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I don't usually admit my profession here at PC, but here goes....
In the state where I live you have to be licensed to call yourself a "therapist." I also live in the state with the toughest licensure laws in the US. We are required to be able to diagnose in order to become licensed. Insurance companies also require a diagnosis for us to be able to bill.
That said, there is a difference between being capable of diagnosing and slapping a diagnostic label on a client. As part of my employment I supervise graduate students and people working for their license. One person I am supervising is awesome. She will be a great asset to the profession. Another, who I stopped supervising, passed his psychopathology class, but can not diagnose even the simplest disorder. He has no concept how to use the DSM. I spoke to his faculty advisor to express my concerns. I stopped supervising him because he refuses to learn. I am not willing to sign off on him and turn him loose in the world. I hate to wish ill on anyone, but if he does not get his "stuff" together and learn the DSM and how to diagnose I hope he never gets his license for the sake of potential future clients.
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