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A comprehensive overview of various topics related to addiction counseling, including the stages of change, signs and symptoms of addiction, withdrawal timelines, drug schedules, comorbidity, asam levels of care, stages of recovery, counseling approaches, and the continuum of care. It covers a wide range of concepts and techniques used in the field of addiction treatment and recovery, making it a valuable resource for students, professionals, and lifelong learners interested in understanding the complexities of substance use disorders and effective intervention strategies.
Typology: Exams
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Pre-Contemplation - Answers-No intention on changing behavior (Stages of Change) Contemplation - Answers-Aware there may be a problem but no commitment to action yet (Stages of Change) Preparation/Determination Action - Answers-Intent on taking action to address the problem (Stages of Change) Action - Answers-Active Modification (Stages of Change) Maintenance - Answers-Sustained change; new behavior to replace old (new hobbies) (Stages of Change) How does culture affects communication such as religion and ethnic background relies on which Code of Ethics policy? - Answers-Competence (21 NCAC 68 .0503) Why do we use Screening such as M.A.S.T. and C.A.G.E.? - Answers-Both are used as a pre-assessment to get an idea on where an individual is according to the stages of change. It is also Step One of the Assessment process Physical signs of addiction - Answers-Dilated pupils; Weight loss; poor hygiene Behaviors signs of addiction - Answers-Missing work or school; Legal problems; financial problems Emotional signs of addiction - Answers-Irritability or argumentative; Inability to deal with stress; Denial; Blaming; rationalizing Alcohol Withdrawal Timelime - Answers-Begins in 8 hrs, peaks in 1-3 days. (Anxiety, insomnia, nausea, & abdominal pain) Cocaine Withdrawal Timeline - Answers-Begins in 90 mins. Opiate Withdrawal Timeline - Answers-Begins in 6 hrs, peaks in 72 hrs. (Nausea, vomiting, stomach cramps, diarrhea) Heroin Withdrawal Timeline - Answers-Begins in 12 hrs, peaks in 24 hrs. (Flu like symptoms) Benzodiazepine Withdrawal Timeline - Answers-Begins in 1-4 days, peaks in 2 weeks. (drowsiness, memory issues, irritability, slower thinking, increased anxiety) Schedule I - Answers-drugs with no currently accepted medical use and a high potential for abuse.
(heroin, LSD, marijuana) Schedule II - Answers-drugs with a high potential for abuse, with use potentially leading to severe psychological or physical dependence (Oxycontin, cocaine, methamphetamine) Schedule III - Answers-drugs with a moderate to low potential for physical and psychological dependence. (codeine per dosage unit (Tylenol with codeine), ketamine, anabolic steroids) Schedule IV - Answers-drugs with a low potential for abuse and low risk of dependence. (Xanax, Ativan, Ambien) Schedule V - Answers-drugs with lower potential for abuse than Schedule IV and consist of preparations containing limited quantities of certain narcotics (Robitussin) What schedule is Cocaine? - Answers-DEA II What is GHB? - Answers-Benzodiazepine What schedule is Heroin? - Answers-DEA I What is the legal limit of blood alcohol content? - Answers-0.08% BAC How does alcohol affect your behavior? - Answers-Reduced ability to concentrate; Short term memory loss; Impaired perception and self-control What is SBIRT? - Answers-Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice used to identify, reduce, and prevent problematic use, abuse, and dependence on alcohol and illicit drugs. Comorbidity - Answers-when there are two more mental illnesses occurring in the same person What do you treat first? Mental illness or substance use? - Answers-Treat the substance use first, and if treatment continues to fail evaluate the mental. If they become more erratic after substance use has been treated, refer to treat the mental. Why is it important to recognize and understand verbal and non-verbal behaviors? - Answers-To understand what part of the ASAM level of care do they fall under Pre-Contemplation - Answers-Primary Task: Raise Awareness Contemplation - Answers-Primary Task: Resolve ambivalence and choose change
Determination - Answers-Primary Task: Help identify appropriate change strategies Maintenance - Answers-Primary Task: Develop new skills for maintaining recovery Relapse - Answers-Primary Task: Cope with consequences and determine what to do next Action - Answers-Primary Task: Help implement strategies and learn to eliminate potential relapses When recognizing a need for more in-depth information from other professionals, what is this called? - Answers-Collaboration Crisis Intervention - Answers-Those services which respond to an alcohol and/or other drug abuser's needs during acute emotional and/or physical distress. Assessment - Answers-The procedures by which a counselor/program identifies and evaluates an individual's strengths, weaknesses, problems, and needs for the development of a treatment plan Treatment Planning - Answers-The process by which the counselor and client identify and rank problems needing resolution; establish agreed upon immediate and long-term goals; and decide upon a treatment process and the resources to be utilized. SMART Goals - Answers-specific, measurable, achievable, results-focused, and time- bound. Referral - Answers-Identifying the needs of a client that cannot be met by the counselor or agency and assisting the client to utilize the support systems and community resources available ASAM O.5 - Answers-Early Intervention ASAM 1 - Answers-Outpatient Services ASAM 2.1 - Answers-Intensive Outpatient ASAM 2.5 - Answers-Partial Hospitalization ASAM 3.1 - Answers-Clinically Managed Low Intensity Residential Treatment ASAM 3.3 - Answers-Clinically Managed Population Specific High Intensity Residential Treatment ASAM 3.5 - Answers-Clinically Managed High Intensity Residential Treatment
