LMFT TDC Mock Exam | Questions & Answers
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Tracy, a 38-year-old corporate lawyer, and her 28-year-old wife, Jill, a musician, self-refer
for couples therapy. Tracy recently gave birth to a son with special needs. Tracy states, "Jill
doesn't understand my stress. I have to bill a certain number of hours or there is no way I
am going to make partner." She complains that Jill drinks and smokes pot nightly and
doesn't get out of bed all day. I can't trust her with our baby." Jill responds, "You're the
one who wanted the baby. Don't blame me for your child care problems while you keep
working 15 hours a day." How should the therapist assess and clinically manage potential
child abuse based on the case described in the vignette?
A. Determine whether the couple can adequately care for the baby; Review parenting
skills modeled by their parents; Obtain a release to consult with the pediatrician.
B. Evaluate the current child care arrangements; Explore why Tracy can't - ANSWER C.
Evaluate the current child care arrangements; Explore why Tracy can't trust Jill with the
baby; Process reactions to a possible child abuse report.
A therapist is moving offices. On the evening she is transporting some of her records,
her car is broken into and her records are stolen. How should the therapist initially deal
with this issue?
A. Determine which client files have been stolen.
B. Contact the therapist's clients and inform them of the situation.
C. File a police report.
D. Consult with a lawyer. - ANSWER C. File a police report.
A 22-year-old client with Bipolar is referred by his psychiatrist for therapy. He shares
that he is currently living at home with his parents. During the third session he expresses
anger that his parents frequently tell him how to manage his life and argue with each
other about his treatment. How would a Systems therapist proceed in this case?
,A. Suggest that the therapist talk with his parents and obtain a release to speak to
the parents.
B. Explore how he's been dealing with it and encourage him to express his feelings to
his parents.
C. Acknowledge his anger and offer a family session to address the issues.
D. Explore his early relations with his parents to identify patterns to their behavior. -
ANSWER C. Acknowledge his anger and offer a family session to address the issues.
Tonya, a 64-year-old self-employed real estate agent, is referred to therapy by her
neighbor. Tonya has been feeling "depressed and lonely" since her husband left her for
another woman six months ago. She shares that the she's been taking pain killers to
help her sleep and that most of the time she wishes she just wouldn't wake up. She
adds, "Now all I worry about is money and how I'm going to manage by myself. The only
thing that gives me satisfaction is planning my revenge on the two of them." Which of
the following issues in this case require immediate assessment?
A. Tonya's possible suicidality; Tonya's substance use; Possible danger to others
B. Severity of Tonya's symptoms; Tonya's level of suicidality; Socioeconomic stressors
C. Tonya's social support; Socioeconomic stressors; Tonya's substance use
D. Tonya's possible suicidality; Severity of Tonya's symptoms; Tonya's substance use
- ANSWER A. Tonya's possible suicidality; Tonya's substance use; Possible danger to
others
A 29-year-old client reports having a history of relationship difficulties. He is currently
in a new relationship and shares that he gets angry when he is not in control of the
situation. He adds that he speaks to his mom on a daily basis and she is highly critical of
him. What intervention would a Cognitive therapist use in the middle phase of
treatment:
,A. Explore the client's feelings toward the therapist and the history of the
client's relationship with his mother.
B. Assign homework to identify triggers to his anger.
C. Instruct client to limit contact with mother.
D. Confront the client's problematic automatic thought patterns. - ANSWER B.
Assign homework to identify triggers to his anger.
Foster parents, Joan, age 37 and Melissa, age 40, are referred for therapy with their
two foster children, ages 4 and 6. The children were placed with them two weeks prior.
During the initial session the therapist notes that the foster parents do not interact very
much with the children. How should the therapist address this issue?
A. Suggest activities the parents can do with the children.
B. Acknowledge how difficult it is to be a foster parent.
C. Highlight when the parents interact with the children.
D. Refer them to a parent education class. - ANSWER C. Highlight when the
parents interact with the children.
