Counselling vs. Therapy

Mental health care is an essential part of our overall well-being and deserves our undivided attention. Among the many ways to address mental and emotional challenges, two widely recognized approaches are counselling and therapy. While these terms are often used interchangeably, they serve distinct purposes.

Counselling typically addresses specific, short-term concerns such as situational stress, conflict, or decision-making. It is often solution-focused and geared toward helping individuals navigate current life challenges.

Therapy, on the other hand, tends to explore deeper emotional issues, patterns of behavior, and long-standing psychological concerns. It often involves a longer-term commitment and works to bring about profound personal insight and change.

Both approaches are described below as explained by the American Psychological Association (APA).

Aspect

Counselling

Therapy / Psychotherapy

Definition

Professional assistance in coping with personal problems, including emotional, behavioral, vocational, marital, educational, rehabilitation, and life-stage problems.
(APA Dictionary of Psychology)

“Psychotherapy refers to any psychological service provided by a trained professional that primarily uses forms of communication and interaction to assess, diagnose, and treat dysfunctional emotional reactions, ways of thinking, and behavior patterns.”
(APA Dictionary of Psychology)

Focus

Short-term, present-focused; guidance and support for everyday stressors, transitions, or emotional challenges

Often long-term; addresses mental health disorders, deep-seated emotional issues, and behavioral conditions

Practitioner Scope

Can be provided by trained professionals without licensure in some countries; focuses on life challenges and support

Provided by licensed mental health professionals with formal credentials in psychology, psychiatry, or social work

Applicable Modalities

Listening, guidance, psychoeducation, emotional support

Cognitive Behavioral Therapy (CBT), trauma-informed therapy, dialectical behavior therapy, etc.

Best For

Relationship issues, stress, grief, academic or work concerns

Anxiety, depression, PTSD, OCD, eating disorders, trauma, clinical diagnoses

Counselling

Definition

Professional assistance in coping with personal problems, including emotional, behavioral, vocational, marital, educational, rehabilitation, and life-stage problems.
(APA Dictionary of Psychology)

Focus

Short-term, present-focused; guidance and support for everyday stressors, transitions, or emotional challenges

Practitioner Scope

Can be provided by trained professionals without licensure in some countries; focuses on life challenges and support

Applicable Modalities

Listening, guidance, psychoeducation, emotional support

Best For

Relationship issues, stress, grief, academic or work concerns

Therapy / Psychotherapy

Definition

“Psychotherapy refers to any psychological service provided by a trained professional that primarily uses forms of communication and interaction to assess, diagnose, and treat dysfunctional emotional reactions, ways of thinking, and behavior patterns.”
(APA Dictionary of Psychology)

Focus

Often long-term; addresses mental health disorders, deep-seated emotional issues, and behavioral conditions

Practitioner Scope

Provided by licensed mental health professionals with formal credentials in psychology, psychiatry, or social work

Applicable Modalities

Cognitive Behavioral Therapy (CBT), trauma-informed therapy, dialectical behavior therapy, etc.

Best For

Anxiety, depression, PTSD, OCD, eating disorders, trauma, clinical diagnoses