Asklemmy

I’m a developmental psychologist, and the biggest thing is people just not knowing what “psychologist” means.

The tl;dr here is:

Most psychologists aren’t therapists. Most therapists aren’t psychologists. If you’re looking for quality mental health care, don’t revere the “doctor.”

A “psychologist” refers to someone with a PhD in psychology (or someone who does psychological research within an interdisciplinary field, like education or human development). Critically, a psychologist is a researcher (and often an educator at the college+ level). Psychology is a massive field, and the most common subfields are cognitive, developmental, social, clinical, and neurobio.

A “clinical psychologist” is a research psychologist is the particular subfield of clinical psychology. Along with research, clinical psychologists usually learn clinical psychotherapy practices and then may (or may not) choose to incorporate offering therapy into their career. A similar path is the “PsyD” (doctor of psychology) which also falls under the “psychologist” heading. Like a clinical psych PhD, a PsyD has had advanced training in research and practice, but the balance of the degree leans much more toward practice. People who opt for a PsyD rather than PhD usually plan to pursue a fully clinical career, but are qualified to do research as well.

A “therapist” is someone who is trained and licensed to provide clinical psychotherapy. Most therapists in the US have a master’s degree in social work (or a few others, like counseling psychology), specialized clinical training in one or more areas or treatments, and additional state licensure requirements. Clinical and counseling psychologists (with PhDs) can act as therapists if they get and maintain licenses, but this is a small fraction of therapists. PsyDs make up another chunk, but the majority do not have a terminal PhD/PsyD.

As a psychologist, I don’t say this because I think my PhD makes me better than someone with an MSW — the reverse! I hear people get advice to not see a therapist if they are “just” a social worker without a PhD. Meanwhile people come up to my dumbass self and think I am qualified to act as a therapist or like I know anything about clinical or abnormal psychology. Like, wanna know how 2-year-olds and 12-year-olds use nonverbal signals like shrugs to facilitate conversational interaction differently from each other and from adults? No? Then I am not the person you’re looking for. Go talk to that extremely knowledgeable and well-trained person with an MA.

…Meanwhile a “psychiatrist” is a whole other thing. They have an MD and can prescribe medication. Very rarely they may also offer psychotherapy, but that’s hard to make happen in the US a healthcare system.