How do international students actually become clinical psychologists in the UK? In this episode I speak with Dr Samuel Chu, originally from Hong Kong, who moved to London as an international student and is now a qualified NHS clinical psychologist.

We unpack the real pathway into UK clinical psychology training, including Tier 4 student visas, international student fees, assistant psychologist roles, NHS access, and the Clearing House application process.Samuel shares his journey of leaving Hong Kong at 18, adapting to British culture, gaining clinical experience in the NHS, and eventually qualifying as a psychologist in the UK.

If you’re an international student considering studying psychology in the UK, or an aspiring psychologist wondering how overseas applicants navigate the system, this episode offers an honest roadmap.

In this episode we discuss:

• studying psychology in the UK as an international student

• Tier 4 student visas and graduate visas

• international university fees and funding challenges

• gaining assistant psychologist experience

• applying to the DClinPsy through Clearing House• working in the NHS as an international trainee

• adapting to British culture and professional life

Whether you're already studying psychology abroad or exploring the idea of training in the UK, this conversation will help you understand what the journey really looks like.DClinPsy International

Timestamps

1. 00:00 The reality of becoming a psychologist in the UK as an international student
2. 01:25 Why Samuel moved from Hong Kong to study psychology in London
3. 03:27 Cultural differences and adapting to life in the UK
4. 06:02 Tier 4 visas and how international students study in the UK
5. 07:31 International student fees and funding challenges
6. 08:32 NHS access and healthcare for international students
7. 09:59 Loneliness and mental health when studying abroad
8. 12:06 Finding community and support through university societies
9. 16:01 Choosing a master's after undergraduate psychology
10. 19:15 Early forensic psychology experience and clinical placements
11. 23:54 Applying for the DClinPsy through Clearing House
12. 26:32 Clinical experience requirements for psychology training
13. 28:53 DBS checks and working with vulnerable populations
14. 31:59 Life after qualifying as a clinical psychologist
15. 33:13 Surprises about British culture and humour
16. 35:34 Samuel’s YouTube channel and supporting international applicants

Links:

1. 📲 Web Page discussed in the episode: https://www.dclinpsy-international.co.uk
2. Dr Samuel Chu: https://www.linkedin.com/in/samuelchupsych/
3. https://www.youtube.com/@samuelchupsychology

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What does it take to actually move to the UK as an international student and to become a qualified clinical psychologist here? Not the glossy version, not the website version, but the real version. Today, I'm speaking with Dr. Samuel, originally from Hong Kong, but now a UK qualified clinical psychologist working in the NHS. And we're unpacking international student fees, visas, NHS Access, assistant psychologist posts, the clearinghouse process, and of course what it's all like navigating a system that wasn't designed with you in mind. If you're an international student wondering, is this even possible for you, then this episode is your roadmap. If you find it useful, please like, subscribe and comment for more. Hi, welcome along to the podcast. I am joined today by Dr. Samuel Chu, a qualified clinical psychologist. Hi, Samuel.

Hi.

Thank you so much for being here and thanks so much for connecting with me on LinkedIn. I feel like you've been in my world for quite some time now. I've been seeing your name pop up and for pitching this episode to me because you're really passionate about there being more international students becoming trainees, psychologists, and ultimately becoming qualified psychologists who then begin practising in the UK, aren't you?

Yeah, no. Yeah. Thanks for having me here. I think it's amazing that you have this platform for people like myself to share what it's like to be practising psychology in the UK as a person that isn't born here. So I think to demystify this entire process is very good.

Thank you. And I really do see the value of having different experiences culturally and in terms just of our own interests and our own backgrounds and the way that we see the world. Could you tell our audience a little bit about, I guess, what brought you to the UK and how things have been for you since?

Yeah. So I'm from Hong Kong, born and raised there, kind of studied my entire life in Hong Kong up until undergraduate. So I think throughout my life in Hong Kong, I've always been interested in psychology, not specifically clinical psychology, but just the idea that we get to try to understand a little bit better about the way we think, the way we feel and why we behave the way we do. And when I was choosing my university, I was thinking about either going to a university in Hong Kong or in the UK. And what drew me to picking UK for my university choice is how good the research is. I think UK is leading on a lot of different areas in psychology and I've never really gone out of my own country. So I thought at that time it would've been an experience to step outside of my comfort zone and pursue something that I found quite interested in in a completely different country and the language that you speak from.

