Virginia Professional Counselor — Requirements & Free Practice
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Licensed Professional Counselor
Independent professional counseling license. Inactive status and restrictions are forms of this license; maintenance and reinstatement pathways are recorded separately.
Licensing authority: Virginia Board of Counseling · Application information
Annual active license renewal
- Annual ce
- Complete 20 continuing competency hours per annual LPC renewal, including two hours in ethics, standards of practice, or Virginia behavioral-science laws.
- Attestation
- Attest to applicable continuing competency.
- Ce exceptions
- The Board may grant a good-cause extension or an exemption for circumstances beyond the licensee's control.
- Deadline
- Submit renewal form and fee by June 30 annually.
- Dual license
- A person dually licensed by this Board need not complete separate continuing competency for each license; satisfy one applicable requirement.
- First renewal
- An LPC licensed by examination is exempt from continuing competency for the first renewal after initial licensure.
- Volunteer credit
- Up to two annual CE hours may be earned through uncompensated qualifying services to low-income clients at three service hours per CE hour.
Official no-examination sources
Effective from 2026-09-22.
- current-counseling-rules
18VAC115-20-100(A)
- current-counseling-rules
18VAC115-20-105
Reapplication after denial of reinstatement
- Application fee
- Submit a new application, required verifications and disclosures, and $600 fee.
- Board discretion
- Reinstatement is subject to an administrative proceeding and the Board's discretionary decision.
- Petition
- Show good cause or substantial new evidence when required.
- Prior action
- Reinstatement was denied by Board order; meet its terms.
Official no-examination sources
Effective from 2026-09-22.
- current-counseling-rules
18VAC115-20-150
- current-counseling-rules
18VAC115-20-140(B)
- discipline-reinstatement
Page 1, application scope
Reinstatement after denial of renewal
- Application fee
- Submit a new application, required verifications and disclosures, and $600 fee.
- Board discretion
- Reinstatement is subject to an administrative proceeding and the Board's discretionary decision.
- Petition
- Show good cause or substantial new evidence when required.
- Prior action
- The Board denied LPC renewal; satisfy its order.
Official no-examination sources
Effective from 2026-09-22.
- current-counseling-rules
18VAC115-20-150
- current-counseling-rules
18VAC115-20-140(B)
- discipline-reinstatement
Page 1, application scope
Licensure by endorsement
At least one of the following alternatives:
- Application
- Submit the Board application and nonrefundable fee.
- Disciplinary history
- No unresolved disciplinary action; the Board considers past disciplinary history case by case.
- Disclosures
- Provide explanations and supporting documents for affirmative criminal-conviction, past-action, or impairment answers.
- Graduate degree
- Provide an official transcript documenting completion of a graduate degree program.
- Identity
- Provide a Social Security number or Virginia DMV control number, and proof of legal name changes when applicable.
- License verifications
- Provide verification of other health or mental health credentials ever held as required by the applicable application.
- Npdb
- Submit a current NPDB self-query report; application instructions require a digitally certified report generated no more than 30 days before applying.
- Other state exam
- If the original license used a state-constructed examination, have that licensing state send the score directly to Virginia. An examination belonging to another state is an applicant condition.
- Prior exam
- Provide a passing score on the counseling licensure examination required where the license was obtained.
- Prior license
- Hold or have held a professional counselor license in another United States jurisdiction permitting independent assessment, diagnosis, and treatment of behavioral health conditions.
- Score transfer
- If the original jurisdiction required NCMHCE or NCE, have NBCC send that passing score directly to Virginia. Prior passage of these currently offered examinations remains a leaf; a new sitting is not necessarily required.
- Source license wording
- The Board page and July 2026 instructions specify an unrestricted prior license; 18VAC115-20-45 describes the required independent-practice authority.
Licensure by examination
At least one of the following alternatives:
- Application
- Submit the Board application and nonrefundable fee.
- Approved supervision
- Hours must be concurrent with approved supervision; qualifying hours approved by another United States licensing board are accepted.
- Client contact
- Complete at least 2,000 hours of face-to-face clinical counseling client contact.
- Core coursework
- Complete at least three semester or four quarter hours in each of the twelve listed core areas: professional identity and ethics; counseling theories; counseling techniques; human development; group counseling; career counseling; appraisal and diagnosis; psychopathology; multicultural counseling; research; addictive disorders; marriage and family systems theory.
- Disciplinary history
- No unresolved disciplinary action; the Board considers past disciplinary history case by case.
- Disclosures
- Provide explanations and supporting documents for affirmative criminal-conviction, past-action, or impairment answers.
- Exam timing
- The examination may be taken during residency without Board preapproval; continue supervision until the examination is passed and LPC licensure is granted.
