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Ethics: Therapeutic Environment

3 Hour CE Course

Average rating based on the following evaluation questions:

  1. The presentation of the subject was clear and to the point.
  2. Content was interesting to me.
  3. I gained new knowledge.
  4. The materials held my attention.
  5. I can use this information in my practice.
  6. This program met my personal expectations.
  7. Overall quality of course content and materials were excellent.

Enrollment Options

Fully Online Materials and Test

Contents: online manual; plus online multiple-choice test


Materials and Test Shipped to You

Contents: Manual and workbook with multiple-choice test shipped to you.



Expand your understanding of ethics. Learn how to build a safer therapeutic environment for yourself and your client.

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Content Outline

Being a Professional 0.25 hour
Transference 0.25 hour
Sexuality Issues 0.5 hour
The Therapeutic Process 0.5 hour
Ethical Issues of Illness Care 0.5 hour
Cultural Respect 0.25 hour
NCBTMB Standards of Practice 0.25 hour
NCBTMB Code of Ethics 0.25 hour
Recommended Resources for Further Study  
Open-Book Test and Course Evaluation Form 0.25 hour
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This course was very well written and great review for a therapist thats been in the field for 10 years.

A. Robertson MS, LMT San Diego, CA

This course gives good, detailed information regarding ethical concerns in the hands on profession. It was broken down into easy to follow segments. Searching for test question answers was fairly simple.


Easy to follow and complete .

Anne Todd, CMT

The course information was straightforward and easy to understand.

Ashley R. Hyman, Neuromuscular Massage, Mt. Airy, MD

The material was easy to read.

Caleb McConnell - Randallstown, Maryland

I thought this was a great refresher course. It was well written, easy to understand.

Candace Goll, LMT, Scents of Nature LLC

(This course had) a good format for me. Was easy to read and comprehend - enjoyed the review! Thanks!

Carole B Tabor, LMBT, Clemmons, NC

I was very pleased with the ease and efficiency of this program

Chad Hotle, LMBT, Wilmington, North Carolina

I found this course to be clearly written in a no-nonsense style that did not waste my time.

Christina Ralph, LMP, My Mobile Massage, Kirkland, WA

I strongly urge all seasoned practitioners to buy this course - to refresh - the center of our profession - professional ethics.

Cynthia E. Whitfield, Nationally Certified, Professional Massage

Excellent, practical course.

Dianne Cunningham, LMT

Very interesting content!

J. Chambers, LMT

The course is well written and I enjoyed reading the examples and explanations.

Elizabeth McGeehan CMT Bowie, MD

This course presented very specific and valuable information to the realistic concerns and situations of a therapeutic practice.

Elizabeth Thomas, LMT, Ellicott City, MD

English is my second language, and this course was very easy to follow.

Elzbieta Molenbowska-Kubica

The information is clear and simply stated- important for new and experienced therapists.

Emily Bay

Great review. I found inspiration in this course.

Eugenie Natale, LMT

This was the most philisophical and insightful ethics material I have ever read through. I've got to read through this material again.

A.G. Brown, CMT

The course was very well thought out and informative.

J. Todd Smith

I was unable to attend a class to fulfill my requirements prior to renewing my license. This was easily remedied by taking this online course. It saved me money and a lot of travel time. I appreciate that it was available and will look for other courses in the future.

D. Laing, LMT, NCTMB

The material is very clearly presented and is well represented in the test.

Jerry Guillot, MS, BSPA, LMBT Guillot Therapeutic Touch Charlott

Great review on Ethics all around. I learned some new things I wasn't aware of.

Jessica Wilmoth, LMT

This course was helpful, refreshing and easy to follow.

Jessica, LMBT, Greensboro, NC

This is a fast, easy and affordable way to earn CEU's anytime and anywhere! The tests and study guide were very thorough, and I definitely plan on using Health Positive in the future.

K.S., Wilmington, NC

This course is very educational and really helped me to brush up on ethics.

Karen Hill, LMT Blandenbury, KY

The course was well-presented, and wonderful to be able to do the complete process online.

Kerry Brady RN, LMT Memphis, TN

I really appreciate the convenience of reading the material and taking the exam in the comfort of my home... and the price was right.