But since then, I've been here for eight years now and it's been good. It's been good. I've learned so much throughout my entire journey in clinical psychology, living here, working here in different language, different cultures. So yeah, I have a lot of feelings and experience from that. Yeah.

Amazing. I have to say, I felt pretty adventurous when at the age of 18, I moved from Milton Keynes to Wales to do my degree, but you're making me look pretty timid there because it's very, very much more bolder and a bigger and braver decision. I am going to the UK. I'm moving to London.

Yeah, no, I mean, I was 18 back then. So what do you know about the world and the significance of your decision when you're that age? And I wouldn't imagine that people might plan a lot when they're young. They just like, "Okay, I want to do this. Let's just go for it. " And I'm quite fortunate to be able to do that. So I think looking back to it, sometimes you wonder, wow, how could you have made this decision? You didn't know so much about what it's like living in a foreign country, but you learn a lot along the way. You learn the struggles that a lot of people have gone through and then you go through yourself, what it means to be an ethnic minority in a country, what it means to think and speak in a different language, to have your life sort of completely reset where you kind of put yourself in a completely different situation, a new situation, and then how you can navigate around that and what you learn from being able to navigate around those difficulties.

And I think it makes you a more resilient person in the end. And I would imagine being a trainee, a future trainee, you go through similar things as well.

Yeah, absolutely. Yeah, I hear you. When you're 18, you're just like, "Yeah, I'm going to do that. It's going to be fine." And everybody else will just fall into place around me and it'll be fine. That was certainly my experiences anyway. So you apply to the UK, you apply to a university in London to do your undergrad, and I presume there's some sort of visa stuff to sort out as well. And then you're able to come and stay for those three years initially, or is it a little bit longer than that? How did that process look?

So in order to study in the UK, you need what you go a tier four visa. So what this means is that you need a conditional offer from your university or an unconditional offer and then you apply through the government to get a tier four visa. And with that visa, it means you can stay here and study here for the duration of your university degree, and you also get an X amount of hours to be able to work, not full-time, but part-time. And then afterwards, once your tier four visa runs out, you usually get a, I think, two-year graduate visa where you get to stay here to look for jobs. And once you do find a job, you then need to negotiate for a work visa. So this is sort of the process that it might have changed over the years, but this is generally what should happen.

Yeah. Okay. And I think I'm right in saying that when you're an international student, you do actually pay more fees for your undergraduate and your postgraduate study than you would if you were a home student. So if any international student is looking at the website, they might well notice that the international fees are advertised as higher. And that can be a bitter pill to swallow because in essence, you're not getting anything different and you're having to pay more for

It. Yeah. Yeah. I think you do pay significantly more and there is no loan that you can have from the UK government. I think the only loans that you might be able to get is through your own government in your own kind of country. So it is a significant amount. You have to pay for your own accommodation, food, you have to pay for the NHS, unfortunately. So that will cover national insurance. So I would encourage students, no matter what level you're undergraduate, postgraduate, you've already paid for NHS, and you should register for your local GP as well. I've seen a lot of international students where they didn't even know that they could access at the NHS. They thought they had to pay for it. So definitely register for a local GP so that if there is something come up, it's better safe than sorry that you have these resources.

Yeah. Great. So it sounds like you pay a yearly fee, which would be your national insurance, which would then allow you to access hospital services, emergency, mental health, or routine mental health services, GP, and then also being able to go to, I mean, it might be helpful to say, an NHS dentist that you get treatment that you then have to pay a little bit more for as your NHS fee. So nobody really gets the free NHS dentistry, but you get it heavily subsidised. But once you're paying your national insurance as an international student, you are able to use those services as if anyone with a British citizenship would be able to.

Yeah. Yeah.

Okay. That's so interesting. And I'm actually really good friends with someone that runs a student mental health support at a local university. And I know that for international students, it can be really lonely because often people move without their family, often they've moved without any friends. And so looking after your own mental health can be key, can't it? It can be a real challenge. Could you give us any kind of advice around that, especially I guess if people are coming in from an Eastern culture where actually mental health can be really stigmatised. I don't want people moving to the UK and really feeling like it's awful and having a negative impact on them.

