Licensed Clinical Professional Counselor LCPC Practice Exam

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• What is the focus of Dialectical Behavior Therapy (DBT)?
• In the Storming stage of group development, what is the primary focus?
• What is program evaluation and how does it inform clinical practice?
• According to DSM-5-TR, Substance Use Disorder is diagnosed when there is a problematic pattern of use with at least how many criteria within a 12-month period?
• Which of the following is one of the three rules of systemic desensitization?
• Which disorders are included in the differential diagnosis for Borderline Personality Disorder?
• How does attachment style influence the therapeutic alliance?
• In cognitive-behavioral therapy (CBT), maladaptive thoughts influence emotions and behavior. Which of the following is a core CBT technique?
• In a school setting, teachers on the IEP team are privy to which information?
• Which therapy uses creative hopelessness, metaphors, name the story, and mindfulness exercises?
• In Person-Centered Therapy, which stance by the therapist is essential to facilitate client growth?
• Transactional Analysis proposes that personality is formed by which three ego states?
• Which CBT technique combines relaxation skills with self-talk, role-playing, rehearsal and systemic desensitization?
• Which concepts are identified with Adlerian theory as important concepts?
• In Employee Assistance Programs (EAP), what determines the level of updates a counselor shares with the supervisor?
• The Session Rating Scale is designed to measure which aspect of therapy?
• In the Norming stage of group development, what is the primary focus?
• For cross-cultural assessment, which approach best supports interpretation of symptoms?
• Which of the following is one of the three rules of systemic desensitization?
• The Miracle Question, Compliment, Scaling Question, Coping Question, and Exception Question are listed under which model?
• Why should clinicians not rely on a single standardized assessment tool for diagnosis?
• Generalized Anxiety Disorder duration requirement: symptoms present for at least how long?
• A primary mechanism by which music supports therapy is:
• Define a case conceptualization and list its typical components.
• Which of the following is one of the three rules of systemic desensitization?
• Satir's communication styles include blaming, placating, distractor, irrelevant, super reasonable, mind, body, and feeling triad. Which of the following is an example of a Satir communication style?
• To ensure informed consent for telehealth across state lines, clinicians should...
• Which approach is best described as goal-oriented, future-focused, and uses exceptions?
• Which framework is designed to assess suicidality and guide treatment around risk?
• Which concept holds that expressing strong feelings during a session provides a window to underlying issues?
• Which Adlerian technique involves role-playing the idea of acting as if?
• How should counselors address co-occurring mental health and substance use disorders?
• What is the importance of privacy laws (HIPAA) in counseling practice?
• A potential challenge of role-playing is:
• How does dialectical behavior therapy integrate mindfulness and skills training within a behavioral framework?
• What is a core principle of life design counseling?
• When planning play-based interventions, clinicians should consider:
• Progress notes are best defined as what?
• Which therapy is a psychoanalytic approach that posits personality consists of three ego states?
• In exposure-based strategies, what is the effect of repeated exposure to anxiety-eliciting stimuli?
• What is an effect size and why is it important in counseling research?
• Which behavioral therapy technique uses tokens to reinforce desired behaviors?
• In the context of mood episodes, how many days does a hypomanic episode typically last?
• When interpreting the Strong Interest Inventory, which practice is recommended?
• Which concept is NOT considered an Adlerian important concept?
• Which CBT technique focuses on gradual exposure to feared stimuli while using coping skills such as relaxation?
• Which therapist emphasizes inherent goodness, accessing goodness, and uses empathy and connection to address dysfunction?
• When addressing acculturation stress in immigrants and refugees, which components should be assessed?
• Which assessment is used to evaluate a client’s current mental state, including appearance, mood, and cognition?
• What best differentiates psychodynamic therapy from family systems theory?
• Which description best defines S.M.A.R.T. goals?
• Which defense mechanism involves turning unacceptable impulses into socially valued actions, such as channeling aggression into sports?
• If the client has a history of suicidal ideation you should assess for SI every session. Which guideline best matches this practice?
• In the Forming stage of group development, what is the primary focus?
• In addressing acculturation stress, how does discrimination function as a factor?
• What is the concept of reliability and validity in assessment, and why are both essential?
• How do you ensure informed consent for telehealth across state lines or jurisdictions?
• Which of the following best describes the role of crisis intervention?
• Satir-Key Concepts focus on the client’s experience in the here-and-now and unfinished business; therapists create experiments to aid self-awareness. Which statement describes this approach?