- Foreign degree
- For programs outside the United States or Canada, provide an acceptable credential evaluation permitting Board review of program equivalence.
- Graduate credits
- Complete 60 semester hours or 90 quarter hours of graduate study under 18VAC115-20-51.
- Graduate degree
- Complete a graduate counseling degree from a regionally accredited college or university meeting 18VAC115-20-49; CACREP or CORE programs satisfy its program criteria.
- Identity
- Provide a Social Security number or Virginia DMV control number, and proof of legal name changes when applicable.
- Internship
- Complete a supervised internship of at least 600 hours including 240 hours of face-to-face client contact.
- License verifications
- Provide verification of other health or mental health credentials ever held as required by the applicable application.
- Military training
- Under § 54.1-118(A), substantially equivalent military training, education, or experience of an honorably discharged servicemember must be credited; document equivalency as required.
- Npdb
- Submit a current NPDB self-query report; application instructions require a digitally certified report generated no more than 30 days before applying.
- Older coursework
- The Board may accept counseling graduate hours completed before April 12, 2000 under the regulations applicable when they were completed.
- Passing score
- Pass NCMHCE or NCE before applying for LPC licensure; have NBCC send official scores directly to the Board.
- Qualified supervisor
- Use an active unrestricted LPC or LMFT supervisor with two years post-licensure clinical experience and required supervision training; at least 100 supervision hours must be from an LPC.
- Recent residency
- Complete at least 1,000 client-contact hours and 100 supervision hours in the two years immediately before applying.
- Residency
- Complete a supervised counseling residency of at least 21 months.
- Residency documentation
- Submit verification of supervision and quarterly evaluations with satisfactory competency evaluations; verify supervisor licensure for out-of-jurisdiction residency.
- Supervision
- Complete at least 200 hours of in-person supervision at one to four supervision hours per 40 work hours; secure real-time visual technology is permitted, and no more than half may be group supervision.
- Supervision special requests
- The Board may consider special requests for geography or disability creating an undue burden in access to qualified supervision.
- Tricare
- NCMHCE, rather than NCE alone, is needed for TRICARE reimbursement according to the Board; licensure accepts either examination.
Annual inactive license renewal
- Fee
- Pay the inactive annual fee.
- Inactive license
- Maintain an inactive LPC license.
- Practice prohibition
- Do not practice while inactive.
Official no-examination sources
Effective from 2026-09-22.
- current-counseling-rules
18VAC115-20-100(B)
- current-counseling-rules
18VAC115-20-20(A), inactive LPC fee
Placement in inactive status
- Fee
- Pay the inactive renewal fee.
- Practice prohibition
- No practice without a current active license.
- Prior license
- Hold an LPC license and request inactive status.
Reinstatement after lapse of one year or more
- Application fee
- Submit reinstatement application and fee.
- Continued ability
- The Board may require evidence of continued ability to perform licensed functions.
- Continued competency
- Provide all applicable CE, capped at 80 hours.
- Lapse
- The license was not renewed for one year or more.
- License verification
- Verify any mental health license held or previously held elsewhere.
Late renewal within one year
- Continued competency
- Provide evidence of all applicable CE.
- Fees
- Pay the late fee and missed renewal fee.
- Lapse
- The license expired no more than one year ago.
- Practice prohibition
- Do not practice under an expired license.
Expedited endorsement for military spouses
At least one of the following alternatives:
- Application
- Submit the Board application and nonrefundable fee.
- Complete application
- Submit a complete application and documentation required for equivalency review.
- Disciplinary eligibility
- The applicant must not have engaged in conduct constituting grounds for disciplinary action.
- Disciplinary history
- No unresolved disciplinary action; the Board considers past disciplinary history case by case.
- Disclosures
- Provide explanations and supporting documents for affirmative criminal-conviction, past-action, or impairment answers.
- Expedited review
- Expedite the application; issue a temporary license if required review cannot be completed within 20 days.
- Graduate degree
- Provide an official transcript documenting completion of a graduate degree program.
- Identity
- Provide a Social Security number or Virginia DMV control number, and proof of legal name changes when applicable.
- License verifications
- Provide verification of other health or mental health credentials ever held as required by the applicable application.
- Military spouse
- Accompany a spouse on federal active-duty orders, or a veteran who left active duty within one year of application, to Virginia, an adjoining state, or the District of Columbia.
- Npdb
- Submit a current NPDB self-query report; application instructions require a digitally certified report generated no more than 30 days before applying.
- Other state exam
- If the original license used a state-constructed examination, have that licensing state send the score directly to Virginia. An examination belonging to another state is an applicant condition.
- Prior exam
- Provide a passing score on the counseling licensure examination required where the license was obtained.
- Prior license
- Hold the same or a similar professional license in another jurisdiction.
