OpenExamsFREE PRACTICE — ANY EXAM

Virginia Marriage & Family Therapy — Requirements & Free Practice

US-VA · License preparation

300 free questions · Answer explanations · No signup required

Choose what to practice

Start with an exam below. Your examination requirements depend on your application pathway. View licensing requirements

Loading selected examination banks…

Licenses, application pathways and examination requirements

Each license and applicant pathway has its own requirements and exemptions. Choosing practice questions does not determine your eligibility.

Licensed Marriage and Family Therapist (LMFT)

Independent marriage and family therapy license; active, inactive, and Board-restricted status are forms of the same license. Examination, endorsement, military portability, renewal, reactivation, and reinstatement pathways are retained separately.

Licensing authority: Virginia Board of Counseling · Application information

Licensure by endorsement
AMFTRB Marital and Family Therapy National Examination
Application
Submit the completed Board application and $175 nonrefundable processing and initial licensure fee.
Board endorsement exception
The April 2026 LMFT Licensure Process Handbook, page 22, states: "To become licensed as an LMFT by the Board, you must pass the National Marital and Family Therapy (MFT) examination administered by the Association of Marital and Family Therapy Regulatory Boards (AMFTRB) unless you are applying for licensure by endorsement.". The November 2024 endorsement checklist requests license verification and NPDB, with no exam score documentation. The general examination rule is retained as the higher-ranked source; the Board’s endorsement exemption is recorded for the applicant.
Disciplinary history
No unresolved action against a mental health or health professional license or certificate; the Board evaluates prior disciplinary history case by case.
Identification
Provide a Social Security number or Virginia DMV control number; supply name-change documents and explanations and supporting documents for affirmative criminal, disciplinary, or impairment disclosures when applicable.
Laws affidavit
Submit an affidavit that the Virginia MFT laws and regulations have been read and understood.
License eligibility
Hold or have held a valid unrestricted independent equivalent marriage and family therapy license in another United States jurisdiction.
License verifications
Verify every mental health or health license, certification, or registration ever held in another jurisdiction on the Board-approved form.
Npdb
Submit a current National Practitioner Data Bank self-query report.
Virginia lpc examination waiver
18VAC115-50-70(A) waives the prescribed examination for a current unrestricted Virginia LPC; Va. Code 54.1-3506 allows LMFT licensure without examination for such LPCs meeting the clinical and academic qualifications. The named currently offered examination remains referenced under the survey contract, with the waiver carried as an applicant condition.
Licensure by examination
AMFTRB Marital and Family Therapy National Examination
Application
Submit the completed Board application and $175 nonrefundable processing and initial licensure fee.
Board accommodations
The Board may consider special geographic or disability-related requests affecting access to qualified supervision.
Client contact
At least 2,000 face-to-face clinical marriage and family service hours, including 1,000 with couples or families or both.
Disciplinary history
No unresolved action against a mental health or health professional license or certificate; the Board evaluates prior disciplinary history case by case.
Examination timing
The national MFT examination may be taken during residency and must be passed before applying for independent LMFT licensure; request an examination authorization code from the Board.
Graduate coursework
60 semester or 90 quarter hours: six semester or nine quarter hours each in marriage and family studies and marriage and family therapy; three semester or four quarter hours each in human development, abnormal behaviors, addictive behaviors, multicultural counseling, ethics, research, and assessment and treatment.
Graduate degree
A graduate degree preparing the applicant for marriage and family therapy from a regionally accredited institution meeting 18VAC115-50-50; CACREP marriage and family counseling or therapy and COAMFTE programs are recognized. Programs outside the United States or Canada require an acceptable credential evaluation.
Identification
Provide a Social Security number or Virginia DMV control number; supply name-change documents and explanations and supporting documents for affirmative criminal, disciplinary, or impairment disclosures when applicable.
Internship
At least 600 supervised internship hours including 240 direct client contact hours, of which 200 are with couples and families.
License verifications
Verify every mental health or health license, certification, or registration ever held in another jurisdiction on the Board-approved form.
Licensed clinician coursework option
Under 18VAC115-50-55(B), a current unrestricted LPC, clinical psychologist, or clinical social worker may receive Board acceptance of 60 semester or 90 quarter graduate hours including six semester or nine quarter hours each in MFT studies and MFT therapy.
Npdb
Submit a current National Practitioner Data Bank self-query report.
Practice until licensed
Remain a licensed supervised resident until the national examination has been passed and independent LMFT licensure granted.
Recent hours
Within the two years immediately before the LMFT application: at least 1,000 face-to-face client hours, including 500 with couples or families or both, and 100 supervision hours.
Residency documentation
Document residency, supervisor licensure when applicable, signed supervisory contracts, and quarterly evaluations; the Board accepts another United States jurisdiction’s approved residency hours only if they meet Virginia requirements.
