Texas Counselor Evaluation & Diagnosis Flashcards
7 cards from real TCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Texas Counselor Evaluation & Diagnosis flashcards as text
A counselor suspects a client meets criteria for Major Depressive Disorder. Which DSM-5 requirement must be satisfied regarding symptom duration?
Answer: Symptoms present for at least 2 weeks
DSM-5 requires that depressive symptoms persist for a minimum of two weeks for a Major Depressive Episode diagnosis.
When using the Beck Depression Inventory-II (BDI-II) with a Texas client, a score of 29 indicates which severity level?
Answer: Severe depression
A BDI-II score of 29–63 falls in the severe depression range.
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?
Answer: Speech and language
Pressure of speech is recorded under the speech and language domain of the mental status exam.
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:
Answer: Is experiencing imminent danger due to mental illness
Texas law requires documentation of imminent danger resulting from a mental illness as the legal basis for emergency detention.
Which assessment tool is specifically designed to screen for alcohol use disorder severity and is frequently used in Texas community mental health settings?
Answer: AUDIT
The Alcohol Use Disorders Identification Test (AUDIT) is the WHO-recommended tool for screening alcohol use disorder severity.
A client presents with persistent feelings of unreality and detachment from surroundings lasting several weeks. The counselor should consider a differential diagnosis of:
Answer: Depersonalization/Derealization Disorder
Persistent derealization (detachment from surroundings) is a hallmark feature of Depersonalization/Derealization Disorder.
In the DSM-5 multiaxial framework's replacement, clinicians are encouraged to document medical conditions alongside psychiatric diagnoses because:
Answer: Medical conditions can directly influence mental health presentation and treatment
Recording medical conditions in DSM-5 reflects the biopsychosocial model, acknowledging that physical health directly impacts mental health symptoms and treatment planning.