Therapy or Psychiatry: Understanding the Difference
- eric2054
- Sep 29
- 3 min read
Deciding to prioritize your mental health is an important step, but you might hear terms like therapy and psychiatry and wonder what the difference is, or which one you really need.
While both are focused on improving your emotional well-being, they take very different approaches. At Clearview Mental Health, we often see people who benefit from one, the other, or even a combination of both. Understanding how they differ can help you make an informed choice about your care.
What is Therapy?
Therapy, sometimes called counseling or psychotherapy, focuses on helping you explore and improve your thoughts, emotions, and behaviors in a safe, supportive environment. Therapists hold advanced degrees in fields like counseling, social work, or psychology. They do not prescribe medication, but they can diagnose mental health conditions and use evidence-based techniques to help you cope and heal.
How therapy helps
Therapy is often structured around regular sessions, usually weekly or biweekly, and can be short-term or long-term depending on your needs. Therapy can help with:
Identifying and understanding patterns that affect your relationships, work, or self-esteem
Building healthy coping strategies for stress, anxiety, or depression
Processing past trauma and difficult life experiences
Improving communication and relationship skills
Setting and achieving personal goals
What is Psychiatry?
Psychiatry is a branch of medicine focused on diagnosing, treating, and preventing mental health disorders. Psychiatrists are medical doctors (MDs or DOs) who have completed medical school and specialized residency training in mental health. Because of their medical background, psychiatrists can prescribe medications and are trained to understand how mental health conditions interact with physical health. Psychiatry can help with:
Diagnosing complex mental health conditions
Prescribing and adjusting medications
Providing supportive talk therapy and education about mental health
Creating comprehensive treatment plans
Psychiatry can be especially helpful for conditions where medication may be part of effective treatment, such as ADHD, depression, anxiety disorders, bipolar disorder, or PTSD.
Therapy vs Psychiatry: Key Differences
Therapy | Psychiatry |
Focuses on talk therapy and behavioral support | Focuses on diagnosis and medication management |
Cannot prescribe medication | Can prescribe and manage psychiatric medications |
Typically weekly or biweekly sessions | Sessions may be monthly or as needed for medication follow-ups |
Led by licensed counselors, social workers, or psychologists | Led by medical doctors or psychiatric nurse practitioners |
Helps you build coping strategies and process emotions | Helps address symptoms at a biological and neurological level |

Do You Need Therapy, Psychiatry, or Both?
It’s common to feel unsure about which type of care you need. Here’s a general way to think about it:
Therapy may be a good starting point if you’re struggling with stress, relationships, or specific life challenges. Example: You’ve been feeling anxious at work, or you want to process grief after a major loss.
Psychiatry may be a better fit if you’re experiencing more severe or persistent symptoms that interfere with daily life. Example: You’ve tried therapy before, but your depression hasn’t improved, or your anxiety causes panic attacks and sleepless nights.
Many people benefit most from both therapy and psychiatry working together. For example, therapy helps you develop tools to manage challenges while psychiatry addresses symptoms through medication when needed.
Taking the First Step
Your mental health journey is unique. There Is no one-size-fits-all solution. At Clearview Mental Health, we make it easy to get started. Our team of therapists and psychiatric providers works together to ensure you receive compassionate, personalized care. We offer:
Same-week appointments for therapy and psychiatry
Evening and weekend availability
Insurance-friendly services, including Medicaid and commercial insurance plans
Virtual sessions so you can get care from the comfort of home
If you’re ready to take the next step or still unsure where to start, we can help guide you.
Call us today at (614) 930-2750 or visit www.clearview-mentalhealth.com to schedule your first appointment.




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