Psychiatrist, Therapist, Social Worker, LCSW, Psychologist... Who Should You See?
Summary
TLDRThis video script offers an insightful guide to various mental health professionals, explaining their educational backgrounds, roles, and the types of support they provide. It covers counselors, licensed professional counselors (LPCs), licensed marriage and family therapists (LMFTs), licensed clinical social workers (LCSWs), psychologists, and psychiatrists. The script clarifies that while their training and specialties may differ, the core of therapy remains the same: establishing a connection and providing tailored treatment plans. It emphasizes the importance of seeking help early and the value of a comprehensive treatment team.
Takeaways
- π The video script discusses various mental health professionals, their educational backgrounds, and the types of help they can offer.
- π Counselors typically have a four-year degree and provide guidance and support, but do not offer diagnoses or treatment plans.
- π Licensed Professional Counselors (LPCs) have a master's degree, 3,000 clinical hours, and can offer diagnoses and treatment plans, with a potential focus on addiction.
- π¨βπ©βπ§βπ¦ Licensed Marriage and Family Therapists (LMFTs) have a master's degree with an emphasis on relationships, can diagnose and treat mental illnesses, and work with individuals and families.
- π©βπΌ Licensed Clinical Social Workers (LCSWs) have a master's degree in social work, 3,000 clinical hours, and focus on the person-in-environment model, often working in community settings.
- π§ββοΈ Psychologists hold a four-year doctorate and can engage in both clinical practice and research, often involved in testing and assessment.
- π Psychiatrists are medical doctors with additional training in mental health, primarily focusing on medication management and can also conduct research.
- π The importance of finding a mental health professional who specializes in the client's needs and with whom the client feels a connection is emphasized.
- π Continuing Education Units (CEUs) are mandatory for mental health professionals to maintain their licenses, indicating ongoing learning and development.
- π€ The script suggests that a comprehensive treatment approach may involve collaboration between a therapist, psychiatrist, and general practitioner.
- π Seeking therapy early can prevent escalation of issues and promote quicker recovery, and there is no shame in seeking help when needed.
Q & A
What is the minimum educational requirement to be called a counselor?
-A four-year degree from a college and training in the specific area they work in, such as addiction or school counseling.
What is the role of a counselor in mental health treatment?
-Counselors guide and support individuals, helping them access the proper help they need but do not typically offer diagnoses or create treatment plans.
What does the acronym LPC stand for, and what is the process to become one?
-LPC stands for Licensed Professional Counselor. The process includes obtaining a four-year degree, a master's degree, completing 3,000 clinical hours, and passing the National Counselor Examination (NCE).
How does the role of an LPC differ from that of a counselor?
-LPCs can offer diagnoses, create treatment plans, and provide behavioral techniques, which are roles that basic counselors typically do not perform.
What does LMFT stand for, and what educational path does one take to become an LMFT?
-LMFT stands for Licensed Marriage and Family Therapist. The educational path includes a four-year degree in psychology, a master's degree with an emphasis on marriage and family therapy, 3,000 clinical hours, and passing a licensing exam.
What is the main focus of an LMFT in their practice?
-An LMFT focuses on diagnosing and treating a wide variety of mental illnesses with an emphasis on relationships, including those with oneself and others.
What is the difference between a Licensed Clinical Social Worker (LCSW) and other mental health professionals?
-LCSWs focus on the 'person in environment' model, often working outside of traditional office settings to ensure clients' environments are set up to support their therapeutic needs.
What educational requirements must be met to become a psychologist?
-Psychologists need a four-year undergraduate degree, a four-year doctorate program, completion of 3,000 clinical hours, and passing their licensing exams.
Why might psychologists be more involved in testing and assessment compared to other mental health professionals?
-Psychologists' roots in research make them more inclined towards testing and assessment, although they can also provide clinical treatment.
What distinguishes psychiatrists from other mental health professionals?