Yeah, I think it is important to take it easy to be compassionate towards yourself. I think a lot of us underestimate how big of a challenge it could be because when you are stressing about getting into the university, getting enough funding to go, supporting yourself, visa, we sort of forget that there's actually a lot more to living somewhere completely different than you would expect given how you have so much support system in your home country. You have friends established already, you have your parents or loved ones, you know how the system works, you know where to access care, and you know the language and the environment that you have lived in for 20 years in your life. So I think it is important to be aware of first what the challenges can be, but also what are the resources that you can have around you once you are in the country.

So for example, if you are here for university, there's actually a lot more resources than one might think once you have landed here. So for example, you have university support, student support that are super helpful. One of my placements when I was in UCL was in the student support team and the team was brilliant when I worked there. So there's so much support you can have. There are also a lot of societies that you can join and a lot of those times, those societies, there's like a million societies that you can join, and I bet one of them would be something that aligns with your own interest or your own culture. So for example, at UCL at almost all London universities, there's a Chinese society, there's a Hong Kong society. So yeah, there's actually a lot more support than you might think. And I think it's important to stay connected with those support systems.

Yeah.

I wish I thought of that when I moved. Even when I moved from Milton Kings to Coventry to do my doctorate, I sort of arrived with an undergraduate mentality of I was single and I thought everyone else on my cohort would maybe be single and would be just be able to go out and have fun and just be really young free and just have fun and explore coventry. And it really wasn't that for me. And I was one of the only single people on training. And so I think I was lonely in the evenings and the weekends, and I used to travel back at weekends. And I don't think I ever really thought of myself as a student because once you're working, you're doing university, you're doing placement, you're kind of doing assignments, I don't think I ever really tapped into that student mentality other than the NUS discount.

I was down with that, but I don't think I really thought, oh, I could have joined some local staff with the university and I had the choice of coventry or Warwick. So I think anyone listening to this, if anyone's moved for university, even if you're a mature student, I think that's great advice from you, Samuel, actually, is think what might be going on that might be able to support you to either develop new interests or to develop and cultivate ones that you're already interested in. So that's brilliant advice.

Yeah. No, I think in the end we are social animals, no matter how independent you are, we need people around us. And I think universities is a great way for us to try out different things. Even if you are on the doctorate, for example, or you're doing a master's in, I don't know, psychology, it's important to not forget that you're there to not just learn, but also to experience what it's like to live in a different place, to be in an environment where other people are learning as well. And university is a place where people of all backgrounds come together because they're interested or they want to learn a subject. So there's already some relevance that you can connect with. And I think especially studying and working in London, you see so many different walks of lives like people from all over the world come to London to work and to study.

And you meet a lot of diverse people and people who are completely different and very similar to you as well. So I would encourage people who are thinking of whether or not to come to London or to the UK to study, to just go for it, how bad can it be?

I love being in London, so I probably travel there about once a month at the moment. And I'm probably in Londoner's worst nightmare because I speak to everybody. The last time I was there, I costed someone to come to help me when I was in Barbican, to help me try and find somewhere. We went walking together and we had a big old chat and it was lovely. And then I was in the Pretemonge of getting the train home and I overheard a conversation that was really interesting and I joined in. And I just love opportunities to talk to people and learn about people and their stories. So I definitely bring some of my more northern approaches down south, but I love it. So yeah, I like that idea of actually coming and experiencing some of the UK culture and learning about it and just seeing what you make of it really.

It's powerful stuff. So for you, you did your undergraduate and then you almost immediately after that do a master's, Samuel.

Yeah, I think you made a really good point about difference between a big city versus smaller areas and towns. And maybe it's my own kind of growing up in Hong Kong, it is in many ways similar to London where people don't socialise with each other and they're always on their phone. So it actually can be quite lonely at times compared to, I don't know, the northern side where everyone treat each other like they have been friends since primary school. So yeah, I think it is a very good point. And I think that's why having those systems in place is quite important because at times it can be quite lonely given how people, there's so many different people in London that sometimes they might not seem like a university campus or university life because you're walking with, I don't know, professionals and wherever else in London.

