CAADE Study Guide 2026

Everything you need to pass the CAADE exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 CAADE Exam Format at a Glance

150
Questions
180 min
Time Limit
70%
Passing Score

📚 CAADE Topics to Study (71)

✍️ Sample CAADE Questions & Answers

1. A counselor who holds strong personal views against medication-assisted treatment (MAT) should:
Provide accurate information about MAT options and refer clients who may benefit, regardless of personal bias

Ethical counselors must present all evidence-based treatment options and prioritize client welfare over personal beliefs.

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

3. In group counseling for substance use disorders, 'cohesion' refers to:
The sense of belonging and mutual trust among group members

Group cohesion is the sense of belonging, trust, and interpersonal connection among members, which is a key therapeutic factor in group treatment.

4. When assessing a client's social support system, which area is MOST important to explore for relapse risk?
Whether close associates are also substance users

Having close associates who use substances is a major relapse risk factor, as social environments strongly influence substance use behavior.

5. Which of the following is an example of an intrapersonal determinant of relapse in Marlatt's model?
Frustration and negative emotions arising from unresolved personal stress

Intrapersonal determinants are internal risk factors such as negative emotions, stress, or urges that arise within the individual rather than from external social pressures.

6. Which of the following practices demonstrates an organizational commitment to cultural competence in a substance abuse agency?
Hiring staff who reflect the diversity of the client population and offering culturally adapted services

Organizational cultural competence includes diverse staffing, culturally adapted services, and policies that address disparities in treatment access and outcomes.

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📖 CAADE Guides & Articles

Your CAADE Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation
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