About psychotherapists
Psychotherapists are professionals trained in one or more models of psychotherapy (psychodynamic, systemic, humanistic, cognitive-behavioural…). The protected title and requirements vary by country; profiles show each professional’s training and 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.
- State medical boards (umbrella body: Federation of State Medical Boards). Psychiatrists are physicians licensed by each state medical board. The FSMB DocInfo service lets you look up a physician's license and disciplinary history. Search the official register
- State licensing boards. Clinical social workers, counselors and marriage and family therapists are licensed state by state; check the relevant board in your state.
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 psychotherapist do?
A psychotherapist helps people understand and change emotional, relational and behavioural patterns through a structured therapeutic relationship. Their work is shaped by one or more models, such as cognitive-behavioural, psychodynamic, systemic, humanistic or integrative therapy. They meet individuals, couples, families or groups, usually in regular sessions, and spend time outside sessions on notes, preparation and their own supervision.
When to see a psychotherapist
Psychotherapy suits people who want to work in depth on recurring difficulties: anxiety, low mood, relationship patterns, self-esteem, the effects of past experiences or major life transitions. It can also help when you feel stuck without a clear diagnosis. If you need a formal diagnosis, a specific psychological assessment or medication, a clinical psychologist or psychiatrist may need to be involved.
How is it different from other professionals?
Psychotherapist describes a role and a training in therapy, while psychologist and psychiatrist describe a university degree. Many psychotherapists are psychologists or doctors; others come from related fields with specific psychotherapy training. Psychiatrists can prescribe; psychotherapists usually cannot unless they are also doctors. A psychoanalyst is a psychotherapist trained specifically in the psychoanalytic tradition, often working in a longer, more intensive format.
What happens in the first session
In the first session the psychotherapist will want to hear what is happening, what you have already tried and what you hope to get from therapy. They will usually explain their model, how sessions work, confidentiality and practical arrangements. It is a good moment to ask how they would approach your situation, how progress is reviewed, and to notice whether you feel comfortable with them.
How long does the process take?
Most psychotherapy sessions last around 50 minutes and are weekly or fortnightly. Brief, focused approaches may take a few months; deeper work on long-standing patterns can last a year or more. The length depends on the model, your goals, the complexity of the problem and your circumstances. A good psychotherapist agrees goals with you and talks openly about when to finish.
Online or in person?
Online psychotherapy is a good option for many people, especially for ongoing individual work, if you live far from specialists, or need flexibility. The therapeutic relationship can develop well by video. In-person sessions may be better for young children, some couples or family work, intense crises, or if you lack privacy at home. Some people combine both formats.
How to check their qualifications
Whether psychotherapist is a protected title varies between countries. Where it is regulated, check registration with the relevant licensing body. Where it is not, ask about their base degree, the length and type of their psychotherapy training, membership of recognised professional associations, and whether they receive regular supervision. A trustworthy professional will answer these questions openly.
What affects the price?
Prices vary according to the psychotherapist’s training and experience, the therapy model, the city, the modality and session length. Couples, family and group sessions are priced differently from individual ones. Some therapists offer reduced rates, packages or a short free first call. Ask about missed-session policy and whether insurance might reimburse sessions, which often depends on the professional’s registration.
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 psychotherapist 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.