Studying for the Texas Licensed Chemical Dependency Counselor (LCDC) licensing exam? This free printable PDF contains practice questions covering every domain tested by the Texas State Board of Examiners of Chemical Dependency Counselors (TSBECDC) — from screening and assessment through treatment planning, counseling theory, pharmacology, ethics, and Texas-specific regulations. Download once and study anywhere, including offline.
The LCDC is a Texas state credential that authorizes counselors to provide chemical dependency treatment services. The written exam aligns closely with IC&RC (International Certification and Reciprocity Consortium) domains, so this PDF is also useful if you are working toward IC&RC credentialing. Use it alongside our online practice tests for the most complete preparation.
The LCDC written exam spans eight major knowledge domains. Each domain carries its own weight on the exam, so understanding the depth required in each area is essential for efficient study.
Questions in this area test your ability to conduct biopsychosocial assessments, apply ASAM Level of Care criteria to determine appropriate treatment settings, identify co-occurring mental health disorders, and use validated screening tools such as the CAGE questionnaire and the AUDIT (Alcohol Use Disorders Identification Test). You must also apply DSM-5 criteria for substance use disorders, including understanding severity specifiers (mild, moderate, severe).
Exam questions focus on developing individualized care plans using SMART goals (Specific, Measurable, Achievable, Relevant, Time-bound) and selecting evidence-based treatment modalities — cognitive-behavioral therapy (CBT), motivational interviewing (MI), 12-step facilitation, and contingency management. You should understand how to match treatment intensity to client need using ASAM criteria.
The stages of change (transtheoretical) model is heavily tested. You need to know Prochaska and DiClemente's stages — precontemplation, contemplation, preparation, action, maintenance, and relapse — and how to apply stage-matched interventions. Motivational interviewing OARS skills (Open questions, Affirmations, Reflections, Summaries), cognitive-behavioral approaches to thought restructuring, relapse prevention planning, and group counseling dynamics (Yalom's therapeutic factors) are all fair game.
This domain covers community resource coordination, working with medical providers on co-occurring disorders, and navigating legal system involvement including drug courts and probation officer communication. Questions may also address release-of-information procedures and coordination with child protective services when clients are parents.
Federal confidentiality rules under 42 CFR Part 2 govern substance use disorder records and are stricter than standard HIPAA. The exam tests your understanding of what disclosures are permitted, written consent requirements, and the criminal penalties for unauthorized disclosure. SOAP note writing, treatment plan review timelines, and progress note standards are also covered.
Ethics questions focus on the Texas code of ethics for chemical dependency counselors, managing dual relationships and boundary violations, scope of practice limitations, mandatory reporting obligations (child abuse, elder abuse), and the proper procedure for filing ethics complaints. Texas-specific rules from TSBECDC — including supervision ratios, continuing education hour requirements, and provisional license conditions — appear regularly on the state exam.
You need to know the primary drugs of abuse — alcohol, opioids, stimulants (cocaine and methamphetamine), cannabis, benzodiazepines, and hallucinogens — including their effects, signs of intoxication, withdrawal timelines, and health risks. Medication-assisted treatment (MAT) is a major topic: buprenorphine (Suboxone), methadone, and naltrexone (Vivitrol) for opioid use disorder; naltrexone and acamprosate for alcohol use disorder.
Crisis questions address suicidal ideation assessment in the SUD population (Columbia Suicide Severity Rating Scale, safety planning), overdose recognition and naloxone response, and the Crisis Now model for community crisis response. Duty-to-warn situations under Tarasoff principles are also tested.
This PDF is built for focused offline review, but pairing it with interactive online questions accelerates learning. Our LCDC practice test delivers timed, multiple-choice questions with detailed answer explanations — so you understand not just the right answer but why the other choices are wrong. Use the PDF for initial topic review and the online tests to simulate real exam pressure before your licensing date.