-Psychiatrists are medical doctors who have completed medical school and residency, allowing them to prescribe medication and often engage in research.
What is the typical duration of sessions with a psychiatrist today due to insurance and system constraints?
-Most psychiatrists nowadays spend 15 to 30 minutes with patients during 'med checks' to monitor medication effectiveness and side effects.
Why is it important for clients to understand the different types of mental health professionals?
-Understanding the differences helps clients find the proper fit based on specialties, training, and the specific type of support and treatment they need.
What is the speaker's personal view on seeking therapy?
-The speaker encourages seeking therapy early, emphasizing that it can prevent more significant issues and that there is no shame in asking for help.
Why are Continuing Education Units (CEUs) important for mental health professionals?
-CEUs are required every two years, ensuring that professionals stay updated in their field and maintain high standards of practice.
Outlines
π Introduction to Mental Health Professionals
The video script introduces a range of mental health professionals, outlining their roles, educational backgrounds, and the type of support they offer. The speaker aims to clarify the differences between psychiatrists, psychologists, therapists, counselors, and licensed counselors, starting with those requiring the least amount of education and moving to those with the most extensive training. The script emphasizes the importance of finding the right professional based on personal needs rather than their credentials.
π Education and Training of Counselors and Therapists
This paragraph delves into the educational requirements and training processes for counselors and licensed professional counselors (LPCs). It explains that counselors can be certified with a four-year degree and specialized training, while LPCs need a master's degree, 3,000 clinical hours, and to pass the National Counselor Examination (NCE). The speaker also discusses the role of an LMFT (Licensed Marriage and Family Therapist), including their educational path and the services they provide, such as diagnosis, treatment plans, and working with relationships.
π©ββοΈ The Role of LCSWs and Psychologists in Mental Health
The script discusses Licensed Clinical Social Workers (LCSWs) and psychologists, highlighting their educational paths which include a master's degree for LCSWs and a four-year doctorate for psychologists. It mentions that LCSWs often work within a 'person in environment' model, focusing on the therapeutic setup of an individual's surroundings. Psychologists, on the other hand, may focus on research or clinical practice, with the ability to conduct testing and assessment. The importance of matching a client's needs with a professional's specialties is underscored.
π Psychiatrists: Medical Doctors in Mental Health
The final paragraph focuses on psychiatrists, who are medical doctors with extensive training beyond that of other mental health professionals. It explains that psychiatrists can provide therapy and primarily prescribe medication, often conducting brief 'med checks' due to time constraints and insurance limitations. The paragraph also touches on the research aspect of psychiatry and the collaborative nature of mental health treatment teams, emphasizing the psychiatrist's role in medication management and research.
Mindmap
Keywords
π‘Counselor
π‘Licensed Professional Counselor (LPC)
π‘Licensed Marriage and Family Therapist (LMFT)
π‘Licensed Clinical Social Worker (LCSW)
π‘Psychologist
π‘Psychiatrist
π‘National Counselor Examination (NCE)
π‘Clinical Hours
π‘Diagnosis
π‘Treatment Plan
π‘Continuing Education Units (CEUs)
Highlights
Different types of mental health professionals are discussed, ranging from counselors to psychiatrists.
Counselors can be identified by a four-year degree and specialized training, but cannot provide diagnoses.
Licensed Professional Counselors (LPCs) offer diagnoses and treatment plans, similar to therapists.
LMFTs, or Licensed Marriage and Family Therapists, focus on relationships and have a master's degree with 3000 clinical hours.
LCSWs, or Licensed Clinical Social Workers, work within a 'person in environment' model and have a long history in the field.
Psychologists hold a doctorate and may focus on research or clinical work, including testing and assessment.
The difference between PhD and PsyD is highlighted, with PsyD being a clinical doctorate.
Psychiatrists are medical doctors who can provide therapy and primarily prescribe medication.
