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Psychologist, psychotherapist or psychiatrist — who do you see first?

Three different professions, often confused. What each one does, who can prescribe medication, and why you don't have to choose alone.


One of the most frequent questions we get on the first call is not about scheduling or prices. It is simpler and harder: “who am I actually supposed to see?” It deserves an answer without jargon.

The psychologist

Graduated in psychology and is registered with the Romanian College of Psychologists (COPSI). They assess and counsel — from psychological testing to focused support. A clinical psychologist can run clinical assessments, for instance in the ADHD diagnostic process, but assessment is not the same thing as long-term therapy.

The psychotherapist

Usually a psychologist (sometimes a physician) with several additional years of training in a psychotherapy school. This is who you work with session by session: burnout, anxiety, relationships, patterns that repeat. The training matters — which is why every specialist profile on our site lists the school, the registration code and, just as importantly, what they do not work with.

The psychiatrist

A medical doctor with a residency in psychiatry — the only one on this list who can prescribe medication and the only one who makes a psychiatric diagnosis. A psychiatric consultation does not automatically mean medication: sometimes the conclusion is precisely “you do not need medication”. Psychiatry and psychotherapy don’t exclude each other; for many situations they work best together.

The practical rule

  • Symptoms are seriously affecting your sleep, appetite or ability to function day to day → it makes sense to see a psychiatrist first.
  • You want to work on patterns, relationships, exhaustion, anxiety → a psychotherapist.
  • You need a structured assessment (for ADHD, for example) → a clinical psychologist, working alongside the psychiatrist.

The good news: you don’t choose alone

Precisely because these distinctions are unclear from the outside, InYourMind doesn’t ask you to arrive with the answer ready. You first talk to a mental health counsellor (CSM), describe what you are going through, and matching you with the specialist — or the combination of specialists — is our job, not yours.

The matching service Psychiatric consultation

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