Neurobiology of Addiction
What neurotransmitter is primarily involved in addiction?
Dopamine
What is the term for the physical and psychological symptoms that occur when stopping a substance?
Withdrawal
What does CBT stand for in addiction counseling?
Cognitive Behavioral Therapy
What is the most commonly used medication for opioid overdose reversal?
Naloxone (Narcan)
What does HIPAA stand for, and why is it important in addiction counseling?
Health Insurance Portability and Accountability Act – Protects patient confidentiality
The part of the brain responsible for impulse control and decision-making, often impaired in addiction.
Prefrontal Cortex
True or False: Alcohol withdrawal can be life-threatening.
True
This therapy, commonly used in addiction treatment, focuses on accepting reality while promoting change.
Dialectical Behavior Therapy (DBT)
True or False: Medication-Assisted Treatment (MAT) is just replacing one addiction with another.
False
True or False: A counselor must always break confidentiality when a client admits to past illegal drug use.
False (only if there is imminent danger)
This system, also known as the "reward pathway," reinforces substance use behaviors.
Mesolimbic Dopamine System
Name one symptom of opioid withdrawal.
Sweating, nausea, muscle pain, anxiety, yawning (any of these are correct)
Name one key technique used in Motivational Interviewing (MI).
Open-ended questions, affirmations, reflective listening, or summarization
Which MAT medication blocks the euphoric effects of opioids and alcohol?
Naltrexone
What ethical principle requires counselors to prioritize client well-being?
Beneficence
What is the term for the brain's ability to adapt and change due to substance use?
Neuroplasticity
Which two substances have the most dangerous withdrawal symptoms?
Alcohol & Benzodiazepines
In group therapy, this type of group focuses on real-time interactions to improve interpersonal relationships.
Interpersonal Process group
Name one FDA-approved medication for alcohol use disorder.
Disulfiram, Acamprosate, or Naltrexone
Under 42 CFR Part 2, what must a counselor obtain before disclosing a client’s substance use treatment records?
Written Consent
Chronic drug use decreases the brain’s ability to produce this naturally occurring “feel-good” chemical.
Endorphins
What is the term for the phenomenon where increased tolerance leads to needing more of a substance to achieve the same effect?
Tolerance
This harm reduction technique allows individuals to use substances in a safer environment, reducing overdose risks.
Supervised Injection Sites / Safe Consumption Spaces
This medication, used for opioid use disorder, acts as both an agonist and antagonist.
Buprenorphine
If a client reports suicidal thoughts during a session, what is the counselor’s ethical responsibility?
Conduct a risk assessment and take necessary action to ensure safety (e.g., referral, hospitalization, safety plan).