How to Become a Geropsychologist
A geropsychologist helps older adults through depression, grief, dementia, and the hard questions of late life. The population is exploding and the specialists are scarce. Here is what the career actually involves and how to get there.
Key Takeaways
- Geropsychology has no separate BLS code, so geropsychologists are counted as Clinical and Counseling Psychologists, who report a median of $100,580 as of May 2025. Early-career pay usually starts lower and climbs with licensure and experience.
- Employment for psychologists is projected to grow 6% from 2024 to 2034, with about 12,900 openings a year, and demand for geropsychologists is rising faster than the field overall.
- Demand for psychologists serving adults 75 and older is projected to rise 71% between 2015 and 2030, yet only about 1% of doctoral psychologists specialize in aging. That gap is the whole opportunity.
- By 2030, every baby boomer will be at least 65, a generation the Census Bureau estimates at about 73 million. Older adults are projected to outnumber children under 18 for the first time in U.S. history by 2034. The wave is already here.
- Board certification in geropsychology (ABPP-GERO) is optional, and it requires at least 2 years of post-licensure practice with 1 year devoted to serving older adults.
What Does a Geropsychologist Do?
A geropsychologist is a licensed psychologist who specializes in the mental health of older adults. Geropsychology applies psychological science to help people in later life, and their families, stay well, work through problems, and get the most out of aging. It became a recognized specialty in professional psychology in 2010.
The specialty is built on four core competency areas: adult development and aging, behavioral and mental health in late life, geropsychological assessment, and consultation with interdisciplinary teams. In practice, a geropsychologist treats late-life depression and anxiety, evaluates decision-making capacity, and supports families navigating dementia and caregiving.
This is where people confuse geropsychology with neuropsychology. A neuropsychologist focuses on cognitive testing and diagnosis across the whole lifespan, with dementia as one focus area. A geropsychologist does ongoing psychotherapy, capacity assessment, and family consultation embedded in aging-services systems: VA units, long-term care, and memory clinics. Assessment is one tool, not the whole job.
Key Duties & Responsibilities
- Provide psychotherapy to older adults for depression, anxiety, grief, and adjustment to illness or loss
- Conduct decision-making capacity evaluations for medical, financial, and living-situation decisions
- Assess and treat behavioral symptoms of dementia in long-term care and memory-care settings
- Consult with families and caregivers on coping, caregiver burnout, and end-of-life planning
- Work on interdisciplinary teams with physicians, nurses, and social workers in geriatric care
- Screen for late-life depression and suicide risk, which is elevated among older adults
- Support residents and staff in nursing facilities under the Medicare Part B consulting model
- Provide grief and end-of-life psychotherapy for patients and the people who love them
Common Specializations
How to Become a Geropsychologist
Becoming a geropsychologist means training as a clinical or counseling psychologist first, then building specialized expertise in aging on top of that foundation. There is no separate geropsychologist license. You earn a general psychology license, then specialize through coursework, supervised training, and, if you want it, board certification.
Plan for 10 to 12 years after high school. It is a long road, but you will be working with older adults under supervision years before you finish. Here is the typical path.
Earn a Bachelor’s Degree
4 years
Get a four-year degree in psychology or a related field. Load up on developmental psychology, abnormal psychology, statistics, and research methods. Volunteer or work somewhere that serves older adults, like a senior center, hospice, or assisted-living facility, so you reach grad school knowing you actually like this population.
Build Aging-Focused Experience
1-2 years
Competitive doctoral programs want research or applied experience with older adults. Work as a research assistant on an aging or dementia study, or take a role as a behavioral health technician in a geriatric or long-term care setting. This is also how you confirm that geropsychology fits you before committing years to it.
Complete a Doctoral Degree (PhD or PsyD)
5-7 years
Enroll in an APA-accredited clinical or counseling psychology doctorate with geropsychology coursework: biology of aging, neuropsychology of aging, late-life psychopathology, and family systems and caregiving. Choose a PhD to pair practice with aging research, or a PsyD to focus on clinical work and assessment. Look for programs following the Pikes Peak Model at a CoPGTP training site.
Complete an Internship With an Older-Adult Rotation
1 year
Your doctorate includes a year-long predoctoral internship. Choose one with a geropsychology rotation, a VA site, or a geriatric medical center, so you are assessing and treating older adults full time under supervision. This year often counts toward the supervised training you will later document for board certification.
