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Wyoming Marriage & Family Therapy — Requirements & Free Practice

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Licensed Marriage and Family Therapist (LMFT)

Independent couples, marriage and family therapy license. Statutory exemptions and Chapter 20 disaster-relief authorizations permit specified activities without creating additional Board license types.

Licensing authority: Wyoming Mental Health Professions Licensing Board · Application information

Licensure by completing provisional
AMFTRB Marital and Family Therapy National Examination
Age
Applicant must have reached the age of majority.
Application
Submit a complete signed application, official transcripts and direct-source supporting documents; complete all licensure requirements within one year of application.
Attempts
Three attempts; one additional attempt may be approved with a remediation plan.
Background check
Submit two FD-258 fingerprint cards completed within six months of submission; Board performs criminal-history and NPDB checks.
Criminal history
No felony convictions or adversely related misdemeanor convictions, subject to Board exceptions consistent with the public interest.
Disclosure statement
Submit a professional disclosure statement appropriate to the intended practice.
Education
COAMFTE-accredited marriage and family therapy master’s degree; CACREP-MCFC is accepted only for enrollment before January 1, 2020. Equivalent unaccredited programs require CHEA-recognized institutional accreditation, substantially similar content, qualifying graduate coursework and at least 48 semester or 72 quarter hours. Chapter 10 Section 3 prescribes the applicable core coursework and practicum/internship requirements for the program period.
Exam score age
The five-year passing-score limit does not apply to completion of provisional licensure.
Experience
Complete 3,000 post-degree supervised clinical hours over 18 to 36 months unless extended by the Board, including 1,200 direct client contact hours with at least 500 hours serving couples and families, plus at least 100 postgraduate clinical supervision hours with a designated qualified clinical supervisor.
Extraordinary waiver
W.S. 33-1-303(b)-(d) permits Board waiver or modification when an examination is not given or practicably available, or statutory requirements cannot be met because of public-health orders or weather, subject to statutory duration limits and any Board restrictions.
Fees
$200 completion application and applicable background-check and NPDB fees.
Legal presence
Provide proof of lawful presence in the United States.
Other board approved exam
Chapter 10 Section 5(a)(ii) also permits another examination approved by the Board; this open alternative names no additional identifiable examination.
Prior license
Hold a Wyoming PMFT license and complete education, experience, supervision and examination requirements.
Provisional documents
Surrender provisional identification cards and submit the revised professional disclosure statement.
Score and experience reports
Exam provider submits the official passing report directly; each approved supervisor submits VESE reports covering the entire provisional period. Prior out-of-state hours require ARC approval under Chapter 7 Section 4(a)(ii)(D).
Supervision
Continue both administrative and clinical supervision until the independent practice license is issued.
Licensure by examination
AMFTRB Marital and Family Therapy National Examination
Age
Applicant must have reached the age of majority.
Application
Submit a complete signed application, official transcripts and direct-source supporting documents; complete all licensure requirements within one year of application.
Background check
Submit two FD-258 fingerprint cards completed within six months of submission; Board performs criminal-history and NPDB checks.
Criminal history
No felony convictions or adversely related misdemeanor convictions, subject to Board exceptions consistent with the public interest.
Disclosure statement
Submit a professional disclosure statement appropriate to the intended practice.
Education
COAMFTE-accredited marriage and family therapy master’s degree; CACREP-MCFC is accepted only for enrollment before January 1, 2020. Equivalent unaccredited programs require CHEA-recognized institutional accreditation, substantially similar content, qualifying graduate coursework and at least 48 semester or 72 quarter hours. Chapter 10 Section 3 prescribes the applicable core coursework and practicum/internship requirements for the program period.
Exam score age
Passing score must be within the five years immediately before application.
Experience
Complete 3,000 post-degree supervised clinical hours over 18 to 36 months unless extended by the Board, including 1,200 direct client contact hours with at least 500 hours serving couples and families, plus at least 100 postgraduate clinical supervision hours with a designated qualified clinical supervisor.
Extraordinary waiver
W.S. 33-1-303(b)-(d) permits Board waiver or modification when an examination is not given or practicably available, or statutory requirements cannot be met because of public-health orders or weather, subject to statutory duration limits and any Board restrictions.
Fees
$375 licensing application, $39 background check and $5 NPDB fee.
Legal presence
Provide proof of lawful presence in the United States.
Other board approved exam
Chapter 10 Section 5(a)(ii) also permits another examination approved by the Board; this open alternative names no additional identifiable examination.
Practice before issuance
Examination application does not authorize supervised practice while testing; seek provisional licensure if practice is needed.
Expedited licensure for military service members and military spouses
AMFTRB Marital and Family Therapy National Examination
Age
Applicant must have reached the age of majority.
Application
Submit a complete signed application, official transcripts and direct-source supporting documents; complete all licensure requirements within one year of application.
Background check
Submit two FD-258 fingerprint cards completed within six months of submission; Board performs criminal-history and NPDB checks.
Criminal history
No felony convictions or adversely related misdemeanor convictions, subject to Board exceptions consistent with the public interest.
Disclosure statement
Submit a professional disclosure statement appropriate to the intended practice.
Experience
Relevant military education, training and experience must be considered; military-spouse paid and volunteer work may be credited.
Extraordinary waiver
W.S. 33-1-303(b)-(d) permits Board waiver or modification when an examination is not given or practicably available, or statutory requirements cannot be met because of public-health orders or weather, subject to statutory duration limits and any Board restrictions.
Legal presence
Provide proof of lawful presence in the United States.
Military eligibility
Meet the military service member or military spouse definitions in W.S. 33-1-117(a); supply military identification or marriage proof and military orders or honorable-release evidence.
Other board approved exam
Chapter 10 Section 5(a)(ii) also permits another examination approved by the Board; this open alternative names no additional identifiable examination.
Other license
Hold a relevant active license in good standing from another jurisdiction for at least five consecutive years for the completed-application or qualifying request procedure.
Other licensing requirements
W.S. 33-1-117(k) preserves other Title 33 and properly adopted Board requirements unless otherwise provided; the registered national examination is retained with applicable reciprocity and statutory waivers.
Processing
Issue within 30 days under W.S. 33-1-117(b) and (g), subject to the statutory criteria.
Professional standards
Submit to Wyoming standards, discipline and continuing education; no disqualifying acts.
Modification of license conditions or restrictions
No examination is required for this applicant pathway.
Board discretion
Disciplinary Committee reviews the petition; the Board may accept or reject it.
License status
Existing LMFT with Board-imposed conditions or restrictions.
Petition
Written petition documenting compliance with the Board order and showing that the requested modification adequately protects the public.

