Counseling and therapy are frequently used interchangeably, and there can be some overlap, which can lead to confusion. There is, however, a slight distinction between the two terms: Counseling: In general, counseling often focuses on specific issues. It may help a person address a particular problem. In some cases, counseling may be more short-term than therapy. Therapy: Therapy may be more long-term and focus on a wider variety of issues. It may address patterns in behaviors and past childhood issues. However, all of this can vary widely among mental health practitioners. It may be best to ask a potential mental health provider about their therapeutic style. Studies indicate that the relationship between therapist and patient is what has the most impact on outcomes, independent of the type of therapeutic approach. So whether it's therapy or counseling, short-term or long-term, or something in between, what matters most is how you connect with the therapist.