Can a psychologist prescribe medication in virginia

What is a Clinical Psychologist:
In Virginia, the title "clinical psychologist" is reserved for those who have met the rigorous requirements set forth and governed by The Virginia Board of Psychology.  Those requirements include completing a doctoral degree (PhD, PsyD, or EdD) in psychology, completing a supervised clinical internship in a hospital or other organized health setting, and passing a national written
exam and state required exam before becoming licensed. This extensive training takes at least five years of graduate school plus post-doctoral training in many cases (sometimes called "post
doctoral fellowship"). By the time they are licensed, clinical psychologists, are VERY HIGHLY
trained professionals with expertise in assessment, diagnosis, and treatment. Clinical
psychologists work with children, adults, families, and groups to help change feelings, thoughts,
​ and behaviors via techniques that are based on research. In fact, many clinical psychologists lead research efforts to better understand people's' feelings, thoughts, and behaviors and also develop new ways to help people live better lives. Most research-based clinical psychotherapy treatments for people suffering with mental illness were developed by clinical psychologist researchers. You may find many clinical psychologists have chosen to specialize in helping certain groups (e.g., children, adults) and offer specialized types of assessment (e.g, neuropsychological assessment) or treatment (e.g., cognitive behavioral therapy). 

What about other health professionals like:
 psychiatrists, licensed clinical social workers, marriage and family therapists, and licensed mental health counselors? The consumer of mental health care has many options and it is important to be informed about the large differences in training depth and breadth. First, psychiatrists are medical doctors who have gone to medical school and done a three-year residency in psychiatry. They can prescribe and manage psychiatric medications. Some also do psychotherapy. There are a variety of licensed therapists (i.e., providers of psychotherapy) who have mostly have master's degrees plus supervised training prior to sitting for a licensure exam. These therapists include: licensed clinical social workers, marriage and family therapists, licensed professional counselors, and licensed mental health counselors.
Training and licensure:
Clinical psychologists receive a median of 7 years of education and training beyond their undergraduate degree, including practica and internship training in hospitals and other health care settings.  Professional licensure is generally uniform throughout the country, authorizing a clinical psychologist to independently diagnose and treat mental and nervous disorders upon completion of a doctoral degree in psychology and a minimum of two years supervised, direct clinical service.  (Source: https://www.vapsych.org/why-a-clinical-psychologist-)

 Our clinicians are highly trained and qualified in various psychological approaches allowing them to utilize their skill-set and training to address a variety of concerns.  Our interventions can take many forms depending on the needs of the individual, couple or family.  We consider each family and each client to be unique and, as such, consider cultural, ethnic, and environmental factors. ​



Our treatment plans are formulated on a case-by-case basis, but we utilize various evidence-based approaches, including:

  • Comprehensive psychological evaluations
  • Cognitive-behavioral therapy
  • Dialectical Behavioral therapy
  • Humanistic approaches
  • Developmental approaches
  • Family and multisystemic techniques

At Grace Assessment and Therapy Services, our assessment, diagnostic, and treatment approaches integrate current research with time tested methods.

Our support staff provides assistance with scheduling, insurance, and billing.

Our mission is to provide you with accurate information to make the best decisions about your emotional health and know what to expect when you work with a Licensed clinical psychologist.

There are many reasons people seek the help of a clinical psychologist. Some may just want someone to help them talk through and learn to cope with a difficult family, medical or personal situation.  Others may be battling with depression, anxiety, or a serious mental illness. The good news is, therapy is effective and there are many treatments that provide help and relief. You might benefit from therapy if:

  • You find it difficult to manage everyday activities, concentrate on work, get out of bed or enjoy spending time with others
  • You worry excessively, feel constantly on edge or can’t overcome certain fears
  • Your drinking, drug use or other habits are interfering with work, school or relationships
  • You are having difficulty with maintaining relationships
  • Your anger is interfering with your life
  • You believe that you or your child may have difficulty with learning
  • You cannot manage excessive spending, collecting or exercise
  • You are having thoughts of harming yourself or others (*If you are having these thoughts now, please seek immediate assistance.)

Clinical psychology refers to the treatment and evaluation of mental health issues. Clinical psychologists are social scientists and/or professional health care providers who specialize in psychotherapy. They are highly trained professionals with expertise in the areas of human behavior, human development, psychological problems, the measurement and understanding of personality characteristics, and other important areas of knowledge about how people think, feel and behave. As health care professionals, clinical psychologists apply what they have learned to help people resolve personal adjustment problems, change their feelings and attitudes, overcome emotional illness, seek a better understanding of themselves and help them develop healthier, more effective patterns of behavior.

