What is the difference between a Counselling Psychologist and a Clinical Psychologist?
Terminology in the therapy field can be confusing. To explain the difference between a counselling psychologist and a clinical psychologist, we first need to look at the definition of psychology.
What is Psychology and who are Psychologists?
Psychology is the scientific study of people, the mind and behaviour. Specifically, it explores how people think, how they act, and how they interact with their environment and with each other. Psychologists all over the world are currently researching the scientific answers to fundamental questions such as how and why humans behave the way they do. This knowledge can then influence all aspects of public life such as health, education and social justice.
As psychology is not only an academic discipline but also a professional practice, this research can also help to develop new therapies which can aid in problems in our personal and professionals environments.
Different Types of Psychologists
There are different areas of psychology in which it is possible to practice and gain the title of chartered psychologist. This title is the benchmark of professional recognition, and reflects the highest standard of psychological knowledge and expertise. The areas that the British Psychological Society recognises as the main types of psychologist are:
- Clinical Psychology
- Counselling Psychology
- Educational Psychology
- Forensic Psychology
- Health Psychology
- Occupational Psychology
- Teaching and Research in Psychology
Let’s look now at the difference between a counselling psychologist vs clinical psychologist.
Counselling Psychologists
Counselling psychologists integrate psychological theory and research with therapeutic practice. They work closely with clients to look at mental health issues and explore the underlying problems that may have caused them. They work collaboratively with individuals to empower them to make decisions for themselves to improve their sense of personal wellbeing. They work across a range of human problems including bereavement, relationships, mental health issues and other significant life events. They work in many places including industry, the prison service, and in all levels of the education system. However, about half of all counselling psychologists are employed to do clinical work in health and social care settings.
Clinical Psychologists
Like counselling psychologists, clinical psychologists aim to reduce psychological distress and to enhance and promote psychological well-being. They deal with a number of mental and physical problems including anxiety, depression, addiction and relationship problems. To assess clients, they use a variety of methods including psychometric tests, interview and observation and work primarily in health and social care settings including hospitals and community mental health teams. Due to their role as a scientist-practitioner they are also involved heavily with research and in evaluation of current services to provide a strong evidence base for practice.
The Difference…..
There is considerable overlap between counselling and clinical psychology. Traditionally however, the main difference between counselling and clinical psychology is their perspective and training. Counselling psychologists, in general, focus more on healthier, less pathological populations whereas clinical psychology focuses on individuals with more serious mental health issues such as psychosis. The reality is that both types of psychologist work with similar patients and in similar settings, so that the distinction between them is increasing small.
Training
In becoming a psychologist there is a basic requirement to have completed the Graduate Basis for Chartered Membership (GBC, previously known as GBR) before undertaking further accredited training leading to eligibility to register with the Health Professionals Council (HPC). The easiest way to achieve GBC is to complete a British Psychological Society accredited degree or conversion. Listed below are details of the requirements to register as a practitioner psychologist in the clinical and counselling disciplines.
Counselling psychology
- Obtain the GBC by completion of a BPS accredited degree or conversion course (one-four years) and
- Complete a BPS accredited Doctorate in Counselling Psychology or the BPS Qualification in Counselling Psychology
Clinical psychology
- Obtain the GBC by completion of a BPS accredited degree or conversion course (one-four years) and
- Complete a BPS accredited Doctorate in Clinical Psychology
**we recommend you read our free guide on where to train as a counselling psychologist.
Finally: Another Common Confusion – How Psychology is different to Psychiatry
Many people are often confused about the differences between psychology and psychiatry. In reality, both professions work with similar patients (particularly in hospitals and rehabilitation settings) but there are some critical and fundamental differences in their training and overall approach to mental health that distinguish them. Psychiatry is a specialisation of a medical degree meaning that all psychiatrists are trained doctors who have opted to specialise in the field of mental health. Due to this medical background, psychiatrists can prescribe medication.If you’d like to hear the in-house Psychiatrist at Harley Therapy speak about his work, you can find a video and more information here.
In comparison, psychologists cannot prescribe medication and instead focus upon counselling and therapeutic techniques (like cognitive behavioural therapy for example) to try to help individuals.
If you would like to know more about the different kinds of therapy that exist you might find our Guide to Therapy Approaches useful.
