Exploring Therapy: A Guide to Different Types of Mental Health Therapists By a Bozeman, MT Counselor

Embarking on a journey toward emotional well-being often involves seeking the support of a therapist. The world of therapy is diverse, with various approaches and specializations tailored to meet the unique needs of individuals. It isn’t uncommon for a client to enter my office stating that their last therapist was not a good fit. Sometimes fit is about the relationship, but it can also be about the approach. Understanding the different types of therapists available can empower you to make an informed decision about the type of therapy that best suits your preferences and goals. Here’s a guide to some of the most common types of therapists and their specialties.

Psychiatrists:

Psychiatrists are medical doctors who specialize in the diagnosis, treatment, and prevention of mental health disorders. They are licensed to prescribe medication and often work in conjunction with other mental health professionals, such as therapists or counselors, to provide comprehensive care. Psychiatrists are licensed to provide talk therapy but often focus mainly on medication management and treatment.

Psychologists:

Psychologists are trained professionals who hold doctoral degrees (Ph.D. or Psy.D.) in psychology. They specialize in assessing and treating mental health issues through various therapeutic techniques, including talk therapy, cognitive-behavioral therapy (CBT), and psychoanalysis. Psychologists may work in private practice, hospitals, clinics, or academic settings, providing individual therapy, group therapy, and psychological assessments.

Licensed Professional Counselors (LCPC or PCLC*):

Licensed Professional Counselors are mental health professionals trained to provide counseling and therapy to individuals, couples, families, and groups. They typically hold master’s degrees in counseling or related fields and are licensed by state regulatory boards. LCPCs/PCLCs may specialize in areas such as marriage and family therapy, substance abuse counseling, trauma therapy, or career counseling.

Licensed Clinical Social Workers (LCSW or SWLC*):

Licensed Clinical Social Workers are licensed professionals with master’s degrees in social work (MSW) who specialize in providing therapy and support to individuals, families, and groups facing mental health challenges. They often work in hospitals, community mental health centers, schools, or private practice

settings. Licensed Clinical Social Workers may provide counseling similarly to an LCPC, case management, advocacy, and support services to clients dealing with issues such as trauma, addiction, homelessness, or domestic violence depending on their specialty.

Licensed Marriage and Family Therapists (LMFT or MFLC*):

Marriage and Family Therapists are trained to address relational and family dynamics by providing therapy to couples, families, and individuals. They hold master’s degrees in marriage and family therapy or a related field and are licensed to practice therapy. MFTs focus on improving communication, resolving conflicts, and strengthening relationships within the family system.

Licensed Addiction Counselors (LAC or ACLC*)

Licensed Addiction Counselors specialize in providing support and treatment for individuals, families, and groups struggling with substance use and addiction challenges. They are trained to assess, diagnose, and treat addiction disorders, as well as provide counseling and support to clients and their families. LACs may work in various settings, including addiction treatment centers, hospitals, community mental health agencies, and private practice.

School Counselors:

School Counselors are professionals who work in educational settings, providing support and guidance to students in various areas of their development, including academic, social, and emotional well-being. They typically hold master’s degrees in counseling or related fields and are trained to address the diverse needs of students across different grade levels. School Counselors may provide individual counseling, group counseling, classroom presentations, and crisis intervention services to students experiencing academic challenges, personal issues, or mental health concerns.

Art Therapists:

Art Therapists utilize the creative process of making art to explore emotions, reduce stress, and promote healing and self-expression. They are trained to work with individuals of all ages and may specialize in areas such as trauma recovery, grief and loss, or developmental disabilities. Art Therapists may hold master's degrees in art therapy or related fields and are often licensed or certified by professional organizations.

Specialized Therapists:

In addition to the above categories, there are therapists who specialize in specific areas such as trauma therapy (e.g., EMDR), sex therapy, addiction counseling, eating disorder treatment, and LGBTQ+ affirmative therapy. These specialized therapists have advanced training and expertise in their respective fields and provide tailored interventions to meet the unique needs of their clients. Not all

titles are protected, meaning people can advertise expertise without significant amounts of training so be sure to ask your therapist about their individual experience.

Choosing the right therapist is a deeply personal decision, and it’s essential to consider factors such as the therapist's approach, expertise, and personality fit. Take the time to research different types of therapists, ask questions, and trust your intuition when selecting a therapist who can support you on your journey toward healing and growth. Remember that therapy is a collaborative process, and finding the right fit can make all the difference in your mental health and well-being.

*** These are candidate licenses. This means that an individual has finished their education portion of their degree but is working towards full licensure under a licensed supervisor.