Kimberly G. Allen, CMT Takoma Park, MD

Very useful information for today's massage therapist, easy to read.

Magnus Eklund

I thought the class was a great reminder of our professional ethics and it definitely helps firm up my boundaries.

Maria T. Waits, LMT

It was great - especially for refreshing concepts after being in the field for 14 years.

Robin Foster, NC, LMT A New Beginning Massage Therapy

This course was a nice easy refresher. I loved that it completes the CEU's too! Thanks.

Sarah Bailey Maryland

The course was quick, easy to use and a great refresher for Ethics. We often forget about the importance of ethics.

Sarah L. Todd, LMT, CLT

Very clear information, very concise.

Sharon Tabor-Cheek, LMT

This course was informative, easy to study, and detailed in fulfilling my CEU requirements.

Thea Bertoni, Rockville, MD

Very informative and helpful. Living in an area where there are many people in the later years & entering nursing homes - it provides great information.

Tracy Carter - NCMTA

Excellent and comprehensive. Thank you!

Annmarie Simoli, LMT, NCTMB

I really love quality of the course materials.

Rebecca Wright, LMT, NCTMB

I thought I would be bored. But found myself very interested in this presentation. I had not looked at ethics quite this way before. Has given me something to think about.

Kathryn Carter, LMT

A reminder of improvements to make my practice relevant to other entities of the health professions.

Sarah Kemp, LMT, NCTMB

Great information was informative.

Sadie Pauline Dunne, LMT, NCTMB

I really liked this course! This is very important information that every massage therapist should know, and refresh on a regular basis. I will be taking more courses here.

Jeff Wooten, LMT

I really liked that the course stayed on topic and did not waste time on non-related materials. Well organized and well written. Thanks!

Heena Patel, LMT, NCTMB

Easy to navigate. I'm glad they provide ethics classes.

Tanya Denchfield, LMT

Good reading - actually pretty much what I expected. A lot of it was redundant but only because we have to take this class at every renewal. Still - the examples and exercises were interesting and made me realize again the importance of this class.

Anne Bowman, LMT, NCTMB

wonderful course!

Lancaster Graham, LMT

There is some very good information in this course.

Nathan Trainor, CMT

Great material.

Gisken Crawford, LMP

Some of the questions were challenging and made me think hard. It was a very well thought out course and clearly presented. I always enjoy being able study online because it gives me the chance to stop and start when I have appropriate time. The test was easy to take when I printed my own hard copy and went through it as I chose my answers online. Thanks for making this available.

Jackie Voulgaris, LMT, NCTMB

An excellent review.

Laurel Thomas, LMT

Very satisfied.

Arthur Sappington, LMT

This was great learning.

Leslie Warren, LMT

This is my first online course, and I really enjoyed it!

Nancy Seale, LMT

Very good reference sections, i.e. vocab, appendix A & B

Elizabeth Dunbar, LMT

This course was wonderful, well-defined, & a great refresher!

Jennifer Kirk, LMT

Very concise and thorough in the explanation of important legal terms. very helpful in defining the client-practitioner relationship.

Linda Loggins, RMT

Always helpful to review this kind of couse!

Connie D. Strub, LMT, NCTMB

This course was well crafted and held my interest. I found it clear, concise and accessible.

Kay Bene, LMT, NCTMB

Great Course!

Kelly Burkhart, LMT, NCTMB

Very thorough and convenient for meeting ethics continuing education requirements.

Amy Detgen, LMT

This is a great, easy, clear class that fulfills ethics requirements

Cuky Harvey, NCTMB

Overall a very well thought out and written presentation. THank you for making it available as an online course.

Brian Schmidt, LMT, NCTMB

Thanks, good course!

Drew Erickson, LMP, NCTMB

I was quite pleased and satisfied with this ethics course because I am able to have the information differently after a little round of cancer last year. I realized part of the problems I've been experiencing since beginning the cancer journey was due to ethical dissonance, for me a form of PTSD. This is the first time in my 20 years of practice that I did not struggle with 'having' to take an ethics course. Thank you for giving me peace.

