Become a Certified Problematic Sexual Behavior Therapist (CPSBT)

Certified Problematic Sexual Behavior Therapist (CPSBT)

Clinical professionals seeking certification as a CPSBT have an interest in treating individuals struggling with problematic sexual behavior (PSB). These clinicians understand the nuances of PSB and know that only through very specific therapeutic approaches can someone heal.

Certification Requirements

SASH maintains a standard that profesionals need core knowledge about human sexuality and specific skills training in various topics to effectively work with a client. The following represent the general requirements and the core knowledge prior to seeking the skills educational requirements. 
Current Membership in the Society for the Advancement of Sexual Health (SASH)
1. A graduate degree in a field of behavioral health (e.g., psychology, social work, counseling, marriage and family therapy) from an accredited university, a medical degree (including Doctor of Osteopathic Medicine), or an advanced practice nursing degree.

2. At least one year of licensure to practice independently as a mental health provider (e.g, licensed clinical psychologist, licensed psychiatrist, licensed professional counselor, licensed mental health counselor, licensed marriage and family therapist, licensed clinical social work, licensed psychiatric nurse practitioner, or equivalent) at the masters or doctoral level.

3. If the applicant holds a degree from a non-accredited institution, or is practicing outside the United States or the United States territory, they will provide documentation to demonstrate that the education and licensure that they have obtained is functionally equivalent to these standards.
To be eligible for any of the SASH credentials, an individual must have completed no less than ninety (90) clock hours of education in human sexuality please note that one dock hour is sixty minutes). The applicant must have completed at least three (3) clock hours in each of the subject matter below marked with an asterisk " The remainder may be obtained in any of the subject matter below, including electives marked with a dagger (t), but no more than twenty (20) hours in any of these areas may be counted towards the total. At least fifteen (15) hours of this training must be completed in person or via synchronous video e-learning. The remaining may be completed either in person, or via distance learning. These hours must be obtained from an accredited college or university, or alternatively from a continuing education organization that is certified to provide CE credits from any of the approved organizations

Please note that the Credentialing Committee reserves the right to reject any educational credits, or to request additional education in any subject matter prior to awarding a certification

Human Sexuality Core Knowledge Areas
1. Sexual Development, Anatomy, Physiology, and Reproduction
   a. Sexual development across the life-span from a biological, psychological and social perspective *
   b. Sexual and reproductive anatomy and physiology *
   c. Sexual response cycle and models of sexual desire *
   d. Theories explaining individual differences in sexuality *
   e. Conception and childbirth +

2. Sexual Health Challenges
   a. The influence of health and medical factors on sexuality (e.g., illness and infection, disability, mental health, medications, contraception and safer sex practices, fertility struggles, pregnancy and childbirth, pregnancy termination, sexually transmitted infection, physical injuries) *
   b. Sexual functioning challenges and dysfunctions (e.g.. discrepancy in partner desire, absence of desire, difficulties attaining or sustaining arousal, difficulties with sexual pain and penetration, and orgasm difficulties *
   c. The interaction of substance use/abuse and sexuality *
   d. Sexually transmitted infections *
   e. Sexual trauma (e.g., exploitation, abuse, harassment, and assault) *
   f. Multiple theories of problematic sexual behavior *

3. Sexual Identity and Erotic Expression
   a. Sexual orientation *
   b. Gender identity and gender roles *
   c. Diverse sexual expressions and lifestyles (eg. consensual non-monogamy, tantra, BDSM) *
   d. Social, economic, cultural, religious/spiritual, and familial factors influencing sexual behaviors and values *
   e. The interaction of technology and sexuality f Pleasure enhancement skills, techniques, and tools *

4. Intimacy and Relationships
   a. Relationship dynamics and intimacy skills *
   b. Sexual communication between partners *
   c. Negotiating differences in sexual desire, interests, preferences, and values between partners *
   d. Models of effective communication (eg, verbal and non-verbal communication) +

5. Professional Development
   a. Ethics *
   b. Professional communication skills (concerning clients, colleagues, and students) *
   c. History of the research, theory, and treatment concerning human sexuality +
   d. Methods and principles of sexuality research +
   e. Careers in sexual health +

NOTE: The applicant must have completed at least three (3) clock hours in each of the subject matter above marked with an asterisk (*). The remainder may be obtained in any of the subject matter listed above, including electives marked with a plus sign (+), but no more than twenty (20) hours in any of these areas may be counted towards the total
To be eligible for any of the SASH credentials, an individual must have completed a group experience of no less than ten clock hours in which the individual processes, explores, and reevaluates their own beliefs, feelings, values, attitudes and trauma involving the topic of human sexuality and human sexual behavior. The experience may be done over multiple sessions, but each session must be conducted for a minimum of three (3) dock hours and must be conducted in a group setting.

For the experience to count as credit towards a credential, it must not have been conducted in the course of personal therapy. If the experience was conducted in the course of academic work the participant must show that it was experiential in nature and not a lecture-based learning exercise The individual must be a participant in the experience, and not a facilitator

A similar workshop such as the Sexual Attitudes and Values Overview and Reevaluation (SAVOR) available from SASH also fulfills this requirement.
1. Complete a minimum of seventy (70) total hours of training in problematic sexual behavior in the past five (5) years. At least thirty-five (35) hours of this training must be completed in person or via synchronous video e-learning. The remaining may be completed either in person, or via distance learning. These hours must be obtained from an accredited college or
University, or alternatively from a continuing education organization that is certified to provide CE credits from any of the approved organizations (See approved educational providers tab below). Please note that the SASH Credentialing Committee reserves the right to reject any educational credits or to request additional education in any subject matter prior to awarding a certification.

