Do Large Language Models Align with Core Mental Health Counseling Competencies?
Paper • 2410.22446 • Published
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1 | Initial Intake: Age: 14 Gender: Female Sexual Orientation: Heterosexual Ethnicity: Hawaiian American Relationship Status: Single Counseling Setting: School-based mental health counseling Type of Counseling: Individual | Malik presents as well groomed, good hygiene and behavior within normal limits. She is highly anxious, evidenced by limited eye contact, tense expressions and fidgeting with her hands. Malik admits to having suicidal thoughts and has self-harmed by cutting herself in the past. She reluctantly shares that she had a trau... | Diagnosis: Major depressive disorder, single episode, unspecified (F32.9), Anxiety disorder, unspecified (F41.9)
Malik, a 14-year-old girl entering High School is referred to you for mental health counseling by her school counselor for reports of her leaving the classroom in tears and because of calls received by he... | Family History:
Malik’s parents divorced while she was young but had always lived in Hawaii, making it easy for her to see both sides of her family at will. Malik has several siblings, cousins, and all her grandparents are still alive. Malik has a strained relationship with her father and stepmother and feels heavily i... | As a culturally competent counselor, how should you respond to Malik's gift? | I appreciate the sentiment, but I am not allowed to accept gifts. | This is so sweet! But you should keep them, I'm on a diet! | I can't keep them, but let's open them now and share them together. | Mahalo! This is lovely. Thank you for thinking of me. | (A): I appreciate the sentiment, but I am not allowed to accept gifts.
(B): This is so sweet! But you should keep them, I'm on a diet!
(C): I can't keep them, but let's open them now and share them together.
(D): Mahalo! This is lovely. Thank you for thinking of me. | Mahalo! This is lovely. Thank you for thinking of me. | D | It is of significance in Hawaiian and many other cultures to bring gifts from one's homeland, sending the message of affection or respect while showcasing and representing the beauty and history of one's culture. Knowing and understanding the meaning behind small gestures and further being able to communicate using com... | professional practice and ethics |
2 | Name: Jeanne Clinical Issues: Fear and panic Diagnostic Category: Anxiety Disorders Provisional Diagnosis: F41.9 Unspecified Anxiety Disorder Age: 35 Sex Assigned at Birth: Female Gender and Sexual Orientation: Female, Heterosexual Ethnicity: Latin American Marital Status: Married Modality: Individual Therapy Location ... | The client appears tearful and overwhelmed. Her affect is mood congruent with her reported symptoms of panic, stress, and guilt. The client has a poor sense of control over her current mental state, leading to ideas and fears of not being able to cope with her current circumstances. She reports having panic attacks and... | First session You are a therapist at a community center. The client is a married, 35-year-old mother of two young children. She is a stay-at-home mother, and the family is financially dependent on her husband's income. He works long hours and is very tired when he finally gets home, leaving most of the household tasks ... | The client has two young children, ages four and six, both of whom have been diagnosed with ADHD. She has been married for ten years. Her husband is 47, twelve years her senior. He works full-time, and she is a stay-at-home mom. For the past year, the client has reported feeling overwhelmed with the demands of mothe... | Taking into consideration what you have learned during the session, what is most important for you to consider when choosing an initial treatment modality for the client? | The client's preference regarding pharmacological intervention | The client's status as a stay-at-home mother | The client's relationship with her husband | The client's therapeutic expectations | (A): The client's preference regarding pharmacological intervention
(B): The client's status as a stay-at-home mother
(C): The client's relationship with her husband
(D): The client's therapeutic expectations | The client's preference regarding pharmacological intervention | A | Of these options, the client's preference regarding pharmacological intervention is most important when choosing an initial treatment modality for the client. It is important to ensure that the client is comfortable with any medications prescribed and that the client has an understanding of possible side effects and is... | treatment planning |
3 | Client Age: 25 Sex: Male Gender: Male Sexuality: Heterosexual Ethnicity: Caucasian Relationship Status: Single Counseling Setting: Counseling Clinic Type of Counseling: Individual Presenting Problem: Depression and Suicidal Ideation Diagnosis: Major Depressive Disorder, Recurrent, Mild (F33.0) | Mental Status Exam: The client appears to not have bathed recently because his hair is greasy and unkempt. The client has food stains on his clothing; however, he is dressed appropriately for the season. His motor movements are within normal limits. He is engaged in therapy, but he appears anxious as evidenced by hesit... | You are a resident in counseling practicing in a private practice agency. During the initial counseling session, the 25-year-old single male client reports feeling depressed and hopeless. He has difficulty enjoying activities that he has enjoyed in the past and feels unsatisfied with most areas of his life. The client ... | The client contacted you to reschedule a session sooner than the one you had originally scheduled. The client reported that he continues to have difficulty getting to work on time and was told that he needs to meet with his supervisor on Friday. The client expresses anxiety surrounding this because he worries about get... | Due to increased anxiety and depressive symptoms, you choose to use CBT techniques. Which of the following would be an intervention used in CBT? | Cognitive restructuring or reframing | Assess for readiness for change | Operant conditioning | Reality acceptance | (A): Cognitive restructuring or reframing
(B): Assess for readiness for change
(C): Operant conditioning
(D): Reality acceptance | Cognitive restructuring or reframing | A | CBT is based around cognitive restructuring and reframing, which can be a very effective intervention for anxiety or depression. Reality acceptance is part of dialectical behavior therapy and would not be as beneficial for this client because the anxiety is based around an unknown outcome. Assessing readiness for chang... | counseling skills and interventions |
4 | Client Age: 8 Sex: Female Gender: Female Grade: 3rd Ethnicity: African American Counseling Setting: School-based Type of Counseling: Individual and Family Presenting Problem: Defiance Diagnosis: Oppositional Defiant Disorder 313.81 (F91.3) | Mental Status Exam: The client displays an angry affect and sits with her arms crossed. She is well dressed and well groomed. The client’s PGM repeatedly prompts her to say, “yes ma’am” and “no ma’am” when answering questions. The client sits slumped in her chair. She agrees to color in a feelings thermometer that refl... | You are a school-based mental health counselor conducting an initial intake with an 8-year-old African American female in the 3rd grade. The client presents today with her paternal grandmother (PGM), the client’s legal guardian. The PGM states that the client is argumentative, refuses to take responsibility for her act... | You are meeting with the client individually and providing parenting training with the client’s PGM. The client’s teacher has implemented a behavioral chart for the classroom, and you ensure the client is receiving appropriate reinforcement for targeted behaviors. The teacher believes the client’s behavior indicates AD... | Which instrument would you select to further assess the client’s social and emotional problems, including DSM-specific disorders such as ADHD, ODD, and other conduct problems? | The Brief Symptoms Inventory-18 (BSI-18) | The Woodcock-Johnson IV (WJ IV) | The Conners’ Third Edition (Conners 3) | The Achenbach Child Behavior Checklist (CBCL) | (A): The Brief Symptoms Inventory-18 (BSI-18)
