The ability of a therapist licensed in the US to practice from out of the country while serving clients located in the US can depend on several factors, including state regulations, licensing board rules, and the therapist's specific situation. I can provide some general considerations, but it's important to note that regulations and policies might have changed since then.
State Licensing Laws: Therapists in the US are typically licensed by individual states, and each state has its own licensing board and regulations. Some states might allow licensed therapists to provide teletherapy services to clients within their state borders only, while others may permit therapists to practice across state lines, especially through the use of telehealth services.
Telehealth Laws: Telehealth laws and regulations are constantly evolving, and some states have enacted specific laws or guidelines regarding the provision of telehealth services. These laws might specify whether out-of-state therapists can provide services to clients within the state through remote means.
Licensure in the Client's State: In some cases, an out-of-state therapist may need to obtain licensure in the state where their clients are located, especially if that state requires therapists to be licensed within its borders to provide services to its residents.
Cross-Border Practice Agreements: Some states participate in "interstate compacts" or agreements that allow licensed professionals to practice across state lines more easily. For example, the "Psychology Interjurisdictional Compact (PSYPACT)" allows licensed psychologists in participating states to practice telepsychology across state lines with clients located in other compact states.
COVID-19 Pandemic: During the COVID-19 pandemic, some states and licensing boards temporarily relaxed certain regulations to allow therapists to provide teletherapy services to clients in other states without obtaining additional licensure. However, these temporary allowances might not be permanent and may have specific conditions attached.
Given the complexity of state regulations and licensing laws, it's crucial for therapists and clients to verify the specific requirements and permissions for teletherapy in their respective states. If you're a therapist considering practicing from outside the country while serving clients in the US, it's advisable to consult with the licensing board in the state where you are licensed and the state(s) where your clients are located to ensure compliance with all relevant regulations.