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Clinical and Counseling Psychologists

SOC 19-3033.00Job Zone 5 · Extensive Preparation

Assess, diagnose, and treat mental, emotional, and behavioral disorders using individual, child, family, and group therapies. May design and implement behavior modification programs.

Context coveredHospital and outpatient clinics, schools, VA medical centers, private practice, community mental-health agencies; assessment, evidence-based psychotherapy, supervision, and research.

Emerging
Entry / Apprentice
  1. Standard intakes and biopsychosocial assessmentsconduct under licensed supervision in a community-mental-health clinic.
  2. Risk assessment (suicide, self-harm, abuse)perform per the agency's safety protocol on every relevant encounter.
  3. Evidence-based psychotherapy manuals (CBT, IPT)deliver to fidelity on routine adult cases.
  4. Psychological test administration (WAIS, PHQ-9, GAD-7)administer and score per published manuals.
  5. Clinical documentation in the EHRmaintain to agency and payer standards.
  6. HIPAA and informed-consent practiceapply consistently across patient encounters.
  7. Treatment-planning collaboration with a clinical supervisorcontribute concrete goals and measures.
  8. Crisis-line and after-hours coveragestaff per agency rotation with appropriate consultation.
  9. Routine consultation with prescribers, schools, and familiesconduct with consent and clear scope.
  10. Routine supervision sessionsprepare for with cases, recordings, and reflective questions.
Developing
Mid-level / Established
  1. Independent caseload of routine outpatient casesmanage with supervisor consultation on complex situations.
  2. Targeted evidence-based protocols (PE, CPT, DBT skills, EMDR)deliver to fidelity on indicated cases.
  3. Psychological testing batteries (cognitive, personality, neuropsych screen)administer, score, and interpret.
  4. Integrated reports for schools, courts, or workers' compauthor independently with appropriate caveats.
  5. Group therapy protocolsfacilitate routinely (DBT skills, anxiety, substance use).
  6. Trainees and practicum studentssupervise on clinical fundamentals under a licensed supervisor.
  7. Couples and family interventions in routine contextsdeliver evidence-based models.
  8. Outcomes monitoring (PHQ-9, BDI, ORS)use to inform treatment decisions in each case.
  9. Consultation with PCPs, schools, and case managerslead with concrete recommendations.
  10. Ethics and licensure scopemaintain across jurisdictions and payer environments.
Proficient
Senior / Expert IC
  1. Complex and high-risk caseloadsmanage independently across diagnostic complexity (PTSD, severe mood, dissociation).
  2. Specialty programs (trauma clinic, eating disorder, OCD, perinatal)deliver with mastery of the relevant protocols.
  3. Clinical supervision and consultationprovide to postdocs and licensed colleagues across complex cases.
  4. Program development and protocol fidelitylead within a clinic or department.
  5. Forensic and disability evaluationsconduct independently with defensible methodology.
  6. Research and program evaluationlead small to mid-size studies in the practice setting.
  7. Insurance audits and quality reviewslead with documentation and outcomes data.
  8. Teaching and training contributions to graduate programsmaintain regularly.
  9. Cross-disciplinary teams (medicine, social work, education)lead on complex care plans.
  10. Professional ethics and peer consultationmodel and contribute through formal channels.
Advanced
Lead / Principal / Executive
  1. Clinical leadership of a department, program, or large practiceset direction across staff, training, and outcomes.
  2. Statewide or national program designlead in collaboration with payers, agencies, and academia.
  3. Doctoral training pipelinesdesign and direct with APA-style accreditation requirements.
  4. Externally funded research on intervention sciencelead as principal investigator across institutions.
  5. Public-mental-health policyadvise legislators, agencies, and trustees with evidence.
  6. Disciplinary norms (APA, licensure boards, ethics committees)advance through formal leadership.
  7. Major awards, named lectureships, and editorial roleshold consistent with sustained field shaping.
  8. Crisis-response programs and mass-casualty mental-health planninglead at jurisdictional scale.
  9. Workforce development and supervision standardsinstitutionalize through training systems.
  10. Cross-disciplinary policy (justice, education, healthcare)catalyze with evidence and coalitions.

