Substance Abuse and Addictions Counseling Flashcards
7 cards from real LMHC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Substance Abuse and Addictions Counseling flashcards as text
The term 'co-occurring disorders' in addiction counseling refers to a client who has:
Answer: Both a mental health disorder and a substance use disorder
Co-occurring disorders (also called dual diagnosis) refers to the simultaneous presence of a mental health disorder and a substance use disorder in the same individual.
Which medications are FDA-approved for Medication-Assisted Treatment (MAT) of opioid use disorder?
Answer: Methadone and buprenorphine
Methadone and buprenorphine are both FDA-approved agonist/partial-agonist medications that reduce opioid cravings, withdrawal, and illicit drug use.
A CAGE questionnaire score of 2 or more is clinically significant and indicates the need for:
Answer: Further clinical evaluation for alcohol use disorder
A CAGE score of 2 or more is a positive screen and warrants a comprehensive clinical assessment for alcohol use disorder before determining treatment level.
When beginning counseling with a client suspected of having a substance use disorder, the LMHC's first priority should be to:
Answer: Conduct a comprehensive biopsychosocial assessment
A thorough biopsychosocial assessment establishes baseline functioning, diagnoses, severity, and informs individualized treatment planning before any intervention is selected.
Contingency management in addiction treatment is best described as:
Answer: Using positive reinforcement such as vouchers to reward drug-negative urine samples
Contingency management is a behavioral intervention that uses tangible rewards (vouchers, prizes) to reinforce abstinence verified by negative drug tests.
An LMHC is ethically and legally required to breach confidentiality regarding a client's substance use when:
Answer: The client reveals a specific plan to drive intoxicated targeting an identifiable person
Duty-to-warn obligations (consistent with Tarasoff) require breaking confidentiality when there is a specific, credible, and imminent threat of harm to an identifiable third party.
In addiction counseling, 'enabling' refers to:
Answer: Behaviors by significant others that inadvertently protect the client from consequences and maintain substance use
Enabling refers to well-intentioned behaviors by family members or others that shield the person with addiction from natural consequences, thereby sustaining the addictive cycle.