Official no-examination sources

Effective from 2026-09-22.

Licensure for qualified individuals licensed in another jurisdiction under W.S. 33 1 120
AMFTRB Marital and Family Therapy National Examination
Age
Applicant must have reached the age of majority.
Application
Submit a complete signed application, official transcripts and direct-source supporting documents; complete all licensure requirements within one year of application.
Background check
Submit two FD-258 fingerprint cards completed within six months of submission; Board performs criminal-history and NPDB checks.
Criminal history
No felony convictions or adversely related misdemeanor convictions, subject to Board exceptions consistent with the public interest.
Discipline
No acts constituting grounds for refusal, suspension or revocation.
Disclosure statement
Submit a professional disclosure statement appropriate to the intended practice.
Exam equivalence and waiver
W.S. 33-1-120(b)(i)(B) permits the same or an earlier examination version and requires waiver of examination equivalency after more than ten years of licensure. Prior passage and waiver are applicant conditions; the registered current examination remains the identified examination.
Extraordinary waiver
W.S. 33-1-303(b)-(d) permits Board waiver or modification when an examination is not given or practicably available, or statutory requirements cannot be met because of public-health orders or weather, subject to statutory duration limits and any Board restrictions.
Fees
Complete required application procedures and pay required fees.
Legal presence
Provide proof of lawful presence in the United States.
License equivalence
Hold a relevant active license in good standing from a jurisdiction requiring substantially equivalent or more stringent education, training, examination and experience; Wyoming Board determines substantial equivalency and competency.
Other board approved exam
Chapter 10 Section 5(a)(ii) also permits another examination approved by the Board; this open alternative names no additional identifiable examination.
Possible wyoming law exam
W.S. 33-1-120(b)(i)(D) permits the Board to require an exam on Wyoming law regardless of license duration; the statute does not identify a particular examination.
Work experience
Full-time, part-time, paid and volunteer experience may be credited.
Return from retired status to active practice
No examination is required for this applicant pathway.
Continuing education
Complete 45 CE hours within the two years before reapplication.
Disclosure statement
Submit a professional disclosure statement for active practice.
Fees
Pay the full renewal fee for the remainder of the current license period.
Prior status
Retired Wyoming LMFT.