Authoritative source data identified for 998 occupations

How a worker at each mastery level uses, directs, and evaluates AI tools in this occupation. Each statement cites its evidence inline; click a citation chip to verify the source.

Emerging
  1. AI-assisted documentation drafting — uses an LLM to generate first-draft session notes and progress notes from spoken or written summaries, then reviews and corrects clinical language before filing Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  2. Basic literature retrieval — queries an AI tool to surface diagnostic criteria and reference materials relevant to a presenting case, verifying outputs against authoritative clinical sources Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
Developing
  1. Treatment plan scaffolding — directs an AI assistant to outline structured treatment plan templates based on diagnostic information provided, retaining full clinical judgment over every goal and intervention Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  2. Report writing acceleration — delegates the initial assembly of psychological evaluation reports to an AI tool using de-identified case data, then rewrites sections requiring interpretive clinical reasoning Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  3. Risk-factor summarization — uses an AI assistant to compile and organize documented risk indicators from intake records prior to conducting the formal risk assessment, ensuring the psychologist owns all clinical conclusions Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
Proficient
  1. High-volume note throughput — integrates AI-assisted transcription and summarization into the documentation workflow across a full caseload, achieving meaningful time savings while auditing every output for accuracy and ethical compliance Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  2. Differential diagnosis support — feeds structured interview findings into an AI tool to cross-reference symptom clusters against DSM criteria, then applies clinical reasoning and social perceptiveness to confirm or override the AI-generated differential Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  3. Crisis documentation workflow — coordinates rapid AI-assisted drafting of incident documentation following crisis interventions, preserving the psychologist's authoritative narrative of risk level and clinical decision-making Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  4. Psychoeducational content generation — directs an AI tool to produce client-facing psychoeducational materials tailored to a specific diagnosis or coping skill, editing outputs for therapeutic appropriateness and reading level before distribution Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
Advanced
  1. Clinical AI governance — evaluates and sets practice-wide or institutional standards for which documentation and analytical tasks are suitable for AI delegation versus those requiring full human clinical authorship, grounded in the occupation's low AI-autonomy profile Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  2. Outcome data synthesis — orchestrates an AI-assisted analysis of aggregated, de-identified patient progress data to identify population-level treatment trends, then interprets findings to inform clinical program design WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab. Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  3. Supervision and training on AI use — teaches trainee psychologists to critically audit AI-generated clinical documents, distinguishing augmentation of routine writing tasks from the irreplaceable human skills of active listening and social perceptiveness Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  4. Ethical boundary-setting for AI autonomy — authors formal policy distinguishing permissible AI collaboration (documentation, literature review) from prohibited AI autonomy (diagnosis, risk adjudication), anchoring policy to the occupation's measured 0.15 AI-autonomy mean Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
Evidence pack
AEI usage
Task observations: 7
Augment share: 87.2%
Time saved: 36.7%
AI autonomy: 0.15
SAFI positioning
Top skill: Reading Comprehension
Score: 45.5 / 100
Quadrant: Q2_ai_augmented
precision: exact
WEF cluster
Data Science and Analysis
data_science_and_analysis

Ten durable-skill domains mapped to four proficiency/role levels for each occupation. Each statement is aligned to the Pathsmith taxonomy, derived from trusted grounding data and mapped to occupation-specific O*NET tasks and skills.

