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Start here: the core remediation set for psychologists
Most psychologists who receive a board letter need two kinds of help at once: a clear way to think about what went wrong, and evidence that they have done something about it. The core set below covers both. The first two courses are written for psychology. The other six are the response and remediation courses every licensee in our US catalog can use, whatever the allegation.
The two profession courses do different jobs. Ethics for psychologists is about values and reasoning: how the APA General Principles (beneficence and nonmaleficence, fidelity and responsibility, integrity, justice, and respect for people's rights and dignity) play out in a hard case, how to weigh a client's autonomy against a risk of harm, and how to work through a dilemma you cannot avoid. Professional standards for psychologists is about conduct: competence boundaries, informed consent, records, fees, supervision of trainees and staff, and accountability to the board. A complaint about a poorly reasoned decision usually points to the first; a complaint about missing notes, an unsigned consent or a report signed outside your competence points to the second. Many cases need both.
- Responding to a complaint: what the board letter is asking, how to structure a written response, and why tone matters.
- Remediation: building a credible plan with specific goals, evidence and review dates.
- Insight: showing that you understand what happened, why it mattered to the client and what you would now do differently.
- Reflection: writing about learning without recording admissions of fact about identifiable clients.
- Preventing recurrence: practice systems that make the same mistake less likely.
- Rebuilding trust: working under conditions, supervision or monitoring after an order.
Core setComplete the set with these
Ethics and ethical conduct
Psychology boards rarely discipline someone for holding the wrong theory of ethics. They discipline the decision: disclosing information because a family member pushed hard, continuing therapy that was not helping because the client wanted to stay, or accepting a forensic role that conflicted with an existing treatment relationship. The APA Ethics Code, formally the Ethical Principles of Psychologists and Code of Conduct, effective 2003 with amendments in 2010 and 2016, sets out five aspirational General Principles and ten sections of enforceable Ethical Standards. Many state boards write all or part of it into their rules, so a breach of the code can also be a breach of state law. Check how your own board adopts it.
Remedial study here should help you reconstruct the decision honestly: what you knew, what options you had, who you consulted and what you wrote down at the time. The recommended courses build that skill; the further courses deal with the consent, capacity and communication questions that often sit underneath an ethics complaint.
RecommendedStart with these
Professionalism, conduct and attitude
Professionalism complaints against psychologists often start with how a client or colleague was treated rather than with a clinical error: dismissive responses to a complaint about fees, abrupt termination without referral, missed appointments without notice, or hostile emails with a former client. Section 2 of the APA Ethical Standards (Competence) and Section 10 (Therapy) both bear on these situations, as do your board's rules on unprofessional conduct. New York, for example, sets out unprofessional conduct for all NYSED professions, including psychology, in Part 29 of the Rules of the Board of Regents.
Boards also look at practicing outside your competence. Taking on neuropsychological testing, a new population or a specialized forensic role without training or consultation is a recurring theme. Clinical supervision is relevant on both sides: if you supervise trainees or unlicensed staff, their errors can become your complaint.
RecommendedStart with these
Probity, honesty and financial integrity
"Probity" is a UK word, but the issue is the same in the US: honesty in everything you sign. For psychologists the high-risk documents are insurance claims (dates of service, session length, who actually provided the service), diagnostic codes chosen to secure coverage, supervision attestations for trainees, CE attestations at renewal, and answers on license, credentialing and panel applications. Where federal health care programs pay for services, the False Claims Act and the Anti-Kickback Statute can apply alongside board rules. Section 6 of the APA Ethical Standards (Record Keeping and Fees) covers accurate reports to payors and fee arrangements.
A probity case is judged on the documents. Remedial study should show you understand why an inaccurate claim harms clients and payors even when no money was meant to be gained, and what controls you now use.
RecommendedStart with these
Further relevantAdd if they fit the concern
Professional boundaries: clients and colleagues
Boundary concerns are among the most serious matters a psychology board handles. Section 3 of the APA Ethical Standards (Human Relations) deals with multiple relationships, conflicts of interest and exploitation, and Section 10 (Therapy) prohibits sexual intimacies with current therapy clients and restricts relationships with former clients. Boards treat sexual misconduct as grave, and outcomes in these cases often include suspension or revocation; education alone is unlikely to resolve them.
Many boundary complaints are less dramatic: treating a friend's teenager, bartering for services, accepting expensive gifts, extending sessions for one client, meeting socially, or following a client on social media. In small towns and specialist communities, some overlap cannot be avoided, so boards look at whether you identified the risk, consulted, documented your reasoning and protected the client. Boundaries with supervisees and students matter too.
