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Utah Psychologist — Requirements & Free Practice

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Psychologist

Utah license to practice psychology within education, training, competence, and any mental-health-therapy qualification.

Licensing authority: Utah Division of Professional Licensing, in collaboration with the Behavioral Health Board

Licensure by endorsement — division evaluation
Utah Psychologist Law and Ethics Examination
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Board application conditions
The psychologist application v20250618 also requests current license verification, active practice verification and the selected equivalency option. Its endorsement section says: 'If you are currently licensed in good standing in another state, and have practiced for a minimum of 2,000 hours or one year (whichever is greater), you may apply for Licensure by Endorsement.' It asks for ABPP specialist status, National Register health-service-provider credentials, CPQ, or substantially equivalent qualifications.
Controlling law
58-1-302(8)(a) controls over conflicting endorsement provisions in Chapter 61.
Eligibility
Other US or non-US licensure with Division-determined competency plus one year of experience, or substantially similar licensing requirements; the Division may assess additional education or experience under 58-1-302(6).
Examination discretion
Under R156-1-302(4), the Division may require additional profession examinations; the generic business/law, jurisprudence or professional-exam slot identifies no additional exact examination.
Law score
Pass the Utah Psychologist Law and Ethics Examination with at least 75%.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.
Licensure by endorsement — similar scope
Utah Psychologist Law and Ethics Examination
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Board application conditions
The psychologist application v20250618 also requests current license verification, active practice verification and the selected equivalency option. Its endorsement section says: 'If you are currently licensed in good standing in another state, and have practiced for a minimum of 2,000 hours or one year (whichever is greater), you may apply for Licensure by Endorsement.' It asks for ABPP specialist status, National Register health-service-provider credentials, CPQ, or substantially equivalent qualifications.
Controlling law
58-1-302(8)(a) controls over conflicting endorsement provisions in Chapter 61.
Eligibility
License with similar scope issued by another US jurisdiction; at least one year of experience and good standing. The general rule permits the qualifying license to be inactive.
Examination discretion
Under R156-1-302(4), the Division may require additional profession examinations; the generic business/law, jurisprudence or professional-exam slot identifies no additional exact examination.
Law score
Pass the Utah Psychologist Law and Ethics Examination with at least 75%.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.
Licensure by endorsement — without prior license
Utah Psychologist Law and Ethics Examination
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Board application conditions
The psychologist application v20250618 also requests current license verification, active practice verification and the selected equivalency option. Its endorsement section says: 'If you are currently licensed in good standing in another state, and have practiced for a minimum of 2,000 hours or one year (whichever is greater), you may apply for Licensure by Endorsement.' It asks for ABPP specialist status, National Register health-service-provider credentials, CPQ, or substantially equivalent qualifications.
Controlling law
58-1-302(8)(a) controls over conflicting endorsement provisions in Chapter 61.
Eligibility
Never previously licensed; education or experience obtained in another jurisdiction and Division determination of substantially similar education, credentialing examination and experience.
Examination discretion
Under R156-1-302(4), the Division may require additional profession examinations; the generic business/law, jurisprudence or professional-exam slot identifies no additional exact examination.
Law score
Pass the Utah Psychologist Law and Ethics Examination with at least 75%.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.
Licensure by education, clinical training and examination
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Education
Approved doctoral degree in psychology and certified transcripts; comply with R156-61-302a, including approved accreditation, coursework, practicum, internship or respecialization criteria as applicable.
Exam admission
Complete the education and supervised training requirements before admission under 58-61-305; obtain authorization for the EPPP and comply with the rule's retesting and integrity provisions.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.
Passing scores
ASPPB-recommended EPPP passing score and at least 75% on the Utah Law and Ethics Examination.
Practice scope
This route does not establish the additional supervised-training qualification for mental health therapy; practice remains limited by education, training and competence.
Supervised training
At least 4,000 hours of approved psychology training with an approved psychologist supervisor under R156-61-302b.
Licensure by education, clinical training and examination with mental health therapy qualification
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Education
Approved doctoral degree in psychology and certified transcripts; comply with R156-61-302a, including approved accreditation, coursework, practicum, internship or respecialization criteria as applicable.
Exam admission
Complete the education and supervised training requirements before admission under 58-61-305; obtain authorization for the EPPP and comply with the rule's retesting and integrity provisions.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.
Mental health therapy
At least 1,000 supervised mental-health-therapy hours after a master's-level psychology education, which may count within the 4,000 hours; at least one direct-supervision hour per 40 training hours.
Passing scores
ASPPB-recommended EPPP passing score and at least 75% on the Utah Law and Ethics Examination.
Supervised training
At least 4,000 hours of approved psychology training with an approved psychologist supervisor under R156-61-302b.
Placement on inactive status
No examination is required for this applicant pathway.
Application
Submit verified inactive-status application, qualification documents and applicable fee.
Practice
An inactive license confers no practice privilege unless a specific rule provides otherwise.
Previous status
Existing license active and in good standing in an expressly listed classification.

Official no-examination sources

Effective from 2026-09-22.

Activation of inactive license
No examination is required for this applicant pathway.
Application
Submit verified activation application and appropriate fee.
Current renewal
Document current renewal qualifications unless otherwise provided by statute or rule.
Status
Existing inactive license.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after active licensed practice elsewhere or federal employment
No examination is required for this applicant pathway.
Deadline
Apply within six months of reestablishing Utah domicile or ending full-time government service.
Practice
Active practice in full-time United States government employment or under a professional license in another US state or territory since expiration.
Renewal
Submit the reinstatement application and applicable fees and document compliance with renewal qualifications.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after discipline
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
Previously disciplined license: expired or completed suspension term
Reinstatement between two and five years after nonrenewal
Board review
Meet the Board if requested, complete its required education or experience and any recommended approved supervision plan (up to 4,000 hours).
Continuing education
Complete at least 48 hours in subjects the Board determines necessary.
Examination discretion
The Board may require the Utah Law and Ethics Examination, the EPPP, or both to demonstrate safe competent practice; anyOf preserves the stated alternatives and permits both. The Board decides which the applicant must pass.
Previous status
License active and in good standing at expiration, with application between two and five years after expiration.
Reinstatement within two years after nonrenewal
No examination is required for this applicant pathway.
Filing window
Within 30 days submit completed renewal form and renewal/late fees; from day 31 through two years submit completed renewal form and renewal/reinstatement fees.
Previous status
License active and in good standing when it expired.
Renewal qualifications
Document current renewal qualifications, including applicable continuing education; a resident must still meet its statutory certification term limit.

Official no-examination sources

Effective from 2026-09-22.

