CBT Psychotherapist: definition, role and differences | Guide

You've heard the term "psychopraticien" without really knowing what it means? You're not alone. Between psychologist, psychiatrist, psychotherapist and psychopraticien, it's sometimes hard to tell them apart. Yet understanding these distinctions is essential to choosing the professional who truly matches your needs.

I'm Gildas Garrec, a psychopraticien specializing in cognitive behavioral therapy (CBT) in Nantes, and I'd like to walk you through this in 5 minutes.

Psychopraticien: a clear définition

A psychopraticien (or psychopraticienne) is a mental health professional who uses validated psychotherapy methods to help their clients overcome emotional, behavioral, or relational difficulties.

The term "psychopraticien" was adopted in 2010, following the implementation decree of the 2004 law regulating the use of the title of psychotherapist.

Before this date, many practitioners worked under the title of psychotherapist. Since then, this title has been reserved for professionals registered in the national register of psychotherapists (mainly psychiatrists, psychologists, and physicians who have completed additional training).

Psychopraticiens then chose this new title to continue practicing transparently, relying on their training and skills.

What a psychopraticien actually does

On a daily basis, a psychopraticien:

• Welcomes and listens: he or she creates a safe, non-judgmental space for dialogue.
• Assesses the situation: through structured interviews, he or she identifies the person's difficulties and objectives.
• Proposes adapted support: drawing on proven methods (CBT, EMDR, humanistic thérapies, etc.).
• Facilitates change: session after session, he or she helps the person develop new stratégies to live better.

The psychopraticien does not make medical diagnoses and does not prescribe medications. Their rôle is centered on psychological support and accompaniment.

Psychopraticien, psychologist, psychiatrist: what are the differences?

This is probably the question I'm asked most often. Here's a summary table to clarify:

The psychiatrist

A psychiatrist is a doctor specializing in mental health. After 10 to 12 years of medical studies, he or she can make a psychiatric diagnosis and prescribe medications (antidepressants, anxiolytics, etc.). Consultations are covered by social security.

The psychologist

A psychologist has completed a 5-year university psychology curriculum (Master's degree). He or she can conduct psychological assessments, tests, and offer therapeutic follow-up. The title of psychologist is protected by law. Since 2022, the MonParcoursPsy program allows partial reimbursement of sessions.

The psychotherapist

Since 2010, the title of psychotherapist has been regulated. It is reserved for professionals registered in the national register, after validation of training in clinical psychopathology (minimum 400 hours of theoretical training and 5 months of internship).

The psychopraticien

A psychopraticien has generally completed extensive training in one or more psychotherapy methods (often 3 to 5 years). He or she is trained in helping relationships and therapeutic support.

The title is not regulated by the state, but serious practitioners belong to professional unions (SNPPsy, FF2P, AFFOP) that impose a strict ethical framework.

The key takeaway: each of these professionals meets different needs. A psychopraticien is particularly suited if you're looking for concrete, solution-focused support, without necessarily needing a diagnosis or medical care.

Training to become a psychopraticien: a rigorous journey

Contrary to popular belief, becoming a psychopraticien is not something you can improvise. A serious psychopraticien has followed a rigorous path:

• Long-term training: typically 3 to 5 years at a recognized school, with a minimum of 1,000 hours of training according to professional union standards.
• Personal therapeutic work: before helping others, the future practitioner must have completed their own therapy (often several hundred hours).
• Regular supervision: even after certification, supervision by a peer is mandatory to maintain practice quality.
• Continuing education: methods evolve, knowledge evolves. A good practitioner trains throughout their career.

For my part, I trained in cognitive behavioral therapy (CBT) as well as other complementary approaches. You can view the details of my certifications and training for full transparency.

Methods used by psychopraticiens

Psychopraticiens can specialize in different approaches. Here are the most common:

Cognitive Behavioral Therapy (CBT)

CBT is among the most scientifically validated approaches. It works on the link between thoughts, emotions, and behaviors. Numerous studies (notably a meta-analysis published in Cognitive Behaviour Therapy in 2012 by Hofmann et al.) have demonstrated its effectiveness for anxiety, dépression, phobias, and obsessive-compulsive disorders.

