LCSW or PsyD?

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psychometric

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Is it worth getting the PsyD, or would a better option be an LCSW with an additional MPH degree?


What are the salaries for LCSW + MPH, lets say 2 years post degree?


I want to do:
- Private practice
- Coaching
- Part-time hospital
- Teach community college
- Set up a special program

In California

Thanks everyone.👍
 
I know nothing about California salaries- can't help you there. However "2 years post-degree" is about when most people get their license and accompanying salary bump (slight as it may be). 2 years post-degree and 2 years post-licensure may be a different story.

In your above-listed goals, what function would having the MPH serve?

What kind of hospital work? Medical? Behavioral health? Chemical dependency?

Teach what in community college? Psych? Human services? English?

What do you mean by "special program"?
 
In your above-listed goals, what function would having the MPH serve?-Program management skills, Health Knowledge

What kind of hospital work? -Behavioral health
Teach what in community college? -Psych, & Human services

"special program"- my own ideas to serve the community(has nothing to do with the salary, just the skill needed)
 
The LCSW is a much more versatile degree with many more clinical/behavioral health employment options in California right now than the PsyD. and this is likely to be true for at least the immediate future You may need a MPH or PhD (in social work or psychology) to teach in a community college, however
 
Do the PsyD. The social work field is going to be in demand and MFT's are beginning to used along with social workers. This brings the PsyD to a new level, not to mention you will have the Dr. before your name. PsyD is accepted almost as often as PhD for psychology teaching positions. If you work for in a government position you will be paid more. Just do the PsyD and you will not be looking into getting another degree 5 years after you finish.
 
The training is quite different, and unless you are going for strictly clinical positions (that don't do assessment), you'd be better served with a Psy.D. If you *just* want to do therapy, then an LCSW isn't bad...but it isn't the same length and depth of training, and it is a bit more limited. It is true there are many more gov't and quasi gov't jobs available for LCSWs....are they jobs that Psy.D.'s would want (pay-wise?).
 
The social work field is going to be in demand and MFT's are beginning to used along with social workers.

Wouldn't this a "pro" for social work? Are you missing a "not" here??
 
-----The training is quite different, and unless you are going for strictly clinical positions (that don't do assessment), you'd be better served with a Psy.D.--------

Isn't the clinical with the assessment option why one would obtain a PsyD?

By the way, thanks to everyone who answered🙂
 
-----The training is quite different, and unless you are going for strictly clinical positions (that don't do assessment), you'd be better served with a Psy.D.--------

Isn't the clinical with the assessment option why one would obtain a PsyD?

By the way, thanks to everyone who answered🙂

One of the reasons. The exposure to training/more research is another, etc.
 
I am a 3rd year PhD student in social work, and I worked as a practicing social worker for a number of years before returning for my PhD. Based on your posting, it sounds like the LCSW might be a better option.

1) Teaching at the community college level- The MSW would be just fine unless you are intent upon pursuing a tenure-track position. Many community colleges have generic "human services" or "human development" programs, and they often employ MSW's as part-time lecturers. I have seen LCSW's teaching Intro to Psych courses at smaller schools and schools located in more rural areas. However, I wouldn't count on landing a position teaching actual psych courses because there are plenty of hungry people with graduate degrees in fields like developmental psych, cognitive psych, etc., who would be much more qualified to teach such courses. If you really enjoy teaching, many BSW and MSW programs hire people with MSW's to serve as lecturers, adjuncts, and clinical professors.

2) Practice- If you want to do counseling or psychotherapy, the LCSW is fine. While LCSW's can diagnose and treat mental illness, they cannot conduct psychological testing. If you think it would be fun to administer and interpret tests like the WAIS, MMPI, etc, then you want to go the PsyD/PhD route.

3) Starting your own non-profit- You can certainly do this with the PsyD. However, most MSW programs have classes devoted to nonprofit administration, grant writing, etc.

A PsyD will give you much better training in psychotherapy. Most PsyD programs will cost you an arm and a leg though, and you need to keep in mind that most psychologists don't exactly rake in the dough (yes, there are exceptions to this rule, but they are just that....exceptions). If you are independently wealthy, then go for it. If not, I strongly recommend that you take a look at how much most PsyD programs charge and compare that cost with the average psychologist's salary.

