What is the difference between a psychologist, psychiatrist and counsellor?

Answered by Dr. Nitnem Singh Sodhi · Consultant Psychologist & Psychotherapist · Updated 2026-05-23

Short answer

A psychiatrist is an MD doctor who can prescribe medication. A clinical psychologist (RCI-registered, MPhil) does assessment and structured therapy. A counsellor (MA Psychology) provides supportive talk-based work. For moderate-to-severe symptoms, start with a psychiatrist or clinical psychologist.

One of the most common confusions Indians face when seeking help. Here is the clean version.

Psychiatrist

MBBS + MD (Psychiatry). Medical doctor. Diagnoses, prescribes medication, manages complex cases including bipolar, schizophrenia, severe depression. Can also do therapy though many focus on medication management.

Clinical psychologist

MA / MSc Psychology + MPhil Clinical Psychology, RCI-registered. Performs structured assessments, psychometric testing, and evidence-based therapy (CBT, CR, ERP, EMDR). Cannot prescribe.

Counsellor / counselling psychologist

MA Psychology with counselling specialisation. Provides supportive talk-based work for life issues, relationships, mild distress. Not equipped for severe pathology.

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