LPC Case Conceptualization and Treatment Planning 2

Question 1

The diathesis-stress model of psychopathology proposes that mental disorders develop when:

Accepted Answer

A biological or psychological vulnerability (diathesis) interacts with sufficient environmental stress

Answer

The diathesis-stress model proposes that disorders emerge from the interaction of a pre-existing vulnerability (diathesis) and environmental stressors — neither alone is typically sufficient.

Question 2

In psychodynamic case conceptualization, which concept refers to the process by which a client repeats past relational patterns in the therapeutic relationship?

Accepted Answer

Transference

Answer

Transference is the client's unconscious redirection of feelings, expectations, and relational patterns from past significant relationships onto the counselor.

Question 3

A counselor is conceptualizing a client with chronic depression and identifies that the client's tendency to avoid social interactions perpetuates their loneliness and low mood. This represents which component of a case conceptualization?

Accepted Answer

Perpetuating factor

Answer

Perpetuating factors are the maintaining mechanisms — such as avoidance — that keep the presenting problem active even after the original precipitating stressor has passed.

Question 4

Cultural formulation in the DSM-5 includes an assessment of the client's 'explanatory model,' which refers to:

Accepted Answer

The client's own understanding and cultural meaning-making of their illness, its causes, and expected treatment

Answer

The client's explanatory model (Kleinman) captures how the client understands their illness — its name, causes, course, consequences, and preferred treatments — within their own cultural framework.

Question 5

When a counselor writes progress notes using the SOAP format, the 'A' section documents:

Accepted Answer

The counselor's assessment of the client's progress toward treatment goals

Answer

In SOAP notes, A (Assessment) contains the counselor's clinical assessment — including progress toward goals, response to interventions, and risk assessment — based on the session's data.

LPC - Licensed Professional Counselor Practice Test

LPC - Licensed Professional Counselor Practice Test

LPC Case Conceptualization and Treatment Planning 2