Kamal, a 14-year-old Iranian-American boy, is referred for therapy by his school
counselor. Parents, Emad and Darya, and younger sister Lila, age 9, attend the first
session with Kamal. Emad angrily complains that his son's grades have dropped over
the past few months and says, "He needs to shape up and stop spending so much time
alone in his room." Lila sits quietly close to her mother, nervously playing with her hair
and revealing a mark on her cheek. Kamal stares at the floor during the session and
appears uncomfortable when answering questions. At the end of the session, as the
family exits the office, Darya whispers, "I'm tired of the way my husband treats us, but I
don't know what to do." How would a Bowenian therapist incorporate human diversity
issues into the initial treatment plan based on the case described in the vignette?
A. Explore Emad's and Darya's beliefs about parenting and analyze how Darya's and -
ANSWER D. Draw a family tree for both Darya's and Emad's families going back at least
, two generations and explore Emad's and Darya's beliefs about parenting roles in
their family of origins.
A couple seeks treatment for communication issues and on-going conflict. If a
therapist was using a cognitive approach, what would be one focus of treatment?
A. Identifying how their pasts influence their understanding of each other.
B. Exploring how their patterns of engagement stem from their family of origin.
C. Identifying their underlying assumptions about each other and their relationship.
D. Setting clear boundaries with their extended families. - ANSWER C. Identifying
their underlying assumptions about each other and their relationship.
A therapist is hired as a supervisor at a residential treatment facility. During a
supervision session with one of the team members, the supervisee complains
about another team member's treatment of him. How should the supervisor
address the concern?
A. Tell the supervisee that the supervisor will watch out for the problem.
B. Encourage the supervisee to confront the team member.
C. Document the concern in the supervision notes.
D. Address the concerns to the team member in the next supervision. - ANSWER B.
Encourage the supervisee to confront the team member.
Sheri, age 14, is brought in for therapy by her half-sister Kelly, age 28, who was given
legal custody following the death of Sheri's biological parents 7 months ago. Sheri has
been getting into trouble at school for cheating on exams, skipping class, and
threatening classmates. Kelly caught her sneaking a boy into her room over the
weekend and caught her smoking marijuana. Kelly states, "I just don't know what's
wrong with her. I'll pay for as many sessions as you need. My toddler keeps me busy
enough, I don't have time to deal with this!" Sheri angrily responds, "I wish I would have
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Tracy, a 38-year-old corporate lawyer, and her 28-year-old wife, Jill, a musician, self-refer
for couples therapy. Tracy recently gave birth to a son with special needs. Tracy states, "Jill
doesn't understand my stress. I have to bill a certain number of hours or there is no way I
am going to make partner." She complains that Jill drinks and smokes pot nightly and
doesn't get out of bed all day. I can't trust her with our baby." Jill responds, "You're the
one who wanted the baby. Don't blame me for your child care problems while you keep
working 15 hours a day." How should the therapist assess and clinically manage potential
child abuse based on the case described in the vignette?
A. Determine whether the couple can adequately care for the baby; Review parenting
skills modeled by their parents; Obtain a release to consult with the pediatrician.
B. Evaluate the current child care arrangements; Explore why Tracy can't - ANSWER C.
Evaluate the current child care arrangements; Explore why Tracy can't trust Jill with the
baby; Process reactions to a possible child abuse report.
A therapist is moving offices. On the evening she is transporting some of her records,
her car is broken into and her records are stolen. How should the therapist initially deal
with this issue?
A. Determine which client files have been stolen.
B. Contact the therapist's clients and inform them of the situation.
C. File a police report.
D. Consult with a lawyer. - ANSWER C. File a police report.
A 22-year-old client with Bipolar is referred by his psychiatrist for therapy. He shares
that he is currently living at home with his parents. During the third session he expresses
anger that his parents frequently tell him how to manage his life and argue with each
other about his treatment. How would a Systems therapist proceed in this case?
,A. Suggest that the therapist talk with his parents and obtain a release to speak to
the parents.
B. Explore how he's been dealing with it and encourage him to express his feelings to
his parents.
C. Acknowledge his anger and offer a family session to address the issues.
D. Explore his early relations with his parents to identify patterns to their behavior. -
ANSWER C. Acknowledge his anger and offer a family session to address the issues.
