CAADC Co-occurring Disorders 5

Question 1

In treating a client with generalized anxiety disorder and benzodiazepine use disorder, the most evidence-based approach is:

Accepted Answer

Gradual taper of benzodiazepines combined with CBT for anxiety

Answer

A medically supervised gradual taper combined with CBT addresses both the physical dependence and the underlying anxiety disorder.

Question 2

Which factor most significantly predicts poorer outcomes in clients with co-occurring disorders compared to those with a single disorder?

Accepted Answer

Higher rates of treatment disengagement and relapse

Answer

Co-occurring disorders are strongly associated with higher treatment dropout rates and more frequent relapse episodes compared to single-diagnosis clients.

Question 3

A client with major depressive disorder and alcohol use disorder has been sober for 30 days but reports persistent depressive symptoms. The counselor should:

Accepted Answer

Conduct a thorough assessment to determine if an independent depressive disorder is present

Answer

After a sufficient abstinence period, persistent symptoms suggest an independent mood disorder requiring its own treatment plan.

Question 4

The concept of 'diagnostic overshadowing' in co-occurring disorders refers to:

Accepted Answer

Attributing all psychiatric symptoms to substance use and overlooking independent mental disorders

Answer

Diagnostic overshadowing occurs when clinicians incorrectly attribute all symptoms to substance use, missing an underlying independent psychiatric condition.

Question 5

A client with ADHD and stimulant use disorder is being evaluated for medication-assisted treatment. The prescriber's primary consideration should be:

Accepted Answer

Assessing risk versus benefit and considering non-stimulant ADHD medications or closely monitored stimulants

Answer

Non-stimulant options like atomoxetine or bupropion may be preferred, but structured use of stimulants can be appropriate with close monitoring.

CAADC - Certified Advanced Addiction & Drug Counselor Practice Test

CAADC - Certified Advanced Addiction & Drug Counselor Practice Test

CAADC Co-occurring Disorders 5