The role of psychiatrists has evolved from long therapy sessions to shorter 'med checks' due to insurance constraints.
Mental health professionals often require Continuing Education Units (CEUs) to maintain their licenses.
The importance of matching a client's needs with a professional's specialties and training is emphasized.
Early intervention in therapy is encouraged to prevent escalation of mental health issues.
A comprehensive treatment team may include a therapist, psychiatrist, and general practitioner.
The value of seeking help from mental health professionals is underscored, regardless of the severity of one's situation.
The speaker shares personal experience with therapy, highlighting its benefits for mental well-being.
An invitation for viewers to subscribe for more content on mental health and therapy.
Transcripts
Psychiatrist, psychologist, therapist,
counselor, licensed counselor,
LCSW, LMFT! Today we're going to
talk about all the different types of
mental health professionals out there.
What does it mean and what kind of help
can they offer?
*intro music*
I tried to put these in an
order that kind of makes sense, where we go
from potentially least amount of school
and lowest cost, up to the potentially
most amount of school and highest cost
and I hope that kind of makes sense as I roll
through these and I'm gonna reference my notes
because I actually had to do a
surprising amount of research to figure
this out for you so let's get into it!
The first mental health professional I want to
talk about are counselors. Someone can
call themselves a counselor by getting a
four-year degree from a college and then
getting trained in whatever area they
work in. A counselor can work in a
treatment facility and be like an
addiction counselor, recovery counselor
or they can work in a school and be a
school counselor. Now a counselor, such as
this, isn't someone who can offer a
diagnosis, or would put together a
treatment plan for you.
These are usually people that kind of
guide and support you along the way and
get you into the proper help that you
really need. So these can often be the
first person you have access to and are
oftentimes free through different
programs, whether it be a school or
addiction treatment or anything like
that.
The next mental health professional I'm
going to talk about are licensed
professional counselors, or LPCs. That's
the acronym still put at the end of
their name, telling you what their
licensure is. Now I had to look up a lot
about licensed professional counselors
because I didn't really know that much
about it and I don't have any colleagues
that I interact with who have this. But
from my research it sounds like they do
the exact same thing that I did. They get
a four-year degree in psychology from
undergraduate program, then they go on to
get their masters, two years, then they
gather 3,000 hours and they call them
3000 clinical hours, meaning I'm sitting down
with a client and I'm talking or I'm doing
group therapy, some kind of therapeutic
hours and then they take a licensing exam.
Their licensing exam is called the
"National Counselor Examination" or NCE,
and then they're licensed, and they can practice
just like I do. Asked what licensed
professional counselors do and how it can
feel is a client, in truth, and all the
reading that I did, it
sounds very similar to what a therapist does,
to what I do. They can offer diagnoses,
offer treatment to you, they create
treatment plans, they can let you know we
need a higher level of care, they can do
behavioral techniques.
It sounds like they pretty much do the
very same thing. The only thing that I
found a little different from literature
about what I do is that with licensed
professional counseling, they talked a
lot about addiction and so I wonder if
that's something that maybe they're more
specialized in or something they have
more emphasis on? So I guess I need to do
even more research to find that out, but
that's really the only difference. The
next mental health professional that I
want to talk about is myself!
