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Psychologists in North Carolina are held to some of the highest professional and ethical standards in the healthcare field. They’re trusted to care for vulnerable patients, maintain strict confidentiality, and uphold the integrity of their profession. 

So, what happens when misunderstandings, personal disputes, or errors in judgment lead to misconduct complaints? If you’ve received a complaint from the North Carolina Psychology Board, don’t panic — but don’t ignore it, either. 

Understanding the common reasons psychologists face disciplinary hearings, what to expect, and how an attorney can help can make a critical difference in protecting your license and reputation.

Common Reasons Psychologists Face Discipline

The North Carolina Psychology Board has the authority to investigate complaints, conduct hearings, and administer professional discipline. Here are some of the most common issues that trigger that process. 

Boundary Violations

Psychologists are expected to maintain appropriate professional boundaries at all times. Entering into a dual relationship with a client (such as a romantic, financial, or social relationship) can be grounds for serious discipline, even if the psychologist believes no harm was done.

Unethical or Unprofessional Conduct

This category includes a broad range of behaviors, such as:

  • Breaching client confidentiality without proper legal justification
  • Falsifying records or billing for services not rendered
  • Making misleading claims about qualifications or services

Substance Misuse

The board may take action against psychologists who are deemed unfit to practice due to untreated substance abuse disorders or who are suspected of substance use while on the job. 

Failure to Maintain Accurate Records

Incomplete, inaccurate, or unsecured clinical records can trigger complaints, especially if a client changes providers or a legal dispute arises and the psychologist is unable to produce required documentation. 

Improper Supervision

If you supervise interns, residents, or psychological associates, you may be held responsible for their conduct. Failing to provide proper oversight or allowing unqualified individuals to perform duties outside of their scope of practice can lead to board action.

Practicing Without a License

Practicing outside the bounds of your license or letting your license lapse without renewing it can lead to disciplinary consequences, even if the error was unintentional.

What Happens When a Complaint is Filed?

Here is what to expect when a client, colleague, or concerned third party files a complaint with the NC Psychology Board:

Notification. You’ll receive written notice of the complaint and be given the opportunity to submit a written response. This stage of the process is time-sensitive, so don’t let strong emotions prevent you from taking action. 

Investigation. The board will gather evidence, which may include interviews with the complainant, a review of client records, or consultations with other professionals. Investigations can take several months.

Informal Resolution. In some cases, the board may propose a consent order or another negotiated outcome instead of proceeding to a hearing. These agreements may involve conditions such as supervision, continuing education, or probation.

Formal Disciplinary Hearing. If an informal resolution isn’t appropriate, the board will conduct a hearing similar to a trial. You will have the opportunity to present evidence, call witnesses, and defend yourself against the allegations.

Decision. After reviewing the evidence, the board may:

  • Dismiss the complaint
  • Issue a private or public reprimand
  • Impose fines, suspension, probation, or license revocation

How a Professional License Defense Attorney Can Help

Being accused of professional misconduct isn’t the end of your career, but how you respond can make a big difference in how you’re able to move forward. An experienced professional license defense attorney can help you navigate the process and attain a better outcome. 

Protect Your Rights

It’s important to cooperate with the board’s investigation, but it’s equally important to avoid oversharing and self-incrimination. Your attorney can ensure that your rights are protected throughout the process. 

Craft a Strategic Response

Your initial written response to the complaint can significantly influence the investigation. Your attorney can help you explain your perspective clearly and persuasively without saying anything that could be used against you later.

Negotiate a Favorable Outcome

A professional license defense attorney with direct experience before the NC Psychology Board can negotiate consent orders that minimize disciplinary action and avoid public hearings when possible.

Get an Advocate

If your case proceeds to a formal hearing, your attorney can represent you. This will allow you to remain focused on delivering your strategic testimony while they present evidence and cross-examine witnesses.  

In the event that discipline is imposed, your attorney can help you comply with all conditions, appeal unjust decisions, or work toward license reinstatement in a way that minimizes harm to your professional reputation. 

The disciplinary process can be intimidating, but you don’t have to face it alone. Partnering with an experienced advocate as soon as possible will help you secure the best possible outcome.