CADC Alcohol and Drug Counselor Co-Occurring Disorders 4

Question 1

A client abruptly stops benzodiazepines after years of misuse. Which co-occurring psychiatric condition is most likely to be unmasked during withdrawal?

Accepted Answer

Panic disorder and generalized anxiety disorder

Answer

Benzodiazepine withdrawal commonly unmasks or intensifies pre-existing anxiety disorders, as these drugs suppress the same neurological systems that anxiety disorders affect.

Question 2

Which of the following best describes the 'quadrant model' used to classify co-occurring disorders?

Accepted Answer

A system that categorizes clients by severity of mental illness and severity of substance use disorder

Answer

The quadrant model categorizes COD clients into four groups based on the relative severity of their mental health disorder and SUD, helping systems plan appropriate levels of care.

Question 3

A client with borderline personality disorder (BPD) and alcohol use disorder engages in splitting behavior, idealizing the counselor one session and devaluing them the next. What is the counselor's best response?

Accepted Answer

Maintain consistent, empathic limits and use DBT-informed skills to address emotional dysregulation

Answer

Dialectical Behavior Therapy (DBT) is evidence-based for BPD and compatible with SUD treatment; consistent limits and validation of emotions are core therapeutic strategies.

Question 4

What does research consistently show about the order in which co-occurring disorders typically develop?

Accepted Answer

The relationship varies and either disorder can emerge first depending on the individual

Answer

Research shows no consistent order; either disorder can precede the other, and both can develop concurrently, reinforcing the need for integrated assessment.

Question 5

A client with co-occurring disorders is stabilized and entering sustained recovery. Which long-term support is most evidence-based for maintaining gains?

Accepted Answer

Ongoing recovery support services including peer specialists and continuing care planning

Answer

Continuing care with recovery support services, including peer specialists, significantly reduces relapse rates in clients with co-occurring disorders.

Alcohol and Drug Counselor Exam Practice Test

Alcohol and Drug Counselor Exam Practice Test

CADC Alcohol and Drug Counselor Co-Occurring Disorders 4