Residency duration
Begin after the qualifying graduate degree and complete in not less than 21 months; no maximum duration under the current rules. Internship hours cannot be credited toward residency under the new requirements.
Supervision
200 hours of supervision, including at least 100 by an LMFT; one to four supervision hours for every 40 work hours, at most 100 group hours with no more than six residents. Real-time confidential visual technology may satisfy in-person supervision.
Supervisor
Active unrestricted LMFT or LPC in the jurisdiction of supervision; two years post-licensure MFT experience; three graduate credits or four quarter hours in supervision or at least 20 hours of approved continuing education in supervision.
Virginia lpc examination waiver
18VAC115-50-70(A) waives the prescribed examination for a current unrestricted Virginia LPC; Va. Code 54.1-3506 allows LMFT licensure without examination for such LPCs meeting the clinical and academic qualifications. The named currently offered examination remains referenced under the survey contract, with the waiver carried as an applicant condition.
Licensure by examination with eligible prior regulation residency
AMFTRB Marital and Family Therapy National Examination
Application
Submit the completed Board application and $175 nonrefundable processing and initial licensure fee.
Disciplinary history
No unresolved action against a mental health or health professional license or certificate; the Board evaluates prior disciplinary history case by case.
Eligibility
Resident license approved before December 18, 2025; choose the complete previous residency requirements or the complete new requirements, whichever is less burdensome, without mixing them. This route records election of the previous requirements.
Extension
If the Board approved a residency extension, complete the hours within that approved period and pass the examination within six years of initial resident licensure to use the previous requirements.
Graduate coursework
60 semester or 90 quarter hours: six semester or nine quarter hours each in marriage and family studies and marriage and family therapy; three semester or four quarter hours each in human development, abnormal behaviors, addictive behaviors, multicultural counseling, ethics, research, and assessment and treatment.
Graduate degree
A graduate degree preparing the applicant for marriage and family therapy from a regionally accredited institution meeting 18VAC115-50-50; CACREP marriage and family counseling or therapy and COAMFTE programs are recognized. Programs outside the United States or Canada require an acceptable credential evaluation.
Grandfather exam window
The Board’s December 5, 2025 guidance conditions election of previous requirements on passing the prescribed examination within six years of first resident licensure; applicants failing that condition must meet the new residency requirements. This score timing is an applicant condition and does not remove the current national examination.
Identification
Provide a Social Security number or Virginia DMV control number; supply name-change documents and explanations and supporting documents for affirmative criminal, disciplinary, or impairment disclosures when applicable.
Internship
At least 600 supervised internship hours including 240 direct client contact hours, of which 200 are with couples and families.
Internship credit
Eligible previous-regulation residency may count up to 300 excess graduate internship hours and up to 20 internship supervision hours; the previous regulation also allowed eligible COAMFTE or CACREP doctoral practicum and internship credits up to 900 residency hours and 100 supervision hours.
License verifications
Verify every mental health or health license, certification, or registration ever held in another jurisdiction on the Board-approved form.
Npdb
Submit a current National Practitioner Data Bank self-query report.
Previous residency
At least 3,400 total residency hours, including 2,000 direct clinical contact hours and 1,000 with couples or families or both; at least 200 supervision hours, 100 with an LMFT; at least 21 months and no more than four years unless a Board extension applies.
Supervisor and documentation
Active unrestricted LMFT or LPC in the jurisdiction of supervision; two years post-licensure MFT experience; three graduate credits or four quarter hours in supervision or at least 20 hours of approved continuing education in supervision. Retain quarterly evaluations, supervisory contracts, and verified residency documentation.
Virginia lpc examination waiver
18VAC115-50-70(A) waives the prescribed examination for a current unrestricted Virginia LPC; Va. Code 54.1-3506 allows LMFT licensure without examination for such LPCs meeting the clinical and academic qualifications. The named currently offered examination remains referenced under the survey contract, with the waiver carried as an applicant condition.
Annual active LMFT license renewal
No examination is required for this applicant pathway.
Annual deadline
Submit renewal form and fee on or before June 30 each year.
Ce exceptions
First renewal after licensure by examination is exempt; the Board may grant a written-request extension up to one year or an exemption for circumstances beyond the licensee’s control. Dually licensed Board licensees need only one applicable set of hours. Up to two hours may be earned through documented uncompensated service, at one credit hour per three service hours.
Continuing competency
20 approved hours for each annual renewal, including at least two hours in ethics, standards of practice, or Virginia behavioral science law.
Documentation
Retain original continuing competency documentation for two years following renewal and supply it on request or audit; disciplinary-order hours do not count toward renewal.
Expired license
Practice after expiration is prohibited; failure to receive a renewal notice does not waive renewal.
Fee
$130 active annual renewal fee.