Yeah. Yeah. I genuinely say hi to everybody that I walk past in the street. I've made a friend in the street that was 84 at the time and we did become friends for quite a number of years until she moved out of the area and she got to know my children. She was a bit of a stepgranny and that was literally just from becoming kind of familiar strangers and then chatting. And then I also once met a friend in a car park because my little boy who was in a sling at the time had pointed to them and was very insistent that we go over. And that ended up with us being friends for quite a few years as well. So I really do talk to strangers, but yeah, not everybody does and you might not be able to achieve the same if you came to the UK.

So Samuel, you went from undergraduate to postgraduate study. You did a master's, I think I'm right in saying.

Yeah. Yeah. Yeah. So after my undergraduate, well, it was an interesting time because during the undergraduate COVID happened, so that means there was a period where there were no lectures that I was back in Hong Kong. And so during that time, I was also kind of working a little bit in research, in psychology. And afterwards, I was sort of having this dilemma of whether or not to go into academia, so research, university in clinical psychology, so working as a practitioner or something perhaps completely different in big data and AI, which is actually quite funny. I thinking back to it now that AI is so prominent and hey, maybe I should have gone to AI work. But anyways, I ended up choosing a master's in clinical forensic psychology. And I think what really influenced me into doing that is because I had an assistant psychology post back in undergraduate working in forensic psychology.

So I remember speaking with one of the lectures in my forensic psychology placement and he was basically inviting everyone, the whole class to see if anyone wanted some experience in forensic psychology, just email him. I ended up being the only person who emailed him.

So I then started kind of going under his wing, observing some clients, client work, and I started picking up cases myself, doing psychometrics, doing assessments with him. And I became quite fascinated actually in forensic psychology and in the way people think, feel, and behave, and how our earlier relationships really influenced how we relate to the world and with ourselves and with other people. So then I decided to, because I know how competitive clinical psychology is. I've seen the forums, I've seen other YouTube videos of people saying, "I've tried 10 times and I'm still, and here's my reflections." And they're all super helpful actually, but I thought clinical psychology is something I've became increasingly interested in. So that is something that I want to put both fit in and yeah, go for it.

Yeah. Wow. I cannot believe that of a whole lecture studio, only one person and that was you emailed to do the shadowing. I would've snapped my own arm off to get that opportunity, but it sounds like you learned a lot and it helped you to kind of think, "Yeah, I do want to become a qualified

Psychologist." Yeah. And I think there's a lot of benefit in doing research, obviously. You get to pave the way of more new evidence-based. But I think if I ever do that, I'll always have this thought in my head, what would it be like to work with the people, work with the feelings and with the emotions? And there are, of course, a lot of benefit to have those experience when you do research as well, and that's what the doctor is extremely helpful for. And I think I ended up being very lucky. I had very good mentors, I had very good experience, opportunities, and I think that's how I got onto training.

Were you able to secure paid work or was it all kind of honorary, as they say, or voluntary work until you got onto training?

So I did secure paid work. When I was on the clinical forensic psychology, it's a stage one training in forensic psychology, so that means that we need a minimum of 60 days in clinical work. So then there I worked in the medium security unit and as an honorary assistant psychologist, but towards the end of that, they had an assistant psychologist post that came up and I applied for it, alongside many other assistant psychologist applications I did not get in. So I got into that. And so I've actually started my assistant psychologist post as a paid employee there. And then at that point, I got an offer from UCL, so then that's where I transitioned my assistant psychologist role.

Okay. So people might be watching this because they're interested in becoming a psychologist, or they might be watching this because they're looking at coming to the UK to do something else, but I'll just briefly explain. So to become a clinical psychologist in the UK, we have to apply through a scheme called the Clearing House, and they will sort out the applications for home students who then would attract NHS funding. But actually there's a number of universities across the UK, not super loads, but a number of universities that do accept international or self-funding students. And so we still use the same forms, the clearinghouse, and you still have to have the relevant experience, don't you? You still have to be able to demonstrate that you're a great candidate for this role. So it's not going to be a walk in the park for you to be offered this place.

Could you talk to us about your experiences of that, Samuel?

