Should you see a therapist, psychiatrist, or both for anxiety?

We’re fortunate to have more options and a greater understanding for mental healthcare than ever before. But, sometimes, sifting through those choices can be overwhelming. If you’re facing challenges with your mental health, it can be hard to know who to turn to for help.

For example, you may wonder if you should see a therapist or psychiatrist for anxiety or both. There isn’t a simple answer to this question. It often comes down to personal preferences, the severity of your symptoms, and the types of care you can access. Learning about the differences and similarities between therapy and psychiatry can help you choose the right approach for your needs. 

Who’s best suited for your anxiety symptoms?

Anxiety disorders can show up in many ways. They have physical symptoms, like a rapid heart rate, shaking, and nausea. And they have psychological symptoms, like intrusive thoughts and chronic worry. But anxiety can also affect your behavior. Fears and phobias can make it difficult to leave home or participate in social activities.

Anxiety symptoms can range in severity too. If your symptoms are mild or moderate, you might benefit from anxiety therapy. A therapist can help you identify triggers, examine the underlying emotional causes of your anxiety, and learn coping skills.

However, if your symptoms are making it difficult to take care of yourself, attend work or school, or maintain relationships, you may want to consider working with a psychiatrist. Psychiatrists are medical doctors who can prescribe anxiety medication. They can collaborate with other members of your care team (like your doctor or therapist) to help you manage your mental health.

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How anxiety treatment works in therapy vs psychiatry

Whether you’re working with a therapist or a psychiatrist, anxiety disorder treatment starts with an evaluation. A therapist will ask you about your history and symptoms. They’ll also want to discuss how your anxiety has affected your life before they settle on a working diagnosis. Then, you’ll set some short- and long-term goals for treatment and begin working toward recovery.

Similarly, a psychiatrist will review your medical and mental health history as part of your evaluation. They’ll also ask about when your symptoms started and what seems to make them better or worse.

Depending on your situation, they may request an additional medical evaluation. For example, they’re likely to ask you to do some blood work if you haven’t had any recently, or if the lab results from your medical provider did not test for some of the physical conditions that can cause anxiety symptoms. This and other evaluations done by your medical provider can help determine if there are any underlying medical causes for your symptoms like thyroid problems, vitamin deficiencies, or sleep apnea.

Keep in mind that therapy and psychiatry can both help you overcome anxiety. But they approach healing in different ways. Anxiety disorder therapy focuses on thoughts, feelings, and behaviors related to your anxiety. Psychiatric care focuses on medication management as well as lifestyle and behavior interventions.

Consider your personal preferences

Just like other medical providers, mental health professionals have unique ways of communicating and delivering care. We sometimes refer to this as their “bedside manner.” Research shows that you’re more likely to have relief from symptoms if you trust your provider. This means feeling seen, heard, and respected by your therapist or psychiatrist. 

When it comes to communication, we all have personal preferences. So, before accessing treatment, pause to consider yours. Some questions to ask yourself that can help you choose the right provider:

• Do you prefer direct communication? 
• Do you like to be challenged? 
• Do you prefer a gentle, nurturing approach? 
• Would you like to work with someone of the same gender identity? 
• Would you prefer a provider with a similar cultural background? 
• Is it important that your provider has similar life experiences? 

Combining therapy and psychiatry

You might assume that combining therapy and psychiatry is always the best path for treating anxiety. This approach can produce positive outcomes. But this isn’t always true for everyone. 

For example, a person with acute anxiety may need psychiatric support before they can engage with other forms of care. Imagine someone who’s experiencing frequent, intense panic attacks. They may need medication to achieve stability before they can benefit from therapy.

Alternatively, most people can manage their anxiety without psychiatric care. We know that anti-anxiety medication can be helpful. But research shows that therapy can be even more effective for some people.

As you explore your options for therapy and/or psychiatry, you may want to verify your insurance coverage. You can contact your insurance company via your member portal or by calling the number on the back of your insurance card. Ask whether therapy and/or psychiatry are covered and if there are any limits on the types or amount of care you can receive.  

Ultimately, the decision to seek therapy, psychiatry, or both is a personal one. But it’s not a choice you need to make on your own. Ask your provider(s) to weigh in on the best approach for you. If you’re already working with a psychiatrist, let them know you’re curious about therapy, and vice versa. They can make a recommendation, discuss the pros and cons, and provide a referral, if appropriate.

Find care with Rula

If anxiety is affecting your life, you might be unsure whether you need to see a therapist, psychiatrist, or both. It often depends on the severity of a person’s symptoms and their personal preferences. People with debilitating anxiety may need medication before they can engage with therapy. But others may be able to manage their anxiety with therapy alone. Fortunately, this isn’t a decision you need to make by yourself. Your therapist, psychiatrist, or other provider can help you determine the best path forward.

At Rula, we’re committed to delivering a comprehensive behavioral health experience that helps people feel seen and understood so they can get back to feeling their best. 

Rula makes it easier to find a licensed therapist or psychiatric provider who accepts your insurance so you don’t have to choose between affordable care and excellent care. With a diverse network of more than 15,000 providers, 24/7 crisis support, and appointments available as soon as tomorrow, we’re here to help you make progress — wherever you are on your mental health journey.

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