What is the difference between seeing a therapist, psychologist, psychiatrist? Which should you see?

Experiencing intense anxiety, it impacts me daily. Trying to find help but unsure of which route to take to best help myself. I know that I don’t have to keep feeling this way.
Asked by Megan
Answered
07/24/2022

It can definitely be overwhelming when making decisions of how to seek help in the mental health field. I think you should start by being proud that you are even reaching out for help! Great job there!

Psychiatrists are medical providers who specialize in mental health evaluation and treatment, which may include medication management when clinically appropriate. They can be a helpful place to start if you are looking for a psychiatric evaluation and want to explore whether medication support may be part of your care plan based on a full clinical assessment. Some psychiatrists also offer therapy-related services, but many focus much of their time on evaluation and medication management. BetterHelp now offers psychiatry services through UpLift as an additional care option alongside therapy. Medication availability and coverage may vary by member location, clinical appropriateness, and individual pharmacy/insurance benefits. Prescribing decisions are made by the treating clinicians. We do not guarantee that any specific medication will be prescribed or covered by a member’s insurance plan.

Psychologists have a strong foundation in evaluation and testing--Diagnoses that require an in-depth process to test, evaluation, compare, and consider various options. Some psychologists spend most or all of their time doing this part of treatment, while others spend a portion of their time in this area as well as providing therapeutic interventions. This is a great option for people who have complex needs or have not had great success with finding the root of the problem.

Therapists and counselors specialize in direct care through various therapeutic interventions. While they can diagnose in most cases, most of the time is spent in providing treatment through talk therapy. Even within therapists and counselors, there is a wide range of specialties and modalities. Some have specialized in trauma, grief, family, couples, addictions, etc.

I truly believe people who are starting their mental health treatment journey through any avenue or professional, should treat this like a job interview: you deserve the best service and treatment! Find someone who you can connect with, feel comfortable exploring difficult topics, a person who will challenge you to grow from a place of support and genuine positive regard! Take your time exploring a variety of professionals, reviewing any feedback from previous clients, their credentials, work experiences, as well as having interactions of interpersonal conversations. This should be your first goal as you begin this journey! Professionals who have experience working with the problem and population you perceive to be the main issue will be able to work concisely and effectively with you to identify YOUR goals for treatment, aid in developing a plan to work towards achieving them, challenge you to make progress, encourage you to find your path to success, and work alongside you to build skills you may need in the future when faced with other challenges.

You may even find through this process that you need a variety of services. It can sometimes be less intimidating to start with one professional and allow them to explore and provide recommendations or referrals as needed.

Frequently asked questions

What is online psychiatry and medication management?

Online psychiatry and medication management provide virtual access to licensed psychiatrists and psychiatric nurse practitioners who evaluate mental health symptoms, create treatment plans, and prescribe medication when clinically appropriate. Care is delivered through secure video appointments, making it easier to access support without long wait times or travel.

Does BetterHelp offer psychiatry and medication management services?

Yes. BetterHelp offers psychiatry and medication management services through its partnership with UpLift, providing virtual access to licensed psychiatrists and psychiatric nurse practitioners. These services are available to adults (18+) and may include psychiatric evaluations, treatment planning, and medication management when clinically appropriate. Psychiatry is designed to complement therapy as part of a holistic mental health care approach, with all treatment decisions made by licensed providers based on individual needs.

How does medication management work online?

Medication management typically begins with a psychiatric evaluation, where a provider reviews your symptoms, history, and goals. If appropriate, they may prescribe medication and schedule follow-up visits to monitor effectiveness, adjust dosage, and address side effects. Treatment is personalized and based on your clinical needs.

Can an online psychiatrist prescribe medication?

Yes, licensed psychiatric providers can prescribe many commonly used mental health medications online, including treatments for anxiety, depression, and mood disorders. However, prescribing decisions are based on a clinical evaluation, and not all medications are appropriate or guaranteed. Controlled substances are not prescribed on the platform.

Is online psychiatry effective for mental health treatment?

Research shows that online psychiatry can be as effective as in-person care for many conditions. Virtual care allows for faster access to providers, ongoing monitoring, and consistent support, which can improve outcomes when combined with therapy or other treatments.

What conditions can be treated with online psychiatry?

Online psychiatry and medication management can support a range of mental health conditions, including anxiety, depression, ADHD, and mood disorders. Providers create individualized treatment plans based on your symptoms, which may include medication, therapy, or a combination of both.

Do I need therapy if I’m using medication management?

Medication management and therapy often work best together. While psychiatry focuses on diagnosis and medication management, therapy helps address thoughts, behaviors, and emotional patterns. Many people benefit from a combined approach, but your provider will recommend care based on your specific needs.