A. A psychiatrist is a medical doctor (M.D.) who has graduated from a medical school who has had years of additional training in the diagnosis and treatment of mental health problems. A psychiatrist, in addition to being able to provide psychotherapy, is able to prescribe medication when that is indicated. A psychologist can have one of several degrees (Ph.D., Psy.D., M.S., etc.) and is trained in the diagnosis and treatment of mental health problems. Some psychologists are trained to do psychological testing. Psychologists are not trained or authorized to write prescriptions for medication.

A. Psychotherapy is a form of interaction between a mental health practioner (clinician) and his/her client or patient that is designed to bring relief from suffering on the part of the patient. Most of the time, psychotherapy takes the form of talking between the clinician and the patient. Each clinician has his/her particular training in therapies that they prefer and feel comfortable with. However, not all forms of psychotherapy are effective for all conditions. The therapy should be individualized to fit the needs of the patient.

A. There are many kinds of psychiatric medications. In psychiatry, the most frequently prescribed medications are antidepressants, used to decrease the severity and length of time a person is depressed. There are also effective medications for other conditions including anxiety, panic, addictions, severe mood swings, hyperactivity, and being out of touch with reality. All psychiatric (also called psychotropic) medications can have side effects. If medications are to be prescribed to you, make sure you know the potential side effects and when to call your doctor if particular ones occur.

A. There are many ways that you can check on the qualifications of a therapist or counselor. You can ask to see her credentials. People with doctoral degrees (Ph.D., Psy.D. and Ed.D. for example) usually have the most training, but others with master's degrees (M.A. and M.S.W.) are also qualified. The therapist will usually have appropriate certificates hanging on the wall. You can check that the counselor is licensed to practice in your state. A referral from a trusted source can be a good way to go. Your own doctor can often suggest who would be a good person for you to consult.

A. First talk with your therapist about your concern. Many times when the therapist understands your discomfort, s/he can make accommodations to be responsive to your needs. Sometimes the "match" between a patient and a therapist is not always right. If you can't resolve the issues with your therapist, you can ask your therapist for a referral to a colleague or you can talk to your personal physician about a referral to someone else.