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100+ Free Psychotherapist Qualification (China) Practice Questions

Prepare for the China National Health Professional Qualification Examination - Psychotherapist (全国卫生专业技术资格考试 - 心理治疗专业 212/386) exam with instant access — no signup required.

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2026 Statistics

Key Facts: Psychotherapist Qualification (China) Exam

4 Papers / 360 Min

Total CBT Duration (4 x 90-minute papers, 100 MCQs each)

National Health Commission Talent Exchange Center

60 / 100

Passing Score Required on All 4 Papers (2-Year Rolling Cycle)

21wecan Official Examination Guidelines

Primary (212) / Interm (386)

Official Healthcare Professional Qualification Codes

National Health Professional Technical Qualification Directory

Medical / Psych Degree

Educational Background Requirement + Healthcare Practice

MOHRSS & NHC Qualification Specifications

Annual (April/May)

National Examination Administration Window

China Health Talent Network (www.21wecan.com)

CCMD-3 / ICD-11 / DSM-5

Governing Diagnostic & Clinical Psychotherapy Standards

Chinese Medical Association Psychiatry Branch & NHC

The China Psychotherapist Qualification Examination is the official national healthcare title examination for clinical psychotherapists in China. Candidates must pass four 90-minute computer-based papers (Basic Knowledge, Related Professional Knowledge, Professional Knowledge, Professional Practical Competence) with 60/100 or higher within a 2-year rolling period. This bank provides 100 verified English-language practice questions with dual-language Chinese clinical and psychological terminology.