The MSW curriculum will require you to take some courses that may not interest you if your goal is to do nothing but therapy (e.g., social welfare policy). However there are many fine therapists with the LCSW. If you can't handle not being called "doctor", though, then the LCSW is not for you.
 
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Thanks.
pingouin
antagonizing
 
I know nothing about California salaries- can't help you there. However "2 years post-degree" is about when most people get their license and accompanying salary bump (slight as it may be). 2 years post-degree and 2 years post-licensure may be a different story.

In your above-listed goals, what function would having the MPH serve?

----------What kind of hospital work? Medical? Behavioral health? Chemical dependency?

Teach what in community college? Psych? Human services? English?

What do you mean by "special program"============
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PhD2Be



Thank you for the in-depth description on SW possibilities. What is your specific interest area?
 
PHD2Be -- Thank you for that helpful explanation b/w PsyD and LCSW. I'm an MSW student right now and it's encouraging to see what I can with my degree -- once I get it. I have also found the policy courses to be quite interesting and they help fill in the big picture in terms of what laws help/hinder the clients. I don't really have any interest in working in macro, though.
 
PsyD is accepted almost as often as PhD for psychology teaching positions.


You're tripping... Psy.D. does not equal Ph.D. in academia, not even close. I have no axe to grind here, but someone who wants to teach is going to be awfully disappointed with a Psy.D.

Even at a tier 4 school, University of Texas at San Antonio, NOT ONE lecturer or faculty member had a Psy.D., every single one had a Ph.D. Although M.A. students were allowed to work as a T.A.

Mark
 
I know nothing about California salaries- can't help you there. However "2 years post-degree" is about when most people get their license and accompanying salary bump (slight as it may be). 2 years post-degree and 2 years post-licensure may be a different story.

In your above-listed goals, what function would having the MPH serve?

----------What kind of hospital work? Medical? Behavioral health? Chemical dependency?

Teach what in community college? Psych? Human services? English?

What do you mean by "special program"============
???????????????????????????????????????????????????????????????


Even though your salary worries are off putting to me, I can tell you how to find what you seek.

1. search for jobs (careerbuilder, monster) using the keywords LCSW & PsyD, some jobs list salaries; also try usajobs.gov, your state DHHS, NIH, etc BUT realize that the market is always changing and someone could be offered a starting salary of $52k this year and $45 k next year depending on demand, funding, etc...

2. look up CA Medicaid reimbursement rates; you should also be able to find insurance reimbursement rates

3. your salary depends entirely on what sort of job you end up doing and there's no way anyone here can say whether you'll make more as a social worker or a psychologist... I would NOT use that as a deciding factor in degree choice b/c it's a pretty crappy reason (my opinion) for choosing a career in mental health

You will NOT be independently wealthy with either degree without a lot of work. Mental health (outside of the NE) is still a luxury, not considered a necessity, and not necessarily someone's first choice as to how to spend $100/hr. I know some clinicians (LCSW, PhD, & LPA) in my state who refuse to bill insurance or Medicaid and take only cash payments. I had one professor who swore that i needed to move to NYC, open a private practice, and do psychotherapy for the wealthy and THEN commit to a life of underpaid sacrifice.

Mental health is hard. Graduate school was hard. My MSW program was 65 credit hours spread over 4 semesters. That's over 15 credit hours a semester plus a 30 hr internship each semester. My internship was in a rural area 1.5 hrs away... so I had 15 hour days 3 days a week. The classes were ALL busy work with hundreds of pages of articles/text to read per week. At least 5-6 papers per week (if only a 5-6 page write up of something stupid)... sometimes, we did the same assignment as many as 3 times for 3 different professors. I had to write a 60 page autobiography with genograms and all kinds of time consuming crud. The work was not intellectually challenging but it was an insane, absolutely insane, amount of paperwork. Even for a 2 credit hour diversity class, we had to complete 4, minimum 20 pg papers over the semester plus yet another genogram project.

My cohort went through some extra confusion because of in-fighting and power struggles about theoretical orientation within the program BUT even my friends @ other universities (some top 10 swk programs) expressed the same workload, busy work, etc.

