Unofficial practice questions for the national marriage and family therapy licensing exam, in the six domains of its outline.
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Unofficial practice questions, not affiliated with the Association of Marital and Family Therapy Regulatory Boards (AMFTRB). Bank checked October 11, 2026.
The real exam, as AMFTRB's handbook describes it
Questions
180
Time limit
240 minutes
Fee
US$389 for the 2027 testing windows (US$370 for 2026 windows), by the handbook for each year. The fee is non-refundable.
Retakes
Once per calendar quarter, with a new application and the examination fee each time. AMFTRB recommends a wait of at least one year after three failures. A state
Scored questions
155 scored and 25 unscored pretest questions, mixed together. Pretest questions do not count toward the score.
Domains
The practice of systemic therapy 16%; assessing, hypothesizing and diagnosing 16%; designing and conducting treatment 17%; evaluating ongoing process and termin
Passing score
Set by a panel of expert judges with the modified Angoff method, then adjusted by equating for the difficulty of each test form. No fixed percent is published.
Result
Pass or fail with the total score and the domain scores, by email about four weeks after the testing window closes.
Who takes it
Candidates whose state licensing board has reviewed their education and experience and approved them to apply. The exam is given on computer in a testing window
A supervisor tells a trainee that a family cannot be understood by adding up what is known about each member. By SAMHSA's TIP 39 (2004), which property of families is this?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 1, What Is a Family? Outline: AMFTRB MFT National Examination content outline, Domain 1, The Practice of Systemic Therapy.
A therapist sees three generations of a family deciding everything together and suspects enmeshment. By TIP 39 (2004), what does the clinician need to consider about such a pattern?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 3, Elements of the family as a system. Outline: AMFTRB MFT National Examination content outline, Domain 1, The Practice of Systemic Therapy.
A treatment center runs weekly classes that teach relatives about substance use and its consequences. Nobody works on how the family members relate to one another. By TIP 39 (2004), what is this?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 1, What Is Family Therapy? Outline: AMFTRB MFT National Examination content outline, Domain 1, The Practice of Systemic Therapy.
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Systemic therapy, continued
A wife checks on her husband more as he drinks more, and he drinks more as she checks on him. Neither behavior can be said to come first. Which process does TIP 39 (2004) describe?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 1, What Is a Family? Outline: AMFTRB MFT National Examination content outline, Domain 1, The Practice of Systemic Therapy.
After a father enters recovery, the 12-year-old who had been running the household turns hostile and fights to get her old role back. Which idea in TIP 39 (2020) names a family's pull toward stability and balance?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 1, Exhibit 1.5, Homeostasis. Outline: AMFTRB MFT National Examination content outline, Domain 1, The Practice of Systemic Therapy.
By TIP 39 (2020), which assumption sets solution-focused therapy apart from the problem-solving approach of structural and strategic counseling?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 3, Solution-Focused Brief Therapy. Outline: AMFTRB MFT National Examination content outline, Domain 1, The Practice of Systemic Therapy.
In Bowen family systems therapy as TIP 39 (2004) describes it, what is differentiation?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 4, Bowen Family Systems Therapy. Outline: AMFTRB MFT National Examination content outline, Domain 1, The Practice of Systemic Therapy.
In one family nobody makes a decision alone, members answer for one another, and a private talk is soon known to all. In the terms of TIP 39 (2004), the family's boundaries areSAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 3, Elements of the family as a system. Outline: AMFTRB MFT National Examination content outline, Domain 1, The Practice of Systemic Therapy.
Which approach, developed by Minuchin, holds that family members divide into subsystems with boundaries that regulate family communication and behavior?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 1, Historical Models of Family Therapy. Outline: AMFTRB MFT National Examination content outline, Domain 1, The Practice of Systemic Therapy.
Which movement in marriage and family therapy centers on the way people construct meaning, and on how that construction affects psychological functioning?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 1, Historical Models of Family Therapy. Outline: AMFTRB MFT National Examination content outline, Domain 1, The Practice of Systemic Therapy.
