Co-Occurring Substance Use Flashcards
7 cards from real CART practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Co-Occurring Substance Use flashcards as text
When assessing relapse risk in a client with co-occurring anger and alcohol use disorder, which factor is most predictive of relapse?
Answer: Unresolved anger and interpersonal conflict
Research consistently identifies unresolved anger and interpersonal conflict as primary relapse triggers for individuals with alcohol use disorder.
A client with co-occurring methamphetamine use and anger disorder reports 'meth makes me feel powerful, not angry.' The therapist's best response is to:
Answer: Explore how the sense of power relates to anger expression and relationships
Exploring the meaning behind substance use effects helps the therapist understand the emotional function substances serve, including how they relate to anger and control needs.
Which anger resolution technique is LEAST appropriate during active intoxication?
Answer: All structured interventions should be deferred during active intoxication
Active intoxication impairs the cognitive processing required for any structured therapeutic intervention, making all techniques minimally effective and potentially unsafe.
The concept of 'anger as a relapse warning sign' means:
Answer: Escalating anger patterns can signal increased craving and relapse vulnerability
Escalating anger is a recognized relapse warning sign in recovery because it increases emotional discomfort and the urge to use substances for relief.
Which of the following is an example of an anger trigger specific to early substance use recovery?
Answer: Feeling frustrated that sobriety isn't being noticed or rewarded
Feeling unrecognized for sobriety efforts is a common trigger of resentment and anger during early recovery when clients expect external validation.
A co-occurring disorder treatment plan should always include:
Answer: Coordinated goals addressing both anger and substance use with clear relapse prevention strategies
Coordinated goals addressing both conditions with integrated relapse prevention ensures continuity, reduces treatment gaps, and reflects best practice for co-occurring disorders.
Peer support groups such as Alcoholics Anonymous (AA) address anger by:
Answer: Offering sponsorship and step work that includes examining resentments and anger patterns
AA's 12-step process includes specific steps dedicated to examining resentments, making amends, and addressing anger as part of the spiritual and emotional recovery process.