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What Is an LMFT (Licensed Marriage and Family Therapist)? 2025 Definition, Salary & Roles Explained

Imed Bouchrika, Phd

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

Couples and families experiencing mental health and relationship issues may seek the help of a Licensed Marriage and Family Therapist (LMFT). Skilled and effective LMFTs diagnose and treat many types of mental health problems through the lens of relationship dynamics. If you’re someone who believes they could support others through these types of issues, becoming an LMFT could be a deeply rewarding and meaningful career.

In this article, I’ll answer common questions like “What is an LMFT?”, “What do LMFTs do?”, “What type of education and licensing do LMFTs need?”, and “How much do LMFTs make in 2025?” We’ll also discuss relevant topics such as job outlook, essential skills, and comparisons with other types of counseling professions.

What are the benefits of being a Licensed Marriage and Family Therapist?

  • LMFTs can work in a variety of settings, such as outpatient care centers, private practices, and family service agencies, offering flexibility in career paths.
  • The median annual salary for LMFTs was $63,780 in May 2024. Pay can vary depending on factors such as experience, specialty, location, and the type of healthcare setting. The median industry pay for LMFTs employed by the state is $89,030 annually, and $73,230 for LMFTs in outpatient care centers.
  • LMFTs can tailor their careers to specific populations or issues, such as veterans, aging adults, addiction, or chronic illness, aligning their work with personal interests.

Table of Contents

  1. What is a Licensed Marriage Family Therapist?
  2. What are the education requirements for LMFT licensure?
  3. How long does it take to complete LMFT coursework and supervision?
  4. What are the primary responsibilities of an LMFT therapist?
  5. What is the average LMFT salary in 2025?
  6. What is the job outlook for LMFTs?
  7. What are common specializations for LMFTs?
  8. What are the common challenges in an LMFT career?
  9. How Can LMFTs Integrate Spiritual Counseling into Their Practice?
  10. How can accelerated online programs influence LMFT career advancement?
  11. Should LMFTs Consider Pursuing a Doctoral Degree?
  12. What advanced certifications can LMFTs pursue?
  13. How does an LMFT compare to other counselors?
  14. Where do LMFTs commonly work?
  15. Other Things You Should Know About Becoming a Licensed Marriage and Family Therapist

What is a Licensed Marriage Family Therapist?

A Licensed Marriage and Family Therapist (LMFT) is a mental health professional who specializes in diagnosing and treating emotional, cognitive, and behavioral disorders, with a strong emphasis on the role of relationships. These are professionals who have undergone online MFT programs or gained advanced degrees in counseling and therapy. Unlike other therapists who may focus solely on individual issues, LMFTs view mental health within the broader context of family systems and interpersonal dynamics. They recognize how relationships can both shape and be shaped by mental health challenges.

The Bureau of Labor Statistics (BLS) defines LMFTs as professionals who work with individuals, couples, and families to assess emotional, behavioral, and psychological needs. They help clients process reactions to difficult life changes, such as divorce, and develop coping strategies and decision-making skills.

Marriage and family therapy is typically short-term in nature. On average, treatment lasts about 12 sessions, with nearly 66% of cases completed in fewer than 20 sessions and nearly 88% in under 50. Family therapy usually spans around 9 sessions, while marital or couples therapy averages 11.5. Both are shorter than individual therapy, which typically lasts 13 sessions. Roughly half of all LMFT treatment is conducted one-on-one, with the remainder involving couples, families, or blended formats (American Association for Marriage and Family Therapy, 2025)

number of sessions per patient

What are the education requirements for LMFT licensure?

LMFT candidates must meet several educational and training milestones for licensure. The specific requirements can vary by state, but the general pathway includes the following steps.

