In short
To become an art therapist in the United States you earn a bachelor's degree, complete a master's degree in art therapy (or a related counseling field with art therapy coursework) from an ACATE-accredited program, and accumulate supervised clinical hours. You then earn credentials from the Art Therapy Credentials Board: the Registered Art Therapist (ATR) and the board-certified ATR-BC, which requires passing a national exam. Many states also require a counseling license. The path usually takes six to eight years.
What an art therapist does
Art therapists are trained mental-health clinicians who use the creative process, drawing, painting, sculpture, and other media, as a therapeutic tool. They help clients express and process emotions, work through trauma, manage anxiety and depression, and develop insight, especially when words alone are hard to access. It is a recognized form of psychotherapy, not an arts-and-crafts class.
The role combines two skill sets: clinical counseling and the arts. Art therapists work in hospitals, mental-health clinics, schools, rehabilitation centers, hospices, and private practice, often with children, trauma survivors, people with disabilities, and older adults.
Because art therapy sits at the intersection of counseling and a specialized credential, the path involves both a clinical master's degree and credentialing through the Art Therapy Credentials Board (ATCB), plus, in many states, a counseling or art therapy license.
The education path
Start with a bachelor's degree. A background in psychology, studio art, or both is ideal, and programs generally expect applicants to show both a foundation in psychology and a portfolio or demonstrated experience in the visual arts.
The core qualification is a master's degree in art therapy, typically two to three years. Look for a program accredited by the Accreditation Council for Art Therapy Education (ACATE), the standard recognized by the field. The curriculum covers counseling theory, psychopathology, ethics, assessment, and the theory and practice of art therapy, with supervised practicum and internship experience built in.
Some clinicians enter art therapy through a counseling master's with substantial art therapy coursework, but a dedicated, accredited art therapy master's is the cleanest route to the ATR credentials.
Supervised hours and the ATR credentials
After the master's, you accumulate supervised clinical experience to earn the Registered Art Therapist (ATR) credential from the ATCB. This generally requires a defined number of post-master's supervised hours of direct client contact under a qualified supervisor.
Once you hold the ATR, you can earn the board-certified credential, ATR-BC, by passing the Art Therapy Credentials Board Examination (ATCBE). The ATR-BC is the recognized mark of a fully credentialed art therapist and is maintained through continuing education. A newer provisional credential, the ATR-P, exists for recent graduates accumulating hours.
These credentials are national and specific to art therapy. They are separate from, and in many states in addition to, a state-issued clinical license.
State licensure
Licensing for art therapists varies more than for other clinical professions. A growing number of states license art therapists directly (for example as an LCAT or art therapy license). In states without a dedicated art therapy license, many art therapists also become licensed professional counselors (LPC) so they can practice independently and bill insurance.
This means the credential picture has two layers: the national ATCB credentials (ATR and ATR-BC) and a state-issued license to practice. Which state license applies, and whether art therapy is licensed on its own, depends entirely on where you intend to work.
Check both your state's licensing rules and the ATCB credentialing requirements before you enroll, because the combination determines exactly what you need.
Salary and job outlook
The US Bureau of Labor Statistics reports art therapists within the broader category of recreational therapists or, where they hold counseling licenses, within counselors. Pay varies by setting, credential, and whether the clinician practices independently.
The outlook reflects growing recognition of expressive and creative therapies within mental-health care. Demand is supported by the broader expansion of mental-health services, though art therapy remains a specialized niche, so building credentials and clinical experience is key to opportunity.
Steps to become an art therapist
- Earn a bachelor's degree Build a foundation in psychology and the visual arts; many programs expect coursework or a portfolio in both.
- Complete an accredited master's in art therapy An ACATE-accredited program, usually two to three years, including supervised practicum and internship.
- Accumulate supervised clinical hours Post-master's supervised direct-client hours under a qualified supervisor toward the Registered Art Therapist (ATR) credential.
- Earn the ATR and pass the ATR-BC exam Register as an ATR through the ATCB, then pass the Art Therapy Credentials Board Examination for the board-certified ATR-BC.
- Obtain any required state license A dedicated art therapy license where it exists, or a counseling license (LPC) in states without one, to practice independently.
- Maintain credentials Complete continuing education to keep the ATR-BC and your state license current.
Salary and job outlook
| Role | Median annual pay (US) | Source |
|---|---|---|
| Recreational therapists | $57,120 | BLS OOH |
| Substance abuse, behavioral disorder, and mental health counselors | $53,710 | BLS OOH |
| Marriage and family therapists | $58,510 | BLS OOH |
Source: US Bureau of Labor Statistics, Occupational Outlook Handbook, May 2023 median annual wages. BLS does not report a separate art therapist category; figures map to the closest reported occupations.
Key takeaways
- Art therapy is a recognized form of psychotherapy that combines clinical training with the creative process.
- The core qualification is a master's in art therapy, ideally from an ACATE-accredited program.
- National credentialing runs through the ATCB: the Registered Art Therapist (ATR) and the board-certified ATR-BC.
- The ATR-BC requires passing the Art Therapy Credentials Board Examination after supervised hours.
- State licensing varies; some states license art therapists directly, others require a counseling license (LPC). The path takes six to eight years.
Looking for a therapist who uses creative approaches?
Browse licensed professionals in the original therapist directory, trusted since 1995. Free to search.
Frequently asked questions
Do you need a master's degree to be an art therapist?
Yes. Art therapy is a master's-level clinical profession. You need a master's in art therapy (or a closely related counseling degree with art therapy coursework), supervised clinical hours, and credentialing through the Art Therapy Credentials Board. A bachelor's alone does not qualify you to practice as an art therapist.
What is the ATR-BC credential?
The board-certified Registered Art Therapist credential from the Art Therapy Credentials Board. After earning the ATR through a master's and supervised hours, you pass the Art Therapy Credentials Board Examination to become ATR-BC. It is the recognized mark of a fully credentialed art therapist and is maintained through continuing education.
How long does it take to become an art therapist?
Usually six to eight years: four years of undergraduate study, two to three years for the master's, and the supervised hours needed for the ATR. Earning the ATR-BC and any state license can add time depending on your state.
Is art therapy licensed by the state?
It varies. A growing number of states license art therapists directly, while others have no dedicated license, in which case many art therapists become licensed professional counselors so they can practice independently. Always check your state's rules alongside the national ATCB credentials.
What is the difference between an art therapist and a counselor who uses art?
An art therapist has specialized graduate training in the theory and clinical use of the creative process and holds the ATR or ATR-BC credential. A general counselor may use art activities occasionally without that specialized training or credential. The depth of art therapy training and the ATCB credential set art therapists apart.
Related career guides
References
- US Bureau of Labor Statistics. Occupational Outlook Handbook: Recreational Therapists. US Department of Labor.
- Art Therapy Credentials Board (ATCB). ATR, ATR-BC, and ATR-P credentials.
- Accreditation Council for Art Therapy Education (ACATE). Standards for master's-level art therapy programs.
- American Art Therapy Association (AATA). Becoming an Art Therapist.
- US Bureau of Labor Statistics. Occupational Outlook Handbook: Substance Abuse, Behavioral Disorder, and Mental Health Counselors. US Department of Labor.