The hardest part is that you see things in mental health that are hard to stomach and take an adjustment period. My internship was especially difficult in the beginning. I was on an inpatient psych unit where I spent 12 hrs a day with people who had recently tried to end their lives or were SPMI. My classmates spent their first months answering phones or photocopying papers.

So, I've procrastinated enough... but I'm just letting you know that I do not expect my PsyD to be any easier/harder than my MSW... just more years of time consuming (hopefully more intellectually stimulating) and I don't expect to make all that much more money with my PsyD. In my state, the medicaid reimbursement rates between LCSW and doctoral level clinicians vary only by 16/hr right now at the high end of services BUT I could bill testing as a psych and that could help some...

By the way, you aren't even saving all that much time... most PsyD's are 3 years of classes plus internship... with your internship hopefully being paid and almost like having a real job... so really 3 years of academics... the MSW is at least 2 years (some programs do 3 years) of academics ....

both have to have the same amount of post degree supervised experience and passing of the professional exam for licensure (i think it's the same amount, depends on state I guess)...

So, really, you aren't looking at a significantly longer academic commitment... but financially, it would add up... oh, and there is even LESS funding for the MSW than there is for a PsyD... i had our 2nd best financial package @ my school and it was still not 100%... even the girl with the BEST financial package, my roommate, still did not have 100%... the difference is that there are a lot of in state msw's that you can get for around 10k a year whereas most of the PsyD's are out of state for me...

Ok, really leaving now, I have the flu and it's been so much easier to type these last few days than force myself to function...

good luck w/your decision

i'll blame the fever for forgetting to talk about the public health stuff... I have a certificate in public health... earned from the number 2 school of public health in the nation... in a perfect world, I would apply and be accepted to the phd public mental health program @ JHU (number 1 in the nation) and share that degree w/my psyd... BUT, sadly, I'm not brilliant nor deserving of that honor at this point in my career...so i'll let it go...

here's my take... there comes a point where you can become too qualified for your credentials... like it or not, the world is full of little cielings.. and the more you work in a field reimbursed by the govt, the more you find the ceilings... my msw means i can only do certain things, even with a license... and regardless of the extra training or credentials... i've maxed out...

that has left me in a position where i'm leaps and bounds (no offense to the other msw's) above most msw practitioners but not in a position to do too much more on the record b/c of my credentials... as a result, i had a lot of things dumped in my lap b/c i could handle them... i ended up w/twice the caseload of others, handling marketing, handling policy revisions, handling PR, handling all psychoeducational stuff, etc, etc, etc... and at first, i loved it.... even at the end, i loved it... BUT, i was doing nothing but working and sleeping and i got tired of being the one with the answers... reading policy changes weekly and being a state rep became a liability... i was doing my supervisor's job and getting none of the financial benefits 🙂

so that's sort of rambling b/c i really do feel particularly bad this afternoon, but i had your problem...ive always wanted to be 5 things when i grew up and i pursued academic classes in all of those areas (i have a certificate in non profit management from an MPA program too)... all it did was make me more aware of the flaws in healthcare and more frustrated by the incompetence of some of my peers and it made me know that i needed my doctorate to affect change in a more sweeping way just b/c of the poltics of the business...

ignorance is bliss... remember that... the more you know, the more you'll see, and my thoughts are that if you see it, you have a responsibility to act...

good lcuk
 
By the way, you aren't even saving all that much time... most PsyD's are 3 years of classes plus internship... with your internship hopefully being paid and almost like having a real job... so really 3 years of academics... the MSW is at least 2 years (some programs do 3 years) of academics ....

I can't think of a Psy.D. that is 3 years....Baylor I think use to be 3 years of classes (with the 4th year being all about research), but they changed that probably 4-5 years ago.

...both have to have the same amount of post degree supervised experience and passing of the professional exam for licensure (i think it's the same amount, depends on state I guess)

This is something worth looking up. Most states have 2000 hr internship, and then a post-doc requirement before a Psy.D. / Ph.D. can sit for their particular licensure exam.
 
I can't think of a Psy.D. that is 3 years....Baylor I think use to be 3 years of classes (with the 4th year being all about research), but they changed that probably 4-5 years ago.



