Is a Mental Health Counselor the Same as a Therapist?

Catherine Tabuena
3 min readSep 5, 2022
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People often use the words “counselor” and “therapist” interchangeably, but they aren’t technically the same. They both have similar training and education, but there are some differences between the two professions. The key difference boils down to training and licensing standards.

If you are seeking help for a mental health issue, choosing the type of provider that best meets your needs and preferences is important. Learn more about the differences between counselors and therapists and what they specialize in.

Differences in Approach: Where Counselors and Therapists Differ

Mental health counselors and therapists have distinct approaches to mental health.

Mental health counselors typically focus on helping their clients manage their emotions and stressors. They tend to offer short-term care with a set number of sessions and use techniques such as talk therapy,

Counselors also place a heavy emphasis on present-day problems and support clients with life challenges such as job changes, relationship difficulties, or coping with addiction issues.

Therapists, on the other hand, are more focused on helping their clients understand and change their thought patterns and behaviors.

They do more in-depth mental health work. Often therapists work with clients with chronic medical and psychological conditions and use a variety of different approaches, including cognitive behavioral therapy, psychodynamic therapy, psychoanalysis, and humanistic therapies.

Training and Qualifications: How are Counselors and Therapists Trained?

Mental health counselors and therapists are both trained to help people with mental health issues, but there are some differences in their education and training.

Counselors typically have a master’s degree in counseling, while therapists often have a master’s or doctorate degree in psychology or a related field.

Both counselors and therapists receive extensive training in mental health issues and how to treat them. However, therapists often receive more training in psychological theory and research methods than counselors and have additional training in specific areas such as family therapy or substance abuse counseling.

It’s important to note that requirements vary across countries. In general, licensed counselors and therapists in the United States must have the following.

Licensed counselor qualifications:

  • Earn a master’s degree in counseling or a related field
  • Log a minimum of 2,000 hours of supervised clinical experience
  • Pass one or more National Board for Certified Counselors (NBCC) exams
  • Receive approval from a state licensing board

Licensed clinical therapist qualifications:

  • Earn a master’s or doctorate degree in psychology or a related field
  • Log 1,500 to 6,000 hours of supervised clinical experience
  • Pass one or more National Board for Certified Counselors (NBCC) exams
  • Receive approval from a state licensing board

Despite these variations in training and qualifications, both counselors and therapists are able to provide effective treatment for mental health issues.

Conclusion

Understanding the difference between a mental health counselor and a therapist is important. While both work with patients to help them improve their mental health, counselors focus on providing guidance and support to help patients manage their current life circumstances.

On the other hand, therapists focus on exploring past experiences and emotions to help patients heal from traumas.

It is important to consult with a professional to determine which type of care would be most beneficial for you.

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Catherine Tabuena

The official Medium account of content marketer and B2B content copywriter Catherine Tabuena. Visit www.catherinetabuena.com to learn more.