NCMHCE DSM-5 National Counseling Exam
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Basic introduction to the DSM-5 NCMHCE lcpc,nbcc national counseling exam given by Dr. Linton Hutchinson for http://counselingexam.com
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NCMHCE DSM-5 National Counseling Exam
- 1. CounselingExam.Com Preparation for NCMHCE Exam DSM-5 Preparation for NCMHCE Exam DSM-5 Dr. Linton Hutchinson
- 2. Assessment and Diagnosis Counseling and Psychotherapy Administration, Consultation and Supervision CounselingExam.Com Exam Framework and Knowledge BaseExam Framework and Knowledge Base
- 4. NBCC is pleased to report that there were no major structural changes to either the NCE or the NCMHCE as a result of the DSM-5. There were no changes to the framework or the competencies of either examination. The knowledge assessed is common to both manuals. Modifications to the examination content involved changes in diagnostic terminology only. From the NBCC http://NBCC.ORG
- 5. While the number of items regarding the DSM-5 will not increase, the new edition does contain new diagnostic terminology, so reviewing the differences between the two editions may be helpful. What Does That Mean?What Does That Mean? CounselingExam.Com
- 6. 1. Social (Pragmatic) Communication Disorder 2. Disruptive Mood Dysregulation Disorder 3. Premenstrual Dysphoric Disorder (DSM IV appendix)‐ 4. Hoarding Disorder 5. Excoriation (Skin Picking) Disorder‐ 6. Disinhibited Social Engagement Disorder (split from Reactive Attachment Disorder) 7. Binge Eating Disorder (DSM IV appendix)‐ 8. Central Sleep Apnea (split from Breathing Related Sleep Disorder)‐ 9. Sleep-Related Hypoventilation (split from Breathing Related Sleep‐ Disorder) 10. Rapid Eye Movement Sleep Behavior Disorder (Parasomnia NOS) 11. Restless Legs Syndrome (Dyssomnia NOS) 12. Caffeine Withdrawal (DSM IV Appendix)‐ 13. Cannabis Withdrawal 14. Major Neurocognitive Disorder with Lewy Body Disease (Dementia Due to Other Medical Conditions) 15. Mild Neurocognitive Disorder (DSM IV Appendix)‐ New Disorders in the DSM-5
- 7. 1. Language Disorder 2. Autism Spectrum Disorder 3. Specific Learning Disorder 4. Delusional Disorder 5. Panic Disorder 6. Dissociative Amnesia 7. Somatic Symptom Disorder 8. Insomnia Disorder 9. Hypersomnolence Disorder 10. Non-Rapid Eye Movement Sleep Arousal Disorders 11. Genito Pelvic Pain/Penetration Disorder‐ 12. Alcohol Use Disorder 13. Cannabis Use Disorder 14. Phencyclidine Use Disorder 15. Other Hallucinogen Use Disorder 16. Inhalant Use Disorder 17. Opioid Use Disorder 18. Sedative, Hypnotic, or Anxiolytic Use Disorder 19. Stimulant Use Disorder 20. Stimulant Intoxication 21. Stimulant Withdrawal 22. Substance/Medication-Induced Disorders Combined Specific Disorders in DSM-5Combined Specific Disorders in DSM-5
- 8. 1. Language Disorder (Expressive Language Disorder & Mixed Receptive Expressive Language Disorder) 2. Autism Spectrum Disorder (Autistic Disorder, Asperger’s Disorder, Childhood Disintegrative Disorder, & Rett’s disorder) 3. Specific Learning Disorder (Reading Disorder, Math Disorder, & Disorder of Written Expression) 4. Delusional Disorder (Shared Psychotic Disorder & Delusional Disorder) 5. Panic Disorder (Panic Disorder Without Agoraphobia & Panic Disorder With Agoraphobia) 6. Dissociative Amnesia (Dissociative Fugue & Dissociative Amnesia) 7. Somatic Symptom Disorder (Somatization Disorder, Undifferentiated Somatoform Disorder, & Pain Disorder) 8. Insomnia Disorder (Primary Insomnia & Insomnia Related to Another Mental Disorder) 9. Hypersomnolence Disorder (Primary Hypersomnia & Hypersomnia Related to Another Mental Disorder) 10. Non-Rapid Eye Movement Sleep Arousal Disorders (Sleepwalking Disorder & Sleep Terror Disorder) 11. Genito Pelvic Pain/Penetration Disorder (Vaginismus & Dyspareunia)‐ 12. Alcohol Use Disorder (Alcohol Abuse and Alcohol Dependence) 13. Cannabis Use Disorder (Cannabis Abuse and Cannabis Dependence) 14. Phencyclidine Use Disorder (Phencyclidine Abuse and Phencyclidine Dependence) 15. Other Hallucinogen Use Disorder (Hallucinogen Abuse and Hallucinogen Dependence) 16. Inhalant Use Disorder (Inhalant Abuse and Inhalant Dependence) 17. Opioid Use Disorder (Opioid Abuse and Opioid Dependence) 18. Sedative, Hypnotic, or Anxiolytic Use Disorder (Sedative, Hypnotic, or Anxiolytic Abuse and Sedative, Hypnotic, or Anxiolytic Dependence) 19. Stimulant Use Disorder (Amphetamine Abuse; Amphetamine Dependence; Cocaine Abuse; Cocaine Dependence) 20. Stimulant Intoxication (Amphetamine Intoxication and Cocaine Intoxication) 21. Stimulant Withdrawal (Amphetamine Withdrawal and Cocaine Withdrawal) 22. Substance/Medication-Induced Disorders (aggregate of Mood, Anxiety, and Neurocognitive) Combined Specific Disorders in DSM-5Combined Specific Disorders in DSM-5
- 9. QUESTION: I already have a copy of the DSM-IV-TR and that’s what my agency is currently using. Do I really have to have access to the DSM-5? ANSWER: Only if you want to pass the exam. CounselingExam.Com
- 10. • Assumptions of the Exam • Rating Scale • Information Gathering • Decision Making • DSM-5 (You’re on your own here) CounselingExam.Com
- 11. When taking the exam, consider yourself an individual therapist in private practice, or working in an agency, school setting, group home or even a prison. You are a competent therapist and have a knowledge base to treat ALL diagnoses in the DSM-5. You can select assessment tools that are relevant to case study. Assume you have been trained to give or do an evaluation using ALL assessment tools. Assumptions of the ExamAssumptions of the Exam CounselingExam.Com