This is something worth looking up. Most states have 2000 hr internship, and then a post-doc requirement before a Psy.D. / Ph.D. can sit for their particular licensure exam.

All of the ones I am considering are 3 years of coursework, including summers, 1 year internship, 1 year dissertation (if even)... even rutgers is 3 years academics...

Baylor was one of the ones that was 4 solid years, I thought... but haven't looked at them in a few years...

I don't know, though, I'm only considering east coast schools with profs focused on my research area b/c of my parent's health issues. I can't afford to be too far away from them and they live in the middle of the east coast.

Maybe I'm only seeing the shorter programs b/c of that limitation. I think the only other one that had a definite fourth year of academics that was on my list was Indiana state?? I know Yeshiva had 5 total but that's b/c they had the most opportunities for internships that I remember... so I saw that as a bonus prize??

I guess I need to look that up again in case things have changed... Oh the joy of viewbooks and spreadsheets.
 
Even though your salary worries are off putting to me, I can tell you how to find what you seek.

1. search for jobs (careerbuilder, monster) using the keywords LCSW & PsyD, some jobs list salaries; also try usajobs.gov, your state DHHS, NIH, etc BUT realize that the market is always changing and someone could be offered a starting salary of $52k this year and $45 k next year depending on demand, funding, etc...

2. look up CA Medicaid reimbursement rates; you should also be able to find insurance reimbursement rates

3. your salary depends entirely on what sort of job you end up doing and there's no way anyone here can say whether you'll make more as a social worker or a psychologist... I would NOT use that as a deciding factor in degree choice b/c it's a pretty crappy reason (my opinion) for choosing a career in mental health

You will NOT be independently wealthy with either degree without a lot of work. Mental health (outside of the NE) is still a luxury, not considered a necessity, and not necessarily someone's first choice as to how to spend $100/hr. I know some clinicians (LCSW, PhD, & LPA) in my state who refuse to bill insurance or Medicaid and take only cash payments. I had one professor who swore that i needed to move to NYC, open a private practice, and do psychotherapy for the wealthy and THEN commit to a life of underpaid sacrifice.

Mental health is hard. Graduate school was hard. My MSW program was 65 credit hours spread over 4 semesters. That's over 15 credit hours a semester plus a 30 hr internship each semester. My internship was in a rural area 1.5 hrs away... so I had 15 hour days 3 days a week. The classes were ALL busy work with hundreds of pages of articles/text to read per week. At least 5-6 papers per week (if only a 5-6 page write up of something stupid)... sometimes, we did the same assignment as many as 3 times for 3 different professors. I had to write a 60 page autobiography with genograms and all kinds of time consuming crud. The work was not intellectually challenging but it was an insane, absolutely insane, amount of paperwork. Even for a 2 credit hour diversity class, we had to complete 4, minimum 20 pg papers over the semester plus yet another genogram project.

My cohort went through some extra confusion because of in-fighting and power struggles about theoretical orientation within the program BUT even my friends @ other universities (some top 10 swk programs) expressed the same workload, busy work, etc.

The hardest part is that you see things in mental health that are hard to stomach and take an adjustment period. My internship was especially difficult in the beginning. I was on an inpatient psych unit where I spent 12 hrs a day with people who had recently tried to end their lives or were SPMI. My classmates spent their first months answering phones or photocopying papers.

So, I've procrastinated enough... but I'm just letting you know that I do not expect my PsyD to be any easier/harder than my MSW... just more years of time consuming (hopefully more intellectually stimulating) and I don't expect to make all that much more money with my PsyD. In my state, the medicaid reimbursement rates between LCSW and doctoral level clinicians vary only by 16/hr right now at the high end of services BUT I could bill testing as a psych and that could help some...

By the way, you aren't even saving all that much time... most PsyD's are 3 years of classes plus internship... with your internship hopefully being paid and almost like having a real job... so really 3 years of academics... the MSW is at least 2 years (some programs do 3 years) of academics ....

both have to have the same amount of post degree supervised experience and passing of the professional exam for licensure (i think it's the same amount, depends on state I guess)...

