They are really for determining if you are crazy or not,and then deciding what measures should be taken to help you- if any is needed. For instance, if you are hearing voices and you tell them that,,they would have to treat you for schitzo, but if you dont hear voices or anything else that is cause for concern and could make you a danger to the public,then you have no reason to see them. They are for more serious conditions i think, and a counselor is more for general behavioral problems or relatively less serious problems. This is in the UK and my personal opinion.
It would probably more helpful if you just talk to your counselor about helping you find a different psychiatrist.
not just medication, they can do lobotomies, too
I always think of them as the "big boys" of therapy.