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Alaska Professional Counselor — Requirements & Free Practice

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Temporary License

The 150-day temporary Professional Counselor authorization required by AS 25.27.244(d) for an otherwise eligible applicant on the child-support delinquency list. The original credential requirements still apply.

Licensing authority: Alaska Board of Professional Counselors / Division of Corporations, Business and Professional Licensing

Professional counselor temporary issuance by credentials
No examination is required for this applicant pathway.
Criminal reports
Alaska name-based criminal justice report is required; if primarily resident outside Alaska, provide an equivalent report from the primary residence jurisdiction.
Delinquency
Applicant is on the AS 25.27.244 delinquent obligor list and is otherwise eligible for the underlying credential.
Documents
Submit a complete application, applicable fees, official current-license verification, documentation of the original jurisdiction licensure requirements, and complete information on all disciplinary actions or investigations.
Existing license
Hold a professional counselor license current at application in another jurisdiction with substantially the same or higher requirements; Board determines equivalency.
Fees
Pay the applicable underlying annual or biennial license fee, subject to the statutory temporary fee, refund and release provisions in 12 AAC 02.102.
No exam basis
AS 08.29.120 and the exhaustive current requirements in 12 AAC 62.130 impose no separate examination requirement; paragraph (5) was repealed November 1, 2024.
Pending investigation
Licensure cannot be granted until an investigation is complete, sanctions are imposed and complied with.
Release
Full or remaining-term issuance or renewal requires the child-support agency release or other compliance provided by AS 25.27.244; this temporary credential is not renewable.
Term
One nonextendable 150-day temporary authorization per regular license term, coinciding with its first 150 days.

Official no-examination sources

Effective from 2026-09-22.

Professional counselor temporary issuance by examination
Age
At least 18 years old under AS 08.29.110(a)(1).
Application
Submit the signed application, certified transcripts, related-field coursework sheet when applicable, verification of supervision, fees and professional-license verifications.
Application abandonment
12 AAC 62.100(d) considers an examination application abandoned three years after application. The general-information page additionally states: "An application is considered abandoned when 12 months have elapsed since correspondence was last received from or on behalf of the applicant."
Associate transition
12 AAC 62.145(c) requires an active associate license before receiving supervised experience in Alaska. The August 21, 2026 application also states: "Supervision accrued in Alaska after April 1, 2027 will only count toward the required hours if the applicant had an active associate counselor license and was practicing under the supervision of an approved counselor supervisor with an active supervisor certification." The published rule in 12 AAC 62.220(g) specifies the post-March 31, 2027 transition.
Child support
If listed under AS 25.27.244, an otherwise eligible applicant receives only the statutory 150-day temporary license until a release permits full issuance.
Coursework
12 AAC 62.120 requires coursework in at least eight of its ten listed subject areas; applications on or after February 1, 2012 require at least three graduate-level ethics credits.
Criminal reports
Alaska name-based criminal justice report is required; if primarily resident outside Alaska, provide an equivalent report from the primary residence jurisdiction.
Delinquency
Applicant is on the AS 25.27.244 delinquent obligor list and is otherwise eligible for the underlying credential.
Education
Earned doctorate in counseling or a related field, or earned masters in counseling or a related field plus at least 60 graduate semester hours; institution must be Board-approved and regionally or nationally accredited.
Exam passing score
Provide administrator verification of a passing NCE, NCMHCE or accepted equivalent national examination score; passing before application still involves that examination.
Exam score age
If no initial license is issued within three years after passing, retake the examination; for good cause the Board may extend use of the examination by up to two years under 12 AAC 62.110(d).
Fees
Pay the applicable underlying annual or biennial license fee, subject to the statutory temporary fee, refund and release provisions in 12 AAC 02.102.
Form education demand
The August 21, 2026 examination application states that transcripts must show a minimum of 60 graduate semester hours in counseling. AS 08.29.110(a)(5) states the 60-hour requirement in the masters-degree alternative and separately allows an earned doctorate.
Investigations
Not under investigation for an act that would violate AS 08.29; submit professional-fitness disclosures and supporting documents.
License term
Ordinary licenses expire October 31 of odd-numbered years; an initial license issued within 90 days of expiration is issued through the next biennial expiration.
Military credit
AS 08.01.064(a) requires acceptance of substantially equivalent military education, training and service upon satisfactory evidence and a determination of equivalency.
Other equivalent exam
The Board accepts another nationally recognized professional counselor examination equivalent to NCE or NCMHCE under 12 AAC 62.110(b); its unnamed remainder is an applicant condition. CRC is the named accepted alternative evidenced by the Board decision.
Postgraduate experience
After the qualifying degree, complete an authorized associate counselor program or at least 3,000 supervised practice hours over at least two years, including at least 1,000 direct counseling hours and 100 direct supervision hours.
Prior discipline
A counseling, psychology, marital and family therapy or social-work license suspended, revoked or surrendered in lieu of discipline must have been fully reinstated.
Release
Full or remaining-term issuance or renewal requires the child-support agency release or other compliance provided by AS 25.27.244; this temporary credential is not renewable.
Supervisor
Use a Board-certified supervisor before supervision starts, or verified supervision in another jurisdiction with substantially similar requirements; at least 50 direct supervision hours must be one-on-one. Real-time audio/video supervision is permitted under 12 AAC 62.220.
Term
One nonextendable 150-day temporary authorization per regular license term, coinciding with its first 150 days.