Official no-examination sources

Effective from 2026-09-22.

Licensure by reciprocity
AMFTRB Marital and Family Therapy National Examination
Age
Applicant must have reached the age of majority.
Application
Submit a complete signed application, official transcripts and direct-source supporting documents; complete all licensure requirements within one year of application.
Background check
Submit two FD-258 fingerprint cards completed within six months of submission; Board performs criminal-history and NPDB checks.
Criminal history
No felony convictions or adversely related misdemeanor convictions, subject to Board exceptions consistent with the public interest.
Disclosure statement
Submit a professional disclosure statement appropriate to the intended practice.
Education
Master’s degree or higher in marriage and family therapy.
Exam score
Provide an official passing score report; the five-year score-age restriction does not apply.
Extraordinary waiver
W.S. 33-1-303(b)-(d) permits Board waiver or modification when an examination is not given or practicably available, or statutory requirements cannot be met because of public-health orders or weather, subject to statutory duration limits and any Board restrictions.
Fees
$375 licensing application, $39 background check and $5 NPDB fee.
Legal presence
Provide proof of lawful presence in the United States.
Other board approved exam
Chapter 10 Section 5(a)(ii) also permits another examination approved by the Board; this open alternative names no additional identifiable examination.
Out of state license
Hold a discipline-appropriate license in good standing, free from discipline, under substantially similar licensing requirements; verify all licenses held in the last five years are discipline-free.
Reinstatement after discipline or surrender
No examination is required for this applicant pathway.
Application
Completed reinstatement application and fees.
Board order
Provide evidence of complying with the prior Board order or correcting the underlying conduct to demonstrate safe, skillful and competent practice. Any case-specific order requirements are applicant conditions.
Continuing education
20 contact hours of qualifying CE per year since the last renewal, if applicable.
Prior status
License revoked, surrendered, suspended, conditioned or restricted.
Revocation period
After revocation, application cannot be made until 30 days before the end of the Board’s stated revocation period.

Official no-examination sources

Effective from 2026-09-22.

Relicensure after expiration of more than five years
AMFTRB Marital and Family Therapy National Examination
Application
Submit relicensure application, fees, fingerprints, background information and NPDB authorization.
Board instructions ce
The official relicensure packet requests 45 CE hours in the last two years, including three ethics and three suicide assessment/intervention hours.
Exam score
Retake and successfully pass the proper marriage and family therapy examination.
Expiry
License expired for more than five years.
Extraordinary waiver
W.S. 33-1-303(b)-(d) permits Board waiver or modification when an examination is not given or practicably available, or statutory requirements cannot be met because of public-health orders or weather, subject to statutory duration limits and any Board restrictions.
Other board approved exam
Chapter 10 Section 5(a)(ii) also permits another examination approved by the Board; this open alternative names no additional identifiable examination.
Prior license
Former Wyoming LMFT whose license expired and who has not held an active license in another jurisdiction.
Relicensure after expiration of five years or less
No examination is required for this applicant pathway.
Application
Completed relicensure application, required fees, fingerprints, background information and NPDB query.
Continuing education
45 CE hours in the two years before relicensure, including three ethics and three suicide assessment/intervention hours.
Expiry
License expired for five years or less.
Prior license
Former Wyoming LMFT who failed timely renewal or allowed expiration and has not held an active license in another jurisdiction.

Official no-examination sources

Effective from 2026-09-22.

Biennial renewal
No examination is required for this applicant pathway.
Background check
Fingerprints and criminal-history check every four years; NPDB query accompanies renewal.
Ce exemptions
Board may grant proportionate CE exemptions for qualifying military deployment, disability, illness or disabling situations exceeding 180 consecutive days.
Continuing education
45 contact hours during the current renewal period, including at least three ethics hours and three suicide assessment or intervention hours; retain supporting records for two years.
Fees
$200 for the initial discipline, $75 for each additional discipline, plus applicable background-check and NPDB fees.
Renewal period
Apply every two years on or before the birthday expiration date; no earlier than 120 days before expiration.

Official no-examination sources

Effective from 2026-09-22.