Assessing and diagnosing 10
A client does poorly on mental status testing during an intake. By MedlinePlus, what does an abnormal result establish by itself?MedlinePlus (National Library of Medicine), Mental status testing, What Abnormal Results Mean. Outline: AMFTRB MFT National Examination content outline, Domain 2, Assessing, Hypothesizing, and Diagnosing.
A couple asks for joint sessions about the husband's drinking. By TIP 39 (2020), what should the counselor evaluate before couples or family counseling is considered?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 4, Intimate Partner Violence. Outline: AMFTRB MFT National Examination content outline, Domain 2, Assessing, Hypothesizing, and Diagnosing.
A couple's substance use fell while they raised children and rose again after the last child left home. They say they feel like strangers. Which family characteristic in TIP 39 (2020) frames this problem?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 1, Developmental Stage. Outline: AMFTRB MFT National Examination content outline, Domain 2, Assessing, Hypothesizing, and Diagnosing.
A mother phones her daughter most nights to talk about her son's drinking and never raises it with the son himself. Which communication pattern does TIP 39 (2020) describe?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 1, Communication Patterns. Outline: AMFTRB MFT National Examination content outline, Domain 2, Assessing, Hypothesizing, and Diagnosing.
A therapist gives every new client a brief yes-or-no questionnaire about mood and substance use. By SAMHSA's TIP 42, what does a positive screen tell her?SAMHSA, TIP 42, Substance Use Disorder Treatment for People With Co-Occurring Disorders (updated 2020), Chapter 3, Screening. Outline: AMFTRB MFT National Examination content outline, Domain 2, Assessing, Hypothesizing, and Diagnosing.
By TIP 39 (2020), a genogram maps a family's health, relationship and other psychosocial patterns within and across at least how many generations?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 4, Genograms. Outline: AMFTRB MFT National Examination content outline, Domain 2, Assessing, Hypothesizing, and Diagnosing.
By TIP 39 (2020), what is the goal of a strengths assessment with a client and the family members in treatment?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 4, Strengths Assessment. Outline: AMFTRB MFT National Examination content outline, Domain 2, Assessing, Hypothesizing, and Diagnosing.
In a family that immigrated five years ago, the teenagers now speak for their parents in public and the parents feel their authority slipping. By SAMHSA's TIP 59, which process can change family roles in this way?SAMHSA, TIP 59, Improving Cultural Competence, Chapter 1, Family and Kinship. Outline: AMFTRB MFT National Examination content outline, Domain 2, Assessing, Hypothesizing, and Diagnosing.
In a first family interview a teenager glances at his mother before he answers each question. In the concepts underlying brief strategic family therapy, what matters more to the counselor's assessment?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 3, Exhibit 3.3, Concepts Underlying BSFT. Outline: AMFTRB MFT National Examination content outline, Domain 2, Assessing, Hypothesizing, and Diagnosing.
While her father drinks, a 12-year-old cooks for her younger brother and sister, disciplines them and puts them to bed. Which term does TIP 39 (2020) use for a child who takes on adult roles that are not age-appropriate?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 1, Subsystems. Outline: AMFTRB MFT National Examination content outline, Domain 2, Assessing, Hypothesizing, and Diagnosing.
Designing treatment 11
A 16-year-old agrees to be home by ten on school nights, and in exchange his parents agree to let him use the car on Saturdays. Which behavioral family therapy technique is this?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 4, Techniques and strategies of behavioral family therapy. Outline: AMFTRB MFT National Examination content outline, Domain 3, Designing and Conducting Treatment.
A client's family argues over whether he should stay on a prescribed medication. By TIP 39 (2020), what should the counselor do before educating the family about medication?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 4, The Client on Medication. Outline: AMFTRB MFT National Examination content outline, Domain 3, Designing and Conducting Treatment.
A counselor asks a family: "Suppose that tonight, while you sleep, the problem that brought you here is solved. What will be different tomorrow to show you?" Which solution-focused technique is this?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 3, Solution-Focused Brief Therapy. Outline: AMFTRB MFT National Examination content outline, Domain 3, Designing and Conducting Treatment.
