Application for Board Certification

It is easy to apply for Board Certification in Psychoanalysis through our online certification program on the CIPS website (www.cipsusa.org). If you have any questions about the application process, please contact the Board Certification Administrator, Diana Daimwood, at admin@cipsusa.org.

Application for Board Certification (2023)
Name
Name
First
Last
Address
City
State/Province
Zip/Postal

Experience Overview

Since graduation, approximately how many total hours have you devoted to the practice of formal psychoanalysis, conducted at a minimum of 3-5 sessions per week?
Since graduation, how many patients have you treated in formal psychoanalysis, conducted at a minimum frequency of 3-5 sessions per week?

Add Patient

Experience in the conduct of psychoanalytically informed individual psychotherapy and formal psychoanalysis (at a minimum frequency of 3-5 sessions per week). Please list all patients seen AFTER graduation, even if their treatment began before graduation. If necessary, click the "Add New Patient" button below to include all patients seen in the last five years. For each patient, please list the approximate start date and, if appropriate, the termination date. If the case is ongoing, write "ongoing" in the termination column.
If the case is ongoing, write "ongoing"
plus1 Add New Patient minus1 Remove Patient

Supervision & Consultation

Please list all supervisors, teachers, and clinical consultants with whom you have studied or discussed your work since graduation.
Since graduation, approximately how many total hours have you devoted to the practice of psychoanalytic treatment (formal psychoanalysis and psychoanalytically informed psychotherapy)?

Seminars & Study Groups

Please list all seminars and study groups, including dates and group leaders, in which you have participated since graduation.
0 of 150 max words
Please describe your experience teaching psychoanalytic theory or psychoanalytic practice technique. Include courses and the year you taught them. (No more than 150 words)

Professional Activities in Psychoanalysis

0 of 150 max words
Please describe your experience supervising candidates, students, or mental health practitioners in the practice of psychoanalysis or psychoanalytically informed psychotherapy. Please include years. (No more than 150 words)
0 of 150 max words
Please describe your experience conducting research in psychoanalytic theory or psychoanalytically informed practice. (No more than 150 words)
Please list your publications pertaining to psychoanalytic theory, treatment, education or research since graduation.
Please list and describe any psychoanalytically oriented seminars or study groups you have led since graduation.

Letters of Reference

Please read the instructions below carefully.

The Certification application requires two letters of reference from colleagues.

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To the Applicant:

Please ask two experienced psychoanalysts who know your work to complete these letters of reference. These may be colleagues, supervisors, or consultants and may be from any IPA institute, which currently includes APsA as well. However, each individual submitting a letter of reference on your behalf must have five years of postgraduate psychoanalytic experience, be certified in psychoanalysis or be eligible for board certification. You may meet with one or both colleagues to discuss your work and the letters of reference.

Please copy and send the link below to your references so they can upload their letters directly using the Letters of Reference Submission Form:
https://www.cipsusa.org/letters-of-reference

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To the Analyst providing a reference:

A colleague has requested that you provide a letter of reference in support of his or her application for The CIPS Board Certification in Psychoanalysis. Letters of reference include a short questionnaire of 27 items as well as space for additional comments about the applicant and his or her work. When you have completed the letter of reference, please upload it to the CIPS website using the Letters of Reference Submission Form link provided by the applicant.

Click here to download the questionnaire

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Important:
CIPS does not accept paper submissions or emailed letters. All reference letters must be submitted exclusively through the upload link above. Letters submitted through this form are securely stored in our database and received directly by the CIPS Administrator.

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