Sample Psychotherapist Qualification (China) Practice Questions

Try these sample questions to test your Psychotherapist Qualification (China) exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1According to psychophysics in general psychology, what is the minimum magnitude of physical stimulus energy required to produce a conscious sensory experience 50% of the time called?
A.Absolute Sensory Threshold (绝对感觉阈限)
B.Difference Sensory Threshold (差别感觉阈限)
C.Weber Fraction (韦伯常数)
D.Sensory Adaptation Level (感觉适应水平)
Explanation: In general psychology (普通心理学), the Absolute Sensory Threshold (绝对感觉阈限) is defined as the minimum physical energy or stimulus intensity that can be consciously detected by a sensory receptor at least 50% of the time. The lower the threshold, the higher the absolute sensory receptivity (绝对感受性).
2In the Atkinson-Shiffrin multi-store model of human memory, what is the typical storage capacity and duration of Short-Term Memory (短时记忆) without active rehearsal?
A.Unlimited capacity; persists for several hours.
B.7 ± 2 discrete informational chunks; persists for approximately 15 to 30 seconds.
C.Hundreds of sensory impressions; persists for 0.25 to 2 seconds.
D.1 to 2 cognitive schemas; persists for up to 5 minutes.
Explanation: According to cognitive psychology and George Miller's classic research, Short-Term Memory (短时记忆 / 工作记忆) holds approximately 7 ± 2 chunks (组块) of information (modern estimates range from 4 to 7 chunks) and retains un-rehearsed information for about 15 to 30 seconds before rapid decay or displacement.
3A psychotherapist notices that after learning a new psychodynamic diagnostic classification system, the therapist has difficulty recalling the older psychiatric criteria learned previously. This forgetting phenomenon is best explained as:
A.Proactive Interference (前摄抑制)
B.Retroactive Interference (倒摄抑制)
C.Motivated Forgetting (动机性遗忘)
D.Cue-Dependent Retrieval Failure (线索依赖性提取失败)
Explanation: Retroactive Interference (倒摄抑制) occurs when newly acquired information interferes with and impairs the retrieval or retention of previously learned information. Conversely, Proactive Interference (前摄抑制) occurs when old learning interferes with the acquisition of new material.
4When a person is reading a complex clinical case study, a sudden loud explosion outside instantly directs the person's focus away from the text without any conscious intent or effort. What type of attention (注意) is demonstrated?
A.Involuntary Attention (无意注意 / 不随意注意)
B.Voluntary Attention (有意注意 / 随意注意)
C.Post-Voluntary Attention (有意后注意 / 随意后注意)
D.Selective Divided Attention (选择性分配注意)
Explanation: Involuntary Attention (无意注意 / 不随意注意) is an orientation response triggered automatically by sudden, intense, novel, or emotionally salient environmental stimuli without pre-determined conscious intention or volitional effort.
5Which classical theory of emotion asserts that emotional experience arises from the interaction between physiological arousal and cognitive appraisal (认知评价) of the environmental context?
A.James-Lange Theory (詹姆斯-兰格理论)
B.Cannon-Bard Thalamic Theory (坎农-巴德丘脑理论)
C.Schachter-Singer Two-Factor Theory (沙赫特-辛格双因素理论)
D.Zajonc-LeDoux Affective Primacy Theory (扎荣茨-莱杜克斯情感优先理论)
Explanation: The Schachter-Singer Two-Factor Theory (沙赫特-辛格双因素情绪理论) posits that emotional feeling requires two discrete components: general physiological arousal and cognitive interpretation/labeling of that physiological state based on contextual cues.
6In Abraham Maslow's Hierarchy of Needs (马斯洛需要层次理论), which of the following needs is categorized as a Being/Growth Need (成长性需要 / B-needs) rather than a Deficiency Need (匮乏性需要 / D-needs)?
A.Physiological needs (生理需要)
B.Safety and security needs (安全需要)
C.Love and belongingness needs (归属与爱的需要)
D.Self-Actualization needs (自我实现的需要)
Explanation: Maslow distinguished between Deficiency Needs (匮乏性需要 / D-needs: physiological, safety, belongingness, and esteem needs, which arise from deprivation and cease upon fulfillment) and Growth Needs (成长性需要 / B-needs: self-actualization and self-transcendence, which involve fulfilling human potential and increase in motivation as they are pursued).
7According to Jean Piaget's theory of cognitive development (皮亚杰认知发展阶段理论), during which developmental stage does a child first acquire Conservation (守恒概念) and the ability to perform mental operations on physical objects?
A.Sensorimotor Stage (感知运动阶段, 0–2 years)
B.Preoperational Stage (前运算阶段, 2–7 years)
C.Concrete Operational Stage (具体运算阶段, 7–11 years)
D.Formal Operational Stage (形式运算阶段, 11+ years)
Explanation: In Piaget's framework, children in the Concrete Operational Stage (具体运算阶段, approximately 7–11 years) develop logical thought about tangible events, mastery of conservation (mass, volume, number remain constant despite superficial perceptual transformations), reversibility (可逆性), and decentration (去中心化).
8According to Erik Erikson's Psychosocial Stages of Development (埃里克森心理社会发展阶段理论), what core psychosocial crisis confronts individuals during Adolescence (青年期, ages 12–18)?
A.Initiative vs. Guilt (主动感对内疚感)
B.Industry vs. Inferiority (勤奋感对自卑感)
C.Identity vs. Role Confusion (同一性对角色混乱)
D.Intimacy vs. Isolation (亲密感对孤独感)
Explanation: Erikson identified 'Identity vs. Role Confusion' (同一性对角色混乱) as the fifth and defining developmental crisis of adolescence. Successful resolution leads to a coherent self-concept and the virtue of Fidelity (忠诚), whereas failure leads to identity diffusion and uncertainty regarding social roles.
9In Sigmund Freud's psychosexual developmental theory (弗洛伊德心理性欲发展阶段), during which stage does the Oedipus / Electra Complex (俄狄浦斯情结 / 厄勒克特拉情结) emerge and undergo resolution through identification with the same-sex parent?
A.Oral Stage (口唇期, 0–1 years)
B.Anal Stage (肛门期, 1–3 years)
C.Phallic Stage (性器期 / 阴茎期, 3–6 years)
D.Latency Stage (潜伏期, 6–12 years)
Explanation: The Phallic Stage (性器期, ages 3–6) focuses erogenous energy on the genitals, giving rise to the Oedipus Complex (attraction to the opposite-sex parent and rivalry with the same-sex parent). Resolution occurs through identification (认同) with the same-sex parent, forming the core of the Superego (超我).
10In Mary Ainsworth's Strange Situation paradigm (陌生情境实验), a toddler shows minimal distress when the mother leaves the room, and actively ignores or turns away from the mother upon her reunion. What infant attachment pattern (依恋类型) is demonstrated?
A.Secure Attachment (安全型依恋)
B.Insecure-Avoidant Attachment (不安全-回避型依恋)
C.Insecure-Ambivalent / Resistant Attachment (不安全-焦虑/矛盾型依恋)
D.Disorganized / Disoriented Attachment (混乱/迷惘型依恋)
Explanation: Insecure-Avoidant Attachment (回避型依恋 / A型) is characterized by minimal overt distress during maternal separation and active avoidance, indifference, or gaze aversion upon the caregiver's return, often reflecting a defensive adaptation to emotionally unresponsive or rejecting caregiving.