A father dominates every session. The counselor describes him to the family as someone who carries a heavy responsibility for protecting them. Which technique is the counselor using?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 4, Counselor Note: Intervening With a Domineering Family Member. Outline: AMFTRB MFT National Examination content outline, Domain 3, Designing and Conducting Treatment.
A mother keeps answering the questions put to her 15-year-old son. The therapist points this out and asks the son to speak for himself. Which structural technique is this?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 3, Structural techniques. Outline: AMFTRB MFT National Examination content outline, Domain 3, Designing and Conducting Treatment.
After assessment, a structural family therapist prepares a written contract with the family that states the goals of treatment and the steps to reach them. By TIP 39 (2004), what does the contract make more likely?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 3, Structural techniques. Outline: AMFTRB MFT National Examination content outline, Domain 3, Designing and Conducting Treatment.
By TIP 39 (2020), which couple is generally an appropriate participant for behavioral couples therapy?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 3, BCT. Outline: AMFTRB MFT National Examination content outline, Domain 3, Designing and Conducting Treatment.
How does TIP 39 (2020) class the genogram?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 4, Genograms. Outline: AMFTRB MFT National Examination content outline, Domain 3, Designing and Conducting Treatment.
In an opening session a counselor adapts to the family's way of relating, conveys respect to each member and listens as each one speaks. Which technique is this in TIP 39 (2020)?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 3, BSFT. Outline: AMFTRB MFT National Examination content outline, Domain 3, Designing and Conducting Treatment.
In behavioral couples therapy, a client tells her partner at the start of each day that she intends not to drink that day, and he voices his support. Which part of the daily recovery contract is this?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 3, Exhibit 3.2, BCT Interventions. Outline: AMFTRB MFT National Examination content outline, Domain 3, Designing and Conducting Treatment.
Only one member of a highly reactive family is willing to attend. Which approach in TIP 39 (2004) often works through one person, coaching the most motivated member to curb reactivity?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 4, Bowen Family Systems Therapy. Outline: AMFTRB MFT National Examination content outline, Domain 3, Designing and Conducting Treatment.
Evaluating and ending 10
A family has answered a son's drinking with more and more lectures, and nothing changes. In the MRI brief therapy model described in TIP 34, what is a new solution that leads in a different direction called?SAMHSA, TIP 34, Brief Interventions and Brief Therapies for Substance Abuse, Chapter 5, Brief Strategic/Interactional Therapies. Outline: AMFTRB MFT National Examination content outline, Domain 4, Evaluating Ongoing Process and Terminating Treatment.
A program treats a young man alone, and his counselor begins to compete with his parents over him. He feels torn between the two. By TIP 39 (2004), what does a client in this position often do?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 3, Triangles. Outline: AMFTRB MFT National Examination content outline, Domain 4, Evaluating Ongoing Process and Terminating Treatment.
A therapist asks: "On a scale of 1 to 10, where would you rate yourself today, and what would move you up one point?" By TIP 39 (2004), what do such scaling questions help clients do?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 4, Solution-Focused Brief Therapy. Outline: AMFTRB MFT National Examination content outline, Domain 4, Evaluating Ongoing Process and Terminating Treatment.
After treatment ends, a clinic keeps monitoring a family's progress and can respond if substance use or symptoms return. What does TIP 39 (2020) call this?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 1, Exhibit 1.2, Key Terms. Outline: AMFTRB MFT National Examination content outline, Domain 4, Evaluating Ongoing Process and Terminating Treatment.
By the chapter on brief family therapy in SAMHSA's TIP 34, what should therapists plan for as part of the termination process?SAMHSA, TIP 34, Brief Interventions and Brief Therapies for Substance Abuse, Chapter 8, Followup. Outline: AMFTRB MFT National Examination content outline, Domain 4, Evaluating Ongoing Process and Terminating Treatment.
By TIP 39 (2020), who besides the client can "relapse" and so makes a relapse prevention plan of their own?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 3, Exhibit 3.1, Relapse Prevention. Outline: AMFTRB MFT National Examination content outline, Domain 4, Evaluating Ongoing Process and Terminating Treatment.
