribe and monitor medications. Requirements also vary by state as to the degree of supervision necessary by a licensed psychiatrist.

Degree requirements: Master of Science (MS) or Doctor of Philosophy (Ph.D.) in nursing with specialized focus on psychiatry.
Licensure & credentials: Licensed nurse in the state where they are practicing. Examples of credentials include, but are not limited to:

  • NCLEX, National Council Licensure Examination
  • PMHNP-BC, Board Certification in psychiatric nursing through the American Academy of Nurses Credentialing Center

Primary Care Physicians

Primary care physicians and pediatricians can prescribe medication, but you might consider visiting someone who specializes in mental health care. Primary care and mental health professionals should work together to determine an individual’s best treatment plan.

Degree requirements: Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (DO).
Licensure & credentials: Licensed physician in the state where they are practicing.

Family Nurse Practitioners

Family nurse practitioners (FNP) can provide general medical services like those of a primary care physician, based on each state’s laws. Like primary care physicians, they can prescribe medication, but you might consider visiting someone who specializes in mental health care. Family nurse practitioners and mental health professionals should work together to determine an individual’s best treatment plan.

Degree requirements: Master of Science (M.S.) or Doctor of Philosophy (Ph.D.) in nursing.
Licensure & credentials: Licensed nurse in the state where they are practicing. Examples of credentials include:

  • NCLEX, National Council Licensure Examination
  • FNP-BC, Family Nurse Practitioner Board Certified

Psychiatric Pharmacists

Psychiatrist pharmacists are advanced-practice pharmacists who specialize in mental health care. They can prescribe or recommend appropriate medications if allowed in their state and practice setting. They are skilled at medication management—meaning they evaluate responses and modify treatment, manage medication reactions and drug interactions, and provide education about medications. Many have completed additional training in child/adolescent psychiatry, substance use disorders or geriatric psychiatry.

Degree requirements: Doctor of Pharmacy (PharmD). Completion of residency training in psychiatric pharmacy is not required, but is common.
Licensure & credentials: Licensed pharmacist in the state where they practice; may also be designated a Board Certified Psychiatric Pharmacist by the Board of Pharmacy Specialties.

Other Professionals You May Encounter

Certified Peer Specialists

These specialists have lived experience with a mental health condition or substance use disorder. They are often trained, certified and prepared to assist with recovery by helping a person set goals and develop strengths. They provide support, mentoring and guidance.

Social Workers

Social workers (B.A. or B.S.) provide case management, inpatient discharge planning services, placement services and other services to support healthy living.

Pastoral Counselors

Pastoral counselors are clergy members with training in clinical pastoral education. They are trained to diagnose and provide counseling. Pastoral counselors can have equivalents to a doctorate in counseling.

 

Updated April 2020

Psychiatry and psychology are overlapping professions. Practitioners in both — psychiatrists and psychologists — are mental health professionals. Their area of expertise is the mind — and the way it affects behavior and well-being. They often work together to prevent, diagnose, and treat mental illness. And both are committed to helping people stay mentally well.

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But there are differences between psychiatry and psychology. And people sometimes find those differences confusing, especially when they are looking for help. To make matters even more confusing, psychiatrists and psychologists aren’t the only mental health professionals you can choose from. There are mental health counselors, social workers, nurses and nurse practitioners, and others who deal with issues of mental health. And if you consider the multiple approaches to treatment, ranging from counseling to various forms of psychotherapy, the whole mental health system begins to look like a maze that’s nearly impossible to navigate.

But here’s a guide you can use to help you make your way through that maze.

Professionals Who Can Help

Getting help for mental, emotional, spiritual, or relationship issues can be difficult. Finding the right mental health professional can help you take control of any issue in your life.

We’ve pulled together the basic information you need to learn about different types of mental health professionals. Keep reading to learn who can help you.

Psychologist

The first image that comes to mind when many people think of a psychologist is a person lying on a leather couch, telling the doctor their feelings. That does sometimes happen — but psychologists do more than ask you how you feel.

Psychologists specialize in the science of behaviors, emotions, and thoughts. They work in places like private offices, hospitals, or schools. Psychologists treat a range of issues, from relationship problems to mental illnesses, through counseling.

A psychologist usually holds a doctoral degree, such as a Ph.D. Psychologists can’t prescribe medication in most states.

Psychiatrist

Psychiatrists mainly diagnose, treat, and help prevent mental, emotional, and behavioral disorders. They use psychiatric medicine, physical exams, and lab tests.

A psychiatrist is a doctor with either a doctor of medicine (MD) degree or a doctor of osteopathic medicine (DO) degree.