  • Earn a qualifying graduate degree. Complete a master’s or doctoral degree in marriage and family therapy, psychology, counseling, or a related mental health field from an accredited institution.
  • Complete required coursework. Graduate programs must include classes in counseling theories, human development, ethics, research methods, and other foundational topics in family systems therapy.
  • Fulfill clinical training requirements. Participate in a supervised practicum or internship as part of your degree program. This hands-on training provides experience working directly with clients under professional supervision.
  • Grain post-degree supervised experience. Accumulate a specified number of supervised clinical hours after graduation. For instance, in California, the Board of Behavioral Sciences requires candidates to complete 1,750 hours of direct counseling with individuals, groups, couples, or families, and a maximum of 1,250 hours of nonclinical practice for a total of 3,000 hours over a minimum of 104 weeks (California Association of Marriage and Family Therapists, 2024).
  • Pass required licensing exams. For most states, this is the National MFT exam administered by the Association of Marital and Family Therapy Regulatory Boards (AMFTRB). Some states may also require a jurisprudence exam and ongoing continuing education (CE) for license renewal. Note, however, that California is the only state to use its own exam, different from the National MFT Exam.

Make sure to check that your chosen institution possesses accreditation recognized by the U.S. Department of Education, such as through the following:

  • Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE)
  • Council for Accreditation of Counseling & Related Educational Programs (CACREP)
  • Masters in Psychology and Counseling Accreditation Council (MPCAC)

As a final note, remember that while a license is required by all states, the licensing requirements can be different from one state to another. Always consult your state’s licensing board to ensure compliance with all educational and clinical prerequisites.

If substance abuse counseling is more your thing, note that the educational requirements may be different. Check out our article on substance abuse counselor requirements by state.

How long does it take to complete LMFT coursework and supervision?

Completing the educational and experience requirements to become an LMFT typically spans several years, encompassing both academic coursework and post-graduate clinical practice.

  • Bachelor’s degree (4 years): To start, aspiring LMFTs must complete a bachelor’s degree in psychology, family studies, or a related behavioral science field which can take up to four years to complete. Many graduate programs are flexible and will accept applicants with unrelated majors, as long as they can demonstrate a foundational understanding of psychology and family development. A degree in psychology is a good foundation as it gives you an option to specialize in other fields later on. There's organizational psychology for one. Check out organizational psychologist job description to see if you're interested in it.
  • Master’s degree (2–3 years): A master's degree in marriage and family therapy or a closely related field generally takes about two to three years for full-time students. Part-time students may take longer, depending on course load and other personal factors. These programs often include theoretical coursework and practical training, the latter of which is the usual reason for the timeline extension for part-time students.
  • Postgraduate supervised experience (1–2 years concurrent with or after graduation): Most states require around 2,000 to 4,000 hours of supervised clinical experience after earning the degree, which can take another one to two years depending on state rules and whether the work is done full- or part-time.
  • Licensure preparation (up to 1 year): This includes registering for, preparing, scheduling, and passing the National MFT exam by the AMFTRB.

Considering both educational and supervised experience requirements, the path to LMFT licensure takes anywhere between six and seven years. This timeline can change further based on factors such as program structure, state-specific requirements, and whether the candidate is studying full-time or part-time. The best way to know how many years to become a therapist who is fully licensed is to consult your state's licensing board. These sources have more detailed information on educational prerequisites and licensure processes.

LMFT required clinical hours

What are the primary responsibilities of an LMFT therapist?

As mental health professionals, LMFTs specialize in addressing psychological and relational issues within the context of couples and family systems. Their work encompasses a range of responsibilities aimed at improving individual well-being and fostering healthier interpersonal dynamics.

  • Assessment and diagnosis. LMFTs assess emotional, behavioral, and relational issues with a focus on how family dynamics influence individual problems.
  • Therapeutic intervention. They provide counseling to individuals, couples, and families using techniques that improve communication, resolve conflict, and strengthen relationships.
  • Treatment planning and documentation. LMFTs collaborate with clients to set goals, track progress, and adjust treatment as needed. They also maintain detailed documentation to meet ethical and legal standards.
  • Collaboration and referral. They coordinate with other health professionals and refer clients to additional services when care needs fall outside their scope.
  • Education and prevention. Individuals who want to specialize in this area may consider online school counseling programs to better work as a community or school counselor.

