NCMHCE STUDY GUIDE 2026 EXAM QUESTIONS AND
SOLUTIONS RATED A+
✔✔Anorexia Nervosa - ✔✔I: Questionnaire on Eating and Weight Patterns -R
DD: Bipolar, depressive and anxiety disorders, alcohol use disorder
Tx: Multidisciplinary approach, CBT, DBT, group, transdiagnostic approach,
psychotherapy and family therapy
✔✔Bulimia Nervosa - ✔✔I: DBT, CBT, focus on therapeutic alliance, reducing -ve
effect, modifying eating behaviors.
DD: Depressive Sx, bipolar nervosa, nervosa
Tx: Manualized based CBT Tx is preferred and DBT for BED
✔✔Female Sexual Interest/Arousal Disorder - ✔✔I: The Sexual Interest and Desire
Inventory - Female, the Sexual Opinion Survey, Sexual Dysfunction Scale, Sexual
Desire Invenotry, Early Sexual Experiences Checklist, Interview for sexual functioning
DD: Depression, thyroid problems, anxiety, urinary incontinence, other medical probs,
arthritis, irritable bowel disease
Tx: Medication, couples and group therapy, 12 step program, sex addicts anonymous,
sexual conpulsives anonymous and sex and love addicts.
✔✔Dissociative Identity Disorder - ✔✔I: No recommendations, includes social role,
gender ID, sexuality and body
DD: PTSD, depressive disorders, avoidant and BPD, conversion disorder, somatic
symptom disorder, eating disorders, substance related disorders, OCD, sleep disorders
Tx: No recommendations.
✔✔Sleep-Wake Disorders - ✔✔I: Level 2 Sleep Disturbance Patient reported outcome
Measurement Info system (PROMIS) short form. Epworth Sleepiness Scale, Sleep
disorders questionnaire, Sleep condition indicator, the Composite Scale of
Morningness, polysomnography
Dx: insomnia, hypersomnolence, narcolepsy, breathing related sleep disorder, circadian
rhythm, non rapid eye movement, rapid eye movement, nightmare disorder, RLS,
substance induced sleep disorder
Comorbidity: Depressive and anxiety disorders, autim, ADHD, panic, OCD, adjustment
disorders, dissociative diorders, somatic symptom, feeding and eating disorders,
stimulant use disorders
Tx: psychopharmacology, CBT, bright light therapy, sleep education, sleep hygiene,
sleep restriction, stimulus control, cognitive restructuring, paradoxical intention,
relaxation, and relaxation therapy. Positional therapy (head elevated) can be
recommended for sleep apnea.
✔✔Somatization Symptom Disorder (Briquet's syndrome) - ✔✔I: Anxiety Disorders
Interview Schedule
, DD: Medical Issues, Anxiety and depressive disorders
Tx: Affective CBT, Group and family therapy - depends on form (conversion, pain,
hypochondriasis, body dysmorphic) Pain needs IPT-P (prevention) and CBT.
Excoriation needs HRT.
✔✔Factitious Disorder - ✔✔I: Clinical Interview
DD: None provided in DSM
Tx: Nothing known to be effective; stress management
✔✔Delirium - ✔✔I: None suggested; mental status exam; neurology
DD: None suggested perhaps acute stress disorder, malingering and factitious disorder
other neurocognitive disorders
Tx: Medical and neurological assessment, psychotherapy and medication, eliminate
casual fators, medications causing side-effects, metabolic disorders
✔✔Major or minor neurocognitive disorder (dementia) - ✔✔I: Comprehensive medical
and neurological assessment
DD: Age related disease and delirium
Tx: Support for caregivers
✔✔All Personality Disorders - ✔✔I: MCMI, MMPI, Structured Clinical Interview
Dx: Borderline, paranoid and schizotypal (most dysfunctional), obsessive compulsive,
dependent, histrionic, narcissistic and avoidant are least dysfunctional usually
Tx: psychodynamic, cognitive-behavioral, DBT, mindfulness, mentalization-focused,
schema therapy
✔✔Paranoid PD - ✔✔I: MCMI, MMPI, structured clinical interview
Tx: Little effectiveness studies available, individual Tx preferred, Cognitive therapy,
(group therapy contraindicated)
✔✔Schizoid PD - ✔✔I: MCMI, MMPI, structured clinical interview
Tx: Schema therapy, social and communication skills
✔✔Schizotypal PD - ✔✔I: MCMI, MMPI, Structured Clinical Interview
Tx: Supportive, lengthy and slow, cognitive therapy, behavior therapy for speech
patterns
✔✔Antisocial PD - ✔✔I: MCMI, MMPI, Structured Clinical Interview
Tx: Individual therapy, structured and active approach to therapy, some support for
reality based approach for anger mgmt, substance use disorder and social skills
training. mentalization-based therapy and schema therapy hold promise. Behavior,
reality and cognitive approaches are helpful.