RecommendedStart with these
Assessment, treatment, confidentiality and records
Clinical complaints in psychology cluster around four areas. Assessment and reports (Section 9 of the Ethical Standards): using outdated tests, drawing conclusions beyond the data, or offering opinions about people you have not evaluated, a common problem in custody and other forensic work. Treatment: lack of a treatment plan, no review when therapy is not working, or failure to assess and document risk. Confidentiality (Section 4): disclosures to family, employers, schools or courts without valid authorization or legal basis. Under HIPAA, psychotherapy notes generally need the client's authorization before disclosure, and substance use disorder records covered by 42 CFR Part 2 have their own rules. Duties to warn or protect, and mandated reporting of child or elder abuse, are set by state law, so the right answer depends on your state. Records: late, missing or altered notes. Never change a record after a complaint arrives; add a dated, signed late entry if your attorney agrees one is needed.
RecommendedStart with these
Further relevantAdd if they fit the concern
Complaint, investigation and board process
If the letter itself has left you unsure what to do, start with the process courses. They explain what each stage of a board case means, how to work with your attorney on a written response, and how to show the board you understand the concern without making admissions you have not agreed with counsel. They also cover the period after an order: complying with conditions, reporting to a monitor and preparing for the day restrictions are lifted.
RecommendedStart with these
Match the concern to a course
The concerns that most often lead to complaints and investigations, how they are viewed, and the courses that address each one.
Sexual or romantic involvement with a client
Prohibited by the APA Ethics Code and treated by boards as among the most serious violations; suspension or revocation is common, and education alone rarely resolves it.
Multiple relationships and conflicts of interest
Boards ask whether you saw the risk, consulted, documented your reasoning and protected the client, especially in small communities.
Confidentiality breach or unauthorized disclosure
Disclosures to family, schools, employers or courts without valid authorization or legal basis can breach state rules and HIPAA.
Assessment, testing and report quality
Opinions beyond the data, outdated instruments or conclusions about people not evaluated are frequent sources of complaints, particularly in forensic and custody work.
Practicing outside competence
Boards look for training, consultation or supervision before you took on a new population, method or role.
Inadequate or altered records
Missing notes and unsigned consents weaken any defense; altering a record after a complaint is treated as dishonesty.
Billing, coding or attestation inaccuracies
Claims must reflect the service actually delivered and who delivered it; federal fraud and abuse laws can apply alongside board rules.
Failure to assess or act on risk
Boards examine whether suicide or violence risk was assessed, documented and acted on in line with state law on duties to warn or protect.
Supervision failures with trainees or staff
Supervisors can be held responsible for supervisees' work and for accurate supervision attestations.
How a psychology board case runs
Each state writes its own procedure, but psychology cases follow the administrative pattern used by most licensing boards. The stages below are typical; names and deadlines vary.
- Complaint and intake. Complaints come from clients, parents in custody disputes, opposing counsel, employers, insurers, other licensees and other boards. Staff decide whether the board has jurisdiction. In Texas, the Behavioral Health Executive Council, which handles complaints against psychologists as well as counselors, social workers and MFTs, opens a case and notifies the complainant in writing.
- Notice and your written response. You receive the allegations and usually a request for records. Texas BHEC asks for a response within 30 days. Do not send anything until your attorney has reviewed it.
- Investigation. Investigators review the complaint, your response and records, and may interview witnesses. Boards can usually compel production of client records.
- Informal conference or settlement. If staff believe a violation occurred, most boards offer an informal meeting or a proposed agreed order, consent order or stipulation. Texas BHEC may offer an agreed order or hold an informal settlement conference.
- Formal hearing. If you do not settle, the case goes to a contested hearing, often before an administrative law judge. In Texas this is the State Office of Administrative Hearings.
- Final order and sanctions. The board issues an order. Sanctions range from a reprimand or fine to probation with supervision, education or practice limits, suspension or revocation.
- Reporting. A formal adverse action must be reported to the National Practitioner Data Bank within 30 days, and the NPDB says this applies even when the action is taken through a private agreement. You can add a Subject Statement to the report.
State variation, with confirmed examples
Florida runs enforcement for the Board of Psychology through the Department of Health: the Consumer Services Unit checks legal sufficiency, the Investigative Services Unit investigates, and the Prosecution Services Unit takes the case to a probable cause panel before an administrative complaint is filed. New York disciplines psychologists through NYSED's Office of the Professions and the Board of Regents under Education Law Article 130, where penalties include censure and reprimand, a course of retraining, probation, suspension and revocation, and a confidential administrative warning is available for minor matters.
If an order names a course: check before you enroll
Orders in psychology cases commonly require an ethics, boundaries or record-keeping course, a jurisprudence exam, supervision or a practice monitor. Boards often attach conditions to the course itself: approval in advance, a minimum number of hours, live attendance, or a provider the board names. A course that does not meet the order's wording may not count, however good it is.
