LSMFT: Licensed Specialist in Marriage and Family Therapy – Credential Overview

LSMFT = Licensed Specialist in Marriage and Family Therapy. A state-issued clinical license authorizing independent practice of marriage and family therapy (MFT).

Typical Requirements (Vary by State)

• Education: Master's or doctoral degree in MFT or related field (COAMFTE-accredited preferred).
• Supervised Experience: 2,000–4,000 postgraduate hours (direct client contact + supervision).
• Examinations: National MFT Exam (AMFTRB) + state jurisprudence exam.
• Background Check: Fingerprint/ criminal history clearance.

Scope of Practice

• Assess, diagnose, and treat mental/emotional disorders within relational systems (couples, families, individuals).
• Utilize systemic, relational, and evidence-based modalities (EFT, Gottman, Structural, Strategic, Narrative, CBT).
• Cannot prescribe medication (unless also an NP/MD/DO).
• May supervise trainees after additional credentialing (AAMFT Approved Supervisor).

Related Credentials

• LMFT – Licensed Marriage and Family Therapist (common title in many states).
• LCSW, LPC, LPCC – Overlapping scopes; distinct licensure boards.
• AAMFT Clinical Fellow – Professional membership designation, not a license.

Verify specific requirements with your state's behavioral health licensing board.