Sunrise,
In my state the licensing requirement is a masters plus some type of supervised hours. The licensing criteria is different for each state depending on their medical boards are set up. In my profession there are national standards of practice and a national certification exam. Then each state depending on how the state government is set up will have additional requirements and will define the specifically what the scope of practice in that state. For a while I worked in two different states and had to maintain a state license for each.

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I know him better than that, why did I think that?

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I think when I am very sensitive to how people respond to me, if they are telling the truth and being genuine. However, when out of the session I start doubting myself and start thinking I've been fooled or misinterpreted the interaction. My T whether deliberately or accidentally usually leaves me some clear and consistent evidence to help me challenge these doubts outside of the session. I just have to have the presence of mind to review the mental transcripts of the session and look for them. I think this week my transcript is a bit fuzzy and I am having trouble dispelling some of my doubts.