EMDR (Eye Movement Desensitization and Reprocessing)

Recommended by the WHO and the French National Authority for Health for treating post-traumatic stress, EMDR uses bilateral stimulation (eye movements) to help the brain reprocess traumatic memories.

Humanistic approaches

Founded on Carl Rogers' work, these approaches emphasize empathic listening, non-judgment, and the person's ability to find their own solutions.

Gestalt therapy

This approach focuses on the "here and now," on how the person connects with their environment, and on awareness of their relational patterns.

How to choose your psychopraticien well

Here are the essential criteria for making an informed choice:

Verify their training: ask what training they've completed, from which schools, and for how long. A transparent practitioner will have no problem answering these questions.

Ensure membership in a professional union: unions like SNPPsy or FF2P impose strict codes of ethics, mandatory supervision, and continuing education.

Identify the method: make sure the approach used matches your needs. CBT is particularly well-suited for anxiety and phobias, while other approaches are better for deeper work on personal history.

Listen to your gut feeling: the quality of the therapeutic relationship is the primary factor in therapy success, as shown by Bruce Wampold's research (2001). You need to feel trusted and respected.

Check practical details: fees, session length, frequency, possibility of video consultation, cancellation policy.

Don't hesitate to visit the About Gildas Garrec page to learn more about my background and how I work.

Is a psychopraticien covered by insurance?

It's a legitimate question. Consultations with a psychopraticien are not covered by national health insurance, unlike consultations with a psychiatrist.

However, more and more health insurance plans are covering all or part of psychotherapy sessions, including with psychopraticiens. It's recommended to check with your insurance provider about the number of covered sessions and the reimbursement amount.

Some plans cover between 3 and 10 sessions per year, at €30 to €60 per session. This is another reason to research carefully before starting treatment.

When to consult a psychopraticien?

You don't have to be in crisis to consult. A psychopraticien can support you in many situations:

• Anxiety, chronic stress, or panic attacks
• Life transitions (grief, séparation, career change)
• Relational or emotional difficulties
• Lack of self-confidence or self-esteem
• Need for greater self-awareness and developing your resources
• Managing difficult emotions (anger, sadness, guilt)
• Support for a diagnosed condition alongside medical care

If you're asking yourself whether to consult, it's probably time. You can book an appointment directly for an initial conversation with no commitment.

Conclusion

The psychopraticien is a mental health professional trained in recognized psychotherapy methods who helps their clients navigate life's difficulties and develop their well-being.

They are neither a doctor nor a psychologist, but a specialized practitioner in helping relationships, whose legitimacy rests on the quality of their training and practice.

What matters most is not the title, but the competence, training, and especially the quality of the relationship you establish with your practitioner.

If you'd like to know more about my approach or discuss your situation, I invite you to contact me or view my certifications.

---

Key takeaways:

>

A psychopraticien is a mental health professional trained in validated psychotherapy methods. The title has existed since 2010, following regulation of the psychotherapist title. A good psychopraticien has completed extensive training (minimum 3 to 5 years), completed personal therapy, and practices supervision. Consultations are not covered by national health insurance, but many health plans do cover them. The most important criterion when choosing: the quality of the therapeutic relationship and the practitioner's transparency about their training.

Related reading

• Do I need a therapist? 10 telling signs
• CBT or EMDR: complete comparison to help you choose
• Online therapy: effectiveness, reviews and practical advice
• Émotional dependency: recognizing it, understanding it, and breaking free (CBT Guide 2026)

Do you see yourself in this article?

Take our test: General Psychological Assessment in 60 questions. 100% anonymous – personalized PDF report for €14.90.

Take the test →

---

Watch: Go Further

To deepen the concepts discussed in this article, we recommend this video:

Rethinking Infidelity - Esther Perel | TEDTED