CART Co-Occurring Substance Use 2

Question 1

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

Accepted Answer

GABA

Answer

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

Question 2

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

Accepted Answer

Self-medication of emotional dysregulation

Answer

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

Question 3

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

Accepted Answer

Treat both conditions simultaneously in a coordinated plan

Answer

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

Question 4

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

Accepted Answer

Rebound emotional dysregulation

Answer

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

Question 5

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

Accepted Answer

Rolling with resistance and exploring ambivalence

Answer

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

(CART) Certified Anger Resolution Therapist Practice Test

(CART) Certified Anger Resolution Therapist Practice Test

CART Co-Occurring Substance Use 2