In session a wife says her husband is "in denial" about his drinking. By TIP 39 (2020), how can the counselor reframe "denial"?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 4, SUD Client or Family Member Is in Precontemplation. Outline: AMFTRB MFT National Examination content outline, Domain 4, Evaluating Ongoing Process and Terminating Treatment.
Late in functional family therapy, a family practices using its new skills in situations other than the original problem and plans for trouble ahead. Which phase of the model is this?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 3, Functional Family Therapy. Outline: AMFTRB MFT National Examination content outline, Domain 4, Evaluating Ongoing Process and Terminating Treatment.
Midway through family therapy the client returns to drinking. By TIP 39 (2004), how should the therapist view the relapse?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Chapter 3, Substance Abuse Treatment for Family Therapists. Outline: AMFTRB MFT National Examination content outline, Domain 4, Evaluating Ongoing Process and Terminating Treatment.
Three months into a mother's recovery, her teenage son, who had been running the household, undermines her attempts to set rules again. By TIP 39 (2020), what is the counselor's task?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 4, Family's Adjustment to Abstinence. Outline: AMFTRB MFT National Examination content outline, Domain 4, Evaluating Ongoing Process and Terminating Treatment.
Crisis situations 10
A client has been asking relatives where his brother keeps a handgun. In SAMHSA's TIP 50, which direct warning sign of acute suicidality is this?SAMHSA, TIP 50, Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment, Part 1, Chapter 1, Warning Signs for Suicide. Outline: AMFTRB MFT National Examination content outline, Domain 5, Managing Crisis Situations.
A client's suicidal crisis eased two weeks ago after a referral to a mental health provider. By the last step of GATE in TIP 50, what should the counselor do now?SAMHSA, TIP 50, Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment, Part 1, Chapter 1, GATE. Outline: AMFTRB MFT National Examination content outline, Domain 5, Managing Crisis Situations.
A family is in counseling and there is a current risk that a parent will abuse one of the children. By TIP 39 (2020), should the children take part in family sessions?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 4, Child Abuse. Outline: AMFTRB MFT National Examination content outline, Domain 5, Managing Crisis Situations.
A protection order bars a husband from seeing his wife, and both are clients of the same program. By TIP 39 (2020), what must the program make sure of?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 4, Intimate Partner Violence. Outline: AMFTRB MFT National Examination content outline, Domain 5, Managing Crisis Situations.
A tornado has destroyed part of a town. By SAMHSA's TIP 57, what is the primary helping response of psychological first aid in the first 48 hours?SAMHSA, TIP 57, Trauma-Informed Care in Behavioral Health Services, Part 1, Chapter 6, Psychological first aid. Outline: AMFTRB MFT National Examination content outline, Domain 5, Managing Crisis Situations.
A woman arriving for an intake asks that her boyfriend sit in while she answers questions. By SAMHSA's TIP 25, how should the provider ask her about domestic violence?SAMHSA, TIP 25, Substance Abuse Treatment and Domestic Violence, Chapter 4, Screening and Referral of Survivors and Batterers. Outline: AMFTRB MFT National Examination content outline, Domain 5, Managing Crisis Situations.
After a flood destroys her street, a survivor tells a therapist she does not want to talk through what happened. By TIP 57, what does more recent research indicate?SAMHSA, TIP 57, Trauma-Informed Care in Behavioral Health Services, Part 1, Chapter 3, Sequence of Trauma Reactions. Outline: AMFTRB MFT National Examination content outline, Domain 5, Managing Crisis Situations.
During a screening interview it becomes clear that a batterer is endangering the client. By TIP 39 (2004), what should the provider do?SAMHSA, TIP 39, Substance Abuse Treatment and Family Therapy (2004 edition), Appendix C, Guidelines for Assessing Violence. Outline: AMFTRB MFT National Examination content outline, Domain 5, Managing Crisis Situations.
In a private intake a wife says her husband has beaten her. By TIP 39 (2020), what do experts in domestic violence generally say about joint counseling for such a couple?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 4, Intimate Partner Violence. Outline: AMFTRB MFT National Examination content outline, Domain 5, Managing Crisis Situations.
