Practice Test Geeks(CAADE) California Association for Alcohol/Drug Educators Certification Practice Test
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Co-Occurring Disorders Flashcards

7 cards from real CAADE 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

  1. The term 'diagnostic overshadowing' in COD refers to:

    Answer: Attributing psychiatric symptoms solely to substance use and missing an underlying disorder

    Diagnostic overshadowing occurs when clinicians attribute all symptoms to substance use, causing them to miss a co-occurring mental health disorder.

  2. A client in early recovery from opioid use disorder presents with persistent depressive symptoms. Best practice recommends waiting how long after abstinence before diagnosing a mood disorder?

    Answer: 4 weeks

    Most clinical guidelines recommend waiting approximately 4 weeks of abstinence to differentiate substance-induced mood symptoms from an independent depressive disorder.

  3. Which approach to group therapy has the strongest evidence base for clients with co-occurring schizophrenia and substance use disorder?

    Answer: Dual Recovery Anonymous modified groups

    Dual Recovery Anonymous and similar modified self-help groups are designed specifically for individuals managing both a psychiatric disorder and substance use disorder.

  4. A counselor learns a client was recently started on buprenorphine by their prescriber. In relation to the client's co-occurring depression, buprenorphine may:

    Answer: Have some antidepressant properties at therapeutic doses

    Research suggests buprenorphine has some antidepressant properties, partly due to kappa-opioid receptor antagonism, which can improve mood in some patients.

  5. The ASAM criteria address COD through which dimension?

    Answer: Dimension 3 - Emotional/Behavioral Conditions

    ASAM Dimension 3 (Emotional, Behavioral, or Cognitive Conditions and Complications) specifically addresses co-occurring psychiatric and cognitive disorders.

  6. Cultural competence in COD treatment includes recognizing that:

    Answer: Cultural factors influence how symptoms are expressed and whether treatment is sought

    Cultural factors significantly shape symptom expression, help-seeking behavior, and attitudes toward both mental health and substance use treatment.

  7. Which legal consideration is MOST relevant when a COD client discloses current suicidal ideation with a plan?

    Answer: Duty to warn or protect and possible involuntary hold

    A client with active suicidal ideation and a plan triggers the clinician's duty to protect, which may include initiating an involuntary psychiatric hold under California law.