Do you have any questions about the difference between a counselling psychologist vs a clinical psychologist you’d still like answered? Or any experience with one of these modalities you’d like to share? Do post comments and questions below, we love hearing from you!
To whom it may concern, this article was very helpful, however I just wanted to ask about the role of the medical model in counselling and clinical psychology and how these may differ
This is very good information for me who is in a dilemma/kind (of confused) at what decision I should make. I am still not certain of what Masters Degree I can study. I’ve all along wanted to study a masters in Counselling Psychology but I’ve been advised to consider Clinical Psychology. What is your advise? Could you elaborate on the advantages of each of the above?
Thank you!
While I’m sure you can find all the relevant info re clinical vs counselling yourself, what I’d say reading your comment is that it feels very clear that you know exactly what you want?! “I’ve all along wanted to study a masters of Counselling Psychology”. The real problem seems to be why you go against what you want in favour of what you ‘should’ do. Unless the people advising you to do clinical have solid reasons you are not suitable for counselling psychology?
Alike Diana Semyalo, I am also trying to decide whether to start a clinical or counselling masters/doctorate. I get the impression it would be easier for me to go from clinical to counselling rather than vise versa, would you agree? Clinical seems to pay more however there is greater competition for places on the course!
It depends on your values and your long term plan. Is money enough of a value you’d use it as the basis of this decision? What kinds of environments do you want to work in? Do you prefer research, or are you in this out of a deep desire to help others?
Hello Harley
Thank you for this informative and insight article. I have a desire to help people especially young
People to deal better with their mental and emotional issues and this is a desire I have come to
Develop as youth counsellor in my Local church. However, I have no previous training in psychology as my first and second degrees are in Geography and environmental management respectively. I am currently considering getting a doctorate in counselling psychology, what would you suggest I do ?
Thanks
Like anyone with different degrees, you’d probably have to start at the beginning, with a psychology conversion course, followed by a counselling psychology masters, then the PhD. The other option, if you are in the UK and want a career helping youth, is to take a counselling qualification (3-4 years) or a psychotherapy masters (around 4 years or more). If you are in the USA it’s a different educational process than in the UK, with different titles, see our article on therapists in the USA https://www.harleytherapy.co.uk/counselling/psychological-therapy.htm
Hi,
The information is not quite accurate. CoP or counselling psychologist as scientist-practitioners who thus not only work based on evidence but also question the evidence-based research trend as it often categorises clients unhelpfully. Thus we are also engaged in practised-base-research that allows research in the real world, rather than in a lab. After all, CoPs believe that it is important to understand how therapy works with a real person, not with an artificially sampled research participant.
Further, we work with highly complex clients, on locked psychiatric wards to complex trauma. Therefore, the notion that CoPs work with less complex suffering is rather outdated.
The biggest difference between CoP and clinical psychologist is that we are not streamlined by the NHS and its understanding of mental health.We allow ourselves to think “outside the box” together with the client who, in our views, is not a patient who needs a fix but a person who suffers and would like to change.
Thanks Ute, that is a really useful update. It is a rather old article by a writer who is no longer with us, we’ll have to look into getting a newer version written. Kind regards, Andrea (editor).
Dear Harley,
I graduated from University nearly a year ago with an undergraduate degree in Psychology and Counselling and am interested in pursuing a master’s next year. However, I’m very stuck in which course to pursue, as its between Counselling Psychology, Clinical Psychology and maybe a general Psychology masters. I’m not certain of which specialized field I want to enter as of yet, however, I want a degree that will give me options to work within different environments until I decide.
I guess I just need more of an idea of what my day-to-day life would look like with each degree and what I can and can’t do with each degree. I have so many interests from working with PTSD sufferers, bereavement, abuse and trauma, prisoners to more severe mental health issues. Would I be able to work within all of these demographics with all of these degrees or would, clinical for example, be more suitable?
Also, if I decided to complete a clinical psychology degree and decide it’s not for me, how easy would it be to convert over to a counselling psychology degree?
Thank you for your time and any help you can provide
Kind regards,
Becky
Hi Becky, we think your best course of action is to book a session with a careers counsellor or attend open nights at the universities you are interested in, and talk directly to other students as well as people working in the field. We simply can’t provide this sort of in-depth information here. We do feel however this if this is possibly less about what course to take and more possibly about an anxiety about making the right choice and not ‘messing up’? If you, say, always struggle with decisions? Then that’s worth thinking about to.