Official no-examination sources

Effective from 2026-09-22.

Reinstate license suspended by Board disciplinary order
No examination is required for this applicant pathway.
Board discretion
The Board may grant reinstatement after an administrative proceeding; case-specific competency, treatment, supervision, or unidentified assessment requirements are applicant conditions.
Board order
Meet the order’s terms, submit a new reinstatement application and required fee, and demonstrate good cause or substantial new evidence.

Official no-examination sources

Effective from 2026-09-22.

Reinstate license suspended for dishonored fee payment
No examination is required for this applicant pathway.
Payment
Pay the fee and all penalties required by statute or regulation to reinstate the license.
Suspension
License was suspended because a required fee-payment instrument was dishonored; this is not described as Board disciplinary action.

Official no-examination sources

Effective from 2026-09-22.

Place or renew an LMFT license in inactive status
No examination is required for this applicant pathway.
Existing license
Hold an LMFT license and elect inactive status.
Fee
Pay the $65 inactive annual renewal fee.
Practice
Do not practice marriage and family therapy while inactive; satisfy reactivation conditions before returning to active practice.

Official no-examination sources

Effective from 2026-09-22.

Reinstate an LMFT license expired for one year or longer
No examination is required for this applicant pathway.
Additional evidence
Supply evidence of continued ability to perform licensed functions when the Board requires it.
Application
Submit a reinstatement application and $200 reinstatement fee; document any other mental health licenses held.
Competency
20 approved CE hours per expired year, including two ethics/law hours, capped at 80 hours obtained in the four years immediately preceding application.
Lapse
LMFT license expired at least one year; this process excludes expired temporary COVID-19 licenses.

Official no-examination sources

Effective from 2026-09-22.

Late renewal of LMFT license within one year
No examination is required for this applicant pathway.
Continuing competency
Provide evidence of all applicable continuing competency: 20 hours per applicable annual period including two ethics/law hours.
Fees
Pay $45 LMFT late fee plus renewal fees for the period not renewed.
Lapse
License expired less than one year ago; no practice is authorized during the lapse.
Supervision
Independent practice requires return to current active LMFT status.

Official no-examination sources

Effective from 2026-09-22.

Reinstate a mandatorily suspended license without further examination
No examination is required for this applicant pathway.
Board decision
Obtain affirmative vote of three-fourths of Board members and a Board decision ordering reinstatement without further examination.
Eligibility
License was suspended under Va. Code 54.1-2409(A) for qualifying out-of-jurisdiction professional action, felony conviction, or adjudicated incapacity.
Hearing
Apply for reinstatement and receive a hearing at the next regular Board meeting after 60 days; counsel and witnesses are permitted.
Individual terms
Comply with any terms imposed by the Board; this pathway covers the statute’s expressly permitted reinstatement without further examination.

