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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