How to Become a Child Psychologist
Child psychologists help kids and teens navigate everything from ADHD and autism to anxiety, trauma, and family disruption. If you're drawn to understanding how young minds develop — and what to do when that development gets derailed — here's what the path to this career actually looks like.
Taylor Rupe
B.A. in Psychology, University of Washington — Seattle
Key Takeaways
- Child psychologists earn a median salary of $94,310 per year according to the BLS (psychologists category), with those in specialized pediatric settings or private practice often earning well above that.
- You'll need a doctoral degree (Ph.D. or Psy.D.) with specialized training in child and adolescent populations — plan on roughly 10 to 12 years of education and supervised training after high school.
- Employment for psychologists is projected to grow 6% through 2034, with demand for child specialists driven by rising rates of childhood anxiety, ADHD, and autism diagnoses.
- One in six U.S. children aged 2 to 8 has a diagnosed mental, behavioral, or developmental disorder — a statistic that underscores why this specialty isn't slowing down.
- Board certification through the ABPP in Clinical Child and Adolescent Psychology is optional but increasingly valued by employers and can strengthen your credibility and earning potential.
What Does a Child Psychologist Do?
Child psychologists assess, diagnose, and treat mental health and developmental disorders in children and adolescents — typically from infancy through age 18, though some work with young adults into their early twenties. That's the clinical definition. In practice, you're the person a parent calls when their seven-year-old can't sit still in class, when a teenager starts withdrawing from friends, or when a toddler isn't hitting developmental milestones.
What sets this specialty apart from general clinical psychology is the depth of training in developmental science. Kids aren't just small adults — their brains are still forming, their emotional regulation is a work in progress, and their problems almost always involve the family system. You'll spend a lot of time working not just with the child but with parents, teachers, and pediatricians to build a full picture of what's going on.
Assessment is a huge part of the role. Child psychologists conduct psychoeducational testing, developmental evaluations, and diagnostic assessments for conditions like ADHD, autism spectrum disorder, learning disabilities, and anxiety disorders. These evaluations often determine whether a child qualifies for school-based services, accommodations, or specialized treatment — so the stakes are real.
Key Duties & Responsibilities
- Conduct comprehensive psychological and psychoeducational assessments using standardized tests, clinical interviews, and behavioral observation
- Diagnose childhood mental health conditions including ADHD, autism spectrum disorder, anxiety disorders, depression, and behavioral disorders using DSM-5-TR criteria
- Develop individualized treatment plans using evidence-based approaches adapted for children — including play therapy, parent-child interaction therapy (PCIT), and child-focused CBT
- Provide individual, family, and group therapy tailored to the developmental level of the child or adolescent
- Administer and interpret developmental screenings, IQ testing, and neuropsychological evaluations
- Collaborate with parents, school personnel, pediatricians, and occupational therapists as part of multidisciplinary care teams
- Write detailed evaluation reports that translate complex clinical findings into plain language for parents and schools
- Consult with schools on IEP and 504 plan development based on assessment results
Common Specializations
How to Become a Child Psychologist
The path to becoming a child psychologist is long — I'm not going to pretend otherwise. You're looking at 10 to 12 years of training after high school, which is a significant commitment. But each stage of that training builds on the last in meaningful ways, and by the time you're licensed, you'll have a level of expertise in child development and psychopathology that few other professionals can match.
Here's how the path typically unfolds, with specific considerations for those who want to specialize in working with children and adolescents:
Earn a Bachelor's Degree
4 years
Start with a four-year degree in psychology, child development, or a related field. Focus on courses in developmental psychology, abnormal psychology, research methods, and statistics. If your program offers a child or adolescent concentration, take it. Get involved in a developmental or clinical research lab — experience working on studies involving children or families will matter when you apply to doctoral programs. Volunteering or working in settings like pediatric clinics, schools, or youth-serving organizations also strengthens your application and helps you confirm this is the right population for you.
