When would a counselor or therapist send you to a psychiatrist?

Usually 4 medication. In most states, psychiatrists are the only mental health professionals who can prescribe medication. Other reasons include if a medical cause is suspected, e.g., a hormone disorder or drug side-effect causing the emotional problem. Or occasionally, simply if the situation is very severe, complex, or has medical or legal complications.
Medications. Generally, when he or she thinks a psychotropic medication may be needed in addition to (or in rare cases, instead of) your counseling or therapy.