Seeing Red - S1-E10
Visible crew/equipment: When Dexter is walking towards the entrance of the Marina View Hotel to examine the crime scene, a boom mic is visible in the glass of the window on the right. (00:07:35)
Shrink Wrap - S1-E8
Visible crew/equipment: When Dexter is picking up the fruit dropped by the man carrying groceries, the cameraman is reflected on the side of the car. (00:17:30)
Answer: Two reasons. First, as a cop he knows that there are lots of murderers walking around free due to flaws in the system so he uses Dexter's "urges" to right the wrongs in the system by taking out people who have no right to walk around free. Secondly, by taking him to a psychologist he runs the risk of having him committed and he doesn't want that for obvious reasons, so he figures it is best to channel his urges to what he considers a greater good.
The_Iceman
In addition to the earlier answer, in the last season (8th) of the show, we are introduced to Dr. Vogel, whom Harry had been discussing the situation with Dexter as well, and it is shown on-camera that Harry describes what Dexter has done (killing)... So, technically he did consult a psychologist/psychiatrist, just not having Dexter and her actually meet. But Dr. Vogel was aware of whom it was and how to intercede.