LMFTs play a crucial role in addressing complex emotional and relational issues, utilizing a holistic approach that considers the interconnectedness of individual experiences and family systems. Their expertise contributes significantly to the mental and emotional well-being of individuals and families alike.

What is the average LMFT salary in 2025?

According to the BLS, the median annual Licensed Marriage and Family Therapist salary was $63,780 in May 2024. This figure represents the salary midpoint, with half of LMFTs earning more and half earning less. The bottom 10% of LMFTs are earning less than $42,610 per year, while the top 10% make over $111,610 annually.

Salaries can vary further based on factors like location, experience, and work setting. For instance, LMFTs employed in outpatient care centers tend to earn higher wages at approximately $73,230 annually. This is compared to those working in schools or private practices earning approximately $59,010. Professionals with more years of experience or those in supervisory roles usually earn higher salaries.​

The table below shows the median annual salary of LMFTs in different occupations and industries.

What is the job outlook for LMFTs?

The job outlook for LMFTs is notably strong. A 16% projected growth rate from 2023 to 2033 is much faster than the average for all occupations. This growth is driven by an increasing recognition of the importance of mental health services.​

These numbers translate to about 7,500 openings for marriage and family therapists expected each year, on average, over the decade. LMFTs can find employment in different settings, including outpatient care centers, individual and family services, and private practices. The demand for their services is expected to remain robust, offering numerous opportunities for those entering the field.

Societal shifts have led to greater acceptance and utilization of mental health services. More individuals are seeking therapy to navigate family dynamics, relationship challenges, and personal mental health issues. This trend is particularly notable among younger generations, who are more inclined to pursue therapy, thereby increasing the demand for LMFTs (BLS, 2024).

Furthermore, the healthcare field is placing greater emphasis on integrated care, where LMFTs collaborate with other professionals to deliver a more holistic treatment. This coordinated approach enhances outcomes and underscores the value that LMFTs bring to modern mental healthcare.

What are common specializations for LMFTs?

LMFTs can choose to specialize in various areas in the field to better address the diverse needs of their clients. These specializations allow therapists to develop deeper expertise and tailor their approach to particular populations or issues. Common specializations include:

  • Couples therapy: Focuses on relationship dynamics, communication issues, and conflict resolution between partners.​
  • Family therapy: Addresses systemic issues within family units, including parenting challenges and intergenerational conflicts.​
  • Child and adolescent counseling: Specializes in developmental stages, behavioral issues, and family-related stressors affecting younger clients.​ Because of this training, LMFTs can also perform school counselor responsibilities.
  • Geriatric counseling: Supports older adults and their families with issues related to aging, such as cognitive decline and caregiver stress.​
  • Grief and trauma counseling: Assists clients in processing loss and traumatic experiences to foster healing and resilience.​
  • Sexual orientation and identity counseling: Provides affirming support for LGBTQ+ individuals and families navigating identity-related challenges.​
  • Divorce and co-parenting counseling: Assists families in transitioning through separation, focusing on effective co-parenting strategies.​
  • Substance abuse counseling: Helps individuals and families navigate the complexities of addiction and recovery processes. This typically requires an addiction counseling degree.
  • Anger management: Teaches clients strategies to understand and control anger, improving interpersonal relationships.​
  • Infidelity and trust issues: Guides couples through the aftermath of betrayal to rebuild trust and intimacy.​

These specializations enable LMFTs to offer targeted interventions, enhancing the effectiveness of therapy for specific client needs.

prevalence of mental health issues

What are the common challenges in an LMFT career?

Licensed Marriage and Family Therapists often encounter multifaceted challenges unique to their practice. These include managing the emotional demands of working with complex family dynamics and ensuring strict adherence to ethical and legal standards. LMFTs must continually navigate evolving clinical practices and administrative responsibilities while balancing personal well-being against professional pressures. Additionally, challenges such as fluctuating client loads and insurance limitations require adaptive strategies and ongoing professional development. Exploring efficient career pathways, such as what is the fastest way to become a therapist, can help address some of these hurdles and support sustainable career growth.

How Can LMFTs Integrate Spiritual Counseling into Their Practice?

