MAC Co-Occurring Disorders 5

Question 1

When conducting a comprehensive assessment of a client suspected of having co-occurring disorders, the counselor should gather information about psychiatric symptoms:

Accepted Answer

During both periods of active use and abstinence to differentiate primary from substance-induced disorders

Answer

Assessing symptoms across different states (use vs. abstinence) is essential to distinguish primary psychiatric disorders from substance-induced conditions.

Question 2

A client with panic disorder and sedative use disorder is being medically detoxed. The counselor's primary role during this phase is to:

Accepted Answer

Offer supportive presence, psychoeducation, and coordinate with the medical team

Answer

During detox, the counselor provides support and psychoeducation while coordinating closely with the medical team rather than conducting intensive psychotherapy.

Question 3

Research on individuals with co-occurring antisocial personality disorder (ASPD) and substance use disorder indicates that treatment should:

Accepted Answer

Include structured behavioral interventions with clear consequences and contingency management

Answer

Structured approaches with clear behavioral expectations and contingency management show the most promise for individuals with ASPD and co-occurring SUD.

Question 4

Which of the following statements about nicotine use in clients with co-occurring psychiatric disorders is clinically important?

Accepted Answer

Tobacco use is disproportionately high in this population and treating it can improve overall outcomes

Answer

Tobacco use rates are dramatically elevated among people with psychiatric disorders, and evidence shows that addressing nicotine dependence does not destabilize mental health and can improve long-term outcomes.

Question 5

A client with generalized anxiety disorder (GAD) and alcohol use disorder has been abstinent for 3 months but continues to report significant anxiety. The counselor should:

Accepted Answer

Recognize this as likely primary GAD and ensure the client receives appropriate mental health treatment

Answer

Persistent anxiety after 3 months of abstinence is unlikely to be withdrawal-related and should be treated as primary GAD requiring evidence-based interventions.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Co-Occurring Disorders 5