Looking for a Counselor or Psychotherapist: What is the Difference and How to Choose a Therapist

Lauri J. Rowe, M.A., LPC, LMT
Professional Psychotherapy Services, Marshall, MI

“Counseling” and “psychotherapy” are often used interchangeably when talking about options for mental health care. They have many similarities, but there are some important differences. While most therapists may provide both counseling and psychotherapy, it is generally known that providing psychotherapy requires more skill than simple counseling.

Counseling is where two people work together to solve a problem, this often involves advise giving. In the context of mental health, “counseling” is used to denote a relatively brief treatment focusing primarily on behavior. It often targets a particular symptom or problematic situation and offers suggestions or advise for working with it.

Psychotherapy is generally a longer-term treatment focusing on gaining insights into chronic emotional issues or problems. It looks at the thought processes, perhaps influenced by past events that could be causing problems in the present. In other words, psychotherapy addresses the root cause and core issues of current problems potentially bringing about lasting change and where personal growth may occur.

Therapy is a very fluid process in that counseling often includes some psychotherapy and psychotherapy often includes some counseling.

Both counseling and psychotherapy develop a healing, safe, and therapeutic relationship between a therapist and an individual with proven effectiveness for a wide range of people. Both can lead to an understanding of feelings and behaviors and address issues with the goal of improving a person’s mental health.

Choosing a therapist can sometimes come down to personal preferences, access, or insurance coverage. Know this; the level of trust you have in your therapist plays the most important role as to whether the therapy works for you and what you need. Therapy, be that counseling or psychotherapy, is dependent on the therapeutic relationship. It is the relationship between the therapist and the client that creates the environment for mental and emotional healing to happen.

Use your knowledge and intuition when choosing a therapist – and monitor your heart for healing.

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