Adolescent Alcohol Use
Assessment & Screening
Anxiety, ACEs &
Mental Health
Diagnosis & Clinical Reasoning
Treatment, Resources & Follow-Up
100

This diagnosis involves problematic alcohol use causing impairment or distress.

What Is Alcohol Use Disorder?

100

This interviewing style increases readiness for change.

What is Motivational Interviewing?

100

Name one anxiety symptom Sage experienced.

What is (are): worry, insomnia, overwhelm, fatigue, or racing thoughts?

100

Name Sage's Primary Diagnosis.

What is Generalized Anxiety Disorder?

100

This therapy is first-line for adolescent anxiety disorders.

What is CBT?

200

This pattern involves consuming large quantities of alcohol rapidly.

What is Binge drinking?

200

This evidence-based screening tool is commonly used for adolescent substance use.

What is CRAFFT?

200

This psychological trait contributes to Sage’s emotional distress and overworking.

What is perfectionism?

200

Name one differential diagnosis considered.

What is: PTSD, ADHD, MDD, Social Anxiety Disorder, or Adjustment Disorder?

200

Name one protective factor emphasized in Sage’s treatment plan.

What is (are): family support, therapy engagement, or school support?

300

This phenomenon can occur even when adolescents do not appear outwardly intoxicated.

What are alcohol-related blackouts?

300

This assessment helps identify trauma exposure and chronic adversity.

What is an ACEs assessment?

300

Alcohol disrupts this restorative sleep stage important for emotional recovery.

What is REM/deep restorative sleep?

300

Blackouts and tolerance raise concern for this progression.

What is progression toward Alcohol Use Disorder?

300

This Denver program was recommended for adolescent substance use treatment.

What is Denver Health STEP Program?

400

Adolescents who begin drinking before this age are at significantly higher risk for AUD.

What is age 15?

400

This phenomenon occurs when teens appear successful externally while struggling internally.

What is high-functioning masking?

400

Name one reason athletes may be at increased risk for binge drinking.

What are peer culture, normalization, or performance stress?

400

This clinical principle reminds providers that adolescent diagnoses often evolve over time.

What is longitudinal reassessment?

400

This approach combines therapy, school support, family engagement, and substance use intervention.

What is multidisciplinary care?

500

Name one DSM-5-TR criterion Sage demonstrates consistent with AUD.

What is (are):

tolerance, hazardous use, drinking despite consequences, or craving/coping-related use?

500

Name one situation where confidentiality must legally be broken.

What are SI/HI, abuse, neglect, or imminent safety concerns?

500

This developmental factor contributes to impulsivity.

What is incomplete prefrontal cortex development?

500

What clinical concern is suggested by drinking to cope with anxiety and sleep issues?

What is maladaptive self-medication?

500

Why is early intervention critical in adolescent substance use treatment?

What is reducing long-term psychiatric and/or substance-related risk?

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