Co-occurring Disorders Flashcards
7 cards from real CAADC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Co-occurring Disorders flashcards as text
A client with bipolar disorder and alcohol use disorder reports that drinking helps stabilize their mood. This belief is best described as:
Answer: A cognitive distortion reinforcing substance use
The belief that alcohol stabilizes mood is a cognitive distortion; alcohol disrupts mood regulation and worsens bipolar cycling over time.
Which screening tool is specifically validated to identify both substance use and mental health symptoms simultaneously in integrated assessment?
Answer: Global Appraisal of Individual Needs (GAIN)
The GAIN is a comprehensive biopsychosocial assessment tool validated for co-occurring substance use and mental health disorders.
A client with PTSD and stimulant use disorder begins trauma processing therapy. The CAADC should prioritize:
Answer: Integrating stabilization strategies that support both recovery and trauma safety
Integrated care that builds stabilization and coping skills concurrently addresses both conditions and reduces risk of destabilization.
When assessing a client for co-occurring disorders, the counselor notices the client minimizes their cannabis use. The most effective motivational strategy is to:
Answer: Use reflective listening to explore ambivalence about cannabis use
Motivational interviewing techniques like reflective listening reduce resistance and help clients explore their own ambivalence without triggering defensiveness.
A client on buprenorphine for opioid use disorder is also prescribed an SSRI for depression. The counselor's role includes:
Answer: Monitoring for interactions and supporting adherence to both medications
The CAADC supports medication adherence and monitors for drug interactions as part of integrated co-occurring disorder treatment.
Which of the following best characterizes the 'parallel treatment' model for co-occurring disorders?
Answer: Substance use and mental health are treated by separate providers without coordination
In the parallel model, separate providers treat each disorder independently, often without systematic communication or coordination.
A client with schizophrenia and cannabis use disorder reports that cannabis reduces their auditory hallucinations. Research indicates that cannabis use in schizophrenia typically:
Answer: Worsens psychotic symptoms and increases relapse risk
Cannabis use is associated with worsening positive symptoms, earlier onset of psychosis, and increased relapse rates in individuals with schizophrenia.