Official no-examination sources

Effective from 2026-09-22.

Reactivate an inactive LMFT license
No examination is required for this applicant pathway.
Additional evidence
The Board may require further evidence of ability to perform licensed functions.
Continuing competency
Provide documented continued competency for the inactive years, capped at 80 hours obtained in the four years preceding reactivation.
Fees
Pay the active renewal fee minus any inactive renewal fee already paid.
Inactive license
Hold an inactive LMFT license.

Official no-examination sources

Effective from 2026-09-22.

Reinstate an LMFT license after revocation
AMFTRB Marital and Family Therapy National Examination
Application
Pay the prescribed reinstatement fee; the Board’s LMFT disciplinary reinstatement packet states $600 and requires the application, license verifications and disclosures as applicable.
Burden of proof
Undergo Board investigation and show by clear and convincing evidence that practice will be safe and competent; reinstatement requires three-fourths of members at the hearing.
Original requirements
Va. Code 54.1-2408.2 directs consideration in the same manner as original licensure. The prescribed national MFT examination is retained with the statutory discretion to grant reinstatement without further examination recorded as a condition.
Waiting period
At least three years after revocation before the Board may consider reinstatement.
Waiver
The Board may grant reinstatement without further examination; Board-imposed terms and any applicable Virginia LPC waiver remain applicant conditions.
Licensure through federal military license portability (CAMO)
No examination is required for this applicant pathway.
Application
Submit an application, proof of military orders, and a notarized affidavit of identity, truth and completeness, understanding of Virginia licensing and scope requirements, compliance, and good standing in every jurisdiction. DHP Policy 76-90.06 additionally requires the Board application fee and the appropriate NPDB self-query.
Background check
The licensing authority may conduct a background check before recognition.
Compact
Federal portability does not apply to a covered license operating under an interstate compact; the applicable compact requirements govern that license.
Covered license
Hold a current unrestricted equivalent MFT license in good standing, with no revocation, discipline, pending unprofessional-conduct investigation, or surrender while under investigation.
Policy provenance
DHP Policy 76-90.06, revised July 13, 2026, was obtained and verified visually on all three pages; its PDF text encoding is corrupt. The machine-verifiable claim quotes the official federal statute and DHP Military Services page.
Relocation
Relocate residence to Virginia because of military orders issued to the servicemember; spouses provide a marriage certificate.
State practice and renewal
Comply with Virginia practice standards and the Board’s ordinary renewal and continuing education rules; DHP policy calls for self-certification that military orders continue on renewal.

Official no-examination sources

Effective from 2026-09-22.

Expedited licensure for a qualifying military spouse
AMFTRB Marital and Family Therapy National Examination
Application
Submit the completed Board application and $175 nonrefundable processing and initial licensure fee.
Board endorsement exception
The April 2026 LMFT Licensure Process Handbook, page 22, states: "To become licensed as an LMFT by the Board, you must pass the National Marital and Family Therapy (MFT) examination administered by the Association of Marital and Family Therapy Regulatory Boards (AMFTRB) unless you are applying for licensure by endorsement.". The November 2024 endorsement checklist requests license verification and NPDB, with no exam score documentation. The general examination rule is retained as the higher-ranked source; the Board’s endorsement exemption is recorded for the applicant.
Disciplinary history
No unresolved action against a mental health or health professional license or certificate; the Board evaluates prior disciplinary history case by case.
Expedited review
A complete application receives expedited issuance where the Board determines substantially equivalent requirements and no disciplinary disqualification; the Board may waive experience requirements and request documentation of equivalency.
Identification
Provide a Social Security number or Virginia DMV control number; supply name-change documents and explanations and supporting documents for affirmative criminal, disciplinary, or impairment disclosures when applicable.
Laws affidavit
Submit an affidavit that the Virginia MFT laws and regulations have been read and understood.
License eligibility
Hold or have held a valid unrestricted independent equivalent marriage and family therapy license in another United States jurisdiction.
License verifications
Verify every mental health or health license, certification, or registration ever held in another jurisdiction on the Board-approved form.
Military spouse
Hold a same or similar professional license elsewhere; accompany a spouse on federal active-duty orders or a veteran within one year of leaving active duty to Virginia, an adjoining state, or the District of Columbia.
Npdb
Submit a current National Practitioner Data Bank self-query report.
Virginia lpc examination waiver
18VAC115-50-70(A) waives the prescribed examination for a current unrestricted Virginia LPC; Va. Code 54.1-3506 allows LMFT licensure without examination for such LPCs meeting the clinical and academic qualifications. The named currently offered examination remains referenced under the survey contract, with the waiver carried as an applicant condition.

