Psychologist versus Psychiatrist: Who should I see?

Okay, I’m totally going to put my foot in it here and offend someone I’m sure but I assure both professions that I mean no harm. I am a psychologist but I work closely with many psychiatrists and have a great deal of respect for the work that they do. Let me explain quickly what the difference is between psychologists and psychiatrists and compare the training of these professionals.

Psychiatrist: Is a medical doctor and in Australia this means they have studied a minimum six year Medical Degree. Then, in addition to this they have studied a specialised program in psychiatry beyond their hospital internship. They are highly qualified as you can tell. They can prescribe medication and for the most part hold a predominantly medical perspective of your mental health. I’m not saying that they discount psychological and psychosocial factors, they just specialise in the medical field and so they bring this philosophy to their conceptualisation of you.

Psychologist: A psychologist has completed a minimum of an undergraduate degree of four years and two years of at work training before they can become registered. Some psychologists (including myself) have completed an additional 2 years of postgraduate Masters degrees in a specific area such as clinical psychology, educational psychology, or counselling psychology. These specialisations don’t necessarily dictate the type of practice they have adopted though their training likely influences their philosophies and conceptualizations of you (and therefore also your treatment).  

So… The sorts of things you may want to ask yourself are;

Do I want a pharmacological  treatment approach to my issue I am facing (do I want to take medication?)? If so, then a psychiatrist is your best choice but it may not be your first choice. Many psychiatric illnesses can be treated with psychotherapy alone and in other cases a combination of psychotherapy and medication are a better option than just medication alone.

Do I want a diagnosis? Is so, a psychiatrist again is the practitioner you need to see to get a formal diagnosis. This said, psychologists are well trained in the DSM (diagnostic manual) and can provide you with insight and a plethora of information without formal diagnosis. Their diagnostic conceptualisation of you ultimately often guides them in their treatment approach.

What type of therapy do I need? There are lots of different therapeutic approaches. Some demonstrated as being more beneficial for certain issues people are facing. You may have heard of some. If not, check here for some examples…. Some therapists have specific additional training (beyond university) in certain treatment modalities. Find out this info…

What does the presentations does the therapist have a particular interest in? If you have an eating disorder for example, find a therapist who states they have an interest in this area. If you have been given a possible BPD diagnosis, you might like to find a practitioner with an interest in personality disorders (me for example :o))… Practitioners with particular interests keep up to date with the latest research in their area of interest and so are likely well equipped to help you with what you are dealing with.Psychology today is a great website to search for practitioners.

Now, throw all of this information on the sidelines for a minute and I’m going to tell you the single biggest contributing factor to your improvement in your mental health. What do you think it is??

Okay, well, I’m here to tell you that it is not the practitioner’s training. It is also not the type of therapeutic model they adopt. It is also not the number of years they have studied. Research has demonstrated repeatedly that the single biggest factor to your improvements in therapy is the quality of your relationship with your therapist. That’s right!!! The quality of the rapport that you have with your therapist.

So…. Research your therapist choice. Read what they have written, check out their blogs, look at their website, check out their profile photo, arrange a brief phone call, stalk them on facebook (LOL). All of the above. This will give you more knowledge than any letters they have by their name whether they are the right therapist to help you.

Peace and happy journeying….

If you’ve liked what you read here and think I may be a good fit for you, you are welcome to send me an email or call me with any questions you may have.

1% Pledge

I am so proud to announce this news…

As this new financial year begins, my business has partnered with Reachout Australia to donate 1% of our annual income to this cause.

For those of you who don't know, ReachOut is Australia’s leading online mental health organisation for young people and their parents. It offers practical support, tools and tips help young people get through anything from everyday issues to tough times. #reachout 

https://about.au.reachout.com/

For anyone with a business, have you considered joining the 1% tribe? ☺️☺️

If you have a suggested charity Tristan Abba Psychologist can support next financial year please comment below.

What's Your Money Personality?

Money is one of the most common reasons for divorces on the Gold Coast and contributes to many of the disagreements couples have. But what is a money personality and how can learning about this improve the way we communicate about money in our relationships?

There is a committed branch of psychology dedicated to personality studies. Thousands of personality questionnaires designed to determine every aspects of your personality whether for the purpose of job suitability, psychopathology, the Big 5 Factors (Extraversion, Agreeableness, Conscientiousness, Emotional Stability and Intellect), or the many other curiosities of your personalities that influence your behaviour.  Your money personality can be understood as the way that you feel and think about money and can be determined by analysing your behaviours around money.

Although there are several ways to define a money personality, whether by morals and beliefs or behavioural patterns for example, I find the most helpful to be the most practical definition. For this reason, here are five primary money personalities descriptions taken from renowned money relationship experts, Bethany & Scott Palmer. Have a read through and see which you gravitate to the most.

Savers

Get a genuine rush from saving money

Are organised, responsible and trustworthy when it comes to finances

Rarely spend impulsively

Avoid credit card debt

A joy stealer for the sake of money

Focussed on financial goals

May be viewed as cheap

Spenders

Love to buy things for other people

Get a thrill from the purchase

Impractical and impulsive purchases often

Noncommunicative around their spending decisions

Often filled with regret

May often break the budget

Risk Takers

Are a big picture person

Love finding the next adventure

Get excited by possibility

Listens to your gut

Aren’t afraid to make decisions

Blinded by possibility

May be resented by those more cautious with money

Can be impatient at times

Security Seeker

An investigator around their spending decisions

Trustworthy

Willing to sacrifice an item for security

Prepared for anything

Can be overly negative

Can get stuck in a research rut

May stifle creativity and possibilities

Flyer

Basically, content with life and do not think about money at all

Big on relationships

Happy to let someone else take care of your finances

Not motivated by money

Can be reactionary and therefore can end up in money trouble

Lack in skills to solve money troubles as they arise

May be disorganised when it comes to money

Can be un-responsible in terms of money (not irresponsible, just not so concerned by it)

In reading through these descriptions were you saying to yourself, ‘OMG that is totally me!’? Great, then this is your primary money personality. You may have also found that you saw aspects of more than one money personality in yourself. Even better.

Now, before you read further it is thought that we actually have two money personalities so I’d like you to go back and read through the descriptions again and try and see which other is like you too (maybe just some of the time). This is your secondary money personality. If you have struggled with this activity and do not resonate with these descriptions, you can take a 10-minute free quiz online by Scott and Bethany Palmer for a personalised report sent to your inbox.

The fascinating thing is that often our own money personalities clash, both within our two personalities and between ours and our partner’s. For instance, imagine if your primary money personality is a shrewd security seeker yet your secondary personality is a spender. At one moment you’re investigating the detail of your next purchase and in the next your wanting to impulse purchase an electric bike (real life example BTW). Or maybe you have a risk-taking spending partner, yet you are more conservative in your spending. You can imagine the conflict occurring.

In order to find balance and understanding, awareness is, as always, paramount. Being mindful of you and your partners’ money personalities can help you to reduce strong unhealthy biases in your behaviour and encourage empathy and understanding in your relationship when money becomes a conversation topic. So, if you’ve figured out your money personalities, get your partner to identify theirs too so that you can figure out why the clashes are occurring. There are relative strengths and weaknesses to each of the money personalities and appreciating the uniqueness of yours and theirs can help bring you closer together.

If you are interested in discussing this further with a Gold Coast Psychologist, please get in touch to see how we can help.