NCMHCE case studies
NCMHCE · Put your knowledge to work in context.
The National Clinical Mental Health Counseling Examination (NCMHCE) is administered by the National Board for Certified Counselors (NBCC) and is designed to assess the knowledge, skills, and abilities determined to be important for providing effective counseling services. It serves two audiences. The NCMHCE case studies are 5 cases and about 3,201 words.
1The Depressed Client Who Has "Good Stretches"
Marcus, 34, has been in treatment for 9 weeks for a third major depressive episode in five years. Sertraline was raised to 100 mg six weeks ago; his PHQ-9 fell from 19 to 11.
603 words, about 3 min2Trauma Work When Drinking Is Still in the Room
Dana, 41, was referred after a sexual assault three years ago. She meets criteria for PTSD with a PCL-5 of 58 and for moderate-severe alcohol use disorder with an AUDIT of 24: four to five drinks nightly for two years, two blackouts, one fall.
645 words, about 3 min3Panic Attacks Down, Life Still Shrunk
Priya, 29, has had eight sessions of CBT for panic disorder with agoraphobia. Panic attacks have dropped from three a week to about one a month, but the PDSS has barely moved (16 to 14).
653 words, about 3 min4A Minor, Two Parents, and a Disclosure That Must Be Reported
Your client is 15, four months into treatment for major depression. Her parents divorced two years ago, share joint legal custody, and her mother has primary physical custody; both signed the intake consent.
681 words, about 3 min5New "Panic" at 58 With 15 Pounds Missing
Robert, 58, is referred by his employee assistance program for "anxiety and panic." Over three months he has had episodes of pounding heartbeat, sweating, and shaking, sometimes at rest and sometimes waking him at 3 a.m. He has lost 15 lb without dieting, feels hot when others are cold, and has loose stools most days.
619 words, about 3 min