Boundaries, Multiple Relationships, and Professional Conduct
This domain tests boundary management, avoidance of exploitation, and conduct that could trigger Board discipline. Nevada’s small communities make some multiple relationships unavoidable, so the exam expects a management plan, not denial.
Core rules
- Sexual intimacies with current clients are prohibited. Sexual relationships with former clients are prohibited for at least two years and remain unethical if the relationship exploits trust or was caused by the therapeutic relationship.
- Avoid multiple relationships that could impair objectivity or harm the client. When unavoidable-rural practice, community roles, bartering-document the risks, consult, set clear boundaries, and monitor for harm.
- Do not exploit clients financially, sexually, or emotionally. Avoid gifts, loans, business partnerships, and self-disclosure that serve the psychologist’s needs.
- Professional conduct includes honesty in advertising, timely response to the Board, nonabandonment, and compliance with continuing education and records rules.
Worked example
A psychologist in a rural town is asked to treat a neighbor’s child. The psychologist considers whether no other provider is reasonably available, discusses the risks with the family, defines roles, avoids social contact that would confuse the therapy, consults, and documents the decision. If objectivity cannot be preserved, the psychologist refers.
Traps
Believing small-town practice permits any dual role; entering a business relationship with a client; treating a former client’s family member without analysis; using self-disclosure to meet your own needs; failing to document boundary decisions.