Deborah Schick, BS, LMT, NCTMB

This was a healthy reminder and one that I love refreshing myself with. Everything here is so clear and I don't need to think about the material very often does bear repeating over and over. IT is so easy to slip from pure client/therapist relationships into dual after many years of working with clients. One does get to know one's clients very well and it is easy to slip into a more comfortable friendly relationship in which, the client might be late, one can go over time..or get together for coffee-a glass of wine at Christmas..I love maintaining the boundaries. Thank you for such a clear and clean course. Always good to remember how delicate the balance is.

Claudia Terlizzi Chapel, LMT, NCTMB

I already knew all of the information in this course from massage school. It was a useful refresher, though, because it gave me reassurance that I fully understand the principles and nuances of the ethics of my profession.

Susan Simmons, LMT, NCTMB

Well done! thanks!!

Peter Tarpey, LMT

Liked the material and got some new insights thanks.

Barbara Vom Berg, LMT, NCTMB

Helpful and easy to use format.

Michelle Barnett, LMT, NCTMB

This course was one of the most organized and well written that I have taken.

Tricia DePue, LMT

Great material.

Karen Hargrove, LMT

Precise, good questions at the end of the segments

Susan Harris, LMT

Great course. Brought some things from the back of my mind to the front. Never hurts to go back to the basics, there is always something to be learned, I have been practicing since 1998.

Donna Ireland, LMT

This course was well presented and I will suggest it to fellow LMPs.

Cynthia Hawley, LMP

Very informative and great teaching material.

Magdalen Brekken, LMT

Great course! Thank you!

Angela Wilson Sherrill, LMT

Enjoyed! Def a great Ethics course.

Alicia Bullard, LMT

Thank you for the courses. It is easy and convenient to access but loaded with valuable information.

Crystal Gail Anulao, LMT, NCTMB

Great refresher!

Rebecca McDonald, LMT

This is the best ethics course I have seen yet. The content was very clear, to the point and very professional. I learned a lot compared to any class I've attended on Ethics.. I also liked being able to print off the material so that I can refer to it in the future. Thanks!

Jennifer Chapman, LMT, NCTMB

So much information and so involved.

JoAnn Hughes, LMT

Great writing - full of information, tips, and useful stories/examples.

Rebekah Owens, LMT, NCTMB

This was not nearly as boring as many other required ethics classes thank you

Mary Lameka, LMT

Very thorough & an awesome refresher!!!

Robin Warren, LMT

It was great, it just isn't new information for me. Thank you!!

Audrey Wetzbarger, LMT, NCTMB

This course was more interesting and personally relevant than past ethics courses. Well written!

Erin Hans, LMT, NCTMB

Very, very informative. Learned new things.

Aline Devreotes, LMT

I liked the ease and convenience of the online purchase. The straightforward and clear layout of the information provided was great. I especially liked the fact that I could print the test to take my time answering the questions, and even refer to the materials to check for accuracy before taking the actual test.

Teresa Cooper, LMT

It is very convenient to print this out and read and take the test when I had time

Karen Hyden Krotz, LMT, NCTMB

thank you for offering exactly the CEU # and content needed to renew my license. Too much or too little is aggravating.

Katherine Kessler, LMT

Initially the material seemed cumbersome but, after settling in and taking the time to comfortably read the material I found it to be just what I was looking for. After seventeen years in this business I found it necessary to re-learn boundaries. There was new views which I found helpful. The bill of rights for the client and practioner were wonderful and I will begin using them for new clients! Thanks so much!

Pamela Ann Bennion, LMT

Was wonderful.

Lisa Collin, RMT, NCTMB

The course materials were as well put together, easy to follow and understand, and well served to meet my continuing education requirements as all prior CE courses from IIHS have been. I am always severely disappointed to see the promotion of the cult of bureaucratization take over the massage occupation. For example the definition of a client/therapist relationship as an unequal power dynamic, rather than a relationship in which both sides gain mutual benefit; or the idea that "dual" relationships are not something humans are capable of balancing maturely; or the idea that if we do not take continually increasing amounts of CE classes, and feed the growing massage bureacracy industry, that we will not be respected. However, for none of these things do I blame IIHS, which has always provided me with a quality product.

Alexander Acimovic, LMT, NCTMB

The presentation and context matter was very good I approve thanks for a good test

Douglas Emil Dewitt, LMT


Jennifer Ewing, LMT, NCTMB

A good refresher.

Erica Rielly, LMT, NCTMB

The presentation of this course was very organized and easy to understand. Thank you!

