Co-occurring Disorders Flashcards
7 cards from real CAADC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Co-occurring Disorders flashcards as text
In treating a client with generalized anxiety disorder and benzodiazepine use disorder, the most evidence-based approach is:
Answer: Gradual taper of benzodiazepines combined with CBT for anxiety
A medically supervised gradual taper combined with CBT addresses both the physical dependence and the underlying anxiety disorder.
Which factor most significantly predicts poorer outcomes in clients with co-occurring disorders compared to those with a single disorder?
Answer: Higher rates of treatment disengagement and relapse
Co-occurring disorders are strongly associated with higher treatment dropout rates and more frequent relapse episodes compared to single-diagnosis clients.
A client with major depressive disorder and alcohol use disorder has been sober for 30 days but reports persistent depressive symptoms. The counselor should:
Answer: Conduct a thorough assessment to determine if an independent depressive disorder is present
After a sufficient abstinence period, persistent symptoms suggest an independent mood disorder requiring its own treatment plan.
The concept of 'diagnostic overshadowing' in co-occurring disorders refers to:
Answer: Attributing all psychiatric symptoms to substance use and overlooking independent mental disorders
Diagnostic overshadowing occurs when clinicians incorrectly attribute all symptoms to substance use, missing an underlying independent psychiatric condition.
A client with ADHD and stimulant use disorder is being evaluated for medication-assisted treatment. The prescriber's primary consideration should be:
Answer: Assessing risk versus benefit and considering non-stimulant ADHD medications or closely monitored stimulants
Non-stimulant options like atomoxetine or bupropion may be preferred, but structured use of stimulants can be appropriate with close monitoring.
When a client with co-occurring disorders experiences a psychiatric crisis during early recovery, the CAADC's first priority is to:
Answer: Ensure the client's immediate safety and coordinate crisis intervention
Safety is always the first priority in a psychiatric crisis; the counselor must initiate crisis protocols and collaborate with mental health professionals.
Which of the following best describes the relationship between trauma and substance use disorder in clients with co-occurring PTSD?
Answer: Trauma and substance use disorder have a bidirectional, mutually reinforcing relationship
PTSD and substance use disorder are bidirectionally linked: trauma increases substance use risk, and substance use impairs trauma recovery and increases re-traumatization risk.