I think there is a great amount of variance. CA is definitely an exception to most things, not just psych...so take any comments about CA with a large grain of salt. I think purely private practice therapists (doctorl or otherwise) in major cities have the toughest time because there is just so much competition and insurance reimbursement keeps getting cut. However, there are also places where there are not enough providers.
*disclaimer: speciality employment is much different than generalist employment*
I'm talking with a place now (major city) where there is *one* practicing neuropsychologist in the entire metro area, and if I moved there I'd instantly have a 6+ month waiting list of patients. There are plenty of psychologists and some neuropsychologists in the other major cities, but no one wants to move.
I'm also looking in two other major cities (also Top 20) where there is a huge need for 'competent' neuropsychologists & rehabilitation psychologists, as there is a large gap in the quality of training.
I have friends who work at college counseling centers (assistant director & director), and they very much enjoy their jobs...but they do it for the benefits and not the pay. I'm in academic medicine and it is a mix of satisfaction and frustration for most. I'm at a top tier medical center, so it attracts a certain type of clinician-scientist....which is definitely not the "norm". I'm still trying to decide if I want this kind of pressure to produce (clinically and in regard to research), but there *are* options for psychologists out there.