Foreign educated professional counselor temporary issuance
Age
At least 18 years old under AS 08.29.110(a)(1).
Application
Submit the signed application, certified transcripts, related-field coursework sheet when applicable, verification of supervision, fees and professional-license verifications.
Application abandonment
12 AAC 62.100(d) considers an examination application abandoned three years after application. The general-information page additionally states: "An application is considered abandoned when 12 months have elapsed since correspondence was last received from or on behalf of the applicant."
Associate transition
12 AAC 62.145(c) requires an active associate license before receiving supervised experience in Alaska. The August 21, 2026 application also states: "Supervision accrued in Alaska after April 1, 2027 will only count toward the required hours if the applicant had an active associate counselor license and was practicing under the supervision of an approved counselor supervisor with an active supervisor certification." The published rule in 12 AAC 62.220(g) specifies the post-March 31, 2027 transition.
Child support
If listed under AS 25.27.244, an otherwise eligible applicant receives only the statutory 150-day temporary license until a release permits full issuance.
Coursework
12 AAC 62.120 requires coursework in at least eight of its ten listed subject areas; applications on or after February 1, 2012 require at least three graduate-level ethics credits.
Criminal reports
Alaska name-based criminal justice report is required; if primarily resident outside Alaska, provide an equivalent report from the primary residence jurisdiction.
Delinquency
Applicant is on the AS 25.27.244 delinquent obligor list and is otherwise eligible for the underlying credential.
Education
Foreign doctorate or masters in counseling or a related professional field from a Board-approved foreign college or university.
Exam passing score
Provide administrator verification of a passing NCE, NCMHCE or accepted equivalent national examination score; passing before application still involves that examination.
Exam score age
If no initial license is issued within three years after passing, retake the examination; for good cause the Board may extend use of the examination by up to two years under 12 AAC 62.110(d).
Fees
Pay the applicable underlying annual or biennial license fee, subject to the statutory temporary fee, refund and release provisions in 12 AAC 02.102.
Foreign equivalence
Meet AS 08.29.110 except subsection (a)(5); demonstrate that experience, command of English and completed academic program meet a relevant accredited United States program standard. Degree coursework must include at least eight subject areas under 12 AAC 62.120(b).
Form education demand
The August 21, 2026 examination application states that transcripts must show a minimum of 60 graduate semester hours in counseling. AS 08.29.110(a)(5) states the 60-hour requirement in the masters-degree alternative and separately allows an earned doctorate.
Investigations
Not under investigation for an act that would violate AS 08.29; submit professional-fitness disclosures and supporting documents.
License term
Ordinary licenses expire October 31 of odd-numbered years; an initial license issued within 90 days of expiration is issued through the next biennial expiration.
Military credit
AS 08.01.064(a) requires acceptance of substantially equivalent military education, training and service upon satisfactory evidence and a determination of equivalency.
Other equivalent exam
The Board accepts another nationally recognized professional counselor examination equivalent to NCE or NCMHCE under 12 AAC 62.110(b); its unnamed remainder is an applicant condition. CRC is the named accepted alternative evidenced by the Board decision.
Postgraduate experience
After the qualifying degree, complete an authorized associate counselor program or at least 3,000 supervised practice hours over at least two years, including at least 1,000 direct counseling hours and 100 direct supervision hours.
Prior discipline
A counseling, psychology, marital and family therapy or social-work license suspended, revoked or surrendered in lieu of discipline must have been fully reinstated.
Release
Full or remaining-term issuance or renewal requires the child-support agency release or other compliance provided by AS 25.27.244; this temporary credential is not renewable.
Supervisor
Use a Board-certified supervisor before supervision starts, or verified supervision in another jurisdiction with substantially similar requirements; at least 50 direct supervision hours must be one-on-one. Real-time audio/video supervision is permitted under 12 AAC 62.220.
Term
One nonextendable 150-day temporary authorization per regular license term, coinciding with its first 150 days.
Professional counselor temporary authorization on renewal
No examination is required for this applicant pathway.
Application
Submit the complete renewal application and statement of continuing education for the concluding license period.
Child support
A listed delinquent obligor otherwise eligible for renewal receives the 150-day temporary license under AS 25.27.244 rather than the full renewal until release.
Continuing education
For professional counselors, first renewal requires 20, 30 or 40 contact hours depending on license duration of less than 12 months, 12 to less than 18 months, or at least 18 months; subsequent biennial renewals require 40. For periods beginning on or after November 1, 2023, include three hours each of ethics, suicidality and cultural competency.
Course format
At least 20 continuing-education hours must be synchronous under 12 AAC 62.310(d); no more than half may be individual study. Use Board-accepted continuing education under 12 AAC 62.320 and retain records for audit.
Delinquency
Applicant is on the AS 25.27.244 delinquent obligor list and is otherwise eligible for the underlying credential.
Fees
Pay the applicable underlying annual or biennial license fee, subject to the statutory temporary fee, refund and release provisions in 12 AAC 02.102.
Lapse limit
A license lapsed five years or more cannot ordinarily be renewed under AS 08.01.100(d).
Release
Full or remaining-term issuance or renewal requires the child-support agency release or other compliance provided by AS 25.27.244; this temporary credential is not renewable.
Social security
AS 08.01.100(e) requires a social security number for renewal.
Term
One nonextendable 150-day temporary authorization per regular license term, coinciding with its first 150 days.
Waiver
For good cause under 12 AAC 62.350, the Board may waive continuing education and may require an alternative demonstration of competence; no identifiable examination is specified. AS 08.01.100 also provides applicable active-duty military waivers or exemptions.

