Do LPCCs have prescriptive authority?

• A. Yes, LPCCs can prescribe medications in all cases.
• B. They can prescribe in limited circumstances with supervision.
• C. They can prescribe non-prescription medications.
• D. No. LPCCs do not prescribe medications; medication management is handled by medical professionals, with referrals as needed.

Answer: (D)

Prescriptive authority is limited to licensed medical prescribers, and LPCCs typically do not have this authority. Their training and licensure focus on psychotherapy, assessment, diagnosis, and treatment planning, not on prescribing medications. When a client may benefit from medication, the LPCC collaborates with a medical prescriber (such as a physician, psychiatrist, or advanced practice nurse), provides necessary clinical information, and supports the client through referral and coordination of care. Some states have rare exceptions or special arrangements, but the standard rule in LPCC practice is that medication management is handled by medical professionals, with referrals as needed.