This list of different types of psychologists, therapists, and counselors will help you choose a career in counseling. Included here are clinical psychologists, counseling psychologists, psychiatrists, social workers, and pastoral counselors.
I’m in my first year of my MSW (Master’s of Social Work) at UBC (the University of British Columbia). My goal is to counsel people coping with chronic illness.
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These job descriptions can help you start a counseling career, or help you decide not to go into counseling at all…
Clinical psychologists specialize in severe psychological disorders such as depression, learning disabilities, eating disorders, and anxiety. Clinical psychologists often work as part of a team to offer mental health help. Depending on where they work, a psychologist’s team may include social workers, doctors, and other health professionals.
Clinical psychologists also offer group, marital, or individual therapies are both offered by most psychologists (in fact, most mental health counselors will work with both groups and individuals).
Counseling psychologists tend to focus on problems in daily life, rather than severe psychological disorders. These mental health counselors often work in the community, in hospitals, schools, businesses, clinics, and private settings. Counseling psychologists help with relationships, work, grief, and major life stresses.
Counseling psychologists specialize in a number of disciplines, such as cognitive-behavioral, Freudian, Jungian, existential-humanistic – or a combination of two or three different psychological disciplines.
When I’m a counselor (which is different than a psychologist), I hope to include my dog in my counseling sessions.
Psychiatrists are medical doctors who have both a medical degree and graduate degrees (Master’s and PhD) in psychology. Typically, psychiatrists treat mental and emotional disorders with a combination of prescription medication and counseling therapy. These mental health doctors help with severe psychiatric disorders, such as schizophrenia and multiple personality disorder — or with less severe phobias and learning disorders. This type of counseling career requires more education and training than a career that focuses on psychology or counseling alone.
Psychiatry often involves prescribing medications such as antidepressants, while psychology focuses on behavior change without medication (though both counseling psychologists and clinical psychologists work with clients who take medication).
Clinical Social Workers
Clinical social workers often work in hospice, hospital, or out-patient care facilities. These mental health counselors focus on the social context of their client’s problems. For instance, clinical social workers often work with families to provide psychological help; often the entire family is involved in therapy.
This counseling career often involves working with elder or child abuse, adjustment to chronic or debilitating illness, substance abuse, cultural concerns, and guardianship issues. Clinical social workers may have psychology degrees, but typically have a Master’s in Social Work (MSW).
A social worker I know uses EMDR (Eye Movement Desensitization and Reprocessing) therapy to help clients get unstuck.
Pastoral counselors are trained in both psychology and theology to help people with mental health struggles or psychological disorders. Often they combine spiritual insights or guidance with problem-solving tactics to provide psychological help. Their fees may be lower than other mental health counselors as they often work in non-profit settings. Some pastoral counselors offer free counseling as part of their church or religious organization’s service to the community.
These counseling careers aren’t “absolute.” That is, the roles, responsibilities, and activities of different types of counselors can change. For instance, pastoral counselors don’t always include theology or prayer in counseling, and may not introduce spirituality into the counseling sessions at all. Counseling or clinical psychologists may introduce spirituality into counseling if appropriate.
Psychiatrists don’t always prescribe medication, and instead choose focus more on mental health counseling. Specific job duties may change, depending on the mental health counselor and his or her organization and location.
For more tips on counseling careers, read Does Psychotherapy Work? 3 Tips for Analyzing Your Psychotherapist. You’ll learn about counseling from the client’s perspective!