1Communication11 statements
Emerging
  1. Intake interview communication — elicits presenting concerns through structured questioning while maintaining a nonjudgmental tone during initial client sessions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Session documentation — records basic session notes and client observations using standard clinical formats under supervisor review O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Diagnostic communication — translates complex psychological findings into accessible language when explaining diagnoses to clients and families Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Progress note writing — documents treatment milestones, behavioral changes, and session content in clear, concise clinical language with growing consistency O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Psychoeducation delivery — communicates evidence-based coping strategies and therapeutic concepts to individuals and groups using appropriate vocabulary for the audience Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Crisis communication — conveys risk assessments, safety plans, and referral rationale to clients, families, and multidisciplinary teams during high-stakes situations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Treatment plan reporting — authors comprehensive, legally defensible reports integrating assessment data, diagnostic impressions, and clinical recommendations O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Therapeutic active listening — reflects, summarizes, and paraphrases client disclosures to demonstrate accurate empathic understanding across modalities including individual, group, and family sessions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Consultation communication — synthesizes complex case formulations into targeted consultation summaries for interdisciplinary teams, courts, or training contexts with precision and authority Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Supervisory feedback delivery — provides structured written and verbal feedback to supervisees on clinical documentation and client communication skills, modeling professional standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Public and scholarly communication — presents research findings, clinical outcomes, or policy implications to professional and lay audiences through publications, conferences, or community forums Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
2Leadership10 statements
Emerging
  1. Case ownership initiation — takes beginning responsibility for assigned client caseloads by following supervisor-directed treatment protocols and tracking client progress Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Group facilitation entry — co-facilitates psychotherapy or psychoeducation groups under direct supervision, observing group dynamics and leadership modeling O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Treatment planning leadership — independently develops and presents individualized treatment plans, taking accountability for clinical goal-setting and intervention sequencing Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Crisis response leadership — assumes primary clinical responsibility during client risk episodes, coordinating safety planning and escalation decisions with appropriate consultation O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Multidisciplinary team leadership — chairs or actively guides treatment team meetings, synthesizing psychological perspectives to influence care coordination decisions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Clinical program stewardship — leads implementation of therapeutic protocols or group curricula within a practice setting, monitoring fidelity and outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Trainee mentorship — guides practicum students or interns in developing clinical reasoning, ethical decision-making, and client communication skills Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Supervisory authority — holds formal clinical supervision roles, evaluating supervisee competencies, managing parallel process issues, and shaping professional identity development Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Organizational clinical leadership — directs clinical services, policy development, or quality improvement initiatives at a departmental or institutional level Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Field leadership — shapes the profession through training program development, ethical standard advocacy, or systemic reform of mental health service delivery Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
3Metacognition9 statements
Emerging
  1. Clinical self-monitoring — identifies personal reactions to client disclosures and brings observations to supervision for reflective processing Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Learning strategy awareness — recognizes gaps between current competency and required clinical skills, seeking targeted learning opportunities in specific therapeutic modalities Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Countertransference awareness — monitors own emotional responses during sessions and adjusts therapeutic stance to prevent personal reactions from distorting clinical judgment Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Diagnostic reasoning reflection — reviews own diagnostic hypotheses for confirmation bias and deliberately seeks disconfirming evidence before finalizing case conceptualizations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Treatment efficacy self-evaluation — systematically evaluates own clinical outcomes data to identify patterns in treatment effectiveness across client populations and presenting problems Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Theoretical orientation monitoring — reflects on how personal theoretical commitments shape case conceptualization and adjusts integration of alternative frameworks when client needs require it Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Competency boundary recognition — accurately identifies the limits of personal clinical expertise and initiates referral or consultation rather than proceeding beyond scope Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Reflective practice modeling — teaches metacognitive frameworks to supervisees, demonstrating how self-monitoring of cognition and affect improves clinical judgment and ethical practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Epistemological reflexivity — critically examines how disciplinary assumptions, cultural background, and theoretical training shape one's own psychological knowledge construction and diagnostic practices Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
4Critical Thinking11 statements
Emerging