• What is the primary intervention strategy in Solution-Focused Brief Therapy?
• Which description best captures a culturally responsive assessment approach?
• In the Adjourning stage of group development, what is the primary focus?
• Which therapy seeks to have clients experience intense emotions and acknowledge them in the 'here and now'?
• What is the difference between boundary crossing and boundary violation?
• Which therapy emphasizes the premise that emotions are central to identity?
• Which model's tools include the Miracle Question and Exception Question?
• Which technique uses genograms, I-position, detriangling, differentiation, multigenerational transmission process?
• What is a structured clinical interview, and why is it used in diagnosis?
• When incorporating music into play therapy, clinicians should consider:
• What is a core assumption of Person-Centered Therapy?
• In group settings, confidentiality should be addressed by:
• Which term describes adding a stimulus that encourages a behavior to continue?
• Which defense mechanism describes transferring an emotion from an individual to a similar person?
• Which of the following is an evidence-based treatment for substance use disorders?
• Role-playing is particularly useful for improving:
• How does culture influence diagnostic assessment and symptom interpretation?
• In Bowen's family systems therapy, which term describes maintaining a clear sense of self within relationships?
• What is the main premise of Existential & Logotherapy?
• Which tool is described as the best assessment tool for ODD in adolescents?
• A defensive reaction in response to threatening impulse that is the opposite of the original?
• Notes kept separately due to containing the therapist's private reflections are known as which type of notes?
• How should counselors document risk management and crisis planning in notes?
• Trauma-informed care and trauma-focused therapy differ in that:
• Which Erikson stage is associated with adolescence, and what is the primary psychosocial task?
• Which statement best describes a biopsychosocial assessment?
• What is the primary purpose of progress notes in therapy documentation?
• Act of channeling inappropriate social impulses into socially acceptable behaviors?
• The basic structure of a safety plan includes:
• What are essential ethical considerations for teletherapy?
• Which of the following lists reflects standard confidentiality exceptions most likely encountered in clinical practice?
• Which set of approaches emphasizes brief, future-focused problem-solving conversations?
• Which of the following is NOT a trauma-focused therapy?
• Which of the following is NOT one of Gottman's Four Horsemen?
• Act of retreating to an earlier stage of development where there is perceived comfort?
• Which of the following is an Adlerian technique?
• Which term describes the sequence Activating Event, Beliefs, and Consequences used in certain cognitive therapies?
• How should supervision be conducted ethically for a LCPC associate or supervisee?
• Which term describes the physiological state when symptoms occur after cessation of heavy or prolonged substance use?
• Which set of core ethical principles is most commonly recognized as guiding LCPC practice, with brief examples?
• A key consideration when selecting musical activities is:
• Which therapeutic technique is used to explore different perspectives and practice communication and problem-solving skills?
• Which instrument is described as assessing ASD disorders/behaviors?
• Which therapy emphasizes emotional suppression problems and aims to forge more genuine family ties and authenticity?
• Which statement best describes HIPAA's privacy requirements in counseling?
• What is the purpose of homework assignments in CBT?
• Which behavioral therapy technique is commonly used to treat phobias by gradually exposing a client to the feared stimulus?
• What does macro level analysis study?
• A process in which the individual assigns unacceptable thoughts of oneself into another?
• Role-playing can help clients practice:
• Which statement accurately describes Bipolar I and Bipolar II?
• How should you interpret a career assessment like the Strong Interest Inventory?
• Which statement best describes the therapist's duty to warn/protect in some jurisdictions?
• Existential & Logotherapy include death, freedom and responsibility, isolation, and meaninglessness. Which option lists one of these themes?
• Stonewalling in Gottman theory refers to which behavior?
• Common risk factors counselors should assess for suicide include:
• Which therapy technique encourages clients to focus on present moment experience to become aware of emotions and sensations?
• Psychoeducation groups are most appropriate for:
• The use of role-playing aligns well with therapy goals focused on:
• Which assessment can provide the most comprehensive information about a client's level of suicidality due to non-verbal cues?
• In cognitive-behavioral frameworks, Activating Event, Beliefs, and Consequences belong to which model?
• Which statement best describes the use of the AHSQ in adolescent assessment?
• Trauma-informed care emphasizes safety, trust, empowerment, and resilience across all aspects of service delivery. This statement best describes:
• What is a key caution when using standardized assessment tools across cultures?