Tonya, a 64-year-old self-employed real estate agent, is referred to therapy by her
neighbor. Tonya has been feeling "depressed and lonely" since her husband left her for
another woman six months ago. She shares that the she's been taking pain killers to
help her sleep and that most of the time she wishes she just wouldn't wake up. She
adds, "Now all I worry about is money and how I'm going to manage by myself. The only
thing that gives me satisfaction is planning my revenge on the two of them." Which of
the following issues in this case require immediate assessment?
A. Tonya's possible suicidality; Tonya's substance use; Possible danger to others
B. Severity of Tonya's symptoms; Tonya's level of suicidality; Socioeconomic stressors
C. Tonya's social support; Socioeconomic stressors; Tonya's substance use
D. Tonya's possible suicidality; Severity of Tonya's symptoms; Tonya's substance use
- ANSWER A. Tonya's possible suicidality; Tonya's substance use; Possible danger to
others
A 29-year-old client reports having a history of relationship difficulties. He is currently
in a new relationship and shares that he gets angry when he is not in control of the
situation. He adds that he speaks to his mom on a daily basis and she is highly critical of
him. What intervention would a Cognitive therapist use in the middle phase of
treatment:
,A. Explore the client's feelings toward the therapist and the history of the
client's relationship with his mother.
B. Assign homework to identify triggers to his anger.
C. Instruct client to limit contact with mother.
D. Confront the client's problematic automatic thought patterns. - ANSWER B.
Assign homework to identify triggers to his anger.
Foster parents, Joan, age 37 and Melissa, age 40, are referred for therapy with their
two foster children, ages 4 and 6. The children were placed with them two weeks prior.
During the initial session the therapist notes that the foster parents do not interact very
much with the children. How should the therapist address this issue?
A. Suggest activities the parents can do with the children.
B. Acknowledge how difficult it is to be a foster parent.
C. Highlight when the parents interact with the children.
D. Refer them to a parent education class. - ANSWER C. Highlight when the
parents interact with the children.
Kamal, a 14-year-old Iranian-American boy, is referred for therapy by his school
counselor. Parents, Emad and Darya, and younger sister Lila, age 9, attend the first
session with Kamal. Emad angrily complains that his son's grades have dropped over
the past few months and says, "He needs to shape up and stop spending so much time
alone in his room." Lila sits quietly close to her mother, nervously playing with her hair
and revealing a mark on her cheek. Kamal stares at the floor during the session and
appears uncomfortable when answering questions. At the end of the session, as the
family exits the office, Darya whispers, "I'm tired of the way my husband treats us, but I
don't know what to do." How would a Bowenian therapist incorporate human diversity
issues into the initial treatment plan based on the case described in the vignette?
A. Explore Emad's and Darya's beliefs about parenting and analyze how Darya's and -
ANSWER D. Draw a family tree for both Darya's and Emad's families going back at least
, two generations and explore Emad's and Darya's beliefs about parenting roles in
their family of origins.
A couple seeks treatment for communication issues and on-going conflict. If a
therapist was using a cognitive approach, what would be one focus of treatment?
A. Identifying how their pasts influence their understanding of each other.
B. Exploring how their patterns of engagement stem from their family of origin.
C. Identifying their underlying assumptions about each other and their relationship.
D. Setting clear boundaries with their extended families. - ANSWER C. Identifying
their underlying assumptions about each other and their relationship.
A therapist is hired as a supervisor at a residential treatment facility. During a
supervision session with one of the team members, the supervisee complains
about another team member's treatment of him. How should the supervisor
address the concern?
A. Tell the supervisee that the supervisor will watch out for the problem.
B. Encourage the supervisee to confront the team member.
C. Document the concern in the supervision notes.
D. Address the concerns to the team member in the next supervision. - ANSWER B.
Encourage the supervisee to confront the team member.
Sheri, age 14, is brought in for therapy by her half-sister Kelly, age 28, who was given
legal custody following the death of Sheri's biological parents 7 months ago. Sheri has
been getting into trouble at school for cheating on exams, skipping class, and
threatening classmates. Kelly caught her sneaking a boy into her room over the
weekend and caught her smoking marijuana. Kelly states, "I just don't know what's
wrong with her. I'll pay for as many sessions as you need. My toddler keeps me busy
enough, I don't have time to deal with this!" Sheri angrily responds, "I wish I would have
