About clinical psychologists
Clinical psychologists are psychologists with specialist training in assessing, diagnosing and treating mental health problems, from anxiety and depression to more complex conditions. In some countries it is a regulated health specialty; Therapy247 checks the registration.
Getting mental health care in the United States
Public health system · No single public system (Medicaid, Medicare, community mental health centers)
There is no universal public mental health service. People with low incomes may be covered by Medicaid, older adults by Medicare, and publicly funded community mental health centers and treatment facilities can be located through the federal SAMHSA locator. More information
How to check that a professional is licensed
- State boards of psychology (umbrella body: ASPPB). Psychologists are licensed by each state board; check the board of the state where you live. Use of the title psychologist generally requires a state license.
Insurance and coverage
Federal parity law (MHPAEA) requires most group health plans that cover mental health to do so on terms no more restrictive than for physical health; deductibles, copays and in-network rules still apply.
Online therapy in the United States
The clinician must normally be licensed in the state where the patient is located. Psychologists in PSYPACT member states may practice telepsychology across those states.
Urgent help in the United States
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 911 · Emergency (911)
- 988 · 988 Suicide & Crisis Lifeline
Information reviewed in November 2026 · Sources: findtreatment.gov, docinfo.org
What does a clinical psychologist do?
A clinical psychologist assesses, diagnoses and treats mental health problems in children, adults or older people. Day to day they conduct clinical interviews, use validated questionnaires and tests, formulate what keeps the problem going, and deliver evidence-based therapies. They often work in hospitals, community mental health teams or private practice, and coordinate with psychiatrists, family doctors and social services.
When to see a clinical psychologist
A clinical psychologist is a good choice for moderate to severe or persistent difficulties: anxiety disorders, depression, obsessive-compulsive problems, trauma, eating disorders, personality difficulties, or when a formal diagnosis or report is needed. If medication may be needed or there is a risk to safety, a psychiatrist should also be involved. For coaching or personal growth, other professionals may fit better.
How is it different from other professionals?
All clinical psychologists are psychologists, but not all psychologists have the specialist clinical training required in some countries to diagnose and treat mental disorders. Compared with a psychiatrist, a clinical psychologist does not prescribe medication but offers in-depth psychological assessment and therapy. Compared with a psychotherapist, the title is linked to a psychology degree plus clinical specialisation.
What happens in the first session
The first session is usually an assessment interview covering your current difficulties, history, health, relationships and goals, sometimes with questionnaires. The psychologist will share an initial understanding and suggest a plan, which may include a few more assessment sessions. Bring previous reports and medication details, and ask about the proposed therapy, its evidence, expected duration and how progress is measured.
How long does the process take?
Sessions typically last around 50 to 60 minutes, weekly at first. Structured treatments for specific problems often run for a few months, while complex or long-standing conditions can require longer support or periodic follow-ups. The length depends on the condition, its severity, other difficulties present, your circumstances and how treatment progresses. Goals and progress should be reviewed together regularly.
Online or in person?
Online therapy with a clinical psychologist can be effective for many conditions, including anxiety, depression and some forms of trauma work, and makes specialists more accessible. In-person care may be preferable when there is a significant risk to safety, severe symptoms, some formal assessments, very young children, or if you cannot find a private, uninterrupted space at home.
How to check their qualifications
Clinical psychology is regulated in many countries, sometimes as a health specialty with its own requirements. Check registration with the psychology licensing body of the country where the professional practises and, where it exists, their accreditation as a clinical specialist. Ask about their supervised clinical training, the problems they treat most often and the evidence-based approaches they use.
What affects the price?
Prices vary with specialist training and experience, the city, modality, session length, and whether an assessment or written report is required. Clinical reports for legal, educational or insurance purposes are often priced separately. Some professionals offer packages or reduced rates. Check whether public health services or private insurance cover clinical psychology in your area, and ask about cancellation policy.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in the United States cover psychological care?
There is no universal public mental health service. People with low incomes may be covered by Medicaid, older adults by Medicare, and publicly funded community mental health centers and treatment facilities can be located through the federal SAMHSA locator.
How do I check that a clinical psychologist is licensed in the United States?
State boards of psychology (umbrella body: ASPPB): Psychologists are licensed by each state board; check the board of the state where you live. Use of the title psychologist generally requires a state license.
Can I have online therapy in the United States?
The clinician must normally be licensed in the state where the patient is located. Psychologists in PSYPACT member states may practice telepsychology across those states.