My last T was a psychiatrist. I think it helped at that time since I was taking medications. This issue was irrelevant after a certain point because I grew to love and adore him...
My current T is not a psychiatrist, but since I am not taking medications, I think it is better for me at this point in my life. The way I look at it, psychiatrists have to spend years learning general medicine while non-MDs spend those same years learning about psychology. Both before getting psychoanalyst certifications. That's not a big deal, but it makes sense to see a psychologist for therapy unless meds are needed.
There are psychiatrists practicing psychotherapy in the various places I've lived, but I agree with you that it is not the same everywhere. I think it's less common outside of the Northeast for those who live in the US. I noticed they seem to be more prevalent in more liberal cities (although I've never counted).
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my shrink is both an MD and a therapist
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I wonder if this has any other meaning for you? If you don't mind my asking...it's just I've noticed that you have mentioned this is several of your posts here.
Did you ever see this article about psychiatry from the NY Times? Warning-some of the comments might be
for those who swear by psychodynamic therapy.
http://well.blogs.nytimes.com/2011/0...more-medicine/