Therapy vs Psychiatry – How do you choose? What worked for you?

Difference between Therapist and Psychiatrist

Even though both sides work collaboratively, they’re still different worlds. Psychotherapy, also known as talk therapy, uses the techniques and strategies involved in uncovering the different aspects of an individual, ranging from their childhood experiences to the present demands of their life. A therapist provides psychotherapy services which include combining different psychotherapeutic approaches to heal clients dealing with their daily life challenges, trauma, stress or other mental wellness concerns.

A therapist offers mental health care by providing an environment where the client feels safe, heard and better understood.

On the other hand, a psychiatrist is a mental health doctor who has the desired qualifications to diagnose mental health disorders and prescribe medicines.

How to choose between therapy and psychiatry?

Well, the answer to this question completely depends upon an individual’s presenting concerns. Therapy and psychiatry cover different areas of concern. While therapy includes more counselling services related to emotional well-being, managing trauma or relationship issues, psychiatry focuses on clinical psychiatric help, especially when symptoms are persistent, severe, and are linked to a diagnosed mental health issue.

If you feel your area of concern is related to 

  • More emotional or behavioural problems – Issues like breakup, low self-esteem, anxiety related to performance, public speaking, grief, etc. – then psychotherapy might be the right place for you.
  • More clinical or biological problems – Issues related to hallucinations, delusions, severe panic attacks, persistent depressed mood, and suicidal tendencies. Consider visiting a psychiatrist.

In some cases of mental health treatment, the best of both worlds are applied: to heal with the help of therapy and to control symptoms with psychiatry.

Do I need a therapist or a psychiatrist?

Just like Spiderman was told, “With great power comes great responsibility.” In the same way, with the mental health industry booming and making people understand the need for finding a mental health professional, comes greater responsibility for choosing the right one.

Although it would be better for a mental health professional to make an accurate assessment, you can still make an informed choice beforehand.

If you feel like:

  • You’re struggling with stress, anxiety(mild level), relationship issues, exam anxiety, overthinking, and more issues related to everyday burnouts and want a space where you can let it all out, along with someone helping you explore parts of you; then a therapist might be the right fit for you.
  • If you’re someone struggling with severe, prolonged concerns, such as experiencing delusions, hallucinations, suicidal thoughts, or extremely different mood swings, you may consult a psychiatrist who can help you provide the accurate diagnosis and mental health resources.

What worked for me

While I was sitting with the same dilemma, I asked myself, What do my symptoms look like? What do I need right now? What kind of support am I looking for?

The route of these questions took me to the road of online therapy because I wanted mental health support from someone who can listen to me and make me feel heard as well. Talk therapy worked for my symptoms, and my therapist made me understand accurately that a combination of these two works for different individuals.

Brownie Points *Conclusion*

In conclusion, it’s better not to make the decision by choosing only one side. In many cases, combining therapy and psychiatry offers the most comprehensive mental health support. If you’re still struggling with finding the right answer and want to gain a deeper insight into the same, you can look out for mental health resources online, ask for referrals, or use platforms that connect you with licensed therapists and psychiatrists. What matters most is recognising when you need a little extra help—and that moment of honesty with yourself? That’s real courage.

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