Master Degree In Counseling

Q: I'm curious as to how many people reading this group are mental health professionals, and if so, of what discipline? There seems to a movement towards licensing counselors. Several states have them as licensed counselors, and at last count -so I'm told- 10 states call them professional counselors or licensed professional counselors, and they seem to be two classes, depending on training. One has a clinical endorsement so they can independently diagnose and treat. They can also do psychological evaluations and perform psychotherapy. My question is, what are they, and more importantly, why are they? The educational requirement is as stringent as it is for psychology (i.e. Ohio requires the Ph.D. and two years of supervision for the clinical endorsement.) It makes no sense to me, and after talking to two of them at a conference, Im cetin they are as much at a loss to explain this as I am. The _only_ thing that clicked with me was that almost everyone and anyone is accepted into the counseling track in colleges, and it's more difficult to get into a psych program. Also I'm confused as to why a license is needed to call yourself a psychologist. When you think about it, anyone who studies psychology is by definition a psychologist. The psychology text books are used by most mental health types (Social Worker here) and is seems all of us are doing "pscyhological" procedures. The psych books are full of "psychologists" who in fact are psychiatrists adopted by the psychologists. If I sound confused, it's because I am!

A:A couple of things stand out in your post. The reason so many variations of licensing occurs depends upon a couple of factors. For example, Minnesota use to license Master's level psychologists. However, they were supervised by Ph.D.s The primary reason the MA level existed is that historically, the MA degree was an advanced degree many years ago. The Ph.D. was not very common. As time passed, more individuals have entered the field. In an effort to continue to push the quality standards in training more advance degrees have been granted greater protection under the law, however, the standards of behaviour have also become more stringent. The second factor feeding into this topic is that of "third party payments." Essentially, insurance companies. Because insurance companies don't want to pay for ineffective therapy they have chosen the more advance degreed professionals as the primary providers of services with the assumption that they are better trained and ultimately

more effective. Much of the licensing requirements have been put in place by third party payers and professional groups as a quality control issued and professional interest. Your assumption that everybody and anybody gets into counseling programs needs to be more descript. Social work programs have evolved over the years from being advocates to therapists. When you examine the laws governing social workers you will notice slight variation in restrictions due primarily to training differences. My Ph.D. program is a Counseling Psychology program: 125 individuals applied for admission next year 6 were accepted. I wouldn't say that is an easy program to get into.