Co-Occurring Disorders & Dual Diagnosis Flashcards
7 cards from real CAS 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 & Dual Diagnosis flashcards as text
A client with schizophrenia and cannabis use disorder reports that marijuana helps reduce his auditory hallucinations. The CAS's best clinical response is to:
Answer: Validate the perceived relief while psychoeducating about cannabis's role in worsening psychotic symptoms long-term
Validating the client's experience while providing accurate psychoeducation about cannabis's exacerbating effects on psychosis maintains therapeutic alliance and addresses safety.
Which of the following is a key principle of trauma-informed care when working with clients with co-occurring PTSD and substance use disorder?
Answer: Emphasizing safety, trustworthiness, and avoiding re-traumatization
Trauma-informed care prioritizes physical and emotional safety, transparent communication, and practices that prevent re-traumatization in vulnerable populations.
When a client with a co-occurring anxiety disorder and alcohol use disorder discontinues alcohol use, the counselor should be alert to:
Answer: Rebound anxiety that may increase relapse risk during early abstinence
Alcohol withdrawal and rebound anxiety during early abstinence can feel more intense than pre-drinking baseline anxiety, significantly increasing relapse risk if not addressed.
The CAS model of motivational interviewing is particularly valuable in co-occurring disorder treatment because it:
Answer: Meets clients at their current stage of readiness without judgment for both disorders
Motivational interviewing's non-judgmental, client-centered approach is effective across all stages of readiness and is well-suited to the complexity of co-occurring disorders.
Under the DSM-5, which specifier is used to note a substance use disorder in a client also diagnosed with a depressive disorder?
Answer: Substance/medication-induced
The DSM-5 uses the specifier 'substance/medication-induced' when a depressive disorder appears to be directly caused by substance use or withdrawal.
A CAS practitioner working with a client who has co-occurring ADHD and stimulant use disorder should be most cautious about:
Answer: Misuse potential of prescribed stimulant medications for ADHD
Stimulant medications prescribed for ADHD carry misuse potential in clients with a stimulant use disorder, requiring careful monitoring and possibly consideration of non-stimulant ADHD alternatives.
In the context of co-occurring disorders, what does the term 'recovery capital' refer to?
Answer: The internal and external resources a person can draw on to initiate and sustain recovery
Recovery capital encompasses a client's personal strengths, social supports, community resources, and other assets that support long-term recovery from both mental health and substance use disorders.