FAQS about Psychologist Regulation and Practice
These FAQs are intended to be useful in understanding the College’s mandate, policies, and procedures. Readers are advised that policies and procedures change. The College endeavours to update its FAQs and the website as efficiently as possible. The application of some procedures may depend upon the circumstances of a matter and therefore, may not occur the same way in every instance. The FAQs are for information purposes only and may not be relied upon as legal advice. To the extent that there are any inconsistencies between these FAQs and the provisions of the Health Professions Act or Part 4 of the College’s bylaws, the provisions of the Act and bylaws take precedence.
SELF REGULATION FAQS
ACCESS TO PSYCHOLOGICAL SERVICES FAQS
It is very important that you have a trusting, positive and constructive relationship with any psychologist you choose to work with. As is the case with any other kind of professional, one practitioner might be a good fit for one person, but not a good fit for someone else. Once you have established the practitioner’s credentials, the best way to determine if he or she is right for you is to rely on your feelings: Does this person appear kind, understanding and non-judgmental? Do you feel listened to? If not, perhaps you need to try someone else who might be a better fit.
PRACTICE OF PSYCHOLOGY FAQS
As part of their graduate study, psychologists complete extensive coursework and supervision in the areas of psychological assessment, treatment and ethics. They must also study a broad range of other content areas including physiological psychology, learning, cognition, motivation, social psychology, group processes, personality theory, human development and abnormal psychopathology. Because a Ph.D. in psychology is also a research degree, individuals with a Ph.D. have also completed coursework in research design and statistics and are required to complete research projects in the form of a master’s thesis and doctoral dissertation. In recent years, a professional degree, a Doctorate of Psychology Degree (Psy.D.) has become increasingly prevalent. Typically this doctorate is offered by privately funded educational institutions called “professional schools”. Someone with a Psy.D. has completed similar coursework to the Ph.D., but with less emphasis on research skills.
Most registered psychologists in British Columbia have completed doctoral level study and supervised practice experience, as described above, or the equivalent. There are, however, some master’s trained practitioners who have been “grandparented”, or who have been granted registration in British Columbia in accordance with Canadian labour mobility requirements as required by the BC government.
In British Columbia, all registered psychologists may use the titles “registered psychologist” or “psychologist” and the abbreviation “R.Psych.” Registered psychologists with doctoral level training may also indicate their degree (“Ph.D.” or “Psy.D.”), or, alternatively, they may use the academic title “Dr.” before their name. In British Columbia, registered psychologists without doctoral level training are not permitted to use the title “Dr.” in connection with their psychology practice.
The practice of psychology is quite broad and registered psychologists can be found working in a variety of settings and with clients of all ages and issues. Psychology services are provided in schools, private practices, businesses, health clinics, hospitals, jails, courts, social welfare agencies, rehabilitation centres and private practice offices.
Psychologists typically focus their practice in specific areas such as clinical, counseling, forensic, health, rehabilitation or school psychology. Across these practice areas psychologists engage in a broad range of activities including:
- assessing and treating mental health problems such as anxiety and depression;
- assessing and working with neurological conditions such as brain injury or dementia;
- helping people to address psychological factors and problems associated with physical conditions and disease (e.g. diabetes, heart disease, stroke);
- assessing cognitive functions such as learning, memory, problem solving, intellectual ability and performance;
- providing court consultations addressing the impact and role of psychological and cognitive factors in accidents and injury, parental capacity, and competence to manage one’s personal affairs;
- assisting people struggling with stress, anger and other aspects of lifestyle management;
- treating marital and family relationships and problems; and
- helping people to address addictions and substance use and abuse (e.g. smoking, alcohol).
Under the College’s Code of Conduct, all psychologists are expected to only provide those services “to those areas of competence in which the registrant has gained proficiency through education, training and experience…”
A practicing psychologist is trained to assess and diagnose problems in thinking, feeling, and behaviour as well as to help people overcome or manage these problems. A psychologist is uniquely trained to use psychological tests to help with assessment and diagnosis. Psychologists help people to overcome or manage their problems using a variety of treatments or psychotherapies.
Psychiatrists are medical doctors who go on to specialize in mental health and mental illness. Psychiatrists often use medication to help their clients manage their mental illness. There are some mental illnesses for which medications are necessary (such as schizophrenia, and some depressions, for example). Some psychiatrists also do psychotherapy much like psychologists do.
Sometimes a client might consult his or her family physician about medication while seeing a psychologist for psychotherapy. Some family physicians have an interest and some training in treating psychological problems. In some cases, an individual might be followed by a psychiatrist for his or her medications, while seeing a psychologist for therapy.
Following the information-gathering phase which may or may not include psychological testing, it is important that the psychologist discuss with the client (and/or his or her parent or guardian if a child) what he or she thinks is wrong and what he or she can offer in the way of help. Reasonable questions to ask a psychologist are:
• Have you treated many people with this kind of problem?
• What kind of psychotherapeutic approach do you use and how does it work?
• What kind of success can I expect?
Treatments or psychotherapeutic approaches used by psychologists should be treatments that research has proven to be effective. Common types of treatments include cognitive-behavioural therapy, interpersonal therapy, and systems therapy, among others. Treatment might be offered in an individual, group, couple or family format depending on the problem and who is affected.
PSYCHOLOGICAL TESTS: Psychological tests are used to gain a better understanding of the kind of problem in thinking, feeling or behaviour a person presents. If a psychologist plans to administer tests, he or she will typically explain why they are being used and what it is being assessed. For example, some tests are used to assess and help diagnose mood, some are used to assess problems in memory or concentration, and some might be used to better understand personality characteristics. Some are pencil and paper tests that pose questions to which you must answer true or false, and others might require you to manipulate objects or remember numbers or phrases. Testing is used to help the psychologist assess your functioning and potentially inform a diagnosis of your particular problem.
TREATMENT PLANNING: Following the information-gathering phase which may or may not include psychological testing, it is important that the psychologist discuss with the client (and/or his or her parent or guardian if a child) what he or she thinks is wrong and what he or she can offer in the way of help. Reasonable questions to ask a psychologist are:
- Have you treated many people with this kind of problem?
- What kind of psychotherapeutic approach do you use and how does it work?
- What kind of success can I expect?
Treatments or psychotherapeutic approaches used by psychologists should be treatments that research has proven to be effective. Common types of treatments include cognitive-behavioural therapy, interpersonal therapy, and systems therapy, among others. Treatment might be offered in an individual, group, couple or family format depending on the problem and who is affected.
You are entitled to be an informed consumer and active participant in the psychological treatment process – if you have questions or concerns, let the psychologist know!