Case library · California · 2023–2026

What actually gets a California therapist disciplined

In short

Forty-eight real cases, the exact code section each was charged under, and what each one cost

48 written up in full

Real BBS decisions, de-identified. What happened, what it was charged under, and what it cost.

48written up in full
$33,704largest cost recovery
9ways it goes wrong

The shape of itThe forty-eight casesWhat it costsInsurance that answers for it

The shape of it

Discipline does not usually start with a client.

This is the finding that surprises most therapists, and it is not an interpretation — it is the Board's own reporting. In FY 2023–24 more complaints came from government agencies than from members of the public, and the largest single driver of MFT discipline in California is the Department of Justice conviction and arrest feed under Penal Code §11105.2. Sixty-two of the 103 decisions in the first collection cite §4982(a), a substantially related conviction. Most of those are a DUI. None of them began with someone complaining about therapy.

FigureWhat it isContext
2,127complaints received by BBS in FY 2023-24across all license types — up from 1,803 three years earlier
1,006of them came from government agenciesmore than the 952 that came from members of the public
47accusations filed that yearout of 2,127 complaints
415days, on average, from complaint to formal disciplineagainst a 540-day target
7malpractice settlement reports in four yearsaveraging $360,000 paid on behalf of the licensee
51%of cases settle219 settled against 210 that went to hearing over four years

Source: the Board's 2025 Sunset Review Report, section 4.

Which subdivision of §4982, and how often

Counted from the text of those 103 decisions. A single case can cite several.

Subd.What it prohibitsCasesNote
(a)Conviction of a substantially related crime62Overwhelmingly the most cited ground. Mostly DUI.
(c)Substance use dangerous to self or others32Almost always paired with (a).
(i)Intentionally or recklessly causing emotional harm13The standard companion count in every boundary case.
(e)Violating the chapter or a Board regulation12The hook that pulls all of 16 CCR into §4982.
(d)Gross negligence or incompetence9Every dual-relationship case.
(k)Sexual misconduct with a client or former client6
(j)A dishonest, corrupt or fraudulent act5
(m)Failure to maintain confidentiality4
(b), (p), (u), (w), (y)Fraud in licensure, advertising, experience hours, child abuse reporting, records access1One case each — and each one is in this library.

The complete subdivision list, (a) through (ab), is in the Board's Statutes and Regulations at article 2.

And what gets cited, short of an accusation

A citation and fine is not formal discipline, and it is far more common. These are the five grounds the Board reports citing most often, in its own order:

  • Failure to complete specific continuing education coursework requirements
  • Failure to maintain patient confidentiality
  • Providing services for which licensure is required — unlicensed practice, or practicing on an expired license
  • Misrepresentation as to the type or status of a license or registration held
  • Misrepresentation as to the completion of continuing education requirements

Two of those five are about continuing education and one is about confidentiality. None of them is clinical.

The library

Forty-eight cases, grouped by what went wrong.

Each one opens to a full write-up: the facts as the decision states them, every statute charged with a link to the code section, the disposition, the cost recovery, what the rule actually requires, where a liability policy does and does not reach, a discussion of what the Board was deciding, and three questions for a class.

48 cases, by what went wrong
Convictions10
Sexual boundaries8
From elsewhere6
After discipline6
Boundary drift5
Applying with a record5
Money and billing4
Records3
Fitness exams1

Boundaries — sexual contact and the drift short of it — and criminal convictions are the two halves of this library. Only a handful began as a complaint about clinical work. The pattern to take from this is that discipline usually arrives from outside the therapy room, through a conviction feed, an employer, another licensing board, or an application form.

Showing all 48 cases

Sexual boundaries · 8

One went to a full hearing; the rest settled. The penalty floor here is the highest in the guidelines, and for sexual contact as defined in §729 the revocation cannot be stayed by anyone — not the administrative law judge, not the Board.

The clinical director who slept with an inpatient, then asked him for $5 millionSeven years of probation and $15,883 — the largest cost recovery in three years of California MFT discipline.LMFTDecember 19, 2024seven yrs probation$15,883“We could date if we ended therapy”Said out loud in session, to a client the accusation described as vulnerable to exploitation. License surrendered, $12,515.LMFTDecember 19, 2024Surrendered$12,515Coffee three days after the final sessionAn intern who never told his supervisor, “for fear of being fired.” Four years of probation.LMFTApril 4, 2024four yrs probation$4,254Eight years, one client, and four sessions on MDMATrainee to intern to licensed private practice, with the same client throughout. License surrendered.LMFTOctober 24, 2024Surrendered$7,826Denied it to her employer, admitted it two days laterOne of the few cases in this dataset proved at a full hearing by clear and convincing evidence. Registration revoked.AMFTSeptember 25, 2025RevokedThree years of small steps, no single eventThe most carefully documented escalation in the whole dataset. License surrendered, $8,039.LMFTDecember 4, 2025Surrendered$8,039Four employers acted on him before the Board ever didA 2010 suspension, a 2017 forced resignation, a 2020 termination and a 2021 improvement plan — all internal, none reported.AMFTMarch 9, 2023Surrendered$33,704He dosed two clients with MDMA and psilocybin, then slept with oneBoth relationships began before there was a therapy relationship — one in a classroom where he was the teaching assistant.LMFTMarch 9, 2023Surrendered$14,486

