CAS Co-Occurring Disorders & Dual Diagnosis 3

Question 1

A client with schizophrenia and cannabis use disorder reports that marijuana helps reduce his auditory hallucinations. The CAS's best clinical response is to:

Accepted Answer

Validate the perceived relief while psychoeducating about cannabis's role in worsening psychotic symptoms long-term

Answer

Encourage continued cannabis use as a harm reduction strategy

Answer

Immediately refer to a psychiatrist without addressing the substance use

Answer

Advise the client to abstain completely before any further sessions

Question 2

Which of the following is a key principle of trauma-informed care when working with clients with co-occurring PTSD and substance use disorder?

Accepted Answer

Emphasizing safety, trustworthiness, and avoiding re-traumatization

Answer

Requiring trauma disclosure before beginning substance use treatment

Answer

Focusing exclusively on behavioral relapse prevention techniques

Answer

Using confrontational intervention styles to break down denial

Question 3

When a client with a co-occurring anxiety disorder and alcohol use disorder discontinues alcohol use, the counselor should be alert to:

Accepted Answer

Rebound anxiety that may increase relapse risk during early abstinence

Answer

Permanent resolution of anxiety symptoms within 48 hours

Answer

Decreased need for any anxiety-related support services

Answer

Improved sleep immediately upon stopping alcohol

Question 4

The CAS model of motivational interviewing is particularly valuable in co-occurring disorder treatment because it:

Accepted Answer

Meets clients at their current stage of readiness without judgment for both disorders

Answer

Requires clients to acknowledge both disorders before sessions begin

Answer

Uses a directive approach to enforce treatment compliance

Answer

Is only effective for clients who are already in the action stage

Question 5

Under the DSM-5, which specifier is used to note a substance use disorder in a client also diagnosed with a depressive disorder?

Accepted Answer

Substance/medication-induced

Answer

With perceptual disturbances

Answer

With comorbid features

Answer

In the context of another medical condition

Question 6

A CAS practitioner working with a client who has co-occurring ADHD and stimulant use disorder should be most cautious about:

Accepted Answer

Misuse potential of prescribed stimulant medications for ADHD

Answer

Over-diagnosing anxiety as a co-occurring condition

Answer

Recommending only non-pharmacological ADHD treatment in all cases

Answer

Ignoring ADHD symptoms until the substance use disorder is resolved

Question 7

In the context of co-occurring disorders, what does the term 'recovery capital' refer to?

Accepted Answer

The internal and external resources a person can draw on to initiate and sustain recovery

Answer

The financial cost of dual diagnosis treatment programs

Answer

The clinical credentials required to treat co-occurring populations

Answer

The number of prior treatment episodes a client has completed