Clinical Exam Workshop

Complete NCMHCE Study Program

NCMHCE Free Practice Exam

This brief video demonstrates how to take the Free Practice Exam:

Free Sample Case

Part 1

Domain 2: Intake & Assessment

You elect to utilize an Exposure and Response Prevention (ERP) approach while working with this client. Which area would be MOST important to explore during the early stages of treatment?
1. The client’s beliefs about how his parents’ custody dispute contributed to his need for control and predictability.
2. The specific situations that trigger his obsessive fears, the compulsive behaviors he uses to reduce anxiety, and the level of distress associated with resisting those behaviors.
3. Relaxation strategies the client can use to eliminate anxiety before attempting to resist his locker-checking and showering rituals.
4. Ways the client can organize his school materials more effectively so he can feel certain that he has everything he needs before leaving his locker.
Domain 1: Professional Development & Counselor Self-Awareness

As you begin working with the client, you also meet regularly with your clinical supervisor. During supervision, your supervisor explains the evaluation process, performance expectations, remediation procedures, and the steps that would be followed if concerns regarding competence arise.

This process is BEST described as:
1. Supervision Informed Consent
2. Gatekeeping
3. Due Process
4. Vicarious Liability
Domain 4: Provision of Counseling Interventions

From an Acceptance and Commitment Therapy (ACT) perspective, which response would BEST help build therapeutic alliance with this client?
1. “Many people struggle with OCD. Let's work together to identify the thoughts that are causing your anxiety and replace them with more realistic ones.”
2. “It sounds exhausting to spend so much time fighting these fears. What would become possible for you if you could make room for some of that discomfort while still moving toward the things that matter to you?”
3. “What if, instead of trying to get rid of these thoughts, you practiced noticing them as just thoughts and continued doing what is important to you?”
4. “Your checking behaviors are interfering with your goals. Are you willing to commit to eliminating them so that your life can improve?”
Domain 2: Intake & Assessment

Which detail from the intake evaluation provides the strongest support for the client’s diagnosis?
1. The client experiences significant anxiety and shallow breathing during the intake session.
2. The client reports frequently worrying that he may have forgotten something important when changing classes.
3. The client demonstrates a strong attachment to a special bandana and uses it throughout the session.
4. The client's mother reports that he spends up to an hour and a half performing a showering ritual and will restart the entire sequence if a step is completed out of order.
Domain 3: Treatment Planning & Continuity of Care

You have completed the intake assessment and are preparing a formal treatment plan with the client.

Which of the following steps should occur FIRST?
1. Prioritizing and selecting the problems to be addressed in treatment
2. Developing measurable objectives related to treatment goals
3. Collaboratively establishing treatment goals
4. Identifying interventions that will help the client achieve treatment objectives
Part 2
Domain 4: Provision of Counseling Interventions

The visualization exercise used in Part Two is BEST described as which technique?
1. Cognitive Reframing
2. Covert Sensitization
3. Cognitive Rehearsal
4. Covert Desensitization
Domain 4: Provision of Counseling Interventions

The client states, "I know it's going to collapse one of these days," despite having never personally witnessed a building collapse and having no evidence that the building is unsafe. Which cognitive distortion is BEST demonstrated by the client's statement?
1. Emotional Reasoning
2. Catastrophizing
3. Overgeneralization
4. Jumping to Conclusions
Domain 4: Provision of Counseling Interventions

Using Motivational Interviewing, which statement would BEST encourage movement toward change regarding the client's locker-checking behavior?
1. “You've told me that every time you go back to check your locker, you find that you already have everything you need. What does that tell you about how accurate these worries tend to be?”
2. “You mentioned that checking your locker multiple times helps your anxiety in the moment, but it also leads to detentions. What do you make of that?”
3. “Imagine making it to class on time without having to return to your locker. What would be different about your school day?”
4. “You've already come up with the idea of looking at the books in your hands instead of reopening your locker. What makes you think that strategy might work?”
Domain 6: Legal & Ethical Compliance