About the Psychotherapist Qualification (China) Exam

The China National Health Professional Qualification Examination for Psychotherapists (全国卫生专业技术资格考试 - 心理治疗专业) is the official statutory licensing credential for psychotherapists practicing in medical institutions, psychiatric hospitals, mental health centers, and community health organizations across the People's Republic of China. Administered by the National Health Commission Talent Exchange Center (21wecan) across Primary (初级师, Code 212) and Intermediate (中级, Code 386) professional title grades, the examination validates rigorous theoretical knowledge and clinical competence in general psychology, psychopathology, psychometric evaluation, clinical interviewing, evidence-based psychotherapy interventions (CBT, psychodynamic, family, humanistic), crisis management, and healthcare professional ethics.

Assessment

Paper 1: 基础知识 (Basic Knowledge, 100 MCQs, 90 min); Paper 2: 相关专业知识 (Related Professional Knowledge, 100 MCQs, 90 min); Paper 3: 专业知识 (Professional Knowledge, 100 MCQs, 90 min); Paper 4: 专业实践能力 (Professional Practical Competence, 100 MCQs, 90 min); 60/100 pass mark on all papers across a 2-year rolling cycle.

Time Limit

360 minutes total (90 minutes per subject paper across 4 papers)

Passing Score

60 / 100 points on all four subjects within a 2-year rolling cycle

Exam Fee

Set provincially; Hunan's 2026 notice charges RMB 70 per subject (National Health Commission Talent Exchange Center (国家卫生健康委人才交流服务中心) & Ministry of Human Resources and Social Security (人力资源和社会保障部))

Psychotherapist Qualification (China) Exam Content Outline

20%

Psychological Foundations, Developmental Psychology & Personality (心理学基础、发展心理学与人格理论)

Evaluates foundational scientific principles of human psychology, lifespan development, and personality structure: biological and neurological bases of behavior, sensation, absolute and difference thresholds, perception (gestalt principles, depth, constancy), attention and consciousness, working memory, long-term memory (episodic, semantic, procedural), forgetting curves (Ebbinghaus), cognitive stages of development (Piaget: sensorimotor, preoperational, concrete operational, formal operational), psychosocial crisis stages across life stages (Erikson), Freud's psychosexual developmental stages, personality structural theories (Freud's Id, Ego, Superego; Allport's trait levels; Cattell's 16 personality factors; Eysenck's PEN dimensions; Big Five taxonomy), social cognition, attribution theory (Kelley's covariation model, fundamental attribution error), and cultural-psychological aspects of mental wellbeing.

25%

Psychopathology & Psychiatric Disorders Diagnosis (变态心理学与精神障碍诊断 CCMD-3/ICD-11/DSM-5)

Covers clinical psychiatric symptomatology and differential diagnostic systems under the Chinese Classification of Mental Disorders (CCMD-3), World Health Organization ICD-10/11, and APA DSM-5: perceptual disorders (true vs pseudo-hallucinations, illusions, sensory distortions), thought process and content disorders (flight of ideas, loosening of associations, delusions of persecution, reference, grandeur, control, thought broadcasting), affective disorders (depressive stupor, mania, affective flattening vs blunting), volitional and psychomotor abnormalities, anxiety and fear-related disorders (generalized anxiety disorder, panic disorder, agoraphobia, social anxiety disorder), Obsessive-Compulsive Disorder (OCD) and related disorders, trauma and stressor-related disorders (Acute Stress Disorder, PTSD), Somatic Symptom and related disorders (hypochondriasis/illness anxiety, conversion/dissociative disorders), Schizophrenia spectrum and psychotic disorders, bipolar and related disorders, depressive disorders (MDD, dysthymia/persistent depressive disorder), eating disorders (anorexia nervosa, bulimia nervosa), sleep-wake disorders, substance-related and addictive disorders, and Personality Disorders (Cluster A, Cluster B including borderline and antisocial, Cluster C).