- Score transfer
- If the original jurisdiction required NCMHCE or NCE, have NBCC send that passing score directly to Virginia. Prior passage of these currently offered examinations remains a leaf; a new sitting is not necessarily required.
- Source license wording
- The Board page and July 2026 instructions specify an unrestricted prior license; 18VAC115-20-45 describes the required independent-practice authority.
- Substantial equivalency
- The Board determines equivalency of the other jurisdiction's requirements and may waive experience requirements supported by documentation.
Reactivation of an inactive license
- Continued ability
- The Board may require evidence of continued ability to practice.
- Continued competency
- Document CE for inactive years, capped at 80 hours.
- Fee
- Pay active renewal fee minus inactive fee already paid.
- Inactive license
- Hold an inactive LPC license.
- License verification
- Verify any current or former mental health license elsewhere.
Reinstatement after revocation
At least one of the following alternatives:
- Application fee
- Submit the application, required disclosures and license verifications, and $600 fee.
- Board vote
- An affirmative vote of three-fourths of members at the hearing is required.
- Competence
- Show by clear and convincing evidence that practice will be safe and competent; the Board investigates causes for denial.
- Exam discretion
- The Board may grant reinstatement without further examination; obey the individualized Board order.
- Original grant
- § 54.1-2408.2 uses the original licensure requirements; currently identified LPC exams are NCMHCE and NCE. An original state-constructed examination of another jurisdiction is a condition.
- Petition
- Show good cause or substantial new evidence under 18VAC115-20-140(B).
- Revocation
- The LPC license was revoked; generally wait at least three years before the Board considers reinstatement.
Reinstatement after suspension
- Application fee
- Submit a new application, required verifications and disclosures, and $600 fee.
- Board discretion
- Reinstatement is subject to an administrative proceeding and the Board's discretionary decision.
- Petition
- Show good cause or substantial new evidence when required.
- Prior action
- The LPC license was suspended; meet the Board order terms.
Official no-examination sources
Effective from 2026-09-22.
- current-counseling-rules
18VAC115-20-150
- current-counseling-rules
18VAC115-20-140(B)
- discipline-reinstatement
Page 1, application scope
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
- NBCC, The National Counselor Examination (NCE) Content Outline
p. 2, Job Analysis and Content Outline
- NBCC, The National Counselor Examination (NCE) Content Outline
p. 2, Table 1 lead-in
- NBCC, The National Counselor Examination (NCE) Content Outline
p. 10, Table 3 lead-in
- NBCC, Candidate Handbook for State Licensure: National Counselor Examination (NCE)
p. 7, CACREP domains
- NBCC, Candidate Handbook for State Licensure: National Counselor Examination (NCE)
p. 7, Examination Purpose, Content, and Form
- NBCC, Candidate Handbook for State Licensure: National Counselor Examination (NCE)
p. 20, Pass/Fail Score Determination
- NBCC, The National Counselor Examination (NCE) Content Outline
p. 2, Exam Form
- NBCC, Candidate Handbook for State Licensure: National Counselor Examination (NCE)
p. 9, Registering for the Examination — Registration Process
- NBCC, Candidate Handbook for State Licensure: National Counselor Examination (NCE)
p. 9, Test authorization
- NBCC, National Counselor Examination (NCE) Examination Specifications
p. 1, title block
- NBCC, About the National Counselor Examination (NCE) web page
Page tabs
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
- NBCC, The National Clinical Mental Health Counseling Examination (NCMHCE) Content Outline
p. 2, Job Analysis and Content Outline
- NBCC, The National Clinical Mental Health Counseling Examination (NCMHCE) Content Outline
p. 2, Table 1 lead-in
- NBCC, The National Clinical Mental Health Counseling Examination (NCMHCE) Content Outline
p. 2, Table 1 footnote 1
- NBCC, Candidate Handbook for State Licensure: National Clinical Mental Health Counseling Examination (NCMHCE)
p. 8, Examination Format
- NBCC, The National Clinical Mental Health Counseling Examination (NCMHCE) Content Outline
p. 9, Scoring and Equating
- NBCC, The National Clinical Mental Health Counseling Examination (NCMHCE) Content Outline
p. 9, Case Studies
- NBCC, Candidate Handbook for State Licensure: National Clinical Mental Health Counseling Examination (NCMHCE)
p. 9, Registering for the Examination — Registration Process
- NBCC, Candidate Handbook for State Licensure: National Clinical Mental Health Counseling Examination (NCMHCE)
p. 9, Test Authorization Window
- NBCC, National Clinical Mental Health Counseling Examination (NCMHCE) Examination Specifications
p. 1, title block
- NBCC, About the National Clinical Mental Health Counseling Examination (NCMHCE) web page
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