Clinical Evaluation: Screening, intake, orientation, assessemnt
Name one challenge of using UDS as a diagnostic tool when assessing substance use.
1. They do not detect all substances or recent use of certain substances
2. False positives/false negatives/cross-reactivity
3. Observation can trigger past trauma
4. Falsification
At what point in someone's treatment should aftercare planning begin?
At the start/onset of treatment
In addiction counseling, what therapeutic approach emphasizes the exploration of ambivalence, recognition of discrepancies, and rolling with resistance?
Motivational Interviewing
1. Precontemplation
2. Contemplation
3. Preparation or Determination
4. Action
5. Maintenance
In the context of confidentiality in addiction counseling, which of the following situations requires mandatory reporting?
A: An adult client reveals plans to harm themselves due to recent relapse
B: An adult client admits to having murdered someone in their past and was never charged.
C: An adult client discusses their concerns about their partner's alcohol use
D: An adult client shares they are being physically abused by their partner
A: client reveals plans to harm themselves due to recent relapse
Your patient scores 9 on the GAD-7. What does this indicate?
Mild risk for anxiety
Which principal of treatment planning emphasizes the importance of matching treatment interventions to the specific needs and characteristics of individual clients?
Person-centered approach
What theoretical model of addiction suggests the SUDs are a result of the interaction between factors such as genetics, emotions, and environmental influences?
Biopsychosocial model
Which ehtical principle emphasizes the counselor's responsibility to maintain objectivity and impartiality in decision-making, free from personal biases or conflicts of interest?
A) Beneficence
B) Justice
C) Fidelity
D) Neutrality
D) Neutrality
How does the legalization of marijuana impact addiction counseling practices?
A. It reduces the stigma associated with cannabis use disorders
B. It increases access to EBT for marijuana dependence.
C. It requires counselors to stay updated on changing laws and regulations
D. It decreases the prevalence of marijuana among adolescents
C. It requires counselors to stay updated on changing laws and regulations
What is the length of time for a DSM5 dx of "in sustained remission"
12+months
S: Specific
M: Measurable
A: Achievable
R: Relevant
T: Timely
What counseling approach focuses on identifying and utilizing client's resources, abilities, and resilience to support recovery and promote positive change?
Strengths-based approach
Which brain region is primarily implicated in the reward system involved in addiction, particularly in the reinforcement of behaviors related to substance use?
A: prefrontal cortex
B: Amygdala
C: Nucleus accumbens
D: Hippocampus
C: Nucleus accumbens
What is the primary purpose of obtaining informed consent from clients?
To ensure clients understand the potential risks and benefits of treatment
How many of the 11 criteria for substance use disorder are needed for a diagnosis of Moderate
4-5
Ms. Parker, a 35 year old woman, is seeking counseling for alcohol dependence. During the initial assessment, she admits to consuming 10 standard drinks/day over the past year. She has a hx of depression and has been rx SSRIs is by her psych. Ms Parker expresses a strong desire to quit drinking and is open to treatment options. Based on Ms. Parker's situation, what should be the primary consideration in her treatment plan?
A: Initiating SSRI dose adjustment to alleviate depression symptoms
B: Assessing her readiness to change her alcohol use through MI
C: Recommending immediate detox followed by OP counseling
D: Referring to a residential tx facility for intensive therapy
B
What approach focuses on reducing negative consequences of substance use without requiring abstinence?
Harm reduction
Which type of research design study is most appropriate for investigating the effectiveness of a new intervention in addiction treatment?
A) Case study
B) Randomized control trial
C)Cross-sectional study
D)Longitudinal study
B) Randomized control trial
According to the NCASPPB ethical code regarding renumeration, what is the dollar amount over which counselors cannot accept as a gift/gratuity?
$25
For which 2 classes of substances are withdrawal symptoms not specified?
Hallucinogens (including PCP) and inhalants
What are the 3 questions that belong on every PCP?
1. What do you want to work on? What do you want to accomplish?
2. What are you strengths?
3. Barriers?
What counseling approach utilizes skills of mindfulness, distress tolerance, interpersonal effectiveness, and emotional regulation.
Dialectical Behavioral Therapy (DBT)
How does chronic alcohol use impact neurotransmitter systems in the brain?
A: It increases dopamine release
B: It decreases serotonin levels, causing depressive symptoms
C: It enhances GABA activity, resulting in sedation and relaxation
D: It blocks glutamate receptors, impairing cognitive functions
C: It enhances GABA activity, resulting in sedation and relaxation
What is the ethical principle most relevant when balancing confidentiality and mandatory reporting requirements in addiction counseling?
Nonmaleficence