Can UK Therapists Offer Online Therapy to Clients in the USA?

✅ Thinking about seeing U.S. clients? Read this first!

The Question: Can I Work with a Client in the USA?

If you're a UK-based therapist in private practice, you may have received an enquiry from a potential client in the United States and wondered: Can I legally offer therapy to them?

Recently, I was approached by a potential client from North Carolina who wanted to work with me. Before responding, I contacted my insurance and considered all the legal requirements and ethical considerations.

Here’s what I found and why I ultimately decided not to proceed with offering therapy.

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Find out:

• What UK therapists must know about U.S. licensing laws

• The insurance risks you need to consider

• Ethical considerations that could impact your practice

• The coaching vs. therapy loophole—and how to do it ethically

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