Therapy & Counseling: What’s the Difference?

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The terms “therapy” and “counseling” can be used in many different ways, but in our work, we use them to mean different and specific things. To distinguish between the two, it may be helpful to refer to the latter as “crisis counseling” or “crisis intervention.”

Crisis intervention is a brief service conducted by trained professionals that focuses on offering stability and support during an episode of crisis or period of specific need. The advocate provides emotional support, assesses the client’s needs, brainstorms and explains options, and assists the client in connecting with helpful resources. Depending on what’s needed at the time, the session may aim to resolve an emotional or mental health crisis, or it may aim to answer specific questions or connect to specific resources. Crisis intervention is intended to be a short-term intervention rather than an ongoing source of support: Most OCRCC clients talk to an advocate anywhere from one to five times. When someone is in an immediate crisis, crisis intervention works to resolve the current episode so that the client is able to focus on their long-term healing process. Often one of the helpful resources that advocates connect clients to is therapy.

Therapy goes beyond immediate stabilization to help clients begin the journey of healing from trauma and other major life stressors. In the process of healing, therapy aims to manage and resolve trauma symptoms in the long term. Therapy is an intervention delivered by licensed mental health professionals who are required to document and justify their treatment strategies. Therapy is a longer-term service designed to move past stabilization and delve into the causes of stressors. The Center’s Bilingual Therapy Program provides up to 16 sessions of trauma-focused therapy to aid survivors in processing their trauma and alleviating their triggers and symptoms.

Sexual assault victim advocates and trauma therapists often work together to meet all of the survivors’ needs so that they can move from surviving to thriving. Advocates – like our expert staff and trained volunteer Companions – help to stabilize clients during episodes of crisis, whether prior to beginning therapy or in between therapy sessions. Our therapists provide a safe space for survivors to dig deeper into painful experiences and resolve emotional and somatic reactions so that they can live a full life.

Learn more about our Bilingual Therapy Program at ocrcc.org/therapy, or call our help line at 866-WE LISTEN or 919-967-7273.


  • 24-Hour Help Line:

    • 866-WE-LISTEN (866-935-4783)
    • 919-967-7273 (Local)
    • 919-338-0746 (TTY)