AMFTRB Marital and Family Therapy National Examination

Provider
Association of Marital and Family Therapy Regulatory Boards (AMFTRB); administered for AMFTRB by Professional Testing Corporation (PTC) at Prometric computer-based testing centers
Format
Computer-based examination of objective multiple-choice questions, each with four alternative answers of which only one is correct; given during a one-week testing window every month; scores on the six domains and the total examination are reported after the window closes
Exam questions
180 multiple-choice items
Time limit
4 hours total testing time
Passing score
Criterion-referenced passing score set on an anchor examination by a modified Angoff method and adjusted across forms by equating; the reported score equals the total number of correct responses
Exam fee
US $370.00 examination fee (includes testing center fees)
Examination outline
  • Domain 01 — The Practice of Systemic Therapy — Tasks related to incorporating systemic theory and perspectives into practice activities, and establishing and maintaining ongoing therapeutic relationships with the client system inclusive of diverse cultural contexts. (16%; 29 items) (16%)
    • 01.01 Conceptualize therapy consistent with the philosophical perspectives of systemic theory.
    • 01.02 Maintain consistency between systemic theory and clinical practice.
    • 01.03 Integrate individual treatment approaches with systemic treatment approaches.
    • 01.04 Integrate multiple dimensions of diversity and social justice theories with systemic treatment approaches.
    • 01.05 Use a systemic perspective to co-create a safe, inclusive, and non-judgmental space.
    • 01.06 Use a systemic perspective to co-create a therapeutic relationship with the client system.
    • 01.07 Use a systemic perspective to understand the complexities inherent in therapeutic interactions (e.g., family homeostasis, self of the therapist).
  • Domain 02 — Assessing, Hypothesizing, and Diagnosing — Tasks related to assessing and conceptualizing the various dimensions of the client system inclusive of diverse cultural contexts, including forming and reformulating systemic hypotheses and diagnosing the client system to guide therapeutic activities and interventions, including use of artificial intelligence (AI) as appropriate. (16%; 29 items) (16%)
    • 02.01 Assess the client system’s verbal and non-verbal communication styles to develop hypotheses about relationship patterns, perceptions, and responses to the reciprocal influence of relational patterns and the presenting issues.
    • 02.02 Assess the mental status of clients.
    • 02.03 Assess historic and current self-injurious behavior, suicidal ideation and intent, and/or homicidal ideation and intent.
    • 02.04 Identify and assess behavioral dynamics, processes, and interactional patterns (e.g., boundaries, roles, rules, alliances, coalitions, and hierarchies) within the client system to determine systemic functioning.
    • 02.05 Formulate and continually assess hypotheses regarding the client system that consider and incorporate diverse contexts.
    • 02.06 Assess appropriateness of potential treatment and therapeutic delivery modalities for the client system.
    • 02.07 Assess environmental factors (e.g., discrimination, gang violence, migration) affecting the client system.
    • 02.08 Assess the client system’s levels of economic, social, emotional, physical, spiritual, and cognitive functioning.
    • 02.09 Assess historic and current effects of substance use disorders on the functioning of the client system.
    • 02.10 Assess historic and current effects of violence or trauma, including vicarious trauma, on the client system.
    • 02.11 Assess historic and current effects of childhood experiences and traumas on the client system.
    • 02.12 Assess historic and current effects of impact of process use disorders (e.g., gambling, internet use, technology use, shopping) on functioning of the client system.
    • 02.13 Assess historic and current effects of sexual functioning on the client system.
    • 02.14 Assess how the developmental and family life cycle stages of the client system impact problem formation, maintenance, and resolution.
    • 02.15 Assess strengths, resources, coping skills, and resilience within and available to the client system.
    • 02.16 Select, administer, review, and/or interpret results of standardized instruments within the therapist’s training, competence, and scope of practice.