Official no-examination sources

Effective from 2026-09-22.

Professional Counselor License

Ordinary Alaska professional counselor license. Examination, foreign education, credentials, military portability, renewal and reinstatement routes are recorded separately.

Licensing authority: Alaska Board of Professional Counselors / Division of Corporations, Business and Professional Licensing · Application information

Licensure by credentials
No examination is required for this applicant pathway.
Criminal reports
Alaska name-based criminal justice report is required; if primarily resident outside Alaska, provide an equivalent report from the primary residence jurisdiction.
Documents
Submit a complete application, applicable fees, official current-license verification, documentation of the original jurisdiction licensure requirements, and complete information on all disciplinary actions or investigations.
Existing license
Hold a professional counselor license current at application in another jurisdiction with substantially the same or higher requirements; Board determines equivalency.
Fees
Application fee $200 and initial license fee $270 under 12 AAC 02.325(a).
No exam basis
AS 08.29.120 and the exhaustive current requirements in 12 AAC 62.130 impose no separate examination requirement; paragraph (5) was repealed November 1, 2024.
Pending investigation
Licensure cannot be granted until an investigation is complete, sanctions are imposed and complied with.

Official no-examination sources

Effective from 2026-09-22.

Licensure by examination
Age
At least 18 years old under AS 08.29.110(a)(1).
Application
Submit the signed application, certified transcripts, related-field coursework sheet when applicable, verification of supervision, fees and professional-license verifications.
Application abandonment
12 AAC 62.100(d) considers an examination application abandoned three years after application. The general-information page additionally states: "An application is considered abandoned when 12 months have elapsed since correspondence was last received from or on behalf of the applicant."
Associate transition
12 AAC 62.145(c) requires an active associate license before receiving supervised experience in Alaska. The August 21, 2026 application also states: "Supervision accrued in Alaska after April 1, 2027 will only count toward the required hours if the applicant had an active associate counselor license and was practicing under the supervision of an approved counselor supervisor with an active supervisor certification." The published rule in 12 AAC 62.220(g) specifies the post-March 31, 2027 transition.
Child support
If listed under AS 25.27.244, an otherwise eligible applicant receives only the statutory 150-day temporary license until a release permits full issuance.
Coursework
12 AAC 62.120 requires coursework in at least eight of its ten listed subject areas; applications on or after February 1, 2012 require at least three graduate-level ethics credits.
Criminal reports
Alaska name-based criminal justice report is required; if primarily resident outside Alaska, provide an equivalent report from the primary residence jurisdiction.
Education
Earned doctorate in counseling or a related field, or earned masters in counseling or a related field plus at least 60 graduate semester hours; institution must be Board-approved and regionally or nationally accredited.
Exam passing score
Provide administrator verification of a passing NCE, NCMHCE or accepted equivalent national examination score; passing before application still involves that examination.
Exam score age
If no initial license is issued within three years after passing, retake the examination; for good cause the Board may extend use of the examination by up to two years under 12 AAC 62.110(d).
Fees
Application fee $200 and initial license fee $270 under 12 AAC 02.325(a).
Form education demand
The August 21, 2026 examination application states that transcripts must show a minimum of 60 graduate semester hours in counseling. AS 08.29.110(a)(5) states the 60-hour requirement in the masters-degree alternative and separately allows an earned doctorate.
Investigations
Not under investigation for an act that would violate AS 08.29; submit professional-fitness disclosures and supporting documents.
License term
Ordinary licenses expire October 31 of odd-numbered years; an initial license issued within 90 days of expiration is issued through the next biennial expiration.
Military credit
AS 08.01.064(a) requires acceptance of substantially equivalent military education, training and service upon satisfactory evidence and a determination of equivalency.
Other equivalent exam
The Board accepts another nationally recognized professional counselor examination equivalent to NCE or NCMHCE under 12 AAC 62.110(b); its unnamed remainder is an applicant condition. CRC is the named accepted alternative evidenced by the Board decision.
Postgraduate experience
After the qualifying degree, complete an authorized associate counselor program or at least 3,000 supervised practice hours over at least two years, including at least 1,000 direct counseling hours and 100 direct supervision hours.
Prior discipline
A counseling, psychology, marital and family therapy or social-work license suspended, revoked or surrendered in lieu of discipline must have been fully reinstated.
Supervisor
Use a Board-certified supervisor before supervision starts, or verified supervision in another jurisdiction with substantially similar requirements; at least 50 direct supervision hours must be one-on-one. Real-time audio/video supervision is permitted under 12 AAC 62.220.
Licensure of foreign educated applicants
Age
At least 18 years old under AS 08.29.110(a)(1).
Application
Submit the signed application, certified transcripts, related-field coursework sheet when applicable, verification of supervision, fees and professional-license verifications.
Application abandonment
12 AAC 62.100(d) considers an examination application abandoned three years after application. The general-information page additionally states: "An application is considered abandoned when 12 months have elapsed since correspondence was last received from or on behalf of the applicant."
Associate transition
12 AAC 62.145(c) requires an active associate license before receiving supervised experience in Alaska. The August 21, 2026 application also states: "Supervision accrued in Alaska after April 1, 2027 will only count toward the required hours if the applicant had an active associate counselor license and was practicing under the supervision of an approved counselor supervisor with an active supervisor certification." The published rule in 12 AAC 62.220(g) specifies the post-March 31, 2027 transition.
Child support
If listed under AS 25.27.244, an otherwise eligible applicant receives only the statutory 150-day temporary license until a release permits full issuance.
Coursework
12 AAC 62.120 requires coursework in at least eight of its ten listed subject areas; applications on or after February 1, 2012 require at least three graduate-level ethics credits.
Criminal reports
Alaska name-based criminal justice report is required; if primarily resident outside Alaska, provide an equivalent report from the primary residence jurisdiction.
Education
Foreign doctorate or masters in counseling or a related professional field from a Board-approved foreign college or university.
Exam passing score
Provide administrator verification of a passing NCE, NCMHCE or accepted equivalent national examination score; passing before application still involves that examination.
Exam score age
If no initial license is issued within three years after passing, retake the examination; for good cause the Board may extend use of the examination by up to two years under 12 AAC 62.110(d).
Fees
Application fee $200 and initial license fee $270 under 12 AAC 02.325(a).
Foreign equivalence
Meet AS 08.29.110 except subsection (a)(5); demonstrate that experience, command of English and completed academic program meet a relevant accredited United States program standard. Degree coursework must include at least eight subject areas under 12 AAC 62.120(b).
Form education demand
The August 21, 2026 examination application states that transcripts must show a minimum of 60 graduate semester hours in counseling. AS 08.29.110(a)(5) states the 60-hour requirement in the masters-degree alternative and separately allows an earned doctorate.
Investigations
Not under investigation for an act that would violate AS 08.29; submit professional-fitness disclosures and supporting documents.
License term
Ordinary licenses expire October 31 of odd-numbered years; an initial license issued within 90 days of expiration is issued through the next biennial expiration.
Military credit
AS 08.01.064(a) requires acceptance of substantially equivalent military education, training and service upon satisfactory evidence and a determination of equivalency.
Other equivalent exam
The Board accepts another nationally recognized professional counselor examination equivalent to NCE or NCMHCE under 12 AAC 62.110(b); its unnamed remainder is an applicant condition. CRC is the named accepted alternative evidenced by the Board decision.
Postgraduate experience
After the qualifying degree, complete an authorized associate counselor program or at least 3,000 supervised practice hours over at least two years, including at least 1,000 direct counseling hours and 100 direct supervision hours.
Prior discipline
A counseling, psychology, marital and family therapy or social-work license suspended, revoked or surrendered in lieu of discipline must have been fully reinstated.
Supervisor
Use a Board-certified supervisor before supervision starts, or verified supervision in another jurisdiction with substantially similar requirements; at least 50 direct supervision hours must be one-on-one. Real-time audio/video supervision is permitted under 12 AAC 62.220.
Late renewal after a short lapse
No examination is required for this applicant pathway.
Application
Submit the complete renewal application and statement of continuing education for the concluding license period.
Child support
A listed delinquent obligor otherwise eligible for renewal receives the 150-day temporary license under AS 25.27.244 rather than the full renewal until release.
Continuing education
For professional counselors, first renewal requires 20, 30 or 40 contact hours depending on license duration of less than 12 months, 12 to less than 18 months, or at least 18 months; subsequent biennial renewals require 40. For periods beginning on or after November 1, 2023, include three hours each of ethics, suicidality and cultural competency.
Course format
At least 20 continuing-education hours must be synchronous under 12 AAC 62.310(d); no more than half may be individual study. Use Board-accepted continuing education under 12 AAC 62.320 and retain records for audit.
Fees
Professional counselor biennial renewal fee $270; associate counselor renewal fee $150 under 12 AAC 02.325.
Lapse limit
A license lapsed five years or more cannot ordinarily be renewed under AS 08.01.100(d).
Lapse period
License has lapsed less than 60 days; submit renewal requirements. Retroactive effective dating is discretionary and requires written request, documented compliance and good-faith efforts; it cannot predate the first written attempt.
Social security
AS 08.01.100(e) requires a social security number for renewal.
Waiver
For good cause under 12 AAC 62.350, the Board may waive continuing education and may require an alternative demonstration of competence; no identifiable examination is specified. AS 08.01.100 also provides applicable active-duty military waivers or exemptions.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement of a lapsed license
No examination is required for this applicant pathway.
Application
Submit the complete renewal application and statement of continuing education for the concluding license period.
Child support
A listed delinquent obligor otherwise eligible for renewal receives the 150-day temporary license under AS 25.27.244 rather than the full renewal until release.
Continuing education
For professional counselors, first renewal requires 20, 30 or 40 contact hours depending on license duration of less than 12 months, 12 to less than 18 months, or at least 18 months; subsequent biennial renewals require 40. For periods beginning on or after November 1, 2023, include three hours each of ethics, suicidality and cultural competency.
Course format
At least 20 continuing-education hours must be synchronous under 12 AAC 62.310(d); no more than half may be individual study. Use Board-accepted continuing education under 12 AAC 62.320 and retain records for audit.
Fees
Professional counselor biennial renewal fee $270; associate counselor renewal fee $150 under 12 AAC 02.325.
Lapse limit
A license lapsed five years or more cannot ordinarily be renewed under AS 08.01.100(d).
Lapse period
License lapsed more than 60 days and less than five years.
Reinstatement
Submit proof of the most recent biennial continuing education and meet all other renewal requirements; department or Board review and approval are required. Delayed renewal penalties may apply.
Social security
AS 08.01.100(e) requires a social security number for renewal.
Waiver
For good cause under 12 AAC 62.350, the Board may waive continuing education and may require an alternative demonstration of competence; no identifiable examination is specified. AS 08.01.100 also provides applicable active-duty military waivers or exemptions.