Relicensure after adverse surrender
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
License surrendered while not in good standing.
New license application after more than five years of nonrenewal
Current qualifications
Submit a complete new-license application and satisfy the current initial qualifications for this classification, including its education, training and other conditions; any available endorsement alternative is represented by the endorsement routes.
Elapsed time
More than five years after expiration, outside the special active-elsewhere/government exception.
Fee
Pay the new-applicant license fee.
Relicensure following surrender in good standing
Examination discretion
The Board determines whether the EPPP, Utah Law and Ethics Examination or both are necessary in the applicable reentry pathway.
Prior status
License was active and in good standing when surrendered.
Recovery conditions
Apply the applicable procedures in R156-1-308a through 308l; current initial qualifications or the discretionary reentry examinations apply when that recovery pathway is applicable.
Relicensure after revocation
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
Previously revoked license
Renewal of existing license or certification
No examination is required for this applicant pathway.
Application
Submit renewal application, fee and qualification certification.
Continuing education
48 hours, including at least six in ethics and law per two-year cycle; initial partial cycles are prorated; retain documentation for two years after the cycle and obtain any approved waiver.
Course examinations
Examinations in recognized internet/distance continuing-education courses are unnamed course completion conditions, not identified licensing examinations.
Renewal cycle
Psychology's standard renewal cycle ends September 30 of even years, subject to the resident certification's statutory term and extension limit.

Official no-examination sources

Effective from 2026-09-22.

Certified Prescribing Psychologist

Additional prescribing certification for an authorized psychologist.

Licensing authority: Utah Division of Professional Licensing, in collaboration with the Behavioral Health Board

Prescribing certification by endorsement — division evaluation
Utah Psychologist Law and Ethics Examination
Additional examination
Unspecified equivalency score evidence and any Division examination discretion are applicant conditions.
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Board documentation
The v20241025 prescribing application requests active good-standing licensure, active practice for one year, and transcripts or examination scores if needed for equivalency. Chapter 61(5) also describes 4,000 hours/two years of prescribing practice, equivalent qualifications, discipline clearance, background checking and liability insurance; comply insofar as not superseded by controlling 58-1-302.
Eligibility
Prior licensure in another jurisdiction with competency and experience or substantially similar requirements under 58-1-302(3)(a).
General webpage demand
The Board's general certified prescribing page states 'Pass the Psychopharmacology Examination (PEP).' Its initial application checklist expressly assigns the PEP score report to initial licensure; its endorsement exam statement specifically identifies the Utah law examination. Treat the general page's PEP instruction as an applicant-facing condition, while the specific endorsement statute and implementation determine this route's examination leaf.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.
Priority
58-1-302(8)(a) controls conflicting Chapter 61 endorsement prerequisites.
Prescribing certification by endorsement — similar scope
Utah Psychologist Law and Ethics Examination
Additional examination
Unspecified equivalency score evidence and any Division examination discretion are applicant conditions.
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Board documentation
The v20241025 prescribing application requests active good-standing licensure, active practice for one year, and transcripts or examination scores if needed for equivalency. Chapter 61(5) also describes 4,000 hours/two years of prescribing practice, equivalent qualifications, discipline clearance, background checking and liability insurance; comply insofar as not superseded by controlling 58-1-302.
Eligibility
Prior prescribing psychology authority of similar scope in another US jurisdiction, at least one year of experience and good standing.
General webpage demand
The Board's general certified prescribing page states 'Pass the Psychopharmacology Examination (PEP).' Its initial application checklist expressly assigns the PEP score report to initial licensure; its endorsement exam statement specifically identifies the Utah law examination. Treat the general page's PEP instruction as an applicant-facing condition, while the specific endorsement statute and implementation determine this route's examination leaf.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.
Priority
58-1-302(8)(a) controls conflicting Chapter 61 endorsement prerequisites.
Prescribing certification by endorsement — without prior license
Utah Psychologist Law and Ethics Examination
Additional examination
Unspecified equivalency score evidence and any Division examination discretion are applicant conditions.
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Board documentation
The v20241025 prescribing application requests active good-standing licensure, active practice for one year, and transcripts or examination scores if needed for equivalency. Chapter 61(5) also describes 4,000 hours/two years of prescribing practice, equivalent qualifications, discipline clearance, background checking and liability insurance; comply insofar as not superseded by controlling 58-1-302.
Eligibility
No prior license, with Division-determined substantially similar education, credentialing examination and experience under 58-1-302(3)(b).
General webpage demand
The Board's general certified prescribing page states 'Pass the Psychopharmacology Examination (PEP).' Its initial application checklist expressly assigns the PEP score report to initial licensure; its endorsement exam statement specifically identifies the Utah law examination. Treat the general page's PEP instruction as an applicant-facing condition, while the specific endorsement statute and implementation determine this route's examination leaf.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.
Priority
58-1-302(8)(a) controls conflicting Chapter 61 endorsement prerequisites.
Placement on inactive status
No examination is required for this applicant pathway.
Application
Submit verified inactive-status application, qualification documents and applicable fee.
Practice
An inactive license confers no practice privilege unless a specific rule provides otherwise.
Previous status
Existing license active and in good standing in an expressly listed classification.

Official no-examination sources

Effective from 2026-09-22.

Initial prescribing certification by education, training and examination
Psychopharmacology Examination for Psychologists
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Discipline
No pending or effective discipline against the psychologist or prescribing professional license.
Education
Approved psychology doctorate and master's clinical psychopharmacology degree with at least 30 didactic credits over at least four semesters and statutory core instruction.
Equivalent examination
58-61-304(4)(d)(ii) permits an equivalent examination as defined by Division rule; no additional exact examination is named in the supplied applicable rule or initial-licensure implementation.
Existing authority
Authority to practice psychology under 58-61-301.
Insurance
Maintain professional liability insurance.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.
Supervised training
At least 4,000 postdoctoral prescribing psychology clinical training hours over at least two years under a licensed physician; at least one year prescribing for children, older adults or patients with comorbidities when specializing in those populations.
Activation of inactive license
No examination is required for this applicant pathway.
Application
Submit verified activation application and appropriate fee.
Current renewal
Document current renewal qualifications unless otherwise provided by statute or rule.
Status
Existing inactive license.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after active licensed practice elsewhere or federal employment
No examination is required for this applicant pathway.
Deadline
Apply within six months of reestablishing Utah domicile or ending full-time government service.
Practice
Active practice in full-time United States government employment or under a professional license in another US state or territory since expiration.
Renewal
Submit the reinstatement application and applicable fees and document compliance with renewal qualifications.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after discipline
Psychopharmacology Examination for Psychologists
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
Previously disciplined license: expired or completed suspension term
Reinstatement between two and five years after nonrenewal
Board review
Meet the Board if requested, complete its required education or experience and any recommended approved supervision plan (up to 4,000 hours).
Continuing education
Complete at least 48 hours in subjects the Board determines necessary.
Examination discretion
The Board may require the Utah Law and Ethics Examination, the EPPP, or both to demonstrate safe competent practice; anyOf preserves the stated alternatives and permits both. The Board decides which the applicant must pass.
Previous status
License active and in good standing at expiration, with application between two and five years after expiration.
Reinstatement within two years after nonrenewal
No examination is required for this applicant pathway.
Filing window
Within 30 days submit completed renewal form and renewal/late fees; from day 31 through two years submit completed renewal form and renewal/reinstatement fees.
Previous status
License active and in good standing when it expired.
Renewal qualifications
Document current renewal qualifications, including applicable continuing education; a resident must still meet its statutory certification term limit.

