A member asked:

For substance abuse and cyclothimic bipolar what would be the best type of counseling, with a psychologist or a psychiatrist?

8 doctors weighed in across 3 answers

Both: Medications and psychotherapy together are most effective. Both have a role and work together. Depending on your severity, you should work on your substance abuse first, then address your mood issues if you have to choose only 1 professional to start with.

Answered 11/27/2017

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Both: Although some psychiatrists are blessed to do both medication managment and psychotherapy - most in the day of managed health care are not. Are you involved in narcotics anonymous ? An excellent, free, confidential program? That is a great place to start. Seeing a psychologist for therapy and a psychiatrist for psychiatric medication managment are also options. Take care.

Answered 3/25/2014

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Dr. Bernard Seif answered

Specializes in Clinical Psychology

Psychotherapy is: More often done by a clinical psychologist these days. A psychiatrist can help you with medication for bipolar if indicated. A 12 step program is helpful for substance issues. Peace and good health. Sounds like a lot but once coordinated it will be helpful.

Answered 3/25/2014

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