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What is a Therapist?
Therapists can help people manage problems that they encounter relationships, in certain situations, or even emotions, thoughts, or behaviors that they are having trouble controlling on their own. There are different types of therapists, each with their own area of expertise such as those focusing on marriage and family, grief, and anxiety. Therapists can offer sessions with individuals or groups, and they often offer a sympathetic ear while providing solutions an obstacle can be overcome. Often, a therapist will work with the same clients week after week. It’s not uncommon for clients to keep seeing a therapist for a year or longer.
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Steps to Become a Licensed Therapist
Becoming a therapist is a long and drawn out process because of the educational and licensing requirements. It’s important to dedicate sufficient time to become a mental health therapist, which takes six to eight years in most scenarios. Following these steps will ensure that you are able to reach your goals and become the type of mental health therapist of your choosing. The type of mental health therapist you want to become and the state you live in will dictate some of the steps. It's important to decide on who you want to help early on. From there, it’s a good idea to look at what the state requirements are so that you can work them into your career plan.
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Step 1: Obtain your bachelor’s degree
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Step 2: Work on your master’s degree
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Step 3: Perform supervised work
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Step 4: Obtain your license
Step 1: Obtain your bachelor’s degree
You will need to get your bachelor’s degree in a field such as general psychology, social psychology, counseling, sociology, or another relevant field. It is at this point that you will want to consider what type of mental health professional you want to become. Much of this will depend on the type of clientele you want to work with, which might be children, families, individuals, or couples. Further, you want to consider what types of issues you want to help them overcome including anxiety, depression, relational issues, intimacy issues, and mental illness.
You will also take all of your general education credits including English, science, mathematics, and history. After you obtain your bachelor’s degree, you will want to research colleges and universities that offer a master’s degree in the concentration that you choose. You may also need to take a GRE or GMAT test to apply to a school for your master’s degree.
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Step 2: Work on your master’s degree
Your counseling master’s degree should be focused on a specific concentration. It's also important that you attend a college or university that is nationally accredited to ensure you can practice anywhere. Depending on your geographic area, there may be specific requirements to complete your practicum and clinicals. The practicum and clinicals are where you will get experience in actual mental health therapy sessions.
You may gain experiences shadowing a licensed mental health professional to see how they conduct themselves. While obtaining your master’s degree, you will take courses based on your chosen area of concentration. You will learn how to diagnose a patient, the different counseling theories that can be used, how to perform a study with research and statistics, and how to make clients comfortable enough to open up to you. Many of these will be put into practice through the practicum and clinicals, which can require several semesters to complete.
Step 3: Perform supervised work
Once you have your master’s degree, you will need to find a licensed supervisor to work under and register with the appropriate department in your state. Depending on the state you are registering in, there will be varying requirements. Further, you will need to complete a certain number of hours prior to obtaining your license. You will need to work with mental health professionals who are registered to act as a supervisor as they will be responsible for signing off on the hours that you need to complete. These hours are comprised of supervision hours as well as face-to-face counseling hours. In many instances, the number of hours required is around 1,500. Some states limit the number of hours that you can obtain per week, drawing out the process.
Step 4: Obtain your license
The licensure process will vary by state. This begins by passing the national exam, which is taken at a testing center. Some states also have a state exam that must also be passed. Applying for a license can only be done after the number of hours as a registered intern has been completed. Some states will also require additional courses including ethics, domestic violence or reporting requirements, etc. There will be a fee to sit for the exams and a fee to apply for the license once the exam(s) have been successfully passed. The state licensing board will have a specific list of information that you must provide with your license application. Additionally, you will need to maintain your license and obtain insurance to ensure you are able to practice within your state.
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What Does a Therapist Do?
A mental health therapist will meet with individuals, families, and/or couples in a private setting. Depending on where you choose to work, this can be a private office, a counseling center, or a mental health facility. More therapists these days are also working from home offices via tele-health.
Daily responsibilities will vary based on whether a therapist is in private practice or with a specific facility. Private therapists are responsible for all aspects of running the business including marketing, billing, and appointment setting. They may choose to hire staff to help or they may choose to do it all on their own. A therapist must do everything they can to maintain patient confidentiality. Some therapists will also work with other therapists in the office to discuss treatment options on difficult cases.
There are also requirements for maintaining a license, which will vary by state. As such, many therapists will schedule time throughout various weeks to complete continuing education credits. These can be obtained via online courses, workshops, seminars, and conferences. Some therapists who have been in their field for a while may also choose to teach workshops and seminars in order to educate up and coming therapists.
The hours that a therapist works will vary. Most work full-time, including some nights and weekends, as a way of being able to accommodate the schedules of their clients.
Skills Needed
A number of skills need to be acquired in order to perform well as a therapist.
- Listening with the intent to understand:
Much of what a therapist does is listening to what a client needs to discuss, so the focus should be to listen to understand rather than reply. - Empathy:
It’s important to show a caring attitude toward your clients. - Effective communication:
It’s critical to convey your thoughts effectively to a client. - Rapport building:
Building a rapport is vital to ensure that clients feel comfortable sharing their problems openly. - Flexibility:
Therapy sessions are unpredictable, so a therapist needs to be flexible enough to change their course of action based on what is going on. - Multicultural competency:
Clients from all walks of life will need therapy. A therapist has to understand how different cultures function in terms of child-rearing and relationship building.
