Not much movement for me. Went to grad school where I finished undergrad (in Massachusetts). To another state (RI) for internship/postdoc/first job, but then moved back to town I lived in during grad school, as my wife and I really liked it and wanted to raise our children there. It's a small-ish college town, surrounded by a few other college/university towns, with a pretty progressive feel and large LGBT population, as well as a nice downtown (though it will be interesting to see which restaurants and live music venues are still around post-COVID. There's also a VA here. Cost of living is certainly cheaper than Boston area, but we'd have a very difficult time finding an affordable house in our town if we ever sold ours. I like being close to nature. We're pretty equidistant to Boston and NYC, and day trips are possible.
There is seemingly a psychologist on every street corner, with a half dozen masters level practitioner in between. My clinical area is relatively specialized and in very high demand, so I've never had an issue finding a job that I like or that pays well, and currently I have one that meets both criteria. Biggest problem being outside a bigger population center is referral to other specialty providers. While there's a whole bunch of therapists around, most focus on college-age and older. Those who see children are pretty few and far-between, and of varying quality, IMHO. Medical specialties are even more scarce. There's like one developmental pediatrician and pediatric neurologist in the area, so I often end up telling families that they are better off driving an hour or two some of the bigger medical centers in Worcester or Boston.
