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What are the differences between Psychotherapy and Coaching or Counselling?

While the terms psychotherapy and counselling and/or coaching are often used interchangeably, there are some differences to be aware of when deciding what kind of help you need.

ISSUE	PSYCHOTHERAPY	COUNSELLING/  COACHING
LICENSING	Psychotherapists must be licensed by one of 5 specific  colleges in Ontario. All college members must pass an exam and have hundreds of hours of supervised practice.	Counsellors/ Coaches may be  accredited by an association however there is no regulating  body or college that oversees counselling or coaching services.
ISSUES ADDRESSED	Psychotherapist offer expertise in mental health issues including  anxiety, depression and trauma.	Counsellors/Coaches offer support and guidance in a variety of areas such as life transitions, social and emotional  skills, stress management and parenting.
GOALS	Psychotherapists offer long term changes and personal growth by  delving into emotional issues. They can also offer support and guidance on more complicated  concerns.	Counsellors/Coaches offer  solution focused advice on how  to navigate life’s challenges. They take life skills knowledge and break it down into easy to understand goals.
TIME/ORIENTATION	Therapists can focus on past experiences, current patterns or  future goals.	Counsellors/Coaches mainly focus on current patterns and  future goals
JURISDICTION	Psychotherapist can only practice in the Province or State where they hare licensed.	Counsellors/Coaches may work  nationally or internationally.
TAXES & FEES	Psychotherapy is tax exempt  and fees may be covered under  extended health benefits. Check  with your own benefit package.	Counselling/Coaching is not tax  exempt nor are they covered under most benefits. Check  with your own benefit package.

If you are not clear on whether or how to choose a psychotherapist or counsellor/coach, you can ask to have an introductory call and ask them about their approaches. You can also ask about their credentials and choose the one that feels right for you.