Finish Postdoctoral Supervised Training
1-2 years
Most states require supervised hours after your doctorate before licensure. Do them in an aging-focused setting: a formal geropsychology fellowship, a VA program, or a supervised position in long-term care. The Society of Clinical Geropsychology roadmap lays out how to structure this specialty training.
Get Licensed and Consider ABPP-GERO Board Certification
6 months to 3 years
Pass the EPPP and your state’s jurisprudence exam to get licensed as a psychologist. From there, many geropsychologists pursue ABPP board certification in geropsychology. It is optional, but it signals specialty expertise and can raise your earning ceiling in hospital and VA systems.
Geropsychologist Education Requirements
There is no APA-accredited geropsychology doctorate. The APA accredits doctorates in clinical, counseling, and school psychology. What you want is an APA-accredited clinical psychology program that lets you concentrate in aging through coursework, practicum placements in geriatric settings, and faculty mentorship.
Be realistic about a master’s degree. On its own, a master’s will not qualify you to practice independently as a geropsychologist or bill insurance as a licensed psychologist in most states. It can open doors to roles like care coordinator, geriatric case manager, or research analyst, and it can be a smart way to test the field before a doctorate.
The PhD versus PsyD choice matters. A PhD suits you if you want to research aging, dementia, or late-life depression while also practicing. A PsyD fits if you would rather spend your time on clinical work, capacity evaluations, and therapy with older adults, usually at higher tuition.
- A doctoral degree (PhD or PsyD) in clinical or counseling psychology from an APA-accredited program, ideally with geropsychology coursework
- An APA-accredited predoctoral internship, ideally with an older-adult or VA rotation
- Postdoctoral supervised training in an aging-focused setting, such as a geropsychology fellowship or VA program, which most states require before licensure
- State licensure, which requires passing the EPPP and any state jurisprudence exam
- ABPP-GERO board certification is optional; it requires 2 or more years of post-licensure practice with at least 1 year serving older adults
Recommended Degree Programs
Doctorate in Clinical Psychology (PsyD)
The most direct clinical route, with room to specialize in geriatric assessment, therapy, and capacity evaluation.
The accredited foundation every geropsychologist builds on. Concentrate in aging through coursework and geriatric practicum.
How Much Do Geropsychologists Make?
Geropsychology has no dedicated BLS code, so geropsychologists are counted under Clinical and Counseling Psychologists. That group reports a mean of $112,750 and a median of $100,580 as of May 2025. The lowest 10% earn about $55,170 and the top 10% earn about $180,960.
Where you work moves that number a lot. Oregon ($134,350), New Jersey ($127,090), and Arizona ($119,010) post the highest medians, and California pays around $116,000 while employing by far the most psychologists. High demand does not always mean high pay: Florida has a huge retiree population, yet its median ($85,610) sits below the national figure.
For the full state-by-state breakdown, see our psychologist salary guide. As a geropsychologist, VA and hospital roles come with federal or health-system pay scales, while long-term care consulting income rises and falls with your caseload and Medicare Part B billing.
For pay by state, setting, and board certification, see our geropsychologist salary page.
10th Percentile
$55,170
Median
$100,580
90th Percentile
$180,960
Top-Paying Factors
- VA and federal positions, which pair GS pay scales with strong benefits and loan repayment
- ABPP-GERO board certification, which signals specialty expertise for hospital and academic roles
- Working in a high-paying state like Oregon, New Jersey, or Arizona rather than a lower-paying retiree state
- Private-practice capacity evaluations and expert consultation, which bill at specialist rates
- Years in the field, since assessment and consultation work pays more as your track record grows
What's the Job Outlook for Geropsychologists?
Growth Rate
6%
Total Jobs
75,990
The BLS projects 6% growth for psychologists from 2024 to 2034, with about 12,900 openings a year. For a geropsychologist specifically, the demand signal is far stronger than that headline number.
By 2030, every baby boomer will be at least 65, a generation the Census Bureau estimates at about 73 million. Older adults are projected to outnumber children under 18 for the first time in U.S. history by 2034. Every one of those people is a potential patient.
The supply is not keeping up. A national workforce survey found demand for psychologists serving adults 75 and older is projected to rise 71% between 2015 and 2030, while only about 1% of doctoral psychologists specialize in aging. For a geropsychologist entering now, that gap is the opportunity.
Where Do Geropsychologists Work?
