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What are the differences between a psychologist and a psychiatrist?

Dr John Crimmins

Dr John Crimmins

Cognitve Behavioural Psychotherapist.

There are many differences between a Psychologist and a psychiatrist. It is a common misconception that psychology and psychiatry are the same thing. In reality, the professions have significant differences. True, there may be some crossover between practices. This is why it’s critical to understand the distinction between a psychologist and a psychiatrist before seeking treatment.

One of the most pressing health-related issues we face today is mental health. Multiple research studies indicate that conditions such as depression and anxiety are becoming more common with each passing year. If you are experiencing any type of mental health issue, it is critical that you contact the appropriate type of mental health professional as soon as possible.

How do you know if you should see a psychologist or a psychiatrist for medical treatment? What kinds of treatments do they provide? What kind of education do they have? Let’s go over all of this and more as we look at the distinction between a psychologist and a psychiatrist.

Psychiatrist vs. Psychologist

There are several similarities between psychologists and psychiatrists. Both offer treatment to a diverse range of patients. Those suffering from chronic medical conditions, children, adults, and the elderly may all require assistance at some point in their lives. Some mental health professionals specialize in helping specific populations, such as inmates, abuse survivors, or military personnel.

Yes, there may be some overlap in the types of patients treated by these providers (as well as how they can treat them). Understanding the differences — from training to what patients can offer and how they can be treated — will help you find the right provider. 

Prescribing medication

The difference between Psychologists and Psychiatrists

The following are the three primary distinctions between psychiatrists and psychologists:

1. Psychologists are not medical doctors, although psychiatrists are.

2. Psychiatrists are the only ones who can prescribe medicine; psychologists are unable to do so.

3. Psychiatrists treat complicated and significant mental illnesses by diagnosing illness, managing treatment, and providing a variety of therapies. Psychologists aid patients by giving psychotherapy (talk therapy).

What Exactly Is Psychiatry?

Psychiatry is a medical specialty concerned with the diagnosis, treatment, and prevention of mental, emotional, and behavioral disorders.

A psychiatrist is a doctor of medicine (M.D. or D.O.) who specializes in mental health, including substance use disorders. Psychiatrists are trained to evaluate both the mental and physical aspects of psychological issues.

People seek psychiatric treatment for a variety of reasons. Sudden problems, such as a panic attack, frightening hallucinations, suicidal thoughts, or hearing “voices,” can occur. Or they could be more long-term, such as feelings of sadness, hopelessness, or anxiety that never seem to go away, or problems functioning that make everyday life feel distorted or out of control.

Diagnosing Patients

Because they are physicians, psychiatrists can order or perform a full range of medical laboratory and psychological tests which, combined with discussions with patients, help provide a picture of a patient’s physical and mental state. Their education and clinical training equip them to understand the complex relationship between emotional and other medical illnesses and the relationships with genetics and family history, to evaluate medical and psychological data, to make a diagnosis, and to work with patients to develop treatment plans.

Specific diagnoses are based on criteria established in APA’s Diagnostic and Statistical Manual of Mental Disorders(DSM-5), which contains descriptions, symptoms and other criteria for diagnosing mental disorders.

What Treatments Do Psychiatrists Use?

Psychiatrists use a variety of treatments – including various forms of psychotherapy, medications, psychosocial interventions and other treatments (such as electroconvulsive therapy or ECT), depending on the needs of each patient.

Psychotherapy, sometimes called talk therapy, is a treatment that involves a talking relationship between a therapist and a patient. It can be used to treat a broad variety of mental disorders and emotional difficulties. The goal of psychotherapy is to eliminate or control disabling or troubling symptoms so the patient can function better. Depending on the extent of the problem, treatment may take just a few sessions over a week or two or may take many sessions over a period of years. Psychotherapy can be done individually, as a couple, with a family, or in a group.

There are many forms of psychotherapy. There are psychotherapies that help patients change behaviors or thought patterns, psychotherapies that help patients explore the effect of past relationships and experiences on present behaviors, and psychotherapies that are tailored to help solve other problems in specific ways. Cognitive behavior therapy is a goal-oriented therapy focusing on problem-solving. Psychoanalysis is an intensive form of individual psychotherapy which requires frequent sessions over several years.

Most medications are used by psychiatrists in much the same way that medications are used to treat high blood pressure or diabetes. After completing thorough evaluations, psychiatrists can prescribe medications to help treat mental disorders. While the precise mechanism of action of psychiatric medications is not fully understood, they may beneficially modulate chemical signaling and communication within the brain, which may reduce some symptoms of psychiatric disorders. Patients on long-term medication treatment will need to meet with their psychiatrist periodically to monitor the effectiveness of the medication and any potential side effects.

Medication is frequently prescribed in conjunction with psychotherapy by psychiatrists.

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Psychologists

 

What they do.

