NCMHCE EXAM 2025/2026 WITH 100%
CORRECT ANSWERS
Client confidentiality can be an issue when working with
minors. Parents can technically know everything.. but its
encouraged they don't to help kid feel comfortable with you.
This is something to be made aware of
------
Recommend referral to an physician INDICATED The choice
and dosage of medication can be made only by a qualified
physician. OH SHIT. I SAID NAH BECAUSE SHE WAS IN
GOOD HEALTH BUT MAKES SENSE. NEEDED PSYCH
MEDS
-------
What might be posttreatment recommendations? Create routines
such as a bedtime routine RECOMMENDED A bedtime routine
where a parent reads to the child is a great opportunity for
bonding. Routines are important for children, and a routine that
involves quality time with the client and a parent is essential for
Kaleigh. SHE HAS REACTIVE ATTACHMENT. I DID NOT
KNOW THIS WOULD COUNT AS BONDING THO.
CORRECT ANSWERS If you see mentions of sex, shopping, or
pornography addiction, remember that there is no DSM-5
diagnosis for these issues. Think about Obsessive-Compulsive
,Disorder, a V-code/Z-code, or consider whether the behavior
may be related to a manic episode.
-----------------
Doug's mother's assessment of his abilities ASSESSED Doug's
mother reports that he makes complex inventions with
construction toys and successfully wins at handheld video
games. She describes him as "friendly, but a boy of few words."
GOOD TO KNOW. THE PARENTS ARE AROUND HIM
ALL THE TIME. I WAS SKEPTICAL CAUSE SHE SEEMED
FACITIOUS...BUT BUT BUT STILL GOOD TO KNOW
BECAUSE THAT CAN INDICATE IF SHE IS MAKING
SOMETHING UP
-----------------
Open group NOT BENEFICIAL There are fewer barriers to
entry for this type of group. People may move in and out of
these groups. These groups may lack a cohesive core due to
members leaving. This type of group has no termination date.
DD For Denationalization / Derealization disorder + Why?? (6)
ALWAYS PERRY SEEING SHIT OUTSIDE SELF CORRECT
ANSWERS -MDD: Feelings of numbness, deadness, apathy,
and being in a dream can often be part of a major depressive
episode. However, if the depersonalization/derealization either
precedes the onset of a major depressive episode or continues
after the major depressive episode is resolved, then the diagnosis
of Depersonalization/Derealization Disorder is appropriate.
,-Panic Disorder: Depersonalization/derealization is one of the
symptoms that may occur during a panic attack, particularly as
the severity increases. As such, Depersonalization/Derealization
Disorder should not be diagnosed when the symptoms are the
result of a panic attack that meets the criteria for the diagnosis of
Panic Disorder.
-Social Anxiety Disorder: Depersonalization/derealization is one
of the symptoms that may occur during a panic attack,
particularly as the severity increases. As such,
Depersonalization/Derealization Disorder should not be
diagnosed when the symptoms only occur during panic attacks
associated with the fear of social situations as in Social Anxiety
Disorder.
-Specific Phobia: Depersonalization/derealization is one of the
symptoms that may occur during a panic attack, particularly as
the severity increases. As such, Depersonalization/Derealization
Disorder should not be diagnosed when the symptoms only
occur during panic attacks associated with the fear of an object
or situation as in Specific Phobia.
-Other Specified Mental Disorder Due to Another Medical
Condition: differentiating factor in this case is that the
dissociative symptoms are due to the direct physiological effects
of a general medical condition.
-Substance Intoxication: Substance Intoxication may be
characterized by dissociative symptoms along with the other
symptoms of Substance Intoxication such as impaired motor
coordination, euphoria, anxiety, and impaired judgement.
, Schizophrenia
1) After how long can a therapist add a specifier for the
diagnosis of Schizophrenia?
2) What good therapeutic TX can help treat Schizophrenia and
why? (3)
3) Is amensia founded in Schziophrenia CORRECT ANSWERS
Specifiers with Schizophrenia
1) 1 year
2) Group therapy BENEFICIAL This can be a place for Darwin
to practice social skills, normalize his experience, and discuss
the appropriate use of medication.
3) Nope
Notes to Self
Homogeneous group BENEFICIAL Homogeneous groups have
members with similar diagnostic backgrounds (for example,
they may all suffer from depression).
