In a society where mental health is finally getting the attention it deserves, more and more people are considering consulting a professional.
Yet, one question often comes up: what exactly is a psychologist? And above all, how do I choose the right therapist for me?
Here is a simple guide to better understand and make an informed choice.
What is a psychologist?
A psychologist is a mental health professional trained at university (in France, up to Master 2 level) in psychology.
Contrary to popular belief, he is not a doctor. This means he does not prescribe medication.
Their role is to listen, support and help to understand psychological or emotional difficulties.
This may concern:
- stress and anxiety
- mood disorders (such as depression)
- Relationship difficulties
- traumas
- transition periods (bereavement, separation, career change, etc.)
The psychologist uses different approaches (psychoanalytic, cognitive-behavioural, humanistic therapies, etc.) depending on their training and sensitivity.
All approaches have their place, and can be interesting and effective depending on the subject, their desire and their problem.
Psychologist, psychiatrist, psychotherapist: what are the differences?
It's easy to get lost among the different “psych” professionals:
- The psychiatrist is a doctor specialising in mental health. They can make medical diagnoses and prescribe medication. Whether working in an institution or in private practice, they must be registered with the Regional Health Agency and possess an RPPS/ADELI number to practice.
- The psychologist proposes therapeutic work based on listening and psychological tools. The title of psychologist is regulated. The psychologist must also be registered with the ARS and possess a RPPS/ADELI number to practice, whether working in an institution or in private practice.
- The psychotherapist is also a regulated title, accessible under certain conditions (often with training in psychology or psychiatry). In general, a psychotherapist is a psychologist or a doctor specialising in one or more forms of psychotherapy. Just like psychiatrists and psychologists, psychotherapists must have an RPPS or ADELI number and be registered with the ARS.
- The psychoanalyst is a professional trained in the practice of psychoanalysis, a method that aims to explore the unconscious elements that can influence our behaviours and feelings. Although the title of psychoanalyst is not regulated by the State, in order to be able to present oneself as such, rigorous training must be undertaken, comprising several years of intensive personal psychoanalysis, and one must be registered with an accredited body such as the Paris Psychoanalytic Society.
All these professionals can be complementary depending on the needs, and some hold multiple titles, working as a psychiatrist and psychoanalyst, for example, or a psychologist and psychotherapist.
Psychopractitioner is a unregulated title which applies to various practices in the field of human well-being. Although some psychopractitioners may offer helpful support, it is important to remember that these professions are not regulated; thus, practically anyone can set themselves up as a psychopractitioner without needing specific degrees or qualifications.
How to choose a therapist?
Choosing a therapist is primarily about choosing a person with whom you feel comfortable. Here are some important criteria to consider.
1. The feeling, above all
The bond of trust is essential. Studies show that, regardless of the therapist's theoretical approach, the alliance between the therapist and the client is the most important factor in the effectiveness of psychotherapy.
From the first sessions, ask yourself:
- Do I feel heard?
- May I speak freely?
- Do I feel judged?
If the answer is no, I strongly encourage you, in the first instance, to discuss it with your therapist. It's entirely possible that what is happening between you is worth exploring. Of course, you should only talk about it if you feel safe to do so.
At the very least, the psychologist will know how you're feeling and why you've decided not to continue therapy with them; at best, expressing your doubts might even mark the beginning of a constructive discussion.
However, if you feel there's no chemistry between you, don't hesitate to look elsewhere. It's important to feel comfortable with your psychologist.
2. The therapeutic approach
Each therapist has their own method. Some are more concrete and solution-oriented, others more introspective.
For example, it's often said that cognitive behavioural therapies (CBT) are structured and present-focused while psychoanalytic approaches explore the past more.
There is no “best” approach, only the one that helps you live more serenely.
My own practice is informed by psychoanalysis. However, contrary to popular belief, in psychoanalytically oriented therapy, you don't spend all your time talking about your childhood!
In reality, the conversation naturally moves from the past to the present and to the future as we explore what you bring to the sessions.
3. Practical aspects
Several factors can also influence your choice.
The cost of sessions
If you find a psychologist you think you can work with, but their fees are too high for you, don't hesitate to discuss it with them, as it may be possible to find an arrangement that suits both parties.
The location or the possibility of teleconsultation
There are many reasons why attending a psychologist's practice can be difficult, whether due to physical mobility issues, geographical distance, or organisational challenges. I offer both online and in-person consultations.
Availability
Between work and family obligations, or when our schedules are atypical for one reason or another, it's not always easy to find the time to see a psychologist. Some psychologists offer appointments early in the morning, in the evening, or at weekends for those of us who cannot attend a consultation during usual working hours.
The spoken language
Studies show that healthcare services, including mental health services, are more effective when accessed in a language one is proficient in. I offer consultations in French, English and German, according to your needs.
These aspects matter for long-term commitment.
Recommendations (with caution)
Advice from friends or online can be useful, but keep in mind that Every experience is personal. A great therapist for one person won't necessarily be the right fit for you.
Again, if a therapist shares patient testimonials online, it's important to consider whether consent was obtained and/or if these testimonials have been anonymised...
Can you choose the wrong therapist?
Yes, and that's normal.
Finding the right professional can take time. It's part of the process. The important thing is not to give up if an initial experience isn't conclusive.
In conclusion
Seeing a psychologist is a personal and brave step. It's not just about “talking,” but about understanding yourself better, moving forward, and sometimes rebuilding.
The right therapist isn't the one with the most qualifications or the one your friends recommended, but the one with whom you feel confident enough to be yourself.
And sometimes, that is already the start of the change.