Practicing psychologists assist a diverse range of individuals and can address a variety of issues. Certain individuals may consult a psychologist if they have been depressed, angry, or anxious for an extended period of time. Alternatively, individuals seek assistance with a chronic ailment that is impairing their lives or physical health. Others may want assistance handling short-term issues, such as feeling overwhelmed by a new job or grieving the loss of a family member.

Psychologists can assist individuals in learning to cope with stressful situations, overcome addictions, and manage chronic illnesses, as well as administer tests and assessments that can aid in diagnosing a condition or provide additional information about how an individual thinks, feels, and behaves. These tests can be used to assess intellectual abilities, cognitive strengths and weaknesses, vocational aptitude and preference, personality traits, and neuropsychological functioning.

How they assist.

Practicing psychologists can assist with a variety of health concerns and utilize a variety of evidence-based treatments to assist individuals in improving their lives. They frequently make use of therapy (often referred to as psychotherapy or talk therapy). There are numerous types of treatment, but the psychologist will work with the client to choose the strategy that is most effective in resolving the individual’s problem and is compatible with the patient’s qualities and preferences.

Cognitive-behavioral, interpersonal, humanistic, psychodynamic, or a blend of several treatment methods are all prevalent types of therapy. Individual, couple, or family therapy is available. Certain psychologists are also trained in hypnosis, which has been shown in research to be useful for a variety of ailments, including pain, anxiety, and mood disorders.

For some illnesses, a combination of therapy and medicine is the most effective treatment. Psychologists collaborate with primary care physicians, pediatricians, and psychiatrists on the entire management of individuals who benefit from medication. Five states, New Mexico, Louisiana, Illinois, Iowa, and Idaho, have enacted legislation authorizing licensed psychologists with additional, specialized training to prescribe drugs to treat emotional and mental health issues such as depression and anxiety.

Where they are employed.

Many psychologists either run their own private practice or collaborate with other psychologists or health care providers. Psychologists in practice also work in a variety of other settings. They are located in schools, colleges, and universities, hospitals and medical clinics, correctional facilities and prisons, veterans’ medical centers, community health and mental health clinics, businesses and industries, nursing homes, and rehabilitation and long-term care facilities.

Treatment Differences.

There are a few key distinctions between how psychologists and psychiatrists treat patients. In general, specific types of therapy are used as the foundation of any treatment process by both mental health professionals.

As an example, both psychologists and psychiatrists use therapy techniques such as cognitive-behavioral therapy (CBT) or dialectical behavioral therapy (DBT) (DBT). They also frequently use other types of talk therapy.

Treatment via medication is an important area where the fields diverge. Only in a few states are psychologists permitted to prescribe medication, and even then, they must have specific advanced training.

A psychiatrist, on the other hand, can prescribe medication to any patient who requires it, regardless of where they live. If you believe you will require medication, this can be a deciding factor when choosing a provider. You might want to consider this when deciding who you’ll work with. If you’ve already been diagnosed, or if you’ve been prescribed medication in the past,  it might be helpful  to seek help from a psychiatrist from the start.

Practice Distinctions

Beyond education and training, we want to examine how psychologists and psychiatrists differ in their actual practices.

A psychologist can help patients address negative behavioral patterns that are detrimental to their well-being. They are confident in making diagnoses based on interviews, observations, and surveys. Keep in mind that psychologists do not typically prescribe medication. Despite this limitation, they work in environments similar to those of psychiatrists. Private practices, hospitals, psychiatric hospitals, nursing homes, prisons, and even rehabilitation programs are examples of places psychologists may work.

Psychiatrists frequently establish their own private practice. However, they can also work in general hospitals, psychiatric hospitals, nursing homes, or prisons. Some psychiatrists are also trained in rehabilitation programs. Each psychiatrist has a distinct practice style. Many people will start with talk therapy, and some will move faster than others to prescription medication. Psychiatrists frequently use a combination of treatments if the diagnosis calls for it.

When Should You See a Psychiatrist Rather Than a Psychologist?

How do you know when to see a psychologist vs. a psychiatrist? If you have a complex mental health issue that you either know or suspect requires medication — for example, severe depression, severe anxiety, schizophrenia, bipolar disorder, or anything else with hallucinations or delusions — you should see a psychiatrist who can prescribe the medication you require.

Alternatively, if you’re going through a difficult time and want to better understand what’s going on in your life, speaking with a psychologist could be a good place to start. A psychologist can recommend various types of therapy that may be appropriate for you and your mental health care needs.

If you have any questions or are unsure whether a particular mental health provider is right for you, you should contact them to learn more about their qualifications and the treatments they provide. This way, you can make the best decision for yourself or a loved one when seeking assistance.

Consult your primary care physician if you’re unsure whether you should see a psychiatrist or a psychologist. They can help you decide if you should see a psychiatrist or a psychologist.

It will be determined by your specific circumstances and the type of treatment you require. 

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