---------
CORRECT ANSWERS
Client confidentiality can be an issue when working with
minors. Parents can technically know everything.. but its
encouraged they don't to help kid feel comfortable with you.
This is something to be made aware of
------
Recommend referral to an physician INDICATED The choice
and dosage of medication can be made only by a qualified
physician. OH SHIT. I SAID NAH BECAUSE SHE WAS IN
GOOD HEALTH BUT MAKES SENSE. NEEDED PSYCH
MEDS
-------
What might be posttreatment recommendations? Create routines
such as a bedtime routine RECOMMENDED A bedtime routine
where a parent reads to the child is a great opportunity for
bonding. Routines are important for children, and a routine that
involves quality time with the client and a parent is essential for
Kaleigh. SHE HAS REACTIVE ATTACHMENT. I DID NOT
KNOW THIS WOULD COUNT AS BONDING THO.
CORRECT ANSWERS If you see mentions of sex, shopping, or
pornography addiction, remember that there is no DSM-5
diagnosis for these issues. Think about Obsessive-Compulsive
,Disorder, a V-code/Z-code, or consider whether the behavior
may be related to a manic episode.
-----------------
Doug's mother's assessment of his abilities ASSESSED Doug's
mother reports that he makes complex inventions with
construction toys and successfully wins at handheld video
games. She describes him as "friendly, but a boy of few words."
GOOD TO KNOW. THE PARENTS ARE AROUND HIM
ALL THE TIME. I WAS SKEPTICAL CAUSE SHE SEEMED
FACITIOUS...BUT BUT BUT STILL GOOD TO KNOW
BECAUSE THAT CAN INDICATE IF SHE IS MAKING
SOMETHING UP
-----------------
Open group NOT BENEFICIAL There are fewer barriers to
entry for this type of group. People may move in and out of
these groups. These groups may lack a cohesive core due to
members leaving. This type of group has no termination date.
DD For Denationalization / Derealization disorder + Why?? (6)
ALWAYS PERRY SEEING SHIT OUTSIDE SELF CORRECT
ANSWERS -MDD: Feelings of numbness, deadness, apathy,
and being in a dream can often be part of a major depressive
episode. However, if the depersonalization/derealization either
precedes the onset of a major depressive episode or continues
after the major depressive episode is resolved, then the diagnosis
of Depersonalization/Derealization Disorder is appropriate.
,-Panic Disorder: Depersonalization/derealization is one of the
symptoms that may occur during a panic attack, particularly as
the severity increases. As such, Depersonalization/Derealization
Disorder should not be diagnosed when the symptoms are the
result of a panic attack that meets the criteria for the diagnosis of
Panic Disorder.
-Social Anxiety Disorder: Depersonalization/derealization is one
of the symptoms that may occur during a panic attack,
particularly as the severity increases. As such,
Depersonalization/Derealization Disorder should not be
diagnosed when the symptoms only occur during panic attacks
associated with the fear of social situations as in Social Anxiety
Disorder.
-Specific Phobia: Depersonalization/derealization is one of the
symptoms that may occur during a panic attack, particularly as
the severity increases. As such, Depersonalization/Derealization
Disorder should not be diagnosed when the symptoms only
occur during panic attacks associated with the fear of an object
or situation as in Specific Phobia.
-Other Specified Mental Disorder Due to Another Medical
Condition: differentiating factor in this case is that the
dissociative symptoms are due to the direct physiological effects
of a general medical condition.
-Substance Intoxication: Substance Intoxication may be
characterized by dissociative symptoms along with the other
symptoms of Substance Intoxication such as impaired motor
coordination, euphoria, anxiety, and impaired judgement.
, Schizophrenia
1) After how long can a therapist add a specifier for the
diagnosis of Schizophrenia?
2) What good therapeutic TX can help treat Schizophrenia and
why? (3)
3) Is amensia founded in Schziophrenia CORRECT ANSWERS
Specifiers with Schizophrenia
1) 1 year
2) Group therapy BENEFICIAL This can be a place for Darwin
to practice social skills, normalize his experience, and discuss
the appropriate use of medication.
3) Nope
Notes to Self
Homogeneous group BENEFICIAL Homogeneous groups have
members with similar diagnostic backgrounds (for example,
they may all suffer from depression).
---------