Hi. I’m afraid that you’re missing a significant aspect of clinical psychology training and work. Clinical psychologists’ training involves work with individuals across the lifespan (children, adolescents, adults and older adults), and with individuals with neurodevelopmental disabilities, such as learning disability, autism, ADHD, etc. They may also gain experience in specialist areas, such as forensic clinical psychology. Systemic working is a key competence for clinical psychology, and therapeutic approaches such as positive behaviour support are part of the training competencies for clinical psychologists. Clinical psychologists also have substantive training in neuropsych assessment. These are some of the fundamental aspects where training between clinical and counselling psychology may differ. The difference isn’t limited to clinical psychs being heavily involved in research. Many of them aren’t involved at all, although should practice with the scientist-practitioner principles in mind. Incidentally, clinical psychs do ‘think outside the box’ (at times)!
Should be neurodevelopmental ‘conditions’ rather than ‘disabilities’ in previous comment. Apologies!
Thanks Ken that’s useful.
Hi there
Thank you for this great article; it’s proven very helpful indeed!
Can you please clarify for me, do clinical psychologists counsel their clients?
Moreover, can one do a master’s BPS conversion course in clinical psychology (MSc) and then decide to take the BPS qualification in counselling psychology (QCoP) instead of a doctorate in clinical ie swap disciplines partway through
Many thanks
Antony
Hi Antony, it would depend on what career you went for. Some clinical psychologists focus on research, others consult with clients in enterprises or educational settings, for example. Re your question about switching streams, we’d recommend you call the school you are interested in and discuss that with them. Best, HT
Hello,
Would you be able to explain the difference in the scope of work between BPS chartered psychologists (clinical and counselling) and BACP accredited counsellors or psychotherapists?
I understand that BPS psychologists have more advanced training (Doctorate level) and a deeper knowledge of mental health/illness, but what is the difference in practice? Another question: do psychologists charge more for a therapy session than a counsellor or psychotherapist? Because the average salary for a psychologist does seem to be higher than the salary for a counsellor or psychotherapist.
If you have any insight into the differences between these professions in the United States as well, that would also be interesting.
Thank you!
Hi Luiza, we can’t really comment on USA. Re charging, that is up to the psychotherapist or psychologist unless they are working for an umbrella company that sets their rates. A high end psychotherapist, for example, could charge more than an average psychologist. But many psychologists work for corporations, where budgets are high, which might make any average of salaries in the UK show that psychologists earn more. And they can be licensed to do testing, such as autism or learning difficulties testing, and as with any profession, the more niche and specialised you are, the more you can charge. We are not sure why you feel psychologists have more knowledge of mental health, not at all. A psychotherapist spends their entire training focusing only on mental health. A psychologist does a degree in just psychology, the study of personality, behaviours, etc. They they go over to do counselling or clinical training. There is also still a loop hole in the UK where a counselling psychologist can do their training without even doing therapy then go into practise, whereas a psychotherapist would have had to have done years of therapy themselves during their training. So psychologists know the science of human behaviour more, but not necessarily mental health. Illness is usually psychiatrists, the only one who can prescribe medication. As for the difference in practise, it’s explained in the article. Note that our roster is a pretty even mix of those trained as psychotherapists and those as counselling psychologists. And that they can all go on to do add on training in new types of therapy and end up offering similar services. So it depends what you want to do. The right question might be, do I want to work one on one with clients? (psychotherapist or psychologist). Or do I want the option work with corporations, do testing, trials, etc (then you’d have to take psychologist route). Best, HT.
Would a Counselling Psychologist be able to give a diagnosis or recognise someone with/of BDP?
Hi I’m currently in my first-year of university studying Psychology in the UK, and I’m thinking of future prospects but I’m still not 100% sure on the difference, despite reading all the comments and many other articles. Do clinical psychologists practice therapies such as CBT or DBT or is that more counselling psychologists? Equally, which one focuses more on talking and helping those with mental health conditions?
Thank you so much, and sorry for the continued confusion:))
Hi
I have been a counselling psychologist for decades. I have a MSc and have my HCPC Practitioner Psychologist registration. I work in a private company with complex trauma but would like to move on into the NHS/hospital/healthcare setting which seems more open to Clinical Psychologists and those with Doctorates. I am considering applying for Doctorate in Clinical Psychology. Has anyone changed from Counselling Psychologist to Clinical Psychologist?