Official no-examination sources

Effective from 2026-09-22.

Relicensure after adverse surrender
Psychopharmacology Examination for Psychologists
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
License surrendered while not in good standing.
New license application after more than five years of nonrenewal
Psychopharmacology Examination for Psychologists
Current qualifications
Submit a complete new-license application and satisfy the current initial qualifications for this classification, including its education, training and other conditions; any available endorsement alternative is represented by the endorsement routes.
Elapsed time
More than five years after expiration, outside the special active-elsewhere/government exception.
Fee
Pay the new-applicant license fee.
Relicensure following surrender in good standing
Examination discretion
The Board determines whether the EPPP, Utah Law and Ethics Examination or both are necessary in the applicable reentry pathway.
Prior status
License was active and in good standing when surrendered.
Recovery conditions
Apply the applicable procedures in R156-1-308a through 308l; current initial qualifications or the discretionary reentry examinations apply when that recovery pathway is applicable.
Relicensure after revocation
Psychopharmacology Examination for Psychologists
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
Previously revoked license
Renewal of existing license or certification
No examination is required for this applicant pathway.
Application
Submit renewal application, fee and qualification certification.
Continuing education
48 hours, including at least six in ethics and law per two-year cycle; initial partial cycles are prorated; retain documentation for two years after the cycle and obtain any approved waiver.
Course examinations
Examinations in recognized internet/distance continuing-education courses are unnamed course completion conditions, not identified licensing examinations.
Renewal cycle
Psychology's standard renewal cycle ends September 30 of even years, subject to the resident certification's statutory term and extension limit.

Official no-examination sources

Effective from 2026-09-22.

Provisional Prescribing Psychologist

Provisional prescribing certification for an authorized psychologist.

Licensing authority: Utah Division of Professional Licensing, in collaboration with the Behavioral Health Board

Initial provisional prescribing certification
No examination is required for this applicant pathway.
Additional requirements
Satisfy any further Division rule requirements and Board interview for good cause; no named examination is imposed by the defining subsection or its initial-licensure checklist.
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Discipline
No pending or effective discipline against the psychologist or other prescribing professional license.
Education
Approved doctoral psychology degree and approved master's clinical psychopharmacology degree with the statutory core instruction.
Existing authority
Authority to practice psychology under 58-61-301; the Board requests a current, active psychology license in good standing.
Insurance
Maintain professional liability insurance.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after active licensed practice elsewhere or federal employment
No examination is required for this applicant pathway.
Deadline
Apply within six months of reestablishing Utah domicile or ending full-time government service.
Practice
Active practice in full-time United States government employment or under a professional license in another US state or territory since expiration.
Renewal
Submit the reinstatement application and applicable fees and document compliance with renewal qualifications.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after discipline
No examination is required for this applicant pathway.
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
Previously disciplined license: expired or completed suspension term

Official no-examination sources

Effective from 2026-09-22.

Reinstatement between two and five years after nonrenewal
Board review
Meet the Board if requested, complete its required education or experience and any recommended approved supervision plan (up to 4,000 hours).
Continuing education
Complete at least 48 hours in subjects the Board determines necessary.
Examination discretion
The Board may require the Utah Law and Ethics Examination, the EPPP, or both to demonstrate safe competent practice; anyOf preserves the stated alternatives and permits both. The Board decides which the applicant must pass.
Previous status
License active and in good standing at expiration, with application between two and five years after expiration.
Reinstatement within two years after nonrenewal
No examination is required for this applicant pathway.
Filing window
Within 30 days submit completed renewal form and renewal/late fees; from day 31 through two years submit completed renewal form and renewal/reinstatement fees.
Previous status
License active and in good standing when it expired.
Renewal qualifications
Document current renewal qualifications, including applicable continuing education; a resident must still meet its statutory certification term limit.

Official no-examination sources

Effective from 2026-09-22.

Relicensure after adverse surrender
No examination is required for this applicant pathway.
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
License surrendered while not in good standing.

Official no-examination sources

Effective from 2026-09-22.

New license application after more than five years of nonrenewal
No examination is required for this applicant pathway.
Current qualifications
Submit a complete new-license application and satisfy the current initial qualifications for this classification, including its education, training and other conditions; any available endorsement alternative is represented by the endorsement routes.
Elapsed time
More than five years after expiration, outside the special active-elsewhere/government exception.
Fee
Pay the new-applicant license fee.

Official no-examination sources

Effective from 2026-09-22.

Relicensure following surrender in good standing
Examination discretion
The Board determines whether the EPPP, Utah Law and Ethics Examination or both are necessary in the applicable reentry pathway.
Prior status
License was active and in good standing when surrendered.
Recovery conditions
Apply the applicable procedures in R156-1-308a through 308l; current initial qualifications or the discretionary reentry examinations apply when that recovery pathway is applicable.
Relicensure after revocation
No examination is required for this applicant pathway.
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
Previously revoked license

Official no-examination sources

Effective from 2026-09-22.

Renewal of existing license or certification
No examination is required for this applicant pathway.
Application
Submit renewal application, fee and qualification certification.
Continuing education
48 hours, including at least six in ethics and law per two-year cycle; initial partial cycles are prorated; retain documentation for two years after the cycle and obtain any approved waiver.
Course examinations
Examinations in recognized internet/distance continuing-education courses are unnamed course completion conditions, not identified licensing examinations.
Renewal cycle
Psychology's standard renewal cycle ends September 30 of even years, subject to the resident certification's statutory term and extension limit.

Official no-examination sources

Effective from 2026-09-22.

Certified Psychology Resident

Supervised postdoctoral residency certification; independent practice is prohibited.

Licensing authority: Utah Division of Professional Licensing, in collaboration with the Behavioral Health Board

Initial resident certification
No examination is required for this applicant pathway.
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Background and interview
Comply with 58-61-304(1)(g) and (h).
Education
Approved doctoral psychology education under 58-61-304(1)(c).
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.
Supervision
Work only as an employed resident under an approved psychologist supervisor; certification is limited by 58-61-304(3)(b).

