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What is the difference between a Psychologist and a Psychiatrist?

Psychologists go through five to seven years of academic graduate study, finishing in a doctorate degree. They may hold a PhD or a PsyD. Those who are mainly interested in clinical psychology — treating patients as opposed to focusing on research — may pursue a PsyD. Psychologists do not prescribe medication. Psychologists also specialize in psychological testing.

A psychiatrist is a Medical Doctor (M.D.) who has graduated from a medical school. A psychiatrist’s training focuses on general medicine while in medical school. They will then go on to 3-4 years of residency where they will specialize in psychiatry. While for many years in the past, the psychiatrist normally prescribed medications and also delivered psychotherapy, their roles have changed today. For the most part, psychiatrists now do psychiatric evaluations for the purpose of determining if an individual would be appropriate for treatment with medications. If so determined, the psychiatrist prescribes the medications and then follows the patient for medication management. Medication management includes initially following the patient closely until they are stabilized with the proper dosage (usually once every 1-2 weeks until stabilization occurs) and then usually once every 1-3 months for maintenance.

What is the difference between a Licensed Professional Clinical Counselor (LPCC) and a Licensed Independent Social Worker (LISW)?

A LPCC has both a master’s degree in Clinical Counseling and has also had supervised clinical work experience. When they have attained the proper number of clinical hours practicing, they must then pass a national- or state-certified licensing exam. Counselors often treat people dealing with problems such as alcoholism, addiction, or eating disorders. Some specialize in marriage, family, or child counseling.

A LISW has a master’s degree in Social Work accredited by the Council on Social Work Education. This professional has also had supervised clinical work experience and has passed a national- or state-certified licensing exam. LISW have been widely known to work with an individual in the context of the wider community, helping those dealing with domestic violence, child abuse, drug abuse, or foster-care issues, among many others.

In a private practice setting, such as ours, Counselors and Social Workers work in similar ways and with similar clientele.

What do all the licensures stand for?

  • DTR, Registered Dietetic Technicians are educated and trained at the technical level of nutrition and dietetics to practice for the delivery of safe, culturally competent, quality food and nutrition services. This is an additional licensure that therapists can earn if they want to concentrate on the nutritional aspects of eating disorders.
  • LISW, Licensed Independent Social Worker. Described above.
  • LISW-S, Licensed Independent Social Worker with a Supervisory licensure that allows them to supervise resident social workers that are not yet independently licensed.
  • LPCC, Licensed Professional Clinical Counselor. Described above.
  • LPCC-S, Licensed Professional Clinical Counselor with a Supervisory licensure that allows them to supervise resident counselors that are not yet independently licensed.
  • LPC-CR, Licensed Professional Counselor has graduated with their master’s degree and are working as a clinical resident under a LPCC-S.
  • CT, Counselor in Training is currently in a master’s program at a university and is practicing under a LPCC-S along with additional supervision by a professor.
  • LCDC-III, Licensed Chemical Dependency Counselor with a Level Three (Highest not independent level). This is an additional licensure that some LPCC can earn if they concentrate on substance abuse addictions and choose to pursue this additional license.
  • LICDC, Licensed Independent Chemical Dependency Counselor. This is the highest license a person can attain in chemical dependency and is the supervisory license for other chemical dependency licenses.
  • LIMFT, Licensed Independent Marriage and Family Therapist have a master’s degree, clinical practicum work, and have passed state-certified licensing exams.
  • NCC, National Board for Certified Counselors (NBCC) issues the National Certified Counselor certification. The NBCC certifies counselors who have passed the National Counselor Examination for Licensure and Certification (NCE). This professional credential requires an advanced degree in counseling, clinical training, face-to-face counseling, among other course work.

What if I don’t feel comfortable with my therapist?

Although our front office makes every effort to schedule each new client with the clinician that is the best fit possible, it is not a guarantee that a therapist and client end up “clicking” with each other. Most clinicians have a certain style that they use and it may not fit with every individual. If you are at all uncomfortable with the way your therapy is going, or you simply don’t feel a connection with your therapist, there is no problem in switching. If you don’t like your therapist you are less likely to have as successful treatment outcome. If you don’t feel a good connection with your therapist, switching will benefit you in the long run. Our office has many different clinicians that have many different styles; this allows us the unique opportunity to find each person a “good fit”. We are additionally networked with many other clinicians in the surrounding communities and can recommend other qualified professionals.

What is the cancelation policy?

If you need to cancel or reschedule an appointment, please give 24-hours notice to avoid
any unnecessary charges for late cancellation or no-show. The appointment time is reserved for the client only and most insurance companies will NOT pay for missed sessions, meaning that the client or responsible party (if child) will then be responsible for $50.00 for each missed appointment. Emergencies are understandable and are handled differently. It is at the discretion of the therapist with whom the client was scheduled as to whether or not the charge will be waived. Please address all questions to the therapist thought the front office at our main number.

I’ve never attended an appointment. What should I expect?

Most sessions last 45-55 minutes per visit. Some therapists request longer visit times for special occasions such as first-time meetings which would allow more time to get background information. During the first visit you and your clinician will set goals for you to reach and a realistic time table for you to reach those goals. You may choose to come weekly, biweekly, monthly, or any customized version. You and your therapist will decide together the arrangements for your sessions. The first session is used primarily to get to know your therapist and for your therapist to begin to get to know you and begin the “assessment” and goal setting process. See more

Are gifts ok?

After developing a strong and healthy relationship with a therapist, clients may have the desire to commemorate Holidays or other special occasions through the offering of gifts. Unfortunately, our professional licensing boards strictly forbid the acceptance of gifts by licensed professionals. The best gift our therapists can receive is the gift of a personal referral or you can submit a recommendation for your therapist to be posted on our website under testimonials.