Co-Occurring Disorders Flashcards
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Read the first 7 Co-Occurring Disorders flashcards as text
Which screening tool is specifically designed to identify co-occurring mental health disorders in substance use treatment settings?
Answer: MINI International Neuropsychiatric Interview
The MINI International Neuropsychiatric Interview is a structured diagnostic tool validated for identifying psychiatric disorders in substance use populations.
A client with PTSD and alcohol use disorder reports drinking to manage nightmares. This pattern is best described as:
Answer: Self-medication
Using alcohol to manage PTSD symptoms like nightmares is a classic example of self-medication, where substances are used to cope with mental health symptoms.
According to SAMHSA's integrated treatment model, services for COD should be provided:
Answer: Simultaneously by the same treatment system
SAMHSA's integrated treatment model recommends that COD be addressed simultaneously within the same treatment system rather than sequentially or in parallel.
Which neurotransmitter system is most implicated in the overlap between depression and stimulant use disorder?
Answer: Serotonin and dopamine
Both depression and stimulant use disorder involve dysregulation of serotonin and dopamine systems, contributing to mood disturbances and craving.
A counselor notices a client's anxiety worsens during weeks when they reduce cannabis use. The MOST appropriate clinical interpretation is:
Answer: Withdrawal or rebound anxiety from cannabis reduction
Anxiety that worsens during substance reduction is often withdrawal or rebound anxiety, which is a physiological response to reducing a substance that suppressed anxiety symptoms.
In motivational interviewing with COD clients, ambivalence about psychiatric medication is BEST addressed by:
Answer: Providing psychoeducation and exploring the client's own reasons for and against medication
MI principles support exploring ambivalence collaboratively, offering accurate information while eliciting the client's own motivation regarding medication.
Which of the following is a key principle of trauma-informed care in COD treatment?
Answer: Prioritizing safety, trustworthiness, and empowerment
Trauma-informed care centers on creating safety, building trustworthiness, and empowering clients, recognizing the widespread impact of trauma on behavior and health.