In a video session a client appears to be at risk of imminent harm and emergency services are being called. By SAMHSA's telehealth guide, what should the provider do meanwhile?SAMHSA, Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders (2021), What Research Tells Us, Suicide Screening and Assessment. Outline: AMFTRB MFT National Examination content outline, Domain 5, Managing Crisis Situations.
Ethics and law 12
A client signed a HIPAA authorization letting her therapist send records to her attorney. She now wants to withdraw it. Under 45 CFR 164.508(b)(5), how must she revoke it?45 CFR 164.508 (HIPAA Privacy Rule, authorizations), eCFR, 164.508(b)(5). Outline: AMFTRB MFT National Examination content outline, Domain 6, Maintaining Ethical, Legal, and Professional Standards.
A counselor answers questions on an anonymous online chat service. By SAMHSA's TIP 60, which legal and ethical problem can a client's anonymity create?SAMHSA, TIP 60, Using Technology-Based Therapeutic Tools in Behavioral Health Services, Part 1, Chapter 1. Outline: AMFTRB MFT National Examination content outline, Domain 6, Maintaining Ethical, Legal, and Professional Standards.
A practice replaced its written HIPAA privacy policies this year. Under 45 CFR 164.530(j), how long must the old policies be kept?45 CFR 164.530 (HIPAA Privacy Rule, administrative requirements), eCFR, 164.530(j)(2). Outline: AMFTRB MFT National Examination content outline, Domain 6, Maintaining Ethical, Legal, and Professional Standards.
A provider accepts a payment from a laboratory for each Medicaid patient referred to it. Every test was needed and was performed. By the Office of Inspector General's summary of the Anti-Kickback Statute, is that a defense?HHS Office of Inspector General, A Roadmap for New Physicians: Fraud & Abuse Laws, Anti-Kickback Statute. Outline: AMFTRB MFT National Examination content outline, Domain 6, Maintaining Ethical, Legal, and Professional Standards.
A state law protects the privacy of mental health records more strictly than the HIPAA Privacy Rule does. Under 45 CFR 160.203, which one applies?45 CFR 160.203 (HIPAA, preemption of State law), eCFR, 160.203(b). Outline: AMFTRB MFT National Examination content outline, Domain 6, Maintaining Ethical, Legal, and Professional Standards.
A supervisor invites a family counselor to draw a genogram of her own family. By TIP 39 (2020), what is this meant to raise?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 6, Systemic-Developmental Supervision. Outline: AMFTRB MFT National Examination content outline, Domain 6, Maintaining Ethical, Legal, and Professional Standards.
A supervisor notices that a counselor acts toward him much as a client couple acts toward the counselor. What does TIP 39 (2020) call this mirroring?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 6, Systemic-Developmental Supervision. Outline: AMFTRB MFT National Examination content outline, Domain 6, Maintaining Ethical, Legal, and Professional Standards.
A therapist will use text messages and video with clients. By TIP 60, when and how should she tell them her policies on these tools, such as not using them to reach her in a crisis?SAMHSA, TIP 60, Using Technology-Based Therapeutic Tools in Behavioral Health Services, Part 1, Chapter 1. Outline: AMFTRB MFT National Examination content outline, Domain 6, Maintaining Ethical, Legal, and Professional Standards.
Before family sessions begin, a mother phones the counselor to share something "just between us." By TIP 39 (2020), what should every member be told at the initial family interview?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 4, Keeping Family Secrets. Outline: AMFTRB MFT National Examination content outline, Domain 6, Maintaining Ethical, Legal, and Professional Standards.
By TIP 39 (2020), how does supervision change as a family counselor becomes experienced?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 6, Systemic-Developmental Supervision. Outline: AMFTRB MFT National Examination content outline, Domain 6, Maintaining Ethical, Legal, and Professional Standards.