Christen Mandrack, LMT

This is my first time taking credits this way. I normally enroll in a weekend seminar and I LOVE this. The content was to the point and explanations were easy to follow. thank you!

Karen Valenta, LMT, NCTMB

Very informative course! Will be taking more from this site.

Britney Pugh, LMT, NCTMB

Right on target with expectations.

Deirdre Melosci, LMT, NCTMB

I appreciated the inclusion of the self-reflection exercises: great opportunity to get a better understanding of the material and how I need to work with it.

Claire Dana, LMT, NCTMB

This was the best at home-study home ethics course I ever had!. The presentation was all relevant. I always appreciate that the corse gives you the corrects answers. This is a huge learn tool for me.

Teresa Rudolph, LMT, NCTMB


Baerta Graff, LMT, NCTMB

I liked this course. It was interesting and and overall nice course. I definitely recommend this for everyone who needs an ethics course. It was great!

Tami Nichols, LMT, NCTMB

Clear and easily understood information.

Bonita Gail, LMT

It was very informative and helped enhance my knowledge on ethics in the workplace. It also helped me understand what my rights are.

Talorey Polson, NCTMB

This was a great refresher course, and relevant new information. Thank you.

Genevieve Cestrone, LMT

Good refresher.

Claude Pritchett, LMT, NCTMB

I feel the longer we have been therapists, the easier it is to make compromises with clients we have seen for years. Also, feel new therapists see us and feel they can do the same. Was a great reminder for me.

Cynthia Stanley, LMT, NCTMB

Good source of information.

Coni Hutchings, LMT, NCTMB

I thought the material was clear and easy to understand.

Donna Davis, LMT

Great class!!!

Robyn Davis, LMT, NCTMB

Loved it! I would definitely take this course again

Patricia Piatti, LMT, NCTMB

Subject was well covered and well handled.

Theresa Schroeder, NCTMB

This course helped re-establish my values and intentions as a massage therapist. Thank you for providing such clear and concise information. I enjoyed the pictures as they served to enforce my learning experience.

KeriJo Hunt

Very well thought out and presented!

Edith Allen, LMT

Interesting course.

Dale Westerberg, LMT, NCTMB

This course did add some knowledge and thoughtful reflection to an otherwise dull and generally repetitive continuting education requirement.

Leslie Knee, LMT

Well done!

Erik Petersen, NCTMB

Great information, well outlined, I will definetly use Natural Wellness on-line courses again. Wonderful helpful people as well.

Karen Knowlton, LMT

Good course overall. Straightforward and to the point.

Jennifer Peters, LMT, NCTMB

Easy to follow. Great price & love the choice to have material mailed or done online (or combo of both).

Debbie Bartelli, LMBT

Good information, lots of legalistic terms, which are important to understand in the world today. Thanks

Susan Rust, LMBT

I loved this ethics course. It was thought provoking and easy.

Louise Landowski, NCTMB

The course was very professional. I learned a great deal. Thank you.

Marsha Pipes, LMBT

This was the best online ethics course I've taken. I highly recommend it. Marketing in our new economy.

Theo Chappell, LMT

No matter how many times I go over this course, I still find things I find useful in my practice!

Irene Thompson, LMT, NCTMB

The course language was very straightforward, clear and easy to read and all of the pertinent ethics topics were presented. You have provided a simple, accurate and useful course. Thank you.

Carol Koch, LMT

I loved this course! It was straightforward and easy to understand.

Melody Holt, LMT

The course material is planned out in an easy to read format. The information was very helpful and reminded me of how important it is to remember these ethics. I was able to complete the course in a timely manner. I highly recommend this course to all massage therapists


Very helpful information. Worth my time! Great Course!

Diana Callaway, LMT

I have been a massage therapist for 25 years. I enjoy revamping my knowledge, especially in ethics. I learn something new from every CEU course and this ethics course was a wonderful example of that invested new knowledge.

Kimberly E. Krueger, LMT

Great Course! Arrived fast!

Amber Rediger, LMT

The Institute was very helpful in providing the actual resource for studying. I am in the process of renewing my board certification and the home study ethics course is necessary to complete my credit hours. Thanks!