(B): The Woodcock-Johnson IV (WJ IV)
(C): The Conners’ Third Edition (Conners 3)
(D): The Achenbach Child Behavior Checklist (CBCL) | The Achenbach Child Behavior Checklist (CBCL) | D | The Achenbach Child Behavior Checklist (CBCL) helps detect social and emotional problems, including disorders such as ADHD, ODD, and other conduct problems. The CBCL detects DSM-specific symptoms in the following six categories: affective problems, anxiety problems, somatic problems, ADHD, oppositional defiant problems... | intake, assessment, and diagnosis |
5 | Initial Intake: Age: 28 Sex: Female Gender: Female Sexuality: Heterosexual Ethnicity: Caucasian Relationship Status: Married Counseling Setting: Private Practice Type of Counseling: Couple | The couple appear to be their stated ages with positive signs of self-care related to hygiene and dress. Both individuals appear overweight for height, and John appears to visually be categorizable as obese. Both individuals presented with congruent affect to their stated moods. Neither demonstrated retardation, spasti... | You are a counselor in a private practice setting. Your client, Jane, is 28 years old and presents with her spouse, John, a 24 year-old Hispanic male for “problems communicating.” The couple report that they have been married for one year after cohabitating for one year prior to marriage. Immediately after their marri... | Family History:
The couple currently live with Jane’s 10 year-old son from her previous marriage and Jane’s 75 year-old grandfather, for whom the couple provide care. Jane owns and operates a small shop, is completing her bachelor’s degree, cares for her grandfather, and parents her son, who is heavily involved in base... | Which of the following counseling skills or interventions should be used during this session? | Redirecting John's attention to Jane's distress | Exploring both families of origin patterns and themes | Psychoeducation on relaxation techniques for John and Jane | Summarizing John's fears about infertility and loss | (A): Redirecting John's attention to Jane's distress
(B): Exploring both families of origin patterns and themes
(C): Psychoeducation on relaxation techniques for John and Jane
(D): Summarizing John's fears about infertility and loss | Summarizing John's fears about infertility and loss | D | During the individual interview, John openly discussed fears of his own infertility and the loss he would feel if he could not have a child. Because he has not been communicating with Jane, this would be important to summarize with John so that Jane can become more aware of his fears and emotional reaction to their inf... | counseling skills and interventions |
6 | Initial Intake: Age: 68 Sex: Female Gender: Female Sexuality: Heterosexual Ethnicity: Caucasian Relationship Status: Widow Counseling Setting: Community Agency Type of Counseling: Individual | The client presents appearing thin for height and older than her stated age. She is dressed in jeans and a shirt, no make-up and appropriate hygiene. Her mood is identified as euthymic and her affect is congruent. She is talkative and tells stories about herself and others, although she appears very distractible and c... | You are a counselor in a community agency and your client presents voluntarily, though at the request of her family members. She tells you that her stepson and daughter-in-law told her they are concerned about her because she lives alone and they don’t believe that she can take care of herself at her home. She tells yo... | Family History:
The client reports that her parents divorced when she was a young teenager and she did not see her father again after that time. She reports he was an alcoholic as was her mother and they often argued. She relates that her mother did not work and she grew up with government assistance for food and shelt... | Which of the following referrals will be most helpful in treating the client's hoarding disorder? | Refer client to psychiatry for medication evaluation | Refer client to local government services for evaluation of adequate housing | Refer client to behavioral health to determine client's competency to make decisions | Refer client to a professional organizer who can help organize the client's home | (A): Refer client to psychiatry for medication evaluation
(B): Refer client to local government services for evaluation of adequate housing
(C): Refer client to behavioral health to determine client's competency to make decisions
(D): Refer client to a professional organizer who can help organize the client's home | Refer client to psychiatry for medication evaluation | A | Referring the client to psychiatry will be most helpful for treating the client's hoarding disorder due to the components of depression, OCD, and ADHD that are often co-occurring with hoarding disorder. Treatment with SSRIs is helpful in treating those with hoarding disorder. Referring to a professional organizer will ... | counseling skills and interventions |
7 | Initial Intake: Age: 23 Gender: Male Sexual Orientation: Heterosexual Ethnicity: Indian American Relationship Status: Single Counseling Setting: Private Practice Type of Counseling: Individual | Shawn is slightly unkempt, completes ADLs and has good hygiene. His motor movements are fidgety and tense, and he consistently averts eye contact and darts his eyes around the room and towards the door every time he hears a noise. He appears to be sensitive to the lighting in the office as evidenced by fluttering his e... | Diagnosis: Social Phobia, unspecified (F40.10) provisional; Alcohol Use Disorder, moderate, in early remission (F10.10)
Rishaan is a 23-year-old heterosexual male of Indian origin and is being referred to you by his parents for counseling in your private practice who are telling you Rishaan is at risk for going back... | Substance Use History:
Shawn entered treatment and rehabilitation five months ago after his ex-girlfriend’s family had an intervention with him about his abusive drinking and he has now been through all phases of treatment for Alcohol use disorder. Shawn tells you he is ashamed that his parents found out about his prob... | You teach Shawn the cognitive strategy of labeling his negative thoughts while they are occurring in his mind in an emotionally detached manner and guide him in applying mindful observations without judging himself. This is an example of? | Thought Responding | Thought defusion | Oral Cognitive Restructuring | Paradoxical Repetition | (A): Thought Responding
(B): Thought defusion
(C): Oral Cognitive Restructuring
(D): Paradoxical Repetition | Thought defusion | B | Thought defusion is applying mindful observation of your negative thoughts, then labeling your negative thoughts while they are occurring in your mind and reflecting on them unemotionally and without judgment ("For the moment, I'm having an anxious feeling, but it will pass eventually"). Then, instead of trying to rest... | counseling skills and interventions |
