What’s The Difference Between A Psychologist & A Psychiatrist?

Understanding the Differences: Psychiatrist vs Psychologist

Psychologists and psychiatrists are both professionals who deal with mental health, but many people don’t realise they are actually quite different. This article will explore how both can help and guide you to understand which might be the best fit for you. This article delves into the differences between psychologists and psychiatrists in the UK, offering insight into their roles, training, and practices within the country’s healthcare system. The aim is to provide relevant information for individuals seeking mental health support in the UK.

In this article, we will cover:

• The main differences between these types of practitioners
• How to choose between these types of practitioners
• How they compare when treating anxiety, depression, or prescribing medicine
• FAQs: What is the Difference Between Psychology and Psychiatry?

What is a Psychiatrist?

A psychiatrist is a medically trained doctor who specialises in psychiatry. They focus on diagnosing mental, emotional, and behavioural disorders, often including a physical examination and a detailed history of your symptoms. Based on this assessment, they can prescribe medication to treat your symptoms and improve your mental well-being. Psychiatrists in the UK hold a medical degree (such as M.B.B.S. or M.B.Ch.B.) and have completed special training in psychiatry after medical school.

What is a Psychologist?

A psychologist, whether a clinical or counselling psychologist, holds a doctoral degree in psychology. Their focus is on the emotional and behavioural aspects of mental health conditions. Unlike psychiatrists, psychologists take a history of an individual’s life events and emotional difficulties to arrive at a formulation of what is causing someone’s emotional distress or behaviour patterns. They then identify a treatment plan using evidence-based psychological approaches, such as Cognitive Behavioural Therapy (CBT). Clinical psychology is a branch that specifically deals with diagnosing and treating mental, emotional, and behavioural disorders through talking therapies and other non-medical interventions.

What Are the Main Differences Between Psychiatrists & Psychologists?

Understanding the distinctions between psychiatrists and psychologists is vital when seeking mental health support. These professionals bring unique skills and approaches to the table. Below, we delve into the primary differences between them, shedding light on their education, training, and approaches to treatment.

Education and Training

• Psychiatrists:
  • Medical doctors with a degree (such as M.B.B.S. or M.B.Ch.B.)
  • Specialty training in psychiatry after medical school
  • Training in diagnosis and pharmacotherapy

• Psychologists:
  • Doctoral degree (such as D.Clin.Psych. or Ph.D.) in psychology
  • Extensive training in psychotherapy, psychological testing, and research
  • No medical training or ability to prescribe medication

Approach to Treatment

• Psychiatrists:
  • Focus on medical aspects and diagnosis
  • Can prescribe medication
  • Often treat severe mental health conditions like schizophrenia and bipolar disorder

• Psychologists:
  • Focus on understanding emotional and behavioural issues
  • Use psychotherapy and other non-medical interventions
  • Work on issues such as depression, anxiety, trauma, and behavioural problems

Scope of Practice

• Psychiatrists:
  • Diagnose and treat mental health conditions
  • Prescribe medications and may use other treatments such as Electroconvulsive Therapy (ECT) in severe cases

• Psychologists:
  • Conduct psychological assessments and therapy
  • Cannot prescribe medication but can provide referrals to psychiatrists or other medical doctors if necessary

Should I Choose a Psychologist or Psychiatrist?

It can be challenging to know how to choose between a psychologist and psychiatrist when seeking support for your mental health. It’s a significant decision, and it’s natural to feel uncertain about which path to take. In this section, we’ll walk through the considerations to help you make the best choice for your unique needs.

When to Choose a Psychiatrist

• Prefer a medical diagnosis and treatment approach
• Need medication to manage symptoms
• Sick of earth earthHave severe mental health conditions (e.g., schizophrenia, bipolar disorder)
• Experience severe physical symptoms impacting daily functioning
• Have thoughts of self-harm or harm to others

When to Choose a Psychologist

• Prefer a therapeutic approach without medication
• Find diagnostic labels unhelpful
• Want to explore emotional and behavioural issues through talking therapy
• Have experienced trauma or need help with relationship issues
• Struggle with behavioural problems

Collaborative Care: Psychologist vs Psychiatrist

• In many cases, a combined approach is beneficial
• Psychiatrists and psychologists often work together, particularly for complex cases
• A psychiatrist may manage medications while a psychologist provides therapy
• Psychiatrists will often refer patients to a Psychologist for CBT Treatment 
• Some neurodevelopment disorders such as Autism and ADHD also recommend a multi-disciplinary approach for diagnosis.

Settings for Psychiatrists and Psychologists in the UK

Understanding where psychiatrists and psychologists work can help you access the support you need. From NHS hospitals to private practice, these professionals offer services in various settings. Let’s explore where you can find them and how they can help you.

Psychiatrists:

• NHS Hospitals: Provide specialist mental health care in psychiatric wards, outpatient clinics, and community mental health teams.
• Private Practice: Offer consultations and treatment outside of the NHS, often providing specialised services.
• Community Mental Health Teams: Collaborate with healthcare professionals to provide comprehensive care in the community.
• Specialist Services: Work in areas such as, addiction services, forensic psychiatry, or liaison psychiatry.

