Membership Application | Association for Behavioral and Cognitive Therapies

Membership Dues

Your Dues Rate Type is: Full Member $310.00

Contact Information

Email *

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Prefix

First Name *

Middle

Last Name *

Suffix

Title

Company

Address 1 *

Address 2

Address 3

City *

State

Zip Code *

Country

Profile Photo

Phone Number *

Include me in Membership Directories *
Yes No

Include me in Broadcast Email *
Yes No

Username/Password Username/Password

Please enter the Username/Password you would like to use to login to this website.

Your Username must be unique and must be at least 6 characters.
Passwords must be a minimum of 8 alpha-numeric characters with at least 1 number or 1 letter.

Username *

Password *

Confirm Password *

Additional Information

Date of Birth (mm/dd/yyyy) *

Gender *

Ethnicity *

Hispanic‚ Latinx‚ or Spanish origin
Middle Eastern or North African (MENA)
Non-Hispanic/Non-MENA
Prefer not to disclose

Race *

Asian/Asian American/Pacific Islander
Black/African American
Native American/Alaskan Native
White/Caucasian/European American
Prefer not to disclose

What is your highest degree? (For Students: please enter the degree you are currently enrolled to receive upon completion of your program). *

What year was/will your degree be earned? *

What field is your degree in? *

What is your primary professional setting? *

What is your primary professional focus? *

Academic
Administrative
Clinical
Research
Supervision
Other

Has your membership in any professional organization ever been terminated for cause other than nonpayment of dues? *

Have you ever applied for a professional license and been denied licensure or had your license revoked? *

Have you ever been disciplined/sanctioned by a professional licensing Board? *

Are there any pending disciplinary investigations against you? *

Are you a licensed clinician and would like to be listed on our clinical directory? *

License Type (Hold the ctrl/command key to select multiple) *

Licenses/Certifications

Please upload a photo copy of your clinical license. * Allowed file types: doc,docx,pdf,ppt,pptx,xls,xlsx,txt,gif,jpg,png,jpe

What state(s)/province(s) are you licensed in? (Hold the ctrl/command key to select multiple) *

Date you received your license (mm/dd/yyyy) *

Date your license expires (mm/dd/yyyy) *

Do you offer telehealth in the state(s) you are licensed in? *

What website would you like to list on your Clinical Directory profile?

Additional Website(s)

What email address would you like to list on your Clinical Directory profile?

Language(s) spoken (Hold the ctrl/command key to select multiple)

Payment/Insurance Information

Practice Philosophy/Bio

Area(s) of specialty (Hold the ctrl/command key to select multiple)

Population(s) served (Hold the ctrl/command key to select multiple)

Type of therapy offered (Hold the ctrl/command key to select multiple)

To be listed on our clinical directory, please send a copy of your license to membership@abct.org.

Would you like to be listed in the Find a Researcher Database?
Please note: If any of your answers here change, you can edit them under the "Additional Info" tab of your profile page. Your answers can be changed any time, regardless of how you filled out this form.

Please note that you do not have to complete the questions below to complete your renewal/application process. If you choose to finish this form without completing these questions, you can start and/or change your Find a Researcher profile details later by editing your ABCT profile after joining.

Please select your area(s) of research interest/expertise from this list of keywords:

Please use this space for additional keywords (separated by commas) not listed above

Please provide a narrative description of your researcher interests.

Lab Positions Available | Does your lab take (check all that apply):

Additional Options

If you have opted into our Find a Clinician Directory, you can choose to pay for an Enhanced Directory listing. The enhanced listing is added to your total.

If you are a member of any ABCT SIGs, please select them below. Your dues will be added to your total.

Expanded Clinical Directory Listing - $50.00

Addictive Behaviors SIG Full/Professional Member - $25.00

ADHD SIG Full/Professional Member - $75.00

Asian American Issues in Behavior Therapy and Research Full/Professional Member - $0.00

Autism SIG Full/Professional Member - $25.00

Behavior Analysis SIG Full/Professional Member - $10.00

Behavioral Medicine and Integrated Primary Care SIG Full/Professional Member - $30.00

Behavioral Sleep Medicine (BSM) SIG Full/Professional Member - $0.00

Bipolar Disorders SIG Full/Professional Member - $0.00

Black Americans in Research & Behavioral Therapy SIG Full/Professional Member - $15.00

Child and Adolescent Anxiety SIG Full/Professional Member - $20.00

Child and Adolescent Depression SIG Full/Professional Member - $10.00

Child Maltreatment and Interpersonal Violence SIG Full/Professional Member - $10.00

Climate Change and Mental Health SIG Full/Professional Member - $0.00

Clinical Psychological Science SIG Full/Professional Member - $15.00

Clinical Psychology at Liberal Arts Colleges (CPLAC) SIG Full/Professional Member - $10.00

Clinical Research Methods and Statistics SIG Full/Professional Member - $0.00

Cognitive Therapy SIG Full/Professional Member - $0.00

Collective Liberation & Intersectionality SIG Full/Professional Member - $10.00

Dissemination and Implementation Science SIG Full/Professional Member - $20.00

Eating Disorders and Eating Behaviors SIG Full/Professional Member - $10.00

Forensic Issues and Externalizing Behaviors SIG Full/Professional Member - $5.00

Intimate Relations Research and Treatment SIG Full/Professional Member - $30.00

Jewish Issues in Cognitive-Behavioral Research and Practice SIG Full/Professional Member - $18.00

Latinx SIG Full/Professional Member - $10.00

MA Level Training Education and Practice SIG Full/Professional Member - $0.00

Men's Mental and Physical Health SIG Full/Professional Member - $0.00

Military and Veteran SIG Full/Professional Member - $0.00

Mindfulness and Acceptance SIG Full/Professional Member - $0.00

Native American Issues in Behavior Therapy and Research SIG Full/Professional Member - $0.00

Neurocognitive Therapies/Translational Research SIG Full/Professional Member - $20.00

Parenting and Families SIG Full/Professional Member - $0.00

Personality/Personality Disorders SIG Full/Professional Member - $10.00

Psychedelic Research and Therapies SIG Full/Professional Member - $0.00

Psychosis and Schizophrenia Spectrum (PASS) SIG Full/Professional Member - $20.00

Research in Clinical Practice SIG Full/Professional Member - $10.00

Sexual and Gender Minority SIG Full/Professional Member - $0.00

Spiritual and Religious Issues in Behavior Change SIG Full/Professional Member - $0.00

Student SIG Full/Professional Member - $5.00

Suicide and Self-injury SIG Full/Professional Member - $20.00

Technology and Behavior Change SIG Full/Professional Member - $20.00

Tic and Obsessive-Compulsive Related Disorders SIG Full/Professional Member - $10.00

Women’s Issues in Behavioral Therapy SIG Full/Professional Member - $16.00

Payment Details

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Enter the name on the bank account according to the information shown on your bank statement. The account number and routing number can be copied from the lower left corner of the check.

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By submitting payment, I am authorizing Association for Behavioral and Cognitive Therapies to initiate a single or recurring ACH/electronic debit in the amount indicated from the bank account I designated above. I understand that this Authorization will remain in full force and effect until the transaction is cancelled by me by contacting Association for Behavioral and Cognitive Therapies, or the ACH/electronic debit is processed from the designated account. I certify that (1) I am authorized to debit the bank account above and (2) the ACH/electronic payment I am authorizing complies with all applicable laws.

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