This training must meet the following minimum requirements:

   a. A minimum of ten (10) hours covering multiple theories of problematic sexual behavior and its etiology.
   b. A minimum of ten (10) hours in assessment and diagnosis related to problematic sexual behaviors.
   c. A minimum of twenty (20) hours in methods of clinical intervention for problematic sexual behavior
   d. A minimum of ten (10) hours in treatment for affected family members.
   e. A minimum of five (5) hours in factors relating to sexuality in diverse populations (e.g. sexual minorities, age, ethnicity, homelessness, substance use population) and differentiating problematic sexual behavior within diverse populations.
   f. A minimum of five (5) hours in sexual offender evaluation and treatment.
   g. A minimum of five (5) hours concerning limits of competence, ethics, legal concerns, and standards of care for treatment of problematic sexual behavior.
   h. Training in only one treatment methodology is not sufficient to fully meet these requirements. Only ten (10) hours in one method may count towards the total hours required.

2. Complete a minimum of five hundred (500) hours of direct clinical intervention with individuals or family members affected by problematic sexual behavior.

3. Complete at least forty (40) hours of clinical supervision of treatment for problematic sexual behavior.

   a. Supervision may be conducted by any CPSBT Supervisor
   b. Supervision may be conducted by someone who is a recognized expert in this subject matter. Who is not a predesignated CPSBT supervisor, as approved by SASH on a case by case basis. To have Such a supervisor approved, the applicant must submit a Supervisor Special Approval Form, along with a copy of the supervisor's vita and a statement of the qualifying nature of the supervision.
   c. A minimum of fifteen (15) hours must be completed in individual (one on one) supervision.
   d. The remaining supervision can occur in groups no larger than six (8) supervisees.
   e. Supervision must come from at least two supervisors with different theoretical orientations. (supervision hours are equally divided between the two supervisors.)
1. At least 30 CEs completed every two (2) years,

   a. All credits must be CE approved by an organization on the SASH credential approved list.
   b. A minimum of five (5) hours in general sexual health.
   c. A minimum of twenty (20) hours in assessment and treatment of problematic sexual behaviors or family members impacted by PSB. However, if the applicant has multiple SASH specialty credentials, this requirement shall be reduced to fifteen (15) hours.
   d. A minimum of five (5) hours in ethical and legal concerns,

2.Current membership in the Society for the Advancement of Sexual Health (SASH).

Certification FAQs

SASH maintains a standard that profesionals need core knowledge about human sexuality and specific skills training in various topics to effectively work with a client. The following represent the general requirements and the core knowledge prior to seeking the skills educational requirements.
Applicants that are interested in more than one certification and have the qualifications to apply for two or more at the same time will receive ⅓ off the second and sequential applications. The discount only applies to those applicants applying to more than one certification at the same time.
Recipients of 3 SASH Certifications are Automatically Awarded the Distinguished Sex Therapist (DST) Certification which represent the highest level of experience and knowledge in the industry
Yes, You can split the time between different requirements (e.g. 30 min towards anatomy and physiology, 30 min towards sexual health concerns etc.). However, you cannot use the same training twice.
Each application is reviewed by the credentialing committee. All applications with complete documentation will be reviewed within 30 days of receipt. Applications that lack all the necessary paperwork to process the application will experience delays. When additional requirements are requested by the committee, the applicant should seek to fulfill those requests in a timely manner. Items left unfulfilled may require the applicant to resubmit. Open applications that are incomplete will be kept open for a period of six (6) months. After that timeframe the applicant may be required to resubmit.
It depends, training that meets the credential training requirements (see approved educational providers tab under the specific certification page on the website) may be eligible. Due to the diverse nature of each credential not all hours may be credited toward credential requirements. The committee will review all submitted education and training and if necessary will request additional information to complete the application process.
Any training can be submitted and is subject to review by the credentialing committee. If there are specific questions related to training credits please contact SASH by writing the Credential Committee at [email protected] Put credential committee in the subject line..
The SASH annual conference is an excellent place to obtain hours and some sessions have a designation that identifies which education requirements are met by attending. SASH is only one place where hours can be obtained. There are other organizations that offer training meeting the education requirements. If you aren't sure, contact SASH for clarification.
You will be notified by the SASH Credential Committee once all documentation has been received and processing has begun.
You may contact the SASH Credentialing Committee for suggestions. In the near future there will be an online directory of approved supervisors.
You can submit a letter to the Credential Committee requesting that your hours apply to the desired certification. The letter will detail how you meet the different education and training requirements as well as professional practice in the field.
Problematic Sexual Behavior is an a-theoretical term that describes behaviors which conflict with values, commitments, creates consequences, control is impaired, or violates rules of sexual responsibility.
Sexual Wellness is the ability of an individual to thrive in their own sexuality. This invokes knowledge of their own sexuality as well as the absence of dysfunction and the pursuit of pleasure.
Trauma is any life event that shatters fundamental assumptions of how the world works and one's relationship to the world.

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