TCC Texas Counselor Evaluation & Diagnosis 2

Question 1

A counselor suspects a client meets criteria for Major Depressive Disorder. Which DSM-5 requirement must be satisfied regarding symptom duration?

Accepted Answer

Symptoms present for at least 2 weeks

Answer

Symptoms present for at least 1 month

Answer

Symptoms present for at least 6 months

Answer

Symptoms present for at least 3 months

Question 2

When using the Beck Depression Inventory-II (BDI-II) with a Texas client, a score of 29 indicates which severity level?

Accepted Answer

Severe depression

Answer

Mild depression

Answer

Moderate depression

Answer

Minimal depression

Question 3

A counselor conducting a mental status examination notes that a client's speech is rapid, pressured, and difficult to interrupt. This observation is best documented under which domain?

Accepted Answer

Speech and language

Answer

Affect

Answer

Thought process

Answer

Orientation

Question 4

Under the Texas Health and Safety Code, a licensed counselor completing an Emergency Detention must document that the person is likely to cause serious harm to themselves or others AND:

Accepted Answer

Is experiencing imminent danger due to mental illness

Answer

Has a prior psychiatric hospitalization

Answer

Has refused voluntary admission

Answer

Has no responsible family member available

Question 5

Which assessment tool is specifically designed to screen for alcohol use disorder severity and is frequently used in Texas community mental health settings?

Accepted Answer

AUDIT

Answer

PHQ-9

Answer

GAD-7

Answer

PCL-5

Question 6

A client presents with persistent feelings of unreality and detachment from surroundings lasting several weeks. The counselor should consider a differential diagnosis of:

Accepted Answer

Depersonalization/Derealization Disorder

Answer

Schizophrenia spectrum disorder

Answer

Dissociative Amnesia

Answer

Adjustment Disorder

Question 7

In the DSM-5 multiaxial framework's replacement, clinicians are encouraged to document medical conditions alongside psychiatric diagnoses because:

Accepted Answer

Medical conditions can directly influence mental health presentation and treatment

Answer

It satisfies Texas Medicaid billing requirements only

Answer

It replaces the need for a physician referral

Answer

Texas law mandates separate Axis III documentation