CBT Study Guide 2026

Everything you need to pass the CBT exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 CBT Exam Format at a Glance

150
Questions
180 min
Time Limit
70.00%
Passing Score

📚 CBT Topics to Study (71)

✍️ Sample CBT Questions & Answers

1. According to Beck's model, 'intermediate beliefs' sit between automatic thoughts and core beliefs and typically take which form?
✓ Rules, attitudes, and assumptions: 'If I work hard, I am worthwhile'

Intermediate beliefs are conditional rules, attitudes, and assumptions (e.g., 'If…then…' statements) that mediate between core beliefs and automatic thoughts.

2. Which V-code (or Z-code in DSM-5) should be recorded when relational conflict between spouses is a primary focus of clinical attention?
✓ Z63.0 – Relationship distress with spouse or intimate partner

Z63.0 captures clinically significant relational distress with a partner that is a primary focus of treatment or affects diagnosis and treatment.

3. In behavioral activation, what does the term 'avoidance' primarily refer to?
✓ Behaviors that provide short-term relief but maintain depression long-term

Avoidance in BA refers to behaviors that temporarily reduce distress but reinforce depressive cycles by preventing engagement with rewarding activities.

4. In CBT for Panic Disorder, interoceptive exposure involves:
✓ Deliberately inducing feared bodily sensations in a safe setting

Interoceptive exposure deliberately induces feared physical sensations (e.g., dizziness, racing heart) to reduce fear of those sensations.

5. A client with Specific Phobia of blood-injection-injury (BII) type requires a modified exposure protocol because:
✓ These clients typically have a diphasic response (initial rise then drop in blood pressure/heart rate) requiring applied tension

BII phobias involve a unique vasovagal fainting response, so applied tension technique is added to exposure to prevent syncope.

6. Which of the following is an example of the cognitive distortion known as 'personalization'?
✓ Believing you are responsible for an external event outside your control

Personalization involves incorrectly attributing external events to oneself, taking unwarranted personal responsibility or blame.

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Your CBT Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation
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