CATC FINAL EXAM 2026 ACTUAL QUESTIONS AND
ANSWERS GRADED A+
✔✔Axis V - ✔✔Is the global assessment of functioning (GAF) scale. Which assigns the
counselor's judgement of the client's overall level of psychological, social, and
occupational functioning
✔✔Provisional - ✔✔When the counselor is almost certain that the full criteria for a
disorder is met but not enough information is available yet to be sure
✔✔Deferred - ✔✔When a diagnosis is not being made yet pending gathering of
additional information
✔✔Substance abuse - ✔✔Is a maladaptive pattern of substance use leading to clinically
significant impairment or distress as manifested by at least 4 following criteria occurring
within a year. Such as failure to do major duties in work, school, home. And be in
situations that is physically hazardous and recurrent substance related legal problems
and continue use despite recurrent social and interpersonal problems caused by
substance use.
✔✔Substance dependence - ✔✔Is a maladaptive pattern of substance use leading to
clinically impairment or distress by 3 or more of the following criteria in a year
✔✔Tolerance - ✔✔By either a need for markedly increased amount of the substance to
achieve intoxication or desired affect. The effect is diminished by use of the same
amount. There's withdrawal and substance is taken to prevent withdrawal. Substance is
taken in more amounts than intended
✔✔Poly Substance dependence - ✔✔Someone who has repeatedly taken at least 3
groups of substances.
✔✔Dually diagnosed - ✔✔A client who has 1 or more other psychiatric disorders along
with substance abuse or dependence
✔✔Affect - ✔✔Is the external expression of an internal emotional state. Inappropriate if
this is the expression doesn't match what is being said
✔✔Mood - ✔✔Is a sustained emotion and changes less frequently than affect
✔✔Euthymic - ✔✔Mood that is in the normal range, not depressed or elevated
✔✔Dysphoric - ✔✔Moods that are unpleasant like anxiety, sadness, and irritability
✔✔Elevated - ✔✔Moods that's feelings of euphoria or elation
, ✔✔Delusions - ✔✔False beliefs that are maintained despite proof against the truth.
Some types are grandiose, bizarre
✔✔Hallucinations - ✔✔When a person perceives something in the absence of sensory
input. Involve senses auditory, visual etc. ex. A voice telling you to kill someone
✔✔Illusions - ✔✔Are misperceptions of actually sensory input. Ex thinking that the
moon is moving .
✔✔Written assessment summary - ✔✔Is a report that brings together client information
from all sources in a succinct form that makes it helpful in formulating the treatment
plan.
✔✔Treatment planning - ✔✔Is the process by which the counselor and client identify
and rank problems needing solutions, established agreed upon immediate and long
term goals and decide on treatment and the resources to be used
✔✔4 components of a treatment plan - ✔✔Problems, goals, objectives,and strategies
✔✔Problems - ✔✔Should be described specifically as possible bag includes evidence
✔✔Goal - ✔✔Should be acceptable for the client and he chooses it
✔✔Objectives - ✔✔Are specific things the client will do to meet the goal. It's realistic,
time specific, appropriate to the level of treatment and measurable
✔✔Strategies - ✔✔Are what the counselor will do to help meet the client's objectives
✔✔Assessment - ✔✔Involves gathering information about the client in order to make
informed diagnostic impression and an appropriate treatment plan.
✔✔Clinical skills used with counseling - ✔✔Active listening, empathy, concreteness,
paraphrasing, reflecting, simplifying, summarizing, attending , probing,reframing,
exploring alternatives, confrontation, immediacy
✔✔Active listening - ✔✔Involves attending skills and reflective listening and to reflect
the client's emotions, thoughts, and attitudes
✔✔Empathy - ✔✔Is the ability to perceive another person's experience and
communicate that perception back to the person
ANSWERS GRADED A+
✔✔Axis V - ✔✔Is the global assessment of functioning (GAF) scale. Which assigns the
counselor's judgement of the client's overall level of psychological, social, and
occupational functioning
✔✔Provisional - ✔✔When the counselor is almost certain that the full criteria for a
disorder is met but not enough information is available yet to be sure
✔✔Deferred - ✔✔When a diagnosis is not being made yet pending gathering of
additional information
✔✔Substance abuse - ✔✔Is a maladaptive pattern of substance use leading to clinically
significant impairment or distress as manifested by at least 4 following criteria occurring
within a year. Such as failure to do major duties in work, school, home. And be in
situations that is physically hazardous and recurrent substance related legal problems
and continue use despite recurrent social and interpersonal problems caused by
substance use.
✔✔Substance dependence - ✔✔Is a maladaptive pattern of substance use leading to
clinically impairment or distress by 3 or more of the following criteria in a year
✔✔Tolerance - ✔✔By either a need for markedly increased amount of the substance to
achieve intoxication or desired affect. The effect is diminished by use of the same
amount. There's withdrawal and substance is taken to prevent withdrawal. Substance is
taken in more amounts than intended
✔✔Poly Substance dependence - ✔✔Someone who has repeatedly taken at least 3
groups of substances.
✔✔Dually diagnosed - ✔✔A client who has 1 or more other psychiatric disorders along
with substance abuse or dependence
✔✔Affect - ✔✔Is the external expression of an internal emotional state. Inappropriate if
this is the expression doesn't match what is being said
✔✔Mood - ✔✔Is a sustained emotion and changes less frequently than affect
✔✔Euthymic - ✔✔Mood that is in the normal range, not depressed or elevated
✔✔Dysphoric - ✔✔Moods that are unpleasant like anxiety, sadness, and irritability
✔✔Elevated - ✔✔Moods that's feelings of euphoria or elation
, ✔✔Delusions - ✔✔False beliefs that are maintained despite proof against the truth.
Some types are grandiose, bizarre
✔✔Hallucinations - ✔✔When a person perceives something in the absence of sensory
input. Involve senses auditory, visual etc. ex. A voice telling you to kill someone
✔✔Illusions - ✔✔Are misperceptions of actually sensory input. Ex thinking that the
moon is moving .
✔✔Written assessment summary - ✔✔Is a report that brings together client information
from all sources in a succinct form that makes it helpful in formulating the treatment
plan.
✔✔Treatment planning - ✔✔Is the process by which the counselor and client identify
and rank problems needing solutions, established agreed upon immediate and long
term goals and decide on treatment and the resources to be used
✔✔4 components of a treatment plan - ✔✔Problems, goals, objectives,and strategies
✔✔Problems - ✔✔Should be described specifically as possible bag includes evidence
✔✔Goal - ✔✔Should be acceptable for the client and he chooses it
✔✔Objectives - ✔✔Are specific things the client will do to meet the goal. It's realistic,
time specific, appropriate to the level of treatment and measurable
✔✔Strategies - ✔✔Are what the counselor will do to help meet the client's objectives
✔✔Assessment - ✔✔Involves gathering information about the client in order to make
informed diagnostic impression and an appropriate treatment plan.
✔✔Clinical skills used with counseling - ✔✔Active listening, empathy, concreteness,
paraphrasing, reflecting, simplifying, summarizing, attending , probing,reframing,
exploring alternatives, confrontation, immediacy
✔✔Active listening - ✔✔Involves attending skills and reflective listening and to reflect
the client's emotions, thoughts, and attitudes
✔✔Empathy - ✔✔Is the ability to perceive another person's experience and
communicate that perception back to the person