Yeah, of course. So I think it is very important to think about the requirements to apply for doctorates. Different universities have different requirements in their clinical training programme. So for example, if I remember correctly, KCO has a minimum of six months, even though most people apply have a year or more. And a lot of universities is a mixture of both clinical and research experience. So clinical work could be work as an assistant psychologist, as a psychological wellbeing practitioner, as a perhaps healthcare assistant, or kind of a clinical research assistant where you have patient facing role as a research assistant. And for research experience is basically a research assistant post or above where you sort of are part of a research project in a university programme. And a lot of unis require one year of either pure clinical or a mix of clinical and research. So there is a lot of questions I know from different queries that the UK International Trainee Group has where a lot of questions are, is this clinical experience in my home country and is it relevant when you apply for UK doctor programmes?

And most of the answer is yes. You don't need clinical experience from the UK in order to apply for training. Obviously you might get an advantage. Let's say if the university is looking for whether or not you know how the NHS system work, because once you're in training, you're working in the NHS. So working in psychology in the NHS might give you some experience in what that's like, but it is not compulsory that you need NHS experience to get onto training. And there is another section that asks what you think a clinical psychology responsibilities are in the NHS, and I think that's where you kind of showcase what you think it is or what you know it is. But overall, it is six months to one year of clinical and/or research experience, and it doesn't have to be continuous. It can be done maybe part-time or full-time.

Yeah.

Yeah. Thank you. And actually since you've now qualified, I think you said that even during your undergraduate, your family moved over to the UK and you are working towards hopefully becoming a British citizen, aren't you? This wasn't just a three-year impulsive jaunt, this is becoming your life.

Yeah. Yeah. I think there is a lot that the UK offers. I think it's very different. And I've been really enjoying living in London. I think even after seven, eight years, I'm still exploring London. It's just so big. Apparently it's larger than Hong Kong. It is crazy. So I think I will continue to stay here if not to think about what being a clinical psychologist is like and what it's like practising here compared to in other countries. I think being a clinical psychologist in the UK is quite different at both studying and working here compared to other places.

Thank you. And so are you having to reapply for new visas at the start of each block of study to make sure that you're going to be able to complete those, Sam?

Yeah. So for undergraduate master's and a doctorate, you require T4 visa. So this is something that you need to apply for. And I would say you shouldn't wait until the last moment to apply. It does take a while, as well as the DBS check is something that we use in the UK in order to prove that you have no criminal records, for example. And in order to have that check cleared, you need both a police check from your home country and in the UK. But I think getting the police check from your home country is super important before you come over to the UK because if you don't do that, then it might take an extra amount of effort to get that police check done before you start training or in any kind of clinical jobs where you have faced with patients.

That is such good advice. And actually when I was an assistant psychologist, I ended up working in a youth prison and the enhanced DBS wasn't enough. So I was 27 at that time, I'm going to say, and they wanted a 20-year history and they wanted references from everybody spanning that 20 years. So I actually had to write to my primary schools, which I think covered two primary schools and my secondary school and the jobs that I'd worked with, I had to get written references for everybody. So if you end up working in prisons, you might well find that you've got some additional hoops to jump through. But yeah, we do have the DBS system, which stands for disclosure and barring service. And even as a qualified psychologist, I'm signed up to the rolling enhanced disclosure that means that I pay yearly for them to check and say that I haven't been caught.

I haven't got a criminal record. I haven't done anything, I should say, but yeah, I haven't got any Nothing on my record.

Yeah. And I don't think speeding fines count. So for people who might occasionally accidentally speed, don't worry about that.

Yeah. Excellent advice. And then so now you're qualified, you're finding your feet as a qualified psychologist full stop, let alone in the UK. But I guess how do you take the next steps? Because you do want to build this life in the UK, how do you strive to be able to do that, Sam?

So I think a lot of people put training as a pedestal. So once I get on training, everything will be complete and you will know everything now and your life is complete. Well, getting auto training is super, super impressive and you've done it, but there's so much to life after qualifying that you don't really think about before you got on. And I'm in a stage where I'm thinking about a lot of different things. So what kind of psychologist I want to be, what kind of psychologist I want to specialise in, and also what it means to be a clinical psychologist working in the UK who speaks the different language, who's in a different culture, who has an English different accent. And so I think everything is sort of an experience for me and things that I then take back to reflect on. And so at the moment, I am working in a child developmental service because what is brilliant in training is that you get to experience different types of services.