25%

Psychological Assessment & Psychometric Testing (心理测验、量表评估与临床诊断方法)

Encompasses scientific measurement theory, psychometric properties, scale administration, scoring, and clinical interpretation: classical test theory, reliability (test-retest, split-half, internal consistency Cronbach's alpha, inter-rater), validity (content, criterion-related concurrent/predictive, construct), test standardization and representative norm derivations, standard scores (Z-score, T-score, standard nine, Wechsler IQ deviation scale), Minnesota Multiphasic Personality Inventory (MMPI / MMPI-2: validity scales Q, L, F, K; clinical scales Hs, D, Hy, Pd, Mf, Pa, Pt, Sc, Ma, Si; two-point and three-point code types; Chinese T-score cutoff >= 60), Eysenck Personality Questionnaire (EPQ: E, N, P, L scales and 4 quadrant temperaments), Cattell's 16 Personality Factor Questionnaire (16PF), Symptom Checklist 90 (SCL-90: 10 symptom dimensions, total score >= 160 or positive item count > 43 or positive symptom distress index > 2 indicating positive screening), Self-Rating Depression Scale (SDS: standard score cutoff >= 53 in China) and Self-Rating Anxiety Scale (SAS: standard score cutoff >= 50), clinician-administered scales (HAMD, HAMA, BPRS), Wechsler Adult Intelligence Scale (WAIS-RC: verbal IQ vs performance IQ, subtests), and projective instruments (Rorschach Inkblot Test, Thematic Apperception Test TAT).

30%

Psychotherapeutic Modalities, Interventions & Clinical Ethics (心理治疗流派、临床干预技术与专业伦理规范)

Comprehensive analysis of evidence-based psychotherapy frameworks, therapeutic mechanisms, clinical techniques, and healthcare professional ethics: Psychodynamic Psychotherapy (free association, dream analysis, analysis of transference and countertransference, working through, defense mechanisms including repression, projection, rationalization, splitting, sublimation), Cognitive Behavioral Therapy (CBT: Beck's cognitive model, identifying automatic thoughts, cognitive distortions, downward arrow technique, belief modification, behavioral activation, graded task assignment, Socratic questioning, Ellis's Rational Emotive Behavior Therapy REBT and ABCDE framework), Humanistic and Person-Centered Therapy (Carl Rogers' core therapeutic conditions: empathy, unconditional positive regard, congruence/genuineness), Behavior Therapy (classical and operant conditioning, systematic desensitization, graduated in vivo exposure, flooding, token economy, contingency management), Systemic Family Therapy (structural family therapy, Salvador Minuchin, family boundaries, triangulation, genograms, circular questioning, reframing, paradoxical interventions), group psychotherapy stages, crisis evaluation and management of acute suicidal ideation, and Healthcare Professional Ethics (ethical principles of autonomy, beneficence, non-maleficence, justice; confidentiality and mandatory exceptions under the PRC Mental Health Law, duty to warn and protect, informed consent, avoidance of dual/multiple relationships, sexual boundary violations, gift acceptance boundaries, supervision, and professional competence limits).

How to Pass the Psychotherapist Qualification (China) Exam

What You Need to Know

  • Passing score: 60 / 100 points on all four subjects within a 2-year rolling cycle
  • Assessment: Paper 1: 基础知识 (Basic Knowledge, 100 MCQs, 90 min); Paper 2: 相关专业知识 (Related Professional Knowledge, 100 MCQs, 90 min); Paper 3: 专业知识 (Professional Knowledge, 100 MCQs, 90 min); Paper 4: 专业实践能力 (Professional Practical Competence, 100 MCQs, 90 min); 60/100 pass mark on all papers across a 2-year rolling cycle.
  • Time limit: 360 minutes total (90 minutes per subject paper across 4 papers)
  • Exam fee: Set provincially; Hunan's 2026 notice charges RMB 70 per subject

Keys to Passing

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Psychotherapist Qualification (China) Study Tips from Top Performers

