Chemical dependency and substance abuse counselor licensing exams — including the CADC (Certified Alcohol and Drug Counselor), LADC (Licensed Alcohol and Drug Counselor), LCDC (Licensed Chemical Dependency Counselor), and CASAC (Credentialed Alcoholism and Substance Abuse Counselor) — test your knowledge across clinical evaluation, treatment planning, counseling, case management, and professional ethics.
This free printable PDF provides practice questions drawn from IC&RC (International Certification and Reciprocity Consortium) and NAADAC (National Association for Addiction Professionals) competency frameworks — the two primary foundations for state and national licensing exams in this field.
Most state licensing exams align with one of two frameworks. Understanding their domains helps you target your study and use this PDF efficiently.
This domain tests your ability to conduct biopsychosocial assessments. You must know DSM-5 Substance Use Disorder diagnostic criteria inside out — mild (2–3 criteria), moderate (4–5), and severe (6+) out of the 11 total criteria. Screening tools are heavily tested: the CAGE questionnaire (Cut down, Annoyed, Guilty, Eye-opener), the AUDIT (Alcohol Use Disorders Identification Test, 10 items), and the DAST-10 (Drug Abuse Screening Test). The ASAM criteria — six dimensions used for level-of-care placement decisions (acute intoxication/withdrawal potential; biomedical conditions; emotional, behavioral, or cognitive conditions; readiness to change; relapse or continued use potential; recovery/living environment) — appear on nearly every exam. Mental status examination components are also tested.
Individualized treatment plan questions focus on writing proper problem statements, goals, measurable objectives, timelines, and responsible parties. The exam also tests evidence-based treatment modalities. Motivational Interviewing (MI) is a major focus: know the five stages of change (Precontemplation, Contemplation, Preparation, Action, Maintenance) and the OARS technique (Open questions, Affirm, Reflect, Summarize). Other modalities include cognitive-behavioral therapy for SUD, 12-step facilitation, and SMART Recovery (secular, self-management alternative to 12-step).
This domain covers individual, group, and family therapy approaches; therapeutic alliance; and harm reduction strategies. Trauma-informed care questions often reference ACEs (Adverse Childhood Experiences) and their relationship to SUD. Co-occurring disorders (dual diagnosis) treatment — managing both a mental health condition and a substance use disorder simultaneously — is a consistently tested area.
Case management questions test referral and resource coordination, proper documentation standards, and — critically — confidentiality law. Know that 42 CFR Part 2 governs substance abuse treatment records and is more restrictive than HIPAA: it requires patient-specific written consent for most disclosures, including to other healthcare providers, unless a specific exception applies. Mandatory reporting laws (child abuse, imminent danger) and professional boundary rules also appear here.
This domain draws from the NAADAC Code of Ethics. Questions cover dual relationships and when they are prohibited, scope of practice limitations, supervision requirements for licensure candidates, and continuing education obligations. Scenarios testing ethical decision-making — what to do when a client discloses harm to others, how to handle gifts, when to terminate services — are common.
This PDF is ideal for offline review, but interactive practice with instant scoring helps you pinpoint weak domains faster. Visit our chemical dependency counselor practice test page for full-length timed exams, detailed answer explanations, and score tracking by domain.
Use this PDF to study ASAM criteria, MI stages, and 42 CFR Part 2 rules in depth, then switch to online tests when you're ready to practice under timed exam conditions. Together, they form a complete preparation plan for any state licensing exam in this field.