VA Medical Centers
The VA is one of the largest single employers of geropsychologists, and aging-focused roles there are historically hard to fill. You work in geriatric clinics and community living centers on interdisciplinary teams.
Federal GS pay scale, strong benefits, and loan repayment
Long-Term Care & Assisted Living
Consulting psychologists serve residents in nursing and assisted-living facilities, treating depression, anxiety, and the behavioral symptoms of dementia, often billed through Medicare Part B.
Income tracks your caseload and Part B reimbursement
Hospital & Academic Geriatric Clinics
Memory clinics and geriatric medicine departments employ geropsychologists for assessment, therapy, and interdisciplinary consultation, often with teaching and research attached.
Around the national median, with health-system benefits
Private Practice
Independent geropsychologists take referrals for capacity evaluations, dementia-related therapy, and caregiver support, and some consult with attorneys and facilities.
Highest ceiling; capacity evals bill at specialist rates
Community Mental Health
Community agencies serve older adults who cannot easily travel, increasingly through home visits and telehealth, filling a real access gap for isolated elders.
Often below the median, with loan-forgiveness eligibility
Pros & Cons of Being a Geropsychologist
Pros
- The demand is real and growing: an aging population and a tiny specialist workforce mean geropsychologists are genuinely needed
- The work is varied, spanning therapy, capacity evaluations, and family consultation, so it rarely feels repetitive
- Stable employers like the VA and health systems offer federal or institutional pay, benefits, and loan repayment
- You build deep relationships and help people find meaning and relief in a stage of life most clinicians avoid
Cons
- The training pipeline is long, 10 to 12 years before independent practice, with board certification adding more on top
- You work with decline, grief, and death regularly, which takes a real emotional toll that not everyone can carry
- Reimbursement for long-term care and dementia-focused work can lag other specialties, so higher pay is not automatic
- The field has a real diversity and access gap, with older adults of color and rural elders especially underserved
A Day in the Life of a Geropsychologist
No two days are identical, but here is a realistic snapshot of a geropsychologist working in a VA community living center and picking up long-term care consults. Expect a mix of therapy, assessment, team meetings, and documentation.
Typical Schedule
8:00 AM, review charts and team notes for two residents flagged for depression screening
8:45 AM, individual psychotherapy with a veteran adjusting to life in the community living center
10:00 AM, decision-making capacity evaluation for a resident facing a medical treatment decision
11:30 AM, interdisciplinary team huddle with nursing, medicine, and social work on a behavioral care plan
12:30 PM, working lunch reviewing a new long-term care consult for a resident with dementia-related agitation
1:30 PM, family meeting with a caregiver about coping, burnout, and end-of-life planning
3:00 PM, write up the morning’s capacity evaluation into a clear, decision-focused report
4:30 PM, documentation, a telehealth follow-up with a homebound patient, and prep for tomorrow
Expert Insight
"Students hesitate when they hear the word aging, and I understand why. But older adults are among the most meaningful patients you will ever work with. The stories run deep, the work spans therapy and assessment and family, and the need is enormous. If you can sit with decline and still see the whole person in front of you, geropsychology will give you a career with more purpose and more open doors than almost any other corner of the field."
Dr. Susan Whitfield, PhD, ABPP Board-Certified in Geropsychology
Staff Geropsychologist, VA Community Living Center
Related Careers
Neuropsychologist
Focuses on cognitive testing and diagnosis across the lifespan, with dementia as one major area. Closely related, different day-to-day.
Clinical Psychologist
Diagnoses and treats mental health disorders across ages. The clinical foundation geropsychology is built on.
Prescribing Psychologist
Holds RxP authority to manage medication, an adjacent path for geriatric psychopharmacology in the states that allow it.
Licensed Clinical Social Worker
Provides therapy and case management, often alongside geropsychologists in long-term care, on a shorter training timeline.
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Sources
- APA: Professional Geropsychology
- ABPP: Geropsychology Specialty-Specific Requirements
- CoPGTP: Council of Professional Geropsychology Training Programs
- Society of Clinical Geropsychology (APA Division 12/II): Training Roadmap
- BLS Wages API: Clinical and Counseling Psychologists (SOC 19-3033, May 2025)
- BLS Occupational Outlook Handbook: Psychologists
- PMC, Building the Geropsychology Workforce: A National Survey and Virtual Conference
- U.S. Census Bureau: By 2030, All Baby Boomers Will Be Age 65 or Older