Therapist vs Psychologist: What’s the Difference (in Australia)?
Many Australians are confused about whether to see a therapist or a psychologist when they need support. This short guide explains the differences so you can choose the right professional for your needs.
Training and regulation. Psychologists undertake at least six years of university study and supervised practice, followed by registration with the Australian Health Practitioner Regulation Agency. They follow strict ethical guidelines and are trained to diagnose mental health conditions and deliver evidence‑based treatments such as cognitive behavioural therapy. Many psychologists also specialise, becoming clinical, counselling or organisational psychologists. This rigorous training ensures a standard level of care and accountability.
By contrast, the titles “therapist” and “counsellor” describe a broad range of professionals. Some counsellors hold postgraduate degrees in counselling or psychology; others may have diplomas or certificates in specific therapeutic approaches. These roles are not regulated in the same way as psychology, so it’s important to check an individual’s qualifications and membership with organisations such as the Australian Psychological Society. Counsellors and therapists focus on helping people work through emotional challenges using talk‑based therapies and support. Many are highly skilled, but training pathways vary widely.
Medicare rebates and cost considerations. Only registered psychologists can offer Medicare rebates under the Better Access programme. With a Mental Health Care Plan from your GP, Australians can claim up to ten subsidised sessions with a psychologist each calendar year. From July 2025, rebates are around $98.95 per session with a general psychologist and $145.25 with a clinical psychologist. These subsidies make psychological care more affordable for many families. Therapists and counsellors generally operate privately; fees are paid out‑of‑pocket, although some private health funds may offer rebates. When comparing costs, remember that the relationship you have with your practitioner and their experience are just as important as the price.
What happens in a session? Psychologists usually begin by assessing your concerns and developing a treatment plan tailored to your needs. They may use structured methods like cognitive behavioural therapy or acceptance and commitment therapy. Counsellors and therapists often take a more flexible, conversational approach, focusing on exploring your feelings, patterns and personal history. Regardless of the professional you choose, therapy is collaborative — you set goals together and work at a pace that feels comfortable. Our adult therapy service offers compassionate counselling for stress, relationship issues and other life challenges, and you can learn more about our team by meeting Dr Amanda Gordon.
Choosing the right support. If you need a formal diagnosis, wish to access Medicare rebates or have complex mental health concerns, consider working with a registered psychologist. If you’re navigating life transitions, grief, relationship difficulties or want to develop coping skills, psychologists are right there with you – and a counsellor or therapist mayalso be a great choice. The most important factor is finding someone you trust and feel safe with. You can always ask about a practitioner’s qualifications, approach and experience before committing.
Don’t let sessions expire. Mental Health Care Plans reset each January, and you only have ten each year, so if you have remaining sessions this year, now is the perfect time to begin. To understand more about subsidised mental health care, visit Healthdirect’s mental health services page and talk to your GP. Professional support is a wise investment in your wellbeing.
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