And so I've worked in general adult mental health, I've worked in child and adolescent mental health, I've worked in neuropsychology, in leadership placements, and I've really enjoyed working in CAMS back in my placement. So that's what I've decided to do. And this is, again, something that is quite nice working as a psychologist in the UK, which is that you get to pick what you want to do after you qualify. I know friends who have then gone on to academia, who have gone on to adults or neuroscience or psychosis. And I've chosen for this stage of my life to work in children's mental health, which I find very rewarding and very interesting, but who knows where life will take me. I think at the moment I'm thinking about working in community mental health next to see what that's like and whether or not I could develop my own identity as a practitioner.

Yeah. Amazing. Was there anything as you think back that really surprised you about British culture or that you didn't see coming and were like, "I cannot believe this.

" Well, actually there's a lot of things, but maybe it actually shows the difference between my culture and the British culture. But in my culture, there is a lot of emphasis on people older as your elderly, as someone you have to respect a lot. And there are also different customs that you do depending on age and ranking. So for example, if you are studying in a university in Hong Kong, you have to call every lecturer or professor as Professor Chan or professor X, Y, Z. In the UK, you call people by their first names, which is something that I'm still a bit kind of not uncomfortable, but it catches me by surprise every time where it's actually quite friendly. Most people are very friendly in the UK, be in the workplace, in university. If you are brave enough to talk to them, they can be quite friendly.

And this is a surprise for me, I think, because I think ... Yeah.

How about the British sense of humour? What should people be prepared for that?

Yeah, major sarcasm. I think it is quite funny because a bit about me is because I am exposed to the Westernised medias. I watch Netflix, for example. I'm on the internet. I'm on YouTube. And so you already get a lot of exposure for American cultures, which I'm generalising heavily, but compared to the British culture, everything's a lot more subtle. So I think it's definitely something to grasp. For example, I am very well rehearsed in what the weather is like every morning because it definitely changes by the hour. We experienced four seasons in a day.

Absolutely. And I can't believe that I didn't talk to you about the weather when we first started this podcast this afternoon. Yeah, I was

Not offended.

It's raining currently where I am. I'm not surprised anyone watching this. Could you tell us a little bit about where people can learn more about you, where you are on social media? Tell us about your YouTube channel, Sam.

Yeah. So I have a YouTube channel called Samuel Throop Psychology where I share a little bit about my own thoughts and feelings about what it's like studying in UCL, which was where I was trained. And also a little bit about what the application procedure is like. I know Marianne also has her own extremely lovely and professional website, so you can do that as well. And I also have my own website to think about working in private practise. So at the moment, I have my own little private practise where I see kind of adults and young people who are looking for mental health support. I am also kind of engaging in a lot of therapy and psychoeducation and webinars for people who are in marginalised communities who really want more access to psychological help or psychological knowledge. And I think it is super important for us to remove these barriers to mental health and to psychology.

And so I'm doing that as well. And for any other prospective international candidates that might be interested in clinical psychology, of course, there is another committee called UK International Training Committee that is being run by a lot of my lovely friends and colleagues. So there's that as well.

Perfect. I will make sure that all the details are in the show notes and in the description of people are watching on YouTube. Thank you so much for this chat. It's been really fascinating. Thank you for your time, Samuel. If anyone has got any questions, any comments, drop them in the chat and we'll do our best to keep an eye out on those. Thank you, Samuel.

Thank you. Thanks for inviting me again.

Oh, you're more than welcome. What an absolute delight to speak with Dr. Samuel. Thank you so much again, Samuel, for spending your time and sharing your wisdom with our audience. If you would welcome learning more about UK clinical psychologists and people's roadmap to becoming them, you can absolutely check out the Clinical Psychologist Collective Inside is over 600 years of clinical experience. That is hard to replicate. It gets wonderful reviews on Amazon. If you've read it already, please do consider leaving me a review, as it really does help us to demonstrate that it's a very good read. And if you really like what I do and would like to help me to make this a sustainable podcast, please do consider joining either the First Look Access or the Backstage Crew membership, which you can do on either Captivate, YouTube, or Apple Podcasts. All the details are in the show notes or the description.

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You're looking to become a psychologist, then let this be your guys. With this podcast that you said you'll be on your way to being qualified, it's the aspiring psychologist.