1Master Diagnostic Symptomatology: Clearly distinguish between perception disorders (true vs pseudo-hallucinations), thought format disorders (flight of ideas, incoherence, thought blocking), and thought content disorders (persecutory, reference, nihilistic, control delusions).
2Memorize Psychometric Test Cutoffs: Learn exact Chinese norm thresholds: MMPI (T >= 60 in China vs T >= 65/70 in US), EPQ (T score 43.3–56.7 intermediate, > 61.5 typical), SCL-90 (total >= 160, positive items > 43, positive symptom distress > 2), SDS (standard score >= 53), SAS (standard score >= 50).
3Differentiate Major Psychotherapy Mechanisms: Be prepared to identify exact therapeutic techniques: Beck's downward arrow and cognitive restructuring, Ellis's disputing irrational beliefs (ABCDE), Wolpe's systematic desensitization (reciprocal inhibition and SUD hierarchy), and Rogers' core client-centered conditions.
4Understand Transference, Countertransference & Defenses: Master psychodynamic defense identification (reaction formation, projection, intellectualization, displacement, sublimation, splitting) and recognize therapist countertransference reactions in clinical scenarios.
5Review Family Systems & Relational Dynamics: Study structural family boundaries (rigid, diffuse, clear), triangulation, enmeshment, disengagement, and systemic circular questioning techniques.
6Know Legal and Ethical Mandates: Strictly remember the PRC Mental Health Law confidentiality rules, informed consent obligations, non-discrimination, referral obligations for psychotic conditions requiring medical pharmacotherapy, and mandatory exceptions to confidentiality (clear and imminent risk of suicide, homicide, child/elder abuse).

Frequently Asked Questions

What is the China National Health Professional Qualification Examination for Psychotherapists and what credentials does it confer?

The Psychotherapist Qualification Examination (全国卫生专业技术资格考试 - 心理治疗专业) is the official national licensing examination administered by the National Health Commission Talent Exchange Center (国家卫生健康委人才交流服务中心 / 21wecan) and the Ministry of Human Resources and Social Security (MOHRSS). Passing the examination confers the statutory healthcare professional title of Primary Psychotherapist (心理治疗初级师, Professional Code 212) or Intermediate Psychotherapist (心理治疗中级, Professional Code 386), legally authorizing professionals to practice psychotherapy in hospitals, mental health institutes, psychiatric clinics, and rehabilitation centers throughout China.

What is the examination format, paper structure, and passing standard?

The examination is administered nationwide as a Computer-Based Test (CBT / 人机对话) consisting of four separate 90-minute subject papers: Basic Knowledge (基础知识), Related Professional Knowledge (相关专业知识), Professional Knowledge (专业知识), and Professional Practical Competence (专业实践能力). Each paper contains 100 multiple-choice questions (A1 single sentence, A2 case scenario, A3/A4 case series, and B1 matching items) scored out of 100 points. Candidates must achieve a passing score of at least 60/100 points on ALL four subject papers within a 2-year rolling management cycle (两年为一个周期的滚动管理).

What educational and professional prerequisites are required to take the examination?

Candidates must hold an accredited degree in medicine (clinical medicine, psychiatry, preventive medicine, nursing) or psychology / applied psychology, and meet specific post-graduation healthcare work experience requirements. For Primary Psychotherapist (212): Bachelor's or Master's degree requires 1 year of clinical practice, Associate degree (大专) requires 3 years, and Secondary diploma (中专) requires 5 years. For Intermediate Psychotherapist (386): Doctoral degree requires 0 years (direct eligibility), Master's degree requires 2 years post-primary title, Bachelor's requires 4 years post-primary title, Associate degree requires 6 years, and Secondary diploma requires 7 years.

How do diagnostic classifications in the exam compare between CCMD-3, ICD-11, and DSM-5?

The national syllabus incorporates the Chinese Classification of Mental Disorders Third Edition (CCMD-3 / 中国精神障碍分类与诊断标准第3版), the World Health Organization International Classification of Diseases (ICD-10 and ICD-11), and APA DSM-5. While CCMD-3 provides historic national diagnostic criteria (such as detailed criteria for neuroses including neurasthenia 神经衰弱 and somatoform disorders), clinical practice questions increasingly test modern diagnostic criteria, differential diagnosis of psychotic vs non-psychotic disorders, and evidence-based assessment aligned with ICD-11 and DSM-5.

Why is this OpenExamPrep practice bank presented in English with Chinese clinical terminology?

The official examination in China is conducted in Simplified Chinese. This OpenExamPrep module adapts the full 4-paper syllabus into 100 high-yield English-language clinical MCQs designed for bilingual psychologists, psychiatric residents, mental health researchers, and international practitioners seeking mastery of China's mental health qualification standards. Authentic Chinese terminology (such as 认知行为治疗 CBT, 精神分析, 移情与反移情, 阻抗, 汉密尔顿抑郁量表 HAMD, 精神卫生法, 保密例外) is integrated into every question and rationale.