I think it might depend on the psychiatrist. Some of them treat it very much like a specialization for any medical doctor. You describe your symptoms, they give

I think it might depend on the psychiatrist. Some of them treat it very much like a specialization for any medical doctor. You describe your symptoms, they give you the best treatment options available and you iterate from there. If therapy is the answer or part of it you go see a therapist. If new science comes out you adapt. I suspect someone practicing psychology is more likely to become disillusioned.