Fitness-to-practice examinations · 1

One lesson: an order to be examined is not a request, and ignoring it is its own independent ground for revocation with no §4982 charge attached.

The order to be examined is not a requestThree cases, three revocations, and in one of them no §4982 charge at all.LMFTApril 4, 2024Surrendered

Convictions, and the duty to report one · 10

The largest category in the data by a wide margin — sixty-two of the 103 decisions cite §4982(a), and most of those are a DUI arriving through the Department of Justice notification feed rather than through a client. Only a few DUIs are written up in full, because past the first they repeat. What is here instead is the range: the modal case, the duty to report a conviction inside thirty days, the convictions that have nothing to do with a client at all, and the cases the Board decided on its own evidence packet because nobody filed a notice of defense.

Two DUIs, five years of probation: the most common case in CaliforniaSixty-two of 103 decisions cite §4982(a). This is what the typical one looks like.LMFTMay 15, 2025five yrs probation$2,201A reckless driving conviction, charged six timesThree causes on the MFT registration, then the same three repeated on the counselor registration.AMFTFebruary 12, 2026five yrs probation$2,578Charged for conduct that was never prosecutedTwo convictions, and then two more causes for incidents that produced no conviction at all.LMFTJanuary 18, 2024three yrs probation$5,083A felony assault conviction, and no answer to the BoardHe filed no notice of defense within 15 days; the Board decided the case on the papers and revoked.APCCMay 18, 2023Revoked$4,551.25A battery conviction ends an associate’s registrationShe never filed a notice of defense, so the Board decided the case without her.ASWMay 18, 2023RevokedFelony child endangerment, and no answer to the BoardShe filed no notice of defense, so every allegation was taken as true and the registration was revoked by default.ASWDecember 14, 2023RevokedA 0.15 breath test and two missed 30-day deadlinesShe won a probation lighter than the Board’s own guideline minimum, then surrendered the registration less than two years into it.AMFTDecember 14, 2023SurrenderedA drive-through altercation, then no answer to the BoardHe never reported the conviction, never answered two letters, and never filed a notice of defense; the registration was revoked without a hearing.AMFTAugust 15, 2024Revoked$2,597.50

Applying with a record · 5

The Board is not deciding what somebody did in a session. It is deciding whether to let them start at all. §480 lets it look back seven years — except for a serious felony under Penal Code §1192.7, where there is no time limit at all, and where §1192.7(c)(23) sweeps in any felony involving a weapon. What the statute will not let the Board do is refuse on the conviction type alone: §493 requires the rehabilitation analysis in 16 CCR §1813 every time. Read these for what that analysis actually accepts.

Two nursing board actions, then an MFT applicationThe Board denied the application, then agreed to issue the registration under two years’ probation and a recordkeeping course.AMFTJuly 24, 2025ProbationShe wrote her supervisor’s name on the hours formsThe Board revoked her registration, granted her a new one on three years’ probation, and cut the cost award from $10,650 to $3,000.APCCJanuary 18, 2024Probation$3,000.00A 34-year prison sentence, then a social work applicationThe Board denied the application, then settled by issuing the registration under five years’ probation and a psychological evaluation.ASWMarch 6, 2025ProbationA 1985 murder conviction, and a 2024 registration on probationThe judge found cause to deny and granted the application anyway: nearly 40 years, a clean parole, and a master’s degree in counseling.APCCAugust 15, 2024five yrs probationA 2008 conviction still reached a 2024 applicationThe seven-year lookback in section 480 does not apply to serious felonies; the registration issued on three years of probation.ASWDecember 4, 2025three yrs probation

What it costs

Cost recovery is the number therapists most underestimate.

Business and Professions Code §125.3 lets an administrative law judge order a licensee found in violation to pay the reasonable costs of investigating and enforcing the case, including the Attorney General's charges. It is separate from your own lawyer, separate from any fine, and no insurance policy sold to therapists pays it. The judge can reduce it. The judge cannot increase it.