An LMFT. What does that stand for you might
wonder? It's a licensed Marriage and Family
Therapist. Now for many of you who've been
watching me for a long time you've heard
this story but what I did to become a
licensed Marriage and Family Therapist
is, I got a four-year degree in
psychology from Pepperdine University,
and then went back to Pepperdine, cause
I couldn't get enough and got a master's. So two more
years and got my masters in clinical
psychology with an emphasis on marriage
and family therapy. Then I got out, I
gathered 3000 clinical hours and then I
studied to take my licensing exam and
here I am! Just, you know, I don't know,
like, 12 short years later. As for what I
can do as a licensed Marriage and Family
Therapist, I can diagnose and I can treat
a wide variety of mental illnesses, I can
put together treatment plans, I work in
conjunction with hospitals and inpatient
wards and pretty much what it is, is you
come into my office, we talk about things
I offer some tips and tricks and tools
and you use utilize those in your
regular everyday life and we work through
things. They like to think of an MFT
as a person in relationship model. And that
would kind of make more sense as we go
through the next few types of mental
health professionals, but I work a lot
with relationships. Relations with
yourself, relationships with others, and
improving those. The next mental health
professional that I want to talk about,
are licensed Clinical Social Workers or
LCSWs. And that's the acronym that you'll see
at the end of their names. Now licensed
Clinical Social Workers have been around
the longest. They were the first. That was
like the first program available for
people who wanted to offer up therapy
and just like I did, just like the
licensed
professional counselors do, they go
through four years of undergrad
education to a master's degree in
clinical social work, they gather 3000
clinical hours and they study and take
licensing exam.
Now because I have a lot of friends and
colleagues who are LCSWs, I know firsthand
that the testing is very similar and we
could actually study together and we all
passed! So to me, as a client, if you
went in to see an LMFT or an LCSW or
even an LPC, I don't really think you'd
feel any different. As always the most
important component in therapy is that
you actually like the therapist and you
feel connected to them. You feel like you
can tell them anything. And I think that that is really
what we need to focus on rather than
what particular degree they received.
Now social workers were created out of a
need. Out of the hospital setting. That's
really where they came from and so I
like to think of the model that they
work within is person in environment. So a
lot of social workers, like my friend
Rocio, who has been on the channel, she goes
out into the field and go to people's
houses and makes sure that they have the
programs and things set up for them so
they can get to and from work or group
or whatever it is that they're needing
in life. She makes sure that their whole
environment is set up to be therapeutic
and helpful for them. The next mental
health professional that I want to talk
about, are psychologists. Now a psychologist,
unlike LCSWs, LMFTs and LPCs, have not only
a four-year undergraduate degree, but then a
four-year doctorate program. These are
doctors! You call them, you know, like Dr.
Alexa Altman. She's a psychologist she
got four more years after her four year
undergrad, unlike me who did two years.
But similar to LCSWs and LMFTs and LPC's
they also finish their four-year
doctorate program and they gather
clinical hours, they gather 3,000
clinical hours and then they sit for
their licensing exams.
Now I don't know, I haven't talked to
Alexa about what the licensing exam
really looks like, because she took a
while ago as well, but I would guess that
it is very similar,
however, people who have a Doctorate can,
this is the one big difference, they can
focus on research.
They don't have to be clinical and that
is the difference between of PhD
potentially and a PSYD, and that's why
a PSYD was created because the
clinical doctorate program. Now that
doesn't mean that someone with a PhD couldn't
have done a clinical emphasis and have
gathered clinical hours and become
licensed, that's just why there are those
two options. For those of us in school we
can kind of choose early on whether we
want to focus on potentially
research-based, or we want to focus more
on clinical treatment, one-on-one,
person-to-person. Due to the fact that
psychologists kind of come out of the
research realm, that's where it was kind
of born out of, a lot of them do much of
the testing and assessment that I refer my
clients out for. Now that doesn't mean
that I can't do it as well but I have to
go through these certain trainings and I
just think that maybe it's because it's
born out of research, that a lot of
psychologists are interested in testing and
assessment. But other than that, just like
I said before, as a client coming to see
a psychologist or an LCSW, LMFT, LPC, it
won't feel any different. Just like Alexa,
she works out of her office, one-on-one,
with clients just like I do, where
you come in and you talk to put a
treatment plan together and we work
towards our goals. The only big
differentiation between any of these is
honestly, specialties.
