What is The Difference Between Naturopathic and Holistic Doctors?

May 30, 2025

The origins of Naturopathic Medicine date back centuries and are based on the age old practice of nature cure. Today, Naturopathic Medicine is characterized by the blend of traditional nature cure practices with contemporary advances in nutritional, botanical, lifestyle and nutraceutical health sciences along with modern medicine’s understanding of the human body and the process of disease in all of its manifestations.


The Comprehensive Education and Training Pathway to Becoming a Naturopathic Doctor

In effect, Naturopathic Medicine aims to bring together the best of natural health science with our current understanding of the medical sciences. In order to gain such a breadth of expertise, becoming a Naturopathic is a long and intensive process. To be accepted into Naturopathic Medical school, you must complete a University bachelor’s degree, including the completion of specific science and social science courses.  

Then, once accepted to one of the six accredited Naturopathic medical schools in North America, they are trained as a primary health care provider by successfully completing four years of full time study along with a 12 month internship. The program involves learning the basic medical sciences such as anatomy, physiology and pathology along with learning the medical therapeutics of pharmacology and a deep study of the naturopathic therapeutics such as nutrition, acupuncture, homeopathy and botanical medicine. 


Licensure, Professional Development and Core Principles of Naturopathic Medicine

And then once the program of study is finished a series of several board exams must be passed in order to become a licensed Naturopathic Doctor. And then in order to maintain licensure as a Naturopathic Doctor regular patient contact must be maintained along with regularly conducting continuing education and professional development. 

Naturopathic Doctors are becoming more and more recognized as there is an ever increasing number of Canadian provinces and states in the US that officially recognize Naturopathic Doctors as registered health professionals that can legally have the title of 

Doctor. Beyond the education and licensure Naturopathic medicine rests on specific tenants including individualized medicine, a holistic approach and treating the root cause of the illness.

Naturopathic Doctors vs. Holistic Practitioners: Key Differences in Education and Regulation

When it comes to so called holistic doctors there may be some philosophical similarities between them and Naturopathic Doctors however in practical terms there is a great deal of difference between a Naturopathic Doctor and holistic practitioner. Like a Naturopathic Doctor, a holistic healthcare provider, focuses on the interconnectedness of the body, mind and spirit when assessing and treating patients. 

They also aim to address the root cause of health issues, rather than just treating symptoms, by considering various aspects of a patient's life, including their lifestyle, environment and emotional well being. The differences between the Naturopathic Doctor and Holistic practitioner arises when considering the level of education and the level of regulation of these two practitioners. Though the education and training required of the Naturopathic Doctor is specific and standardized and legally established and enforced this is not the case with Holistic practitioners. There is no standard or established level of education and training for this group of practitioners. 

 

Naturopathic Doctor 

Holistic Doctor

Doctor title

Legally permitted to use the Dr. title

NOT legally permitted to use the Dr. title

Training & Education

4 year post graduate medical training and successful completion of accredited board exams

Unknown

Regulation

Strictly regulated by the province of Ontario

Not regulated by the province of Ontario

Scope

Legally defined to provide naturopathic diagnosis and treatments and granted the ability to perform controlled medical acts

Undefined and not regulated

The Importance of Regulation and Legal Standards in Choosing a Healthcare Provider

Furthermore, there is no independent body that is responsible for ensuring that holistic practitioners achieve a specific level of competence or quality of care and holistic practitioners are not legally regulated to provide health care advice or treatments.  This means that if there is an issue or if a holistic practitioner recommends something that causes harm then there may not be any legal recourse that is available to the person that was harmed.  

Additionally the scope of practice for holistical practitioners is not defined by a regulatory body and therefore it is unknown and therefore cannot be standardized or monitored. In fact, the holistic practitioner cannot legally use the Dr. title since this is a legally granted privilege and Naturopathic Doctors are one of the few health care professionals that have legal permission to use the Dr. title. When choosing to work with a health care professional it is critically important to work with one that is licensed and regulated since these are the professionals that have a high standard of education, training and practice.

The Value of Choosing a Licensed Naturopathic Doctor for Safe and Effective Holistic Care

While both holistic practitioners and Naturopathic Doctors may share a commitment to whole person care, the differences in education, regulation and accountability are significant. Naturopathic Doctors undergo rigorous and standardized medical training, must pass licensing examinations and are held to ongoing professional standards by regulatory bodies. 

This framework ensures a high level of clinical competence, ethical practice and public safety. As natural and integrative approaches to health become increasingly popular, it’s essential that patients understand the qualifications of their healthcare providers. Choosing a licensed Naturopathic Doctor offers not only a holistic and personalized approach to care, but also the assurance of working with a regulated professional committed to safe, evidence informed and effective treatment.

Ready to experience safe, holistic and evidence informed care? Book your appointment with Aspire Natural Health today and discover the benefits of working with a licensed Naturopathic Doctor. Your journey to personalized wellness starts here contact us now!

Frequently Asked Questions (FAQs)

  1. What is the main difference between a Naturopathic Doctor and a holistic practitioner?
  2. Naturopathic Doctors (NDs) complete accredited, standardized medical training, pass licensing exams and are regulated by provincial or state bodies. Holistic practitioners may share a whole person philosophy but do not have standardized education, regulation or legal authority to provide medical care or use the title “Doctor.” 

  1. Can holistic practitioners legally use the title “Doctor” in Canada?
  2. No. Only regulated professionals, such as Naturopathic Doctors are legally permitted to use the “Dr.” title in Canada. Holistic practitioners are not regulated and cannot legally use this title.

  1. Are Naturopathic Doctors regulated and held to professional standards?
  2. Yes. NDs are strictly regulated, must maintain ongoing education, adhere to ethical standards and are accountable to regulatory bodies for their clinical practice and patient safety.

  1. What kind of training do Naturopathic Doctors receive?
  2. NDs must first complete a university bachelor’s degree, then graduate from a four year, full time accredited naturopathic medical program, including a clinical internship and pass board exams to become licensed.

  1. Why is regulation important when choosing a healthcare provider?
  2. Regulation ensures that healthcare providers meet high standards of education, competence and ethical practice. It also provides legal recourse and public protection if issues arise something not available with unregulated practitioners.

Conclusion

While both Naturopathic Doctors and holistic practitioners may share a commitment to whole person care, the differences in education, regulation and accountability are substantial. Naturopathic Doctors undergo extensive, accredited medical training, are legally regulated and are held to high professional standards ensuring safe, effective and evidence informed care. Choosing a licensed Naturopathic Doctor provides patients with the assurance of working with a qualified, accountable and knowledgeable healthcare provider, especially as natural and integrative health approaches gain popularity.

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Written By: Dr. Romi Raina ND
Call or Text: 905-426-9116
Email: info@aspirenaturalhealth.ca

About the Author

Dr. Romi Raina is a Toronto-based Naturopathic Doctor with nearly two decades of experience in holistic healthcare. Specializing in integrating natural therapies, he offers virtual consultations in dietary management, botanical medicine, and lifestyle counseling. Dr. Raina's unique approach combines scientific knowledge from his degrees in Life Sciences and Anthropology with insights from his service in the Canadian Armed Forces. As founder of Collaborative Education, he's committed to advancing naturopathic knowledge, embodying his philosophy that naturopathy helps patients thrive, not just survive.

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