By TIP 39 (2020), what must a provider have in order to identify as a marriage and family therapist?SAMHSA, TIP 39, Substance Use Disorder Treatment and Family Therapy (updated 2020), Chapter 1, Exhibit 1.2, Key Terms. Outline: AMFTRB MFT National Examination content outline, Domain 6, Maintaining Ethical, Legal, and Professional Standards.
Which federal law prohibits a physician from referring Medicare patients for designated health services to an entity in which the physician's immediate family member has a financial interest, unless an exception applies?HHS Office of Inspector General, A Roadmap for New Physicians: Fraud & Abuse Laws, Physician Self-Referral Law. Outline: AMFTRB MFT National Examination content outline, Domain 6, Maintaining Ethical, Legal, and Professional Standards.
How this list was compiled: Our own questions, written to the content outline in the AMFTRB MFT National Examination Handbook for Candidates, 2027 edition, last revised August 24, 2026 (https://ptcny.com/pdf/AMFTRB.pdf, linked from the exam's candidate page https://ptcny.com/test-sponsors/amftrb/, both read 2026-10-11; the 2026 edition, https://ptcny.com/pdf/AMFTRB2026.pdf, revised April 30, 2026, gives the same six domains and shares). Domains and shares: The Practice of Systemic Therapy 16%; Assessing, Hypothesizing, and Diagnosing 16%; Designing and Conducting Treatment 17%; Evaluating Ongoing Process and Terminating Treatment 16%; Managing Crisis Situations 16%; Maintaining Ethical, Legal, and Professional Standards 19%. The bank holds 10, 10, 11, 10, 10 and 12 questions in that order. Every fact was read on 2026-10-11 in the public text the question names: SAMHSA's Treatment Improvement Protocols 25, 34, 39 (2004 edition and 2020 update), 42, 50, 57, 59 and 60 on the NCBI Bookshelf, SAMHSA's 2021 telehealth guide, MedlinePlus, the Code of Federal Regulations at ecfr.gov (45 CFR 160.203, 164.508, 164.530) and the HHS Office of Inspector General's page on the fraud and abuse laws. No code of ethics of a membership body and no priced diagnostic manual was used. Licence: Questions, choices and explanations are original work of this site.
How it works
This MFT test prep, on screen or printed, has 63 questions of our own for the national marriage and family therapy exam. It is unofficial and not affiliated with, endorsed by or sponsored by the Association of Marital and Family Therapy Regulatory Boards (AMFTRB).
Read the full guide
Six domains, in the exam's shares
The 63 questions split 10, 10, 11, 10, 10 and 12 across systemic therapy, assessing and diagnosing, treatment, evaluating and ending treatment, crisis, and ethics and law. Those are the shares in AMFTRB's handbook for candidates (2027 edition, revised August 24, 2026, read October 11, 2026).
A quarter of the exam on the clock
Exam mode gives 45 questions in 60 minutes: the real exam's pace, a quarter of its length.
From family systems to privacy law
The questions are on family systems, genograms, joining and reframing, relapse and ending treatment, suicide warning signs, violence in the family, teletherapy and privacy law, from SAMHSA's treatment protocols and the federal rules each answer links to.
Questions and answers
Where can I find sample MFT exam questions?
AMFTRB's handbook for candidates prints six sample questions with an answer key. The 63 MFT sample questions here are separate and free, with no account: none copies or rewords a handbook question.
How many questions are on the MFT national exam?
It has 180 multiple-choice questions and a testing time of four hours, by AMFTRB's handbook. Only 155 are scored: 25 unscored pretest questions are mixed in. These MFT national exam practice questions follow the same six domains.
What score do you need to pass the MFT licensure exam?
There is no fixed percent. A panel of expert judges set the passing score, and it is adjusted for the difficulty of each test form. The score report gives pass or fail with your total and domain scores.
Is there a free PDF of MFT practice exam questions?
Yes, in effect. Print the question sheet opens 45 of these questions as a sheet, with an answer key if you tick it. Choose Save as PDF in your browser's print window to keep the file.
Are these the official MFT licensing exam practice questions?
No. The handbook describes AMFTRB's own online practice test of 90 questions, sold separately. This bank is unofficial: every question is our own, written from the public source it names.