✔✔Borderline PD - ✔✔I: MCMI, MMPI, Structured Clinical Interview
SOLUTIONS RATED A+
✔✔Anorexia Nervosa - ✔✔I: Questionnaire on Eating and Weight Patterns -R
DD: Bipolar, depressive and anxiety disorders, alcohol use disorder
Tx: Multidisciplinary approach, CBT, DBT, group, transdiagnostic approach,
psychotherapy and family therapy
✔✔Bulimia Nervosa - ✔✔I: DBT, CBT, focus on therapeutic alliance, reducing -ve
effect, modifying eating behaviors.
DD: Depressive Sx, bipolar nervosa, nervosa
Tx: Manualized based CBT Tx is preferred and DBT for BED
✔✔Female Sexual Interest/Arousal Disorder - ✔✔I: The Sexual Interest and Desire
Inventory - Female, the Sexual Opinion Survey, Sexual Dysfunction Scale, Sexual
Desire Invenotry, Early Sexual Experiences Checklist, Interview for sexual functioning
DD: Depression, thyroid problems, anxiety, urinary incontinence, other medical probs,
arthritis, irritable bowel disease
Tx: Medication, couples and group therapy, 12 step program, sex addicts anonymous,
sexual conpulsives anonymous and sex and love addicts.
✔✔Dissociative Identity Disorder - ✔✔I: No recommendations, includes social role,
gender ID, sexuality and body
DD: PTSD, depressive disorders, avoidant and BPD, conversion disorder, somatic
symptom disorder, eating disorders, substance related disorders, OCD, sleep disorders
Tx: No recommendations.
✔✔Sleep-Wake Disorders - ✔✔I: Level 2 Sleep Disturbance Patient reported outcome
Measurement Info system (PROMIS) short form. Epworth Sleepiness Scale, Sleep
disorders questionnaire, Sleep condition indicator, the Composite Scale of
Morningness, polysomnography
Dx: insomnia, hypersomnolence, narcolepsy, breathing related sleep disorder, circadian
rhythm, non rapid eye movement, rapid eye movement, nightmare disorder, RLS,
substance induced sleep disorder
Comorbidity: Depressive and anxiety disorders, autim, ADHD, panic, OCD, adjustment
disorders, dissociative diorders, somatic symptom, feeding and eating disorders,
stimulant use disorders
Tx: psychopharmacology, CBT, bright light therapy, sleep education, sleep hygiene,
sleep restriction, stimulus control, cognitive restructuring, paradoxical intention,
relaxation, and relaxation therapy. Positional therapy (head elevated) can be
recommended for sleep apnea.
✔✔Somatization Symptom Disorder (Briquet's syndrome) - ✔✔I: Anxiety Disorders
Interview Schedule
, DD: Medical Issues, Anxiety and depressive disorders
Tx: Affective CBT, Group and family therapy - depends on form (conversion, pain,
hypochondriasis, body dysmorphic) Pain needs IPT-P (prevention) and CBT.
Excoriation needs HRT.
✔✔Factitious Disorder - ✔✔I: Clinical Interview
DD: None provided in DSM
Tx: Nothing known to be effective; stress management
✔✔Delirium - ✔✔I: None suggested; mental status exam; neurology
DD: None suggested perhaps acute stress disorder, malingering and factitious disorder
other neurocognitive disorders
Tx: Medical and neurological assessment, psychotherapy and medication, eliminate
casual fators, medications causing side-effects, metabolic disorders
✔✔Major or minor neurocognitive disorder (dementia) - ✔✔I: Comprehensive medical
and neurological assessment
DD: Age related disease and delirium
Tx: Support for caregivers
✔✔All Personality Disorders - ✔✔I: MCMI, MMPI, Structured Clinical Interview
Dx: Borderline, paranoid and schizotypal (most dysfunctional), obsessive compulsive,
dependent, histrionic, narcissistic and avoidant are least dysfunctional usually
Tx: psychodynamic, cognitive-behavioral, DBT, mindfulness, mentalization-focused,
schema therapy
✔✔Paranoid PD - ✔✔I: MCMI, MMPI, structured clinical interview
Tx: Little effectiveness studies available, individual Tx preferred, Cognitive therapy,
(group therapy contraindicated)
✔✔Schizoid PD - ✔✔I: MCMI, MMPI, structured clinical interview
Tx: Schema therapy, social and communication skills
✔✔Schizotypal PD - ✔✔I: MCMI, MMPI, Structured Clinical Interview
Tx: Supportive, lengthy and slow, cognitive therapy, behavior therapy for speech
patterns
✔✔Antisocial PD - ✔✔I: MCMI, MMPI, Structured Clinical Interview
Tx: Individual therapy, structured and active approach to therapy, some support for
reality based approach for anger mgmt, substance use disorder and social skills
training. mentalization-based therapy and schema therapy hold promise. Behavior,
reality and cognitive approaches are helpful.
✔✔Borderline PD - ✔✔I: MCMI, MMPI, Structured Clinical Interview