• Which approach includes empty chair, body awareness, exaggeration exercise, dream work, and staying with the feelings?
• Which technique involves progressive muscle relaxation as a relaxation method?
• Which of the following is a common Behavioral Therapy technique?
• In play therapy, music is often used to do what?
• Who requires informed consent for treatment when a child is in foster care?
• The adolescent version of home and school situation questionnaires is abbreviated as what?
• Which statement best differentiates substance use from substance use disorder?
• Which term describes removing a stimulus to decrease a behavior?
• Which of the following is among Gottman’s Four Horsemen?
• Which statement best describes cultural humility in counseling?
• Which therapy is characterized by focusing on improving interpersonal functioning and relationships?
• Which therapy explicitly emphasizes uniqueness of the individual and social context?
• A process in which the individual assigns unacceptable thoughts of oneself into another?
• EBP stands for which term and what are its three pillars?
• When using music in therapy, it is important to:
• Which reinforcement schedule is most effective for long-term behavior maintenance?
• Contingency management in substance use treatment primarily relies on which mechanism?
• Which technique uses the empty chair among its core methods?
• Which theory views the family as an emotional system balanced between togetherness and individuality?
• Which term describes adding a stimulus that decreases a behavior?
• What are the basic steps in a cognitive-behavioral approach to a presenting problem?
• Under common privacy practices, clients may request access to which type of notes?
• A psychoeducation group is best described as:
• For persistent depressive disorder, duration criteria specify symptoms present for at least how long?
• How is a personality disorder defined in DSM-5 terms?
• A best practice in using role-playing is to:
• What term describes the likelihood that an offender will return to jail after release?
• How should client records be maintained when using electronic health records (EHR)?
• In racial/cultural identity development theory, what is a practical implication for therapy?
• Which of the following are commonly used trauma-focused therapies?
• Which level describes broad societal and environmental influences on mental health?
• Which option best describes erectile disorders symptoms?
• Psychotherapy notes are best described as which of the following?
• Which information is important to know under general information for safety planning?
• Which statement best describes RIASEC/Holland codes?
• Which assessment measures various behaviors in children aged 6-18?
• How is the PICO framework used in counseling research?
• Music in play therapy can help with:
• Which group therapy concept involves a group leader encouraging members to compare each other based on what is shared?
• Which technique encourages the client to recognize and accept their feelings to move forward in healing?
• Holding your own values internally and not allowing them to impact your work with the client describes which counseling skill?
• Minimum duration of symptoms for stimulant use disorder?
• What does the acronym AHSQ stand for?
• Process vs content in group counseling?
• What is the purpose of a DSM-5-TR differential diagnosis, and what factors guide it?
• Which approach emphasizes addressing current problems and relationships rather than childhood experiences?
• The Behavioral Summarized Evaluation is described as assessing which domain?
• Which Adlerian technique involves the client visualizing a happy event and recalling the associated feelings?
• What is life design counseling and its core principles?
• Which approach is considered the best tool to assess suicidality and plan treatment around suicide risk, usable with clients as young as 5?
• Which term describes removing a stimulus that encourages a behavior to continue?
• Which therapy emphasizes the unique individuality and viewing the person in the context of social relations as a central idea?
• The term 'duty to warn' refers to which ethical obligation?
• Which item is NOT typically included in a biopsychosocial intake?
• How does a well-developed case conceptualization influence treatment planning and prognosis?
• Which framework for clinical intake includes presenting problems, personal status, drug history, substance abuse history, and medical history?
• In the Performing stage of group development, what is the primary focus?
• What is the core premise of attachment theory and how does attachment style influence therapy?
• Which technique is characteristically associated with ACT therapy?
• Which is an example of Behavioral Diversion used to manage anxiety?
• When using standardized assessment tools such as PHQ-9 in clinical practice, which approach is most appropriate?
• How do somatic therapies differ from classic talk therapies, and when are they typically used?
• What is the role of case conceptualization in prognosis?
• Which of the following is NOT a Satir communication style?
• Which of the following is NOT a trauma-focused therapy?
• Role-playing in therapy primarily supports which outcomes?
• Which of the following best describes when informed consent should be revisited?
• In play therapy, music can contribute to:
• Informed consent is required at the start of therapy and when changes in service occur. Which elements should be covered?
• According to DSM-5, when do personality disorder patterns typically begin?