Getting Started!

If you are reading this, you are most likely getting ready to make your first therapy appointment. It can be daunting to make the initial phone call. You may wonder what type of therapist you should meet with and what to expect. I hope to provide some clarity regarding the different types. There are some similarities and differences between what we can do for you and the types of services we offer. This way you will know what to ask for and can advocate for your mental health needs. Most likely, your therapist will specialize in particular areas (i.e. children, couples, anxiety, CBT). It is recommended to select a therapist that specializes in the area in which you want to address in therapy. Therapist type, speciality and expertise are all facets of what can ensure a great fit. Healing will take place if the therapist-client fit is an emotionally safe one.

Residents or Supervisees

Residents, or Supervisees, are therapists who are working towards licensure. They may become Licensed Social Workers (LCSW), Licensed Professional Counselors (LPC) or Licensed Marriage and Family therapists (LMFT). Typically, this process can be anywhere from 2-4 years. They need to complete a certain number of hours and a national exam before licensure. Some accept insurance and some do not, but do accept cash pay. They are a great option if you aren’t using insurance or if you would like to work with someone who is learning some of the newest techniques in the field. Since they are supervised by licensed therapists, it’s like having two therapists for the price of one!

Social Work, LCSW

LCSWs are licensed social workers that focus on individual treatment. LCSWs can be advocates and serve as the link between you and various helping agencies. They are particularly useful in setting up services and obtaining resources. You may find LCSWs in hospitals, agencies, and school settings, to name a few.

Licensed Professional Counselor, LPC

LPCs are licensed professional counselors. They focus on individual and developmental issues that interfere with your overall functioning. They can help to facilitate change individually. Some LPCs also work with couples and families, not only individuals. 

Licensed Marriage and Family Therapist, LMFT

LMFTs are licensed marriage and family therapists. They focus on issues that stem from relationships, such as communication, distress, and parenting issues. They can help to facilitate change in relationships. LMFTs are specialized in working with couples and families. They would welcome all affected parties to therapy, if there are no safety issues. 

Psychologists, PhD or PsyD

Psychologists are social scientists who have attended graduate school and obtained either a research (PhD) or clinical (PsyD) doctoral degree. Psychologists can administer and interpret results from psychological testing. They will make recommendations based on these results. These recommendations may include referral to a Psychiatrist or any of the aforementioned providers. Psychological testing can be helpful for children who are having difficulty in school or adults who are having interpersonal challenges at work.

Psychiatrists, MD

Psychiatrists are trained medical doctors and can prescribe medication. If you are in need of medication management, it is recommended to see a Psychiatrist. You may see both a Psychiatrist and any of the aforementioned providers simultaneously. A Psychiatrist will focus on the appropriate medication to treat your presenting issue and explore possible side effects. Typically, you will have an initial appointment, a 1 month follow-up, and thereafter, appointments on an as-needed basis. 

All therapist types pertain to how they are defined in Virginia and all are required to complete at least a master’s degree. All of these therapists will work together in order to provide the best treatment for you or your family. I commend you for taking the first step!