What Do All These Letters Mean? Understanding Therapy Credentials and Why They Matter

Close-up of a woman reading a therapist’s bio on a laptop, thoughtful and considering her options for support.

When you’re looking for a therapist, it’s easy to feel overwhelmed by all the letters after our names.

LMFT. EMDR. PMH-C. CBT. What do they actually mean?

And more importantly—do they matter?

Let’s break it down in plain English so you can feel confident about who you’re working with and why it matters for your healing.

What’s an LMFT, anyway?

LMFT stands for Licensed Marriage and Family Therapist. It means I’ve completed a graduate program, thousands of supervised hours, passed state licensing exams, and maintain ongoing education to legally and ethically provide therapy in California.

You can think of it as the foundation that allows me to do this work—and everything else builds from there.

What’s the difference between “trained” and “certified”?

This is a key distinction. Many therapists attend short workshops or courses and say they’re trained in something—which is great!

But certification means something deeper:

  • Advanced coursework

  • Consultation with seasoned experts

  • Documented clinical practice

  • Ongoing training to maintain the credential

In short, certification shows a therapist has gone above the basics to specialize in a particular area.

Here’s what I’m certified in—and how it helps you:

1. EMDR Certified

  1. Eye Movement Desensitization and Reprocessing (EMDR) is a research-supported method for treating trauma, anxiety, and overwhelming life experiences. It helps the brain reprocess distressing memories in a way that’s less emotionally charged.

    To become EMDR Certified through EMDRIA, I:

    • Completed EMDR Basic Training

    • Received over 20 hours of consultation with an EMDRIA-approved consultant

    • Logged extensive clinical hours using EMDR with clients

    • Maintain certification with ongoing education

    EMDR therapy can help with:

    • Birth trauma

    • Childhood trauma

    • Medical or procedural trauma

    • Panic and anxiety

    • Feeling “stuck” even when life seems fine

    🔗 Read: What is EMDR Therapy and How Does It Work?

    2. PMH-C (Perinatal Mental Health Certified)

    Awarded by Postpartum Support International, this certification focuses on the mental health of individuals during pregnancy, postpartum, and early parenting.

    To earn my PMH-C, I:

    • Completed specialized training in perinatal mood and anxiety disorders, birth trauma, grief, and NICU support

    • Logged 14+ hours of focused continuing education

    • Passed a comprehensive national board exam

    • Maintain certification through ongoing professional development

    This certification allows me to support clients experiencing:

    • Postpartum depression and anxiety

    • Scary or intrusive thoughts

    • Birth trauma or difficult medical experiences

    • Identity changes in motherhood

    • Emotional recovery after NICU or fertility challenges

    3. CBT Certified

    Cognitive Behavioral Therapy (CBT) helps clients identify and shift unhelpful thoughts, emotions, and behaviors to reduce distress and build more effective coping.

    I completed a two-year post-graduate certification program, which included:

    • Advanced coursework and supervised clinical work

    • Regular consultation with CBT experts

    • Continuing education to maintain my skill and scope

    CBT is especially helpful for:

    • Overthinking and racing thoughts

    • Negative self-talk or low self-worth

    • Perfectionism and burnout

    • Anxiety and stress in motherhood or relationships

Do credentials make someone a better therapist?

Not necessarily.

There are amazing therapists who haven’t pursued certification. And having letters after your name doesn’t guarantee a good fit.

But when you’re navigating trauma, motherhood, or complex emotional pain, certifications can tell you this person has done extra work to show up for clients just like you.

How do I know if someone is the right fit?

Credentials are just one piece of the puzzle.

The real magic comes from a therapist who gets you, holds space for your story, and helps you move forward in a way that feels safe and doable.

Looking for a certified therapist who understands motherhood, trauma, and everything in between?

Whether you’re a new mom feeling overwhelmed, someone still holding onto a traumatic memory, or just trying to find your way back to yourself—I’d be honored to support you.

👉 Learn more about therapy here

👉 Reach out here to connect

Related Post:

🔗 The Real Cost of Ignoring Your Mental Health as a Mom

Victoria Rutsch, LMFT

Victoria Rutsch, LMFT 89082, is a licensed psychotherapist certified in EMDR, Perinatal Mental Health (PMH-C), and CBT. She offers virtual therapy across California and in-person sessions in Walnut Creek. Victoria supports women through trauma, anxiety, motherhood, pregnancy and postpartum challenges, parenting stress, and life transitions. As a mom herself, she brings both expertise and deep empathy to the therapy space. Learn more about working together here.

https://www.thecaringgroupcc.com/about-victoria-rutsch
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The Real Cost of Ignoring Your Mental Health as a Mom