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Writer's pictureExpat Couch
Aug 154 min read

Working as a Therapist in Germany: Navigating Titles and Qualifications

A chair and a sofa in a psychotherapy office in Hamburg, Germany
Therapy Office in Germany (AI image)

If you're considering working in Germany as a psychologist or psychotherapist, understanding the different professional titles and the paths to achieving them is crucial. In this blog post, we aim to clarify the different professional titles for therapists in Germany, explain the required educational paths, and offer insight into the types of services each can provide. We also want to share our personal journey and encourage other therapists not to give up on their profession due to bureaucratic obstacles.


Understanding the Titles


  1. Psychologist Psychotherapist (Psychologische Psychotherapeut:in)


    • Educational Path: To become a Psychologische Psychotherapeut:in, you must first obtain a degree in psychology (Diplom or Master of Science). Following this, you need to complete a specialized postgraduate training in psychotherapy, which includes both theoretical and practical components, and pass the state examination (Approbation).

      There are two different paths depending on if you want to work with adults or with children: Ausbildung für Erwachsene (Psychologischer Psychotherapeut – kurz PP) oder die für Kinder- und Jugendliche (Kinder- und Jugendlichenpsychotherapeut – kurz KJP) 


    • Scope of Practice: This title allows you to provide psychotherapy, which involves diagnosing and treating mental health disorders. Therapists with this title are recognized by health insurance companies.


  2. Psychologist (Psycholog:in)


    • Educational Path: The term "Psycholog:in” generally refers to someone with a degree in psychology, which can vary significantly in different countries. In Germany, it is not a regulated term and does not (automatically) grant the right to practice psychotherapy.


    • Scope of Practice: Psychologists can engage in psychological counseling and assessments but cannot provide psychotherapy unless they undergo additional training and certification.


  3. Non-medical practitioner for Psychotherapy (Heilpraktiker:in für Psychotherapie)


    • Educational Path: Becoming a Heilpraktikerin für Psychotherapie requires passing a specific examination administered by the health authorities or applying by “Aktenlage” which basically means that you apply using credentials from other applicable documentation (University degrees, work experience etc). This route does not necessarily require a university degree but does require sufficient knowledge of psychology and psychotherapy to pass the exam. It also requires a good German proficiency (level of language required can vary from state to state).


    • Scope of Practice: Heilpraktikerinnen für Psychotherapie can offer psychotherapy, however they are not permitted to call themselves psychotherapists and their services might not be covered by health insurance. It's essential to check their specific training and experience, as it can vary widely.


  4. Psychological Counselor or Coaching (Psychologische Berater:in)


    Educational Path: Becoming a psychological counselor in Germany is not regulated, meaning that it does not require any formal education or training. There are coaching training programs available, which are recommended, but not required to start working.


    Scope of Practice: Counseling is a service that is generally short term and focuses on a problem the individual is experiencing in the present. Psychological counselors and coaches are not allowed to provide diagnosis’ or consult with clients about medical conditions. 


Challenges for International Therapists

One of the significant challenges international therapists face in Germany is the recognition of their qualifications. The bureaucratic process can be lengthy and complicated, often requiring additional steps like language proficiency exams and supplementary training. For therapists coming from outside Europe, obtaining recognition as a Psychologische Psychotherapeutin can be particularly difficult. They may need to pursue the Heilpraktikerin für Psychotherapie license to practice psychotherapy, despite having extensive qualifications and experience from their home countries.


Overcoming Bureaucratic Hurdles

Despite these challenges, the demand for therapists who speak languages other than German is high. This creates opportunities for international therapists, but the system may not always adapt quickly to meet these needs. For instance, an English-speaking therapist must still pass a German language exam to join the official healthcare system, even if they intend to work primarily in English.

We encourage therapists moving to Germany to seek support networks and not to give up on their profession. It is crucial to connect with others who have navigated the same path. At Expat Couch, we offer a supportive network, a space, and peer-supervision groups where such issues are discussed and addressed. This can make a significant difference in successfully integrating into the German healthcare system.


Message to Potential Clients

If you are a potential client looking for a therapist, understanding these titles can help you make informed decisions. A Heilpraktikerin für Psychotherapie may have different training than a Psychologische Psychotherapeutin, but this does not necessarily mean they are less qualified. Always inquire about a therapist's specific background and experience (especially if they have a foreign education!) to ensure they meet your needs.


Conclusion

Working as a therapist in Germany involves understanding complex qualification requirements and overcoming bureaucratic challenges. However, with persistence and the right support, it is possible to continue your professional practice and thrive in this new environment. Don't let the obstacles deter you—connect with others, seek guidance, and keep moving forward.



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