Understanding the Roles in Mental Health Care by Janine Cole and Kim Omoruyi
By Janine Cole and Kim Omoruyi
A common question we hear —often asked quietly, sometimes with a bit of embarrassment—is: “What kind of mental health support do I actually need?” The words psychotherapist, psychologist, and psychiatrist get used interchangeably, but they’re not the same. And choosing the right fit can make a big difference in how supported you feel.
Psychotherapist: A Space to Talk, Feel, and Make Meaning
As a psychotherapist, our role is to walk alongside you as you make sense of what you’re experiencing—emotionally, relationally, and internally.
People come to psychotherapy for many reasons:
Feeling anxious, overwhelmed, or emotionally stuck
Navigating life transitions (parenthood, separation, grief, identity shifts)
Relationship challenges
Burnout, stress, or loss of self
Wanting deeper self-understanding
Psychotherapists are trained to work through conversation, reflection, and relational connection. We don’t diagnose medical conditions or prescribe medication. Instead, we help you explore patterns, emotions, and experiences—at your pace.
Think of psychotherapy as a relational space for healing, insight, and integration.
Psychologist: Assessment, Diagnosis, and Structured Therapy
A psychologist also provides talk therapy, but their training includes formal psychological assessment and diagnosis.
Psychologists often support people who:
Need a formal diagnosis (for school, work, or insurance)
Want evidence-based, structured therapy approaches
Are navigating complex mental health concerns that require assessment
They may use standardized tests or evaluations in addition to therapy. Like psychotherapists, psychologists do not prescribe medication (in Canada), but they often work closely with medical professionals.
You might think of a psychologist as someone who brings a strong assessment and diagnostic lens alongside therapy.
Psychiatrist: Medical Care for Mental Health
A psychiatrist is a medical doctor who specializes in mental health.
Their primary role is:
Diagnosing mental health conditions
Prescribing and managing psychiatric medications
Monitoring how medications interact with your body and nervous system
Psychiatrists typically focus less on ongoing talk therapy and more on the medical management of mental health conditions. Many people see a psychiatrist and a therapist at the same time—this can be a very supportive combination.
So… Who Should You See?
Here’s the honest answer: there’s no hierarchy, only fit.
If you want a supportive space to talk, feel, and understand yourself → a psychotherapist may be the right place to start.
If you need assessment, diagnosis, or structured treatment → a psychologist could be helpful.
If medication is part of your care or may be needed → a psychiatrist is essential.
And it’s okay if this changes over time. Mental health care isn’t one-size-fits-all—it’s responsive, relational, and evolving.
A Final Word
If you’re reading this and wondering whether your struggles are “big enough” to seek support, let me gently say this: you don’t need to be in crisis to deserve care.
Sometimes the bravest step is simply saying, “I don’t want to carry this alone anymore.”
If you’re unsure where to begin, we’re always happy to help you find the right starting point—whether that’s with us or another trusted professional.
You’re allowed to ask questions. You’re allowed to take your time. And you’re allowed to choose support that feels right for you.