    • 02.17 Assess and diagnose clients in accordance with current DSM and ICD diagnostic criteria while maintaining a systems perspective.
    • 02.18 Formulate treatment hypotheses that integrate systemic perspectives, assessment inventories, and diagnostic impressions.
    • 02.19 Assess effects of occupational issues on the client system (e.g., military personnel, workers in geographically dispersed locations, first responders).
    • 02.20 Collaborate with the client system to determine need for evaluation by other professional and community systems.
    • 02.21 Collaborate with professional and community systems as appropriate in making diagnoses and establishing treatment priorities.
    • 02.22 Collaborate with the client system to refer as appropriate based on diagnoses and treatment priorities.
  • Domain 03 — Designing and Conducting Treatment — Tasks related to developing and implementing a course of culturally responsive treatment with the client system, including identifying possible therapeutic models, implementing associated interventions, and treatment planning, including use of artificial intelligence (AI) as appropriate. (17%; 30 items) (17%)
    • 03.01 Evaluate and maintain a quality therapeutic alliance with the client system.
    • 03.02 Establish therapeutic contracts.
    • 03.03 Utilize assessment information to develop a treatment plan that reflects a contextual understanding of the presenting issue.
    • 03.04 Determine relevant short-term goals, long-term goals and objectives for treatment, as well as criteria for successful completion of treatment.
    • 03.05 Identify the client system’s previous and current attempts to resolve the presenting issues.
    • 03.06 Identify members of client and collateral systems involved in resolving issues.
    • 03.07 Develop and monitor ongoing safety plan to address identified safety risks for the client in all therapeutic delivery contexts.
    • 03.08 Engage in therapeutic interventions based on theory and current research and a shared contextual understanding of the client system and presenting issues.
    • 03.09 Clarify with the client system the rationale for selecting therapeutic interventions as appropriate.
    • 03.10 Collaborate with the client system to determine sequence of treatment and identify which members will be involved.
    • 03.11 Develop and monitor recovery-oriented systemic care for treatment of substance use disorders.
    • 03.12 Use genograms and/or family mapping as therapeutic interventions as indicated.
    • 03.13 Facilitate client system change through restructuring and reorganization.
    • 03.14 Collaborate with the client system to identify and explore competing priorities of client issues to be addressed in treatment.
    • 03.15 Assist the client system in developing decision-making, coping, and effective verbal and non-verbal communication skills in their relational contexts.
    • 03.16 Attend to the homeostatic process and its impact on the client system’s ability to attain therapeutic goals.
    • 03.17 Assist the client system in developing alternative perspectives of the presenting issues to facilitate solutions.
    • 03.18 Influence client behavior and perceptions through use of metaphor, rewriting narratives, mindfulness, etc.
    • 03.19 Integrate cultural, spiritual, social, intellectual, and biological characteristics and strengths of the client system when devising effective treatment strategies.
    • 03.20 Recognize and support client autonomy when devising effective treatment strategies.
    • 03.21 Maintain awareness of common side effects of medications, monitor client system for these within the boundaries of professional competence, and coordinate care with any relevant prescribers.
    • 03.22 Adapt therapeutic stance and interventions to accommodate the process and structure of all therapeutic delivery modalities.
  • Domain 04 — Evaluating Ongoing Process and Terminating Treatment — Tasks related to continuously evaluating the therapeutic process, incorporating feedback into the course of treatment, and planning for termination, inclusive of different cultural contexts and use of artificial intelligence (AI) as appropriate. (16%; 29 items) (16%)
    • 04.01 Use theory and current research in the ongoing evaluation of process, outcomes, and termination.
    • 04.02 Evaluate the progress of therapy in collaboration with client and collateral systems as indicated.
