Once you’ve decided to seek care for depression, you’ll need to decide which type of therapist you’d like to see.
Although it’s often used as such, “therapist” is not a one-size-fits-all label. In reality, there are many kinds of mental health practitioners. Understanding the differences between them can help you select the right provider for you.
Psychiatrist
Psychiatrists are physicians, meaning they most likely hold an MD degree. They have completed both medical school and specialized training in psychiatry, allowing them to diagnose and treat a wide range of mental health conditions and prescribe medications such as antidepressants. Some psychiatrists offer talk therapy and prescribe medication, while some only prescribe. Many people have both a psychiatrist who oversees their prescription and a separate talk therapist.
Psychologist
Psychologists have gone through doctoral training and received either a PhD or PsyD degree. Doctoral programs generally last four to six years, meaning psychologists are highly qualified to make mental health diagnoses and provide therapy. Some also develop specialties, such as diagnosing ADHD or autism or practicing particular forms of therapy. But because they are not medical doctors, psychologists cannot prescribe medication.
Licensed therapist or counselor
These professionals may have titles like licensed professional counselor (LPC), licensed mental health counselor (LMHC), or licensed marriage and family therapist (LMFT). Licensed therapists and counselors have a master’s degree, meaning they have advanced training, but usually less than that of a psychiatrist or psychologist.
Licensed therapists and counselors can evaluate clients’ mental health and provide therapy, but they cannot prescribe medication and may not be able to make a formal diagnosis, depending on the state in which they practice.
Licensed clinical social worker
Licensed clinical social workers must also have a master’s degree. They practice under titles like licensed clinical social worker (LCSW) and licensed master social workers (LMSW). While many clinical social workers provide traditional talk therapy, their training includes considering a person’s social and environmental factors, rather than focusing on their mental health alone. They can also have specialized training in a variety of psychotherapy modalities. When appropriate, LCSWs may also get involved in court cases and provide advocacy services where relevant.
Psychiatric nurse practitioner
Psychiatric nurse practitioners are registered nurses who hold either master’s or DNP (doctor of nursing practice) degrees. They can diagnose mental health conditions, provide therapy, and prescribe medications, either on their own or in partnership with a physician. Psychiatric nurse practitioners practice in a range of settings, from primary care clinics and hospitals to community mental health centers.