LMFTs serving clients from diverse cultural and spiritual backgrounds may benefit from integrating spirituality into their therapeutic approach. By gaining specialized training in spiritual counseling, professionals can better address the influence of faith on client relationships and overall wellbeing. Pursuing additional coursework or dual-degree opportunities can provide valuable insights and techniques that complement traditional therapy methods. For those interested in expanding their expertise in this area, exploring accredited Christian counseling programs can be a strategic step toward offering more comprehensive and culturally sensitive care.

How can accelerated online programs influence LMFT career advancement?

Accelerated online education offers LMFT candidates a streamlined pathway to fulfill academic and clinical requirements while integrating emerging therapeutic methodologies. These programs leverage digital platforms to deliver updated, evidence-based content that aligns with evolving industry standards. By reducing the time to graduation without sacrificing quality, professionals can enter the field sooner, positioning themselves to address modern challenges in mental health care. Interested candidates can further enhance their academic trajectory by exploring the fastest degree in psychology to complement their LMFT training with foundational insights in psychology.

Should LMFTs Consider Pursuing a Doctoral Degree?

For LMFTs aiming to broaden their clinical leadership and research capabilities, a doctoral degree can serve as a strategic asset. Pursuing a doctorate, such as a PsyD, enables practitioners to deepen their theoretical knowledge, refine advanced therapeutic techniques, and engage in academic or administrative roles. Doctoral programs often emphasize rigorous research methodologies and innovative clinical practices that can enhance treatment outcomes and foster evidence-based approaches in family therapy. Interested professionals might explore opportunities available through online APA-accredited PsyD programs as a pathway to further specialize and expand their scope of practice.

What advanced certifications can LMFTs pursue?

There are various advanced certifications and post-graduate programs LMFTs can pursue if they are seeking to deepen their expertise or expand their practice areas. These credentials not only enhance clinical skills but also open doors to specialized roles and leadership positions within the field.

  • Post-Master’s Certificates in Marriage and Family Therapy. These programs are designed for professionals who have already earned a master's degree and wish to specialize further. For instance, National University offers a fully online Post-Master’s Certificate in Marriage and Family Therapy, allowing therapists to tailor their studies to specific areas such as Child and Adolescent Family Therapy, Couple Therapy, and Military Family Therapy.
  • Advanced Certificate in Marriage and Family Therapy. This program is ideal for professionals looking for certificate programs that satisfy educational requirements for state licensure. For example, the 39-credit Advanced Certificate in Marriage and Family Therapy from Long Island University is designed for those aiming to meet New York State's licensure criteria, including supervised clinical experience and passing the relevant examination.
  • Post-Degree Certificate Programs. This option is for individuals with a degree in a relevant or allied field but are looking to earn a counseling license. For example, the University of Rochester School of Medicine and Dentistry offers a Post-Degree Certificate in Marriage and Family Therapy, allowing students to take courses alongside those in the MS in Marriage and Family Therapy program.
  • Specialized Certificates in Couple and Family Counseling. This program is suitable for counseling professionals aiming to enhance their work with individuals, couples, and families. Northeastern Illinois University provides an 18-credit hour Certificate in Couple and Family Counseling, focusing on evidence-based systemic theory, assessment, and intervention techniques.
  • Continuing Education and Specialized Training. The American Association for Marriage and Family Therapy (AAMFT) offers various courses and workshops covering topics like substance abuse, grief counseling, and LGBTQ+ issues. These continuing education opportunities help LMFTs stay current with emerging trends and best practices in the field.

How does an LMFT compare to other counselors?

