Finding Your Clinical Specialty as a New Therapist
Photo by Jilbert Ebrahimi on Unsplash
When I began graduate school, my classmates and I would gather for a “spooky ghost story swap,” sharing hopes and fears about our future careers in mental health. Some friends had crystal-clear visions for their paths—specific populations, modalities, or organizations they wanted to work with—while others of us, myself included, were more curious about what the future would hold.
I bounced questions off professors, supervisors, and newer colleagues. The seasoned pros emphasized that the heart of therapy is being present with clients, while early-career therapists highlighted the practical need to narrow focus to build a caseload and guide training. I was stuck: how could I specialize without prematurely limiting myself or claiming expertise I didn’t yet have?
Over time, I started noticing patterns in the clients and topics that energized me. I leaned into areas that sparked curiosity and joy, while giving myself permission to remain flexible. I also began to recognize that my specialty could evolve—fluid, responsive, and rooted in authentic engagement rather than rigid labels.
Why Identifying a Clinical Specialty Matters
Even early in your career, focusing on a clinical specialty can offer practical and professional benefits:
Reduces Overwhelm: Narrowing focus helps prioritize learning and prevents burnout from trying to master everything at once.
Supports Ethical Practice: A clear specialty helps you recognize when a client’s needs exceed your current expertise, so you can consult or refer appropriately.
Enhances Networking and Referrals: Colleagues can easily connect you with clients who match your focus, improving outcomes and collaboration.
Deepens Professional Passion: Working within your areas of interest can increase engagement, satisfaction, and energy for your work.
My Current Focus
For me, this season of practice has led me to prioritize:
Individual adults and couples navigating fertility challenges
Perinatal mood and anxiety disorders
Grief and loss
Relationship struggles
My primary goal is always to help clients feel safe, supported, and equipped to accomplish their therapeutic goals while pursuing wellness.
A Flexible, Evolving Approach
Specialization doesn’t have to be permanent. Your focus can shift as you gain experience, follow your curiosity, and respond to the needs of your caseload. The freedom to adjust and expand is part of a sustainable, fulfilling career.
If you’re a fellow therapist feeling stuck in identifying your clinical specialty, I hope this perspective gives you permission to lean into what excites and energizes you, while honoring the flexibility to grow over time.
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If you're interested in learning more about my counseling approach, visit the About Me page.