Career upgrade: Learn practical AI skills for better jobs and higher pay.
Level up
All Practice Exams

100+ Free ABPP Clinical Psychology Practice Questions

Pass your ABPP Clinical Psychology Specialty Examination exam on the first try — instant access, no signup required.

✓ No registration✓ No credit card✓ No hidden fees✓ Start practicing immediately
Pass rates vary by year; ABPP publishes summaries Pass Rate
100+ Questions
100% Free
1 / 100
Question 1
Score: 0/0

Which is the most appropriate response when working with a non-suicidal self-injury (NSSI)?

A
B
C
D
to track
2026 Statistics

Key Facts: ABPP Clinical Psychology Exam

100

FREE Practice MCQs

Knowledge prep for ABPP Clinical Psychology oral exam content

3-Component

Certification Process

Credentials + practice samples + oral examination

2017

APA Ethics Code (Current)

American Psychological Association Ethical Principles

2017

Multicultural Guidelines (Current)

APA Multicultural Guidelines

2022

DSM-5-TR (Current)

American Psychiatric Association — Prolonged Grief Disorder added

EBPP

APA 2006 Framework

Evidence-Based Practice in Psychology (research + expertise + patient factors)

ABPP Clinical Psychology certification evaluates competence through credentials review, written practice samples, and an oral examination — not a single MCQ written exam. Knowledge content assessed during the oral examination includes evidence-based assessment (~25%), evidence-based interventions (~30%), professional issues (~15%), ethics (~15%), multicultural competence (~10%), and research methods (~5%). Prerequisites include a doctoral degree in psychology, state licensure, and clinical psychology practice experience. These 100 practice MCQs help candidates prepare the knowledge base assessed during the oral exam.

