Co-Occurring Disorders Flashcards
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Read the first 7 Co-Occurring Disorders flashcards as text
When conducting a comprehensive assessment of a client suspected of having co-occurring disorders, the counselor should gather information about psychiatric symptoms:
Answer: During both periods of active use and abstinence to differentiate primary from substance-induced disorders
Assessing symptoms across different states (use vs. abstinence) is essential to distinguish primary psychiatric disorders from substance-induced conditions.
A client with panic disorder and sedative use disorder is being medically detoxed. The counselor's primary role during this phase is to:
Answer: Offer supportive presence, psychoeducation, and coordinate with the medical team
During detox, the counselor provides support and psychoeducation while coordinating closely with the medical team rather than conducting intensive psychotherapy.
Research on individuals with co-occurring antisocial personality disorder (ASPD) and substance use disorder indicates that treatment should:
Answer: Include structured behavioral interventions with clear consequences and contingency management
Structured approaches with clear behavioral expectations and contingency management show the most promise for individuals with ASPD and co-occurring SUD.
Which of the following statements about nicotine use in clients with co-occurring psychiatric disorders is clinically important?
Answer: Tobacco use is disproportionately high in this population and treating it can improve overall outcomes
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.
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:
Answer: Recognize this as likely primary GAD and ensure the client receives appropriate mental health treatment
Persistent anxiety after 3 months of abstinence is unlikely to be withdrawal-related and should be treated as primary GAD requiring evidence-based interventions.
Integrated group therapy (IGT) for co-occurring disorders differs from traditional addiction groups primarily by:
Answer: Addressing both mental health symptoms and substance use within the same group sessions
IGT addresses psychiatric symptoms and substance use within unified group sessions, reflecting the integrated treatment philosophy rather than siloing the two issues.
A client with depression and opioid use disorder stabilized on buprenorphine tells their counselor they want to stop the medication because they feel 'like an addict.' The counselor's best response is to:
Answer: Explore the stigma behind this belief and provide psychoeducation about MAT as evidence-based treatment
Addressing internalized stigma about MAT through motivational exploration and psychoeducation helps clients make informed decisions and supports medication adherence.