8 | Name: Marta Clinical Issues: Caregiving concerns Diagnostic Category: Trauma and Stressor Related Disorders Provisional Diagnosis: F43.23 Adjustment Disorder, with Mixed Anxiety and Depressed Mood Age: 55 Sex Assigned at Birth: Female Gender and Sexual Orientation: Female, Heterosexual Ethnicity: Colombian American Mar... | The client appears older than her stated age. She is disheveled, poorly groomed, and has a strong body odor. She is cooperative but demonstrates a high level of distress manifested as restlessness, being easily distracted, and consistently rubbing her hands. Her speech is initially slow and halted but later becomes ele... | First session You are a counseling intern for a mental health agency. A 55-year-old Colombian American female presents to therapy with tears in her eyes. She appears distraught, anxious, and despondent. She describes feeling guilty about wanting to put her mother in an assisted living facility. Although the client know... | The client is the oldest child in her family. She has 3 younger brothers, all of whom are separated in age by one year. She was born and raised in Colombia. When she was in middle school, her family immigrated to the United States in search of better opportunities. Her father worked long hours as a taxi driver while he... | Which treatment objective would provide the client with long-term relief from her stress and anxiety? | Mastering deep breathing techniques during stressful situations | Identifying time-management skills and mindfulness techniques | Learning how to implement positive self-talk in times of stress | Increasing emotional resilience and problem-solving skills | (A): Mastering deep breathing techniques during stressful situations
(B): Identifying time-management skills and mindfulness techniques
(C): Learning how to implement positive self-talk in times of stress
(D): Increasing emotional resilience and problem-solving skills | Increasing emotional resilience and problem-solving skills | D | Increasing emotional resilience and problem-solving skills would provide the client with long-term relief from her emotional symptoms. She struggles with anxiety and depression related to taking on the role of caregiver for her mother and having her mother live in the family home. Therefore, the correct answer is (A) | treatment planning |
9 | 7 Initial Intake: Age: 18 Gender: Female Sexual Orientation: Bisexual Ethnicity: African American Relationship Status: Single Counseling Setting: Agency Type of Counseling: Individual | Millie was well groomed and presented as anxious with constricted affect as evidenced by shaking her leg and tapping her pen frequently. Millie made good eye contact and speech was coherent and rational, however tangential with increasingly rapid rate at times. Speech content is somewhat guarded, demonstrating preoccup... | Diagnosis: Major Depressive Disorder, single episode, recurrent (F33), Anxiety disorder (F41.9) provisional
You are a mental health counselor with a community agency and have been referred a new client named Millie, an 18-year-old African American girl, for problems adjusting to life without her mother who has passe... | llie was well groomed and presented as anxious with constricted affect as evidenced by shaking her leg and tapping her pen frequently. Millie made good eye contact and speech was coherent and rational, however tangential with increasingly rapid rate at times. Speech content is somewhat guarded, demonstrating preoccupat... | Millie admits to abusing pain medication prescribed by her doctor for treating medical issues, as well as getting high on inhalants in her room at her grandparents' house. What is your next step? | Educate Millie on the harmful effects of substance abuse. | Inform her father and grandparents for her own safety. | Prepare Millie for a referral to a higher level of care. | Call 911 to have Millie expedited to detox. | (A): Educate Millie on the harmful effects of substance abuse.
(B): Inform her father and grandparents for her own safety.
(C): Prepare Millie for a referral to a higher level of care.
(D): Call 911 to have Millie expedited to detox. | Prepare Millie for a referral to a higher level of care. | C | Unless Millie is experiencing an overdose, incapacitated, or in danger of harming herself or others, calling 911 is not necessary and you can work with Millie on understanding what the next steps would be for entering into a higher level of care should she choose to comply with your recommendations. Education, as in an... | treatment planning |
10 | Name: Tabitha Clinical Issues: Family conflict and pregnancy Diagnostic Category: V-codes Provisional Diagnosis: Z71.9 Other Counseling or Consultation Age: 16 Sex Assigned at Birth: Female Gender and Sexual Orientation: Female, Heterosexual Ethnicity: Latina Marital Status: Not Married Modality: Individual Therapy Loc... | The client appears healthy but tired and distracted. She is dressed in loose-fitting clothing and sits with her hands between her knees. Eye contact is minimal. Speech volume is low. She is reluctant to talk at first and denies having a problem. Thought processes are logical, and her thoughts are appropriate to the dis... | First session You are a school counselor in an urban school setting. The client is a 16-year-old student who is reluctant to see you. The session begins with a discussion of the teacher's concerns and your role as a school therapist. After some gentle probing and reassurance, the client is able to open up more and disc... | The client has an older brother who is in college. The client lives at home with her parents. They are members of a Christian church and are all actively involved in their church group, and the client has a good relationship with her pastor. The client has never felt close with her father and says he has always had "hi... | Given the nature of your relationship in the school setting, and the time you realistically can allot to the client, as well as her age and maturity level, which approach will you initially use to engage the client in the therapy process? | Person-centered therapy | Solution-focused brief therapy | Reality therapy | Cognitive-behavioral therapy | (A): Person-centered therapy
(B): Solution-focused brief therapy
(C): Reality therapy
(D): Cognitive-behavioral therapy | Person-centered therapy | A | The client is in a vulnerable state right now. Using a person-centered approach and practicing unconditional positive regard, genuineness, and empathic understanding will help you establish trust with her. Therefore, the correct answer is (C) | counseling skills and interventions |
11 | Client Age: 25 Sex: Male Gender: Male Sexuality: Heterosexual Ethnicity: Caucasian Relationship Status: In a Relationship Counseling Setting: Private Practice Clinic Type of Counseling: Individual Counseling Presenting Problem: Premature Ejaculation Diagnosis: Provisional | Mental Status Exam: The client is oriented to person, place, time, and situation. The client appears comfortable in the session as evidenced by his openness, congruent affect, and verbal express | You are a counseling resident at an outpatient clinic. Your 25-year-old male client reports he was in a bicycle accident a year ago and that, resultingly, he had reconstructive surgery to his penis. The client identifies that it takes approximately 30 seconds to a minute to ejaculate following vaginal penetration. The ... | The client comes to the session reporting that he and his girlfriend attempted to have sex the past week, and he wrote down some thoughts he was having on his CBT thought log. The client and the clinician reviewed his thoughts and engaged in cognitive reframing to support him in creating new scripts to use when engagin... | The client identified that one thought he had during sex was “I feel inadequate as a man; therefore, I must be inadequate because I can’t fully satisfy my girlfriend.” Which of the following cognitive distortions best defines this thought? | Overgeneralization | Fortune-telling | All-or-nothing thinking | Emotional reasoning | (A): Overgeneralization
(B): Fortune-telling
(C): All-or-nothing thinking
(D): Emotional reasoning | Emotional reasoning | D | Emotional reasoning is the cognitive distortion displayed here because the client is accepting his emotion as a reality even though just feeling something does not make it true. The client is not experiencing all-or-nothing thinking because he is not experiencing polarized thinking. The client is not fortune-telling be... | counseling skills and interventions |