Official no-examination sources

Effective from 2026-09-22.

Biennial license renewal
No examination is required for this applicant pathway.
Application
Submit the complete renewal application and statement of continuing education for the concluding license period.
Child support
A listed delinquent obligor otherwise eligible for renewal receives the 150-day temporary license under AS 25.27.244 rather than the full renewal until release.
Continuing education
For professional counselors, first renewal requires 20, 30 or 40 contact hours depending on license duration of less than 12 months, 12 to less than 18 months, or at least 18 months; subsequent biennial renewals require 40. For periods beginning on or after November 1, 2023, include three hours each of ethics, suicidality and cultural competency.
Course format
At least 20 continuing-education hours must be synchronous under 12 AAC 62.310(d); no more than half may be individual study. Use Board-accepted continuing education under 12 AAC 62.320 and retain records for audit.
Fees
Professional counselor biennial renewal fee $270; associate counselor renewal fee $150 under 12 AAC 02.325.
Lapse limit
A license lapsed five years or more cannot ordinarily be renewed under AS 08.01.100(d).
Social security
AS 08.01.100(e) requires a social security number for renewal.
Waiver
For good cause under 12 AAC 62.350, the Board may waive continuing education and may require an alternative demonstration of competence; no identifiable examination is specified. AS 08.01.100 also provides applicable active-duty military waivers or exemptions.

Official no-examination sources

Effective from 2026-09-22.

Permanent licensure under SCRA military portability
No examination is required for this applicant pathway.
Alaska law
Affirm identity, completeness and truth of the application, knowledge of Alaska licensure requirements and scope of practice, and compliance with the applicable requirements. Submit to Alaska standards of practice, discipline and applicable continuing education.
Applicant
Servicemember or spouse relocating residence to Alaska because of military orders; hold a covered professional license of the same scope from another United States jurisdiction.
Background
The licensing authority may conduct a background check before recognizing the covered license.
Compact
SCRA section 705A(e) does not apply to a covered license authorizing operation in multiple jurisdictions under an applicable interstate compact; that applicant remains subject to the compact or applicable law.
Documents
Submit an application, military orders, marriage certificate if a spouse, required fees, licensure verifications, and the notarized affidavit required by SCRA section 705A(c) and Alaska form 08-4969.
Fee
12 AAC 02.105 provides a $100 nonrefundable initial SCRA application fee and $0 initial SCRA license fee.
No exam basis
Section 705A(a) requires recognition on submission of the subsection (c) application; its application contents do not include a new professional examination. Existing licensure is an applicant condition.
Standing
Good standing in every jurisdiction where a license is or was held, with no revocation, discipline, pending unprofessional-conduct investigation or surrender during such an investigation.

Official no-examination sources

Effective from 2026-09-22.

