Psychologists study the human mind and human behavior. Clinical psychologists most often work in counseling centers, independent or group practices, hospitals, or clinics. They help mentally and emotionally disturbed clients adjust to life and may help medical and surgical patients deal with illnesses or injuries. Counseling psychologists use various techniques, including interviewing and testing, to advise people on how to deal with problems of everyday living. Some clinical psychologists work in physical rehabilitation settings, treating patients with spinal cord injuries, chronic pain or illness, stroke, arthritis, and neurological conditions. Others help people deal with times of personal crisis, such as divorce or the death of a loved one.
Clinical psychologists generally are not permitted to prescribe medications to treat patients; only psychiatrists, other medical doctors, nurse practitioners (NPs) and physician assistants (PAs) may prescribe medications. However, one State, New Mexico, has passed legislation allowing clinical psychologists who undergo additional training to prescribe medication, and similar proposals have been made in additional States.
A doctoral degree usually is required for employment as an independent licensed clinical or counseling psychologist. Psychologists with a Ph.D. qualify for a wide range of teaching, research, clinical, and counseling positions in universities, healthcare services, elementary and secondary schools, private industry, and government. Psychologists with a Doctor of Psychology (Psy.D.) degree usually work in clinical positions or in private practices.
Persons with a master’s degree in psychology may work as industrial-organizational psychologists or school psychologists. They also may work as psychological assistants, under the supervision of doctoral-level psychologists, and conduct research or psychological evaluations. A master’s degree in psychology requires at least 2 years of full-time graduate study. Requirements usually include practical experience in an applied setting and a master’s thesis based on an original research project.
A bachelor’s degree in psychology qualifies a person to assist psychologists and other professionals in community mental health centers, vocational rehabilitation offices, and correctional programs.
The American Psychological Association (APA) presently accredits doctoral training programs in clinical, counseling, and school psychology. The National Council for Accreditation of Teacher Education, with the assistance of the National Association of School Psychologists, also is involved in the accreditation of advanced degree programs in school psychology. The APA also accredits institutions that provide internships for doctoral students in school, clinical, and counseling psychology.
Psychologists in independent practice or those who offer any type of patient care—including clinical, counseling, and school psychologists—must meet certification or licensing requirements in all States and the District of Columbia. Licensing laws vary by State and by type of position and require licensed or certified psychologists to limit their practice to areas in which they have developed professional competence through training and experience. Clinical and counseling psychologists usually require a doctorate in psychology, completion of an approved internship, and 1 to 2 years of professional experience. In addition, all States require that applicants pass an examination. Most State licensing boards administer a standardized test, and many supplement that with additional oral or essay questions. Most States certify those with a master’s degree as school psychologists after completion of an internship. Some States require continuing education for license renewal.
The National Association of School Psychologists (NASP) awards the Nationally Certified School Psychologist (NCSP) designation, which recognizes professional competency in school psychology at a national level, rather than at a State level.
The American Board of Professional Psychology (ABPP) recognizes professional achievement by awarding specialty certification, primarily in clinical psychology, clinical neuropsychology, and counseling, forensic, industrial-organizational, and school psychology. Candidates for ABPP certification need a doctorate in psychology, postdoctoral training in their specialty, 5 years of experience, professional endorsements, and a passing grade on an examination.