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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

  1. Which neurotransmitter system is most implicated in both alcohol use disorder and anger dysregulation?

    Answer: GABA

    GABA (gamma-aminobutyric acid) is a primary inhibitory neurotransmitter involved in both alcohol's sedating effects and impulse/anger control.

  2. When a client reports using alcohol specifically to 'take the edge off' anger, this pattern most likely indicates:

    Answer: Self-medication of emotional dysregulation

    Using substances to manage anger or emotional pain is a hallmark of self-medication, which links emotional dysregulation directly to substance use patterns.

  3. In integrated treatment for co-occurring anger and substance use, which approach is most evidence-based?

    Answer: Treat both conditions simultaneously in a coordinated plan

    Simultaneous integrated treatment addresses the reciprocal relationship between anger and substance use and produces better outcomes than sequential approaches.

  4. A client in early sobriety reports intense anger episodes that were previously masked by alcohol. This phenomenon is best described as:

    Answer: Rebound emotional dysregulation

    Rebound emotional dysregulation occurs when substances that suppressed emotions are removed, causing previously masked feelings like anger to intensify.

  5. Which motivational interviewing technique is most effective when a client is ambivalent about addressing substance use alongside anger issues?

    Answer: Rolling with resistance and exploring ambivalence

    Rolling with resistance and exploring ambivalence reduces defensiveness and helps clients resolve their own internal conflict about change.

  6. Stimulant use (e.g., cocaine, methamphetamine) is associated with anger primarily due to:

    Answer: Dopamine/norepinephrine surges increasing irritability and paranoia

    Stimulants cause surges in dopamine and norepinephrine, heightening arousal, irritability, and paranoia that can escalate to anger and aggression.

  7. Which screening tool is commonly used to identify alcohol use disorder in clients presenting with anger management concerns?

    Answer: AUDIT (Alcohol Use Disorders Identification Test)

    The AUDIT is a validated 10-item WHO tool specifically designed to screen for alcohol use disorder and hazardous drinking patterns.