Alcohol and Drug Counselor Relapse Prevention Flashcards
7 cards from real CADC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Alcohol and Drug Counselor Relapse Prevention flashcards as text
In relapse prevention terminology, a 'lapse' is best defined as:
Answer: A brief, isolated episode of substance use following a period of abstinence
A lapse is a brief, single use episode distinct from a relapse, which involves a sustained return to previous levels or patterns of substance use.
Self-efficacy in the context of Marlatt's relapse prevention model refers to:
Answer: A client's belief in their capacity to cope with high-risk situations without using substances
Bandura's concept of self-efficacy — applied by Marlatt — is the client's confidence that they can successfully handle specific high-risk situations without substances.
Covert antecedents to relapse are best characterized as:
Answer: Internal states such as substance-related fantasies, rationalizations, and cravings
Covert antecedents are hidden, internal precursors to relapse including thoughts, fantasies, and emotional states, in contrast to overt external environmental triggers.
According to Marlatt, the primary mechanism by which lifestyle imbalance increases relapse risk is:
Answer: An excess of obligations over pleasures generates chronic stress that substances may be sought to relieve
Marlatt's lifestyle balance concept holds that when obligations far outweigh pleasures, chronic stress accumulates and substances may be used as a perceived coping mechanism.
A comprehensive relapse prevention plan should include all of the following EXCEPT:
Answer: A guarantee that the client will never use substances again
Relapse prevention plans identify risks, warning signs, and coping strategies, but cannot guarantee abstinence — making such a promise establishes unrealistic and potentially harmful expectations.
The primary clinical purpose of identifying early warning signs in a client's relapse prevention plan is:
Answer: To enable timely intervention before the situation escalates to a full relapse
Recognizing early warning signs allows both clients and counselors to intervene with coping strategies during the window before a lapse or full relapse develops.
Family enabling behavior is addressed in relapse prevention primarily because:
Answer: Enabling removes the natural consequences of substance use, undermining motivation for sustained recovery
Enabling shields clients from the consequences of substance use, thereby reducing the natural motivation to change and increasing the likelihood of continued use or relapse.