Practise National Clinical Mental Health Counseling Examination (NCMHCE) with a short sample and answer explanations. These are independent learning materials, not official exam questions or a pass prediction.
Exam outline and official sources
National Board for Certified Counselors (NBCC) · Preparation basis as of 2026-10-18: NBCC Content Outline revised October 8, 2025, with the blueprint finalized in 2021; State Licensure Candidate Handbook revised November 20, 2025. LPCC is a state licensure title rather than a separate national examination name. California's Board of Behavioral Sciences explicitly identifies the NCMHCE as its LPCC clinical examination; this evidenced mapping supports retaining the assigned workbook slug. California's separate Law and Ethics examination is outside this guide. NBCC's replacement specifications take effect July 1, 2027 and are not the basis of these materials.
This original 20-question sample covers selected topics across the outline. It does not reproduce official exam questions or cover every tested topic.
- California BBS: Licensed Professional Clinical Counselor Clinical Examination
- NBCC: National Clinical Mental Health Counseling Examination
- NCMHCE Content Outline, revised October 8, 2025
- NCMHCE Candidate Handbook for State Licensure, revised November 20, 2025
- NCMHCE Examination Specifications, effective July 1, 2027
- NBCC Code of Ethics, revised August 24, 2023
- 2014 ACA Code of Ethics
- NIMH: Adult Outpatient Brief Suicide Safety Assessment Guide
- NIMH: Bipolar Disorder
- American Psychiatric Association: Cultural Formulation Interview
- VA National Center for PTSD: PTSD and DSM-5
- USPSTF: Depression and Suicide Risk in Adults—Screening
- SAMHSA TIP 42, Chapter 3: Screening and Assessment of Co-Occurring Disorders
- NIMH: Depression
- NIMH: Panic Disorder—What You Need to Know
- NIMH: Psychotherapies
- SAMHSA TIP 35, Chapter 3: Motivational Interviewing as a Counseling Style
- VA Mental Health: Evidence-Based Treatment
- NIMH: Obsessive-Compulsive Disorder
- NIMH: Borderline Personality Disorder
- VA National Center for PTSD: Overview of Psychotherapy for PTSD
- VA PTSD Treatment Decision Aid: Prolonged Exposure
- SAMHSA TIP 39, Chapter 1: Substance Use Disorder Treatment—Working With Families
National Clinical Mental Health Counseling Examination (NCMHCE)
Start with 20 free questions, then review the explanations and any topics you missed.
An adult signs the counseling agreement but then says, "I thought confidentiality meant you could never disclose anything." What should the counselor do before proceeding?
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