OrderedTypical fact pattern
$882 – $2,500A single DUI, settled early
$2,500 – $5,500Multiple convictions, or a settled boundary case
$5,000 – $8,200A contested boundary or dual-relationship case
$7,600 – $12,500Sexual misconduct, or a multi-client business-practice case
$15,883The highest in three years — the residential-facility sexual misconduct case

None of that includes your own defense counsel, the psychological or psychiatric evaluation the order requires you to pay for, the practice-supervision arrangement, the remedial coursework that cannot be counted toward your continuing education, or the income lost during a suspension.

The fifteen probation conditions

These appear in essentially every probation order the Board writes. Two of them are the ones therapists never think about until they are living under them.

ConditionWhat it means in practice
Obey All LawsAny new offense is a violation.
File Quarterly ReportsThe single most commonly missed condition.
Comply With the Probation Program
Interviews With the Board
Failure to Practice / TollingStop practicing and the clock stops, but the obligations do not.
Notify the Board of Any Change of Employment or Residence
Supervision of Unlicensed Persons
Notification to ClientsYou must tell your clients you are on probation.
Notification to EmployerAnd your employer.
Violation of Probation
Maintain a Valid License
Surrender in Lieu of RevocationThe condition the Board invokes when probation fails, without starting a new case.
Coursework Does Not Count Toward CEYou pay for the ordered coursework, and then you pay for your continuing education separately.
Reimbursement of Probation Program CostsRoughly $1,200 a year.
Cost RecoverySeparate from everything above.

The penalty attached to each violation is set out in the Board's Uniform Standards and Disciplinary Guidelines, which is the document the Board uses to price every settlement it offers.

Where insurance actually reaches

Read them and the pattern is hard to miss: almost none of them is a malpractice claim. Nobody sued. The Board saw seven malpractice settlement reports in four years, against 2,127 complaints in a single year. The $1,000,000 limit that every therapist shops on is not the number that matters here — the board-defense sublimit is, and depending on the program it is $5,000, $25,000 or $35,000.

  • Board defense is the coverage you are statistically most likely to use, and it is the smallest number on the policy.
  • Sexual misconduct is defense only on every program a California therapist can buy. There is no indemnity, and some policies condition even the defense on the allegation being unfounded.
  • Cost recovery is not a defense cost. No sublimit pays it, on any policy, ever.
  • Probation is entirely uninsured — monitoring fees of roughly $1,200 a year, ordered evaluations, supervised practice, and coursework that does not count toward your CE.
  • Associates are usually not named insureds on an employer's policy, and the employer has no reason to carry board-defense cover for someone else's registration.

Every program a California MFT can buy, with what each publishes and what people report actually paying →

There are no names on this site, and that is deliberate

Every name is public record. The Board publishes them in its own quarterly newsletter and the Department of Consumer Affairs hosts the signed decisions. This site does not republish them, for an editorial reason rather than a legal one: a page that names people becomes a page people arrive at by searching a name, and at that point it has stopped teaching anything.

Nothing has been softened. Conduct, statute, outcome and dollar figure are exactly as each decision states them. Cities, employers and client initials are removed. Every case below carries its case number and effective date.

To verify any case here: open the Board's quarterly newsletter archive at bbs.ca.gov/resources/general.html, find the “Formal Disciplinary Actions” section of the issue covering the effective date, and match the case number. Each licensee name in those PDFs is a live link to the signed Decision and Order.

How this library was built. The Board does not publish a browsable list of its decisions. It publishes a quarterly newsletter, and in the “Formal Disciplinary Actions” section of each issue every licensee name is a live hyperlink to the signed Decision and Order, Stipulated Settlement or Accusation hosted by the Department of Consumer Affairs. Eight issues cover July 2023 through March 2026 with no gap. Reading all eight yields 286 disciplinary entries across every BBS license type; 152 are LMFT or AMFT; 104 took effect in 2024, 2025 or 2026. 103 of those 104 source documents were retrieved and read in full — one entry had no hyperlink in the newsletter. Checked August 2026.

Most of these are stipulated settlements. In a stipulated settlement the licensee does not admit the allegations; they agree the Board could establish a prima facie case, and they accept the discipline. Where a case went to a full hearing instead, the case page says so.

This is not legal advice. We are not lawyers. If you are facing a Board matter, the single most useful thing on this page is the observation that a licensing attorney and a criminal defense attorney are different jobs, and that you probably want both. The Board's brochure on therapist sexual misconduct, which §728 requires therapists to provide in certain circumstances, is here.

Figures checked, narrative not re-read

The numbers are current. The argument around them has not been reviewed since it was written.

You should not have to work this part out on your own.

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