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after active licensed practice elsewhere or federal employment
No examination is required for this applicant pathway.
Deadline
Apply within six months of reestablishing Utah domicile or ending full-time government service.
Practice
Active practice in full-time United States government employment or under a professional license in another US state or territory since expiration.
Renewal
Submit the reinstatement application and applicable fees and document compliance with renewal qualifications.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after discipline
No examination is required for this applicant pathway.
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
Previously disciplined license: expired or completed suspension term

Official no-examination sources

Effective from 2026-09-22.

Reinstatement between two and five years after nonrenewal
Board review
Meet the Board if requested, complete its required education or experience and any recommended approved supervision plan (up to 4,000 hours).
Continuing education
Complete at least 48 hours in subjects the Board determines necessary.
Examination discretion
The Board may require the Utah Law and Ethics Examination, the EPPP, or both to demonstrate safe competent practice; anyOf preserves the stated alternatives and permits both. The Board decides which the applicant must pass.
Previous status
License active and in good standing at expiration, with application between two and five years after expiration.
Reinstatement within two years after nonrenewal
No examination is required for this applicant pathway.
Filing window
Within 30 days submit completed renewal form and renewal/late fees; from day 31 through two years submit completed renewal form and renewal/reinstatement fees.
Previous status
License active and in good standing when it expired.
Renewal qualifications
Document current renewal qualifications, including applicable continuing education; a resident must still meet its statutory certification term limit.

Official no-examination sources

Effective from 2026-09-22.

Relicensure after adverse surrender
No examination is required for this applicant pathway.
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
License surrendered while not in good standing.

Official no-examination sources

Effective from 2026-09-22.

New license application after more than five years of nonrenewal
No examination is required for this applicant pathway.
Current qualifications
Submit a complete new-license application and satisfy the current initial qualifications for this classification, including its education, training and other conditions; any available endorsement alternative is represented by the endorsement routes.
Elapsed time
More than five years after expiration, outside the special active-elsewhere/government exception.
Fee
Pay the new-applicant license fee.

Official no-examination sources

Effective from 2026-09-22.

Relicensure following surrender in good standing
Examination discretion
The Board determines whether the EPPP, Utah Law and Ethics Examination or both are necessary in the applicable reentry pathway.
Prior status
License was active and in good standing when surrendered.
Recovery conditions
Apply the applicable procedures in R156-1-308a through 308l; current initial qualifications or the discretionary reentry examinations apply when that recovery pathway is applicable.
Relicensure after revocation
No examination is required for this applicant pathway.
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
Previously revoked license

Official no-examination sources

Effective from 2026-09-22.

Renewal of existing license or certification
No examination is required for this applicant pathway.
Application
Submit renewal application, fee and qualification certification.
Continuing education
24 hours per two-year cycle; initial partial cycles are prorated; retain documentation for two years after the cycle and obtain any approved waiver.
Course examinations
Examinations in recognized internet/distance continuing-education courses are unnamed course completion conditions, not identified licensing examinations.
Renewal cycle
Psychology's standard renewal cycle ends September 30 of even years, subject to the resident certification's statutory term and extension limit.

Official no-examination sources

Effective from 2026-09-22.

Resident certification term extension
No examination is required for this applicant pathway.
Exam slot
The extension provision does not identify an exact examination or require a passed examination; progress toward a qualifying examination remains a condition.
Extension
Demonstrate reasonable progress toward the unnamed qualifying examination or another course reasonably expected to lead to psychologist licensure; never more than two years after completing minimum supervised training.
Term
Time necessary to complete required clinical training; ordinarily no more than one year after training completion.

Official no-examination sources

Effective from 2026-09-22.

Licensed School Psychological Practitioner

School psychological services under the statutory scope; mental health therapy and specified diagnostic evaluations are prohibited.

Licensing authority: Utah Division of Professional Licensing, in collaboration with the Behavioral Health Board

Placement on inactive status
No examination is required for this applicant pathway.
Application
Submit verified inactive-status application, qualification documents and applicable fee.
Practice
An inactive license confers no practice privilege unless a specific rule provides otherwise.
Previous status
Existing license active and in good standing in an expressly listed classification.

Official no-examination sources

Effective from 2026-09-22.

Initial school psychological practitioner licensure
No examination is required for this applicant pathway.
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Education
Approved master's degree or equivalent certification program comprising at least 60 semester or 90 quarter hours and the subjects in 58-61-304(7)(c).
Experience
At least five successful years as a school psychologist in Utah.
Internship
At least 1,200 hours across one school year or equivalent; at least 600 hours in a school or educational setting.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.
Recommendations
Recommendation from the education institution and at least one employing local education agency.

Official no-examination sources

Effective from 2026-09-22.

Activation of inactive license
No examination is required for this applicant pathway.
Application
Submit verified activation application and appropriate fee.
Current renewal
Document current renewal qualifications unless otherwise provided by statute or rule.
Status
Existing inactive license.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after active licensed practice elsewhere or federal employment
No examination is required for this applicant pathway.
Deadline
Apply within six months of reestablishing Utah domicile or ending full-time government service.
Practice
Active practice in full-time United States government employment or under a professional license in another US state or territory since expiration.
Renewal
Submit the reinstatement application and applicable fees and document compliance with renewal qualifications.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after discipline
No examination is required for this applicant pathway.
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
Previously disciplined license: expired or completed suspension term

Official no-examination sources

Effective from 2026-09-22.

Reinstatement between two and five years after nonrenewal
Board review
Meet the Board if requested, complete its required education or experience and any recommended approved supervision plan (up to 4,000 hours).
Continuing education
Complete at least 48 hours in subjects the Board determines necessary.
Examination discretion
The Board may require the Utah Law and Ethics Examination, the EPPP, or both to demonstrate safe competent practice; anyOf preserves the stated alternatives and permits both. The Board decides which the applicant must pass.
Previous status
License active and in good standing at expiration, with application between two and five years after expiration.
Reinstatement within two years after nonrenewal
No examination is required for this applicant pathway.
Filing window
Within 30 days submit completed renewal form and renewal/late fees; from day 31 through two years submit completed renewal form and renewal/reinstatement fees.
Previous status
License active and in good standing when it expired.
Renewal qualifications
Document current renewal qualifications, including applicable continuing education; a resident must still meet its statutory certification term limit.

Official no-examination sources

Effective from 2026-09-22.

Relicensure after adverse surrender
No examination is required for this applicant pathway.
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
License surrendered while not in good standing.

Official no-examination sources

Effective from 2026-09-22.

New license application after more than five years of nonrenewal
No examination is required for this applicant pathway.
Current qualifications
Submit a complete new-license application and satisfy the current initial qualifications for this classification, including its education, training and other conditions; any available endorsement alternative is represented by the endorsement routes.
Elapsed time
More than five years after expiration, outside the special active-elsewhere/government exception.
Fee
Pay the new-applicant license fee.

