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CRPO Exam Lab

Practice case

Area 3 · Therapeutic relationship

Read the scenario, then work each section as you would on the exam. When you check a section you see every option's weight and reasoning. A mock exam shows nothing until the end.

Scenario

OksanaEmployee assistance program, Ottawa

You are a Registered Psychotherapist with a six-session employee assistance program (EAP). Oksana, 39, a personal support worker in long-term care, originally from Ukraine, was referred by her manager for 'workplace stress'. You taught her grounding last session but have not taken a trauma history.

In session three, describing an outbreak night shift, she stops mid-sentence. Her breathing is rapid, her gaze fixed. She does not respond to her name.

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About this case

A clinical simulation in the format of the CRPO Registration Examination: 7 sections, 2 Information Gathering and 5 Decision Making, about 17 minutes. Each section unfolds what happens next; every selection is final, and every option is weighted from +3 to -3, as on the exam.

Exam blueprint

Area 3 · Therapeutic relationship

It also draws on Area 4 (Working towards change), Area 5 (Separation and ending) and Area 6 (Professional practice).

Competencies it exercises

  • 4.5Structure and facilitate the therapeutic process
  • 4.2Establish and maintain core conditions for therapy
  • 1.2Work within a framework based upon established psychotherapeutic theory
  • 4.4Conduct an appropriate risk assessment
  • 4.1Orient client to therapist's practice
  • 1.5Integrate knowledge of human and cultural diversity

From CRPO’s Entry-to-Practice Competency Profile, most exercised first.

Practice standards its reasoning cites

  • Standard 1.9Referrals
  • Standard 2.1Seeking Consultation, Clinical Supervision, and Referral
  • Standard 3.1Confidentiality
  • Standard 3.2Consent
  • Standard 6.3Discontinuing Services

New to the format? How the exam works explains the sections and the scoring. What the lab covers maps every standard and competency to its cases.

More cases in Area 3

  • Amaan · Community health centre, Mississauga
  • Beryl · Seniors' outreach service, Bancroft
  • Gerry · Publicly funded community counselling agency, Oshawa
  • Ibrahim · Hospital outpatient mental health program, Hamilton