After graduation from college clinical psychologists spend an average of four to six years in full time graduate education, training and research before receiving a doctoral degree. As part of their training they must complete a specified number of supervised clinical hours, which includes a one year, full-time supervised internship. Psychologists must also pass a rigorous written exam administered by the state licensing board and adhere to a strict code of professional ethics. It is the combination of training and experience that distinguishes clinical psychologist from many other mental health providers.

A psychiatrist is a medical doctor who spends four years in medical school before specializing in the treatment of mental health issues. A psychiatrist can prescribe medications to help with your issue. Although some psychiatrists have extensive training in psychotherapy, most focus their practice on medication management. A clinical psychologist spends 4-6 years training to provide counseling and therapy for mental health issues, plus a one year internship and in most states a year of supervised practice before becoming licensed. Clinical psychologists in Virginia and most other states are not allowed to prescribe medications. Most clinical psychologists work closely with psychiatrists to help manage both the biological and social causes of difficulties.

According to a 2010 study published by the American Journal of Psychiatry, 42% of individuals seeking therapy use 3-10 sessions, while 1 in 9 use more than 20 sessions. Most clinical psychologists will tell you that the length of treatment depends upon the nature of the problem, the severity of the problem, and the treatment goals selected. A debilitating depression or significant trauma can require longer or more frequent treatment than a mild stress response, simple phobia or counseling to make a life decision.

Most people who undergo psychological treatment do not require medications. However, your psychologist may recommend that you consult with a psychiatrist depending on your symptoms and response to treatment. Clinical psychologists do not prescribe medications themselves, but can work closely with the physician you choose.

The best sources of information on your diagnosis will be well recognized health sites. Some recommended sites are:

National Institute of Mental Health www.nimh.nih.gov

Mayo Clinic www.mayoclinic.com

American Psychological Association www.apa.org

WebMD

National Alliance of the Mentally Ill (NAMI) www.nami.org

You can start by using our Find a Psychologist function to search for a clinical psychologist by location, ages served, areas of expertise and many other variables. You may want to speak with your doctor or another health professional about referrals, or ask family, friends, neighbors or a school counselor for recommendations. Clinical psychologists and clients work together, and a good working relationship is essential. Most clinical psychologists agree that an important factor in deciding whether to work with a qualified psychologist, is your level of personal comfort with that psychologist. Many clinical psychologists will speak with you by phone about their approach prior to scheduling a visit. Choose one with whom you feel comfortable and at ease.

Psychological testing or evaluation refers to the administration of standardized tests that have been carefully evaluated for both accuracy and consistency over time. Psychological tests are administered individually and interpreted along with observations, personal history and interviews. There are a number of academic and medical/health-related questions that may benefit from assessments of emotional functioning, intelligence, intellectual strengths and weaknesses, academic disabilities, psychosis and personality. Your clinical psychologist may recommend testing if symptoms are unclear, there is a need for more in-depth information, a learning difficulty is suspected or based on a specific question you or another health provider has. Only clinical psychologists are trained and licensed to do psychological assessments.

A person is diagnosed with a learning disability if their academic skills are significantly less than one would expect given their intelligence and access to education. Testing involves one on one assessment in a quiet setting optimized to identify how well the individual can perform under ideal settings. The psychologist will administer IQ tests, academic tests, interview parents, teachers or other caregivers and evaluate for any emotional or behavioral problems that may also contribute to difficulties in the academic setting.

Clinical psychologists have very stringent ethical codes regarding privacy. The information that you provide to us is confidential and will not be shared with anyone unless you give your explicit written permission to share information. There are certain conditions where concerns for safety or legal actions may require that information can be disclosed without your permission. These conditions will be explained further as part of a therapy agreement with any psychologist.

Which states can psychologists prescribe medication?

1 Psychologists can prescribe in five states: Louisiana, New Mexico, Illinois, Iowa, and Idaho. In such cases, psychologists are required to receive proper training and are permitted to prescribe certain medicines used in the treatment of mental disorders.

Can a psychologist prescribe anxiety medication?

Depending on the state where you live, your psychologist may prescribe medications for your depression. Illinois, Louisiana, and New Mexico are the only states that allow psychologists to prescribe medicine. Your treatment by a psychologist will likely be in conjunction with ongoing treatment by your primary doctor.

Can therapists write you prescriptions?

Yes, psychiatrists and other licensed therapists can prescribe medications online (NAMI, 2020). These include antidepressants and drugs commonly taken for mental health conditions like anxiety and bipolar disorder (Cornell, n.d.). However, different states have different rules about telehealth prescriptions.