More threads by David Baxter PhD

David Baxter PhD

Late Founder
Name That Rose: A Guide to Mental Health Professionals
by BETSY BATES FREED, Psy.D.
July 17, 2012

Oncologists, perhaps, are all-too-familiar with Professional Title Confusion, the disorder that leads people to ask about molting at cocktail (cockatiel?) parties when they assume the practitioner is an ornithologist.

Pity the poor anesthesiologists, who, it?s been said, are mistaken not only for anesthetists, but aestheticians as well. Or gynecologists, who must have to explain that they explore neither family trees nor sedimentary rock.

In the world of mental health, Professional Title Confusion is rampant, and getting more confusing with the dawning of the age of life coaches, psychic counselors, and aromatherapists.

The most common mix-up among patients (but few physicians) is the distinction between a psychiatrist (an MD who can prescribe medications) and a psychologist, who provides psychotherapy. Licensed clinical psychologists possess doctoral degrees: either a PhD (generally a degree emphasizing research and clinical practice) or a PsyD (a "practitioner/scholar" degree emphasizing counseling).

Psychologists see patients with serious mental illness as well as individuals, couples, and families facing adjustment challenges. They conduct psychological testing. As in medicine, some specialize (i.e., neuropsychologists, health psychologists, and forensic psychologists). Their postgraduate training generally lasts 6-8 years, including a year long internship and almost always, a dissertation.

Educational or school psychologists, on the other hand, may or may not have doctoral degrees, but are licensed to provide specialized care within the school setting, including testing for learning disabilities.
Here?s a quick primer on the other mental health specialists you may encounter in your practice setting (or in the ads of your local independent newspaper.)

LCSW: Licensed clinical social workers, like psychologists, receive training in family dynamics and psychotherapy, but they also have a special expertise in advocacy and identification of community resources for patients. They possess at least a master?s degree (MSW) and have done extensive field work prior to being licensed by their respective states. Some have a doctoral degree (PhD or DSW) and conduct research. In the field of oncology, LCSWs are often core members of the psychosocial team.

MFT: Marriage and Family Therapists are also sometimes called LMFTs (Licensed Marriage and Family Therapists) or MFCCs (Marriage, Family, and Child Counselors). They possess master?s degrees in counseling, have done training in the field, and are licensed by their respective states.

Psychiatric Nurse/Psychiatric?Mental Health Nurse: These are registered nurses who specialize in psychiatric illness. Advanced practice registered nurses who are PMH APRNs possess master?s or doctorate degrees and have more autonomy, in some cases prescribing medications.

Counselor or psychotherapist: Although they imply legitimacy, these are generic terms that describe what a person does, rather than his or her credentials.

Psychoanalyst: This term describes a person who approaches psychotherapy based on theoretical principles first outlined by Sigmund Freud, generally after receiving highly specialized training in the method. It is not a licensing term, but an approach, and does not indicate whether or not the psychoanalyst is a psychologist, psychiatrist, or other mental health professional.

Child life specialist: These behavior specialists with training in child development and family dynamics during illness are likely to be found in hospital settings. They generally hold bachelor?s or master?s degrees and may provide support during procedures or work with families in meeting specific targeted goals. They are not licensed at the state level, but many are certified by the Child Life Council, a nonprofit organization.

Art therapist, music therapist, poetry therapist, dance therapist: These alternative therapists may come from any of the fields listed above, or from the artistic disciplines themselves. They do not hold licenses in these areas, but each field of specialty has one or more organizations that outline training standards and certification.

Life coach: This is a person who helps people achieve personal goals. No licensure is required but independent organizations may recommend training or provide certification.
 
that was very helpful! Thanks for posting Dr Baxter

Ive been wondering about the guy i talk to every other week, like what it means to be a "social worker" with MSW after his name ... i was always too scared to ask him about his credentials because i didnt want him to feel insulted or like it really mattered to me. HE took me on for free and i really appreciated having someone to talk to. Now that im hearing 'terms' about my mental health, im not sure if they are valid or his best guess,,,,perhaps thats why he referred me to whitby shores...he used the term D.I.D again yesterday...but am still unsure and wonder about that type of diagnoses
 

Retired

Member
Please don't ever hesitate to ask about anything here. No one will ever fault you for asking for information on Psychlinks.

Let's wait for David to answer your question, so you will have the right information.

Paraphrasing Sweetsoleil's query:

Can an MSW provide a valid and legal diagnosis, or is it only an educated opinion, to be confirmed by another practitioner?
 
thanks Steve you answered my question, i was being curious about the man i talk to, whether or not to call him a "therapist" or a "counsellor" and trying to get it all straight in my head as to what letters go after someones name and what they mean. This social work man has used a few terms with me that make me think hes giving a diagnoses but i dont really know if its just his opinion or if its true... i appreciate your help :)

---------- Post Merged at 12:37 PM ---------- Previous Post was at 12:29 PM ----------

you worded that question just how i was trying to ask it, thankyou!!! :)
 

David Baxter PhD

Late Founder
There are only two categories of mental health professional with the legal authority to diagnose (or convey diagnoses) In Ontario: (1) physicians/psychiatrists with an M.D. degree and licensed with the College of Physicians and Surgeons; and (2) psychologists registered/licensed by the College of Psychologists of Ontario.

An MSW is, as Steve said above, an academic Social Work degree. Social Workers also have their own regulatory college and if they are licensed by that College they are able to use the additional designation RSW (Registered Social Worker; in some States the equivalent designation would be LCSW). However, that does not authorize them to diagnose.
 
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