Where our courses do fit: voluntary study before a decision is made, preparation for an approved course you must also take, filling gaps that an order does not cover, and supporting supervision or a development plan after the case closes.
What a psychology board is assessing
Boards protect the public. When they decide what to do, they are asking whether the conduct could happen again and what is needed to prevent it. "Insight" is not a statutory test in most US states, but boards look at closely related factors, such as acceptance of responsibility, understanding of the harm, rehabilitation, and mitigating and aggravating circumstances.
- Understanding: can you explain what went wrong in terms of the client's welfare, not just your own stress?
- Remediation: what have you done since, and is it relevant to the specific concern?
- Risk of repetition: have you changed your systems, caseload, supervision or consultation habits?
- Candor: were your response and records honest and complete? An inaccurate response is often treated more seriously than the original issue.
- Records: do your notes, consents and reports support what you say happened?
- Verifiable evidence: certificates, supervision logs, audits of your own files and written reflections that can be checked.
How a certificated course can support your response
A certificate does not prove you have changed, and no course can promise a result. What a well-chosen course can do is give your attorney something concrete: dated evidence that you studied the right subject early, and a reflective account that shows how you now think about the problem. Boards and their staff read many responses; one that names a specific learning point and a specific change in practice tends to carry more weight than a general apology.
Each course has at least 2 hours of reading and case material, knowledge checks, a 20-question final assessment with an 80% pass mark (16 of 20), a certificate of completion and a structured reflective account. Access is instant and self-paced, so you can start the day the letter arrives.
Five steps for psychologists facing a board concern
- Take advice first. Call your professional liability insurer, which may provide license defense coverage, and an attorney who handles licensing cases. Your state psychological association may know local counsel. Do not contact the complainant.
- Choose by concern. Read the allegations carefully, then pick the core set plus the concern group that matches. Two or three precise courses are better than a stack of unrelated certificates.
- Complete them privately. We do not report enrollment or results to any board.
- Write the reflection. Focus on what you learned and what you now do differently. Avoid identifying clients and avoid new admissions of fact; discuss wording with your attorney.
- Provide it through your adviser, if they agree. Your attorney decides whether, when and how certificates and reflections go to the board.
Insight, reflection and remediation in psychology board terms
These words come from health regulation generally, and US boards use their own vocabulary. In psychology cases you will see "acceptance of responsibility", "rehabilitation", "mitigation" and "compliance with the terms of probation". In practice they map onto three things you can show.
- Insight: a specific, honest account of what happened and why it mattered to the client, from the client's point of view.
- Reflection: structured thinking about what you learned and what you now do differently. Psychologists know better than most that written words can be read later; personal reflections may be discoverable, so focus on learning, not on case facts.
- Remediation: the actions that address the gap, such as courses, consultation or supervision, file audits and changes to consent forms, risk assessment templates or billing processes.
Support while a case is open
Psychologists spend their working lives supporting others in crisis and can find it hard to accept help themselves. A board complaint about your clinical work can feel like an attack on your identity. Seeking support is sensible, and it is not an admission of anything.
- 988 Suicide & Crisis Lifeline: call or text 988 at any time if you are in distress or worried about your safety.
- Your own therapist: personal therapy is confidential and separate from the case. Ask your attorney whether anything you plan to disclose elsewhere could become relevant.
- Your liability insurer and attorney: for the legal side, so that peer consultation does not turn into informal legal advice.
- Your state psychological association: ask what colleague support it offers.
Build your psychology remediation set
Most psychologists begin with Ethics for Psychologists and Professional Standards for Psychologists, then add one or two courses from the concern group that matches the allegation. For the complaint process itself, read our licensing board complaint guide for therapists and psychologists. If you want ethics study for renewal or development rather than a complaint, see ethics and professionalism courses for psychologists, or compare all professions on the remediation courses hub and the course catalog.
Questions
Which course should a psychologist take first after a board letter?
Start with the two profession courses, Ethics for Psychologists and Professional Standards for Psychologists, plus Responding to a State Licensing Board Complaint. Then pick one or two courses from the concern group that matches the allegation, for example boundaries for a multiple-relationship complaint or documentation for a records complaint. Discuss the plan with your attorney so your study supports the response strategy rather than running ahead of it.
Can I use your course to satisfy a board order that requires an ethics course?
Only if your order and your board allow it. Orders often specify approval in advance, minimum hours, live attendance or a named provider. Read the exact wording and ask your attorney or the board's compliance staff before enrolling. Our courses are better used for voluntary study before a decision, or alongside an approved course you must also complete.
Does a psychology board complaint always end up on the NPDB?
