Addiction Treatment Modalities & Therapeutic Approaches Flashcards
7 cards from real ADM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Addiction Treatment Modalities & Therapeutic Approaches flashcards as text
Which pharmacotherapy is FDA-approved for treating alcohol use disorder by blocking opioid receptors to reduce craving and reward?
Answer: Naltrexone
Naltrexone is an opioid receptor antagonist FDA-approved for AUD that reduces alcohol craving and the reinforcing effects of alcohol.
In Motivational Interviewing, the acronym OARS refers to which set of core communication skills?
Answer: Open questions, Affirmations, Reflective listening, Summarizing
OARS in Motivational Interviewing stands for Open questions, Affirmations, Reflective listening, and Summarizing — the four foundational communication techniques.
A patient with opioid use disorder is started on buprenorphine/naloxone. When is the earliest it is generally safe to administer the first dose to avoid precipitated withdrawal?
Answer: When the patient shows mild-to-moderate withdrawal symptoms (COWS ≥8)
Buprenorphine induction should begin when the patient exhibits a COWS score of 8 or higher to prevent precipitating acute withdrawal.
Which evidence-based behavioral therapy for addiction is based on operant conditioning principles and uses incentives to reinforce abstinence?
Answer: Contingency Management
Contingency Management uses tangible rewards (e.g., vouchers, prizes) contingent on verified abstinence, leveraging operant conditioning to reinforce drug-free behavior.
Acamprosate (Campral) is thought to reduce alcohol craving primarily by modulating which neurotransmitter system?
Answer: Glutamatergic (NMDA) and GABAergic systems
Acamprosate is believed to restore balance in glutamatergic (NMDA receptor) and GABAergic neurotransmission disrupted by chronic alcohol use.
In the ASAM Criteria, which level of care provides medically managed intensive inpatient treatment for patients with severe withdrawal or co-occurring medical/psychiatric conditions?
Answer: Level 4 – Medically Managed Intensive Inpatient
ASAM Level 4 (Medically Managed Intensive Inpatient) provides 24-hour physician-directed care for patients with severe biomedical or psychiatric complications.
Which therapeutic approach for addiction specifically focuses on identifying and modifying maladaptive thoughts and beliefs that trigger substance use?
Answer: Cognitive Behavioral Therapy (CBT)
CBT targets the relationship between thoughts, emotions, and behaviors, teaching patients to identify cognitive distortions and develop coping strategies to prevent relapse.