Quick answer
A psychiatrist is a medical doctor who has specialised in mental health and can prescribe medication. A psychologist has studied psychology, provides assessment and talk therapy, and does not prescribe medication.
Many people see both: a psychiatrist to diagnose and manage medication, and a psychologist for ongoing therapy. In South Africa both are registered with the Health Professions Council of South Africa (HPCSA).
Step-by-step guidance
- If you are in crisis or at risk of harming yourself, contact emergency services or a crisis line straight away.
- For ongoing low mood, anxiety or stress, a GP or a psychologist is often a good first stop.
- If medication may be needed, or symptoms are severe, ask for a referral to a psychiatrist.
- Check the practitioner's HPCSA registration before your first appointment.
- Ask your medical aid how it covers each type of consultation.
What to check
- HPCSA registration and category (clinical, counselling or educational psychologist)
- Whether the practitioner treats your age group and concern
- How your medical aid covers consultations and any referral requirements
Common mistakes to avoid
- Waiting too long to seek help because you are unsure who to see
- Assuming a psychologist can prescribe medication
- Stopping prescribed medication without speaking to the prescribing doctor
Related nearby services
NearMe lists 182 psychologists across South Africa, with the most in Gauteng (85), Western Cape (33) and KwaZulu-Natal (20). 98% include a phone number, so you can check before you go.
This guide gives general information only. Rules, fees and requirements can change, so confirm details with the provider or the relevant authority. NearMe is an independent directory, not the provider.
Frequently asked questions
Can a psychologist prescribe medication?
No. In South Africa prescribing is done by medical practitioners such as psychiatrists and GPs.
Do I need a referral to see a psychiatrist?
Not always, but some medical aids require a GP referral for specialist cover. Check with your scheme.
How do I check a practitioner is registered?
Search the HPCSA's online register with the practitioner's name or registration number.