NCC study materials
NCC study resources

NCC case studies

NCC · Put your knowledge to work in context.

The National Counselor Examination (NCE) is a 200-item multiple-choice examination designed to assess the knowledge, skills and abilities determined to be important for providing effective counseling services. It is administered by the National Board for Certified Counselors (NBCC), which describes it as one of two examination options for the National Certified Counselor (NCC) certification and as a requirement for counselor licensure in many states; NBCC also notes it may be accepted by military health systems for recognized-provider status. The NCC case studies are 5 cases and about 4,253 words.

1

The Front-Desk Mother: A Foreseeable Multiple Relationship in a One-Provider County

A licensed counselor has practiced for 14 years in a county of 11,000 people; she is the only provider accepting Medicaid within 70 miles, and the nearest agency with openings has a five-month waitlist. A 31-year-old client, Renee, self-refers for panic attacks and requests weekly sessions.

829 words, about 4 min
2

The Neighbor Interpreter: Language, Measurement, and Family Gatekeeping

A counselor at a refugee resettlement agency meets Farida, 42, a recently arrived Afghan mother of four, referred by her primary care physician for "depression and anxiety." Farida speaks Dari and some English. The agency's contracted telephone interpreter line has a 40-minute wait, and the only bilingual person immediately available is Farida's 17-year-old neighbor, who has interpreted for the family before.

817 words, about 4 min
3

ADHD at Age Six: Development, Placement History, and Billing Pressure

Theo, age 6, is referred by his kindergarten teacher for "severe ADHD." She reports about 12 out-of-seat episodes each morning, hitting two peers in the past month, and reading below grade level. Theo's mother reports three foster placements before his adoption at age 4 and night waking four to five times a week.

877 words, about 4 min
4

Nineteen Years on the Line: Interests, Self-Efficacy, and a Four-Month Runway

Gerald, 47, was laid off when the manufacturing plant that employed him for 19 years closed. He has a high school diploma, a commercial driver's license, and chronic low back pain that his physician limits to lifting 20 pounds.

817 words, about 4 min
5

The Eighth Chair: Screening, Risk, and a Roster Deadline

A counselor at a university counseling center leads an 8-session interpersonal process group that begins next week. Screening interviews have confirmed seven members.

913 words, about 5 min