Counselling and psychotherapy are terms often used interchangeably to cover a range of talking therapies with considerable overlap. In certain situations, counselling is offered as part of the process of psychotherapy; whereas a counsellor may work with clients in a psychotherapeutic manner.
The key difference between these two approaches to therapeutic treatment lies in the practitioner's training and experience, and the depth to which the work is able to go. We might say that the counsellor's attention is 'doing' – practising techniques and methods of intervention – whereas the therapist is is concerned with 'being' – he or she uses their knowledge of theory to shape the client's experience and provide a reparative relationship.
Generally counselling refers to a briefer treatment centred on addressing a specific behavioural issue, while psychotherapy explores more of the emotional and psychological roots of long-held unconscious patterns. The practitioner's capacity to go to depth is in large part governed by the extent to which they have attended to their own therapy.
A counsellor might offer a targeted service focused on providing a clear structure to the therapeutic experience. Often the work centres on a specific issue and the steps needed to address or remedy that issue, so for instance, treatment for addiction will be offered in progressive stages over a set period of time.
Rather than give advice, a good counsellor will generally guide the client to discover their own answers and support them through the actions they choose to take. In counselling, problems are largely discussed in the present-tense with less attention given to the role of past experiences. A counsellor will generally hold a recognised counselling qualification and be registered with a professional body such as the BACP.
Psychotherapy brings deeper awareness to the emotional background and psychological foundation of a problem, rather than working on the specific behaviours it results in. Psychotherapists seek to resolve past experiences as part of laying the foundation for a satisfying future, hence the work may ask the client to examine their past and consider how learned patterns continue to impact the present and future.
A psychotherapist will often glean information from a variety of unconscious sources – such as the body, 'inner child' and the imagination – and reflect on the therapeutic relationship itself in order to bring long-standing patterns to light. A good pschotherapist works from an on-going enquiry into their own state of being and is hence more able to tolerate traumatic memories or difficult emotions. He or she will often hold a recognised psychotherapy qualification and be registered with a professional body such as the UKCP or BACP, and resolve to abide by their respective code of ethics.
The British Association for Counselling and Psychotherapy (BACP) registers and accredits counsellors, psychotherapists and their colleges while the United Kingdom Council for Psychotherapy (UKCP) registers and accredits psychotherapists, therapeutic counsellors and psychotherapy trainings. Broadly speaking, the BACP requires less formal training in terms of time (2 years) whereas UKCP courses can take up to 4 years and require much more client contact hours and personal therapy hours.
I am a registered and accredited UKCP psychotherapist. My training in psychotherapy (4 year MA) and counselling (3.5 years NZQA level 7 diploma - equivalent to an undergraduate degree) enhances my ability to work with a variety of clients across a wide array of concerns and issues. My areas of specialization include:
Attention is also given to our human impact on the more-than-human world and 'solastalgia', the psychological distress caused by realisation of our role in this ecological crisis.