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Psychotherapy vs. therapy: What’s the difference?

Researched and Written by Headspace Editorial Team

Jun 30, 2025

If you’ve ever wondered about the differences between psychotherapy vs. therapy, you’re not alone. Therapy can be hard to navigate, and knowing what you need is key to healing. Because “psychotherapy” and “therapy” are often used interchangeably, it’s easy to see why the terms can be confusing. And while they are closely related, they actually do have slightly different meanings depending on context.

Keep reading to learn the definitions and distinctions between these two therapeutic concepts. We’re covering everything you need to know, including how to choose a treatment approach that will work best for your mental health needs, condition, and symptoms. Headspace offers evidence-based, accessible online therapy from licensed therapists, and it’s even covered by insurance most of the time.

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In this article

Breaking down the terms

Therapy

✓ Broad umbrella term

✓ Includes mental health counseling,

✓ Often used casually to describe “talk therapy”


Psychotherapy

✓ Clinical term

✓ Refers specifically to evidence-based mental health treatment

✓ Delivered by trained, licensed professionals

✓ Involves structured techniques (e.g., CBT, DBT, psychodynamic)


When someone says “therapy,” they may mean psychotherapy — but not always.

Psychotherapy is one type of therapy focused on treating emotional and psychological challenges.

Explore psychotherapy options through Headspace’s evidence-based care program.

What is therapy?

Therapy refers to professional mental health support that’s designed to boost your emotional well-being. It also helps you develop practical tools so you’re able to handle life’s ups and downs. Therapy encompasses a wide variety of approaches, all aimed at targeting specific goals, issues, or challenges. It can include “talk therapy” (often used interchangeably with psychotherapy) and goal-focused counseling. Talk therapy can improve your self-esteem or help you build and maintain healthy relationships.

Whatever your mental health goals are, a good therapist will draw from their psychological experience and training to offer tailored support that’s determined by your exact needs. Many psychotherapists and therapists use a blended approach, pulling from multiple modalities to ensure you can reach your goals and emerge stronger, healthier, and ready to take on the world.

What is psychotherapy?

Psychotherapy is a more clinical term. It typically describes a structured, evidence-based treatment provided by a trained mental health professional.

Psychotherapy generally involves more than just talking. Think of it in the context of diagnosing and treating mental health conditions. You might seek psychotherapy to manage symptoms of conditions that are impacting your life, such as anxiety, depression, post-traumatic stress disorder (PTSD), and more.

There are several types of psychotherapy. All are grounded in research and offer frameworks to guide therapists. Some of the more common forms of psychotherapy include:

  • Cognitive behavioral therapy (CBT): In CBT, you focus on identifying and changing unhealthy or unhelpful thought and behavior patterns.

Studies show CBT is highly effective for anxiety disorders, disordered eating (like bulimia), depression, anger control, and general stress.

  • Dialectical behavior therapy (DBT): Using combined cognitive-behavioral tools and mindfulness, DBT is an excellent modality for emotional regulation. Originally developed to treat borderline personality disorder (BPD), DBT is now also used to successfully treat other conditions.

Research shows DBT is effective far beyond its original use for BPD. It’s used to treat symptoms of depression, bulimia and binge eating, bipolar disorder, PTSD, and substance abuse. It’s also widely respected for addressing self-harm and suicidality.

  • Psychodynamic therapy: Some people benefit most from psychodynamic therapy, which explores unconscious patterns that have developed as a result of past experiences. In therapy, you will learn to understand your current behavior, which allows you to make changes to things that are negatively impacting your life.

Psychodynamic therapy has been found effective in studies for treating some personality disorders, particularly borderline personality disorder. It can also help relieve symptoms of depression, anxiety, and disordered eating.

What’s the difference between therapy and psychotherapy?

In practice, the terms therapy and psychotherapy often overlap. Most licensed therapists can offer both forms of counseling, depending on your situation, condition, and goals for treatment outcome.

AspectTherapyPsychotherapy
Depth & focusBroad and practical
Focuses on coping strategies, stress, and significant life changes
Explores deep-rooted thought and behavior patterns
QualificationsProvided by a range of trained and licensed mental health professionalsGenerally delivered by licensed therapists with specific psychotherapy training
Conditions treated - General well-being
- Stress
- Adjustment to life transitions
- Relationship issues
- Self-improvement or personal growth
- Various mental health conditions
Diagnosable mental health conditions like:
- Anxiety
- Depression
- Obsessive-compulsive disorder (OCD)
- Post-traumatic stress disorder (PTSD)
TerminologyCommon term used in everyday languageTerm is more clinical and formal

Should I see a therapist or psychotherapist?