12 | Name: Jill Clinical Issues: Depression and recent death of a close friend Diagnostic Category: Depressive Disorders;Substance Use Disorders Provisional Diagnosis: F34.1 Persistent Depressive Disorder, with Anxious Distress, and F10.99 Unspecified Alcohol-Related Disorder Age: 26 Sex Assigned at Birth: Female Gender and... | The client is a 26-year-old female who appears slightly disheveled and unkempt with bags under her eyes, suggesting recent lack of sleep. Her affect is flat and her behavior is withdrawn. She speaks in a quiet monotone and is tearful at times. Her speech is coherent, though her thoughts are sometimes diffuse. She exhib... | First session You practice as a mental health therapist at an agency. A 26-year-old female presents for therapy following a recent incident involving the death of her close friend. The client elaborates on her friend's death by saying, "He was beaten to death because he was transgender." The attack occurred a week ago,... | The client grew up in a very chaotic household with five siblings. The client is a first-generation Eastern European whose family immigrated to the United States before her birth. Her parents never adapted to the culture. Her father committed suicide when she was in high school. She says, "It was like my dad leaving us... | Using a cognitive-behavioral approach, what technique could help your client through the thoughts she is dealing with by feeling she is responsible for her friend's death? | Exploration of family constellation | Reattribution | "Acting as if" | Psychodrama | (A): Exploration of family constellation
(B): Reattribution
(C): "Acting as if"
(D): Psychodrama | Reattribution | B | Reattribution is a CBT technique which takes a situation and examines the automatic thought by considering alternatives for the events under consideration. Therefore, the correct answer is (C) | counseling skills and interventions |
13 | Initial Intake: Age: 14 Gender: Male Sexual Orientation: Heterosexual Race/Ethnicity: Hispanic - Mexican American Relationship Status: Single Counseling Setting: School-based Type of Counseling: Individual | Raul presents as irritable and anxious, with congruent mood and affect. Raul is casually dressed, appears to be overweight for his age and height, and is sweating with nervous hand motions. Raul has difficulty making eye contact, takes long pauses prior to answering questions, and often asks you to repeat the question ... | Diagnosis: Attention-deficit hyperactivity disorder, predominantly inattentive type (F90.0), Conduct disorder, unspecified (F91.9)
You are a counseling intern working for an agency that sends counselors into grade schools to work with their students on longer-term mental health issues. Raul is referred to you by his... | Education History:
Raul’s teachers inform you of his behaviors throughout his freshman year in high school, that have according to them been ongoing since Raul’s middle school years. Raul is often reported for being inappropriate in class by making impulsive remarks to try and get others to laugh, disrupting the class,... | Despite your possible feelings about Raul's mother's parenting skills, you smile with her as she shares information and offer her kindness and support. What is this practice called? | Fake it 'til you make it | Positive psychology | Emotional restraint | Unconditional positive regard | (A): Fake it 'til you make it
(B): Positive psychology
(C): Emotional restraint
(D): Unconditional positive regard | Unconditional positive regard | D | This is a core competency of counselors and demands a non-judgmental stance. Therapy is intended to offer a client a different experience than they have ever had; offering compassion and positive regard makes it easier on the client to communicate their needs, feelings, fears, desires, and concerns. Answer b) is not a ... | core counseling attributes |
14 | Name: Michael Clinical Issues: Separation from primary care givers Diagnostic Category: Anxiety Disorders Provisional Diagnosis: F93.0 Separation Anxiety Disorder Age: 10 Sex Assigned at Birth: Male Gender and Sexual Orientation: Male, Not Assessed Ethnicity: Guatemalan American Marital Status: Not Applicable Modality:... | Michael appears clean and dressed in appropriate clothing. He often fidgets with his hands and insists on sitting next to his father during the session. Speech volume is low, and pace is fast. He has a slightly flattened affect. He exhibits minimal insight consistent with his age. | First session You are a licensed mental health counselor at a pediatric behavioral health center. Michael, a 10-year-old male, presents along with his father. You conduct a thorough psychological exam, including a mental status examination. During the initial interview, you take note of Michael's behavior. He sits very... | Michael's parents have been married for nine years and both are dedicated to the well-being of their children. The father reports that he and his wife communicate openly with each other and make joint decisions about parenting issues. They also model healthy family dynamics, such as expressing affection and respect tow... | What follow-up recommendation would be most beneficial for the client? | Periodic check-in sessions | Assign a case manager to call him when he is at home | Pediatrician checkup | Involvement in specialized group therapy | (A): Periodic check-in sessions
(B): Assign a case manager to call him when he is at home
(C): Pediatrician checkup
(D): Involvement in specialized group therapy | Periodic check-in sessions | A | Although you believe the client is ready for termination, this process can be a difficult adjustment. Being available for periodic check-in sessions following the termination will increase the client's ability to maintain the progress he made in therapy. Therefore, the correct answer is (B) | treatment planning |
15 | Client Age: 30 Sex: Female Gender: Female Sexuality: Heterosexual Ethnicity: Pacific Islander Relationship Status: Single Counseling Setting: Private practice counseling clinic Type of Counseling: Individual counseling Presenting Problem: The client and her boyfriend recently broke up, and she is “tired of being with t... | Mental Status Exam: The client is oriented to person, place, time, and situation. No hallucinations, delusions, or paranoia are reported. The client was anxious at the start of the session, but she was able to calm herself down by easing into the counseling relation | You are a professional counselor working in a private practice clinic. The client comes in and sits quietly. The client appears nervous because she avoids eye contact and waits for you to initiate conversation. You ask why she is in counseling, and she responds that she is just tired. You ask more about this, and she s... | The client comes in, sits down, and immediately says that she has been thinking and decided that she is now ready to talk about the physical abuse that she has experienced. She recounts that from age 18 until age 20 she was with a boyfriend who would smack her if she said something he did not like. She believes this is... | Your informed consent includes fees for nonpayment and late cancellations of sessions. Which of the following is the most therapeutic response to the client’s inability to pay for the session until the end of the week? | Allow the client until the end of the week to pay for the cost of the session with the added fee. | Waive the session fee and nonpayment fee because the client is experiencing financial hardship. | Allow the client until the end of the week to pay for the session and waive the nonpayment fee. | Consistency with fees is important in the client–counselor relationship. The fee should still be applied, and payment is still expected on time | (A): Allow the client until the end of the week to pay for the cost of the session with the added fee.
(B): Waive the session fee and nonpayment fee because the client is experiencing financial hardship.
(C): Allow the client until the end of the week to pay for the session and waive the nonpayment fee.
