When searching for a psychotherapist, understanding licensing and credentialing is crucial for your safety and treatment effectiveness. A licensed psychotherapist has completed extensive education, training, and supervision requirements mandated by their state licensing board.
Most states require psychotherapists to hold at minimum a master's degree, though some states require doctoral degrees, and all states require completion of supervised clinical experience. The specific requirements vary significantly by state, but generally include:
Educational Requirements: Most licensed psychotherapists hold master's degrees in psychology, counseling, social work, or marriage and family therapy. Some states accept related fields like behavioral health or human development. Doctoral-level psychologists (PhD or PsyD) represent another category of licensed psychotherapists with additional training in assessment and research.
Clinical Training: Beginning July 2025, many states are implementing enhanced training requirements, with some requiring at least 60 semester hours or 80 quarter hours of graduate-level coursework. This training must be from accredited programs and includes supervised clinical practicum experiences.
Supervised Experience: After completing their degree, aspiring psychotherapists must complete thousands of hours of supervised clinical experience. This typically ranges from 2,000 to 4,000 hours, depending on the state and license type.
Examination Requirements: Most states require passing scores on national licensing examinations specific to the profession, such as the National Clinical Mental Health Counseling Examination (NCMHCE) for professional counselors.
Continuing Education: Licensed psychotherapists must complete ongoing continuing education requirements, such as 60 hours every three years in some states, including specialized training in areas like suicide intervention.