Psychiatrists, Counselors, Psychologists? Oh my! Your Guide to the Different Types of Mental Health Professionals 

Whether you are a client seeking care, a student looking to broaden their understanding, or a business owner interested in what types of professionals best meet your needs – the path to understanding the many options in the mental health field can be a confusing one. In this blog, I’ll give you a brief summary of the types of mental health professionals available, what education they undergo, their typical roles, and their general approach to treatment. 

Licensed Clinical Social Workers (LCSWs)

  • Education & Training: LCSWs hold a master’s degree in social work and are licensed to practice after completing supervised clinical hours and passing a licensing exam. Their training typically includes coursework with an emphasis on counseling techniques, social/economic considerations, and advocacy within social systems. 
  • Role: They provide psychotherapy and support, focusing on the client’s environment and social context. LCSWs are also licensed to diagnose and treat mental health disorders. They often work in community settings, hospitals, or private practices. 
  • Approach: Their practice often emphasizes a social and economic perspective, providing access to resources like housing, employment, and healthcare. They may integrate but are not limited to various therapeutic techniques, including cognitive-behavioral and solution-focused strategies.

Licensed Professional Clinical Counselors (LPCCs)

  • Education & Training: Counselors have obtained a master’s degree in counseling and have completed two years of supervised clinical work following graduation.  Many hold specialized certifications depending on their clinical focus (e.g. marriage and family, EMDR, or substance use). 
  • Role: Provide diagnosis and treatment of mental health disorders through individualized psychotherapy. LPCCs often collaborate with other mental health professionals to support a shared client. They often work in private practices, schools, or community organizations.
  • Approach: Counseling may be more directive than other forms of therapy, focusing on problem-solving and skill development. Techniques like motivational interviewing, cognitive or dialectical behavioral approaches, and narrative therapy are common.

Psychologists

  • Education & Training: Psychologists hold a doctoral degree (PhD or PsyD) in psychology. Their training includes extensive coursework in psychological theory and practice, along with supervised clinical experience.
  • Role: Psychologists diagnose and treat mental health disorders through  providing psychotherapy and assessment. They pursue specialization in areas like clinical psychology, counseling psychology, or school psychology. Psychologists differ from LPCCs and LCSWs in that they can conduct complex psychological assessments, such as for ADHD and Autism diagnosis. 
  • Approach: Psychologists use various therapeutic modalities, commonly but not limited to cognitive or dialectical behavioral therapy, psychodynamic therapy, or humanistic approaches.

Psychiatrists

  • Education & Training: The oldest of the mental health professions, psychiatrists complete a medical degree (MD or DO), followed by a residency in psychiatry. They have extensive training in both medical and psychological aspects of mental health.
  • Role: They diagnose and treat mental illnesses, often using a combination of psychotherapy and medication. Psychiatrists are particularly skilled in managing complex cases where medication is necessary, such as with severe depression, bipolar disorder, or schizophrenia.
  • Approach: Psychiatrists focus on biological and neurological factors, often using a medical model of treatment. Their ability to prescribe medications makes them vital for patients needing pharmacological intervention.

Psychiatric Nurse Practitioners

  • Education & Training: A medical profession newer to the mental health field, these professionals are registered nurses who have completed advanced education (a master’s or doctoral degree) in psychiatric nursing. 
  • Role: They assess, diagnose, and treat mental health conditions through prescribing medications. They often work in collaboration with psychiatrists and other mental health professionals but some work in private practice settings as well.
  • Approach: Their treatment often incorporates a holistic view of mental health, considering physical health, lifestyle, and emotional well-being. Some are also qualified to provide psychotherapy and education to patients. 

Final Thoughts

Keep in mind that with the ever-evolving mental health system these descriptions might not be accurate for every professional. Each type of mental health professional offers unique perspectives and skills that contribute to a comprehensive mental health care system. Choose a provider that facilitates understanding, empathy, and trust above all. Together these professionals can collaborate in providing you the best quality of care. 

About the Author: Eleanor Raker (she/her) MA., LPC is a Licensed Professional Counselor who specializes in Dialectical Behavioral Therapy. Eleanor works with teens (ages 14+) through adults that are seeking better balance in their lives and the tools to get them there. She believes the therapy process is unique to each person and strives to make meaningful connections to each client. Click here to learn more about Eleanor’s experience and therapeutic approach.