The skills to acquire may come naturally to a therapist. Some will be taught throughout the postgraduate program, other skills may need to be acquired through various workshops, conferences, and symposiums. Becoming a member of the American Mental Health Counselors Association or the American Association of Marriage and Family Therapy can be beneficial for the access to helpful seminars and continuing education units.
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Therapist Careers and Salary
Where Might You Work?
Therapists work in diverse settings, offering mental health support in various environments. Some common workplaces for therapists include:
Private Practice
Many therapists choose to work independently, offering flexible therapy services to individuals, couples, and families. Private practice allows for specialization in areas like CBT, trauma therapy, or couples counseling.
Hospitals and Healthcare Facilities
Therapists in hospitals provide mental health care for patients with physical health conditions or severe mental health issues. They work as part of a healthcare team, offering therapy, crisis intervention, and support during recovery.
Schools and Educational Institutions
School counselors and psychologists work in K-12 schools or universities, helping students with emotional, behavioral, and academic challenges. They support both students and educators in creating a positive learning environment.
Community Mental Health Centers
Therapists in community centers serve underserved populations, offering counseling for mental health disorders, substance abuse, and family issues. These settings focus on accessible care for those in need.
Government and Nonprofits
Therapists also work for government agencies or nonprofit organizations, providing services to veterans, children in foster care, or individuals in rehabilitation. They often work with marginalized groups in crisis situations.
Corporate and Employee Assistance Programs (EAPs)
Therapists employed by companies provide counseling through Employee Assistance Programs, supporting employees with personal or work-related stress, mental health issues, or relationship challenges.
Research and Academia
For those interested in education or research, therapists can work in universities or research institutions, teaching, conducting studies, and advancing therapeutic practices.
Potential Career Paths
There are a variety of career paths as a therapist:
Mental Health Therapist:
You’ll work with people who have various mental health issues, including PTSD and anxiety.
Marriage and Family Therapist:
You’ll work with families and couples to overcome relationship problems.
Substance Abuse Counselor:
You’ll work with people who turn to drugs and alcohol to overcome social issues.
Premarital Counselor:
You’ll work with couples looking to get married to ensure they have the communication in place to have a successful marriage.
Social Worker:
You’ll diagnose and treat behavioral and mental issues while protecting and supporting families.
Grief Counselor:
You’ll work with individuals or in schools when there has been a tragedy to help people overcome their grief.
Career Outlook
According to the Bureau of Labor Statistics, the job outlook for counselors is solid, with a faster level of growth than for most jobs in several types of roles. For instance, substance abuse and behavioral health counselors are expected to grow 19% between 2023 and 2033, though school counselors are only expected to grow by 3% in the same time frame. This is positive as it meant that many areas of the field is growing, providing opportunities for the future. However, you might want to look into the job opportunities near you before choosing a specialty.
The salary is steadily increasing, too. The average pay for a marriage and family therapist is $68,730, while the average pay for a substance abuse or mental health counselor is $53,710. This is dependent on the state that you practice in, as well as where you choose to work. Where a person works will greatly impact their salary. Many therapists begin at a counseling center and, ultimately, evolve into a private practice, allowing them to set their own rates. It is also possible to obtain supervision status, making it possible to supervise interns so that they can focus on getting their licensure.
Advancing From Here
Nearly all therapists will need to have a master’s degree to obtain their licensure. (This is not always the case for substance abuse counselors, but the requirements depend on the state.) To advance, there are various opportunities that are available. One can choose to pursue a higher degree, which would be a PhD. From there, a therapist would have the ability to work in higher institutions, including hospitals and universities.
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Frequently Asked Questions
What do marriage and family therapists do?
Marriage and family therapists encourages clients in relationships to discuss their experiences and emotions in a safe setting. Marriage and family therapists helps clients overcome negative life events such as divorce, bankruptcy, and layoffs.
What do substance abuse counselors do?
Substance abuse counselors evaluate substance and mental health problems. Substance abuse counselors identify issues and create treatment plans with goals and coping mechanisms. Substance abuse counselors can help clients find jobs and help them with other aspects of their life affected by substance abuse.
Where do licensed mental health counselors work?
Mental health counselors work in schools, mental health clinics, hospitals, private practices, correctional facilities, community health centers, businesses, and colleges and universities.
Do you need a master's degree in counseling to provide mental health services?
A bachelor's degree is required to work in mental health services. A master's degree in counseling provide additional opportunities and a higher pay.
What is the job outlook for marriage and family therapists?
According to the Bureau of Labor Statistics, jobs for marriage and family therapists are expected to grow by 16% by 2030.
sources:
- https://work.chron.com/top-eight-attributes-effective-counselor-22250.html
- https://www.mft-license.com/
- https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm
- https://www.bls.gov/ooh/community-and-social-service/marriage-and-family-therapists.htm
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