Official no-examination sources

Effective from 2026-09-22.

Relicensure following surrender in good standing
Examination discretion
The Board determines whether the EPPP, Utah Law and Ethics Examination or both are necessary in the applicable reentry pathway.
Prior status
License was active and in good standing when surrendered.
Recovery conditions
Apply the applicable procedures in R156-1-308a through 308l; current initial qualifications or the discretionary reentry examinations apply when that recovery pathway is applicable.
Relicensure after revocation
No examination is required for this applicant pathway.
Additional conditions
Meet the disciplinary order or surrender agreement, requested competency documentation, and applicable fees/fines; a controlling order may prescribe further unnamed conditions.
Current qualifications
Complete a current initial application and demonstrate current qualifications for this classification.
Previous status
Previously revoked license

Official no-examination sources

Effective from 2026-09-22.

Renewal of existing license or certification
No examination is required for this applicant pathway.
Application
Submit renewal application, fee and qualification certification.
Continuing education
48 hours, including at least six in ethics and law per two-year cycle; initial partial cycles are prorated; retain documentation for two years after the cycle and obtain any approved waiver.
Course examinations
Examinations in recognized internet/distance continuing-education courses are unnamed course completion conditions, not identified licensing examinations.
Renewal cycle
Psychology's standard renewal cycle ends September 30 of even years, subject to the resident certification's statutory term and extension limit.

Official no-examination sources

Effective from 2026-09-22.

Temporary Psychologist License

Temporary authorization under Utah Code 58-1-303 for examination-pending, teaching, emergency, service-shortage or monitored-practice applicants.

Licensing authority: Utah Division of Professional Licensing, in collaboration with the Behavioral Health Board

Temporary licensure — emergency services observation
No examination is required for this applicant pathway.
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Discretion
Issuance is discretionary under 58-1-303; competitive advantage alone is insufficient without material public-health/safety/welfare risk.
Eligibility
Prior other-state license with equal or greater requirements when issued, and Division/Board finding of emergency, threatened service shortage or need for monitored observation before deciding regular licensure.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.

Official no-examination sources

Effective from 2026-09-22.

Temporary licensure pending examinations
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Issuance limit
No more than three consecutive such temporary licenses within the three years after the first.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.
Next examination
Take the next available outstanding examination; the temporary license automatically expires on failed official results. Previously passed current examinations remain involved.
Qualifications
All ordinary psychologist license requirements except passing examinations must be met.
Temporary licensure — teaching assistance
No examination is required for this applicant pathway.
Application
Submit the approved application, applicable fees, supporting identity and qualification documents, and any requested disclosures.
Discretion
Issuance is discretionary under 58-1-303; competitive advantage alone is insufficient without material public-health/safety/welfare risk.
Eligibility
Licensed in another state or country and temporarily in Utah to teach or assist a licensed Utah practitioner.
Licensing review
The Division determines qualification; comply with any applicable background check and Board interview requirements.

Official no-examination sources

Effective from 2026-09-22.

EPPP (Part 1-Knowledge)

