CADC Alcohol and Drug Counselor Co-Occurring Disorders 3

Question 1

A client meets criteria for both generalized anxiety disorder and opioid use disorder. According to SAMHSA guidelines, which service delivery model is preferred?

Accepted Answer

Integrated dual diagnosis treatment (IDDT)

Answer

SAMHSA endorses Integrated Dual Diagnosis Treatment (IDDT) as the evidence-based model that addresses both disorders simultaneously within a unified system.

Question 2

Which of the following is a core competency for counselors working with clients who have co-occurring disorders?

Accepted Answer

Understanding of how psychiatric symptoms can mimic intoxication or withdrawal

Answer

Counselors must be able to differentiate psychiatric symptoms from substance effects, as withdrawal and intoxication can closely mimic mental health conditions.

Question 3

A client with PTSD and alcohol use disorder avoids discussing trauma in group therapy. Which therapeutic approach is most indicated?

Accepted Answer

Use Seeking Safety, which addresses trauma and SUD simultaneously without requiring trauma processing

Answer

Seeking Safety is an evidence-based, present-focused intervention that addresses trauma and substance use without requiring detailed trauma processing, making it suitable early in recovery.

Question 4

Which factor most increases the likelihood of co-occurring mental health and substance use disorders?

Accepted Answer

History of adverse childhood experiences (ACEs)

Answer

A high ACE score is one of the strongest predictors of both mental health disorders and substance use disorders, as early trauma disrupts neurological development.

Question 5

When assessing a new client for co-occurring disorders, which sequence is most clinically appropriate?

Accepted Answer

Conduct a biopsychosocial assessment that screens for both SUD and mental health simultaneously

Answer

A comprehensive biopsychosocial assessment that screens for both conditions simultaneously is best practice, though psychiatric diagnoses may need confirmation after a period of sobriety.

Alcohol and Drug Counselor Exam Practice Test

Alcohol and Drug Counselor Exam Practice Test

CADC Alcohol and Drug Counselor Co-Occurring Disorders 3