LMHC Substance Abuse and Addictions Counseling 1 — Questions and Answers
Question 1: According to the DSM-5, which term replaced the separate diagnoses of 'substance abuse' and 'substance dependence'?
- Substance use disorder (Correct answer)
- Addictive behavior disorder
- Chemical dependency syndrome
- Compulsive use disorder
Correct answer: Substance use disorder
The DSM-5 combined the former abuse and dependence categories into a single spectrum diagnosis called Substance Use Disorder, rated as mild, moderate, or severe.
Question 2: Prochaska and DiClemente's Transtheoretical Model of change identifies how many stages?
- Four
- Five
- Six (Correct answer)
- Seven
Correct answer: Six
The model includes six stages: precontemplation, contemplation, preparation, action, maintenance, and termination.
Question 3: Which brief screening tool uses the acronym representing questions about Cutting down, Annoyance, Guilty feelings, and Eye-openers to assess alcohol use?
- CAGE questionnaire (Correct answer)
- PHQ-9
- AUDIT
- DAST-10
Correct answer: CAGE questionnaire
The CAGE questionnaire is a 4-item tool where each letter represents a screening question specifically designed for alcohol use disorder.
Question 4: Motivational Interviewing (MI) was originally developed by William Miller primarily to treat which condition?
- Depression
- Anxiety disorders
- Alcohol problems (Correct answer)
- Schizophrenia
Correct answer: Alcohol problems
Miller developed MI in the early 1980s as a client-centered approach for working with individuals struggling with alcohol problems.
Question 5: Which withdrawal syndrome is potentially life-threatening due to the risk of seizures and delirium tremens, requiring medical supervision?
- Cannabis withdrawal
- Opioid withdrawal
- Alcohol withdrawal (Correct answer)
- Stimulant withdrawal
Correct answer: Alcohol withdrawal
Alcohol withdrawal can progress to delirium tremens, grand mal seizures, and death, making medically supervised detoxification essential.
Question 6: The biopsychosocial model of addiction holds that substance use disorders arise from:
- Moral failure and weak willpower
- Genetic factors alone
- The interaction of biological, psychological, and social factors (Correct answer)
- Environmental stressors only
Correct answer: The interaction of biological, psychological, and social factors
The biopsychosocial model recognizes that addiction results from the interplay of biological vulnerability, psychological factors, and social/environmental influences.
Question 7: In harm reduction counseling, the primary goal is to:
- Achieve complete abstinence immediately
- Reduce the negative consequences associated with substance use (Correct answer)
- Eliminate all risk-taking behaviors
- Mandate residential treatment participation
Correct answer: Reduce the negative consequences associated with substance use
Harm reduction aims to minimize the health, social, and economic harms of substance use without requiring abstinence as a prerequisite for assistance.
LMHC Substance Abuse and Addictions Counseling 1
According to the DSM-5, which term replaced the separate diagnoses of 'substance abuse' and 'substance dependence'?