I don't have any expereince with a county mental health therapist. I've always only seen someone in private practice.

However, I would wager that someone employed by the county probably has many more policies and processes that they must adhere to, which would probably make their general practice seem more regimented. They probably also focus more on skill building than indepth analysis, since they want clients to be on a short term path. That's just a guess, though.