(D): Consistenc... | Allow the client until the end of the week to pay for the session and waive the nonpayment fee. | C | Because this client has no history of nonpayment, it would be the most therapeutic course of action to waive the nonpayment fee and allow the client extra time to pay for the session. Generally speaking, fees for the counseling sessions, for late cancellations, and for nonpayment are beneficial for the counselor and th... | professional practice and ethics |
16 | Initial Intake: Age: 29 Gender: Female Sexual Orientation: Heterosexual Ethnicity: Caucasian Relationship Status: Engaged Counseling Setting: Agency - Telehealth Type of Counseling: Individual | Client presents as unkempt, hygiene unknown as it is unable to be assessed via telehealth. She is appropriately dressed. Motor movements are within normal limits. Her eye contact is intermittent as she appears to have difficulty focusing both eyes in the same direction (amblyopia or “lazy eye”). She is cooperative and ... | Diagnosis: Anxiety disorder, unspecified (F41.9), Reaction to severe stress, unspecified (F43.9)
You are a new counseling intern in a community agency conducting virtual individual counseling sessions using Telemedicine technology. You were referred a 29-year-old female client by your agency’s Psychiatrist who felt... | Family History:
Client has a strained relationship with her mother whom she reports is “always dating an alcoholic” and has been abusive to her growing up. She adds that her mother has “Bipolar depression and ADHD.” She complains often about both her mother and her fiance’s mother mistreating her, making her feel resen... | What should you do at this stage of the session? | Align with her empathically and wait for her to be ready to engage undistracted | Inform her the session will be a waste of a Medicaid billing hour and she should reschedule | Explain how her children being present is inappropriate and a violation of HIPAA | Call Department of Family Services to report emotional abuse of children | (A): Align with her empathically and wait for her to be ready to engage undistracted
(B): Inform her the session will be a waste of a Medicaid billing hour and she should reschedule
(C): Explain how her children being present is inappropriate and a violation of HIPAA
(D): Call Department of Family Services to report em... | Align with her empathically and wait for her to be ready to engage undistracted | A | In order to build rapport, safety, and trust with this client, especially through a telemedicine platform, it is important to demonstrate concern for her emotional wellbeing and to prioritize your therapeutic relationship. A parent yelling in frustration at her children is not enough evidence to support a claim of emot... | professional practice and ethics |
17 | Client Age: 25 Sex: Male Gender: Male Sexuality: Heterosexual Ethnicity: Caucasian Relationship Status: In a Relationship Counseling Setting: Private Practice Clinic Type of Counseling: Individual Counseling Presenting Problem: Premature Ejaculation Diagnosis: Provisional | Mental Status Exam: The client is oriented to person, place, time, and situation. The client appears comfortable in the session as evidenced by his openness, congruent affect, and verbal express | You are a counseling resident at an outpatient clinic. Your 25-year-old male client reports he was in a bicycle accident a year ago and that, resultingly, he had reconstructive surgery to his penis. The client identifies that it takes approximately 30 seconds to a minute to ejaculate following vaginal penetration. The ... | The client’s girlfriend comes to the session to give input about what she experiences when they have sex. The client started by saying he wanted to share his self-talk from the thought log. The client’s girlfriend denies any of the thoughts he thinks that she is having. You encourage the client to use her response as e... | You have provided support for your counseling intern, and he continues to be late for and miss client sessions. Which of the following would meet ACA criteria for ethical considerations at this point? | You see this as an opportunity to support the intern in balancing his personal life and his professional life. | You seek consultation and document your decision to terminate your supervisory relationship with the intern. | You encourage the intern to seek counseling in order to work through what he is going through. | You provide a corrective action plan to the intern in order to prevent further issues with his clients. | (A): You see this as an opportunity to support the intern in balancing his personal life and his professional life.
(B): You seek consultation and document your decision to terminate your supervisory relationship with the intern.
(C): You encourage the intern to seek counseling in order to work through what he is going... | You seek consultation and document your decision to terminate your supervisory relationship with the intern. | B | At this point, documenting the consultation and terminating the relationship would be indicated because the intern is continuing to harm clients (ACA, 2014, p 13). You have already tried to support the intern, and it was not helpful in preventing client harm or changing his behavior. At this point, a corrective action ... | professional practice and ethics |
18 | Name: Tony Clinical Issues: Feeling alone and disconnected from children Diagnostic Category: V-codes Provisional Diagnosis: Z60.0 Phase of Life Problem Age: 66 Sex Assigned at Birth: Male Gender and Sexual Orientation: Male, Heterosexual Ethnicity: White Marital Status: Divorced Modality: Individual Therapy Location o... | The client is well dressed and well-groomed. He appears healthy for his stated age. Speech flow is normal, and eye contact is appropriate. The client is cooperative with adequate rapport. His thought process is logical. He expresses feeling angry, "even though there is nothing to be angry about." You do not observe any... | First session You are a licensed mental health professional working in a private practice setting. The client is a 66-year-old male who is returning to therapy with you. When he called to schedule the appointment, he asked if he could meet with you for dinner beforehand and offered to pay. He presents for his session t... | null | After the client shares his revelation, you state, "It's impressive that you were able to make the connection between your road rage and feeling taken advantage of by your children." What are you attempting to do with this response? | Empower the client | Provide Unconditional Positive Regard | Demonstrate congruence | Engage the client in therapy | (A): Empower the client
(B): Provide Unconditional Positive Regard
(C): Demonstrate congruence
(D): Engage the client in therapy | Empower the client | A | Affirmation is a form of encouragement that is used to affirm behaviors or life choices. Affirmation is important for empowering clients. A few common affirmations include affirming progress that a client has made toward a goal or encouraging a client to do what is important to him. Therefore, the correct answer is (C) | counseling skills and interventions |
19 | Initial Intake: Age: 35 Gender: Male Sexual Orientation: Heterosexual Ethnicity: African American Relationship Status: Divorced Counseling Setting: Community Mental Health Center Type of Counseling: Individual | Davone presents as well-groomed, of fair hygiene and motor movements are within normal limits. Davone makes decent eye contact throughout session. Speech tone and rate are normal. Thought process unremarkable. Denies SI/HI. Davone becomes tearful when he recalls past family information, sharing that his father was neve... | Diagnosis: Adjustment disorder with mixed disturbance of emotions and conduct (F43.25) Provisional, Problems related to other legal circumstances (Z65.3)
Davone is referred to you by his probation officer after being mandated by the court to undergo weekly emotional and behavioral health counseling sessions for a mi... | Legal and Work History:
You learn from Davone’s referral paperwork that Davone’s legal record extends back to age 9 when he was first beginning to show signs of conduct at school. Davone was often sent to the “recovery room” in elementary school for aggressive outbursts and defiance towards teachers. He has a record wi... | You respond to Davone saying “You are clearly disappointed, and obviously hurt as well! I can't imagine not being able to see my children. It would be so hard.” This is an example of? | reflection | empathy | sympathy | direct correlation | (A): reflection
(B): empathy
(C): sympathy
(D): direct correlation | empathy | B | Validating your client's presentation and feelings while attuning to their emotional condition can strengthen your therapeutic bond and help them to feel heard and understood. Offering sympathy shows pity for your client but does not accomplish the congruence that empathy does and maintains an emotional distance from y... | counseling skills and interventions |
20 | Name: Jeanne Clinical Issues: Fear and panic Diagnostic Category: Anxiety Disorders Provisional Diagnosis: F41.9 Unspecified Anxiety Disorder Age: 35 Sex Assigned at Birth: Female Gender and Sexual Orientation: Female, Heterosexual Ethnicity: Latin American Marital Status: Married Modality: Individual Therapy Location ... | The client appears tearful and overwhelmed. Her affect is mood congruent with her reported symptoms of panic, stress, and guilt. The client has a poor sense of control over her current mental state, leading to ideas and fears of not being able to cope with her current circumstances. She reports having panic attacks and... | First session You are a therapist at a community center. The client is a married, 35-year-old mother of two young children. She is a stay-at-home mother, and the family is financially dependent on her husband's income. He works long hours and is very tired when he finally gets home, leaving most of the household tasks ... | The client has two young children, ages four and six, both of whom have been diagnosed with ADHD. She has been married for ten years. Her husband is 47, twelve years her senior. He works full-time, and she is a stay-at-home mom. For the past year, the client has reported feeling overwhelmed with the demands of mothe... | Which of the following would be the least appropriate response to the client's disclosure? | "It's understandable that you have a fear of dying and leaving your children. It's natural to think about the worst-case scenario. Can you tell me more about this fear?" | "Let's look at some of the pros and cons of your fear. On the one hand, this fear may be a way to protect your children and ensure they are taken care of. But, on the other hand, your fear paralyzes and prevents you from living your life to the fullest. What do you think?" | "It sounds like you have some substantial concerns about dying. Can you tell me more about why your fear around this subject is so strong?" | "I also had a fear of dying for a long time. I think my fear came from a combination of my childhood experiences and denying my mortality. Do any events from your childhood come to mind that might be related to your fears?" | (A): "It's understandable that you have a fear of dying and leaving your children. It's natural to think about the worst-case scenario. Can you tell me more about this fear?"
