Chemical Dependency Counselor License Exam Co-Occurring Disorders and Dual Diagnosis 3

Question 1

When completing a biopsychosocial assessment for a client with co-occurring disorders, which domain is often underexplored?

Accepted Answer

Trauma history and adverse childhood experiences (ACEs)

Answer

Trauma history and ACEs are frequently underexplored in assessments despite their strong link to both mental health and substance use disorders.

Question 2

A client with bipolar disorder and cocaine use disorder is currently stable. What should the counselor include in the relapse prevention plan?

Accepted Answer

Both mood episode warning signs and substance use triggers as they are interrelated

Answer

For co-occurring disorders, relapse prevention must address both conditions since a mood episode can trigger substance use and vice versa.

Question 3

Which best describes 'self-medication hypothesis' in the context of dual diagnosis?

Accepted Answer

Individuals use substances to manage or reduce distressing psychiatric symptoms

Answer

The self-medication hypothesis proposes that individuals with untreated psychiatric symptoms turn to substances to alleviate their distress.

Question 4

Which level of care is most appropriate for a client with severe PTSD and active opioid use disorder who cannot maintain safety in outpatient settings?

Accepted Answer

Residential dual-diagnosis treatment program

Answer

Residential dual-diagnosis treatment provides the 24-hour structure and integrated psychiatric and addiction services needed for high-acuity co-occurring clients.

Question 5

A client discloses that their primary care doctor does not know about their cocaine use. What should the counselor do?

Accepted Answer

Encourage the client to disclose to their doctor and discuss the importance of integrated care

Answer

Counselors should support clients in disclosing substance use to their medical providers to enable safe, coordinated, integrated care.

Chemical Dependency Counselor License Exam Practice Test

Chemical Dependency Counselor License Exam Practice Test

Chemical Dependency Counselor License Exam Co-Occurring Disorders and Dual Diagnosis 3