Psychiatrist vs. Therapist: Which Do You Choose?

June 20, 2025

Psychiatrist vs. Therapist: Which Do You Choose?

When looking for a mental health professional, it can be difficult to know who to turn to. There are a lot of different names, titles, and acronyms out there. All of them are listed as mental or behavioral health, but not all of them do the same things. The biggest difference is between a psychiatrist and a therapist.

What’s in an Acronym?

Psychiatrists are usually labeled as a PsyD (psychiatric doctor). You may also find individuals who prescribe psychiatric medication under the label of PLNP or PsyLNP (a psychiatric licensed nurse practitioner). 

Therapists can be found under a large assortment of acronyms. This can also vary by state! For example, LMHC, LCSW/LICSW, MSW, PCP, MEd-Counseling, and some may be labeled with just a PhD. These will all vary by the education the individual received and the license that is most often attached to that level of education. Someone with a PhD is the only person in this list that would be referred to as a psychologist, more specifically, as they have received a doctorate level education in psychology.

The important part to know is that for a therapist, as long as the individual is licensed, they are qualified to do their job. There is no inherent benefit in going for one particular type of licensed individual over another. 

What’s The Difference Between a Psychiatrist and a Therapist?

The big differences here are their primary functions and what they can and cannot do. Psychiatrists can prescribe medication while therapists cannot. Usually, psychiatrists will only prescribe medication as they often have limited training in administering psychotherapy techniques.  Sometimes, however, you will find a psychiatrist who is well versed in both aspects and will provide both services. This is rare, however. 

Therapists provide therapy, or counseling. This is also called talk therapy, psychotherapy, or can be referred to by the modality the therapist uses. For example, motivational interviewing, CBT, or ACT. 

Who Do I Choose?

This really depends on what you need. If you have a mental health condition that requires medication management, then you need to consult a psychiatrist. If you feel your condition can be managed by gaining better coping skills, talking things out with a neutral party, or having your thoughts heard by another person, then a therapist is the right choice.

Many of those who use medication to manage their conditions may also benefit from therapy, depending on their symptoms. 

Psychiatrist vs. Therapist: Which Do You Choose?

Ready to Take the First Step?

You don’t have to figure it all out before reaching out. Whether you’re curious about therapy or ready to begin, we’re here to walk beside you.