General practice doctors can also prescribe medications to help with mental and emotional problems. But many people prefer to go to a psychiatrist for complicated disorders. Psychiatrists’ specialties can include:

  • children and adolescents
  • forensic psychiatry
  • learning disabilities

Online psychiatry services

Read our roundup of the best online psychiatry services to find the right fit for you.

Psychoanalyst

A psychoanalyst follows the theories and practice of Sigmund Freud by helping someone explore their repressed or unconscious impulses, anxieties, and internal conflicts. This is done through techniques like:

  • free association
  • dream interpretation
  • analysis of resistance and transference

Psychoanalysis has its critics. But many people find that it helps them explore deep psychological and emotional disturbances that could create patterns of bad behavior without them realizing it.

Be careful in selecting a psychoanalyst. The title and credential is not protected by federal or state law, which means that anyone can call themself a psychoanalyst and advertise their services.

Psychiatric nurse

Psychiatric nurses are registered nurses who specialize in mental health. They’re known for their therapeutic relationships with the people who seek their help.

Psychiatric nurses perform psychological therapy and administer psychiatric medication. They often deal with challenging behavior related to mental health conditions. They operate under the supervision of a medical doctor.

Psychotherapist

“Psychotherapist” is a general term for lots of different types of mental health professionals. This can include psychologists and therapists. These professionals all provide psychotherapy. Psychotherapy is a type of “talking therapy.” It’s designed to improve your mental health and general wellbeing.

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There are many different schools of psychotherapy. They can involve therapeutic conversations, group therapy, expressive therapy, and more. The most popular type is cognitive behavioral therapy (CBT). You can use CBT to help learn how to change bad behaviors, thought patterns, or emotions.

Mental health counselor

“Mental health counselor” is a broad term used to describe someone who provides counseling. Their titles may also include the terms “licensed” or “professional.” It’s important to ask about a counselor’s education, experience, and the types of services involved since the term is vague. Counselors can specialize in fields like:

  • job stress
  • addiction
  • marriages
  • families
  • general stress

Family and marriage counselor

A family and marriage counselor specializes in common problems that can come up in families and married couples, from differences to arguments. The length of the therapy is normally brief. The sessions are typically focused on specific issues and reaching quick resolutions.

This type of therapy is also used on a one-on-one basis. Group sessions may be used sometimes if one person’s problem affects people close to them. You might see this with counseling for conditions like eating disorders or addiction.

Addiction counselor

Addiction counselors treat people with addictions. While this usually involves substance use or gambling problems, it can also include less common addictions such as sexual addictions or hoarding.

Addiction counseling is often done in a group setting. This is similar to the methods used by Alcoholics Anonymous. It can also be private or with loved ones affected by the addiction.

Religious counselor

Religious counselors are also known as pastoral counselors. They’re trained to help people with a variety of problems. Their primary focus is on crises of faith, marriage and family counseling, and emotional and mental problems. This is all done within a spiritual context.

These counselors are often leaders in area churches. They may have extensive religious and mental health training. They often conduct sessions on a one-on-one basis or in groups. You may also be able to do sessions in couples or family settings.

Art therapist

Art therapists deal in a very specific type of therapy. This method involves using creativity in ways like painting, sculpture, and writing to explore and help with depression, medical illnesses, past traumatic events, and addiction.

People who believe in this type of therapy think it can help you express underlying thoughts and feelings that traditional talking therapy may not expose.

Social worker

Social workers are dedicated to helping people cope with solve issues in their lives. These issues can include personal problems and disabilities. Social workers can be public employees or they may work in other areas including hospitals, universities, and as therapists with the correct licensing.

They may also address social problems like substance use, housing, and unemployment. Social workers are often involved in family disputes that involve domestic violence or child abuse.

There are many subtypes of social work. These can include:

  • child, family, and school
  • medical and public health
  • mental health and substance use

Training needed

A mental health professional’s training depends on their specific field as well as the state they practice in. Psychologists often require a Ph.D., while psychiatrists require medical degrees. Almost every state requires all types of counselor to have a college degree with specialized training.

Some things to look for in a mental health professional’s background include:

  • state licensing
  • postgraduate degrees: masters or doctorate
  • clinical experience
  • published articles

Who to choose?

You have an important choice to make if you think it’s time to see a psychologist or therapist. Picking the right person to help you overcome any emotional or mental troubles is important. Keep these in mind when you’re choosing someone to talk to:

  • specialty
  • training
  • methods
  • schedule
  • availability
  • convenience

Taking the first step towards seeking help can be difficult. Knowing what type of mental health professional you want to talk to can help the process.

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