Temporary Practice Permit

Statutorily authorized discretionary permit under Board implementing rules while unmet permanent-license requirements are being completed; statutory maximum is three years.

Licensing authority: Wyoming Mental Health Professions Licensing Board · Application information

Temporary practice permit while completing permanent licensure
AMFTRB Marital and Family Therapy National Examination
Application
Applied for a professional license under W.S. 33-1-117.
Board discretion
Board may issue the permit pursuant to implementing rules; statutory authorization does not guarantee issuance to an applicant.
Exam timing
The permanent-license application involves the identified national MFT examination under otherwise applicable licensure/reciprocity requirements; passage may precede the application or occur while completing unmet requirements.
Extraordinary waiver
W.S. 33-1-303(b)-(d) permits Board waiver or modification when an examination is not given or practicably available, or statutory requirements cannot be met because of public-health orders or weather, subject to statutory duration limits and any Board restrictions.
Fee
No temporary-permit fee.
Military eligibility
Military service member or military spouse holding a relevant active license in good standing from another state and providing the military identification or marriage proof required by W.S. 33-1-117(b)(i).
Other board approved exam
Chapter 10 Section 5(a)(ii) also permits another examination approved by the Board; this open alternative names no additional identifiable examination.
Term
No more than three years, with progress toward unmet licensing requirements, ending earlier when the permanent license is granted or denied.

Provisional Marriage and Family Therapist (PMFT)

Supervised license used to complete education, experience and examination requirements for independent practice.

Licensing authority: Wyoming Mental Health Professions Licensing Board · Application information

