Well+Being Holistic Mental Health
Emotional Health & Wellness Tips From The Therapy Couch And Other Places
Psychotherapist, Psychoanalyst, Psychologist, Psychiatrist: What’s The Difference?
As a Manhattan-based licensed psychotherapist in private practice, I get this question a lot. What do all these acronyms after last names actually mean? And what do you need to find the very best NYC therapist for you and your healing goals? You are struggling right now and need to find high-quality mental health care in New York City, but it’s all so confusing. Your search for the right therapist can be intimidating and downright overwhelming. Should you work with a private therapist or should you sort through the group practices to find the best therapist for you? All those acronyms; all those modalities—getting started with therapy should be easier!
I’m sharing with you a trend that I’ve noticed, that you may not be aware of. Many group therapy practices charge standard psychotherapy fees and even high fees, and place you with a therapist trainee. This practice should be disclosed to you so you are fully informed about your care. When you are assigned to a therapist, you have a right to ask about their training and experience.
All therapists in training (in my field that’s an LMSW, until they reach LCSW designation) will undergo nearly 3 years of supervision or about 3000 mandatory practice hours. If you’re assigned to an LMSW, you’re working with a therapist who is being supervised as they work towards their hours. After a therapist in training has met this requirement, they are autonomous and can then work in private practice without supervision. If you work with a therapist undergoing supervision, your therapist or counselor will need to discuss your case at weekly meetings with their licensed, supervising therapist.
Feeling Overwhelmed by Therapy Options? Here’s How to Find the Right Fit for You
Making the decision to begin therapy is a significant and empowering step. But for many in New York City—where therapy options seem endless—the process of choosing the “right” therapist can feel overwhelming, even paralyzing. Whether you’re seeking therapy for yourself, your relationship, or your family, understanding the landscape of available approaches can make all the difference.
If you’re unsure where to begin, a helpful resource is The Huffington Post's article on different types of therapy, which offers an introductory look at several major modalities: Psychodynamic Psychotherapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Family Therapy, and Group Therapy. While not exhaustive, it’s a useful starting point for understanding how therapy styles align with specific mental health needs.
Therapy Is Not One-Size-Fits-All
At Holistic Therapy & Wellness NY, we frequently hear from individuals and couples who have tried therapy before and felt it “didn’t work.” Often, the issue wasn’t therapy itself—it was a mismatch between their needs and the therapist’s approach.
If you’re struggling with self-defeating or self-sabotaging patterns, Psychoanalytic or Depth Therapy can help uncover unconscious motivations that drive behavior.
If your concerns revolve around anxiety, panic, or trauma, evidence-based treatments like EMDR, Somatic Psychotherapy, and Mindfulness-Based Cognitive Therapy can be transformative.
Couples in conflict should seek a therapist trained in Couples Therapy, ideally using structured methods like the Gottman Method, Emotionally Focused Therapy (EFT), or Imago Relationship Therapy.
For high-achieving professionals, creatives, and public figures in NYC, a discreet, holistic approach that integrates neuroscience, somatic healing, and emotional intelligence is often most effective.
How To Choose The Right Therapist In NYC
While directories like Psychology Today can help you browse local therapists, sometimes a brief phone consultation isn’t enough to make an informed decision. Many of our NYC clients find that a paid consultation with an experienced, licensed psychotherapist provides the clarity needed to choose the best therapeutic path. In these consultations, we explore your goals, challenges, and preferences, and make personalized recommendations tailored to your emotional, relational, and nervous system needs.