As treatment progresses, the counselor believes that educating relevant school personnel about OCD and Exposure and Response Prevention (ERP) could help support the client’s treatment at school. Which of the following would be the BEST course of action?
1. Contact the school counselor and the client’s teachers to explain the client’s OCD symptoms and ERP plan because coordination of care is clinically appropriate when symptoms interfere with school functioning.
2. Obtain appropriate authorization from the client’s parent or legal guardian and involve the client in the decision before consulting with relevant school personnel, while limiting the information disclosed to what is necessary to support the client’s treatment.
3. Ask the client to give verbal permission to speak with the school counselor and teachers, since adolescents may authorize disclosure of counseling information when the purpose is to improve their functioning at school.
4. Provide the school counselor and teachers with general information about OCD and ERP while mentioning the client, as long as the counselor does not disclose his diagnosis or specific information from counseling sessions.
Part 3
Domain 4: Provision of Counseling Interventions

Regarding the homework assignment from Part Three, what would you MOST hope the client learns from this homework assignment?
1. That he is more capable of tolerating uncertainty and anxiety than he initially believed.
2. That his anxiety will gradually become more manageable when he resists relying on compulsive checking.
3. That feared outcomes often do not occur, even when he chooses not to engage in checking behaviors.
4. That he can use evidence from his daily experiences to evaluate the accuracy of his intrusive thoughts.
Domain 4: Provision of Counseling Interventions

Regarding the client’s ‘more serious’ statements from Part Three, which response BEST demonstrates a reflection of feeling?
1. “It sounds like you're feeling frustrated and worn out by how much energy these worries take from you.”
2. “Part of you recognizes that you probably have everything you need, but another part of you keeps telling you to go back and check.”
3. “It seems like these constant doubts are making you feel different from your classmates and are getting in the way of being the kind of student you want to be.”
4. “You wish you could go through your day the way your classmates do without constantly questioning yourself.”
Domain 4: Provision of Counseling Interventions

Given the progress the client has made in counseling, you decide to refer him to a peer support group for adolescents with Obsessive-Compulsive Disorder. During one of the first meetings, the client listens quietly as several members discuss their experiences with intrusive thoughts and compulsive behaviors. After the session, the client tells you, “I honestly thought I was the only person who had to do things like this. Hearing everyone talk made me feel a lot less alone.”

Which therapeutic factor is MOST clearly demonstrated by the client's statement?
1. Group Cohesion
2. Universality
3. Interpersonal Learning
4. Instillation of Hope
Domain 3: Treatment Planning & Continuity of Care

A counselor who operates a solo practice expects to take a four-week parental leave in three months. One client is receiving weekly counseling and has a history of periodic crises, although the client is currently stable. What should the counselor do?
1. Wait until several weeks before the leave to reassess the client's stability and determine how much coverage will be necessary
2. Develop a continuity plan in advance that addresses coverage, crisis resources, access to needed records, and how services will resume
3. Arrange to remain available by telephone for urgent concerns while a colleague provides routine backup during the leave
4. Temporarily transfer the client to another counselor and formally discharge from the current counselor's caseload until the leave ends
Domain 4: Provision of Counseling Interventions

During a counseling session, a client says, “I know I keep making the same mistakes in relationships. Sometimes I think you must be wondering why I don’t just leave when things get bad.” The counselor responds warmly, “I don’t agree with every choice you’ve made, but that doesn’t change my respect for you or my willingness to understand what these relationships have been like for you.”

According to Rogers’ three characteristics of the therapeutic relationship, the counselor’s response BEST demonstrates:
1. Accurate empathic understanding
2. Congruence
3. Immediacy
4. Unconditional positive regard

And now, as promised, here is some additional information about my program:

My NCMHCE Study Program is a comprehensive, self-paced program that contains everything you need to PASS this challenging exam including:

√ 7 hours of In-depth videos that address the exam's structure, content and, most importantly, its subjective bias.

√ Over 250 pages of efficient Study Documents that parallel the NCMHCE Content Outline.

√ Over 12 hours of Online Practice Simulations that are very similar to the actual exam, including 3 full length mock exams of 225 minutes each.

√ Review videos where I talk you through test Cases question by question, explaining common traps and tricks on the exam.

You can assure your readiness with this self-paced, computer based training from the comfort of your own home.

