On September 14, 2017, the California Board of Psychology revoked James Medina’s license.
The Board’s Order of Decision states that Medina treated a female patient from July 2008 until summer 2014. The patient was 27 years old at the start and had disclosed to the Medina that she was an adult survivor of child sexual abuse.
The Board concluded that Medina had engaged in gross negligence, repeated negligent acts, unprofessional conduct, and sexual misconduct in his treatment of the patient. Further, he kept inadequate and inaccurate records for the patient, among other violations.
The document describes Medina’s sexualized behavior toward the patient, including personal emails, texts, and social media comments relative to her appearance, sex-related advice, expressions of sexual desire, and unwanted physical contact, such as hugs and rubbing of the back, waist and sides of breasts, and angry expletive-laced texts. Medina also engaged in social activities with the patient and her friend, gave the patient money on a few occasions, purchased the patient’s television, among numerous other treatment and record-keeping violations.
Source: Order of Decision In the Matter of the First Amended Accusation Against James Medina, Ph.D., California Board of Psychology, October 9, 2017.
On March 7, 2018, the Medical Board of California issued an Accusation against Los Angeles psychiatrist Brian J. Cassmassi. The Accusation seeks to revoke or suspend Cassmassi’s license due to a criminal conviction substantially related to the practice of psychiatry.
The document states that on or about June 29, 2016, a criminal complaint was filed in the Los Angeles County Superior Court which charged Cassmassi with one count of indecent exposure. According to the Accusation, in October 2015, Cassmassi provided psychotherapy and medication management to a male patient, T.C., to whom he “showed gay pornography on his laptop computer, exposed his penis and began masturbating himself in front of the patient.”
In an interview with the Medical Board, Cassmassi admitted he’d done these things.
Source: “In the Matter of the Accusation Against Brian Joseph Cassmassi,” Case 800-2015-017882, Medical Board of California.
On January 4, 2018, the Commission of the New York State Education Department Office of Professional Discipline denied psychiatrist Richard Karpf’s petition to have his medical license restored.
On July 1, 2004, Karpf entered into an agreement with the State Board for Professional Medical Conduct (“Board”) to surrender his license. This surrender was coincident with Karpf’s July 1st guilty plea for Criminal Possession of a Weapon in the Third Degree—an armed felony.
He gave up his license in a plea agreement to avoid going to jail; he faced 25 years.
The Board’s Statement of Charges states that Karpf “inappropriately involved a patient of his psychiatric practice in the procurement of a weapon.” According to later news reports, Karpf told the patient that he needed the gun to kill some of his patients. The patient notified the police, and agreed to cooperate with a sting operation. The patient, wearing a hidden recording device, recorded his next meetings with Karpf, in which the psychiatrist discussed his plan to kill the people, and how he would dispose of their bodies, by dismembering them, placing body parts in heavy-duty plastic bags, renting a boat and dumping the bags into the shark-infested areas of the Atlantic Ocean. Karpf was arrested upon purchasing a handgun and silencer from an undercover police officer, to whom he’d confided that he wanted to shoot his victims at point blank range in the heart and the head.
Even before his February 2003 grand jury indictment on weapons charges and conspiracy to commit murder, news stories appeared in the New York Post and elsewhere which indicated that one of the patients Karpf allegedly wanted to murder was a female with whom he’d carried on a sexual relationship and that he’d been driven to “a murderous rage when [the] affair went sour.”
Attorney Ruth Bernstein, representing an unnamed female client (and former Karpf patient), stated in a Post story that Karpf “engaged in improper sexual contact with a sick patient who came to him for help.” She stated that her client “was manipulated and abused by him…. He led her to believe that this [sexual contact] was going to be therapeutic.”
Source: “Predator Shrink,” New York Post, Jan. 11, 2003; “Great Neck Psychiatrist Indicted on Conspiracy Charges,” Newsday.com, Feb. 20, 2003, “In the Matter of Richard James Karpf, M.D.” Surrender Order, New Yok State Board for Professional Medical Conduct,” Jul 16, 2004 and “Re: Application for Restoration” [denial of reinstatement], State Education Dept./University of New York Office of Professional Discipline, Feb. 16, 2018.