CART Co-Occurring Substance Use 4

Question 1

When assessing relapse risk in a client with co-occurring anger and alcohol use disorder, which factor is most predictive of relapse?

Accepted Answer

Unresolved anger and interpersonal conflict

Answer

Research consistently identifies unresolved anger and interpersonal conflict as primary relapse triggers for individuals with alcohol use disorder.

Question 2

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:

Accepted Answer

Explore how the sense of power relates to anger expression and relationships

Answer

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.

Question 3

Which anger resolution technique is LEAST appropriate during active intoxication?

Accepted Answer

All structured interventions should be deferred during active intoxication

Answer

Active intoxication impairs the cognitive processing required for any structured therapeutic intervention, making all techniques minimally effective and potentially unsafe.

Question 4

The concept of 'anger as a relapse warning sign' means:

Accepted Answer

Escalating anger patterns can signal increased craving and relapse vulnerability

Answer

Escalating anger is a recognized relapse warning sign in recovery because it increases emotional discomfort and the urge to use substances for relief.

Question 5

Which of the following is an example of an anger trigger specific to early substance use recovery?

Accepted Answer

Feeling frustrated that sobriety isn't being noticed or rewarded

Answer

Feeling unrecognized for sobriety efforts is a common trigger of resentment and anger during early recovery when clients expect external validation.

(CART) Certified Anger Resolution Therapist Practice Test

(CART) Certified Anger Resolution Therapist Practice Test

CART Co-Occurring Substance Use 4