  1. Differential diagnosis initiation — considers multiple diagnostic possibilities when reviewing client intake data, symptoms, and history rather than anchoring prematurely on a single explanation Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Assessment data interpretation — applies basic principles of psychological test interpretation to evaluate client scores within normative and clinical reference frames O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Evidence-based treatment selection — evaluates empirical support for therapeutic interventions and matches treatment approach to client diagnosis, cultural context, and presenting severity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Risk assessment reasoning — integrates static and dynamic risk factors, protective factors, and clinical observations to form structured professional judgments about client safety O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Case conceptualization construction — synthesizes interview data, test results, developmental history, and systemic factors into a coherent biopsychosocial case formulation Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Diagnostic revision — re-evaluates working diagnoses in light of new information, treatment response, or emerging collateral data, modifying formulations without defensive anchoring Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Research literature appraisal — critically analyzes methodology, effect sizes, and generalizability of clinical research to inform treatment decisions for specific client populations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Ethical dilemma analysis — applies ethical codes, legal standards, and supervisory consultation to reason through complex clinical-ethical conflicts involving confidentiality, dual roles, or mandated reporting Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Systemic case analysis — examines how institutional, cultural, and systemic forces shape client presentations, integrating macro-level critique into clinical reasoning and advocacy decisions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Clinical training critique — identifies logical gaps, overgeneralization, and unsupported assumptions in supervisees' clinical reasoning and provides structured corrective feedback Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Knowledge synthesis leadership — evaluates and synthesizes bodies of psychological literature to generate novel practice guidelines, training curricula, or clinical frameworks Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
5Collaboration10 statements
Emerging
  1. Peer consultation participation — contributes client observations and questions in peer supervision or case consultation groups while remaining receptive to alternative clinical perspectives Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Referral coordination initiation — communicates basic client needs to referring providers or support services under supervisor guidance to initiate care coordination O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Interdisciplinary collaboration — shares psychological case conceptualizations with physicians, social workers, and educators in ways that are actionable and sensitive to each discipline's scope Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Family and support system engagement — collaborates with clients' identified support persons to align therapeutic goals and reinforce treatment gains in the client's natural environment O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Co-therapy partnership — coordinates roles, pacing, and therapeutic interventions with a co-therapist during group or conjoint sessions to maintain consistent treatment coherence Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Treatment team integration — synthesizes psychological assessment findings with medical, educational, and social data during multidisciplinary team deliberations to produce unified care plans Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Crisis collaboration — partners with emergency services, inpatient units, or community crisis teams to coordinate seamless care transitions during acute client risk situations O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Collaborative goal-setting — engages clients as active partners in defining treatment goals, selecting intervention approaches, and monitoring progress throughout the therapeutic relationship Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Systems-level collaboration — builds sustained partnerships with community organizations, schools, and healthcare systems to develop integrated mental health service pipelines for underserved populations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Interprofessional training leadership — designs and facilitates collaborative training experiences that build mutual understanding between psychology and other health and human service disciplines Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
6Character11 statements
Emerging
  1. Confidentiality adherence — protects client information by following HIPAA and professional ethical standards from the first clinical contact, including appropriate disclosure of limits Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Professional boundary maintenance — identifies boundary-relevant situations and seeks supervisory guidance before responding, avoiding dual relationships or boundary crossings Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Mandated reporting accountability — fulfills mandatory reporting obligations for child abuse, elder abuse, and imminent dangerousness, balancing legal duty with therapeutic relationship integrity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Cultural humility practice — acknowledges personal cultural assumptions and their potential impact on the therapeutic relationship, actively working to understand clients' cultural frameworks Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Documentation integrity — produces accurate, timely, and complete clinical records that honestly reflect session content, clinical reasoning, and treatment decisions O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Ethical conflict navigation — resolves conflicts between client welfare, legal obligations, organizational policy, and professional codes through structured ethical decision-making processes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Scope of practice accountability — declines cases or interventions outside one's training competency and takes concrete steps to develop needed skills or arrange appropriate referral Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Therapeutic transparency — honestly discloses relevant information about treatment rationale, prognosis, and limitations in ways that preserve client autonomy and informed consent Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Professional ethics advocacy — contributes to the ethical development of the field through ethics committee participation, policy authorship, or mentoring others in ethical practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Systemic justice commitment — identifies and challenges institutional practices that perpetuate inequitable access to psychological services and advocates for structural reform Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Modeling professional integrity — demonstrates consistent alignment between stated values and clinical behavior across all professional contexts, setting the standard observed and emulated by trainees and colleagues Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
7Creativity9 statements
Emerging
  1. Therapeutic adaptation exploration — experiments with alternative ways to present a standard technique when a client does not respond to the conventional format, reporting results to supervisors Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Case conceptualization variation — generates multiple explanatory frameworks for a client's presentation rather than defaulting immediately to a single theoretical lens Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Intervention tailoring — modifies evidence-based protocols to fit client-specific cultural backgrounds, cognitive capacities, or comorbid presentations while preserving therapeutic fidelity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Expressive and experiential technique integration — incorporates narrative, art-based, somatic, or metaphor-driven techniques to access client experiences resistant to verbally-oriented approaches Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Novel treatment program design — creates group therapy curricula, psychoeducational workshops, or community intervention programs that address underserved needs not met by existing resources Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Cross-theoretical integration — synthesizes techniques across therapeutic modalities in ways that are theoretically coherent, clinically justified, and responsive to complex or treatment-resistant presentations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Assessment innovation — develops creative approaches to gathering clinical information from clients with communication barriers, trauma histories, or low insight into their own psychological states Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Clinical model development — contributes original frameworks, treatment protocols, or assessment instruments that advance the field's capacity to serve specific populations or presenting problems Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Transformative practice innovation — reimagines service delivery models, integrating psychology with community, technology, or policy contexts to create scalable mental health impact Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