Sample ABPP Clinical Psychology Practice Questions

Try these sample questions to test your ABPP Clinical Psychology exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1DSM-5-TR (2022) added which diagnosis as a formal disorder in the trauma- and stressor-related disorders chapter?
A.Persistent Depressive Disorder
B.Prolonged Grief Disorder
C.Acute Stress Disorder
D.Adjustment Disorder
Explanation: DSM-5-TR (2022) formally added Prolonged Grief Disorder to the trauma- and stressor-related disorders chapter, with criteria including persistent intense grief responses, duration at least 12 months for adults (6 months for children/adolescents), and functional impairment beyond cultural norms.
2Which intervention is the most evidence-based first-line treatment for borderline personality disorder?
A.Cognitive Behavioral Therapy alone
B.Dialectical Behavior Therapy (DBT)
C.Psychoanalysis
D.Pharmacotherapy alone
Explanation: DBT, developed by Marsha Linehan, has the strongest evidence base for BPD treatment, reducing self-harm, suicide attempts, and treatment dropout. It combines mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills modules with individual therapy and skills group.
3Per APA Ethics Code (2017), which standard most directly addresses informed consent?
A.Standard 2.01
B.Standard 3.10
C.Standard 9.01
D.Standard 10.01
Explanation: APA Ethics Standard 3.10 (Informed Consent) is the foundational standard requiring informed consent for therapy, assessment, and research. Specific consent standards exist for therapy (10.01) and assessment (9.03), but 3.10 is the foundational standard.
4Which therapy is the most evidence-based first-line psychological treatment for PTSD?
A.Psychodynamic therapy
B.Trauma-focused cognitive behavioral therapies (e.g., Prolonged Exposure, Cognitive Processing Therapy) or EMDR
C.Supportive counseling
D.Group reminiscence therapy
Explanation: Per APA, VA/DoD, and ISTSS clinical practice guidelines, trauma-focused CBT (Prolonged Exposure, Cognitive Processing Therapy) and EMDR are first-line psychological treatments for PTSD. SSRIs/SNRIs are pharmacologic first-line (sertraline, paroxetine, venlafaxine).
5Which APA document published in 2017 provides foundational guidance on culturally responsive practice?
A.APA Multicultural Guidelines: An Ecological Approach to Context, Identity, and Intersectionality (2017)
B.APA Specialty Guidelines for Forensic Psychology (2013)
C.APA Record Keeping Guidelines
D.APA Telepsychology Guidelines
Explanation: The APA Multicultural Guidelines (2017) — An Ecological Approach to Context, Identity, and Intersectionality — provide foundational guidance on culturally responsive practice using an ecological framework. They updated the 2003 Multicultural Guidelines.
6Which is the most appropriate first step when receiving a subpoena for client records?
A.Immediately release records to comply
B.Consider whether the subpoena is valid, whether client authorization or court order is needed, consult legal counsel as needed, and follow APA Standards 4.05 and applicable jurisdictional law
C.Destroy records to protect confidentiality
D.Notify the press
Explanation: Subpoenas are requests; release of records typically requires client authorization or a court order. APA Standard 4.05 (Disclosures) and HIPAA require considering validity, authorization, motion to quash options, and legal consultation. The psychologist should not release records without proper authorization.
7Which is the most evidence-based first-line psychological treatment for OCD?
A.Supportive psychotherapy
B.Exposure and Response Prevention (ERP), a form of CBT
C.Pure cognitive therapy
D.Psychoanalysis
Explanation: Exposure and Response Prevention (ERP) is the gold-standard psychological treatment for OCD, with hierarchical exposure to obsessional triggers paired with prevention of compulsive responses. SSRIs at higher-than-depression doses are pharmacologic first-line.
8Per Tarasoff v. Regents (1976), when a patient communicates a serious threat of violence to an identifiable victim, the therapist has a duty to:
A.Maintain absolute confidentiality
B.Take reasonable steps to protect the identifiable victim (which may include warning, notifying police, hospitalization, or treatment intensification)
C.Discharge the patient
D.Only consult with colleagues
Explanation: Tarasoff (1976) and its progeny established the duty to take reasonable steps to protect identifiable victims from serious, imminent threats. Specific obligations vary by jurisdiction (some states have 'duty to warn' statutes, others 'duty to protect').
9Which is the most appropriate use of the MMPI-3?
A.Diagnose intellectual disability
B.Assess personality and psychopathology in adults with validity scales (F-r, Fp-r, FBS-r, L-r, K-r) and restructured clinical scales, integrated with other clinical information
C.Measure adaptive behavior
D.Assess infant development
Explanation: MMPI-3 (2020) is a 335-item self-report personality and psychopathology measure for ages 18+. Includes validity scales (F-r, Fp-r, FBS-r, RBS, L-r, K-r), restructured clinical scales, higher-order scales, and specific problem scales. Should be integrated with clinical interview and other data.
10Which is the most appropriate framework for evidence-based practice in psychology (EBPP)?
A.Strict adherence to randomized controlled trial outcomes regardless of patient factors
B.Integration of best available research with clinical expertise in the context of patient characteristics, culture, and preferences (per APA EBPP Task Force 2006)
C.Clinical intuition alone
D.Treatment-as-usual without consideration of research
Explanation: APA's 2006 Policy Statement on Evidence-Based Practice in Psychology (EBPP) defines EBPP as the integration of the best available research, clinical expertise, and patient characteristics/culture/preferences. EBPP balances all three sources of evidence and avoids rigid one-size-fits-all approaches.

About the ABPP Clinical Psychology Exam

The ABPP Clinical Psychology Specialty Examination evaluates competence through three principal components: credentials review, practice samples (written case summaries demonstrating evidence-based assessment, intervention, ethics, and diversity competence), and an oral examination structured around practice samples and applied clinical content. Unlike some ABPP specialties, the Clinical Psychology process does not include a single multiple-choice written exam; competence is evaluated through credentials, written practice samples, and oral examination. These 100 practice questions help candidates prepare the knowledge base assessed during the oral examination, covering DSM-5-TR diagnosis, evidence-based assessment and intervention, APA Ethics Code (2017), multicultural and diversity competence, supervision and consultation, and professional issues including telepsychology, jurisdictional licensure (PSYPACT), and research methods.

Questions

100 scored questions

Time Limit

Oral examination ~3 hours; practice samples submitted separately

Passing Score

Pass/fail by ABPP examiners on credentials review, practice samples, and oral examination

Exam Fee

ABPP application + practice samples + oral exam fees (verify current pricing) (American Board of Professional Psychology (ABPP) — Clinical Psychology Specialty Board)

ABPP Clinical Psychology Exam Content Outline

~25%

Evidence-Based Assessment

DSM-5-TR (2022) including Prolonged Grief Disorder addition. Comprehensive clinical interview (HPI, psychiatric/medical/family/social/developmental history, MSE, safety). Structured/semi-structured interviews — SCID-5, MINI, ADIS-5. Personality assessment — MMPI-3 (2020) with F-r, Fp-r, FBS-r, RBS, L-r, K-r validity scales; PAI with ICN/INF/NIM/PIM. Brief outcome measures for measurement-based care — PHQ-9 (depression), GAD-7 (anxiety), PCL-5 (PTSD), OQ-45, Outcome Rating Scale/Session Rating Scale (feedback-informed treatment). WHODAS 2.0 functional impairment (replacing retired GAF). Suicide risk — C-SSRS (Columbia Suicide Severity Rating Scale), Columbia Protocol. CAPS-5 gold-standard PTSD interview. Case formulation (4Ps — predisposing, precipitating, perpetuating, protective + presenting). DSM-5-TR Cultural Formulation Interview. Psychometrics — reliability (test-retest, internal consistency, inter-rater), validity (construct, criterion, content), base rates.

