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Home > Blog > Health > How to Become a Therapist: A Step-by-Step Guide
Health

How to Become a Therapist: A Step-by-Step Guide

By Adee February 13, 2025 5 Min Read
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Introduction

Becoming a therapist is a rewarding career path that allows individuals to help others navigate emotional, psychological, and mental health challenges. Whether you aspire to be a clinical psychologist, marriage and family therapist, or licensed professional counselor, the journey requires extensive education, training, and licensure. This guide outlines the step-by-step process to becoming a therapist, covering educational requirements, licensing, specializations, and career opportunities.

Contents
IntroductionStep 1: Earn a Bachelor’s DegreeChoosing the Right Undergraduate MajorGaining Relevant ExperienceStep 2: Pursue a Master’s or Doctoral DegreeMaster’s vs. Doctoral DegreesSelecting the Right ProgramCoursework and Clinical TrainingStep 3: Complete Postgraduate Supervised ExperienceSupervised Clinical HoursDeveloping Therapeutic SkillsStep 4: Obtain LicensureLicensing RequirementsCommon Licensing ExamsStep 5: Choose a SpecializationStep 6: Find Employment or Start a Private PracticeJob OpportunitiesStarting a Private PracticeStep 7: Continue Professional DevelopmentContinuing EducationJoining Professional AssociationsConclusion

Step 1: Earn a Bachelor’s Degree

Choosing the Right Undergraduate Major

The first step to becoming a therapist is earning a bachelor’s degree. While there is no single required major, degrees in psychology, sociology, social work, or counseling-related fields provide a strong foundation. Coursework in human behavior, cognitive processes, and mental health is beneficial.

Gaining Relevant Experience

During undergraduate studies, gaining experience through internships, volunteer work, or research positions in mental health organizations can be valuable. This exposure helps build foundational skills and provides insight into different therapy professions.

Step 2: Pursue a Master’s or Doctoral Degree

Master’s vs. Doctoral Degrees

To become a licensed therapist, a graduate degree is required. The choice between a master’s or doctoral degree depends on career goals:

  • Master’s Degree (M.A. or M.S.): Required for marriage and family therapists (MFTs), licensed professional counselors (LPCs), and clinical social workers (LCSWs).
  • Doctoral Degree (Ph.D. or Psy.D.): Needed for clinical psychologists who wish to diagnose and treat more complex psychological conditions.

Selecting the Right Program

When choosing a graduate program, ensure it is accredited by the appropriate licensing body, such as:

  • Council for Accreditation of Counseling & Related Educational Programs (CACREP)
  • American Psychological Association (APA)
  • Council on Social Work Education (CSWE)

Coursework and Clinical Training

Graduate programs focus on topics like psychotherapy techniques, ethical practices, and mental health disorders. Most programs also require supervised clinical training or internships, which provide hands-on experience in a real-world setting.

Step 3: Complete Postgraduate Supervised Experience

Supervised Clinical Hours

After earning a graduate degree, aspiring therapists must complete supervised clinical experience. This typically includes:

  • 1,500 to 4,000 hours of supervised practice (varies by state and profession).
  • Working under a licensed therapist in settings like hospitals, private practices, or community health centers.

Developing Therapeutic Skills

During this period, trainees refine their counseling techniques, learn how to assess clients, and develop treatment plans under professional supervision.

Step 4: Obtain Licensure

Licensing Requirements

Each state has specific licensing requirements, but most include:

  1. Completion of a graduate program and supervised experience.
  2. Passing a state or national licensing exam.
  3. Submitting an application with relevant fees and documentation.

Common Licensing Exams

  • National Clinical Mental Health Counseling Examination (NCMHCE)
  • Association of Social Work Boards (ASWB) Exam
  • Examination for Professional Practice in Psychology (EPPP)

Therapists must also complete continuing education to maintain their licensure.

Step 5: Choose a Specialization

Therapists can specialize in various fields, including:

  • Clinical Psychology – Diagnosing and treating severe mental illnesses.
  • Marriage and Family Therapy (MFT) – Working with couples and families.
  • School Counseling – Supporting students’ academic and personal development.
  • Substance Abuse Counseling – Helping individuals recover from addiction.
  • Trauma Therapy – Assisting clients dealing with PTSD and traumatic experiences.

Choosing a specialization often depends on personal interests, job market demand, and additional certifications required.

Step 6: Find Employment or Start a Private Practice

Job Opportunities

Therapists can work in various settings, including:

  • Private practice
  • Hospitals and healthcare facilities
  • Schools and universities
  • Nonprofit organizations
  • Government agencies

Networking with professionals in the field, joining therapy associations, and using job boards can help find job opportunities.

Starting a Private Practice

For those interested in entrepreneurship, starting a private practice requires business acumen, obtaining malpractice insurance, and marketing services effectively.

Step 7: Continue Professional Development

Continuing Education

Most therapy licenses require ongoing education. This includes attending workshops, taking additional courses, and staying updated on new research.

Joining Professional Associations

Associations like the American Psychological Association (APA) and the National Association of Social Workers (NASW) offer networking opportunities, certifications, and industry updates.

Conclusion

Becoming a therapist is a fulfilling yet challenging journey that requires dedication, education, and hands-on experience. By following these steps—earning a degree, gaining experience, obtaining licensure, and continuing professional development—aspiring therapists can build a successful career in mental health and make a meaningful impact in people’s lives.

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