Is it better to go to grad school in your home state?
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On the down side, it’s also a little harder to separate yourself from family stuff if you really have a bunch of work to do than it would be if you were, say, a few hundred miles away. But sometimes, the distractions are also nice.
One thing you really need to look at is what your goals are after graduation and whether any programs in your state will be able to place you on the right track for them. If you don’t necessarily have aspirations to be a nationally famous counselor or something like that, then the nationally-recognized quality of your program may not even be that important. . . although if a PA school *has* a good program, that’s even better.
Depending on funding and what’s normal in counseling, it may or may not be more expensive to go out-of-state, at least as far as tuition goes. My field generally waives out-of-state tuition if you’re a GTA or GRA that semester, so you might also want to look into that.