100% MONEY BACK GUARANTEE‍ ‍

If you use my study program and then don't pass the NCMHCE, I'll refund the cost for your 6 month subscription once you email me a copy of your exam score sheet. This offer is good for 6 months after placing your initial order.

Updated 2026 Edition

ON SALE! SAVE $50 (Regularly $299)

Prefer paying with PayPal?

Email me at Clinicalexamworkshop@gmail.com for a PayPal invoice

Testimonials

I want to extend my deepest gratitude. I would like to echo what others have been saying: this is the only study course you will need, along with a DSM-5! I tried two other study materials before purchasing yours, but they provided no direction on mentally preparing for the test. My saving grace was your simulations; I studied all of your materials and completed and passed my NCMHCE exam! I find your simulation questions to be very comparable to the real exam.

Michelle Natera, Future LMHC

*****

I honestly don't think I would have passed without the tips and study materials provided in the workshop.

Lisa M. Curry, MS, LCPC

*****

Your workshop was a tremendous help! This was money well-spent.

Beth Kiraly, M.A., NCC, Resident in Counseling

*****

I will highly, enthusiastically, and wholeheartedly recommend your program!

Heather Bass, LCPC

Want more information before you purchase? Click here to visit the homepage:

Learn more

About
Clinical Exam Workshop

Jonathan Maletz is a licensed therapist and a professional educator who has been equipping therapists to pass the NCMHCE since 2012. Over the years, he has helped thousands of therapists to pass this challenging exam. As a clinician, he has over 20 years experience in general private practice which includes10 years specializing in family therapy via the Juvenile Justice system. As a presenter, Mr. Maletz uses his clinical skills to engage audiences in order to make his material both accessible and enjoyable.

NBCC® and NCMHCE® are registered trademarks solely owned and controlled by the National Board for Certified Counselors, Inc. (NBCC). I am not affiliated with NBCC. NBCC does not endorse, sponsor, or otherwise support my services or products, including the examination preparation services provided on the ClinicalExamWorkshop.com website.

Clinical Exam Workshop

Complete NCMHCE Study Program

NCMHCE Free Practice Exam

This brief video demonstrates how to take the Free Practice Exam:

Free Sample Case

And now, as promised, here is some additional information about my program:

My NCMHCE Study Program is a comprehensive, self-paced program that contains everything you need to PASS this challenging exam including:√ 7 hours of In-depth videos that address the exam's structure, content and, most importantly, its subjective bias.

√ Over 250 pages of efficient Study Documents that parallel the NCMHCE Content Outline.

√ Over 12 hours of Online Practice Simulations that are very similar to the actual exam, including 3 full length mock exams of 225 minutes each.

√ Review videos where I talk you through test Cases question by question, explaining common traps and tricks on the exam.

You can assure your readiness with this self-paced, computer based training from the comfort of your own home.

100% MONEY BACK GUARANTEE‍ ‍If you use my study program and then don't pass the NCMHCE, I'll refund the cost for your 6 month subscription once you email me a copy of your exam score sheet. This offer is good for 6 months after placing your initial order.

Updated 2026 Edition

ON SALE! SAVE $50 (Regularly $299)

Prefer paying with PayPal?

Email me at Clinicalexamworkshop@gmail.com for a PayPal invoice

Testimonials

Michelle Natera, Future LMHC

*****

I honestly don't think I would have passed without the tips and study materials provided in the workshop.

Lisa M. Curry, MS, LCPC

*****

Your workshop was a tremendous help! This was money well-spent.

Beth Kiraly, M.A., NCC, Resident in Counseling

*****

I will highly, enthusiastically, and wholeheartedly recommend your program!

Heather Bass, LCPC

Want more information before you purchase? Click here to visit the homepage:

About Clinical Exam Workshop

My NCMHCE Study Program is a comprehensive, self-paced program that contains everything you need to PASS this challenging exam including:

√ 7 hours of In-depth videos that address the exam's structure, content and, most importantly, its subjective bias.

100% MONEY BACK GUARANTEE‍ ‍

If you use my study program and then don't pass the NCMHCE, I'll refund the cost for your 6 month subscription once you email me a copy of your exam score sheet. This offer is good for 6 months after placing your initial order.

About
Clinical Exam Workshop