NCMHCE Exam Study Guide 2024 with
Complete Solutions
Core conditions for effective therapeutic relationships - ✔️✔️Empathy, positive regard, personal
warmth, and genuineness
Do parents have the right to know the information discussed if they are paying for services? -
✔️✔️Payment does not allow them to know all info. A consent is needed or when it is in the best
interest of the client
If a physician or other professional requests a clients records, what should you do? - ✔️✔️You
should comply and keep in mind other obligations. You should not provide raw rest data to
someone who does not know how to read it
Clients who are minors - ✔️✔️Both legally and ethically, a minor is generally entitled to a
confidential relationship with their counselor.
Pregnancy of a minor - ✔️✔️You are not ethically or legally required to tell a minor's parents
about the minors pregnancy.
Clients rights with a subpoena - ✔️✔️As an ethical counselor you should not release a clients
records based on just a request from an attorney without having prior consent from the client to
do so
Confidentiality when a client reveals past or planned criminal behavior - ✔️✔️A clients confession
to a crime they committed in the past is a privileged communication and you have an ethical
obligation to keep that information confidential unless they are going to hurt somebody or in
involves child abuse.
Childhood onset fluency disorder - ✔️✔️Also known as stuttering. Usually begins between the
ages of 2-7. Involves sound and syllable repetition, sound prolongation, broken words and avoids
troublesome words.
Autism disorder - ✔️✔️Deficits in social communication, repetitive behaviors, interests in specific
activities, the presence of symptoms in early development period, and impairment in social
functioning.
ADHD - ✔️✔️Characterized by a pattern of in attention and or hyperactivity-impulsivity that has
persisted for at least six months and had an onset prior to 12 years of age and is present in at least
two settings. It interferes with social, academic, or occupational functioning.
Specific learning disorder - ✔️✔️Impairment in reading, written expression, and mathematics.
Symptom that persists for at least 6 months
Motor disorders - tic disorders - ✔️✔️Sudden, rapid, recurrent, nonrhythmic motor movement or
vocalization
Tourette's disorder - ✔️✔️The presence of at least one vocal tic and multiple motor tics that have
persisted for more than one year and began prior to age 18
Delusional Disorder - ✔️✔️Presence of one or more delusions that last at least one month.
Functioning is not impaired or Bizzarre or odd.
Bender visual motor bender visual gestalt test - ✔️✔️Used to measure the motor and cognitive
development in minors over the age of four. The test may provide information regarding a
subjects developmental and Neuro psychological functioning.
Schizophrenia - ✔️✔️Requires the presence of at least two active phase symptoms. For at least one
more with at least one symptom being delusions, hallucinations or disorganized speech for at
least 6 months. The onset is between late teens and early 30's.
Schizophreniform disorder - ✔️✔️The disturbance is present for at least one month but less than
six months and impaired social or occupational functioning may occur but is not required.
Brief psychotic disorder - ✔️✔️Characterized by the presence of one or more of the characteristic
symptoms with at least one symptom being delusions, hallucinations, or disorganized speech.
Symptoms are present for at least one day but les than one month. The onset follows exposure to
an overwhelming stressor.
Schizoaffective disorder - ✔️✔️Characterized by an uninterrupted period of illness which there are
at times concurrent symptoms of schizophrenia and symptoms of a major depressive or manic
episode with a period of at least two weeks without prominent mood symptoms.
Cyclothymic disorder - ✔️✔️Characterized by numerous periods with hypomanic symptoms that
do not meet criteria for hypomanic episode and numerous periods. With symptoms lasting for at
least two years in adults or one year in children and adolescents.
Disruptive mood dysregulation disorder - ✔️✔️Has to be diagnosed before the age 10. Comes out
through frequent temper outbursts with severe irritability. Requires a 10 month duration.
Negative mood stay all day every day
Bipolar 2 - ✔️✔️Requires at least one hypomanic episode and one major depressive episode. It
lasts for at least four consecutive days and is present most of the day, nearly everyday. The major
depressive episode lasts for at least two weeks and involve five or more characteristic symptoms.
Cyclothymic disorder - ✔️✔️Characterized by numerous periods with hypomanic symptoms that
do not meet criteria for hypomanic episode and numerous periods. With symptoms lasting for at
least two years in adults or one year in children and adolescents.
Major depressive disorder - ✔️✔️Requires the presence of at least five symptoms of a major
depressive episode nearly every day for at least two weeks. Symptoms include loss of interest
pleasure or activities. Significant weight loss, not dieting or wating insomnia agitation fatigue or
loss of energy feelings of worthlessness and death.
Persistent depressive disorder - ✔️✔️Characterized by a depressed mood on most days for adults
for two years or at least one year in children.
Separation anxiety disorder - ✔️✔️Excessive fear or anxiety related to separation from home or
attachment figures as evidenced by at least three characteristics symptoms. Must last at least four
weeks in children or at least six months in adults
Specific phobia - ✔️✔️Intense fear of or anxiety about a specific object or situation such as
Heights, flying, or receiving an injection. Is persistent and typically lasting for at least six months
and causes clinically significant distress or impairment in functioning
Social anxiety disorder - ✔️✔️Intense fear or anxiety about one or more social situations in which
the individual may be exposed to scrutiny by others typically lasting for at least six months.
Panic disorder - ✔️✔️Characterized by recurrent unexpected panic attacks with at least one attack
being followed by one month of persistent concern about having additional attacks or about their
consequences and or involving a significant maladaptive change in behavior related to the attack
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