Behavioral
health professions involve the assessment, diagnosis, treatment, and
prevention of behavioral health problems. They include a wide range of professional disciplines such as
psychiatrists, neurologists, psychologists, clinical social workers,
psychiatric nurses, marriage and family therapists, licensed counselors, speech
and language therapists, and occupational therapists. Members of these
professions are licensed and/or certified at the state and/or national
level, and their titles are protected by state law (that is, a person may
not use these titles unless he or she has met certain requirements set by
state regulatory boards).
Licensure
or certification indicates only that a person has met certain minimum
standardswhich vary across stateswith respect to education,
training, experience, and written and oral examinations. It does not
necessarily reflect a persons level of professional competence. In
addition, some titles such as "psychotherapist" and "counselor"
are generic terms that have little or no specific meaning with respect to the credentials of the person using them, and in most states are not
protected by law (that is, people can use these titles even without any
relevant education, training, or experience). For these reasons it is
important to check the qualifications of any behavioral health
professional whose services you are considering using.
Although
there is significant overlap in the work that different types of
behavioral health professionals do, there are a number of important
distinctions between them in terms of education, training, licensure,
skills, and expertise.
Psychiatrists
generally hold M.D. (Doctor of Medicine) degrees. They have completed four years of
medical school, at least one year of internship training, at least four
years of residency training in psychiatry, and in some cases, one to three
years of fellowship training in a subspecialty of psychiatry (for example,
child psychiatry). They are trained in the evaluation, diagnosis, and
treatment of behavioral health problems. Their education includes training
in the use of
psychotropic
medication, and with a few exceptions,
they are the only behavioral health professionals who can legally
prescribe medications. They may or may not have training and expertise in
the use of
psychotherapy. They are licensed at the state level, and
may or may not be board certified in psychiatry and/or its subspecialties
at the national level.
Neurologists
generally hold M.D. (Doctor of Medicine) degrees. They have completed four years of
medical school, at least one year of internship training, at least three years
of residency training in neurology, and in some cases, one to three years
of fellowship training in a subspecialty of neurology. They are trained in
the evaluation, diagnosis, and treatment of neurological disorders, which
often have emotional and/or behavioral symptoms. They may prescribe
psychotropic
medication to treat these symptoms. They are licensed at the state
level, and may or may not be board certified in neurology and/or its
subspecialties at the national level.
Psychologists
generally hold Ph.D. (Doctor of Philosophy), Psy.D. (Doctor of Psychology), or Ed.D.
(Doctor of Education) degrees. They have completed four to six
years of graduate training in psychology, one or two years of internship
training, and at least one or two years of postdoctoral training. They are
trained in the evaluation, diagnosis, and treatment of behavioral health
problems. Their education includes extensive training in psychological
assessment and
psychotherapy, and in general, they are the
behavioral health professionals most qualified to provide such services.
Ph.D. programs usually include extensive training in research, while Psy.D.
and Ed.D. programs typically place more emphasis on training in clinical
and/or administrative skills. Only one state (New Mexico) currently allows
psychologists to prescribe
psychotropic
medication, and only with
additional training and supervised experience. They are licensed at the
state level, and may or may not be board-certified in specialties of
psychology at the national level.
Professionals
with masters degrees in psychologyM.A. (Master of Arts), M.S.
(Master of Science), or M.Ed. (Master of Education)generally have completed at
least two years of graduate training in psychology and at least one year of internship
training. In most states, they may not
use the title of "psychologist" and may provide services only
under the supervision of a doctoral-level psychologist unless they
practice within a school setting. They are licensed
at the state level.
Licensed
Clinical Social Workers (LCSWs) generally hold M.S.W. (Masters of
Social Work) degrees. They have completed at least two years of graduate
training in social work and at least two
years of supervised work experience. Some LCSWs hold doctoral degrees, which require
additional years of training and experience. They are trained in social
welfare, agency administration, and case management. They may or may not
have training in
psychotherapy. In general, they are the behavioral health
professionals most qualified to identify and access community resources
for people with behavioral health problems. They are licensed at the state
level, and may or may not be certified in specialties of social work at the national level.
Licensed
Marriage and Family Therapists (LMFTs) generally hold masters degreesM.A.
(Master of Arts), M.S. (Master of Science), or M.Ed. (Master of Education)in
psychology, counseling, or a related field. They have completed at least two years of
graduate training and one to two years of supervised work experience. They
are trained in
psychotherapy and/or counseling, usually from a systems
orientation, in which individuals are treated as part of a couple or
family unit. They are licensed at the state level.
Licensed
Counselors generally hold masters degreesM.A. (Master of Arts), M.S. (Master
of Science), or M.Ed. (Master of Education)in psychology,
counseling, or a related field.
They have completed at least two years of graduate training and one to two
years of supervised work experience. They are trained in
psychotherapy
and/or counseling. They are licensed at the state level, and may or may
not be certified in specialties of counseling at the national level.
Other
Behavioral Health Professionals such as music therapists, art therapists,
hypnotherapists, and pastoral counselors are usually licensed in psychology,
counseling, social work, or a related field and have comparable education,
training, and experience to licensed
professionals in those fields. These professions are certified in some states and/or by some
professional associations.