(B): "Let's look at some of the pros and cons of your fear. On the one hand, this fear may be a way to protect your children and ensure they are ... | "Let's look at some of the pros and cons of your fear. On the one hand, this fear may be a way to protect your children and ensure they are taken care of. But, on the other hand, your fear paralyzes and prevents you from living your life to the fullest. What do you think?" | B | This is not the best way to respond to a client's fear of dying as it does not provide any strategies to help the client cope with their fear. It also does not acknowledge the client's feelings or provide any support or reassurance. Therefore, the correct answer is (C) | professional practice and ethics |
21 | Initial Intake: Age: 32 Gender: Female Sexual Orientation: Heterosexual Ethnicity: Caucasian Relationship Status: Divorced Counseling Setting: Community Mental Health Agency, state-run Type of Counseling: Individual and family | Shania is disheveled, has tangential and fast rate speech and is fidgety with twitching in her motor movements. Shania makes consistent eye contact and leans in close when she becomes upset and begins to cry. Shania admits to having suicidal thoughts and attempt behaviors in her past, but says she no longer feels suici... | Diagnosis: Major Depressive Disorder, recurrent, unspecified (F33.9), Anxiety Disorder, unspecified (F41.9), Alcohol dependence, uncomplicated, in early remission (F10.20), Cocaine Use Disorder, unspecified with cocaine-induced mood disorder, in remission (F14.94)
You are an intern providing mental health counseling... | Substance Use History:
Shania has been in long and short-term treatments several times in her 20s for alcohol dependency and cocaine use. She had all her children while under the influence or in remission from using substances and has had minimal contact with their fathers. The man she is currently living with is not t... | Would it be appropriate for you to provide counseling for both Shania and Malia? | Yes, because you can always provide therapy for both parent and child. | No, because you need a child psychology degree to work with a child. | No, since you can never be the counselor for both a parent and child. | Yes, because this is the nature of your job at this company. | (A): Yes, because you can always provide therapy for both parent and child.
(B): No, because you need a child psychology degree to work with a child.
(C): No, since you can never be the counselor for both a parent and child.
(D): Yes, because this is the nature of your job at this company. | Yes, because this is the nature of your job at this company. | D | In this scenario your counseling position is to provide services to individuals and their family members. General counseling ethics will guide your boundary making decisions with every case, however in this unique circumstance you are the case worker for the entire family which makes seeing them together appropriate. I... | professional practice and ethics |
22 | Name: Tina Clinical Issues: Maladaptive eating behaviors Diagnostic Category: Feeding and Eating Disorders Provisional Diagnosis: F50.01 Anorexia Nervosa, Restricting Type Age: 21 Sex Assigned at Birth: Female Gender and Sexual Orientation: Female, Heterosexual Ethnicity: Italian American Marital Status: Not Married Mo... | The client presented with a slender physique and was observed wearing conservative, dark-colored attire. Her overall demeanor was reserved, displaying noticeable nervousness and a tendency to withdraw from interactions. Upon conversing with her, it became evident that her train of thought often deviated from the topic ... | First session You are a mental health therapist working in a university counseling center. The client, a 21-year-old female, presents issues related to anxiety, poor body image, and eating. You begin the session by introducing yourself and explaining your role as a therapist. You also explain how confidentiality is han... | The client's parents divorced when she was six years old. Her mother remarried 12 years ago. The client has a younger half-brother who lives with her mother and stepfather. She is close to her mother, but "my stepfather is a different story." She reports that he is critical of her and often remarks on how she looks or ... | Based on best practices for family therapy, how would you recommend structuring future sessions with the client and her parents? | Propose bringing in a co-therapist to take the stepfather for individual work while you continue with the client and mother. | Decline any further joint sessions to avoid exposing the client to further harm and conflict. Only meet with her individually. | Hold joint sessions to resolve conflicts and teach communication skills together. | Suggest individual sessions for each, then small joint sessions with the client and mother before full family sessions. | (A): Propose bringing in a co-therapist to take the stepfather for individual work while you continue with the client and mother.
(B): Decline any further joint sessions to avoid exposing the client to further harm and conflict. Only meet with her individually.
