​​How Much Do Therapists Make? A Guide to Salary Expectations

Published on March 7

Therapists play a crucial role in helping individuals navigate mental health challenges, recover from injuries, and improve their overall well-being. Whether you're considering a career in therapy or are already practicing, understanding salary expectations is essential for career planning. In this post, we’ll break down therapist salaries based on profession, experience, and location.

Factors Affecting Therapist Salaries

Several factors influence how much a therapist earns, including:

  • Education and Licensure – Advanced degrees and specialized certifications often lead to higher salaries.
  • Experience – Seasoned therapists typically command higher wages than entry-level professionals.
  • Setting – Private practice, hospitals, schools, and rehabilitation centers all offer different pay scales.
  • Location – Salaries vary significantly depending on state, city, and cost of living.
  • Specialization – Certain fields, like neurorehabilitation or trauma therapy, may offer higher earning potential.

Average Salaries by Therapy Profession

Here’s a general look at what different types of therapists earn:

Physical Therapists (PTs)

  • Average Salary: $90,000 - $120,000 per year
  • Highest Paying Settings: Home health care, outpatient care centers

Occupational Therapists (OTs)

  • Average Salary: $85,000 - $95,000 per year
  • Highest Paying Settings: Nursing care facilities, home health services

Speech-Language Pathologists (SLPs)

  • Average Salary: $80,000 - $125,000 per year
  • Highest Paying Settings: Hospitals, private practice

Mental Health Therapists (LCSWs, LMFTs, LPCs, Psychologists)

  • Average Salary: $50,000 - $100,000 per year
  • Highest Paying Settings: Private practice, corporate consulting

Private Practice vs. Employment: Which Pays More?

Many therapists debate whether to work in private practice or for an employer. Here’s a breakdown:

  • Private Practice: This offers higher income potential but comes with business expenses and the challenge of finding clients.
  • Employment: Provides steady income, benefits, and less administrative work but may have lower earning potential.

Therapists in a School-Based Setting

Often ignored, a school-based setting offers great learning potential and flexibility. Therapists working in schools also experience several benefits, including:

  • Work-Life Balance: School-based therapy often follows a predictable schedule with weekends, holidays, and summers off, allowing for a better work-life balance.
  • Consistent Caseload: Unlike private practice, where client flow can vary, school therapists work with a steady caseload throughout the academic year.
  • Interdisciplinary Collaboration: Working alongside teachers, counselors, and other school staff fosters a team-oriented approach to student care.
  • Job Security: Schools provide stable employment with reliable salaries and benefits, reducing the financial uncertainty of private practice.
  • Opportunity for Impact: School-based therapists play a critical role in shaping children’s development, often making long-term differences in their lives.
  • Less Administrative Burden: Unlike private practice therapists, school-based therapists typically handle less paperwork related to billing and insurance claims.

Highest Paying Locations for Therapists

Some states and cities offer higher wages due to demand and cost of living. Generally, therapists in states like California, New York, and Massachusetts tend to earn more than those in the Midwest or South.

Increasing Your Earning Potential

If you’re looking to boost your income, consider these strategies:

  • Specialize in High-Demand Areas (e.g., neurorehabilitation, trauma therapy, pediatric therapy)
  • Pursue Advanced Certifications (e.g., Board Certification in a specialty area)
  • Start a Private Practice
  • Offer Teletherapy Services
  • Negotiate Your Salary

Final Thoughts

Therapy is a rewarding career with solid earning potential, though salaries vary widely based on factors such as experience, location, and specialization. Understanding these factors and trends can help you make informed career decisions whether you're just starting or looking to advance.

Thinking about negotiating a raise or switching settings? Research salary trends in your area and take steps to increase your value in the job market!