Need guidance

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xnovalentine

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I am seeking guidance in which path to take in earning my PsyD, which school to go to, and jumping through loops.

My heart lies in neuropsychology. My ultimate goal at the end of my road is to work directly with Alzheimers, dementia, Huntington's and related degenerative brain and cognitive diseases. Becoming a neuropsychologist would be my ultimate desire however, I have some things stacked against me and it may be unrealistic for me.

1) resources. i'm poor. that's all i can say about that.
2) i have a high cost medical condition. quitting my current job as a geriatric social worker would mean i would have no health insurance. paying for my medications out of pocket is out of the question. I take nearly $9,000 of medication a month without insurance help. I struggle to pay my co-pays with a job. Insurance companies don't want to cover people like me - so paying privately for insurance would be nearly $1,000/mo PLUS co-pays and out of pocket. I already researched this option. Its simply not practical, and would put a lot of undue stress on me.
3) because of this, going to a traditional PsyD or PhD program is difficult. Yes, i would love to just enroll in a good ol' brick and mortar school but I'm not sure that it's realistic for me given my circumstance. I understand that there still will be practicums, and supervision however, being able to span this at a slower pace so I can have a job with healthcare coverage seems to be the way for my personal situation albeit slowing the process. Also, completing what doctoral classes that I can online would be far more feasible with my condition.

Right now I am finishing up my MS in Clinical Psychology with a focus on Applied Behavioral Analysis and will be seeking ABA certification.

To become a neuropsychologist I need licensure as a clinical psychologist. To study clinical psychology at the PhD/PsyD level can be done online at a non APA accredited school such as Capella, or Kaplan. This is where guidance is needed.

If i choose to attend an online PsyD program that is non-credited, how difficult is it in Illinois to get your clinical license? I've researched the educational requirements for clinical licensure in IL and it reads in summary:

Individuals who have graduated from an APA approved program, program approved by the Council on Postsecondary Accreditation or who have graduated from a psychology program recognized by The Department are required to document one year of supervised postdoctoral experience prior to applying for licensure. Individuals holding a doctorate in psychology whose program does not meet the above requirements, but meet the requirements of The Act will need to document additional supervised practice some of which may need to be postdoctoral in nature. This fact sheet is written with the presumption that you will need to document one year of postdoctoral experience.

or the actual:


Sec. 10. Qualifications of applicants; examination. The Department, except as provided in Section 11 of this Act, shall issue a license as a clinical psychologist to any person who pays an application fee and who:
(1) is at least 21 years of age; and has not engaged
in conduct or activities which would constitute grounds for discipline under this Act;
(2) (blank);
(3) is a graduate of a doctoral program from a
college, university or school accredited by the regional accrediting body which is recognized by the Council on Postsecondary Accreditation and is in the jurisdiction in which it is located for purposes of granting the doctoral degree and either:
(a) is a graduate of a doctoral program in
clinical, school or counseling psychology either accredited by the American Psychological Association or the Psychological Clinical Science Accreditation System or approved by the Council for the National Register of Health Service Providers in Psychology or other national board recognized by the Board, and has completed 2 years of satisfactory supervised experience in clinical, school or counseling psychology at least one of which is an internship and one of which is postdoctoral; or
(b) holds a doctoral degree from a recognized
college, university or school which the Department, through its rules, establishes as being equivalent to a clinical, school or counseling psychology program and has completed at least one course in each of the following 7 content areas, in actual attendance at a recognized university, college or school whose graduates would be eligible for licensure under this Act: scientific and professional ethics, biological basis of behavior, cognitive-affective basis of behavior, social basis of behavior, individual differences, assessment, and treatment modalities; and has completed 2 years of satisfactory supervised experience in clinical, school or counseling psychology, at least one of which is an internship and one of which is postdoctoral; or

(c) holds a doctorate in psychology or in a
program whose content is psychological in nature from an accredited college, university or school not meeting the standards of paragraph (a) or (b) of this subsection (3) and provides evidence of the completion of at least one course in each of the 7 content areas specified in paragraph (b) in actual attendance at a recognized university, school or college whose graduate would be eligible for licensure under this Act; and has completed an appropriate practicum, an internship or equivalent supervised clinical experience in an organized mental health care setting and 2 years of satisfactory supervised experience in clinical or counseling psychology, at least one of which is postdoctoral; and
(4) has passed an examination authorized by the
Department to determine his or her fitness to receive a license.