CRC Examination

Provider
Commission on Rehabilitation Counselor Certification (CRCC); delivered by Pearson VUE
Format
Computer-based multiple-choice examination administered three times a year in testing windows, in two locked sections (Rehabilitation and Disability; Counseling) with conjunctive scoring
Exam questions
175 multiple-choice questions: 150 scored items and 25 field test questions
Time limit
210 minutes to complete the examination questions (3½ hours allotted; set aside 4 hours)
Passing score
Passing score required on both the Counseling part and the Rehabilitation and Disability part in a single administration
Exam fee
$420 certification fee; $275 reexamination fee
Examination outline
  • 1. Professional Orientation and Ethical Practice (10.7% of questions) (10.7%)
    • A. Uphold professional ethical standards for rehabilitation counselors and manage risk. [C] — a) Conceptualize and articulate the counseling relationship; b) Adhere to and ensure confidentiality, privileged communication, and privacy; c) Understand how to promote and participate in advocacy and ensure accessibility; d) Maintain professional roles to ensure appropriate service provision; e) Maintain appropriate relationships with other professionals; f) Understand the differing professional relationships in forensic and indirect services; g) Understand the ethical requirements of evaluation, assessment, and interpretation; h) Understand the ethical requirements in the roles of teaching, supervising, and training; i) Understand the ethical implications of research and publication; j) Understand the limits and ethical implications of the use of technology and distance counseling; k) Understand and ensure appropriate business practices; l) Understand and apply ethical decision-making models and processes.
    • B. Understand and apply laws and public policy affecting individuals with disabilities. [R] — a) Summarize and synthesize the impacts of the Rehabilitation Act of 1973.; b) Summarize and synthesize the impacts of Title V of the Rehabilitation Act of 1973 – Sections 501-504.; c) Summarize and synthesize the impacts of the Rehabilitation Act of 1973, as Amended.; d) Understand the impact of SSI/SSDI on employment, independent living and economic self-sufficiency.; e) Understand the impact of veteran benefits (e.g., service-connected disability compensation and non-service-connected pension) on employment, independent living and economic self-sufficiency.; f) Summarize and synthesize the impacts of the Fair Labor Standards Act.; g) Understand the definition of a disability in ADA, the uses of the definition, and how the definition relates to the rights guaranteed by the ADA.; h) Understand the rights guaranteed by the ADA in an employment setting.; i) Understand the definition of a reasonable accommodation as defined by the ADA.; j) Understand the rights guaranteed by the ADA on public transportation.; k) Understand the changes to the definition of disability in the ADAAA, the changes to the interactive process, and the implications for employees and employers.; l) Understand the role of the EEOC in relation to discrimination.; m) Summarize and synthesize the impacts of IDEA.; n) Summarize and synthesize the historical impacts of WIA.; o) Understand the rights and limits guaranteed by FMLA.; p) Understand the confidentiality and technology requirements of HIPAA.; q) Understand the impact of TWWIIA (Ticket to Work) on employment, independent living, and economic self-sufficiency.; r) Understand the impact and implications of WIOA on employment outcomes, independent living, and economic self-sufficiency.
    • C. Advocate for diversity, understand, and apply appropriate services that address multicultural counseling issues. [C]
    • D. Understand and apply appropriate rehabilitation terminology and concepts. [R]
    • E. Understand and identify the differing professional roles, functions, and effective relationships with other providers and professionals. [C]
    • F. Understand the credentialing issues related to the rehabilitation counseling profession and advocate for appropriate solutions. [C]
    • G. Understand the differing organizational structures of rehabilitation counseling practice settings (e.g., public, private-for-profit, and not-for-profit service delivery systems). [R]
    • H. Understand, synthesize, and apply knowledge of historical and philosophical foundations of rehabilitation counseling. [R]
  • 2. Counseling Theories, Techniques, and Evidence-Based Practice (11.3% of questions) (11.3%)
    • A. Apply clinical problem-solving and critical-thinking skills. [C]
    • B. Understand rehabilitation techniques for individuals with disabilities. [R]
    • C. Understand individual counseling theories. [C] — a) Integrated/Eclectic; b) Rational-Emotive Behavior Therapy; c) Reality Therapy; d) Person-Centered; e) Psychoanalytic; f) Gestalt; g) Trait-factor/Person Environment Fit; h) Behavioral; i) Cognitive/Behavioral; j) Adlerian; k) Solution-Focused; l) Narrative; m) Feminist; n) Existential
    • D. Utilize individual counseling practices, interventions, and techniques. [C] — a) Systematic Desensitization; b) Behavior Analysis and Therapy; c) Social Skills; d) Time Management; e) Stress Management; f) Restructuring; g) Anger Management; h) Problem Solving Therapy; i) Person-centered practices; j) Mindfulness-based practices
    • E. Understand substance use and treatment. [C]
    • F. Establish and maintain effective working alliances with clients. [C]
    • G. Understand dual diagnosis and co-occurring disorders. [C]
    • H. Understand counseling/training to help clients develop workplace socialization skills. [R]
    • I. Demonstrate motivational interviewing use and skills. [C]
    • J. Facilitate treatment planning for clinical conditions (e.g., depression, anxiety, PTSD). [C]
    • K. Understand human growth and development. [C]
    • L. Apply evidence-based psychosocial/psychiatric rehabilitation interventions in rehabilitation counseling practice. [R]
    • M. Apply evidence-based vocational interventions in rehabilitation counseling practice. [R]
    • N. Apply or facilitate evidence-based counseling/therapy for clients with clinical diagnoses (e.g., depression, anxiety, PTSD). [C]
    • O. Apply or facilitate evidence-based counseling/therapy for clients with substance use disorders. [C]
    • P. Understand theories and techniques of clinical supervision. [C]
    • Q. Recognize and utilize evidence and research-based practices. [C]
  • 3. Group and Family Counseling (4.7% of questions) (4.7%)
    • A. Understand family counseling theories. [C]
    • B. Incorporate family counseling practices and interventions. [C]
    • C. Understand group counseling theories. [C]
    • D. Incorporate group counseling practices and interventions. [C]
  • 4. Crisis and Trauma Counseling and Interventions (6.0% of questions) (6%)
    • A. Conduct assessment of client risk and development of a safety plan. [C]
    • B. Provide effective rehabilitation counseling services for individuals with polytrauma injuries. [C]
    • C. Understand the impact of crises, disasters, and other trauma-causing events on people with disabilities. [C]
    • D. Use principles of crisis intervention for people with disabilities during crises, disasters, and other trauma-causing events. [C]
    • E. Understand the emergency management system within rehabilitation agencies and in the community. [C]
  • 5. Medical and Psychosocial Aspects of Chronic Illness and Disability (9.3% of questions) (9.3%)
    • A. Evaluate the psychosocial and cultural impact of disability. [R] — a) Individual adjustment to disability; b) Human sexuality and disability issues; c) Family or support system adjustment to disability
    • B. Understand medical terminology. [R]
    • C. Apply knowledge of the medical aspects and implications of various disabilities. [R] — a) Mental Functions; b) Sensory Functions and Pain; c) Voice and Speech Functions and Structures; d) Cardiovascular, Hematological, Immunological, and Respiratory Functions and Structures; e) Digestive, Metabolic, and Endocrine Systems and Structures; f) Genitourinary and Reproductive Functions and Structures; g) Neuromusculoskeletal and Movement Related Functions and Structures; h) Skin and Related Functions and Structures; i) Nervous System Structures; j) Eye, Ear, and Related Structures; k) Learning and Applying Knowledge; l) Interpersonal Interactions and Relationships; m) General Tasks and Demands; n) Communication; o) Mobility; p) Self-Care; q) Domestic-Life; r) Major Life Areas; s) Community, Social, and Civic Life
    • D. Review the implications of medications as they apply to individuals with disabilities. [R]
    • E. Address environmental and attitudinal barriers for individuals with disabilities. [R]
