CRM Mental Health & Co-Occurring Disorders

Question 1

When providing recovery mentorship to someone with a co-occurring mental health disorder, the CRM should prioritize:

Accepted Answer

An integrated approach that addresses both conditions simultaneously

Answer

Addressing the mental health disorder before discussing substance use

Answer

Referring entirely to psychiatry and stepping back

Answer

Focusing exclusively on sobriety milestones

Question 2

Post-Traumatic Stress Disorder (PTSD) and substance use disorder frequently co-occur because:

Accepted Answer

Substances may be used to self-medicate trauma symptoms such as flashbacks and hyperarousal

Answer

Trauma survivors are morally weaker

Answer

PTSD medication causes addiction

Answer

Trauma improves the body's tolerance for substances

Question 3

Which of the following symptoms is characteristic of Major Depressive Disorder (MDD) that a recovery mentor might observe?

Accepted Answer

Persistent low mood, loss of interest, and fatigue

Answer

Elevated mood and decreased need for sleep

Answer

Rapid speech and grandiosity

Answer

Hallucinations and disorganized thinking

Question 4

A CRM notices a client with anxiety disorder is avoiding all social situations since stopping substance use. The BEST initial response is to:

Accepted Answer

Encourage the client and refer them to appropriate mental health services

Answer

Tell the client their anxiety is not real

Answer

Advise the client to push through alone

Answer

Reduce their recovery support meetings to avoid overwhelming them

Question 5

The term 'self-medication hypothesis' in co-occurring disorders suggests that:

Accepted Answer

People use substances to relieve untreated psychiatric symptoms

Answer

Clients should manage their own medication without a doctor

Answer

Mental health conditions are caused solely by substance use

Answer

Only doctors should discuss mental health with clients

Question 6

Which of the following behaviors should prompt a CRM to make an immediate mental health referral?

Accepted Answer

Expressions of suicidal ideation or intent to harm self or others

Answer

A client who misses one support group meeting

Answer

A client who is reluctant to share their personal story

Answer

A preference for individual sessions over group sessions