Provisional licensure with completed education
AMFTRB Marital and Family Therapy National Examination
Administrative supervision
Work under administrative supervision of an employer; independent contracting and ownership interest do not satisfy this requirement.
Age
Applicant must have reached the age of majority.
Application
Submit a complete signed application, official transcripts and direct-source supporting documents; complete all licensure requirements within one year of application.
Background check
Submit two FD-258 fingerprint cards completed within six months of submission; Board performs criminal-history and NPDB checks.
Clinical supervision
A Board-approved DQCS agreement is required before issuance and supervised practice; supervision under Chapter 18 includes at least one hour per 20 hours of direct clinical services monthly.
Criminal history
No felony convictions or adversely related misdemeanor convictions, subject to Board exceptions consistent with the public interest.
Disclosure statement
Submit a professional disclosure statement appropriate to the intended practice.
Education
COAMFTE-accredited marriage and family therapy master’s degree; CACREP-MCFC is accepted only for enrollment before January 1, 2020. Equivalent unaccredited programs require CHEA-recognized institutional accreditation, substantially similar content, qualifying graduate coursework and at least 48 semester or 72 quarter hours. Chapter 10 Section 3 prescribes the applicable core coursework and practicum/internship requirements for the program period.
Exam timing
The exam may be taken during provisional licensure; it need not be passed before the provisional license is issued.
Extraordinary waiver
W.S. 33-1-303(b)-(d) permits Board waiver or modification when an examination is not given or practicably available, or statutory requirements cannot be met because of public-health orders or weather, subject to statutory duration limits and any Board restrictions.
Fees
$175 provisional application, $39 background check and $5 NPDB fee.
Legal presence
Provide proof of lawful presence in the United States.
License limit
No more than two provisional licenses in a single discipline.
Other board approved exam
Chapter 10 Section 5(a)(ii) also permits another examination approved by the Board; this open alternative names no additional identifiable examination.
Term
Expires 36 months after issuance or upon issuance of the independent practice license, whichever is first; Board may grant extensions for good cause.
Provisional licensure with educational deficiencies
AMFTRB Marital and Family Therapy National Examination
Administrative supervision
Work under administrative supervision of an employer; independent contracting and ownership interest do not satisfy this requirement.
Age
Applicant must have reached the age of majority.
Application
Submit a complete signed application, official transcripts and direct-source supporting documents; complete all licensure requirements within one year of application.
Background check
Submit two FD-258 fingerprint cards completed within six months of submission; Board performs criminal-history and NPDB checks.
Clinical supervision
A Board-approved DQCS agreement is required before issuance and supervised practice; supervision under Chapter 18 includes at least one hour per 20 hours of direct clinical services monthly.
Criminal history
No felony convictions or adversely related misdemeanor convictions, subject to Board exceptions consistent with the public interest.
Disclosure statement
Submit a professional disclosure statement appropriate to the intended practice.
Education
Hold a clinical master’s or doctoral degree from a regionally accredited institution; Chapter 7 Section 1(d)(i) allows no more than six deficient semester hours, with ethics/professional orientation and practicum/internship already met; complete remaining program deficiencies during provisional licensure.
Exam timing
The exam may be taken during provisional licensure; it need not be passed before the provisional license is issued.
Extraordinary waiver
W.S. 33-1-303(b)-(d) permits Board waiver or modification when an examination is not given or practicably available, or statutory requirements cannot be met because of public-health orders or weather, subject to statutory duration limits and any Board restrictions.
Fees
$175 provisional application, $39 background check and $5 NPDB fee.
Legal presence
Provide proof of lawful presence in the United States.
License limit
No more than two provisional licenses in a single discipline.
Other board approved exam
Chapter 10 Section 5(a)(ii) also permits another examination approved by the Board; this open alternative names no additional identifiable examination.
Term
Expires 36 months after issuance or upon issuance of the independent practice license, whichever is first; Board may grant extensions for good cause.
Provisional extension to complete examination
AMFTRB Marital and Family Therapy National Examination
Experience
Required clinical experience and supervision hours already completed.
Extraordinary waiver
W.S. 33-1-303(b)-(d) permits Board waiver or modification when an examination is not given or practicably available, or statutory requirements cannot be met because of public-health orders or weather, subject to statutory duration limits and any Board restrictions.
Other board approved exam
Chapter 10 Section 5(a)(ii) also permits another examination approved by the Board; this open alternative names no additional identifiable examination.
Request
Written request must provide a detailed explanation of good cause.
Supervision
Continue administrative and Board-approved clinical supervision.
Term
One extension of up to six months to continue sitting for the required exam.
Provisional extension to complete experience
AMFTRB Marital and Family Therapy National Examination
Exam score
Required examination passed during the initial three-year provisional period.
Extraordinary waiver
W.S. 33-1-303(b)-(d) permits Board waiver or modification when an examination is not given or practicably available, or statutory requirements cannot be met because of public-health orders or weather, subject to statutory duration limits and any Board restrictions.
Other board approved exam
Chapter 10 Section 5(a)(ii) also permits another examination approved by the Board; this open alternative names no additional identifiable examination.
Request
Written request must provide a detailed explanation of good cause.
Supervision
Continue administrative and Board-approved clinical supervision.
Term
One extension of up to three years to complete clinical experience and supervision hours.
Provisional licensure for a license holder not eligible for reciprocity
AMFTRB Marital and Family Therapy National Examination
Administrative supervision
Work under administrative supervision of an employer; independent contracting and ownership interest do not satisfy this requirement.
Age
Applicant must have reached the age of majority.
Application
Submit a complete signed application, official transcripts and direct-source supporting documents; complete all licensure requirements within one year of application.
Background check
Submit two FD-258 fingerprint cards completed within six months of submission; Board performs criminal-history and NPDB checks.
Clinical supervision
A Board-approved DQCS agreement is required before issuance and supervised practice; supervision under Chapter 18 includes at least one hour per 20 hours of direct clinical services monthly.
Criminal history
No felony convictions or adversely related misdemeanor convictions, subject to Board exceptions consistent with the public interest.
Disclosure statement
Submit a professional disclosure statement appropriate to the intended practice.
Exam timing
The exam may be taken during provisional licensure; it need not be passed before the provisional license is issued.
Extraordinary waiver
W.S. 33-1-303(b)-(d) permits Board waiver or modification when an examination is not given or practicably available, or statutory requirements cannot be met because of public-health orders or weather, subject to statutory duration limits and any Board restrictions.
Fees
$175 provisional application, $39 background check and $5 NPDB fee.
Legal presence
Provide proof of lawful presence in the United States.
License limit
No more than two provisional licenses in a single discipline.
Other board approved exam
Chapter 10 Section 5(a)(ii) also permits another examination approved by the Board; this open alternative names no additional identifiable examination.
Other license
Hold an independent clinical MFT license in good standing in another jurisdiction that does not meet reciprocity criteria; complete educational deficiencies during provisional licensure under the statutory route and Board educational standards.
Term
Expires 36 months after issuance or upon issuance of the independent practice license, whichever is first; Board may grant extensions for good cause.

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