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I am often asked about the difference between a psychotherapist and other helping professions. For many years in Australia, funded psychological services have been monopolized by symptom focused, pathologising and medically orientated approaches. Increasingly, people are looking further afield than GP mental health care plans and making a choice to pay privately so that they can have a broader range of choice regarding their preferred practitioner and treatment style. The clients who come to my private practice are looking for a more holistic and soulful approach to their health and well-being as well as one which is evidence based and firmly grounded in western psychology; a balance of both masculine and feminine energy. There is an increasing base of evidence which confirms what practitioners and clients of psychotherapy have known for years – psychotherapy really does work. Clients report healthy lifestyle changes after just a few sessions and many see a significant difference in their lives within three to six months. There are many different schools (behavioural, psychoanalytic, humanistic, existential, transpersonal etc) and standards of psychotherapy training range from certificates to Master’s degrees. Psychotherapists, who have had a classic and rigorous training, would have trained at degree level for at least four years and sometimes up to eight years.
PACFA registered psychotherapists in Australia are required to have a certain level of training, supervision and clinical hours under their belt before they are accredited. Therapeutic and psychotherapeutic counsellors are able to work at greater depth, using the therapeutic relationship and usually with a wider range of issues. Some counselling programs require their trainees to participate in their own counselling and some do not.
Coaches can gain qualifications through short online courses or at greater depth through private coaching organisations.
The ICF requires members to have a certain level of training, supervision and clinical hours under their belt before being accredited. Social workers often work in the fields of child protection, family welfare, youth, women’s and refugee services, hospitals and increasingly in private practice. AASW registered social workers in Australia are required to have a certain level of training, supervision and placement hours under their belt before they are accredited. Psychology is predominately a medically orientated model which often focuses on diagnosis and symptom reduction of mental illness. Psychologists in Australia are registered with the AHPRA and can register with the APS  – they must first complete a minimum of six years training and supervision to be eligible.

Training in psychiatry sometimes includes depth psychoanalytic psychotherapy, however, there is an ever increasing focus on prescription based psychopharmacology. The latest evidence shows that psychotherapy works better than medication alone for symptoms such as depression and anxiety. Jodie Gale is a leading specialist in women’s emotional, psychological and spiritual health and well-being. Pingback: Psychotherapist, counsellor, social worker, life-coach, psychologist, psychiatrist – what’s the difference? I love this clear description of the different definitions of mental health practitioners Jodie! As a veteran myself, I pray that God can heal the hearts and bodies of so many veterans that have experienced unspeakable horrors in many wars, and lately, in Iraq and Afghanistan. Very helpful and practical information -- I am giving a Veterans Day Prayer at my church and your site responded perfectly.
Whilst appropriate for some people, these masculine approaches are not suitable for everyone.
Psychotherapy is a soulful approach to healing which provides long lasting change and resolution of the pervasive, underlying issues that continue to impact on life and relationships. Psychotherapy works best when sessions are consistent and attended weekly.
Most psychotherapists work in private practice using a multitude of techniques and theories. Psychotherapists trained at this level are also required to have a significant amount of their own personal therapy per year (approximately 40 sessions per training year) and usually group therapy throughout the duration of their training.
Counselling normally focuses on a specific issue and tends to be more short-term work, from 6 sessions to 6 months. PACFA and ACA registered counsellors in Australia are required to have a certain level of training, supervision and clinical hours under their belt before they are accredited. The coach’s job is to provide support to enhance the skills, resources, and creativity that the client already has (ICF).
Coaches often learn counselling skills, however, they are not trained in psychotherapy.  Many psychotherapy, counselling and psychology trainings contain coaching components. In Australia, a Bachelor of Social Work takes four years and students are not required to participate in their own clinical social work, counselling or psychotherapy sessions. Psychologists providing psychotherapy should have a post qualification in clinical psychology or psychotherapy.

If you feel that a psychiatrist is the professional best suited to you, find one who also specialises in talk therapy.
She has qualifications in psychotherapy, social work, therapeutic counselling, eating psychology coaching and has extensive experience and training in psychology and psychiatric illness.
In particular, I appreciate you highlighting that psychotherapists are required to undergo their own therapy as opposed to psychologists, life coaches and psychiatrists. This means that they have ’walked the path’ similar to that which their clients will be journeying along. They take a holistic view of health and well-being and they work towards maximizing human potential (AASW). Social workers who provide psychotherapy in private practice should have a post qualification in clinical social work or psychotherapy. They work in many fields: research, health and welfare services, government departments, academic institutions, education, corporations, marketing, training and development and in private practice (APS). Psychologists are not required to participate in their own clinical psychology or psychotherapy sessions. Alternatively, participate in psychotherapy alongside taking medication – this will help get to the root of the problem. Please check with the appropriate associations and federations for the requirements of where you live.
Jodie is passionate about putting the soul back into therapy and works in private practice in Manly and Allambie Heights on the Northern Beaches of Sydney, Australia. An important distinction that speaks to the depth of work and change that is possible through engaging in medium to long-term psychotherapy. If you are seeking depth psychotherapy, choose a psychotherapist who is trained in psychotherapy – unfortunately anyone can say they provide psychotherapy when in fact they may not be trained in this very specific discipline.

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