Provider
Association of State and Provincial Psychology Boards (ASPPB); delivered by Pearson VUE at Pearson Professional Centers
Format
Computer-based multiple-choice examination; each item has three or four possible responses, only one of which is correct; the score is the number of correct responses. A French form (FEPPP) is available only to candidates whose licensing authorities legally require a French form.
Exam questions
225 items: 175 scored and 50 unscored pretest items
Time limit
4 hours and 15 minutes for completion of the exam items
Passing score
Scaled score (200-800 scale); ASPPB recommended passing scores of 500 for independent practice and 450 for supervised practice; each licensing authority sets its own passing standard
Exam fee
$600 USD exam fee per sitting plus $91.88 test sitting fee (English EPPP (Part 1-Knowledge))
Examination outline
  • Domain 1. Biological Bases of Behavior (10%)
    • KN1. Functional correlates and determinants of the neurobiological and genetic bases of behavior pertaining to perception, cognition, personality, and mood and affect in normal, acute and chronic neurobehavioral disease processes and disease comorbidities
    • KN2. Drug classification, mechanisms of action, and desired/adverse effects of therapeutic agents, drugs of abuse, and complementary or alternative agents
    • KN3. Results from major trials and general guidelines for pharmacological, psychotherapeutic, and combined treatment of psychological disorders
    • KN4. Behavioral genetics, transmission and expression of genetic information and its modification, and the role and limitations of this information in understanding disorders
    • KN5. Applications of structural and functional brain imaging methods, electrophysiological methods, therapeutic drug monitoring methods, and genetic screening methodologies, and the evidence for their effectiveness
  • Domain 2. Cognitive-Affective Bases of Behavior (13%)
    • KN6. Major research‐based theories and models of intelligence and their application
    • KN7. Major research-based theories, models, and principles of learning and their application
    • KN8. Major research‐based theories and models of memory and their application
    • KN9. Major research‐based theories and models of motivation and their application
    • KN10. Major research-based theories and models of emotion and their application
    • KN11. Elements of cognition, including sensation and perception, attention, language, information processing, visual-spatial processing, executive functioning
    • KN12. Relations among cognitions/beliefs, behavior, affect, temperament, and mood
    • KN13. Influence of psychosocial factors on cognitions/beliefs and behaviors
  • Domain 3. Social and Cultural Bases of Behavior (11%)
    • KN14. Major research‐based theories and models of social cognition (e.g., person perception, development of stereotypes, prejudice)
    • KN15. Social interaction and relationships (e.g., attraction, aggression, altruism, organizational justice, verbal and non‐verbal communication, internet communication, mate selection, empathy)
    • KN16. Group and systems processes (e.g., school, work, and family systems, job satisfaction, team functioning, conformity, persuasion) and social influences on functioning
    • KN17. Major research‐based personality theories and models
    • KN18. Cultural and sociopolitical psychology (e.g., privilege, cross‐cultural comparisons, political differences, international and global awareness, religiosity and spirituality, acculturation)
    • KN19. Identity diversity and intersectionality (e.g., psychological impact of diversity on individuals, families, and systems)
    • KN20. Causes, manifestations, and effects of oppression
  • Domain 4. Growth and Lifespan Development (12%)
    • KN21. Normal growth and development across the lifespan
    • KN22. Influence of individual‐environment interaction on development over time (e.g., the relationship between the individual and the social, academic, work, community environment)
    • KN23. Major research‐based theories and models of development
    • KN24. Influence of diverse identities on development
    • KN25. Family development, configuration, and functioning and their impact on the individual across the lifespan
    • KN26. Life events that can influence the course of development across the lifespan
    • KN27. Risk and protective factors that may impact a developmental course (e.g., nutrition, prenatal care, health care, social support, socioeconomic status, abuse, victimization, and resiliency)
    • KN28. Disorders and diseases that impact the expected course of development over the lifespan
  • Domain 5. Assessment and Diagnosis (16%)
    • KN29. Psychometric theories, item and test characteristics, test construction and standardization procedures, reliability and validity, sensitivity and specificity, and test fairness and bias
    • KN30. Assessment theories and models (e.g., developmental, behavioral, ecological, neuropsychological)
    • KN31. Assessment methods and their strengths and limitations (e.g., self‐report, multi-informant reports, psychophysiological measures, work samples, assessment centers, direct observation, structured and semi‐structured interviews)
    • KN32. Commonly used instruments for the measurement of characteristics and behaviors of individuals and their appropriate use with various populations
    • KN33. Issues of differential diagnosis and integration of non‐psychological information into psychological assessment
    • KN34. Instruments and methods appropriate for the assessment of groups and organizations (e.g., program evaluation, needs assessment, organizational and personnel assessment)
    • KN35. Criteria for selection and adaptation of assessment methods (e.g., evidenced-based knowledge of assessment limitations, cultural appropriateness, trans‐cultural adaptation, and language accommodations)
    • KN36. Classification systems and their underlying rationales and limitations for evaluating client functioning; dimensional vs. categorical approaches to diagnosis
    • KN37. Factors influencing evidence-based interpretation of data and decision‐making (e.g., base rates, group differences, cultural biases and differences, heuristics)
    • KN38. Constructs of epidemiology and base rates of psychological and behavioral disorders
    • KN39. Major research-based theories and models of psychopathology
    • KN40. Measurement of outcomes and changes due to prevention or intervention efforts with individuals, couples, families, groups, and organizations
    • KN41. Use of technology in implementing tests, surveys, and other forms of assessment and diagnostic evaluation (e.g., validity, cost-effectiveness, consumer acceptability)
  • Domain 6. Treatment, Intervention, and Prevention and Supervision (15%)
    • KN42. Factors related to treatment or intervention decision-making (e.g., relevant research, matching treatment to assessment/diagnosis, matching client or patient with psychologist characteristics, knowledge and use of allied services, cost and benefit, readiness to change)
    • KN43. Contemporary research-based theories and models of treatment, intervention, and prevention
    • KN44. Treatment techniques and interventions and the evidence for their comparative efficacy and effectiveness
    • KN45. Methods and their evidence base for prevention, intervention, and rehabilitation with diverse and special populations
    • KN46. Interventions to enhance growth and performance of individuals, couples, families, groups, systems, and organizations
    • KN47. Research-based consultation models and processes
    • KN48. Research-based models of vocational and career development
    • KN49. Telepsychology and technology‐assisted psychological services
    • KN50. Healthcare systems, structures, and economics, and how these impact intervention choice
    • KN51. Approaches to health promotion, risk reduction, resilience, and wellness
    • KN52. Contemporary theories and models of supervision and their evidence base
  • Domain 7. Research Methods and Statistics (7%)
    • KN53. Sampling and data collection methods
    • KN54. Design of case, correlational, quasi‐experimental, and experimental studies
    • KN55. Analytic methods, including qualitative (e.g., thematic, phenomenological) and quantitative (e.g., probability theory; descriptive, inferential, and parametric statistics; meta-analysis; factor analysis; causal modeling)
    • KN56. Statistical interpretation (e.g., power, effect size, causation vs. association, clinical vs. statistical significance)
    • KN57. Critical appraisal and application of research findings (e.g., adequacy of design and statistics, limitations to generalizability, threats to internal and external validity, design flaws, level of evidence)
    • KN58. Evaluation strategies and techniques (e.g., needs assessment, process and implementation evaluation, formative and summative program evaluation, outcome evaluation, cost‐benefit analysis)
    • KN59. Considerations regarding community involvement and participation in research
    • KN60. Dissemination and presentation of research findings
  • Domain 8. Ethical/Legal/Professional Issues (16%)
    • KN61. Current ethical principles and codes for psychologists (APA, CPA)
    • KN62. Professional standards and relevant guidelines for the practice of psychology (e.g., standards for educational and psychological testing)
    • KN63. Laws, statutes, and judicial decisions that affect psychological practice
    • KN64. Identification and management of potential ethical issues
    • KN65. Models of ethical decision‐making
    • KN66. Approaches for continuing professional development
    • KN67. Emerging social, legal, ethical, and policy issues and their impact on psychological practice
    • KN68. Client and patient rights
    • KN69. Ethical issues in the conduct of research
    • KN70. Ethical issues in supervision
    • KN71. Ethical issues in technology-assisted psychological services
Examination sources

Utah Psychologist Law and Ethics Examination

Examination outline
  • Confidentiality
  • Division of Occupational and Professional Licensing Act, Title 58-1 and General Rules of the Division of Occupational and Professional Licensing, Title R156-1
  • Hospitalization/Commitment
  • Licensing Law, Rules, and Ethics
  • Malpractice
  • Mandated Reporting
Examination sources

