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
Which evidence-based therapy combines cognitive-behavioral techniques with mindfulness and acceptance strategies and is used for substance use disorders, particularly with co-occurring borderline personality disorder?
Answer: Dialectical Behavior Therapy (DBT)
DBT, developed by Marsha Linehan, integrates CBT with mindfulness-based acceptance strategies and has strong evidence for treating substance use disorders with co-occurring BPD.
Which organization developed the AUDIT (Alcohol Use Disorders Identification Test) as a 10-item screening tool?
Answer: World Health Organization
The WHO developed the AUDIT to identify hazardous, harmful, and dependent alcohol use in primary care and other health settings worldwide.
Which neurotransmitter in the mesolimbic reward pathway is most directly responsible for the reinforcing effects of addictive substances?
Answer: Dopamine
Dopamine release in the nucleus accumbens (mesolimbic pathway) is the primary mechanism by which substances produce euphoria and reinforcement.
Tolerance in the context of substance use disorders is best defined as:
Answer: Needing increasing amounts of a substance to achieve the same effect
Tolerance means the body requires progressively larger doses to achieve the original effect, or that the same dose produces a diminished effect over time.
Relapse Prevention Therapy, developed by Marlatt and Gordon, primarily focuses on:
Answer: Identifying high-risk situations and building coping strategies
Relapse Prevention Therapy teaches clients to identify triggers and high-risk situations and to develop specific coping skills to manage them without substance use.
In 12-step facilitation therapy, which step involves clients admitting powerlessness over their addiction?
Answer: Step 1 — admitting powerlessness
Step 1 requires acknowledging that one is powerless over the substance and that their life has become unmanageable, forming the foundation of the 12-step approach.
Which therapeutic approach recognizes that family members of individuals with addiction may develop enabling behaviors and dysfunctional roles that maintain the addiction?
Answer: Family systems therapy
Family systems therapy views addiction within relational context and addresses enabling, codependency, and dysfunctional family patterns that sustain substance use.