Mental health professionals, including LMFTs, each have their distinct training, focus areas, and therapeutic approaches. Here's how LMFTs compare to other common counseling roles:​

  • LMFT vs. Licensed Professional Counselor (LPC). LMFTs focus on relational dynamics, working with couples, families, and individuals facing interpersonal issues. LPCs primarily provide individual therapy, addressing a wide range of concerns like anxiety, depression, and trauma. Both can diagnose and treat mental health conditions, but LMFTs emphasize relationships, while LPCs center on individual experiences.
  • LMFT vs. Licensed Clinical Social Worker (LCSW). While both provide therapy, LMFTs are trained to treat issues within family and relationship systems. LCSWs take a broader view, incorporating social, economic, and environmental factors into care. They also frequently handle case management and help clients access community resources.
  • LMFT vs. Psychologist. Psychologists usually hold a doctoral degree and are trained in psychological testing, research, and diagnosing complex disorders. They often work with clients needing in-depth assessments or specialized care. LMFTs, by contrast, focus on therapy grounded in relationship and family systems, without a primary emphasis on testing.

Now what is the difference between a PsyD and a PhD in clinical psychology? Check out our article on the topic.

Where do LMFTs commonly work?

Where to work is just as important a question as “What does a licensed marriage and family therapist do?” As the needs of individuals, couples, and families are diverse, LMFTs may practice in a variety of settings. As of 2023, LMFTs held approximately 76,000 jobs, with the largest employers being offices of other health practitioners (28%), individual and family services (27%), outpatient care centers (13%), and state government (6%) (BLS, 2024).

  • Private Practice: Many LMFTs operate independently or within group practices, offering flexibility in scheduling and the ability to specialize in areas like couples therapy or trauma counseling.
  • Outpatient Care Centers: These facilities provide LMFTs with opportunities to offer therapy services without the need for overnight stays, catering to clients seeking regular counseling sessions.​
  • Individual and Family Services: LMFTs in this sector work with clients facing challenges such as domestic issues, child welfare concerns, or family transitions, providing support and therapeutic interventions.
  • Hospitals and Inpatient Facilities: In these settings, LMFTs assist patients and their families in coping with medical diagnoses, facilitating communication among family members, and addressing emotional responses to health-related issues.
  • Government Agencies: LMFTs employed by state or local governments may provide services in public health departments, correctional facilities, or community programs, addressing a range of mental health needs within the population.​
  • Faith-Based Organizations: Some LMFTs work within religious institutions, integrating spiritual perspectives into therapy to support clients seeking faith-aligned counseling services.​
  • Educational Institutions: Schools and universities may employ LMFTs to support students' mental health, address behavioral issues, and facilitate family engagement in the educational process.​

The versatility of LMFTs allows them to adapt their skills to various environments, ensuring that individuals and families have access to mental health support across different contexts.​

The table below shows the saturation of LMFTs in different industries by listing the percentage of LMFTs in those industries.

What LMFTs Say About Their Careers

  • “Becoming an LMFT has allowed me to make a real impact in people’s lives while building a career that aligns with my values. Every day, I help families and couples find clarity and healing, which is incredibly rewarding.” –Jules
  • “The journey to licensure was long and tough, but the flexibility of the profession and the opportunity to specialize in trauma therapy made it all worth it. I’m part of a small private practice now, and I finally feel like I’m doing the work I was meant to do.” –Willow
  • “As someone who switched careers later in life, becoming an LMFT gave me a second chance to do meaningful work. The training helped me understand the deeper layers of human connection, and I’ve never felt more fulfilled.” –Jackie

Key Findings

  • Employment of marriage and family therapists is projected to grow 16% from 2023 to 2033, much faster than the average for all occupations. This growth is expected to result in about 7,500 job openings each year over the decade.
  • As of May 2024, the median annual wage for marriage and family therapists was $63,780. Salaries can vary depending on the industry and location.
  • Marriage and family therapists are employed in various settings, including offices of other health practitioners (approximately 20,920 employed), outpatient care centers (about 9,540 employed), and individual and family services (around 8,940 employed).
  • All states require LMFTs to be licensed, but specific requirements may vary from one state to another. Psychology.org estimates it takes 6 to 7 years to go from high school graduation to licensure.
  • Marriage and family therapy tends to be short-term, with research indicating that the median length of treatment is 12 sessions, and 65% of cases are completed within 20 sessions.

Other Things You Should Know About Becoming a Licensed Marriage and Family Therapist

Can LMFTs diagnose?