There are many reasons to see a mental health professional, but finding the right type of therapist or psychotherapist and treatment is key to your success.

If you’re experiencing symptoms of anxiety, depression, trauma, or another diagnosed psychological condition, psychotherapy might offer the tangible results you’re looking for. It can improve your life and emotional well-being.

If you’re navigating a significant life change, feel constantly overwhelmed, or want to explore personal growth, general therapy can be an appropriate and effective solution.

The most important thing to remember is that your first step doesn’t need to be the perfect answer. What matters is that you’re getting help, and that starts with reaching out for support.

What matters more than terminology

Finding the right provider, who’s a good fit and trained and qualified to meet your needs, is critical. It dictates the results you’ll end up achieving. Even if it feels daunting, try not to get too hung up on the labels. Your primary focus should be on the connection you feel with your therapist. Research shows that the quality of a relationship with a therapist or psychotherapist is one of the strongest predictors of a successful outcome, a good sign if you want to know if therapy is working.

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Explore therapy with Headspace

If you’re ready to explore therapy or psychotherapy, Headspace is here for you. We make it easy, convenient, and affordable to connect with licensed therapists and get evidence-based therapy to help you meet your goals. With flexible scheduling, virtual sessions, and insurance coverage, Headspace is designed to meet you wherever you are on your journey. Whatever terminology you use, what matters the most is your bravery and willingness to ask for help.

Reach out today to learn more about the power of Headspace.


Sources:

1. Asarnow, J. R., Berk, M. S., Bedics, J., Adrian, M., Gallop, R., Cohen, J., Korslund, K., Hughes, J., Avina, C., Linehan, M. M., & McCauley, E. (2021). Dialectical Behavior Therapy for Suicidal Self-Harming Youth: Emotion Regulation, Mechanisms, and Mediators. Journal of the American Academy of Child & Adolescent Psychiatry, 60(9), 1105-1115.e4. https://doi.org/10.1016/j.jaac.2021.01.016. Accessed May 27, 2025.

2. Bohus, M., Kleindienst, N., Hahn, C., Müller-Engelmann, M., Ludäscher, P., Steil, R., Fydrich, T., Kuehner, C., Resick, P. A., Stiglmayr, C., Schmahl, C., & Priebe, K. (2020). Dialectical Behavior therapy for Posttraumatic stress Disorder (DBT-PTSD) compared with Cognitive Processing therapy (CPT) in complex presentations of PTSD in women survivors of childhood abuse. JAMA Psychiatry, 77(12), 1235. https://doi.org/10.1001/jamapsychiatry.2020.2148. Accessed May 27, 2025.

3. Dimeff, L. (2008). Dialectical Behavior therapy for Substance abusers. Addiction Science & Clinical Practice, 4(2), 39–47. https://doi.org/10.1151/ascp084239. Accessed May 27, 2025.

4. Eisner, L., Eddie, D., Harley, R., Jacobo, M., Nierenberg, A. A., & Deckersbach, T. (2017). Dialectical Behavior Therapy Group Skills Training for Bipolar Disorder. Behavior Therapy, 48(4), 557–566. https://doi.org/10.1016/j.beth.2016.12.006. Accessed May 27, 2025.

5. Fonagy, P. (2015). The effectiveness of psychodynamic psychotherapies: An update. World Psychiatry, 14(2), 137–150. https://doi.org/10.1002/wps.20235. Accessed May 27, 2025.

6. Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The Efficacy of Cognitive Behavioral therapy: A review of Meta-analyses. Cognitive Therapy and Research, 36(5), 427–440. https://doi.org/10.1007/s10608-012-9476-1. Accessed May 27, 2025.

7. Lynch, T., Morse, J., Mendelson, T., & Robins, C. (2003, February 1). Dialectical behavior therapy for depressed older adults: a randomized pilot study. PubMed. https://pubmed.ncbi.nlm.nih.gov/12527538/. Accessed May 27, 2025.

8. Norcross, J. C., & Lambert, M. J. (2018). Psychotherapy relationships that work III. Psychotherapy, 55(4), 303–315. https://doi.org/10.1037/pst0000193. Accessed May 27, 2025.

9. Pisetsky, E. M., Schaefer, L. M., Wonderlich, S. A., & Peterson, C. B. (2019). Emerging psychological treatments in eating disorders. Psychiatric Clinics of North America, 42(2), 219–229. https://doi.org/10.1016/j.psc.2019.01.005. Accessed May 27, 2025.

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