Hypnotherapist, doctor, psychologist, psychotherapist: who to see, and when?

In Quebec, these four professions do not have the same legal framework. A doctor makes a diagnosis and prescribes. A psychologist assesses mental disorders and may practise psychotherapy. A psychotherapist holds a permit issued by the Ordre des psychologues du Québec, which authorizes them to practise psychotherapy. A hypnotherapist does not practise a regulated profession: they support well-being and changes in habits, without doing psychotherapy.

The rule is simple: if you are in significant distress, have an unexplained symptom or are unsure, start with your doctor. Hypnosis can then support medical or psychological care, never replace it.

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Four professions, four frameworks

You have not slept properly for weeks, anxiety is taking up more and more room, or you finally want to quit smoking. You are looking for help, and the titles all sound alike. Yet in Quebec, the law draws a very clear line between these professionals.

The doctor

Your doctor is your point of entry. A family doctor, a doctor at a clinic or a family medicine group (GMF), or a psychiatrist, who is a specialist physician: they examine you, make a diagnosis, order tests, prescribe medication and, when needed, refer you to a psychologist or another professional. Only a doctor can rule out a physical cause for a symptom: a sleep problem, fatigue or palpitations sometimes have a medical origin.

The psychologist

A psychologist is a member of the Ordre des psychologues du Québec, and the title is protected. They can assess mental disorders, an activity the law reserves for certain professionals, and they are authorized to practise psychotherapy. They, or your doctor, are the people to turn to for depression, an anxiety disorder, an eating disorder or the aftermath of trauma.

The psychotherapist

In Quebec, "psychotherapist" is not a free title. It requires the psychotherapist permit, issued by the Ordre des psychologues to members of other professional orders who meet its training requirements. Psychologists and doctors may also practise psychotherapy, under their own licence.

The hypnotherapist

The title of hypnotherapist is not regulated. A training course of a few days and one of several years give the right to use the same word. A hypnotherapist who is not a psychologist, a doctor or the holder of a psychotherapist permit cannot practise psychotherapy, even through hypnosis. They work in the field of well-being: relaxation, everyday stress, self-confidence, specific habits such as quitting smoking.

That is the case for the practitioners at Solutions Hypnose: they are not doctors, psychologists or psychotherapists, and they say so.

Where the line is drawn: what the law says

Since June 2012, psychotherapy has been a reserved activity in Quebec. The law defines it as a psychological treatment for a mental disorder, behavioural disturbances or any other problem causing psychological suffering or distress. It specifies that this treatment goes beyond help in coping with everyday difficulties, or a relationship of advice or support.

The same law names interventions that come close to psychotherapy without being psychotherapy: support meetings ("rencontre d'accompagnement"), support interventions, including couple and family interventions, psychological education, rehabilitation, clinical follow-up, coaching and crisis intervention.

The Ordre des psychologues applied this division to hypnosis in an opinion published in 2013:

  • helping someone relax, or change a specific habit such as quitting smoking, is not psychotherapy;
  • treating depression, anxiety disorders or eating disorders is psychotherapy, whatever the technique used, hypnosis included.

So it is not the tool that decides, but what is being worked on. The same hypnosis session can be well-being support with a hypnotherapist, or psychotherapy with a psychologist who uses hypnosis.

Who to see, and when?

Your doctor first, if you have:

  • a physical symptom that worries you or has no explanation: pain, fatigue, palpitations, digestive problems, insomnia that is settling in;
  • distress that lasts, takes over your days, or stops you from working or sleeping;
  • an ongoing treatment, which only the person who prescribed it can change.

A psychologist, or a psychotherapist holding the permit, if you are going through depression, anxiety attacks, an eating disorder, the aftermath of trauma, or distress that will not ease. Your doctor can refer you; in the public system, access usually goes through them or through your CLSC.

A hypnotherapist can support you with a well-being goal: quitting smoking](/en/hypnosis-to-quit-smoking/), taming the stress of an exam or of public speaking, regaining self-confidence, getting past a specific fear such as flying, learning to relax through [self-hypnosis.

And both together? That is often the best option. If you are followed by a doctor or a psychologist, hypnosis can support that follow-up, to sleep better or handle stress better, for example. Talk to the professional who follows you, and tell your hypnotherapist that you are being followed: a serious practitioner will ask you anyway.

If you are in distress, do not wait. 811 (Info-Social) is free and confidential, 24 hours a day: a psychosocial worker listens and guides you, for yourself or for someone close to you. Suicidal thoughts: call or text 988, anywhere in Canada. Immediate danger: 911.

Checking who you are seeing

For a psychologist or a psychotherapist, the Ordre des psychologues du Québec provides an online tool to check a person's right to practise (in French). Someone who presents themselves as a psychotherapist without appearing in this register is not allowed to use the title.

For a hypnotherapist, there is no official register. Ask about their training, their professional association, and what they will do if your situation falls outside their field. Our article How to choose a hypnotherapist goes through these questions and the warning signs.

The professional association also has a practical consequence: it determines which receipts the practitioner can issue for your insurance. We explain this in How much does a hypnosis session cost in Quebec.

A serious hypnotherapist knows how to say "this is not my field". If they make a diagnosis, promise you a cure or advise you to stop a treatment, they are stepping outside their role: walk away.

Where would you like to consult?

Your goal is about well-being, and you would like to try hypnosis? Choose the practitioner who suits you.

Our hypnotherapists see clients in their offices across Quebec, and by video wherever you are. Each one describes their training on their page. Not sure what suits you? Contact us: we will tell you honestly whether hypnosis is a good option, or whether you should see your doctor first.

Frequently asked questions about choosing between a hypnotherapist, a doctor, a psychologist and a psychotherapist

Sources

Hypnosis as practised by the members of Solutions Hypnose is a complementary support approach. It is neither a medical act, nor a diagnosis, nor psychotherapy in the regulatory sense, and it in no way replaces a consultation, follow-up or treatment prescribed by a health professional.

Our practitioners do not assess and do not treat mental disorders or illnesses. They never ask for an ongoing treatment to be stopped or changed: that decision rests exclusively with your doctor.

No result can be guaranteed. The testimonials and examples presented on this page describe individual experiences and do not predict what you will experience.

In case of significant distress, unexplained physical symptoms or suicidal thoughts, contact a doctor, emergency services or a helpline without delay.

Page written by Guillemette Moreau
hypnotherapist and NLP coach,
founder of Solutions Hypnose.
English version reviewed by David Veilleux
Published .