Psychopharmacology Examination for Psychologists

Provider
Association of State and Provincial Psychology Boards (ASPPB); administered on computer at Kryterion Testing Network centers
Format
Computer-based multiple-choice examination requiring recall of information, analysis, and judgment; offered in person at Kryterion test centers, not online
Exam questions
200 multiple-choice items: 150 scored and 50 experimental (pretest) items
Time limit
4 hours
Passing score
Criterion-referenced cut score set by a modified Angoff approach; the score is the number of items answered correctly represented as a percentage
Exam fee
$700 exam fee plus $125 test center fee
Examination outline
  • Content Area 1: Integrating Clinical Psychopharmacology with the Practice of Psychology — Refers to integrating clinical psychopharmacology with the practice of psychology (7.3%)
    • Knowledge of biopsychosocial variables as determinants of medication utilization and effects (e.g., age, gender, family history, patient belief systems/ culture, economics/ poverty, social support, current environmental circumstances).
    • Knowledge of limitations and benefits, patient perceptions (including help-seeking attitudes), and treatment expectations regarding psychopharmacological and psychological interventions as sole, additive, or interactive treatments for given disorders and functional impairments.
    • Knowledge of practitioner-patient partnership for case and medication management, including the impact on patient education, medication adherence, the effectiveness of treatment, adverse effects and response to side effects, and implications for the relationship when psychosocial and pharmacological interventions are utilized (e.g., ethnicity/culture, sexual orientation, gender identity, socio-economic factors, religion, refugee status).
    • Knowledge of the development and implementation of a coherent and organized integrated treatment plan of psychosocial, cultural (including the participation of traditional healers when appropriate), and pharmacological interventions with attention to comorbidities, as well as evidence-based developments in psychotherapy and pharmacotherapy.
  • Content Area 2: Neuroscience — Refers to the anatomy, physiology, and biochemistry of the nervous system and its interfaces with other major body systems. (6.7%)
    • Knowledge of cellular and molecular nervous system biology and regulatory processes (e.g., neurotransmitter and neuromodulator systems, up and down-regulation, tolerance/cross-tolerance) needed to understand the pharmacological effect of medications.
    • Knowledge of the structure and function of the central and peripheral nervous systems.
    • Knowledge of neurodevelopment and neuroplasticity.
    • Knowledge of the major neuronal pathways and their functions, and associated messenger systems.
  • Content Area 3: Nervous System Pathology — Refers to disorders of the nervous system resulting in abnormal function or behavioral/ mood disruption. Includes biochemical, structural (congenital or acquired), or neurophysiological abnormalities and their impact on other body systems. (11.3%)
    • Knowledge of etiological factors and diagnosis of dementia, delirium, and other cognitive and neurological disorders.
    • Knowledge of etiological factors and diagnosis of chronic pain, including headache (e.g., migrainous vs. non-migrainous headache), neuropathic pain, fibromyalgia; and the role of the CNS in pain experience and management.
    • Knowledge of etiological factors and diagnosis of sleep disorders.
    • Knowledge of common idiopathic movement disorders, their etiological factors, signs, symptoms, and diagnosis (e.g., Parkinson’s, Huntington’s, Tourette’s syndrome).
    • Knowledge of common iatrogenic or drug-induced movement disorders, their etiological factors, signs, symptoms, and diagnosis (e.g., extrapyramidal symptoms, dystonias, dyskinesias, akathisia, Dystonic Tremors (DTs)).
    • Knowledge of etiological factors and categories of seizure disorders.
    • Knowledge of traumatic brain injury and post-concussive or post-concussion syndrome and its impact on prescriptive decisions.
    • Knowledge of nervous system pathology (e.g., multiple sclerosis, infectious diseases, exposure to environmental neurotoxins, neoplasms, intellectual/developmental disabilities).
    • Knowledge of basic indications for neurodiagnostic imaging and testing (e.g., EEG, CT, MRI, neuropsychological).
  • Content Area 4: Physiology and Pathophysiology — Refers to normal physiology and pathophysiology across the life span, and their impact on psychological functioning and psychopharmacology. (16%)
    • Knowledge of indications for referral to other health care providers for assessment or treatment when organ system pathology is indicated.
    • Knowledge at a functional level of cardiovascular system physiology and pathophysiology across the life span (e.g., rhythm and rate disorders such as prolonged QT interval), and their relationship to psychopharmacology and psychopathology (e.g., blood pressure changes secondary to psychotropic medication; mitral valve prolapse related to panic disorder).
    • Knowledge at a functional level of pulmonary system physiology and pathophysiology across the life span, and their relationships to psychopharmacology and psychopathology (e.g., beta blockers and asthma, respiratory suppression with CNS depressants).
    • Knowledge of etiological factors and diagnosis of central nervous system vascular disorders (e.g., cerebral vascular accidents, transient ischemic attacks).
    • Knowledge at a functional level of renal/genitourinary system physiology and pathophysiology across the life span, and their relationships to psychopharmacology and psychopathology (e.g., the effect of psychotropic substances on urinary/sexual functioning; role in excretion of wastes and medications; valproic acid and polycystic ovary syndrome (PCOS); lithium and renal functioning).
  • Content Area 5: Biopsychosocial and Pharmacologic Assessment and Monitoring — Refers to a range of biopsychosocial (psychological, neurological, behavioral, physical, biomedical) and pharmacologic assessment techniques and procedures for baseline and ongoing evaluation of the individual’s physical and psychological health status as well as the assessment of therapeutic efficacy, adverse effects, contraindications for drug usage, drug interactions, and appropriateness for medication continuation, modification, or discontinuation. (6%)
    • Knowledge of individual and family history-taking procedures and psychological assessments that provide information relevant to prescribing (e.g., review of systems, dietary habits, mental status, behavioral observations, developmental history, social history, academic history, family medical and psychiatric history (including knowledge of diversity-related variations in the incidence/ prevalence of disorders), history of sexually transmitted disease and history of the general level of functioning).
    • Knowledge of basic physical and neurological examination procedures (e.g., history and physical examination (HPE); review of systems (ROS)) and variations in these procedures for special populations (e.g., ethnicity and estimated glomerular filtration rate (EGFR)).
    • Knowledge of appropriate laboratory tests and assessment procedures before prescribing particular medications (e.g., the implication of disease states, gender, ethnicity, sample timing, and potential effects of medications on those values) and ongoing during treatment (e.g., therapeutic drug monitoring (TDM) for lithium blood levels, white blood cell monitoring with clozapine use).
    • Knowledge of behavioral assessment methods (e.g., rating scales, direct observation of behaviors, parent/ teacher/self-report) at baseline and ongoing monitoring for therapeutic effectiveness, quality of life, and adverse effects of psychopharmacological agents (e.g., akathisia with antipsychotics and SSRIs; rating scales for ADHD; Mini Mental Status Examination (MMSE) for cognitive function; Clinical Global Impression (CGI) scale for global response to treatment).
  • Content Area 6: Differential Diagnosis — Refers to the use of comprehensive diagnostic information about a patient to establish an accurate diagnosis from among possible medical and psychological diagnoses to select appropriate treatment modalities and determine the appropriateness of referral to other health care providers. (10%)
    • Knowledge of medical disorders and their most common symptoms that may also present with psychological symptoms (e.g., ADHD versus PKU versus autism, anxiety versus Graves’ disease, dementia versus depression in the elderly; depression as a primary disorder vs. a prodromal sign of underlying cancer; personality changes in the elderly vs. dementia).