~30%

Evidence-Based Interventions

Cognitive Behavioral Therapy (Beck cognitive distortions, behavioral activation, exposure). Dialectical Behavior Therapy (Linehan) — mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness; first-line for BPD. Acceptance and Commitment Therapy (Hayes, Strosahl, Wilson) — psychological flexibility through 6 core processes. Interpersonal Psychotherapy (Klerman, Weissman) — grief, role transitions, interpersonal disputes, interpersonal deficits. Exposure and Response Prevention for OCD. Prolonged Exposure, Cognitive Processing Therapy, EMDR for PTSD (APA/VA-DoD first-line). CBT-I first-line for chronic insomnia (AASM, APA). CBT-Enhanced (Fairburn) for bulimia/binge-eating; Maudsley Family-Based Treatment for adolescent anorexia. Coordinated Specialty Care for first-episode psychosis (NIMH RAISE). Motivational Interviewing (Miller & Rollnick — OARS, change talk). Emotionally Focused Therapy/Integrative Behavioral Couple Therapy/Gottman Method for couples. Parent-Child Interaction Therapy (PCIT) for early childhood disruptive behaviors. Psychodynamic short-term and long-term. EBPP framework integrating research, clinical expertise, and patient characteristics/culture/preferences (APA 2006).

~15%

Professional Issues

Clinical supervision per APA Guidelines for Clinical Supervision in Health Service Psychology (2014); Standard 7.06 (Assessing Student Performance); competency-based supervision; remediation with due process. Consultation per Standard 4.06. Interprofessional collaborative practice (IPEC competencies — values/ethics, roles/responsibilities, communication, teamwork). Integrated primary care (collaborative care, primary care behavioral health). Telepsychology — APA Telepsychology Guidelines (2013); PSYPACT (Psychology Interjurisdictional Compact) for cross-state telepsychology and temporary in-person practice. Insurance documentation accuracy (Standard 6.06 — Accuracy in Reports to Payors; False Claims Act). Self-care, burnout, impaired colleagues (Standard 2.06 — Personal Problems and Conflicts; 1.04 Informal Resolution; 1.05 Reporting Ethical Violations). Therapeutic vs forensic roles (avoid dual roles).

~15%

Ethics & APA Ethics Code

APA Ethical Principles of Psychologists and Code of Conduct (2017) — Standard 2.01 (Boundaries of Competence), 2.06 (Personal Problems and Conflicts), 3.05 (Multiple Relationships), 3.06 (Conflict of Interest), 3.10 (Informed Consent), 4.05 (Disclosures), 4.06 (Consultations), 6.04-6.07 (Fees and Financial Arrangements), 9.01 (Bases for Assessments), 9.03 (Informed Consent in Assessments), 9.04 (Release of Test Data), 9.10 (Explaining Assessment Results), 9.11 (Maintaining Test Security), 10.01 (Informed Consent to Therapy), 10.05-10.07 (Sexual Boundaries — current and former clients), 10.10 (Terminating Therapy). Landmark cases — Tarasoff (1976) duty to protect; Jaffee v. Redmond (1996) federal psychotherapist-patient privilege. HIPAA Privacy/Security Rules; mandated reporting; psychotherapy notes vs designated record set; subpoena vs court order; decisional capacity (Appelbaum & Grisso); ethical decision-making frameworks.

~10%

Multicultural & Diversity Competence

APA Multicultural Guidelines: An Ecological Approach to Context, Identity, and Intersectionality (2017) — ecological framework, intersectionality (Crenshaw 1989), cultural humility. APA Guidelines for Psychological Practice with Sexual Minority Persons (2021 revision) and Transgender and Gender Nonconforming People (2015) — affirming practice, minority stress (Meyer), opposition to conversion/reparative therapy. APA Guidelines for Psychological Practice with Older Adults (2014). DSM-5-TR Cultural Formulation Interview (CFI). Stigma (public, self, institutional). Social determinants of mental health. Trauma-informed care (SAMHSA 6 principles — safety, trustworthiness/transparency, peer support, collaboration/mutuality, empowerment, cultural/historical/gender). Veteran-focused practice (deployment, MST, moral injury, VA/DoD CPGs). Spirituality and religion in care.

