CASAC Counseling Theories and Practice 2

Question 1

In cognitive-behavioral therapy for substance use disorders, what is the primary focus of a functional analysis?

Accepted Answer

Identifying the antecedents, behaviors, and consequences associated with substance use episodes

Answer

Evaluating the client's cognitive intelligence

Answer

Assessing the client's physical fitness level

Answer

Determining the client's socioeconomic status

Question 2

Which therapeutic approach emphasizes the concept of 'unconditional positive regard' and is particularly useful in building rapport with substance abuse clients?

Accepted Answer

Person-centered therapy

Answer

Rational emotive behavior therapy

Answer

Psychoanalytic therapy

Answer

Dialectical behavior therapy

Question 3

According to Prochaska and DiClemente's Transtheoretical Model, a client who acknowledges having a substance use problem but is ambivalent about making changes is in which stage?

Accepted Answer

Contemplation

Answer

Precontemplation

Answer

Preparation

Answer

Action

Question 4

A substance abuse counselor using dialectical behavior therapy (DBT) would most likely teach a client which of the following skills to manage intense cravings?

Accepted Answer

Distress tolerance skills such as TIPP and radical acceptance

Answer

Free association techniques

Answer

Dream analysis and interpretation

Answer

Systematic desensitization through gradual exposure

Question 5

In group therapy for substance abuse, what is the primary advantage of using a psychoeducational group format compared to a process-oriented group?

Accepted Answer

It provides structured information about addiction, recovery skills, and coping strategies in an organized curriculum

Answer

It allows unlimited group size

Answer

It eliminates the need for a trained facilitator

Answer

It guarantees better treatment outcomes than individual therapy

Question 6

A counselor working with a substance abuse client discovers that the client is also experiencing symptoms of borderline personality disorder. According to best practices, what approach should the counselor take?

Accepted Answer

Implement an integrated treatment approach that addresses both the substance use disorder and personality disorder simultaneously

Answer

Refuse to treat the client until the personality disorder is resolved

Answer

Focus exclusively on substance abuse and ignore the personality symptoms

Answer

Discharge the client and refer to a personality disorder specialist