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NCMHCE STUDY GUIDE -NATIONAL CLINICAL MENTAL HEALTH COUNSELLING EXAM |QUESTIONS AND VERIFIED ANSWERS|GRADED A+|PASS ON FIRST ATTEMPT|BRAND NEW 2026 UPDATE

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NCMHCE STUDY GUIDE -NATIONAL CLINICAL MENTAL HEALTH COUNSELLING EXAM |QUESTIONS AND VERIFIED ANSWERS|GRADED A+|PASS ON FIRST ATTEMPT|BRAND NEW 2026 UPDATE

Institution
Mental Health Counselor
Course
Mental health counselor

Content preview

Rational-emotive behavior therapy (REBT) - ANSWER a confrontational cognitive therapy,
developed by Albert Ellis, that vigorously challenges people's illogical, self-defeating atti-
tudes and assumptions

ABC (activating event, belief, consequence)



REBT Interventions - ANSWER - Role-playing

- Assertion training

- Desensitization

- Humor

- Operant conditioning

- Homework

- Written contracts



Acceptance and Commitment Therapy - ANSWER Unique form of therapy that uses ac-
ceptance and mindfulness strategies in combination with commitment and behavior change
strategies to increase psychological flexibility



Contingency management - ANSWER undesirable behavior is not reinforced, while desir-
able behavior is reinforced



Tourette's Disorder treatment - ANSWER Cognitive behavioral therapy

Address behaviors and beliefs/distress surrounding tics

Strategies to suppress tics instead of entirely eliminate symptom (if attempt to completely
eliminate can cause increase in symptoms)


1

,PTSD treatment - ANSWER CBT, Eye movement desensitization, exposure therapy

Start exposure once consistent attendance established



Thought record - ANSWER A way of recording thoughts, feelings, and behaviors so as to
explore negative/irrational thought patterns and introduce a more balanced perspective



Panic disorder treatment - ANSWER CBT - restructure catastrophic, fearful, irrational
thoughts client has surrounding bodily sensations, physical sensations, and perceived conse-
quences of panic attack

Promotes learning of coping skills to manage panic symptoms



Habit reversal training - ANSWER a cognitive-behavioral treatment used for hair pulling,
skin picking, tics, or other problem habits and that involves awareness training, competing
response training, and social support



Abritrary inference - ANSWER Distortion where belief is based on little evidence



Selective abstraction ("tunnel vision") - ANSWER Distortion where conclusions formed
based on an isolated detail of an event (e.g. Even though the group said I did well, they gave
me a critique on one slide so I failed)



Overgeneralization - ANSWER Distortion where sweeping judgements made after 1-2 in-
cidents

(e.g. All men are dangerous)



Magnification - ANSWER Exaggeration of events, ideas, feelings (e.g. "I got a 60 on that
test, my whole career is ruined")




2

,Minimization - ANSWER Ignoring or brushing off events (e.g. I got a promotion at work
but it's probably because the boss felt sorry for me)



Personalization - ANSWER A cognitive distortion in which the client takes too much of the
blame and responsibility for unfortunate events. (e.g. It's my fault that she slipped and fell, I
should have been there)



Ditchotomous thinking - ANSWER Cognitive distortion where people think only one or
the other (e.g. People are either good or bad OR I ate more than I planned, so I failed my
diet completely)



Mislabeling - ANSWER Cognitive distortion where personality trait is assigned after hand-
ful of incidents (e.g. I'm stupid because I can't get the answer right)



Mind reading - ANSWER Cognitive distortion where you believe you know what the other
is thinking (e.g. He is thinking I failed)



REBT Irrational Beliefs - ANSWER Perfection-based worth (I need to be x or I am worth-
less)

Justice for me (significant people in my life must treat me fair or something is wrong with
them)

Effortless perfection (things/conditions must be the way that I want them to be or things are
unbearable)



BASIC-ID - ANSWER Idea from Lazarus, an acronym meaning B= behaviors A= affective S=
sensations I= images (of self) C=cognitions I=interpersonal relationships D= drugs



CBT Interventions - ANSWER Socratic Questioning (guided discovery)

Reframing

Cognitive Restructuring (ABC)

Homework (bibliotherapy, videotherapy)

3

, Self-Monitoring

Behavioral Experiments

Systematic Desensitization

Anxiety Management Training

Assertiveness Training

Behavioral Activation (increase activity)

Comm. Skills training

Downward arrow (If this is true, then what does it mean about your life)



Classical conditioning - ANSWER a type of learning in which one learns to link two or
more stimuli and anticipate events (Pavlov)



Operant conditioning - ANSWER a type of learning in which behavior is strengthened if
followed by a reinforcer or diminished if followed by a punisher (based on interval sched-
ules) (Skinner)



ABC DEF Model (Ellis) - ANSWER activating event, belief, consequence, disputing belief,
effect, new feeling



EMDR (eye movement desensitization and reprocessing) - ANSWER Trauma therapy using
bilateral stimulation to reduce emotional reactivity to event



Applied behavioral analysis (ABA) - ANSWER an intensive treatment for autism, based on
operant conditioning



Reality Therapy (Glasser) (Choice Therapy) - ANSWER human behavior purposeful and in-
dividual is responsible, goal to enable client to take better control of his or her life, focus on
current



Reality therapy WDEP - ANSWER wants, doing, evaluation, planning

4

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Institution
Mental health counselor
Course
Mental health counselor

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