    • Knowledge of psychological signs and symptoms (e.g., mental status changes, memory dysfunction, depression, psychosis) secondary to substances of abuse, prescribed and over-the-counter (OTC) medications, most commonly used herbal remedies that have psychological effects, and dietary supplements.
    • Knowledge of the psychopharmacological treatment implications related to mental health disorders with multiple symptoms (e.g., one disorder with multiple symptoms vs. comorbid disorders with related symptoms: major depressive disorder with psychotic features vs. major depressive disorder and schizophrenia; anxious depression vs. anxiety disorder and dysthymia; bipolar vs. psychotic depression; behavioral health disorders and substance use disorders).
    • Knowledge of iatrogenic effects of medication versus primary symptoms of disease course (e.g., akathisia versus anxiety; anticholinergic effects versus dementia; medication-induced tremor versus idiopathic movement disorders).
  • Content Area 7: Pharmacology — Refers to the interactions of drugs with biophysiological systems; encompasses pharmacokinetics, pharmacodynamics, pharmacogenetics, and the epidemiology of various medications such as psychotropics, adjunctive agents, and other medications used in the practice of medicine, as well as substances of abuse, OTC products, and food and dietary supplements. The influence of cultural/ethnic factors, environmental factors, and responses of special populations are considered. (12.7%)
    • Knowledge of drug classifications for psychotropic and adjunctive medications (e.g., stimulants, sedatives, antidepressants, anticholinergics), major drug categories used to treat common medical disorders (e.g., antibiotics), OTC medications, herbals, and substances of abuse.
    • Knowledge of pharmacokinetic parameters (e.g., absorption, distribution, metabolism, and elimination) and how each phase affects drug action (e.g., delayed-release preparations, routes of administration, area under the curve, lipophilicity and drug transit across membrane barriers, CYP enzymes, drug/drug and drug/food interactions, routes of clearance).
    • Knowledge of pharmacodynamic changes caused by medications (receptor up/down regulation; transcription).
    • Knowledge of the importance of biological half-life in determining steady state drug concentrations, dosing schedules, accumulation, and toxicity.
    • Knowledge of drug properties and characteristics (e.g., therapeutic index, therapeutic blood levels/ prescription doses, potency, bioavailability, efficacy, cognitive and behavioral manifestations of toxicity, dose response relationships).
    • Knowledge of types of drugs/receptor interactions (e.g., direct and indirect agonists, antagonists, partial agonists, inverse agonists, competitive vs. non-competitive antagonism and agonism).
    • Knowledge of the relationship between neurotransmitters and their receptor targets and the behavioral effects of stimulation vs. inhibition (e.g., 5HT1A and anxiety, beta blockers and performance anxiety, D2 and psychosis; histamine and sedation; ACh and memory).
    • Knowledge of the mechanism of action of common therapeutic agents (e.g., receptor stimulation/inhibition; receptor up/down regulation; tolerance, dependence, and withdrawal).
    • Knowledge of the theoretical relationship between neurotransmitter systems and psycho-pathological conditions (e.g., serotonin and norepinephrine in depression, dopamine in psychosis and substance abuse; dopamine in Parkinson’s disease; acetylcholine in Alzheimer’s disease).
    • Knowledge of the factors (e.g., biological, ethnic, pharmacodynamic, genetic, pharmacokinetic) related to intra- and inter-individual responses to medications (e.g., variation of blood levels to the same dose across individuals, change in responsiveness within the same individual across administrations of same drug [e.g., pregnancy, obesity, age]).
    • Knowledge of drug-induced disease, dysfunction, and adverse reactions (e.g., hepatotoxicity, agranulocytosis, dystonias).
  • Content Area 8: Clinical Psychopharmacology — Refers to the application of pharmacology to the management of psychological/behavioral disorders. This includes indications, contradictions, dosing, adverse effects and toxicities of psychotropic and adjunctive medications, interactions with other medications (including other drugs used in medicine for recreational purposes, and available for OTC purchase) as well as the management of adverse reactions, overdoses, and toxicities. (16%)
    • Knowledge of indications and contraindications for various psychotropic medications, including use of multiple medications both on and off label.
    • Knowledge of decision-making strategies for psychotropic medication selection (e.g., risk-benefit analysis, practice guidelines, genetics, ethnicity, cost, pregnancy, disease status, limitations of current diagnostic systems [e.g., DSM, ICD]).
    • Knowledge of dosing, time course of therapeutic action, and adverse effects of medication based on patient factors (e.g., weight, gender, ethnicity, culture, age, trauma, pregnancy, concurrent disease).
    • Knowledge of dosing strategies (e.g., augmentation, titration, cross taper, discontinuation).
    • Knowledge of common signs and symptoms of drug toxicity and the management of adverse reactions to drugs (e.g., referral for appropriate medical care, use of appropriate medications).
    • Knowledge of the management of at-risk patients (e.g., relapse prevention, adherence, suicide prevention, patients seeking medication inappropriate or inconsistent with treatment plan).
    • Knowledge of potential adverse psychological and physiological signs of drugs used for common medical conditions (e.g., steroids, beta blockers, antibiotics, antivirals), OTCs, and herbals/dietary supplements.
    • Knowledge of psychological and physiological signs of common recreational substances and the management of intoxication or addiction, including strategies for assisted withdrawal, maintenance, and relapse prevention.
    • Knowledge of how to recognize and manage tolerance, cross-tolerance, dependence, and abstinence syndromes, sensitization/cross-sensitization with respect to specific medications.
    • Knowledge of the patient factors (e.g., culture, literacy, stage of change) that need to be considered when informing patients about drug utilization, risks, benefits, potential complications, and alternatives to pharmacotherapy.
  • Content Area 9: Research — Refers to the methodology, standards, and conduct of research on psychoactive substances. The knowledge base facilitates research design and implementation, accurate data interpretation and communication, effective utilization of findings, the accumulation of scientific knowledge, and the improvement of the practice of clinical psychology. (7.3%)
    • Knowledge of research designs and analytic techniques used in psychopharmacological research (e.g., open label, single vs double blind, random assignment, placebo control, drug washout, dose response relationships, intent-to-treat analyses, within-subject and group designs, concurrent administration of other drugs, FDA drug development process).
    • Knowledge of how to critically review clinical research data including non-evidence-based therapies and emerging research methodologies and use the information for making treatment decisions (e.g., Number needed to treat (NNT), Number needed to harm (NNH), Odds ratio (OR), Risk ratio (RR), effect size).
    • Knowledge of influential, non-industry sponsored multi-site research studies relating to psychopharmacology (e.g., CATIE, STAR-D, CUTLASS, MTA).
    • Knowledge of evidence-based research regarding complementary and alternative medicines (e.g., Omega-3, folate, dehydroepiandrosterone (DHEA), St. John’s Wort, melatonin).
  • Content Area 10: Professional, Legal, Ethical, and Interprofessional Issues — Refers to the knowledge of ethics, standards of care, laws, and regulations relevant to the practice of psychology involving psychopharmacology. (6.7%)
    • Knowledge of relevant legal and ethical codes and standards that pertain to pharmacological practice; and laws and statutes for prescribing psychotropic medications (e.g., DEA regulations, telehealth).
    • Knowledge of practice guidelines and standards of care for prescribing psychotropic medications (including a relationship with referring psychologist).
    • Knowledge of patients’ rights related to medication treatments and therapy (e.g., informed consent, right to refuse treatment, right to treatment within the least restrictive environment, inappropriate psychotropic restraints, duty to warn, privileged communication, alternative decision maker, living will, durable power of attorney, advance directives).
    • Knowledge of ethical issues regarding relationships with pharmaceutical companies (e.g., acceptance of gifts and samples, revealing sources of funding and affiliations, interactions with pharmaceutical reps).
Examination sources