  • 6. Assessment/Evaluation, Occupational Analysis, and Service Implementation (10.7% of questions) (10.7%)
    • A. Understand the vocational implications of functional limitations associated with disabilities. [R] — a) Mental Functions; b) Sensory Functions and Pain; c) Voice and Speech Functions and Structures; d) Cardiovascular, Hematological, Immunological, and Respiratory Functions and Structures; e) Digestive, Metabolic, and Endocrine Systems and Structures; f) Genitourinary and Reproductive Functions and Structures; g) Neuromusculoskeletal and Movement Related Functions and Structures; h) Skin and Related Functions and Structures; i) Nervous System Structures; j) Eye, Ear, and Related Structures; k) Learning and Applying Knowledge; l) Interpersonal Interactions and Relationships; m) General Tasks and Demands; n) Communication; o) Mobility; p) Self-Care; q) Domestic-Life; r) Major Life Areas; s) Community, Social, and Civic Life
    • B. Access and review resources for the assessment process. [C] — a) Review of case materials for pertinent information; b) Diagnostic and Statistical Manual of Mental Disorders (DSM); c) International Classification of Diseases (ICD)
    • C. Refer or conduct informal assessments. [C] — a) Interviews and initial assessments; b) Situational assessment/job shadowing/community-based work assessment
    • D. Refer or conduct formal assessments. [C] — a) Achievement Tests; b) Aptitude Tests; c) Intelligence Tests; d) Interest Inventories; e) Career, Work Values, and Maturity Tests; f) Personality Tests; g) Psychological/Neuropsychological Tests; h) Adaptive Behavior/Behavioral Observations; i) Mental Health Screeners; j) Learning Styles Tests; k) Ecological/Functional Capacity Evaluations; l) Dexterity Tests; m) Work Samples; n) Non-Cognitive Tests
    • E. Refer or perform Transferable Skills Analysis (e.g., VDARE). [C]
    • F. Interpret assessment results for rehabilitation planning purposes. [C]
    • G. Perform job analysis. [R]
    • H. Assess ergonomic, job accommodation, and assistive technology needs. [R]
    • I. Advise on job modification and restructuring techniques. [R]
    • J. Perform labor market analysis. [R] — a) Occupational and labor market information (e.g., DOT, ORS, O*NET, OOH, other national, regional, or local government labor market sources, private salary surveys); b) Methods and techniques used to conduct labor market surveys
    • K. Use computer-based job matching systems. [C]
  • 7. Career Development and Job Placement (9.3% of questions) (9.3%)
    • A. Understand, identify, and apply career development and job placement strategies. [R]
    • B. Understand, identify, and apply job readiness, seeking, and retention skills. [C]
    • C. Understand the unique needs of specialized populations in relation to job development and placement. [R]
    • D. Understand techniques to develop and retain relationships with employers to assist with job development and placement. [R]
    • E. Understand and identify evidence-based employment models and services tailored to individuals with significant disabilities and/or barriers to competitive employment. [R] — i) Supported Employment (SE); ii) Customized Employment (CE); iii) Individual Placement and Support (IPS); iv) Self-Employment
    • F. Understand the unique needs of individuals with a dual diagnosis in the workplace and apply appropriate strategies. [R]
    • G. Understand and apply theories of career development and work adjustment. [C] — a) Trait-Factor/Person Environment Fit theories.; b) Personality theories; c) Developmental/Self-Concept theories; d) Sociological/Self-Concept theories; e) Behavioral theories
    • H. Understand, identify, and facilitate the appropriate use of work conditioning or work hardening resources and strategies. [R]
    • I. Understand the effective use of and risks of social media as a networking tool. [C]
  • 8. Business Engagement (7.6% of questions) (7.6%)
    • A. Assist employers with job accommodations for their employees with disabilities (e.g., assistive technology, workspace modifications). [R]
    • B. Provide consultation services and training to employers / businesses concerning disability concepts, best practices, and applicable laws (e.g., hiring, return to work, reasonable accommodations, and retention). [R]
    • C. Partner with employers/businesses to address needs and concerns related to hiring and retaining individuals with disabilities. [R]
    • D. Understand, communicate, and apply business-focused strategies, techniques, and terminology to improve employment outcomes for individuals with disabilities. [R]
    • E. Work with employers to develop pipelines for employing individuals with disabilities using work-based learning and training methods. [R] — a) Apprenticeships; b) Internships; c) On-the-job training (OJT)
    • F. Understand the dual customer role (e.g., employer and person with a disability). [R]
  • 9. Community Resources and Partnerships (8.0% of questions) (8%)
    • A. Understand the programs and services available for specific and underserved populations. [R]
    • B. Understand Social Security programs, benefits, work incentives, and disincentives. [R]
    • C. Possess knowledge of funding sources and community resources for rehabilitation services. [R]
    • D. Provide or facilitate skills development and independent living services. [R]
    • E. Provide or facilitate financial literacy training. [R]
    • F. Understand and refer to services available through client advocacy programs (e.g., Client Assistance Program [CAP], legal aid). [R]
    • G. Refer to and partner with one-stop career centers and other community stakeholders. [R]
    • H. Understand and facilitate life care planning and life care planning services. [R]
    • I. Advocate with community partners for full community inclusion for people with disabilities. [R]
    • J. Provide or facilitate counseling on the impact of employment on community services and benefits. [R]
  • 10. Case Management (10.0% of questions) (10%)
    • A. Understand and apply the case management process. [C] — a) Case finding; b) Planning; c) Service coordination; d) Referral to and utilization of other disciplines; e) Advocacy
    • B. Complete case recording and documentation. [C]
    • C. Understand and apply negotiation, mediation, and conflict resolution strategies. [C]
    • D. Understand and apply the principles of caseload management. [C]
    • E. Understand and address institutional and social barriers that impede access, equity, and success for clients. [C]
    • F. Apply techniques for working with individuals with limited English proficiency or varied communication methods. [C]
    • G. Understand and apply principles, models, and documentation formats for biopsychosocial case conceptualization and treatment planning. [C]
  • 11. Health Care and Disability Management (7.3% of questions) (7.3%)
    • A. Understand and provide appropriate medical intervention resources. [R]
    • B. Understand the diversity of healthcare benefits, delivery systems, and the impact of services on individuals with disabilities. [R]
    • C. Understand and collaborate with health promotion and wellness providers regarding strategies for people with chronic illness and disability. [R]
    • D. Understand different insurance programs (e.g., Medicare, Medicaid, group and individual, short-and long-term disability, personal injury no-fault liability). [R]
    • E. Understand and apply disability prevention and management strategies. [R]
    • F. Understand the variability of workers’ compensation laws and practices. [R]
  • 12. Research, Methodology, and Performance Management (5.3% of questions) (5.3%)
    • A. Understand statistics and psychometric concepts related to measurement. [C] — a) Validity; b) Reliability/ Standard Error of Measurement; c) Norms; d) Scaled and Standard Scores; e) Percentiles; f) Distributions/Bell Curve; g) Norm- and Criterion-Referenced Measurement
    • B. Understand research methods (e.g., surveys, case studies) and data analysis. [C]
    • C. Assess research literature related to evidence – based practice. [C] — a) Research databases (e.g., EBSCO, PsycINFO, MEDLINE); b) Ability to select between various levels of evidence-based research (e.g., subject matter experts to the systematic reviews and meta-analyses gold standard)
    • D. Comprehend concepts and principles of organizational development and stakeholder management. [C] — a) Effective management of services and programs, including areas such as administration, finance, benefit systems, and accountability; b) Strategic planning techniques and budget planning
    • E. Understand program evaluation procedures for assessing the effectiveness of rehabilitation services and outcomes. [R]
Examination sources