Applicants for licensure under subsection (3)(a) and (3)(b) of this Section shall complete 2 years of satisfactory supervised experience, at least one of which shall be an internship and one of which shall be postdoctoral. A year of supervised experience is defined as not less than 1,750 hours obtained in not less than 50 weeks based on 35 hours per week for full-time work experience. Full-time supervised experience will be counted only if it is obtained in a single setting for a minimum of 6 months. Part-time and internship experience will be counted only if it is 18 hours or more a week for a minimum of 9 months and is in a single setting. The internship experience required under subsection (3)(a) and (3)(b) of this Section shall be a minimum of 1,750 hours completed within 24 months.
Programs leading to a doctoral degree require minimally the equivalent of 3 full-time academic years of graduate study, at least 2 years of which are at the institution from which the degree is granted, and of which at least one year or its equivalent is in residence at the institution from which the degree is granted. Course work for which credit is given for life experience will not be accepted by the Department as fulfilling the educational requirements for licensure. Residence requires interaction with psychology faculty and other matriculated psychology students; one year's residence or its equivalent is defined as follows:
(a) 30 semester hours taken on a full-time or
part-time basis at the institution accumulated within 24 months, or
(b) a minimum of 350 hours of student-faculty contact
involving face-to-face individual or group courses or seminars accumulated within 18 months. Such educational meetings must include both faculty-student and student-student interaction, be conducted by the psychology faculty of the institution at least 90% of the time, be fully documented by the institution, and relate substantially to the program and course content. The institution must clearly document how the applicant's performance is assessed and evaluated.
To meet the requirement for satisfactory supervised experience, under this Act the supervision must be performed pursuant to the order, control and full professional responsibility of a licensed clinical psychologist. The clients shall be the clients of the agency or supervisor rather than the supervisee. Supervised experience in which the supervisor receives monetary payment or other consideration from the supervisee or in which the supervisor is hired by or otherwise employed by the supervisee shall not be accepted by the Department as fulfilling the practicum, internship or 2 years of satisfactory supervised experience requirements for licensure.
Examinations for applicants under this Act shall be held at the direction of the Department from time to time but not less than once each year. The scope and form of the examination shall be determined by the Department.
Each applicant for a license who possesses the necessary qualifications therefor shall be examined by the Department, and shall pay to the Department, or its designated testing service, the required examination fee, which fee shall not be refunded by the Department.
Applicants have 3 years from the date of application to complete the application process. If the process has not been completed in 3 years, the application shall be denied, the fee shall be forfeited, and the applicant must reapply and meet the requirements in effect at the time of reapplication.
An applicant has one year from the date of notification of successful completion of the examination to apply to the Department for a license. If an applicant fails to apply within one year, the applicant shall be required to take and pass the examination again unless licensed in another jurisdiction of the United States within one year of passing the examination.
(Source: P.A. 98-849, eff. 1-1-15.)

Theres also the hoop of re-specialization after completion of the unaccredited doctoral program. But that's like - 3 more years post doctorate. I would like to actually be a neuropsychologist before I die. 😉

I suppose the guidance I am asking for is - is it worth it to jump through these extra hoops given my circumstances? Has anyone had a similar experience? Has anyone completed a online PhD or PsyD program and became licensed? Is there a different road that I'm not considering? Should I just give up and be happy with what I have?
 
I'm sorry. Don't do it. If for any reason you can't commit to full-time study in residence (ie, at a brick and mortar school), you shouldn't pursue a doctoral degree in clinical psychology. It is not just a matter of licensure; you will not be able to receive the appropriate training and you would not be competitive (if not ruled out altogether) for internships and fellowships in neuropsychology.
 
Apply that reasoning to any licensed profession: physician, attorney, plumber, etc. could you get an md, jd, or plumbers certificate online? Absolutely. would anyone consider you of the same caliber as someone who actually gave up a huge portion of their life to study? No way. Would a board made up of people who gave up 5-7 years of their lives to study want to give you a license? No way. Would anyone want to hire an online Doctor? Would internships, which are more and more rare, give up a slot to an online student? No way.

You were clearly able to do all this as a social work student. You know better.
 
To study clinical psychology at the PhD/PsyD level can be done online at a non APA accredited school such as Capella, or Kaplan.

Says who?

Most internships require that your program is APA accredited, by the way. You can search here for those that dont. https://membership.appic.org/directory/search

And then there is the difficulty of getting a post-doc fellowship in neuropsychology given the hurdle above, and the fact that you came from an online program.

Then there is the job market issue of: who hires people from online programs?

Also, traditional ph.d programs provide a yearly stipend AND health insurance.
 
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Going to agree with the above advice--don't do it online, not worth the cost and time. Neuropsychology is a particularly competitive specialty that requires a two-year, full-time fellowship in addition to a doctoral degree and clinical internship. Those fellowships tend to be competitive for the formal spots, and often require relocation, which it sounds like might not be an option for you (although they do typically offer full benefits). Landing a formal postdoc with an online degree will be highly unlikely, meaning you'd need to take an informal postdoc, which could further affect your credentials and quality of training.

