CASAC Relapse Prevention and Recovery Support 5

Question 1

A client who has been sober for 18 months begins withdrawing from support meetings and isolating at home. In terms of relapse stages, this behavior most likely indicates:

Accepted Answer

Emotional relapse

Answer

Emotional relapse, the first stage in the relapse process, is characterized by poor self-care, isolation, and not attending meetings—before any thoughts of using occur.

Question 2

Which of the following describes the primary purpose of a 'relapse autopsy' in counseling?

Accepted Answer

To analyze the sequence of events and thoughts leading to relapse as a learning opportunity

Answer

A relapse autopsy is a therapeutic technique used to examine the chain of events, thoughts, and feelings that led to a relapse in order to prevent future occurrences.

Question 3

When developing a relapse prevention plan, the MOST important reason to identify early warning signs is to:

Accepted Answer

Enable the client to intervene early in the relapse process before substance use occurs

Answer

Early warning signs are identified so the client can recognize the beginning of the relapse process and activate coping strategies before a lapse occurs.

Question 4

A client on medication-assisted treatment (MAT) with buprenorphine asks if they are 'truly in recovery' since they rely on medication. The counselor's BEST response is:

Accepted Answer

Validate that MAT is a valid, evidence-based pathway to recovery and does not disqualify their recovery status

Answer

SAMHSA and major recovery organizations recognize MAT as a legitimate and effective recovery pathway; counselors should counter stigma and affirm the client's recovery identity.

Question 5

Which coping skill involves observing and accepting a craving as a temporary sensation without acting on it, allowing it to peak and subside naturally?

Accepted Answer

Urge surfing

Answer

Urge surfing, developed by Alan Marlatt, teaches clients to observe cravings like waves—acknowledging them without fighting or yielding to them until they naturally diminish.

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC Relapse Prevention and Recovery Support 5