Associate Therapist or Licensed Therapist: What's the Difference?

What is an associate therapist?

An associate therapist, such as an Associate Marriage and Family Therapist (AMFT), has completed a master's degree in counseling or a related field and is registered with the state licensing board. Associates are accumulating the supervised clinical hours required for full licensure, which in California typically takes several years.

At Third Street Counseling, Tallie Gigi, AMFT and Brian Stubbs, AMFT are associate therapists who work under the supervision of Michele Hall-Preston, LMFT.

What is a licensed therapist?

A licensed therapist has completed all state requirements, including the required supervised hours and both licensing exams. In California, this means holding a license such as LMFT (Licensed Marriage and Family Therapist), LCSW (Licensed Clinical Social Worker), or LPCC (Licensed Professional Clinical Counselor). Licensed therapists can practice independently without supervision.

Does supervision mean lower quality care?

No. In fact, supervision adds a layer of oversight. Your associate therapist consults regularly with their supervisor about your care, which means two clinicians are thinking about your case. Associates are often highly motivated, recently trained in current methods, and bring fresh energy to their work. Learn more in our article on what clinical supervision means for your care.

How do I choose between an associate and a licensed therapist?

The right choice depends on your needs, preferences, and budget. Some clients prefer a licensed therapist for the depth of independent experience. Others find that associates offer excellent care at a lower fee, with the added benefit of supervisory oversight. The free consult is the place to talk through which is right for you. You can reach out here to start that conversation.

Reviewed by David Lindquist, LMFT