CADC Co-Occurring Disorders 2

Question 1

Which screening tool is specifically designed to identify co-occurring mental health disorders in individuals presenting for substance use treatment?

Accepted Answer

MINI International Neuropsychiatric Interview

Answer

AUDIT-C

Answer

MAST

Answer

CAGE

Question 2

A client with PTSD and alcohol use disorder reports using alcohol to manage nightmares. This pattern best illustrates which concept?

Accepted Answer

Self-medication hypothesis

Answer

Dual diagnosis escalation

Answer

Substance-induced anxiety disorder

Answer

Tolerance transfer

Question 3

When is it most appropriate to use a 'watch and wait' approach before diagnosing a co-occurring psychiatric disorder?

Accepted Answer

When symptoms may be substance-induced and could resolve with abstinence

Answer

When a client has a history of trauma

Answer

When psychiatric symptoms emerged before substance use began

Answer

When the client refuses psychiatric medication

Question 4

In integrated dual diagnosis treatment, services for substance use and mental health are best described as:

Accepted Answer

Provided simultaneously by the same treatment team

Answer

Sequential and separate

Answer

Parallel but uncoordinated

Answer

Alternated based on which disorder is currently active

Question 5

A counselor notices a client's depressive symptoms persist after 6 weeks of abstinence. The most likely clinical implication is:

Accepted Answer

The depression is likely an independent co-occurring disorder requiring treatment

Answer

The depression is definitively substance-induced

Answer

The client is not truly abstinent

Answer

Antidepressants are contraindicated at this stage

Question 6

Which of the following is a core feature of Dialectical Behavior Therapy (DBT) that makes it particularly useful for clients with co-occurring borderline personality disorder and substance use disorder?

Accepted Answer

It teaches distress tolerance and emotion regulation skills

Answer

It focuses exclusively on relapse prevention

Answer

It uses 12-step principles as its foundation

Answer

It requires medication compliance as a prerequisite

Question 7

Which term describes the clinical situation where substance use and a psychiatric disorder each independently worsen the other?

Accepted Answer

Bidirectional exacerbation

Answer

Comorbid tolerance

Answer

Syndromal convergence

Answer

Cross-sensitization