Hello everyone! I know the 'psychiatry vs. psychology' question has been broached in other threads, and I've read through some of these threads before asking my questions. However, I still have a few questions that haven't been touched upon. At this time, I am making a decision between going to medical school to become a psychiatrist or getting my PhD and becoming a psychologist. As this is a forum for psychiatrists, of course I am not seeking/expecting a perspective on psychologists but I would like to ask for a bit of feedback from psychiatrists' perspectives. I understand the basic differences between a psychiatrist vs a psychologist- such as how their training length and costs differ, differences in being a successful program applicant (MCAT vs GRE, etc), and eventual probable differences in salary. I'm really more interested in knowing about job satisfaction/rewards, etc. I'm a staunch believer in actual psychotherapy. When I practice and take care of clients (patients), I don't want to just write a prescription and move on to the next patient. I want to actually conduct psychotherapy sessions. That being said, I firmly believe that while many psychiatric disorders can benefit from psychotherapy (although, of course, not all), psychotherapy can be very ineffective even among those disorders it has proven to be effective in treating without adjunct medication. I believe that many disorders are the product of BOTH environment AND biological/physiological/chemical deficits, processes gone awry, etc. This is what makes it difficult for me to choose which field to go into. Ultimately, I'm curious as to whether real practicing psychiatrists (vs. what is hypothetically done in practice) do have an opportunity to conduct psychotherapy. Are therapy techniques emphasized at any point in training (especially residency)? Or is the role of the psychiatrist really medication management? I'd like to actually help someone work through a crisis, or conduct CBT, but I'd also like the flexibility of being able to prescribe medications (when necessary, to facilitate the effectiveness of therapy) and monitor medication effectiveness, side effects, etc. I understand things like loan repayments and whatnot can affect job satisfaction and happiness, but if it is at all possible (and I don't know if it is, as I have not yet been in your shoes) to remove something like that from consideration for a moment, do you find psychiatry rewarding overall? Do you feel like you are making a difference in at least some patients' lives? For those who knew they wanted to be psychiatrists before attending medical school (of course I understand the importance of entering with an open mind, but some people have a small feeling from the get-go that psychiatry is the 'right' field for them, and then this is reinforced by 3rd/4th year), are you glad you went the med school route and became a psychiatrist? Do you ever feel like you would have the same (or more?) satisfaction or a more rewarding career if you became a psychologist? Thank you for all who take the time to read this. I know everyone has different experiences and whatnot, but absolutely any feedback at all would be greatly appreciated.