Pre-existing partner: If the therapist has a sexual partner, that partner cannot also be a client.

Client becoming partner: The massage situation can lower barriers and acquaint people quickly in a way which may be difficult to duplicate in present day society. Therefore, it may be tempting to date a client. The Standards of Practice does not necessarily have a problem with this development as long as there is no sex. If sex is desired, the new friend must cease to be a client and the two must wait at least six months. One author suggests that the AMTA Code of Ethics and NCBTMB Code of Ethics prohibit "romantic" (as opposed to sexual) involvement with clients but this seems to be a more zealous interpretation than a strict of reading of both codes reveals.

The Australian Association of Somatic Psychotherapists also has a code of ethics with a no sex ban between therapist and client. It makes the point that the prohibition encompasses more than intercourse. "The behavior of the Somatic Psychotherapist should not be sexually seductive or create ambiguity or confusion about sexual boundaries." It should be noted the NCBTMB Standard does not limit itself to intercourse either.

Does this preclude kissing? Licensed counselors (such as psychologists) have a code of ethics which prohibits sex between counselor and client. This specifically says "passionate" kissing is out of bounds. The NCBTMB does not spell the issue out.

This is not a pie in the sky issue. The NCBTMB disciplines therapists for violating this ethic. One therapist was found to have gone awry on the six month waiting period. If she recertifies, she will be placed on probation for a year and required to take classes to prevent "sexual misconduct." This action is public information available on the NCBTMB web site.