(C): Hold joint sessions to resolve conflicts and teach co... | Suggest individual sessions for each, then small joint sessions with the client and mother before full family sessions. | D | Starting with individual sessions allows each family member to work on their concerns separately, optimizing progress. Small joint sessions for the client and mother can nurture their relationship before engaging the stepfather. This staged approach minimizes the risks of re-traumatization. Therefore, the correct answe... | professional practice and ethics |
23 | Client Age: 38 Sex: Male Gender: Male Sexuality: Heterosexual Ethnicity: Caucasian Relationship Status: Married Counseling Setting: Private Practice Type of Counseling: Individual Presenting Problem: Marital Difficulties Diagnosis: Obsessive-Compulsive Personality Disorder 301.4 (F 60.5) | Mental Status Exam: The client is meticulously dressed and immaculately groomed. He frequently checks his watch and states he has owned his watch since adolescence and it “still works like new.” His speech is even, and his affect is blunted. At times, he is defensive and attempts to talk over you. He exhibits poor insi... | You are a counselor working in private practice and meeting your client for the first time today. The client is here at his wife’s insistence, who has threatened divorce if he does not seek and comply with therapy. The client explains that he is swamped at work and has already lost an hour of productivity traveling to ... | The client arrives with his wife for his scheduled individual session today. You have yet to meet his wife in person. Before you can obtain an accurate appraisal of the situation, you find yourself mediating a conflict that has quickly intensified. The wife has given the client an ultimatum—to either stop the “endless ... | The client discloses that he has recently taken up boxing to release pent-up energy. This is an example of which one of the following? | Sublimation | Regression | Rationalization | Reaction formation | (A): Sublimation
(B): Regression
(C): Rationalization
(D): Reaction formation | Sublimation | A | Taking up boxing to release pent-up energy is an example of sublimation. Sublimation, rationalization, reaction formation, and regression are all defense mechanisms. Defense mechanisms are unconscious means for protecting a person from overwhelming feelings of anxiety. Sublimation occurs when a person redirects unaccep... | counseling skills and interventions |
24 | Name: Jack and Diane Clinical Issues: Marital/partner communication problems Diagnostic Category: V-codes Provisional Diagnosis: Z63.0 Relationship Distress with Spouse Age: 35 Sex Assigned at Birth: Male Gender and Sexual Orientation: Male, Heterosexual Ethnicity: White Marital Status: Married Modality: Couples Therap... | The clients are a couple in their mid-30s. The husband is tall and healthy. The wife is petite and well-groomed. As they enter, you make note that though they came in the same vehicle, they enter with no contact between them. They sit far away from one another and do not look at each other but maintain excellent eye co... | First session Your clients are in their mid-30s and present to the community agency where you are employed as both a licensed mental health therapist and a marriage and family therapist. You begin by introducing yourself and telling the couple about your professional experience and explain the types of therapies that y... | The husband used to have severe issues with alcohol. He went to rehab three years ago and has maintained sobriety for two years. He continues to attend weekly meetings. As a result of his alcohol misuse, he has some medical issues with his liver, but they are not currently life-threatening as long as he continues to ... | The wife's reaction to the loss of her husband's income is an example of which cognitive error? | Catastrophizing | Mental Filtering | Overgeneralization | Polarization | (A): Catastrophizing
(B): Mental Filtering
(C): Overgeneralization
(D): Polarization | Catastrophizing | A | Catastrophizing is the cognitive error of automatically expecting the worst-case scenario to occur. In this case, the client is jumping to the conclusion that she will lose her mortgage and health insurance and have to sell everything without considering other potential solutions or outcomes. Therefore, the correct ans... | intake, assessment, and diagnosis |
25 | Name: Aghama Clinical Issues: Cultural adjustments and sexual identity confusion Diagnostic Category: V-codes Provisional Diagnosis: Z60.3 Acculturation Difficulty Age: 18 Sex Assigned at Birth: Female Gender and Sexual Orientation: Female, Bisexual Ethnicity: Nigerian Marital Status: Never married Modality: Individual... | The client comes to your office and sits rigidly and makes little eye contact. She is dressed neatly and appropriately for the weather with overall good hygiene. She appears cooperative and open to the therapeutic process. She expresses a willingness to discuss her experiences, thoughts, and feelings, but show some hes... | First session You are a licensed mental health counselor working at a university counseling center and take a humanistic approach in your work with clients. Today you are meeting with an 18-year-old student who recently moved to the United States from Nigeria. She tells you that she moved to the United States one month... | null | What is the best way to demonstrate empathic attunement in response to the client's fear of her family's disapproval? | "What would you advise another person in your situation to do?" | "It's understandable that you are worried about how your family will react. It can be very difficult to balance the expectations of your family with your own needs." | "How would you feel about role playing a conversation with your family about your relationship? This might help alleviate some of the anxiety that you're feeling." | "You're not alone in this experience and what you're feeling is valid." | (A): "What would you advise another person in your situation to do?"
(B): "It's understandable that you are worried about how your family will react. It can be very difficult to balance the expectations of your family with your own needs."
(C): "How would you feel about role playing a conversation with your family abou... | "It's understandable that you are worried about how your family will react. It can be very difficult to balance the expectations of your family with your own needs." | B | This is an example of empathic understanding because it acknowledges the client's feelings and validates her concerns without passing judgment. It shows that the therapist understands the difficulty of navigating family expectations, while also affirming the client's autonomy to make decisions about her own life. This ... | core counseling attributes |
26 | Client Age: 41 Sex: Female Gender: Female Sexuality: Heterosexual Ethnicity: Caucasian Relationship Status: Divorced Counseling Setting: Behavioral Health Type of Counseling: Outpatient Presenting Problem: Fear and Panic Diagnosis: Agoraphobia 300.22 (F40.00) | Mental Status Exam: The client appears her stated age, and she is dressed in casual attire. Her affect and mood are anxious. She is tearful and seems extremely distressed when recounting her panic attacks. The client denies suicidal or homicidal ideations but does endorse feeling hopeless about her condition. She is un... | You work in a behavioral health outpatient center. Your client is a 41-year-old Caucasian female presenting with symptoms of fear and panic. The client has a history of anxiety and depression but explains that her anxiety has worsened within the last year and that she has begun to experience panic attacks. She states t... | ily and Work History: The client was married for 15 years before she divorced. She and her ex-husband share custody of their 16-year-old son. The client is an only child and reports that her parents were strict and overbearing when she was growing up. She works as a travel photographer and, until recently, worked fo... | You use a biopsychosocial assessment during the client’s initial intake appointment. Which one of the following uses a holistic approach to address a client’s biopsychosocial and spiritual dimensions? | Humanistic | Behavioral | Cognitive-behavioral | Psychoanalytic | (A): Humanistic
(B): Behavioral
(C): Cognitive-behavioral
(D): Psychoanalytic | Humanistic | A | A humanistic style uses a holistic approach to address a client’s biopsychosocial and spiritual dimensions. Humanistic theories include person-centered therapy, gestalt therapy, and existential therapy. CBT’s primary focus is to help clients change thought patterns characterized by erroneous, irrational, or negative be... | counseling skills and interventions |
27 | Initial Intake: Age: 82 Sex: Male Gender: Male Sexuality: Heterosexual Ethnicity: Caucasian Relationship Status: Widowed Counseling Setting: Community Clinic Type of Counseling: Individual | Theodore is tearful most days and has dropped a significant amount of weight. He has not been sleeping and stays up watching videos of his deceased wife. | Theodore is an 82-year-old who was referred for grief counseling by his son, Nate. Theodore’s wife, Nancy died one month ago after a 4-year battle with cancer.
