Learn About The New NCMHCE Exam Coming in 2022

The NCMHCE Exam Is Changing.
AATBS Has You Covered.

Purchase a Live Instruction or Self-Study Exam Prep Package today, and if you haven't passed before the exam changes in early 2022, we will provide you with the updated study materials you'll need to succeed for free.
That's our commitment to you.

About the 2022 NCMHCE Exam

The NCMHCE Exam Is Changing.
AATBS Has You Covered.

Purchase a Live Instruction or Self-Study Exam Prep Package today, and if you haven't passed before the exam changes in early 2022, we will provide you with the updated study materials you'll need to succeed for free.
That's our commitment to you.

Learn About The New NCMHCE Exam Coming in 2022

The NCMHCE Exam Is Changing.
AATBS Has You Covered.

Purchase a Live Instruction or Self-Study Exam Prep Package today, and if you haven't passed before the exam changes in early 2022, we will provide you with the updated study materials you'll need to succeed for free.
That's our commitment to you.


The NCMHCE will transition to a new Content Outline and Exam Format sometime in early 2022.

The National Board for Certified Counselors (NBCC) and the Center for Credentialing & Education (CCE) has published a new Content Outline and format for the National Clinical Mental Health Counseling Examination (NCMHCE) that will take effect next year. Learn more about how these changes will affect the exam below.


Format for the New Exam:

The new format will be a longer exam, 12 to 14 case studies (exact number is TBD). Each case study is a clinical narrative (representing commonly encountered presenting concerns) and 10 multiple-choice questions with 4 options and only 1 correct answer, which differs from the current version. Candidates will be given the client's diagnosis at the start of each case. The new format is designed to focus less on diagnosis and assessment and more on ongoing clinical skills and proficiency in competent clinical decision-making.

The majority of these questions will measure application and other higher cognitive levels of knowledge to avoid rote memorization-based responding (like in the NCE) and determine that candidates demonstrate the critical thinking and decision-making skills needed as a competent minimally qualified counselor. For candidates with high test anxiety, it may be easier to do well on the new format of the exam, as the scores later in the case study are not impacted by under selecting earlier in the case, as the current NCMHCE exam presents.


Domains for the New Exam:

The NCMHCE measures the ability to apply knowledge of theoretical and skill-based tenets through response to clinical case simulations. These simulations are designed to capture an examinee’s ability to identify, analyze, diagnose, and develop plans for the treatment of clinical concerns. There will be no Areas of Clinical Focus questions because this information will be provided to candidates in the case studies. The new domains are listed below.


Domain Preview


Domain Percent
1. Professional Practice and Ethics 10-20
2. Intake, Assessment, and Diagnosis 20-30
3. Areas of Clinical Focus 0
4. Treatment Planning 10-20
5. Counseling Skills and Interventions 25-35
6. Core Counseling Attributes 10-20

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Everything you need to pass the NCMHCE exam with confidence is included in our comprehensive and interactive Live Instruction Package. Get our most essential live online workshops and 6 months of access to our CasePro practice exams and vignettes, one-on-one coaching, anxiety-reducing hypnosis lectures, study volumes, online flashcards, and chart bundle, all with our Pass Guarantee.

Self-Study Exam Prep Package (6 months)

Get 6 months of access to all the essential components you need to pass the NCMHCE exam with confidence. Packed with powerful tools that allow you to create and follow your own study plan including our CasePro practice exams and vignettes, our anxiety reducing hypnosis lectures, study volumes, online flashcards and chart bundle, all with our Pass Guarantee.

Live Online Exam Prep Package (6 months)

Everything you need to pass the NCMHCE exam with confidence is included in our comprehensive and interactive Live Instruction Package. Get our most essential live online workshops and 6 months of access to our CasePro practice exams and vignettes, one-on-one coaching, anxiety-reducing hypnosis lectures, study volumes, online flashcards, and chart bundle, all with our Pass Guarantee.


Self-Study Exam Prep Package (6 months)

Get 6 months of access to all the essential components you need to pass the NCMHCE exam with confidence. Packed with powerful tools that allow you to create and follow your own study plan including our CasePro practice exams and vignettes, our anxiety reducing hypnosis lectures, study volumes, online flashcards and chart bundle, all with our Pass Guarantee.


We know this can be a stressful and uncertain time so we've made it easy to succeed no matter what the future brings and we'll be there every step of the way.


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