CADC Alcohol and Drug Counselor Co-Occurring Disorders 5

Question 1

Which evidence-based treatment combines cognitive-behavioral strategies with mindfulness and is effective for both SUD and mood disorders?

Accepted Answer

Mindfulness-Based Relapse Prevention (MBRP)

Answer

Mindfulness-Based Relapse Prevention (MBRP) integrates mindfulness practices with CBT and has strong evidence for reducing relapse in SUD while addressing mood disorder symptoms.

Question 2

A client with co-occurring depression and opioid use disorder is prescribed buprenorphine. What should the counselor know about this medication's relationship to depression?

Accepted Answer

Buprenorphine has been shown to have antidepressant properties in addition to treating OUD

Answer

Buprenorphine acts on kappa-opioid receptors and has demonstrated antidepressant effects, making it particularly beneficial for clients with co-occurring OUD and depression.

Question 3

When a client with co-occurring disorders relapses, what should the counselor frame the relapse as in the context of recovery?

Accepted Answer

A predictable part of the chronic disease process and an opportunity for clinical learning

Answer

Both SUD and mental illness are chronic conditions with expected periods of relapse; framing relapse as a learning opportunity reduces shame and supports continued engagement.

Question 4

A counselor is conducting a group for clients with co-occurring disorders. A member discloses that they heard a voice telling them to use drugs last night. What is the priority response?

Accepted Answer

Acknowledge the disclosure, assess for safety, and coordinate with the psychiatric team

Answer

Command hallucinations linked to substance use create immediate safety concerns requiring psychiatric consultation; the counselor must assess safety and coordinate care.

Question 5

Which population is at highest risk for co-occurring substance use disorder and serious mental illness (SMI)?

Accepted Answer

Individuals experiencing homelessness

Answer

People experiencing homelessness have dramatically elevated rates of both SMI and SUD, and their co-occurrence is a major driver of housing instability.

Alcohol and Drug Counselor Exam Practice Test

Alcohol and Drug Counselor Exam Practice Test

CADC Alcohol and Drug Counselor Co-Occurring Disorders 5