Likewise, landing a quality, APA-accredited internship from an unaccredited online program will be impossible given the upcoming regulations soon to be enforced by APA and APPIC. Not having such internship will be another knock against your credentials.

But I would also second what erg said--funded brick-and-mortar programs will offer a stipend and health insurance. The stipends aren't particularly sizable, so you may need to take out additional loans (and/or apply for fellowships and scholarships) in order to pay for your healthcare needs, but that would be an infinitely better option than an online degree. Like PSYDR mentioned, how much stock would you place in the credentials of a physician who had attended an online program? There's a reason this type of training is viewed negatively within the field.
 
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Fielding is setup for students similar to yourself. Although they are an APA accredited program some State Psychology Boards will not accept their graduates for licensure, so you need to look into licensure requirements for each state. With your MSW you can work in rehab field. With your health problems and the stress involved with doctoral program it may not be recommended to pursue doctoral studies. Have you discussed this with your physician?

With these non traditional programs you are taking risks. I've seen a number who graduate but never pass the EPPP so they end up working under their MS license. Some states allow unlimited retakes of EPPP, but others only allow one retake.
 
DO NOT go to Capella, Fielding, or Kaplan. These avenues will make it very hard for you to find and maintain gainful employment in a neuropsychology position. As others have intimated, reputable programs offer healthcare insurance. I have many friends in the field with chronic conditions who had everything fully covered. I actually had to have spine surgery in grad school. Between pre surgical workup, the surgery, and rehab, I paid nothing. Grad insurance covered 100%. Managing health concerns is doable in graduate school. Much more doable than having a productive career with these online degrees.
 
If you're just dead set on online degrees, it's probably better to find a straight up diploma mill that will sell you a Ph.D. with no coursework for cheap from Mauritius or Senegal or something. It has to be cheaper, faster, and just as respected.

I would consider an Irish or polish medical school. At least you get insurance and a chance at psychiatry
 
Don't do an unaccredited PsyD program (online or off). Just don't. Talk about a waste of money with no health insurance! Apply to accredited, funded PhD or PsyD programs, they will offer health insurance.
 
Even at a local psyd granting institution you can likely get medical insurance as a full time student. Obviously yes it's 6 figures student debt etc but being a student doesn't mean foregoing healthcare
 
If you want to do neuropsychology and be competent in your work:

1. Attend APA-acred. program, with a STRONG preference for university-based programs, that offers formal mentorship in it (tracks and concentrations are marketing, focus on a good mentor).

2. Attend an APA-acred. internship, with at least some exposure to neuropsych.

3. Secure a formal two yr post-doc that meets the Houston Guidelines.

4. Be eligible for and apply for ABBP boarding.

Anything short of that and it will be hard to find a job working as a neuropsychologist. Online training will not be sufficient for the study of neuropsychology.

Neuropsych assessment is one of the hardest sub-specialties to pursue bc of the training standards...and they are only going up.
 
Any chance you can go to med school, even if you have to take a year or so of classes to get there? You'd have about the same level of debt as a PsyD, but your salary in the end would be enough to cover the loans (unlike a psychologist's salary). If not, you have one thing going for you that might make a PsyD somewhat reasonable--you want to work with an underserved population. For that reason, you might have access to loan forgiveness or at least job security. But I would echo those who say that it makes no sense, no way, to do an online program. All of the barriers you mentioned will make things even worse when you're in debt *and* can't get a job because your training and degree aren't respected.
 
I can believe that out of pocket insurance is not a realistic option, but ACA means that insurance companies are no longer permitted to price policies based on pre-existing conditions. Only four pieces of information can be used: age, gender, zip code (basically) and smoking history. Otherwise, your policy will not cost more than anyone else's these days. We also have mandatory issue, so they can't turn you down if you can pay the premiums.

Agreed that with the obstacles you are mentioning, med school might make sense. Is there a reason you don't want to be a neurologist or psychiatrist?
 
I actually am in the same position as you, I am about to finish my MA program in ABA from Arizona State and will be going for the Psy.D/Ph.D in Clinical Psych with specialization in Neuropsychology. I also have the ultimate goal of becoming a Neuropsychologist before I leave this life and hit the can.

However, I do have obstacles as well, but not health related. I am married and have two kids, so family comes first here obviously. My wife has been tolerating it, sort of. She agrees with us moving out of the state so relocating is not a problem, I too will be ABA certified next year, do clinical work with Autistic populations for a year or so, and then jump on the doctorate whichever state takes us.

I feel like I am putting my family at risk but it is something my wife supports of. I was too considering your views of going for online studies, but after being a while in the forums and reading, I see how online programs are viewed. So will say what everyone has been saying, I suggest not to because of the outcome quality and reputation. By the way, are you also focusing on Autistic populations or other behavioral disorders within your ABA?
 
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