National Counselor Examination

Provider
National Board for Certified Counselors (NBCC); administered through the Center for Credentialing & Education (CCE) and delivered by Pearson VUE at test centers or online through OnVUE
Format
200-question, multiple-choice, non-sectioned examination; scored and unscored items appear in jumbled order; a different form is compiled for each administration
Exam questions
200 multiple-choice questions: 160 scored and 40 unscored field-test items
Time limit
225 minutes to complete the examination within a 255-minute test session (one scheduled 15-minute break after question #100)
Passing score
Criterion passing score set by a modified Angoff method and adjusted for each form by statistical equating; passing scores may vary slightly for each version
Examination outline
  • 1. Professional Practice and Ethics — This section encompasses counselors’ knowledge, skills, and abilities related to maintaining proper administrative and clinical protocols. (12% of items; 19 scored items) (12%)
    • A. Assess your (the counselor) competency to work with a specific client
    • B. Understand statistical concepts and methods in research
    • C. Practice legal and ethical counseling
    • D. Clarify counselor–client roles
    • E. Discuss client’s rights and responsibilities
    • F. Discuss limits of confidentiality
    • G. Explain counselor agency policies
    • H. Review payment, fees, and insurance benefits
    • I. Explain counseling processes, procedures, risks, and benefits
    • J. Explain uses and limits of social media
    • K. Inform clients about the legal aspects of counseling
    • L. Obtain informed consent
    • M. Discuss confidentiality as it applies to electronic communication
    • N. Establish group rules, expectations, and termination criteria
    • O. Assess competency to provide informed consent
    • P. Monitor the therapeutic relationship and build trust as needed
    • Q. Review client records
    • R. Provide adequate accommodations for clients with disabilities
    • S. Provide information to third parties
    • T. Provide referral sources if counseling services are inadequate/ inappropriate
    • U. Advocate for professional and client issues
    • V. Seek supervision/consultation
    • W. Create and maintain documentation appropriate for each aspect of the counseling process
    • X. Awareness and practice of self-care
  • 2. Intake, Assessment, and Diagnosis — This section encompasses counselors’ knowledge, skills, and abilities to effectively conduct client intake, assessment, and diagnosis. (12% of items; 19 scored items) (12%)
    • A. Conduct a biopsychosocial interview
    • B. Conduct a diagnostic interview
    • C. Conduct cultural formulation interview
    • D. Conduct an initial interview
    • E. Determine diagnosis
    • F. Perform a Mental Status Exam (MSE)
    • G. Consider co-occurring diagnoses
    • H. Determine level of care needed
    • I. Determine the appropriate modality of treatment
    • J. Assess the presenting problem and level of distress
    • K. Evaluate an individual’s level of mental health functioning
    • L. Screen clients for appropriate services
    • M. Select, use, and interpret appropriate assessment instruments
    • N. Use formal and informal observations
    • O. Assess for trauma
    • P. Assess substance use
    • Q. Obtain client self-reports
    • R. Evaluate interactional dynamics
    • S. Conduct ongoing assessment for at-risk behaviors (i.e., suicide, homicide, self/other injury, and relationship violence)
    • T. Use pre-test and post-test measures to assess outcomes
    • U. Evaluate counseling effectiveness
  • 3. Areas of Clinical Focus — This section encompasses counselors’ knowledge and skills related to areas of clients’ concern(s). (29% of items; 47 scored items) (29%)
    • A. Adjustment related to physical loss/injury/medical condition
    • B. Aging/geriatric concerns
    • C. Behavioral problems
    • D. Bullying
    • E. Caregiving concerns
    • F. Cultural adjustments
    • G. End-of-life issues
    • H. Fear and panic
    • I. Financial issues
    • J. Gender identity development
    • K. Grief/loss
    • L. Hopelessness/depression
    • M. Loneliness/attachment
    • N. Hyper/hypo mental focus
    • O. Intellectual functioning issues
    • P. Insomnia/sleep issues
    • Q. Maladaptive eating behaviors
    • R. Remarriage/recommitment
    • S. Developmental processes/tasks/issues
    • T. Obsessive thoughts/behaviors
    • U. Occupation and career development
    • V. Physical issues related to anxiety
    • W. Physical issues related to depression
    • X. Physical/emotional issues related to trauma
    • Y. Process addictions (pornography, gambling)
    • Z. Racism/discrimination/oppression
    • AA. Religious values conflict
    • AB. Retirement concerns
    • AC. Ruminating and/or intrusive thoughts
    • AD. Separation from primary care givers
    • AE. Sexual functioning concerns
    • AF. Sleeping habits
    • AG. Spiritual/existential concerns
    • AH. Stress management
    • AI. Substance use/addiction issues
    • AJ. Suicidal thoughts/behaviors
    • AK. Terminal illness issues
    • AL. Visual/auditory hallucinations
    • AM. Worry and anxiety
    • AN. Adoption issues
    • AO. Blended family issues
    • AP. Child abuse-related concerns
    • AQ. Child development issues
    • AR. Dating/relationship problems
    • AS. Divorce
    • AT. Family abuse/violence (e.g., physical, sexual, emotional)
    • AU. Interpersonal partner violence concerns
    • AV. Marital/partner communication problems
    • AW. Parenting/co-parenting conflicts
    • AX. Emotional dysregulation
  • 4. Treatment Planning — This section encompasses counselors’ knowledge, skills, and abilities to develop an effective course of treatment. (9% of items; 14 scored items) (9%)
    • A. Collaborate with client to establish treatment goals and objectives
    • B. Establish short- and long-term counseling goals consistent with clients’ diagnoses
    • C. Identify barriers affecting client goal attainment
    • D. Identify strengths that improve the likelihood of goal attainment
    • E. Refer to different levels of treatment (e.g., outpatient, inpatient, residential, etc.)
    • F. Refer to others for concurrent treatment
    • G. Guide treatment planning
    • H. Discuss termination process and issues
    • I. Discuss transitions in group membership
    • J. Follow-up after discharge
    • K. Use assessment instrument results to facilitate client decision making
    • L. Review and revise the treatment plan
    • M. Engage clients in review of progress toward treatment goals
    • N. Collaborate with other providers and client support systems (documentation and report writing)
    • O. Discuss with clients the integration and maintenance of therapeutic progress
    • P. Educate client to the value of treatment plan compliance
  • 5. Counseling Skills and Interventions — This section encompasses counselors’ knowledge, skills, and abilities to conduct effective counseling. (30% of items; 48 scored items) (30%)
    • A. Align intervention with client’s developmental level
    • B. Align intervention with counseling modality (individual, couple, family, or group)
    • C. Align intervention with client population (e.g., veterans, minorities, disenfranchised, disabled)
    • D. Implement individual counseling in relation to a plan of treatment
    • E. Establish therapeutic alliance
    • F. Apply theory-based counseling intervention(s)
    • G. Address addiction issues
    • H. Address cultural considerations
    • I. Address family composition and cultural considerations
    • J. Evaluate and explain systemic patterns of interaction
    • K. Explore family member interaction
    • L. Explore religious and spiritual values
    • M. Guide clients in the development of skills or strategies for dealing with their problems
    • N. Help clients develop support systems
    • O. Help facilitate clients’ motivation to make the changes they desire
    • P. Improve interactional patterns
    • Q. Provide crisis intervention
    • R. Educate client about transference and defense mechanisms
    • S. Facilitate trust and safety
    • T. Build communication skills
    • U. Develop conflict resolution strategies
    • V. Develop safety plans
    • W. Facilitate systemic change
    • X. Provide distance counseling or telemental health
    • Y. Provide education resources (e.g., stress management, assertiveness training, divorce adjustment)
    • Z. Provide psychoeducation for client
    • AA. Summarize
    • AB. Reframe/redirect
    • AC. Facilitate empathic responses
    • AD. Use self-disclosure
    • AE. Use constructive confrontation
    • AF. Facilitate awareness of here-and-now interactions
    • AG. Facilitate resolution of interpersonal conflict
    • AH. Use linking and blocking in a group context
    • AI. Management of leader–member dynamics
    • AJ. Model giving and receiving of feedback
    • AK. Address impact of extended families
    • AL. Contain and manage intense feelings
    • AM. Explore the influence of family of origin patterns and themes
    • AN. Address the impact of social support network
    • AO. Use “structured” activities
    • AP. Promote and encourage interactions among group members
    • AQ. Promote and encourage interactions with the group leader
    • AR. Use psychoeducation as a part of the group process
    • AS. Explain phases in the group process
    • AT. Identify and discuss group themes and patterns
    • AU. Create intervention based on the stage of group development
    • AV. Challenge harmful group member behaviors
    • AW. Address the potential interaction of members outside of the group
  • 6. Core Counseling Attributes — This section encompasses behaviors, traits, and dispositions of effective counselors. (8% of items; 13 scored items) (8%)
    • A. Awareness of self and impact on clients
    • B. Genuineness
    • C. Congruence
    • D. Demonstrate knowledge of and sensitivity to gender orientation and gender issues
    • E. Demonstrate knowledge of and sensitivity to multicultural issues
    • F. Demonstrate conflict tolerance and resolution
    • G. Empathic attunement
    • H. Empathic responding
    • I. Foster the emergence of group therapeutic factors
    • J. Non-judgmental stance
    • K. Positive regard
    • L. Respect and acceptance for diversity
    • M. Use foundational listening, attending, and reflecting skills
Examination sources

