Interviews were conducted with 10 MFTs (six females and four males) who had received a formal accusation of unprofessional conduct and went before state licensure boards in three different states. Accusations included dual relationships, financial fraud/errors, receiving DUIs, sexual misconduct, and emotionally harming a client. Utilizing Moustakas’ (1994, Phenomenological research methods, Thousand Oaks, CA: Sage) transcendental phenomenology, five essential themes emerged: (a) The experience of being formally accused of unprofessional conduct is life‐changing, (b) state MFT licensing boards are more punitive than rehabilitative, (c) obtaining support is vital, (d) making accusations creates stigma, (e) therapists were unprepared to handle accusations of unprofessional conduct. Clinical implications include the importance of supervision, personal therapy, and strategies for prevention and rehabilitation with this population.