~5%

Research Methods & Program Evaluation

Statistical hypothesis testing with effect sizes (Cohen's d, r), confidence intervals, clinical significance, minimal clinically important difference (MCID). Replicability crisis (Open Science Collaboration 2015) and pre-registration. Hierarchical Taxonomy of Psychopathology (HiTOP) and NIMH Research Domain Criteria (RDoC) frameworks. Outcomes research — Lambert's common factors and dose-response, Bordin's tripartite alliance, sudden gains, deterioration rates. Research-to-practice translation and implementation science. IRB approval, informed consent for research (Standards 8.01-8.07), Common Rule (45 CFR 46), protection of vulnerable populations.

How to Pass the ABPP Clinical Psychology Exam

What You Need to Know

  • Passing score: Pass/fail by ABPP examiners on credentials review, practice samples, and oral examination
  • Exam length: 100 questions
  • Time limit: Oral examination ~3 hours; practice samples submitted separately
  • Exam fee: ABPP application + practice samples + oral exam fees (verify current pricing)

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

ABPP Clinical Psychology Study Tips from Top Performers

1EBPP framework anchor: Memorize the APA 2006 EBPP definition as the integration of best available research with clinical expertise in the context of patient characteristics, culture, and preferences. Use this framework consistently in oral exam responses — when asked why you chose a specific intervention, articulate (1) the research evidence (CPGs, RCTs, meta-analyses), (2) your clinical expertise and case formulation, and (3) the patient's culture, values, and preferences. Avoid recommending interventions without naming the evidence base, and avoid rigid 'one-size-fits-all' answers.
2APA Ethics Code key standards (2017): Build instant recall of 2.01 (competence), 3.10 (consent), 4.05 (disclosures), 9.01 (bases for assessments), 9.03 (consent in assessments), 9.04 (release of test data), 9.11 (test security), 10.01 (consent to therapy), 10.05 (no sexual intimacies with current clients), 10.06 (no sexual intimacies with client's relatives/SOs), 10.07 (no sexual intimacies with former clients within 2 years and only in highly unusual circumstances even thereafter), 10.10 (termination — pre-termination counseling, referrals, avoid abandonment). Map ethics scenarios to specific standards.
3First-line evidence-based interventions map: BPD — DBT (Linehan); OCD — Exposure and Response Prevention; PTSD — PE/CPT/EMDR (APA/VA-DoD); insomnia — CBT-I (AASM/APA); MDD — CBT/IPT/BA (psychotherapy) plus SSRI/SNRI (combined for moderate-severe); GAD — CBT (worry exposure) plus SSRI/SNRI; bulimia nervosa — CBT-Enhanced (Fairburn); adolescent anorexia nervosa — Maudsley Family-Based Treatment; first-episode psychosis — Coordinated Specialty Care (NIMH RAISE); SUD — Motivational Interviewing + CBT + MAT (naltrexone/acamprosate/disulfiram for AUD; buprenorphine/methadone/naltrexone for OUD); couples — EFT/IBCT/Gottman; childhood disruptive behavior — PCIT (ages 2-7), Incredible Years, Triple P.
4APA Multicultural Guidelines (2017) pearls: The ecological framework recognizes multiple intersecting contexts — micro (individual), meso (interpersonal), exo (institutional), macro (societal), chrono (developmental/historical). Intersectionality (Crenshaw) — multiple identities interact, not just add. Cultural humility — lifelong learning, awareness of one's own identity and biases, openness to client's expertise on their own experience. For the oral exam, expect to demonstrate cultural humility, address intersectional identities, and avoid stereotyping or single-axis thinking.
5Suicide risk best practices: Use the Columbia Suicide Severity Rating Scale (C-SSRS) systematically — assess ideation (passive, active, with/without method, plan, intent, intent + plan), behavior (preparatory, aborted, interrupted, actual attempt), and lethality. Static risk factors (history of attempts is strongest single predictor; male sex, age, FH, chronic medical illness) identify at-risk populations; dynamic risk factors (current ideation/plan, recent loss, active SUD, acute psychiatric symptoms, access to lethal means) identify acute risk. Means restriction (firearms, medications) is one of the most evidence-based interventions. Develop a Stanley-Brown safety plan with warning signs, internal coping, social contacts/distractions, family/friends for help, professional/agency contacts, lethal means restriction. Document risk assessment and decision-making.