Sergiana Bruno, LMT

I really enjoyed the course. I learned some new terms and their meanings. Very glad that I took this course.

Tracey Baucom McInnis, LMT

The course was quick, easy and efficient. Love that I learned new information.

Jessica Post, LMT

Information was precise, comprehendible, and organized.

Mary M. Lumsdon, LMT, NCTMB

Presentation was good and material was interesting. It was nice having the key vocabulary words to review.

Therese Gregory, RN, LMT

Very clearly presented and covered things that were not covered in school.

Deborah Menichelli, LMT, NCTMB

I enjoyed the information in the course; it was well written, and kept my attention.

Mia Elias, LMT, NCTMB

This course was extremely informative and it was helpful to review the ethics associated with massage therapy.

Eileen Keegan, LMT

Learned quite a few new concepts that can be directly applied to my practice.

Marc Rubman, LMT, NCTMB

A lot I already knew from NCBTMB & AMTA, but there was a lot of information I didn’t know. It was very easy reading and put together very well. Great course! Thank you!

Debbie Leppo, BCTMB

Thank you for making this course a fun read. I actually enjoyed it! I am not one to find sitting down to read. The material on the test was easy for me to understand and to keep in my brain for future use. I feel so bad for being proactive..... Thank you!!

Brooke Anderson

This is the best online ethics course I have taken. Facts given are clear and concise, with no personal opinions. Thank you!

Kimberly Greer

Very precise and thorough information regarding ethics, specifically in massage therapy.Gave easy to understand and practical illustrations of how to apply these ethics and stay professional and ethical in my massage practice. I think the Institute for Integrative Healthcare Studies is excellent. It is one of the best ways in making it possible for me to reach my continued education requirements and gain new skills for my massage therapy practice. Will definitely be continuing to use their courses and study resources.

Carrie Pigman, LMT, BCTMB

I liked the reflective exercises being added to the course. It made you ask many questions of yourself pertaining to your work place, and others in the massage business.

Maryfrances Kincaid, BCTMB

Very complete. It is good to review ethics. Very needed in our world today. Thank you for this online course.

Lorena Sue Boyce, LMT, BCTMB

Great course. I loved the holistic perspective.

Andri Kukas, LMT

Clear, concise and useful.

Laura Coseglia, LMT

Well organized presentation of the information.

Jeffrey Schroeder, LMT, BCTMB

I appreciate courses like this that are concise and get to the point. Some courses I have done in the past have been very "wordy", making them very tedious to complete. Thank you for this course!

Debra Joy Nelson, LMT, BCTMB

Thank you, this was a very informative and straightforward course.

Maria Brown, LMT

Very easy to use, clear concise information, and great layout. Would recommend and use in future.

Gail McCall, CMT

The course meet my needs and was well done.

Nikole Albaugh, LMT

I really enjoyed this Ethics course. It was a nice review from previous Ethics studies, and expanded my knowledge with added information and examples. So happy that I chose this course in my search!

Penny Wariner, CMT, BCTMB

Easy course. Got what I expected from it. Would use this site again! Thanks!

Kristina Moraru, LMBT

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Learning Objectives

  1. Identify the essential roles, rights and responsibilities that are accepted in order to be recognized as a professional.
  2. Define the concepts transference and countertransference and apply them to your practice.
  3. Define the terms: ethics, ethical dilemma, ethical dissonance, confidentiality and boundaries and apply them to important practice considerations.
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Sample Text

"True assessment involves both art and science. The science part involves applying your rational, structured knowledge about each client's anatomy, physiology and pathology to the work at hand. It requires you to know how each therapeutic action or technique you use effects the client so that you can safely and effectively address his/her goals for the session. The art part involves applying your intuitive, artistic and creative abilities to synthesize the rational knowledge into a graceful, nurturing and effective experience for your client and yourself. Each school and indeed each teacher has his or her own style of assessment based on personal philosophies, previous training and experience. However, the core components of an assessment are:

  • client goal
  • health history
  • observation
  • palpation

Assessment uses these components over and over again." (The 3-Hour Ethics Course by Sharon Burch, 2002, p. 17)

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Sample Test Question

The client's goal, health history, observation and palpation are the four core components of a(n) _____________________.

  1. diagnosis
  2. indication
  3. assessment
  4. therapeutic action
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