CAADC Co-occurring Disorders 2

Question 1

What is the recommended approach when a client presents with both major depressive disorder and alcohol use disorder?

Accepted Answer

Address both simultaneously using integrated treatment

Answer

Treat alcohol first, then depression

Answer

Treat depression first, then alcohol

Answer

Refer to separate providers for each

Question 2

A client with schizophrenia and methamphetamine use exhibits paranoid ideation. How should the counselor approach assessment?

Accepted Answer

Carefully assess whether symptoms are substance-induced, psychiatric, or both

Answer

Assume all symptoms are drug-induced

Answer

Assume all symptoms are from schizophrenia

Answer

Postpone assessment for 6 months

Question 3

What is 'substance-induced mood disorder' and why must CAADC counselors understand it?

Accepted Answer

A mood disturbance developing during or after intoxication/withdrawal that resolves after substance effects abate

Answer

A permanent mood disorder from any substance use

Answer

A disorder only in people with no psychiatric history

Answer

A disorder requiring lifelong medication

Question 4

Which treatment was specifically designed for co-occurring PTSD and substance use disorders?

Accepted Answer

Seeking Safety

Answer

Applied Behavior Analysis

Answer

Electroconvulsive Therapy

Answer

Purely pharmacological treatment

Question 5

What does the 'four-quadrant model' classify in co-occurring disorders treatment?

Accepted Answer

Clients by severity of both mental health and substance use disorders to guide service settings

Answer

The four phases of recovery

Answer

Four types of psychotropic medications

Answer

Four stages of motivational interviewing

Question 6

A client with bipolar disorder and cocaine use is in a manic episode with increased cocaine use. What is the clinical priority?

Accepted Answer

Ensure immediate safety, coordinate with psychiatric providers, and develop an integrated crisis plan

Answer

Focus exclusively on reducing cocaine use

Answer

Discharge from addiction treatment until mania resolves

Answer

Increase group therapy frequency only