Guide
LPC, LMFT, LCSW, Psychologist: What's the Difference?
What the letters after a therapist's name mean in Texas, and how to pick the right fit for you.
All of these professionals are licensed by the State of Texas to provide therapy, and all of them can help with common concerns like anxiety, depression, stress and relationship problems. They differ in training and focus. Here's what the letters after a name mean.
| Credential | Full title | Training | Often a good fit for |
|---|---|---|---|
| LPC | Licensed Professional Counselor | Master's degree in counseling plus supervised clinical experience | Individual counseling for a wide range of concerns |
| LPC Associate | Licensed Professional Counselor Associate | Master's degree in counseling; practices under a licensed supervisor while completing supervised hours | The same concerns as an LPC, often with more open availability |
| LMFT | Licensed Marriage and Family Therapist | Graduate degree in marriage and family therapy plus supervised experience | Couples, families, parenting and relationship patterns |
| LMFT Associate | Licensed Marriage and Family Therapist Associate | Graduate degree; practices under a licensed supervisor | The same as an LMFT |
| LCSW | Licensed Clinical Social Worker | Master's degree in social work plus supervised clinical practice | Therapy plus help connecting with community resources and support |
| Psychologist | Licensed Psychologist | Doctoral degree (PhD or PsyD) | Therapy, plus psychological testing and formal assessments |
| Psychological Associate | Licensed Psychological Associate | Master's degree in psychology; works under a licensed psychologist | Therapy and testing under a psychologist's supervision |
What about associates?
An associate has finished their graduate degree, passed the required exams and holds a state license. They see clients while a licensed supervisor oversees their work. Associates are licensed to provide counseling, and they may have more openings and lower fees.
What about medication?
The counselors and therapists in this directory focus on talk therapy. If you think medication might help, talk with your primary care doctor, a psychiatrist or a psychiatric nurse practitioner. Many people see a therapist and a prescriber at the same time.
Which should you choose?
If your concern centers on a relationship or family, an LMFT is a natural fit. If you need testing, such as for ADHD or a learning concern, look for a psychologist. Our guide to choosing a counselor walks through the rest of the decision, or you can browse all counselors and filter by credential.