One of the most common questions I hear from people who are considering therapy for the first time is: do I need to see my GP first? The answer, when it comes to seeing a psychotherapist, is no — and I think it is worth explaining why, because the confusion is understandable.
The Difference Between Psychotherapists and Psychologists
The referral question usually comes up because of how the Medicare system works in Australia. If you want to access a Medicare rebate for mental health sessions, you do need a GP to provide a Mental Health Care Plan, which then entitles you to a set number of rebated sessions with a registered psychologist or clinical psychologist.
Psychotherapists sit outside this system. We are not registered with AHPRA (the Australian Health Practitioner Regulation Agency), and our sessions do not attract Medicare rebates. This means there is no referral process, no paperwork, and no waiting for an appointment with your GP before you can begin. You can simply get in touch directly.
What This Means
For many people, this is actually a relief. The process of getting a Mental Health Care Plan, while valuable for those wishing to access a psychologist, can feel like a barrier — particularly if you are already finding it hard to take that first step. With psychotherapy, there is nothing standing between you and beginning the work.
You do not need a diagnosis and don’t need to have seen a doctor recently. A free 15-minute consultation is usually the starting point. This gives you a chance to have a conversation, ask questions, and get a sense of whether working together feels like the right fit.
Are There Any Exceptions?
If you are experiencing a mental health crisis or have complex psychiatric needs, your GP or a psychiatrist may be the most appropriate first point of contact. Psychiatrists are medical doctors who can prescribe medication and provide diagnoses which is outside the scope of psychotherapy.
For most people, however, who are carrying anxiety, depression, unresolved trauma, grief, relationship difficulties, or a general sense that something is not right, a direct conversation with a psychotherapist is exactly the right place to start.
How to Get Started
If you are wondering whether psychotherapy might help, the simplest thing to do is reach out. A free 15-minute consultation is available to anyone who would like to have a conversation before committing to a full session.
I work with adults, adolescents, and children in person in Bowral and online across Australia.