History:
Theodore was the primary caretaker for Nancy and has not paid attention to his own health in years. Nate would like his father to move in with him and... | null | Theodore decides that he would like to tell Nate about his decision to not move in with him. A Gestalt technique in which Theodore can practice, by playing both sides of the conversation, would be? | Role playing | Empty chair technique | Rehearsal technique | Drama therapy | (A): Role playing
(B): Empty chair technique
(C): Rehearsal technique
(D): Drama therapy | Empty chair technique | B | The empty chair technique is a Gestalt technique in which Theodore practices the conversation between him and Nate. This can show the counselor the expectations that Theodore has of Nate. This technique is also used in counseling for internal conflicts where an individual may have a conversation with a part of themselv... | counseling skills and interventions |
28 | Name: Alberto Clinical Issues: Sexual functioning concerns Diagnostic Category: Sexual Dysfunctions Provisional Diagnosis: F51.22 Erectile Disorder, Situational Age: 43 Sex Assigned at Birth: Male Gender and Sexual Orientation: Male, Heterosexual Ethnicity: White Marital Status: Married Modality: Individual Therapy Loc... | The client is dressed in casual clothing and appears to be clean and well-groomed. He is of average height and build, with short black hair. He is noticeably tense and avoids eye contact when describing his symptoms. His speech is audible and clear. He is able to express himself clearly and articulately. The client rep... | First session The client, a 43-year-old male, presents for his first Telehealth session through the agency where you are an intern, finishing your final hours for licensure under clinical supervision. You begin the session by striving to create a safe, comfortable, and non-judgmental environment. You provide the client... | The client is an only child. As he grew up, he reports that his father was often vocal about his dissatisfaction with his sex life. The client also reports that his mother often expressed resentment toward him from the day he was born. This has left him with a deep-seated dislike of his mother, as well as resentment of... | Using an Adlerian approach, what technique might be most appropriate for this client in light of the client's most recent revelations regarding his extra affairs? | Push button technique | Guided imagery | "Spitting in the client's soup" | Empty chair | (A): Push button technique
(B): Guided imagery
(C): "Spitting in the client's soup"
(D): Empty chair | "Spitting in the client's soup" | C | The Adlerian technique "spitting in the client's soup" can be used to bring awareness to a persistent pattern of negative behavior (ex. the client having affairs while saying he wants to enjoy a sexual relationship with his wife). Therefore, the correct answer is (B) | counseling skills and interventions |
29 | Name: Ethan & Cindy Clinical Issues: Sexual functioning concerns Diagnostic Category: V-codes Provisional Diagnosis: Z63.0 Relationship Distress with Spouse Age: 69 Sex Assigned at Birth: Male Gender and Sexual Orientation: Male, Heterosexual Ethnicity: White Marital Status: Married Modality: Couples Therapy Location o... | The husband appears to be of average build. His dress is appropriate for the occasion, but his facial expression is blank and he keeps staring off into space. He has difficulty maintaining eye contact and speaks in an aimless monotone. His affect is blunted, and he appears to be emotionally detached from the situation.... | First session You are a mental health therapist in a private practice setting. A couple, a 69-year-old male and a 65-year-old female, enters your office together. The couple has been married for over 40 years and have two grown children. Their second child age 31 is currently living at home. When you ask what brings th... | The wife states that she had an emotionally distant relationship with her parents growing up and never felt truly accepted by them. She also reveals that her father was often angry and verbally abusive, which left her feeling anxious and fearful in his presence. When asked about his family of origin, the husband speaks... | When talking to the wife, you tell her that sometimes you take a break from your own marriage by taking a "mini-vacation" for a weekend. What are you doing here? | Using self-disclosure | Summarizing the client's statements | Empowering the client | Demonstrating respect for the client's autonomy | (A): Using self-disclosure
(B): Summarizing the client's statements
(C): Empowering the client
(D): Demonstrating respect for the client's autonomy | Using self-disclosure | A | You are disclosing personal information to the client. As a therapist, you can self-disclose as long as you do not take away from the client and as long as your self-disclosure is appropriate to the client's situation. Therefore, the correct answer is (A) | professional practice and ethics |
30 | Client Age: 30 Sex: Female Gender: Female Sexuality: Heterosexual Ethnicity: Caucasian Relationship Status: Married Counseling Setting: Counseling clinic Type of Counseling: Individual counseling Presenting Problem: The client is engaging in restrictive eating daily. The client engages in bingeing when her husband is a... | Mental Status Exam: The client is oriented to person, place, time, and situation. She reports no hallucinations or paranoia. The client was engaged in the session, but she had trouble accepting that her weight and self-talk were problem | You are a licensed counselor working in your own private practice, and you specialize in eating disorders. The client comes to counseling after her primary care physician (PCP) provided a referral to counseling due to restrictive eating that has led to a low body mass index of 16.5. The client says that she has lost ab... | You meet with the client, and she comes and sits down and appears happy because she is smiling and sitting with an open posture. The client’s food log shows improvement in engaging in healthier eating habits and minimal restriction. You and the client review her progress in treatment and agree that she has met all of t... | Which of the following indicates that this client is ready for termination? | The client reports that no symptoms of the eating disorder or trauma are present, and you also observe no symptoms. | The client states that she is not restricting, bingeing, or purging and that she and her husband are going to start couples counseling. | The client has nothing to talk about in sessions and reports that she does not have anything she needs to work on. | Minimal symptoms of the eating disorder and trauma are present, and the client manages them when they occur. | (A): The client reports that no symptoms of the eating disorder or trauma are present, and you also observe no symptoms.
(B): The client states that she is not restricting, bingeing, or purging and that she and her husband are going to start couples counseling.
(C): The client has nothing to talk about in sessions and ... | Minimal symptoms of the eating disorder and trauma are present, and the client manages them when they occur. | D | It is not always realistic to expect all symptoms to be abated. When minimal symptoms are present and the client is able to manage them and maintain progress, termination is appropriate. Although no symptoms being present is the ideal, this may never be attainable in some clients; therefore, it is appropriate to termin... | professional practice and ethics |
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Check out the documentation for more information.
Dataset Description
Paper: https://arxiv.org/pdf/2410.22446
Language(s) (NLP): English
License: apache-2.0
Point of Contact: Viet Cuong (Johnny) Nguyen
Dataset Summary
CounselingBench is a dataset of 1612 mental health counseling-related questions across 138 case studies extracted from existing NCMHCE mock exams. NCMHCE questions are designed to test a candidate's aptitude in one out of five mental health counseling competencies:
- Intake, Assessment & Diagnosis
- Counseling Skills & Interventions
- Treatment Planning
- Professional Practice & Ethics
- Core Counseling Attributes
Data Fields
- question # (int): The unique numeric identifier for the question
- patient demographic (string): Information regarding the patient's demographic
- mental status exam (string): Information regarding the patient's mental status examination
- presenting problem (string): Information regarding the patient's presenting problem
- other contexts (string): Other information regarding the patient's background and presentation
- question (string): The full text of a question.
- choice a (string): The full text of Choice A
- choice b (string): The full text of Choice B
- choice c (string): The full text of Choice C
- choice d (string): The full text of Choice D
- potential answers (string): The concatenated full text of all potential answers to the question
- correct answer (string): The full text of the correct answer
- correct answer (letter) (string): The letter corresponding to the correct answer
- explanation for correct answer (string): Expert-generated explanation for the correct answer
- competency (string): Expert-annotated competency which the question aims to test
Licensing Information
CounselingBench is now made available under the Apache 2.0 License.
Citation Information
Please consider citing our paper if you find this dataset useful:
@article{nguyen2024large,
title={Do Large Language Models Align with Core Mental Health Counseling Competencies?},
author={Nguyen, Viet Cuong and Taher, Mohammad and Hong, Dongwan and Possobom, Vinicius Konkolics and Gopalakrishnan, Vibha Thirunellayi and Raj, Ekta and Li, Zihang and Soled, Heather J and Birnbaum, Michael L and Kumar, Srijan and others},
journal={arXiv preprint arXiv:2410.22446},
year={2024}
}
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