Build Relevant Research and Clinical Experience
1–2 years
Most competitive doctoral programs want to see that you've spent time working with children in some capacity before committing to a career built around it. Work as a research assistant in a child development or pediatric psychology lab, a behavioral technician providing ABA therapy, or a youth counselor at a community organization. Published research (even as a co-author on a developmental or clinical child study) makes your application stand out. This is also a good time to identify the specific child-related issues you're most drawn to — ADHD, autism, trauma, anxiety — because doctoral programs will want to see a clear research and clinical interest.
Complete a Doctoral Program (Ph.D. or Psy.D.) with Child Specialization
5–7 years
This is the core of your training. Look for APA-accredited doctoral programs in clinical psychology or clinical child psychology that offer a child and adolescent track or concentration. Some programs — like those affiliated with APA Division 53 (SCCAP) — are specifically designed around child clinical training. Ph.D. programs emphasize research alongside clinical work and typically offer full funding. Psy.D. programs focus more on clinical practice but often require significant tuition investment. Your coursework will cover child psychopathology, developmental assessment, evidence-based child interventions, family systems, and cultural considerations. You'll begin seeing child and adolescent clients under supervision during practicum placements.
Complete a Predoctoral Internship with Child Focus
1 year (part of doctoral training)
During your final year of doctoral training, you'll apply through the APPIC Match for a year-long predoctoral internship. Seek out APA-accredited internship sites with dedicated child and adolescent rotations — children's hospitals, university-based child clinics, and community mental health centers with pediatric programs are ideal. The internship requires at least 1,500 hours of supervised clinical experience, and you'll want as much of that as possible to be with children, teens, and families.
Complete Postdoctoral Supervised Hours
1–2 years
Most states require one to two years of supervised postdoctoral experience before you can practice independently. For child psychologists, this is where you deepen your specialization — postdoctoral fellowships in pediatric psychology, child clinical psychology, or pediatric neuropsychology at children's hospitals or academic medical centers are particularly strong options. These positions also prepare you for optional board certification through the ABPP.
Pass the EPPP and Obtain State Licensure
3–6 months
The Examination for Professional Practice in Psychology (EPPP) is required by all U.S. and Canadian licensing jurisdictions. It covers eight content domains including biological bases of behavior, assessment, treatment, and ethics. The first-time pass rate for candidates from accredited programs is above 80%. Some states also require a jurisprudence exam on state-specific laws. Once licensed, you can practice independently as a child psychologist.
Pursue Board Certification (Optional but Recommended)
After 3+ years of post-degree experience
The American Board of Professional Psychology (ABPP) offers board certification in Clinical Child and Adolescent Psychology. This requires a doctoral degree, an internship with at least 50% child/adolescent focus, a minimum of three years of post-degree experience, and successful completion of an oral examination by board-certified specialists. It's not required to practice, but it demonstrates a recognized level of expertise and is increasingly valued by hospitals, academic medical centers, and insurance panels.
Child Psychologist Education Requirements
Child psychology requires the highest educational bar of any non-medical mental health profession — a doctoral degree is the entry-level credential for independent practice, and there's no shortcut around it. The good news is that the training is genuinely deep, and the child-specific coursework and practicum experiences prepare you to work with a population that many other providers aren't trained to serve well.
The Ph.D. vs. Psy.D. decision is important here. If you're drawn to both research and clinical work — say, conducting studies on childhood anxiety interventions while also seeing young clients — a Ph.D. is the better fit, and these programs are typically fully funded. If you know you want to focus primarily on assessment and therapy with children, a Psy.D. makes sense, but go in with clear expectations about the cost — some programs exceed $200,000 in total tuition.
Whichever path you choose, make sure the program is accredited by the APA and has dedicated child and adolescent training tracks, practicum placements with pediatric populations, and faculty whose research aligns with your interests.