Licensed Marriage and Family Therapists (LMFTs) are trained to assess, diagnose, and treat a wide range of mental and emotional disorders. They work with individuals, couples, and families, often focusing on relational and systemic dynamics. However, the scope of their diagnostic authority can vary by state regulations.

In cases requiring medical treatment, psychiatric medication, or specialized testing, all of which are beyond the clinical scope of an LMFT, they may work with other healthcare professionals such as psychiatrists, primary care physicians, psychologists, or social workers. This type of interdisciplinary coordination is a core part of ethical practice and helps promote better mental health outcomes.

What degree is best for marriage and family therapists?

The most direct and widely accepted path is earning a master’s degree in marriage and family therapy (MFT) from a program accredited by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) or a regionally accredited institution. These programs are designed to meet educational and clinical requirements for licensure in most states and typically include coursework in human development, family systems, clinical ethics, diagnosis and treatment planning, and at least 500 hours of supervised clinical experience.

Closely related degrees, such as clinical psychology, counseling psychology, or professional counseling, may also be acceptable, provided the coursework and training align with state licensure requirements for MFTs.

At the undergraduate level, degrees in psychology, sociology, human development, or family studies are common but not mandatory. Many graduate programs will consider applicants from unrelated majors such as education, communications, or liberal arts if they have completed specific prerequisite coursework in subjects like abnormal psychology, developmental psychology, and family dynamics (Indeed, 2025).

What is the fastest way to become a therapist?

The fastest route to becoming a licensed therapist, such as an LMFT, may take about 6 to 7 years. However, here are a few ways for aspiring therapists to streamline the process and accelerate their journey.

  • Earn a bachelor’s degree. Start by completing a bachelor’s degree in psychology, social work, family studies, or a related field. Many students speed this up by taking dual-enrollment courses in high school, summer classes, or credit-by-exam options like the College Level Examination Program (CLEP). Some programs even offer 3-year accelerated bachelor’s degrees.
  • Complete a master’s degree. A traditional master’s degree in marriage and family therapy or counseling usually takes up to 3 years. However, some schools offer accelerated programs that can be completed in 12 to 18 months, particularly if pursued full-time and online.
  • Fulfill clinical hours efficiently. All therapy licenses require supervised clinical hours. These hours can take anywhere between 2,000 to 4,000 hours, depending on the state. While there is no shortcut to meeting this requirement, you can reduce delays by securing an internship early and maintaining a consistent schedule with your clinical supervisor.
  • Pass the national licensing exam.​ Once education and supervision are complete, the final steps would be to take a national licensing exam such as the National MFT exam, and to apply for a license. This entire process can take several months up to a year.

While the fastest timeline may be around 6 years from high school graduation to licensure, the actual duration depends on state regulations, program availability, and personal circumstances. Remember to choose high-quality programs that meet licensing standards even when taking an accelerated pathway (Psychology.org, 2024).

What are the continuing education requirements for LMFTs?

Continuing education (CE) is a critical component of maintaining licensure as an LMFT. CE ensures that therapists remain up-to-date with the latest developments in clinical practice, ethics, legal standards, and culturally responsive care.

CE requirements vary by state, both in terms of hours and approved content. Here are a few examples.

  • California: According to the California Board of Behavioral Sciences, LMFTs must complete 36 hours of CE every two years, with at least 6 hours dedicated to Law and Ethics training. Certain topics, such as suicide risk assessment, may also be mandated for renewal.
  • New York: The state of New York requires LMFTs to complete 36 hours of CE every three years. A maximum of 12 hours may be completed through self-study formats, but courses must be approved by the New York State Education Department (NYSED, 2023).
  • Minnesota: The Minnesota Board of MFT requires 40 hours of CE every two years, including specific hours in ethics and cultural competency. If the licensee is an approved supervisor, these hours may also include clinical supervision.

Beyond meeting regulatory requirements, many LMFTs pursue continuing education to stay competent in emerging areas such as digital mental health, diversity-informed practices, and collaborative care models. Because CE rules differ by location and may change over time, make sure to consult your state's licensing board for precise CE requirements to ensure compliance and informed practice.

References:

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