Chemical Dependency Counselor CCDC Exam Case Studies & Practical Application 4

Question 1

A counselor notices that a long-term client has become emotionally dependent on the therapeutic relationship, calling outside session hours frequently. The appropriate response is to:

Accepted Answer

Explore the dependency pattern within sessions and reinforce healthy boundaries

Answer

Addressing dependency patterns clinically within appropriate boundaries is more therapeutic than abrupt termination or reinforcing the pattern.

Question 2

A client's urine drug screen is negative, but the client's behavior in session suggests active use. The counselor should:

Accepted Answer

Document observations, discuss discrepancies with the client, and consider additional assessment

Answer

Clinical observation and direct discussion of discrepancies provide more information than relying solely on a single drug screen result.

Question 3

A client in recovery from methamphetamine use reports prolonged anhedonia and low motivation six months post-abstinence. The counselor should recognize this as:

Accepted Answer

Post-acute withdrawal syndrome (PAWS) related to dopamine dysregulation

Answer

Anhedonia and low motivation months into abstinence from stimulants is consistent with PAWS due to dopaminergic system recovery.

Question 4

During a home visit, a counselor observes possible signs of domestic violence affecting a client in recovery. The counselor should FIRST:

Accepted Answer

Privately assess the client's safety using a validated screening tool

Answer

Safety assessment must be conducted privately and sensitively before any further action to avoid escalating danger for the client.

Question 5

A client who identifies as LGBTQ+ reports that previous counselors told them their substance use was caused by their sexual orientation. The counselor should:

Accepted Answer

Validate that this was inappropriate and assess how this experience affects current treatment engagement

Answer

Acknowledging past harm and assessing its impact on current trust and engagement is essential before building a therapeutic alliance.

Chemical Dependency Counselor CCDC Exam Practice Test

Chemical Dependency Counselor CCDC Exam Practice Test

Chemical Dependency Counselor CCDC Exam Case Studies & Practical Application 4