- A doctoral degree (Ph.D. or Psy.D.) in clinical psychology or clinical child psychology from an APA-accredited program
- Specialized coursework and practicum experience focused on child and adolescent assessment and treatment
- Completion of an APA-accredited predoctoral internship with significant child/adolescent clinical hours
- One to two years of postdoctoral supervised experience, ideally in a child-focused setting
- A passing score on the EPPP licensing exam (scaled score of 500 or above)
- Ongoing continuing education credits to maintain licensure — typically 20 to 40 hours per renewal cycle, with many states requiring child-specific CE topics
Recommended Degree Programs
Doctorate in Clinical Psychology (Psy.D.)
Practice-focused training that prepares you for direct assessment and therapy with children and families across diverse settings.
Master's in Psychology
Can serve as a stepping stone to doctoral study or qualify you for limited-scope clinical roles working with children in some states.
How Much Do Child Psychologists Make?
The Bureau of Labor Statistics reports a median annual wage of $94,310 for psychologists as of May 2024. Child psychologists generally fall within this range, though compensation varies significantly based on setting, geographic location, and whether you're salaried or in private practice.
It's worth noting that child psychologists who specialize in assessment — particularly psychoeducational and neuropsychological testing — often command higher fees than those focused solely on therapy, because comprehensive evaluations are time-intensive and require specialized expertise. A single child evaluation can take 8 to 12 hours of testing, scoring, and report writing, and private-pay evaluations often range from $2,500 to $5,000+.
The salary range is wide, from under $55,000 at the entry level or in community settings to over $157,000 for experienced practitioners in high-paying regions or specialized hospital positions. Where you land depends heavily on your setting, subspecialty, and location.
10th Percentile
$54,860
Median
$94,310
90th Percentile
$157,330
Top-Paying Factors
- Children's hospitals and academic medical centers often pay $100,000–$130,000+ for child psychologists, especially those with neuropsychological assessment expertise
- Private practice income varies widely — child psychologists with full caseloads of assessment and therapy may earn $120,000–$180,000+, though building a referral base takes time
- Federal employers (VA, military family services, Indian Health Service) offer competitive salaries with strong benefits and potential loan repayment
- Metropolitan areas in California, New York, Massachusetts, and New Jersey consistently offer the highest average salaries for psychologists
- Subspecialization in pediatric neuropsychology or autism assessment tends to command premium compensation due to high demand and limited supply
What's the Job Outlook for Child Psychologists?
Growth Rate
6%
Total Jobs
204,300
The BLS projects 6% employment growth for psychologists from 2024 to 2034, with roughly 12,900 openings each year. For child psychologists specifically, the outlook may be even stronger — demand for providers who specialize in pediatric mental health has surged in recent years, and the supply hasn't kept pace.
The numbers tell the story: according to the CDC, one in six children aged 2 to 8 has a diagnosed mental, behavioral, or developmental disorder. Anxiety diagnoses in children aged 3 to 17 have risen to 11%, and ADHD remains one of the most commonly diagnosed conditions in school-age children. The COVID-19 pandemic amplified these trends — pediatric mental health visits increased sharply during and after the pandemic, and many children's hospitals declared a mental health emergency.
Several factors are sustaining this demand: earlier identification and screening for developmental conditions like autism, expanded insurance mandates for pediatric mental health services, growing recognition of the link between childhood adversity and long-term health outcomes, and a persistent shortage of child-trained psychologists in rural and underserved areas. Telehealth has also opened new access points, creating opportunities for child psychologists willing to provide remote assessment and therapy services.
Where Do Child Psychologists Work?
Children's Hospitals & Pediatric Medical Centers
Hospital-based child psychologists conduct developmental evaluations, provide therapy for children coping with chronic illness or medical trauma, and serve on integrated pediatric care teams. These roles offer structured schedules, strong benefits, and access to multidisciplinary colleagues.
Median approximately $95,000–$125,000
Private Practice
Many child psychologists eventually open or join a group practice focused on pediatric assessment and therapy. You set your own schedule, choose your caseload, and control the types of cases you take. Assessment-heavy practices tend to have higher revenue per client hour. The trade-off is managing the business side — billing, insurance credentialing, and marketing to referral sources like pediatricians and schools.