National Clinical Mental Health Counseling Examination

Provider
National Board for Certified Counselors (NBCC); administered through the Center for Credentialing & Education (CCE) and delivered by Pearson VUE at test centers or online through OnVUE
Format
11 clinical case studies, each with one narrative in three sections (initial intake summary and two counseling sessions) followed by 9–15 four-option, single-answer multiple-choice questions; one case study is unscored
Exam questions
130–150 multiple-choice items, of which 100 are scored
Time limit
225 minutes to complete the examination within a 255-minute test session (one scheduled 15-minute break after the fifth case study)
Passing score
Cut score set through standard setting and applied to other forms through statistical equating; the total score is the number of correctly answered scored items
Examination outline
  • 1. Professional Practice and Ethics — This section encompasses counselors’ knowledge, skills, and abilities related to maintaining proper administrative and clinical protocols. (15% of scored items) (15%)
    • A. Assess your (the counselor) competency to work with a specific client
    • B. Understand statistical concepts and methods in research
    • C. Practice legal and ethical counseling
    • D. Clarify counselor/client roles
    • E. Discuss client’s rights and responsibilities
    • F. Discuss limits of confidentiality
    • G. Explain counselor/agency policies
    • H. Review payment, fees, and insurance benefits
    • I. Explain counseling processes, procedures, risks, and benefits
    • J. Explain uses and limits of social media
    • K. Inform clients about the legal aspects of counseling
    • L. Obtain informed consent
    • M. Discuss confidentiality as it applies to electronic communication
    • N. Establish group rules, expectations, and termination criteria
    • O. Assess competency to provide informed consent
    • P. Monitor the therapeutic relationship and build trust as needed
    • Q. Review client records
    • R. Provide adequate accommodations for clients with disabilities
    • S. Provide information to third parties
    • T. Provide referral sources if counseling services are inadequate/inappropriate
    • U. Advocate for professional and client issues
    • V. Supervision
    • W. Create and maintain documentation appropriate for each aspect of the counseling process
    • X. Awareness and practice of self-care
  • 2. Intake, Assessment, and Diagnosis — This section encompasses counselors’ knowledge, skills, and abilities to effectively conduct client intake, assessment, and diagnosis. (25% of scored items) (25%)
    • A. Conduct a biopsychosocial interview
    • B. Conduct a diagnostic interview
    • C. Conduct cultural formulation interview
    • D. Conduct an initial interview
    • E. Determine diagnosis
    • F. Perform a Mental Status Exam (MSE)
    • G. Consider co-occurring diagnoses
    • H. Determine level of care needed
    • I. Determine the appropriate modality of treatment
    • J. Assess the presenting problem and level of distress
    • K. Evaluate an individual’s level of mental health functioning
    • L. Screen clients for appropriate services
    • M. Select, use, and interpret appropriate assessment instruments
    • N. Use formal and informal observations
    • O. Assess for trauma
    • P. Assess substance use
    • Q. Obtain client self-reports
    • R. Evaluate interactional dynamics
    • S. Conduct ongoing assessment for at-risk behaviors (i.e., suicide, homicide, self/other-injury, and relationship violence)
    • T. Use pre-test and post-test measures to assess outcomes
    • U. Evaluate counseling effectiveness
  • 4. Treatment Planning — This section encompasses counselors’ knowledge, skills, and abilities to develop an effective course of treatment. (15% of scored items) (15%)
    • A. Collaborate with client to establish treatment goals and objectives
    • B. Establish short- and long-term counseling goals consistent with client’s diagnosis
    • C. Identify barriers affecting client goal attainment
    • D. Identify strengths that improve the likelihood of goal attainment
    • E. Refer to different levels of treatment (e.g., outpatient, inpatient, residential)
    • F. Refer to others for concurrent treatment
    • G. Guide treatment planning
    • H. Discuss termination process and issues
    • I. Discuss transitions in group membership
    • J. Follow up after discharge
    • K. Use assessment instrument results to facilitate client decision-making
    • L. Review and revise the treatment plan
    • M. Engage clients in review of progress toward treatment goals
    • N. Collaborate with other providers and client support systems (documentation and report writing)
    • O. Discuss with clients the integration and maintenance of therapeutic progress
    • P. Educate client to the value of treatment plan compliance
  • 5. Counseling Skills and Interventions — This section encompasses counselors’ knowledge, skills, and abilities to conduct effective counseling. (30% of scored items) (30%)
    • A. Align intervention with client’s developmental level
    • B. Align intervention with counseling modality (individual, couple, family, or group)
    • C. Align intervention with client population (e.g., veterans, minorities, disenfranchised, disabled)
    • D. Implement individual counseling in relation to a plan of treatment
    • E. Establish therapeutic alliance
    • F. Apply theory-based counseling intervention(s)
    • G. Address addiction issues
    • H. Address cultural considerations
    • I. Address family composition and cultural considerations
    • J. Evaluate and explain systemic patterns of interaction
    • K. Explore family member interaction
    • L. Explore religious and spiritual values
    • M. Guide clients in the development of skills or strategies for dealing with their problems
    • N. Help clients develop support systems
    • O. Help facilitate clients’ motivation to make the changes they desire
    • P. Improve interactional patterns
    • Q. Provide crisis intervention
    • R. Educate client about transference and defense mechanisms
    • S. Facilitate trust and safety
    • T. Build communication skills
    • U. Develop conflict resolution strategies
    • V. Develop safety plans
    • W. Facilitate systemic change
    • X. Provide distance counseling or telemental health
    • Y. Provide education resources (e.g., stress management, assertiveness training, divorce adjustment)
    • Z. Provide psychoeducation for client
    • AA. Summarize
    • AB. Reframe/redirect
    • AC. Facilitate empathic responses
    • AD. Use self-disclosure
    • AE. Use constructive confrontation
    • AF. Facilitate awareness of here-and-now interactions
    • AG. Facilitate resolution of interpersonal conflict
    • AH. Use linking and blocking in a group context
    • AI. Management of leader–member dynamics
    • AJ. Model giving and receiving of feedback
    • AK. Address impact of extended families
    • AL. Contain and manage intense feelings
    • AM. Explore the influence of family of origin patterns and themes
    • AN. Address the impact of social support network
    • AO. Use “structured” activities
    • AP. Promote and encourage interactions among group members
    • AQ. Promote and encourage interactions with the group leader
    • AR. Use psychoeducation as a part of the group process
    • AS. Explain phases in the group process
    • AT. Identify and discuss group themes and patterns
    • AU. Create intervention based on the stage of group development
    • AV. Challenge harmful group member behaviors
    • AW. Address the potential interaction of members outside of the group
  • 6. Core Counseling Attributes — This section encompasses behaviors, traits, and dispositions of effective counselors. (15% of scored items) (15%)
    • A. Awareness of self and impact on clients
    • B. Genuineness
    • C. Congruence
    • D. Demonstrate knowledge of and sensitivity to gender orientation and gender issues
    • E. Demonstrate knowledge of and sensitivity to multicultural issues
    • F. Demonstrate conflict tolerance and resolution
    • G. Empathic attunement
    • H. Empathic responding
    • I. Foster the emergence of group therapeutic factors
    • J. Non-judgmental stance
    • K. Positive regard
    • L. Respect and acceptance for diversity
    • M. Use foundational listening, attending, and reflecting skills
Examination sources