CAI Co-occurring Disorders and Dual Diagnosis 2

Question 1

What is the 'self-medication theory' in the context of co-occurring disorders?

Accepted Answer

The hypothesis that individuals use substances to cope with untreated mental health symptoms

Answer

The practice of obtaining prescription drugs without a doctor's supervision

Answer

A treatment model in which clients self-manage their own psychiatric medications

Answer

A theory that substance use directly causes all mental health disorders

Question 2

PTSD most commonly co-occurs with which substance use disorder?

Accepted Answer

Alcohol use disorder

Answer

Cannabis use disorder

Answer

Sedative use disorder

Answer

Hallucinogen use disorder

Question 3

In the ARISE model, when a co-occurring mental health disorder is identified during the intervention process, the interventionist should:

Accepted Answer

Ensure that treatment recommendations include co-occurring disorder services

Answer

Immediately hospitalize the individual for a full psychiatric evaluation before proceeding

Answer

Remove the individual from the intervention network until the disorder is stabilized

Answer

Focus exclusively on substance use to avoid complicating the intervention goals

Question 4

Bipolar disorder co-occurring with substance use disorder is particularly challenging to treat because:

Accepted Answer

Mood episodes can trigger substance use, and substance use can destabilize mood, creating a reinforcing cycle

Answer

Insurance never covers dual diagnosis treatment when bipolar disorder is present

Answer

Bipolar disorder cannot be treated while the person continues to use substances

Answer

People with bipolar disorder are generally unable to participate in intervention processes

Question 5

Which of the following is an evidence-based treatment program specifically designed for individuals with co-occurring PTSD and substance use disorder?

Accepted Answer

Seeking Safety

Answer

Motivational Enhancement Therapy (MET) alone

Answer

The Minnesota Model (28-day abstinence model)

Answer

Rational Emotive Behavior Therapy (REBT) alone

Question 6

When assessing whether a psychiatric symptom is substance-induced versus an independent disorder, clinicians generally recommend a minimum abstinence period of:

Accepted Answer

2–4 weeks

Answer

24–48 hours

Answer

3–6 months

Answer

At least one full year

Question 7

An interventionist working with a family where the identified patient has both severe depression and opioid use disorder should recommend treatment that:

Accepted Answer

Provides integrated care addressing both conditions, which may include medication-assisted treatment

Answer

Prioritizes opioid detox first, with depression treatment starting after 90 days of sobriety

Answer

Treats depression with antidepressants only, avoiding medication-assisted treatment for opioids

Answer

Focuses solely on depression since opioid use is viewed as a symptom of the depression