Highly variable; established practitioners may earn $110,000–$180,000+
Schools & Educational Settings
While distinct from school psychologists (who typically hold an Ed.S. degree), child psychologists sometimes contract with school districts or work in private therapeutic schools. These roles focus on assessment, consultation, and intervention for students with emotional or behavioral challenges.
Median approximately $80,000–$100,000
University-Based Child Clinics & Academic Medical Centers
Academic positions combine clinical work with teaching, research, and training supervision. University-based child clinics often specialize in specific conditions like autism or childhood anxiety. These roles offer intellectual stimulation and job security but can be competitive to land.
Median approximately $85,000–$115,000 depending on rank and institution
Community Mental Health Centers
Community-based organizations serve underinsured and underserved families. The pay tends to be lower, but the work is deeply impactful — and many positions qualify for Public Service Loan Forgiveness, which can be a meaningful financial consideration given the cost of doctoral training.
Median approximately $70,000–$90,000
Pros & Cons of Being a Child Psychologist
Pros
- Deeply meaningful work — helping a child overcome anxiety, process trauma, or finally get the right diagnosis can change the trajectory of their entire life
- Strong and growing demand driven by rising childhood mental health needs and a persistent shortage of child-trained psychologists
- Genuine variety in your day — assessment, therapy, consultation, and collaboration with schools and medical providers keeps the work engaging
- Flexibility across settings — private practice, hospitals, schools, research, telehealth, or some combination over the course of your career
Cons
- The longest training pipeline of any non-medical mental health profession — 10 to 12 years is the reality, and that's a lot of delayed earning
- Psy.D. programs can leave you with $200,000+ in debt, which significantly impacts your financial life in your 30s
- Emotional weight is real — hearing about child abuse, family dysfunction, and kids in crisis takes a toll that requires intentional self-care
- Insurance reimbursement rates for child therapy are often low relative to the time involved, which can be frustrating — especially for assessment-heavy practices where report writing is unpaid
A Day in the Life of a Child Psychologist
No two days look exactly the same, but here's a realistic snapshot of what a typical day might look like for a child psychologist in an outpatient pediatric practice. Most child psychologists balance a mix of assessment, therapy, consultation, and report writing — and the ratio shifts depending on your setting and caseload.
Typical Schedule
8:00 AM — Review clinical notes and prepare testing materials for a psychoeducational evaluation scheduled for the morning
8:30 AM — Begin a comprehensive evaluation for a 9-year-old referred for possible ADHD and a learning disability — administer cognitive, achievement, and attention measures
11:00 AM — Score and begin interpreting test results from the morning evaluation
11:30 AM — Parent feedback session — explain assessment findings for a previous evaluation and discuss recommendations for school accommodations
12:30 PM — Lunch; respond to emails from school counselors and pediatricians requesting consultation
1:30 PM — Individual therapy session with a 14-year-old working through social anxiety using adolescent-adapted CBT
2:30 PM — Play therapy session with a 6-year-old processing parental divorce and adjustment difficulties
3:30 PM — Parent training session — teaching behavior management strategies to parents of a child with oppositional behavior
4:30 PM — Write evaluation reports and complete clinical documentation (the part that always takes longer than you think)
5:30 PM — Brief phone consultation with a pediatrician about a shared patient's medication response and behavioral progress
Expert Insight
"Working with children means you have to earn trust differently than you would with adults. A kid isn't going to open up just because you have a degree on the wall — you have to meet them where they are, whether that's on the floor playing with Legos or drawing pictures of their worries. The assessment piece is equally important: a thorough evaluation can be the difference between a child spending years struggling without support and finally getting the diagnosis and accommodations they need to thrive. My advice to students considering this path is to get experience with kids as early as possible — volunteer, tutor, coach — because the clinical skills come during training, but the genuine comfort with children is something you build over time."
