Differences in Licensure


When seeking mental health support, you may come across various types of therapists,
each with different levels of training and licensure. Understanding the distinctions
between fully licensed therapists, associate licensed therapists, and intern therapists
can help you make an informed choice about who is best suited to meet your needs.
Let’s break down each category.


1. Fully Licensed Therapists


Overview:

Fully licensed therapists have completed all the necessary education, training, and
testing required to practice independently. They hold specific credentials based on their
field, such as Licensed Clinical Mental Health Counselor (LCMHC), Licensed Clinical
Social Worker (LCSW), or Licensed Marriage and Family Therapist (LMFT).


Education and Training:
These professionals typically have a master’s degree or higher in their respective fields,
followed by several years of supervised clinical experience. They have also passed a
rigorous licensing exam, which evaluates their knowledge and skills in therapeutic
practices.


Scope of Practice:
Fully licensed therapists can offer a wide range of services, including individual,
couples, and family therapy. They are trained to diagnose and treat various mental
health conditions and can practice independently, meaning they do not need
supervision. This level of licensure allows them to operate their own practices or work in
various clinical settings.


2. Associate Licensed Therapists


Overview:

Associate licensed therapists are professionals who have completed their graduate
education and are in the process of obtaining full licensure. They hold a provisional
license, often referred to as “associate” or “provisional” status, allowing them to practice
under supervision.


Education and Training:
Like fully licensed therapists, associate licensed therapists have earned a master’s
degree in a relevant field. However, they are still completing the required post-graduate
supervised hours before they can sit for their licensing exam. The exact requirements
for associate licensure vary by state and discipline.


Scope of Practice:

Associate licensed therapists can provide therapy services, but they must work under
the supervision of a fully licensed professional. This allows them to gain the necessary
clinical experience while still providing valuable support to clients. Their supervision
involves face to face training and guidance, daily check-ins, regular case discussions,
and guidance on best practices.


3. Intern Therapists


Overview:

Intern therapists are typically graduate students who are completing their training as
part of their educational program. Interns are in the final stages of their master’s degree
programs and are gaining practical experience through internships or clinical
placements.


Education and Training:
Intern therapists are enrolled in or have recently completed their master’s degree
programs in counseling, social work, or marriage and family therapy. They are required
to complete a certain number of supervised clinical hours as part of their training before
graduating.


Scope of Practice:
Intern therapists provide therapy services under the close supervision of a licensed
professional. While they are still finishing their master’s programs, that have
demonstrated clinical proficiency. Interns can offer valuable insights and support, often
at a reduced fee for self-pay clients, making therapy more accessible for clients.


Conclusion:
Regardless of their level of licensure, all these therapists are dedicated to supporting
your well-being. Don’t hesitate to ask questions about a therapist’s qualifications and
experience to ensure you feel comfortable and confident in your choice.

Contact Us

Lotus Counseling Services of Utah

24 W Main, Suite #213, Lehi UT 84043

Availability

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Wednesday:

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Thursday:

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