Psychologists:

• NHS Primary Care: Provide psychological assessments and therapy in GP practices and community health centres.
• Specialist Mental Health Services: Offer therapy and support in secondary care mental health teams, outpatient clinics, and specialist services.
• Private Practice: Deliver assessments and therapy outside of the NHS, providing flexibility in treatment options.
• Educational and Research Institutions: Conduct research, teach, and provide support services in educational and research settings.
• Corporate and Organisational Settings: Provide workplace mental health initiatives and organisational consultancy to support employee well-being.

Treatment of Depression and Anxiety: Psychiatrist vs Psychologist

Finding the right approach to tackle depression and anxiety is essential for anyone navigating these challenges. Psychiatrists and psychologists offer unique ways to help, each with its own strengths. In our comparison table, we break down these differences. These are described in more detail below.

Depression

Psychiatrist: For individuals experiencing severe symptoms of depression that significantly impact physical health and daily functioning, a psychiatrist may be the preferred option. Psychiatrists are medical doctors specialised in mental health who can prescribe medication to help stabilise severe symptoms. Medication, such as antidepressants, can be effective in managing symptoms of depression, restoring chemical imbalances in the brain, and providing relief from intense emotional distress.

Psychologist: Psychologists offer a complementary approach to treating depression by focusing on exploring underlying emotional issues and developing coping strategies through therapy. This may involve various therapeutic modalities, such as Cognitive Behavioural Therapy (CBT), interpersonal therapy, or psychodynamic therapy. Through therapy sessions, individuals can gain insight into their thoughts, feelings, and behaviour, identify negative patterns, and learn effective coping skills to manage symptoms of depression. Psychologists work collaboratively with clients to create a supportive and empowering environment for personal growth and recovery.

Anxiety

Psychiatrist: For individuals struggling with severe symptoms of anxiety, including panic attacks, debilitating worry, and physical manifestations such as rapid heartbeat or shortness of breath, a psychiatrist can provide medical intervention. Psychiatrists can prescribe medication, such as anti-anxiety medications or antidepressants, to alleviate severe anxiety symptoms and provide relief. Additionally, psychiatrists conduct thorough assessments to diagnose anxiety disorders and develop treatment plans tailored to individual needs, addressing both the biological and psychological aspects of anxiety.

Psychologist: Psychologists specialise in treating anxiety through therapy, offering evidence-based interventions such as Cognitive Behavioural Therapy (CBT), exposure therapy, and relaxation techniques. Therapy sessions focus on addressing maladaptive thought patterns, challenging irrational fears, and developing coping strategies to manage anxiety symptoms effectively. By learning behavioural interventions and relaxation techniques, individuals can gradually confront and overcome their fears, regain a sense of control, and improve their overall quality of life. Psychologists provide ongoing support and guidance throughout the therapeutic process, empowering individuals to overcome anxiety and live fulfilling lives.

FAQs: What is the Difference Between Psychology and Psychiatry?

Our FAQs address common questions to help demystify these two fields of mental health care. From understanding when to seek support to the roles of psychologists and psychiatrists, we provide clear answers to guide you on your mental health journey.

Can I See Both a Psychologist and a Psychiatrist?

Yes, it’s common for both professionals to work together for comprehensive care. For example, a psychiatrist might manage medication while a psychologist provides therapy.

Can a Psychologist Prescribe Medication?

No, psychologists cannot prescribe medication. If you need medication, you will need to see a psychiatrist or your GP for a referral.

When Should I Seek Mental Health Support?

Seek support if emotional or behavioural difficulties are impacting your daily life. Keeping a diary of thoughts and activities can help you and the professional understand your condition better.

What Happens During My First Appointment with a Psychiatrist or Psychologist?

During your initial appointment, expect an assessment of your medical history, symptoms, and personal circumstances. The clinician may discuss your concerns, past treatments, and family history, and conduct assessments to understand your condition. Together, you’ll develop a personalised treatment plan.

How Often Will I Attend Sessions with a Psychiatrist or Psychologist?

Session frequency varies based on your condition, treatment goals, and progress. Initially, sessions may be more frequent to assess symptoms and develop a plan. As treatment progresses, sessions may become less frequent, tailored to your needs and progress.

Can I Get Private Mental Health Treatment Instead of Using NHS Services?

Yes, private mental health services are available for those who prefer not to use NHS services or want additional support. Private psychiatrists, psychologists, therapists, and counselling services offer tailored treatment options, including specialised therapies not available through the NHS, with shorter waiting times and greater clinician choice.

Further information from the British Psychological Society and the Royal College of Psychiatrists

Interested in learning more about psychology and psychiatry? Explore resources from trusted sources like the British Psychological Society and the Royal College of Psychiatrists. Discover the roles of psychologists and psychiatrists directly from these organisations.

What makes a Psychologist? – British Psychological Society

What is Psychiatry? – Royal College of Psychiatrists

How Should I Book an Appointment with Select Psychology?

If you are not sure which approach would be better for you we have various ways you can find the best therapist for your needs, this can be searching yourself, browsing our team and booking using our online triage, or by having someone guide you through the options its up to you – but if you need help, the important thing is to get started.

Our focus is psychology, however if it seems that an appointment with a psychiatrist would be better for you, you can be rest assured that we work in partnership with both child and adult services and would be happy to recommend someone.