CADC Alcohol and Drug Counselor Core Counseling Theories 2 — Questions and Answers
Question 1: In Cognitive-Behavioral Therapy (CBT) for substance use disorders, what is the primary focus of 'functional analysis'?
- Assessing the client's brain function under intoxication
- Identifying triggers, thoughts, and consequences surrounding substance use (Correct answer)
- Analyzing the economic cost of the client's drug use
- Evaluating the client's functional impairment at work
Correct answer: Identifying triggers, thoughts, and consequences surrounding substance use
Functional analysis examines the antecedents, behaviors, and consequences (ABCs) of substance use to identify triggers and patterns.
Question 2: Which theorist is most closely associated with the development of Motivational Interviewing (MI)?
- Aaron Beck
- William Miller (Correct answer)
- Carl Rogers
- Albert Ellis
Correct answer: William Miller
William Miller, along with Stephen Rollnick, developed Motivational Interviewing as a client-centered directive approach.
Question 3: Rational Emotive Behavior Therapy (REBT) holds that emotional disturbance in addiction is primarily caused by:
- Childhood trauma and unresolved grief
- Irrational beliefs about substances and self (Correct answer)
- Neurological imbalances in dopamine pathways
- Poor social support networks
Correct answer: Irrational beliefs about substances and self
REBT, developed by Albert Ellis, posits that irrational beliefs (not events themselves) are the root cause of emotional and behavioral problems.
Question 4: A counselor using a Person-Centered approach to substance use treatment would primarily emphasize:
- Confronting denial and demanding honesty from the client
- Providing unconditional positive regard, empathy, and genuineness (Correct answer)
- Assigning homework tasks to challenge cognitive distortions
- Analyzing the unconscious motives behind drug use
Correct answer: Providing unconditional positive regard, empathy, and genuineness
Carl Rogers' Person-Centered approach relies on the therapeutic core conditions of UPR, empathy, and congruence to facilitate change.
Question 5: In the Transtheoretical Model (TTM), a client in the 'Contemplation' stage is best described as:
- Having no awareness that their substance use is a problem
- Ambivalent—aware of the problem but not yet committed to change (Correct answer)
- Actively making changes to their substance use behavior
- Maintaining sobriety and working to prevent relapse
Correct answer: Ambivalent—aware of the problem but not yet committed to change
Contemplators are aware a problem exists and are seriously thinking about change within the next 6 months but have not yet made a commitment.
Question 6: Which of the following best describes 'Change Talk' in Motivational Interviewing?
- The counselor's explanation of why the client needs to change
- Client statements that favor movement toward change (Correct answer)
- A scripted dialogue used in the action stage of treatment
- Psychoeducation about the dangers of substance use
Correct answer: Client statements that favor movement toward change
Change talk refers to client verbalizations that reflect desire, ability, reasons, need, or commitment to change.
Question 7: Dialectical Behavior Therapy (DBT) was originally developed to treat which population, but has since been adapted for substance use disorders?
- Individuals with schizophrenia
- Individuals with borderline personality disorder (Correct answer)
- Veterans with PTSD
- Adolescents with conduct disorder
Correct answer: Individuals with borderline personality disorder
Marsha Linehan developed DBT for individuals with borderline personality disorder; its skills-based approach has been adapted for SUD treatment.
CADC Alcohol and Drug Counselor Core Counseling Theories 2
In Cognitive-Behavioral Therapy (CBT) for substance use disorders, what is the primary focus of 'functional analysis'?