What are they trained in? What do they
work with the most? What do they
understand the most? And as a client
trying to find the proper fit, I think
those are the questions that you really
need to be asking. What are you
specializing in? Have you worked in an
inpatient ward with that particular
issue? What is your training like? Did you
do CEUs in these? And CEUs are
'Continuing Education Units' that we all,,
LPCs, all the people I've talked about are
required to do, every two years, are
responsible for 36 hours. So I would just
ask for more information on their
specialties so that you can make sure you're
getting a treatment that you need and
deserve. The last mental health
professional I want to talk about are
psychiatrists! You guys remember Barry. He
came on. We sat in his office, we talked
about medication and all of those things
because Barry is a psychiatrist. He is a
medical doctor. He went to medical school
and that's really what differentiates
them from all of the other mental health
professionals.
He not only got his four-year
undergraduate degree. He did
years of medical school, two years of
residency and then went on to, you know,
take his boards and all the other things
that come along with being a medical
doctor and so just like we call
psychologist doctors because they have
their doctorate we call psychiatrists doctors.
As to what psychiatrists can do, they can
offer therapy and mostly they prescribe
medication. Back-in-the-day, psychiatrists
used to do hour-long sessions where they
would offer therapy just like I do, just
like LCSWs and psychologists do and then
they would prescribe medication as
needed.
However, due to the way that our system
kind of works, and insurance, you know,
wanting to pay them less and less for
less and less time, most psychiatrists,
nowadays, spend anywhere from 15 to 30
minutes with you doing what we call "med
checks." They want to meet with you, they
want to see how your side effects are,
what you're feeling, if you're improving
if you have anything going on, everything
like that and it's mainly focused around
how the medication is helping or not
helping you.
They can also do a lot of research. Many
psychiatrists don't actually do clinical
work where they see clients. A lot of
them will be in labs and running
studies. I've heard from many of you that
when you first went to see a
psychiatrist they often aren't as warm
and fuzzy as therapists and I think
that's really because, first, they're
pressed for time. If they are seeing
someone every 15-30 minutes,
I don't even know how they manage their
schedules. But also it comes out of the medical
model where they do a lot of research
and they do a lot of behind-the-scenes
stuff and they read more on medication
and not so much on clinical, you know,
interaction or bedside manner. But there
are a ton of wonderful psychiatrist out
there and there are some that don't do
any clinical work at all and do only
research. And the greatest thing is that
I know a lot of wonderful psychiatrists.
And they work with me on many clients
that we share and they are all part of
your treatment team, especially if you
are changing medications, or going
through any kind of side effects, they're
the one I'm gonna send you to you and the
one I'm going to talk to make sure that
you're going to help you want. I hope you
found that helpful, I know we use a lot of
different acronyms and there are a ton
of different mental health professionals
and I hope that just kind of helps you
better understand what they've done in
school, what their specialties can be and
how they can best help you.
And as always know that you don't have
to be at the end of your rope to see a
therapist. I see a therapist and mainly I
do it because I need to vent, and I
need someone to talk to and I need an
outside perspective and I think getting
into therapy sooner rather than later
can save us all a lot of pain and hurt. I
find that by going in early and before I feel
really bad, I end up feeling better much
more quickly and it's easier to kind of
nip it in the bud.
Ideally I would love all of you to be
able to have a therapist on board, a
psychiatrist, as well as your general
practitioner, your regular medical doctor,
because that way we have all bases
covered, right? We have mental health,
physical health, and the pharmacological
stuff that can go on with different
medications they can put you on.
I know that not all of you have the
ability or the resources to do that and
so a very slimmed down version of what a
treatment could look like could be seeing
your school counselor, or recovery
counselor, that comes at a very low cost to
you, and seeing psychiatrist, that hopefully
your insurance will cover and that can
be enough to get us through. But know that
you need more support
there's no shame in asking for it. People
who get into this field, any kind of
mental health professional, do it because
we want to help people. And want to be there
for you. We want to help understand what's
going on and give you the treatment that
you need and deserve.
I love you all! If you're new, click here
to subscribe and I will see you all next time.
Bye!
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