LMFT

LMFT stands for Licensed Marriage and Family Therapist. It is a professional licensure used in the United States and in some other jurisdictions to practice as a mental health clinician with a focus on relationships and family systems. LMFTs diagnose and treat individuals, couples, and families, using a systemic approach to understand how relational dynamics affect psychological well-being. Licensure is typically state-based rather than federally regulated.

Education and training commonly required for LMFTs includes a master's degree or doctoral degree in marriage and family therapy or a closely related field, from programs often accredited by COAMFTE (Commission on Accreditation for Marriage and Family Therapy Education). Programs cover family systems theory, assessment, psychotherapy techniques, ethics, and cultural competence. Students typically complete substantial supervised clinical hours as part of their training.

The licensure process generally involves accumulating supervised clinical experience under approved supervisors, applying to the state licensing board, and passing a licensing examination—commonly the Examination in Marital and Family Therapy administered by AMFTRB. Some states also require additional requirements such as a jurisprudence exam or background clearance, and ongoing continuing education for license renewal.

Scope of practice for LMFTs includes providing psychotherapy to individuals, couples, and families, with emphasis on relational patterns and the family or social context of presenting concerns. They work in private practice, clinics, hospitals, schools, and community agencies, and often collaborate with other professionals. Ethical practice is guided by the AAMFT Code of Ethics, including confidentiality and mandated reporting where applicable.

Professional credentials beyond licensure may include voluntary certification, such as Board Certification in Marriage and Family Therapy (BCMFT) offered by AAMFT, along with membership in professional associations that support standards and ongoing education.