So, really, you aren't looking at a significantly longer academic commitment... but financially, it would add up... oh, and there is even LESS funding for the MSW than there is for a PsyD... i had our 2nd best financial package @ my school and it was still not 100%... even the girl with the BEST financial package, my roommate, still did not have 100%... the difference is that there are a lot of in state msw's that you can get for around 10k a year whereas most of the PsyD's are out of state for me...

Ok, really leaving now, I have the flu and it's been so much easier to type these last few days than force myself to function...

good luck w/your decision

i'll blame the fever for forgetting to talk about the public health stuff... I have a certificate in public health... earned from the number 2 school of public health in the nation... in a perfect world, I would apply and be accepted to the phd public mental health program @ JHU (number 1 in the nation) and share that degree w/my psyd... BUT, sadly, I'm not brilliant nor deserving of that honor at this point in my career...so i'll let it go...

here's my take... there comes a point where you can become too qualified for your credentials... like it or not, the world is full of little cielings.. and the more you work in a field reimbursed by the govt, the more you find the ceilings... my msw means i can only do certain things, even with a license... and regardless of the extra training or credentials... i've maxed out...

that has left me in a position where i'm leaps and bounds (no offense to the other msw's) above most msw practitioners but not in a position to do too much more on the record b/c of my credentials... as a result, i had a lot of things dumped in my lap b/c i could handle them... i ended up w/twice the caseload of others, handling marketing, handling policy revisions, handling PR, handling all psychoeducational stuff, etc, etc, etc... and at first, i loved it.... even at the end, i loved it... BUT, i was doing nothing but working and sleeping and i got tired of being the one with the answers... reading policy changes weekly and being a state rep became a liability... i was doing my supervisor's job and getting none of the financial benefits 🙂

so that's sort of rambling b/c i really do feel particularly bad this afternoon, but i had your problem...ive always wanted to be 5 things when i grew up and i pursued academic classes in all of those areas (i have a certificate in non profit management from an MPA program too)... all it did was make me more aware of the flaws in healthcare and more frustrated by the incompetence of some of my peers and it made me know that i needed my doctorate to affect change in a more sweeping way just b/c of the poltics of the business...

ignorance is bliss... remember that... the more you know, the more you'll see, and my thoughts are that if you see it, you have a responsibility to act...

good lcuk
Thanks for the in-depth analysis. I do not understand though, why we, as mental health professionals should always accept the "obviously everywhere proclaimed assumption" that we ought to command less money for our services. I believe, that is the reason we do receive less money. Helping people is not worth less , rather more ! I could care less about an MBA who earns more , but does something that does not truly serve human kind, rather an artificially developed job.
However, I do really appreciate all your infos. You are right about getting to a point where you can be over-qualified due to the questioning part of it, yet, I am suspicious of employers who believe that you are. They come across as wanting a robot who delivers w/o thinking to me🙂 I know they are the majority, and it sucks, but I love people who are knowledgeable.

Best....
 
The bottom line here is that the two degrees (LCSW and PsyD) in question are two very different monsters. You can't compare them if they're not even in the same field. Hello.
 
Is it worth getting the PsyD, or would a better option be an LCSW with an additional MPH degree?


What are the salaries for LCSW + MPH, lets say 2 years post degree?


I want to do:
- Private practice
- Coaching
- Part-time hospital
- Teach community college
- Set up a special program

In California

Thanks everyone.👍

If your goal in Private Practice it is best to get Post Graduate Training is whatever you wish to specialize in. Mental Health is by far the best choice. After a very successful psychotherapy practice, I now have a new specialty coaching "disruptive physicians" as well physician leadership.
 
If your goal in Private Practice it is best to get Post Graduate Training is whatever you wish to specialize in. Mental Health is by far the best choice. After a very successful psychotherapy practice, I now have a new specialty coaching "disruptive physicians" as well physician leadership.
What are "disruptive physicians?"
 
What are "disruptive physicians?"

A disruptive physician is a phrase coined by The Joint Commission of The Accreditation of Healthcare Organizations. It means a physician whose behavior at work may damage patient safety. In includes verbal, abuse, throwing instruments, disrespecting patients, staff or colleagues. All Healthcare organizations in the nation are required to have written policy in place to handle physicians who are considered disruptive.
 
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