8Growth Mindset10 statements
Emerging
  1. Supervisory feedback receptivity — receives critical feedback on case conceptualization and clinical technique without defensiveness, integrating suggestions into subsequent sessions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Difficult case engagement — accepts assignment to challenging or unfamiliar client presentations as learning opportunities rather than risks to be avoided Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Treatment failure processing — analyzes cases where therapy did not achieve goals by examining one's own clinical decisions, seeking patterns, and identifying concrete skill development targets Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Continuing education pursuit — proactively seeks training in emerging therapeutic modalities, underserved populations, or areas of identified competency gap beyond minimum licensure requirements Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Peer feedback integration — solicits and applies clinical feedback from colleagues and peer consultation groups to refine case formulations and intervention strategies Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Evidence-based practice updating — regularly reviews new empirical literature and revises clinical practices when evidence warrants departure from previously held approaches Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Cross-cultural competency development — pursues systematic learning about cultural groups different from one's own and tracks growth in culturally responsive clinical practice over time Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Persistent engagement with complexity — sustains therapeutic commitment to chronically ill, treatment-resistant, or multiply-traumatized clients, resisting clinical nihilism when progress is slow Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Growth culture creation — establishes norms of reflective learning, feedback-seeking, and continuous improvement within supervision groups, training programs, or clinical teams Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Field-level learning contribution — publishes clinical observations, case studies, or program evaluations that contribute to collective professional knowledge and model scholarly growth orientation Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
9Mindfulness10 statements
Emerging
  1. Therapeutic presence cultivation — practices sustaining focused attention on client verbal and nonverbal communication throughout sessions without premature interpretive closure Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Emotional state awareness — notices shifts in own emotional state during clinical encounters and pauses to regulate before responding, using supervision to debrief affective reactions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. In-session attention regulation — maintains consistent therapeutic attention across a full caseload day, recognizing and recovering from attentional drift caused by fatigue or vicarious traumatization Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Nonverbal attunement — tracks client body language, vocal tone, facial expression, and pacing as real-time data informing clinical hypotheses and therapeutic timing decisions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Intentional response selection — pauses between client disclosures and clinical responses to choose interventions deliberately rather than reacting automatically to therapeutic pressure Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Compassion fatigue management — monitors personal signs of secondary traumatic stress and implements proactive self-care strategies to sustain therapeutic effectiveness across a demanding caseload Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Mindfulness-based intervention delivery — teaches clients mindfulness-based coping skills with embodied credibility, grounded in personal practice and evidence-based protocol fidelity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Crisis session equanimity — maintains regulated emotional presence and clear clinical reasoning during acute client crises, modeling calm without minimizing the severity of client distress Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Mindful supervision modeling — demonstrates and teaches present-moment awareness, emotional regulation, and intentional responsiveness to supervisees as core clinical competencies Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Institutional wellbeing advocacy — identifies organizational conditions contributing to clinician burnout and advocates for systemic changes that support sustainable psychological practice across the workforce Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
10Fortitude9 statements
Emerging
  1. Client resistance tolerance — maintains consistent therapeutic engagement when clients express ambivalence, hostility, or premature termination impulses, rather than withdrawing clinical effort Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Difficult disclosure endurance — remains present and regulated when clients disclose severe trauma, suicidal ideation, or abuse, sustaining empathic attunement without avoidance or flooding Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Chronic case perseverance — sustains individualized, evidence-informed treatment effort with clients showing minimal progress over extended periods, without reducing clinical commitment or quality Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. High-stakes decision courage — makes and documents difficult clinical decisions regarding hospitalization, mandated reporting, or treatment termination despite relational discomfort or client opposition Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Vicarious trauma resilience — processes repeated exposure to client trauma narratives through deliberate self-care, supervision, and peer support, maintaining clinical effectiveness and personal wellbeing Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Ethical adversity navigation — holds to professional and ethical standards under institutional pressure, client demands, or third-party payer constraints that create incentives for compromise Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Systemic barrier persistence — continues pursuing appropriate care for clients facing institutional, financial, or social barriers to treatment access, exhausting available options rather than accepting early closure Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Field-level advocacy courage — publicly challenges unjust mental health policies, diagnostic stigma, or inequitable resource allocation despite professional or political risk Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Resilience infrastructure building — designs supervision structures, peer support systems, and organizational wellness policies that build collective fortitude across clinical teams and training programs Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Show O*NET source anchors59 anchors · skillscrosswalk.com