- 12. • You should not base your diagnosis on insurance concerns; diagnose and treat the client as you would in a “perfect world” • Once an option is selected it can not be unselected • Diagnoses, Treatment items and Assessment instruments presented in a simulation are "real" and do exist. • Simulations can wander seemingly looking like a specific diagnosis but along the way additional information is given that changes what your final diagnosis is. • On CHOOSE ONLY ONE options you have to continue selecting until you get the correct answer. It will not let you go on until the correct answer is selected. CounselingExam.Com
- 13. • There is no deception in the case study Example: Kelli's husband has just died and she claims that she is not upset and she is doing fine You need to take this as a true statement and Kelli is not in denial. CounselingExam.Com
- 14. • This is the rating scale for each of the possible answers for every question and they are based on the degree to which the client is affected. +3 Of central importance for good client care; omission would result in serious damage to the client in terms of COST, TIME, PAIN, and risk of MORBIDITY and/or MORTALITY +2 Strongly Facilitative of good client care +1 Mildly Facilitative of good client care Option Uncovering ScaleOption Uncovering Scale CounselingExam.Com
- 15. 0: Does not contribute to client care, but does not cause the client any harm in terms of increased cost, pain, risk of morbidity and/or mortality; and/or may be a controversial option due to regional differences. CounselingExam.Com
- 16. -1 Mildly detrimental to client care in terms of cost, time, risk of morbidity and/or mortality. -2 Seriously detrimental to client care in terms of cost, time, pain, risk of morbidity and/or mortality. -3 Gravely damaging to client care and very costly to the client's welfare in terms of cost, time, pain, risk of morbidity and/or mortality. CounselingExam.Com
- 17. Overlying Principles for Uncovering ItemsOverlying Principles for Uncovering Items • Everything uncovered should be directly linked in a logical manner - try to think “Diagnosis” from the beginning • Items uncovered should be linked back to the symptoms, problems, and level of functioning presented in the case study • Address and treat everything that is written in the case study CounselingExam.Com
- 18. If the case says the client has problems 1, 2, and 3, then you must treat all three problems even if treating 1 would make 2 and 3 go away Example: Hamilton is a student in high school. He spends much of his time smoking ‘weed’ with his buddies. Since this habit started, his grades have dropped significantly and his parents have threatened to disown him. If during therapy, Hamilton stops smoking weed, his other problems (bad grades, bad relationship with parents) will probably go away. Even so, you must address these other problems separately. CounselingExam.Com
- 19. 1. Information Gathering (IG) 2. Decision Making (DM) CounselingExam.Com Areas of the ExamAreas of the Exam
- 20. • Both Information Gathering and Decision Making Areas have aggregate scores based on the total of ten simulations. You must pass both the IG and the DM areas • You do not have to pass every simulation! • Points are given for correct responses and deducted for incorrect responses CounselingExam.Com
- 21. 1. Information Gathering (IG) • How well can you gather appropriate clinical information required to evaluate a situation • Do you ask appropriate questions of the client CounselingExam.Com
- 22. 2. Decision Making (DM) • How well can you utilize information in making judgments and decisions? • Can you make decisions that result in the best treatment for the client? CounselingExam.Com
- 23. SPLAT 1. Symptom Identification 2. Problem Recognition 3. Level of Functioning 4. Assessment Tools 5. Treatment Progress Information GatheringInformation Gathering CounselingExam.Com
- 24. TOASTED 1. Treatment Techniques 2. Objectives and Goals 3. Adjunct Services 4. Services during treatment 5. Termination and Referrals 6. Ethics 7. Diagnosis Decision MakingDecision Making CounselingExam.Com
Notas do Editor
- Ok, Before you start studying for the exam you need to know what areas you will be tested on. There are only 3 areas for the exam but those three areas will cover everything you’ve ever learned in graduate school. That are:
- Regardless of the fact that you need to know a massive amount of material for the exam the number one concern (and it’s really a minor on) is: What is the …..
- If you go to the nbcc- website As of April 1st 2014, they have posted the changes that they are making to the exam. Here is what they have to say:
- So, just what does that mean? They go on to say: I’m going to let you know what you need to know to pass this exam:
- First off, you need to know the criteria for the new disorders in the DSM-5. Once you have that down you need to know the Combined Specific Disorders in DSM-5 - and here they are:
- These are the disorder that are combined disorders from the DSM-4-TR. You need to know their make up…… and here they are:
- So you see, if you didn’t study these in graduate school, now would be the time to start. Working with students on the NCMHCE exam for the last 15 years I’ve found that generally the students that pass spend around 2 to 300 hours preparing for the exam.
- Since April this is the number one questions I’m receiving from test takers:
- With the limited time I have left let’s go over some basics that will make your life easier while studying and taking this exam.
- It’s always good to have an idea of what you can and can’t assume regarding the exam.
- Burns depression Inventory or checklist - Beck Depression