LMFT or Clinical Psychologist: Which One Should You See?
As we enter a new year, you may be considering starting—or returning to—therapy. Choosing to focus on your mental health is a meaningful and empowering way to begin the year. You might want to address patterns in your life that aren’t serving you anymore or learn new coping tools to implement. Whatever your reason, searching for a therapist can feel overwhelming. With so many types of mental health professionals and credentials to navigate, it’s easy to feel confused or frustrated. The good news? You don’t have to figure it out alone. This guide will break down the basics of two common types of therapists—Licensed Marriage and Family Therapists (LMFTs) and Clinical Psychologists—so you can make a confident choice that fits your needs.
Understanding the Difference: LMFT vs Clinical Psychologist
All qualified mental health professionals are trained to support individuals with mental health concerns and conditions listed in the DSM-V. The main differences come from their training and areas of focus, which can influence the type of therapy they provide.
What is an LMFT?
Licensed Marriage and Family Therapists specialize in systems-based therapy, which looks at how family dynamics and relationships influence an individual—and vice versa. The core idea is that behavior, emotions, and symptoms don’t exist in isolation but within the context of larger systems, such as family or intimate relationships.
LMFTs are a great choice if you want to:
Improve your relationships or interpersonal functioning
Explore family dynamics or patterns affecting your mental health
Participate in therapy individually, with a partner, or as a family
They can also treat common mental health conditions, including:
Anxiety
Depression
PTSD
Eating disorders
Substance use disorders
Some LMFTs have additional training to specialize in specific issues, making therapy more focused and effective. While they may use certain assessment tools, LMFTs typically do not provide extensive diagnostic testing.
More on LMFTs: Read Here
What is a Clinical Psychologist?
Clinical Psychologists are trained in both therapy and psychological assessment. They can provide treatment for mental health conditions, similar to an LMFT, but they have additional expertise in conducting formal psychological testing. This can include assessments for:
ADHD
Autism Spectrum Disorder
Cognitive or neurological conditions
Seeing a clinical psychologist can be especially helpful if you feel that therapy alone may not fully address your concerns or if you want a thorough evaluation to guide diagnosis and treatment planning.
More on psychological testing: Read Here
Which One Should You See?
LMFT: Best if your focus is on relationships, family dynamics, or interpersonal growth, and you’re seeking therapy to alleviate symptoms like anxiety or depression.
Clinical Psychologist: Best if you need comprehensive assessment or testing alongside therapy, or if you have more complex mental health concerns that require detailed evaluation.
Both LMFTs and Clinical Psychologists are trained professionals capable of helping you work through mental health challenges. The difference lies primarily in approach and scope—one emphasizes systems and relationships, while the other emphasizes assessment and diagnosis in addition to therapy.
Finding the right therapist is about fit, not just credentials. Whether you choose an LMFT or a Clinical Psychologist, the most important factor is feeling understood, supported, and empowered in your mental health journey.
More on therapy fit: Read Here
How to Choose the Right Therapist for You
Searching for a therapist using resources like Google, Bing, Yelp, or online mental health directories such as Psychology Today, GoodTherapy, or Zencare can be a helpful starting point. Word of mouth can also be useful. Ultimately, having a clearer idea of what you’re looking for can make the process feel less overwhelming and help you narrow down what’s most important to you.
Therapists have different specialties, so it can be helpful to look for someone who is familiar with the type of work you want to do and has the training, education, and clinical background to support your goals. Finding a therapist with experience in the areas you want to address can make therapy feel more focused and effective.
Consider Insurance
Another important factor is insurance. Therapists who are in-network have a contract with your insurance company and usually offer lower out-of-pocket costs. Out-of-network therapists do not have contracts with insurance, but some plans provide partial reimbursement depending on your coverage.
More on therapy coverage: Read Here
Cultural and Professional Fit
You may also want to work with a therapist who has an understanding of your cultural background or professional environment. It can be helpful when a therapist is familiar with the expectations, stressors, or pressures that may come with your career or lived experience.
Relational Work
If you’re looking for relational work—such as therapy with a partner, family member, or friend—look for therapists who specialize in couples or family therapy.
Psychological Testing
Lastly, if you’re seeking specialized psychological testing, such as assessments for ADHD or Autism Spectrum Disorder, your best option will typically be a provider with the appropriate credentials, most often a clinical psychologist.
Finding the right therapist takes time, but focusing on fit, specialty, and support can help you feel confident in your choice. Whether you choose an LMFT or a Clinical Psychologist, the most important part is feeling heard, supported, and empowered on your mental health journey.
Interested in Online Therapy in Los Angeles, Irvine, or anywhere in CA?
I offer online therapy for adults in California in the following specialties:
If you’d like to learn more about my work as a therapist, or explore which type of therapy might be the best fit for you, you’re welcome to connect for a complimentary 15-minute consultation call.