O*NET enrichment · skillscrosswalk.com

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Source anchors that ground each statement

Related titles
Applied Behavior Science Specialist (ABSS) · Assessment Coordinator · Behavior Analyst · Behavior Specialist · Behavior Therapist · Behavioral Analyst · Behavioral Health Specialist · Behavioral Psychologist · Behavioral Specialist · Behavioral Therapist · Case Manager · Chemical Dependency Therapist
RAPIDS apprenticeships
O*NET skills
Reading ComprehensionSocial PerceptivenessActive ListeningCritical ThinkingWritingSpeakingActive LearningMonitoringService OrientationComplex Problem SolvingJudgment and Decision MakingLearning StrategiesCoordinationPersuasionInstructingTime ManagementNegotiationSystems AnalysisSystems Evaluation
Knowledge domains
PsychologyTherapy and CounselingEnglish LanguageEducation and TrainingCustomer and Personal ServiceSociology and Anthropology
Abilities
Oral ExpressionWritten ComprehensionOral ComprehensionProblem SensitivityWritten ExpressionInductive ReasoningDeductive ReasoningSpeech ClaritySpeech RecognitionFluency of Ideas
Work styles
EmpathySincerityIntegrityAttention to DetailCooperationSelf-Control
Technology
Medical softwareAnalytical or scientific softwareWord processing softwareVideo conferencing softwareSpreadsheet softwareOffice suite softwareElectronic mail softwarePresentation softwareProject management softwareBilling and invoicing software
Tasks · seed anchors for statements
  1. Conduct assessments of patients' risk for harm to self or others.
  2. Document patient information including session notes, progress notes, recommendations, and treatment plans.
  3. Identify psychological, emotional, or behavioral issues and diagnose disorders, using information obtained from interviews, tests, records, or reference materials.
  4. Write reports on clients and maintain required paperwork.
  5. Counsel individuals, groups, or families to help them understand problems, deal with crisis situations, define goals, and develop realistic action plans.
  6. Interact with clients to assist them in gaining insight, defining goals, and planning action to achieve effective personal, social, educational, or vocational development and adjustment.
  7. Collect information about individuals or clients, using interviews, case histories, observational techniques, and other assessment methods.
  8. Evaluate the effectiveness of counseling or treatments and the accuracy and completeness of diagnoses, modifying plans or diagnoses as necessary.
CIP education codes
42.010142.270342.280142.280342.280742.280942.281042.281142.281451.1507

Sources: O*NET v30.2 (CC BY 4.0), SkillsCrosswalk.com, LER.me, Anthropic Economic Index, SAFI (Jadhav & Danve, 2026), WEF Skills Taxonomy 2021, Pathsmith Durable Skills Framework. © 2026 EBSCOed.