CRSS Understanding Co-Occurring Disorders 5

Question 1

Which of the following best supports a peer with co-occurring disorders who is reluctant to engage in mental health treatment?

Accepted Answer

Using motivational interviewing techniques to explore their ambivalence

Answer

Motivational interviewing helps peers explore and resolve their own ambivalence about treatment without coercion.

Question 2

When withdrawal from alcohol triggers severe anxiety in a peer, this most likely represents:

Accepted Answer

A substance-induced anxiety disorder or worsening of a pre-existing anxiety condition

Answer

Alcohol withdrawal commonly provokes intense anxiety and can both mimic and exacerbate underlying anxiety disorders.

Question 3

An RSS specialist who has lived experience with co-occurring disorders can ethically share their story when:

Accepted Answer

It is relevant, brief, and serves the peer's recovery—not the specialist's own needs

Answer

Intentional peer self-disclosure is ethical when it is purposeful, time-limited, and centered on the peer's benefit.

Question 4

Which statement about medication for psychiatric conditions in people with substance use disorders is accurate?

Accepted Answer

Many psychiatric medications are appropriate and effective even in active recovery

Answer

Evidence supports the use of appropriate psychiatric medications as part of holistic, integrated treatment for co-occurring disorders.

Question 5

A peer with co-occurring borderline personality disorder and alcohol use disorder often shows intense emotional reactions. The RSS specialist should:

Accepted Answer

Respond with consistent, calm, non-judgmental engagement and encourage DBT-based services

Answer

Dialectical Behavior Therapy (DBT) is evidence-based for BPD, and steady peer support helps individuals stay engaged with treatment.

CRSS - Certified Recovery Support Specialist Practice Test