Co-Occurring Disorders Flashcards
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Read the first 7 Co-Occurring Disorders flashcards as text
A client presents with mood instability, impulsivity, and stimulant use disorder. The counselor notices that the client's mood symptoms only appear during periods of active cocaine use. This pattern most suggests:
Answer: Substance-induced mood disorder
When mood symptoms are temporally linked to substance intoxication or withdrawal and resolve with abstinence, a substance-induced disorder is the most appropriate diagnosis.
Which of the following best describes the 'no wrong door' approach in co-occurring disorder services?
Answer: Any point of entry (mental health, substance use, primary care) can initiate integrated care
The 'no wrong door' policy ensures that clients can access integrated co-occurring disorder services regardless of which system or provider they initially contact.
When treating a client with co-occurring anxiety disorder and alcohol use disorder, counselors should be aware that:
Answer: Alcohol withdrawal can produce or worsen anxiety symptoms
Alcohol withdrawal commonly produces rebound anxiety, which may be confused with or exacerbate an underlying anxiety disorder.
In integrated dual-diagnosis treatment, which therapeutic approach has the strongest evidence base for addressing both PTSD and substance use disorder simultaneously?
Answer: Seeking Safety
Seeking Safety is a manualized, evidence-based treatment specifically designed to address PTSD and substance use disorder concurrently.
A client with co-occurring ADHD and stimulant use disorder asks about medication. The counselor's most appropriate response is to:
Answer: Collaborate with the prescriber, as non-stimulant ADHD medications may be indicated
Non-stimulant medications such as atomoxetine or bupropion may be appropriate for ADHD in clients with stimulant use disorder and should be considered in collaboration with a prescriber.
Which of the following statements about the prevalence of co-occurring disorders is most accurate?
Answer: Approximately half of individuals with a lifetime SUD also meet criteria for a mental health disorder
Epidemiological data (e.g., NESARC, NESARC-III) consistently shows that roughly 50% of individuals with a substance use disorder have a co-occurring mental health condition.
A counselor working with a dually diagnosed client who is psychiatrically stable but actively using should prioritize:
Answer: Maintaining engagement and addressing both conditions with harm reduction principles
Maintaining therapeutic engagement using harm reduction principles is essential for clients who are not yet abstinent but are psychiatrically stable.