As mental health therapists / counselors the scope of treatment is talk-therapy. Typically, therapists have their masters degree, and yearly cont. education. While, psychologists also provide counseling services they also provide psychological testing for schools, courts and other entities. Psychiatrists tend to limit their talk therapy / counseling services and are typically available for medication management. If your therapist feels that you may need medication, they will provide you with a referral to doctors that they may recommend. A psychiatrist is a medical doctor that specialists in behavior. If medication is necessary, typically in these clients, medication and talk therapy are used together. Medication therapy is not a replacement for talk therapy.