Frequently Asked Questions

How is the ABPP Clinical Psychology examination structured?

Unlike some ABPP specialties (e.g., Clinical Neuropsychology) that include a 125-item written exam, the ABPP Clinical Psychology Specialty Board evaluates competence primarily through three components: (1) credentials review, (2) practice samples (written case summaries demonstrating evidence-based assessment and intervention competence, ethics, and diversity), and (3) an oral examination (~3 hours) structured around practice samples and applied clinical content. These 100 practice questions help candidates prepare the knowledge base assessed during the oral examination.

Who is eligible to apply for ABPP Clinical Psychology certification?

Candidates must hold a doctoral degree (PhD/PsyD/EdD) in psychology from an APA/CPA-accredited program (or equivalent), be licensed as a psychologist in a U.S. or Canadian jurisdiction, and have clinical psychology practice experience consistent with ABPP requirements. Specific eligibility criteria are published on the ABPP Clinical Psychology Specialty Board webpage.

What are practice samples and what should they include?

Practice samples are typically written case summaries (formatting and number per current ABPP Clinical Psychology requirements) that demonstrate evidence-based clinical reasoning. They should reflect comprehensive assessment (including DSM-5-TR diagnosis and case formulation), evidence-based intervention selection and implementation, ethical decision-making, multicultural and diversity considerations, and outcome monitoring. Practice samples are submitted in advance and form the basis of much of the oral examination discussion.

How can MCQ practice help if there is no single written exam?

ABPP Clinical Psychology oral examiners discuss diagnostic reasoning, evidence-based intervention selection, ethics and diversity considerations, and applied clinical content. MCQ practice questions reinforce the knowledge base assessed during these discussions — DSM-5-TR criteria, evidence-based interventions (CBT, DBT, ACT, IPT, ERP, PE, CPT, EMDR, CBT-I, CBT-E, FBT, CSC, MI), APA Ethics Code (2017) standards, APA Multicultural Guidelines (2017), supervision and consultation, telepsychology and PSYPACT, and research methods.

How much does the ABPP Clinical Psychology process cost?

Fees vary by stage (application, credentials review, practice samples submission, oral examination) and may total several hundred to $1,500+ depending on current ABPP pricing. Verify current fees on the ABPP and Clinical Psychology Specialty Board webpages. Retake fees apply if needed.

How should I prepare for the oral examination?

Prepare to discuss practice samples in depth, integrate evidence-based assessment and intervention (DSM-5-TR diagnosis, CBT, DBT, ACT, IPT, ERP, PE/CPT/EMDR, CBT-I, CBT-E, FBT, CSC, MI), address ethics and diversity considerations (APA Ethics Code 2017, Multicultural Guidelines 2017, Sexual Minority Guidelines 2021, Older Adults Guidelines 2014), and articulate clinical reasoning using case formulation (4Ps). Use mock oral exams with ABPP-certified colleagues, structured ABPP review courses, and these MCQ practice questions to reinforce the knowledge base.

What are the highest-yield knowledge areas?

Highest-yield knowledge for the oral exam includes: DSM-5-TR (2022 updates — Prolonged Grief Disorder); evidence-based interventions matched to disorder (DBT first-line for BPD, CBT-I first-line for insomnia, PE/CPT/EMDR first-line for PTSD, ERP first-line for OCD, Maudsley FBT first-line for adolescent anorexia, CSC first-line for first-episode psychosis); EBPP framework (APA 2006 — research + expertise + patient factors); APA Ethics Code key standards (2.01, 3.10, 4.05, 9.01, 9.03, 9.04, 9.11, 10.05-10.07, 10.10); APA Multicultural Guidelines (2017) intersectionality and cultural humility; Tarasoff duty; mandated reporting; HIPAA; supervision (APA 2014 Guidelines); telepsychology and PSYPACT; suicide risk assessment (C-SSRS); MMPI-3 validity scales; outcome monitoring (PHQ-9, GAD-7, OQ-45).

What ongoing requirements follow certification?

ABPP board certification is maintained through Maintenance of Certification (MOC) activities per ABPP/Clinical Psychology Specialty Board policy, including continuing education and periodic attestations. Specific MOC requirements are published on the ABPP website and updated periodically.