    • 04.03 Modify treatment plan in collaboration with client and collateral systems as indicated.
    • 04.04 Continually evaluate client system appropriateness for all therapeutic delivery modalities.
    • 04.05 Develop a termination plan in collaboration with the client and collateral systems to maintain therapeutic gains after treatment has ended.
    • 04.06 Terminate therapeutic relationship in a professional and culturally responsive manner.
  • Domain 05 — Managing Crisis Situations — Tasks related to assessing and managing emergency situations, inclusive of different cultural contexts, and intervening when clinically indicated and/or legally mandated. (16%; 29 items) (16%)
    • 05.01 Assess impairment in the client system during crisis situations to determine if and what immediate interventions may be needed.
    • 05.02 Assess for presence of suicidal ideation and determine the level of intervention.
    • 05.03 Assess for risk of violence toward the client from others to determine the need for intervention.
    • 05.04 Assess the client’s potential for self-injurious behavior to determine level of intervention.
    • 05.05 Assess the client’s potential for violence or harm toward others, including the therapist, to determine level of intervention.
    • 05.06 Assess risk of violence toward therapist from sources outside of the client system and develop a safety plan.
    • 05.07 Assess impact of community-level crisis on client system and develop interventions as they pertain to that crisis.
    • 05.08 Assess the impact of client system’s trauma history and other relevant contextual factors on current crisis.
    • 05.09 Collaborate with other relevant stakeholders in managing client system’s crisis.
    • 05.10 Respond to emerging crisis as appropriate to the therapeutic delivery modality and use relevant crisis resources.
  • Domain 06 — Maintaining Ethical, Legal, and Professional Standards — Tasks related to ongoing adherence to legal and ethical codes and treatment agreements, maintaining culturally responsive competency, upholding professional standards, and utilizing artificial intelligence (AI) in clinical practice. (19%; 34 items) (19%)
    • 06.01 Demonstrate professional responsibility and competence regarding legal issues and regulations across therapeutic delivery modalities, including use of artificial intelligence (AI).
    • 06.02 Compare agency and employment policies with relevant ethics code, statutes, case law, and regulations and privilege the higher standard.
    • 06.03 Integrate current ethical codes of licensing boards, relevant professional organizations, and associations into appropriate professional practice.
    • 06.04 Adhere to relevant business laws related to clinical practice (e.g., Stark Law, Anti-Kickback Statute, False Claims Act, etc.)
    • 06.05 Practice within therapist’s scope of competence.
    • 06.06 Maintain awareness of and effectively manage how the therapist’s personal issues, life experiences, values and morals, and previous trauma impact the therapeutic process.
    • 06.07 Maintain awareness of and effectively manage how the supervisors’ personal issues, life experiences, values and morals, and previous trauma influence the supervisory process
    • 06.08 Adhere to treatment agreements with client systems and respect the rights of clients.
    • 06.09 Provide the client system with written professional disclosures regarding fees, credentials, reporting complaints, confidentiality, privileged communication, and providing technologically assisted services, including use of artificial intelligence (AI), etc.
    • 06.10 Confirm the client system’s identities, locations, and safety levels at the beginning of each teletherapy session.
    • 06.11 Monitor and mitigate risk for potential exploitation of the client system by the therapist.
    • 06.12 Consult with colleagues and other professionals as necessary regarding ethical and legal issues, and document these consultations.
    • 06.13 Respect the roles and responsibilities of other professionals involved in the client system’s treatment process as they relate to ethical and legal issues.
    • 06.14 Maintain accurate and timely records including long-term safe and confidential storage and plan record transfer and/or disposal within timeframes specified by current statutes.
    • 06.15 Adhere to ethical and regulatory guidelines for engaging in the supervisor-supervisee relationship across modalities.
Examination sources