Dr. Megan Ashford, Psy.D., ABPP — Board Certified in Clinical Child and Adolescent Psychology
Director of Pediatric Psychology, Northwest Children's Behavioral Health
Related Careers
Clinical Psychologist
Assesses and treats mental health disorders across the lifespan — broader scope but overlapping training path.
School Psychologist
Works within educational settings to support students' academic, behavioral, and emotional wellbeing — typically requires an Ed.S. rather than a doctoral degree.
Counselor
Provides therapy and mental health support — requires a master's degree with a shorter training timeline, though scope of practice is more limited.
Neuropsychologist
Specializes in the relationship between brain function and behavior — pediatric neuropsychologists are closely related to child psychologists with an added focus on neurological conditions.
Ready to Get Started?
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Sources
- U.S. Bureau of Labor Statistics — Psychologists, Occupational Outlook Handbook (2024)
- APA Division 53 — Society of Clinical Child and Adolescent Psychology (SCCAP)
- American Board of Professional Psychology — Clinical Child & Adolescent Specialty
- CDC — Data and Statistics on Children's Mental Health
- NIMH — Mental Illness Statistics
- ASPPB — Examination for Professional Practice in Psychology (EPPP)
Frequently Asked Questions
A child psychologist holds a doctoral degree in psychology (Ph.D. or Psy.D.) and specializes in therapy, assessment, and behavioral interventions for children and adolescents. A child psychiatrist is a medical doctor (M.D. or D.O.) who completed a psychiatry residency followed by a child and adolescent psychiatry fellowship — they can prescribe medication, which psychologists generally cannot. In practice, the two often work together: the psychologist provides therapy and conducts evaluations, while the psychiatrist manages medication when needed.
Plan for 10 to 12 years after high school: four years for a bachelor's degree, five to seven years for a doctoral program (including a year-long predoctoral internship), and one to two years of postdoctoral supervised experience before licensure. If you want ABPP board certification in Clinical Child and Adolescent Psychology, add at least three years of post-degree experience before you're eligible. Some people complete the path faster, and many take a gap year or two between undergrad and graduate school — which is actually common and often strengthens your application.
The biggest difference is the training and scope of practice. Child psychologists hold a doctoral degree (Ph.D. or Psy.D.) and can diagnose mental health conditions, provide therapy, and conduct comprehensive psychological evaluations. School psychologists typically hold a specialist-level degree (Ed.S.) and work within school systems to support students' academic and behavioral functioning — they conduct psychoeducational assessments for special education eligibility but generally don't diagnose clinical conditions or provide long-term therapy outside the school context. Both work with children, but child psychologists have a broader clinical scope.
Child psychologists work with a wide range of concerns. The most common include ADHD, autism spectrum disorder, anxiety disorders (including separation anxiety, social anxiety, and generalized anxiety), depression, behavioral disorders like oppositional defiant disorder, learning disabilities, trauma and PTSD, adjustment difficulties (like parental divorce or school transitions), and developmental delays. Many child psychologists also work with children dealing with chronic medical conditions, grief, and the psychological effects of bullying or family conflict.
No — board certification through the American Board of Professional Psychology is voluntary. State licensure as a psychologist is what legally allows you to practice independently. However, ABPP certification in Clinical Child and Adolescent Psychology is increasingly valued by employers, particularly children's hospitals and academic medical centers. It requires a doctoral degree, an internship with at least 50% child focus, three years of post-degree experience, and passing an oral examination. It signals a recognized level of specialized expertise that goes beyond basic licensure.
In most states, no. A small but growing number of states — including Louisiana, New Mexico, Illinois, Iowa, Idaho, and Colorado — allow specially trained psychologists to prescribe psychotropic medications after completing additional postdoctoral training in psychopharmacology. However, the vast majority of child psychologists focus on assessment, therapy, and behavioral interventions. When medication is needed for a child, psychologists typically collaborate with a child psychiatrist or pediatrician who manages the prescribing.