No. Dismissed complaints and many non-disciplinary outcomes are not reportable. But the NPDB requires state boards to report adverse actions that result from a formal proceeding, such as reprimand, probation, suspension or revocation, within 30 days, and it says this applies even when the action is taken through a private agreement. You can add a Subject Statement to any report.
A parent in a custody case filed against me. Is that treated differently?
Boards investigate custody-related complaints like any other, but they often come from people unhappy with an outcome. The board will look at your role, your methods, whether you stayed within the data and whether you avoided conflicting roles. A well-documented evaluation is your best protection. Our ethics and professional standards courses cover role clarity and report limits.
Should I send my psychotherapy notes to the board?
Not without advice. Boards can usually compel production of records, but what you provide, how and when should be decided with your attorney. HIPAA treats psychotherapy notes as a special category that generally needs the client's authorization to disclose, with limited exceptions, and state law may add requirements. Never edit a note after a complaint arrives.
Will the board know I have taken your courses?
Only if you or your attorney tell them. We do not report enrollments, results or certificates to any board, insurer or employer. You decide, with your adviser, whether to present certificates and your reflective account as part of your response, at a settlement conference or after an order.
How long does a psychology board investigation take?
It varies by state and case, and many investigations take months. Quiet periods are normal and do not mean the case has closed. Use the time well: complete relevant study, audit your own files with your attorney's agreement, and keep a record of the changes you make. That evidence is easier to present if you started early.
Can I keep seeing clients while the complaint is open?
In most cases, yes, unless the board takes emergency action or you agree to restrictions. Boards can act quickly where there is an immediate risk to the public, for example through summary or emergency suspension. Ask your attorney whether any change in your caseload or a voluntary safeguard would be wise while the case is pending.
How should a psychologist write a reflection without hurting the case?
Write about learning, not about facts in dispute. Describe the principle at stake, what the course taught you and the specific changes you have made, such as a new consent form or a consultation habit. Avoid identifying clients and avoid statements that admit an allegation you are contesting. Let your attorney review it before it goes anywhere.
My complaint involves telepsychology with a client in another state. What applies?
Generally, the law where the client is located matters, and you may need authority to practice there. ASPPB supports mobility credentials, but rules differ by state. A complaint can be made to the board in either state. Our professional standards course covers scope and jurisdiction questions; get legal advice on the licensure issue itself.
Do these courses help with a complaint to my employer or an insurance panel?
They can. Employers and payor panels often ask for evidence of reflection and corrective action after an incident or audit. Certificates and a reflective account give you something specific to show. The same honesty rule applies: confirm with your attorney before sharing anything that relates to an open board case.
Is a consent order the same as admitting misconduct?
It depends on the wording. Some agreed orders include findings of fact; others resolve the case without admissions. Either way, an order is usually a public, formal action that may be reportable to the NPDB. Read every term, including conditions about education, supervision and monitoring, with your attorney before you sign.
What should a psychologist do once an order is in place?
Comply exactly and on time. Calendar every deadline, keep copies of every report and certificate, and tell your monitor or supervisor early if anything slips. Use the Rebuilding Trust and Preventing Recurrence courses to plan how you will show sustained change, which matters when you later ask the board to lift conditions.
Can psychological associates or trainees use these courses?
Yes. The courses are written for licensed psychologists but work for psychological associates, postdoctoral residents and other supervised practitioners. Supervisors also use them in development plans. Check your own board's rules, because supervised practitioners may be subject to different requirements and their supervisors may be named in the same complaint.
Official sources
Checked October 2026. Rules and processes change, so confirm the current position with the official source. This page is general information, not legal advice.
- Texas BHEC: How Complaints Are Processed
- Texas BHEC: Resolution of a Complaint
- Florida Department of Health: Enforcement process chart
- NY Education Law Article 130, Subarticle 3 (professional misconduct)
- NY Rules of the Board of Regents, Part 29 (unprofessional conduct)
- NPDB Guidebook: State Licensure and Certification Actions
- NPDB Guidebook: Overview
- HHS: HIPAA Privacy Rule
- HHS: 42 CFR Part 2 final rule fact sheet
- HHS-OIG: Fraud and Abuse Laws
- 988 Suicide & Crisis Lifeline
- APA: Ethical Principles of Psychologists and Code of Conduct
- ASPPB: Association of State and Provincial Psychology Boards
- Florida Board of Psychology: Psychologist Renewal
How these courses are built
Official sources only
Every legal and regulatory point comes from primary sources: state practice acts and board rules, federal law and national professional codes of ethics. Anything we cannot confirm is left out.
Original, edition by edition
Lessons, scenarios and assessment questions are written by us for each edition separately, then checked for accuracy, teaching quality and fair assessment before publication.
Reviewed when rules change
When a code, standard or law changes, the affected courses are reviewed and updated. Reported errors in legal or regulatory facts are corrected first.