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The short version: the big questions therapists ask me about moving abroad while keeping a US therapy practice, answered.
When I shared that I was moving from Dallas to Madrid & keeping my US practice, my DMs filled up with questions from other therapists. Can I keep my clients? Will I be taxed twice? What about malpractice insurance? This is the quick version of my answers, so you can see what's possible & what to ask next, in one sitting.
What's inside
16 questions, from licensing boards & visas to taxes, malpractice & telling your clients
Every answer in two layers: what it actually looked like for me (licensed in five states, private pay, moving to Spain) & what's generally true for US-licensed therapists
A list of other countries with visas similar to Spain's digital nomad visa
Best for: therapists who are curious whether a move abroad is even possible & want the big picture before diving in
Format: 11-page PDF · want the explorations, step-by-step task list, email drafts & glossary too? They're in The Complete Playbook
This guide doesn't cover working with clients outside the US, how my clients responded (out of respect for their confidentiality), insurance panels or therapy platforms (I'm private pay), or step-by-step visa applications for other countries. It isn't legal, tax or immigration advice, and it reflects my research & steps through October 2026. For your own use; not for resale or redistribution. All sales final.
updated October 2026
The short version: the big questions therapists ask me about moving abroad while keeping a US therapy practice, answered.
When I shared that I was moving from Dallas to Madrid & keeping my US practice, my DMs filled up with questions from other therapists. Can I keep my clients? Will I be taxed twice? What about malpractice insurance? This is the quick version of my answers, so you can see what's possible & what to ask next, in one sitting.
What's inside
16 questions, from licensing boards & visas to taxes, malpractice & telling your clients
Every answer in two layers: what it actually looked like for me (licensed in five states, private pay, moving to Spain) & what's generally true for US-licensed therapists
A list of other countries with visas similar to Spain's digital nomad visa
Best for: therapists who are curious whether a move abroad is even possible & want the big picture before diving in
Format: 11-page PDF · want the explorations, step-by-step task list, email drafts & glossary too? They're in The Complete Playbook
This guide doesn't cover working with clients outside the US, how my clients responded (out of respect for their confidentiality), insurance panels or therapy platforms (I'm private pay), or step-by-step visa applications for other countries. It isn't legal, tax or immigration advice, and it reflects my research & steps through October 2026. For your own use; not for resale or redistribution. All sales final.
updated October 2026