When a client tells you they're moving abroad — temporarily or permanently — it creates a clinical and legal question that most therapists aren't fully prepared for. The answer isn't simply "we continue by video call." It depends on where they're going, whether they're staying in your licensed jurisdiction, and how long the move is.
The core legal question
In most US states, telehealth jurisdiction follows the client's physical location. A client who permanently relocates to France is now in France during sessions — which means French law (and EU GDPR) applies to those sessions, not your US state's licensing rules. Unless you hold a license or authorization valid in France, continuing their treatment after their move may be practicing without appropriate credentials.
Temporary vs permanent moves
| Move type | Duration | General approach |
|---|
|---|---|---|
| Short trip (1–4 weeks) | Brief | Usually low risk; check your state board's temporary practice rules |
|---|---|---|
| Permanent relocation | Indefinite | Serious licensing review required; may need to transition care |
What to do when a client announces a move
- Note the destination and dates immediately
- Research that jurisdiction's rules for telehealth from outside (or your licensing board's rules for serving clients there)
- Check whether a compact applies — if the destination is a PSYPACT state (for psychologists) or counseling compact state, you may be covered
- Have an honest conversation with the client about what's possible
- Plan the transition if you can't continue legally — give adequate notice and provide referrals
The GDPR consideration
If a client moves to an EU country, GDPR now governs their data — even if you're in the US. You'd need to handle their records according to GDPR standards for as long as you hold their data. This is a real obligation that US therapists often underestimate.
The clinical dimension
Beyond the legal question, a client's international move often brings its own therapeutic material — displacement, cultural adjustment, relationship strain, career change. Continuing therapy through the transition (where legally possible) can be clinically valuable. The goal is to navigate the legal question cleanly so the therapeutic work can continue.
The bottom line
Build client location awareness into your regular practice — not just as a crisis response to a surprise announcement. A simple question at intake ("Please let me know before any significant travel or relocation") creates the lead time you need to handle these situations well.
See also: Can I Practice Therapy While Living Abroad?.