Can a Pre-Licensed Therapist Provide Online Therapy? A Comprehensive Guide

Can a Pre-Licensed Therapist Provide Online Therapy?

Providing online therapy while pre-licensed is a complex issue that varies significantly by state and professional licensure requirements. This article aims to provide clarity and guidance for aspiring therapists who are considering this path.

State-Specific Regulations

It's crucial to understand that the regulations around providing online therapy while pre-licensed differ greatly from state to state. Some states allow it under certain conditions, while others strictly prohibit it, or require additional certifications and supervision. To determine the specific requirements for your state, it's essential to consult your state's licensing board.

Supervision and Training

While some states allow pre-licensed therapists to provide online therapy under the guidance of a licensed supervisor, the level of supervision required and the extent of online therapy practice may vary. The supervisor must ensure that the trainee meets the necessary standards of care and ethical practice. In many cases, pre-licensed therapists are required to have a pre-approved plan in place, detailing the nature and extent of the online therapy practice.

Professional Teletherapy Platforms

Famous teletherapy companies like BetterHelp and Talkspace typically have policies that restrict the practice of pre-licensed therapists. These companies usually require full licensure before therapists can provide services through their platforms. However, this policy may change depending on the specific state and the company's policies.

Licensure and Certification

While it's possible to provide online therapy under supervision, many states still require a full license before allowing independent practice through teletherapy platforms. Licensing requirements often include a combination of supervised clinical hours, education, and sometimes special certifications in online therapy. These requirements vary widely, so it's important to check with your state's licensing board for the most accurate and up-to-date information.

Learning and Practical Experience

While providing online therapy can be a valuable learning experience, many experts recommend that pre-licensed therapists focus on in-person therapy until full licensure. In-person therapy allows therapists to develop their skills in a more controlled and immediate manner, which is invaluable in building confidence and proficiency.

Case Studies and Trends

Case studies and trends in the field of mental health suggest that more states are becoming accepting of online therapy, even for pre-licensed therapists. This trend is driven by the increased accessibility and convenience that online therapy can offer, particularly during times of public health emergencies. However, it's important to note that this acceptance is not universal and varies greatly by state.

Contacting Your State Licensing Board

To get the most accurate and detailed information regarding the regulations in your state, it is highly recommended that you contact your state's licensing board. They can provide you with the specific requirements and guidelines that apply to your situation. Additionally, make sure to keep any correspondence from the licensing board for your documentation purposes.

For example, if you are a post-grad MFT Intern in Tennessee, you should contact the Tennessee Board of Examiners in Marriage and Family Therapy. They can provide you with the necessary guidance and documentation to ensure that your practice aligns with the state's requirements.

Conclusion

The provision of online therapy as a pre-licensed therapist is a complex and state-specific issue. To ensure compliance with the law and best practices in therapy, it is essential to adhere to the guidelines set by your state's licensing board. Always seek the guidance of a professional supervisor and keep thorough and accurate records of your practice.