MAC Co-Occurring Disorders 3

Question 1

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:

Accepted Answer

Substance-induced mood disorder

Answer

When mood symptoms are temporally linked to substance intoxication or withdrawal and resolve with abstinence, a substance-induced disorder is the most appropriate diagnosis.

Question 2

Which of the following best describes the 'no wrong door' approach in co-occurring disorder services?

Accepted Answer

Any point of entry (mental health, substance use, primary care) can initiate integrated care

Answer

The 'no wrong door' policy ensures that clients can access integrated co-occurring disorder services regardless of which system or provider they initially contact.

Question 3

When treating a client with co-occurring anxiety disorder and alcohol use disorder, counselors should be aware that:

Accepted Answer

Alcohol withdrawal can produce or worsen anxiety symptoms

Answer

Alcohol withdrawal commonly produces rebound anxiety, which may be confused with or exacerbate an underlying anxiety disorder.

Question 4

In integrated dual-diagnosis treatment, which therapeutic approach has the strongest evidence base for addressing both PTSD and substance use disorder simultaneously?

Accepted Answer

Seeking Safety

Answer

Seeking Safety is a manualized, evidence-based treatment specifically designed to address PTSD and substance use disorder concurrently.

Question 5

A client with co-occurring ADHD and stimulant use disorder asks about medication. The counselor's most appropriate response is to:

Accepted Answer

Collaborate with the prescriber, as non-stimulant ADHD medications may be indicated

Answer

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.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Co-Occurring Disorders 3