ASAM 3.7 - Answers-Medically Monitored Intensive Inpatient Services ASAM 4 - Answers-Medically Managed Intensive Inpatient Services Transition (Stage of Recovery) - Answers-Recognition of Addiction Stabilization (Stage of Recovery) - Answers-Detoxification and Recuperation Early Recovery (Stage of Recovery) - Answers-Changing Addictive Thoughts, Feelings, and Behaviors Middle Recovery (Stage of Recovery) - Answers-Lifestyle balance Late Recovery (Stage of Recovery) - Answers-Family Origin Issues Maintenance (Stage of Recovery) - Answers-Growth and Development Pro of 12 Step Program - Answers-Provides level of sponsorship support and no cost to individual Con of 12 Step Program - Answers-Not an empowerment model and relies on higher power Harm Reduction - Answers-set of practical strategies and ideas aimed at reducing negative consequences associated with drug use Contemplation Phase - Answers-Phase of stages of change and 0.5 that could be used to prevent or reduce negative consequences associated with drug use Alderian Psychology (Individual Psychology) - Answers-A method of counseling where all behavior is believed to be goal directed Fictional Finalism - Answers-A component of individual psychology that is an imagined central goal that gives a client purpose and guides his or her behavior. Behavioral Therapy - Answers-A method of counseling that focuses on modifying the clients learned behaviors that are negatively affecting his or her life Social Learning Approach - Answers-A method where behavior is learned by observing the consequences of someone else's experience Brief Therapy - Answers-An approach to therapy that includes a shorter time period and fewer sessions than traditional therapy Listening, Empath, Genuiness - Answers-Counseling Approaches
Transference - Answers-Mistrusting the counselors role as security Countertransference - Answers-Counselors feeling in regards to the client Relationship Building - Answers-Stage 1 of Treatment Laying foundations for trust Assessment and Diagnosis - Answers-Stage 2 of Treatment Gathering information to promote understanding of client's situation and perspective Formulation of Counseling Goals - Answers-Stage 3 of Treatment To help client's journey of growth toward achieving potential Intervention and Problem Solving - Answers-Stage 4 of Treatment A clear, simple plan toward goals (S.M.A.R.T GOALS) Termination and Follow-Up - Answers-Stage 5 of Treatment Collaboration with client in identifying an end date in advance Research and Evaluation - Answers-Stage 6 of Treatment• Determining if/when goal is met Recovery Orientated System of Care - Answers-Encourages individuality; Promotes accurate and positive portrayals of psychiatric disability while fighting discrimination; Denial - Answers-refusal to accept reality or fact, Regression - Answers-reversion to an earlier stage of development in the face of unacceptable thoughts or impulses Regression - Answers-an adolescent who is overwhelmed with fear, anger and growing sexual impulses might become clingy and start exhibiting earlier childhood behaviors he has long since overcome, such as bedwetting. Dissociation - Answers-a person loses track of time and/or person, and instead finds another representation of their self in order to continue in the moment Projection - Answers-misattribution of a person's undesired thoughts, feelings or impulses onto another person who does not have those thoughts, feelings or impulses Displacement - Answers-redirecting of thoughts feelings and impulses directed at one person or object, but taken out upon another person or object.
Rationalization - Answers-a woman who starts dating a man she really, really likes and thinks the world of is suddenly dumped by the man for no reason. She reframes the situation in her mind with, "I suspected he was a loser all along." Lying - Answers-"I have never blacked out." [when they have] "I haven't gotten drunk ever." Manipulation - Answers-"If you did a better job of organizing stuff, then maybe I would have to drink." Accusing - Answers-"You drink yourself." "You are just overly sensitive because your mother drank." "You think everyone is an alcoholic." Hepatitis C - Answers-Painful swelling and irritation of the liver High Risk behavior associated with substance use - Answers-When drugs impair judgement and people make unwise, unprotected choices related to intimate contact with an infected partner Health consequence of substance abuse - Answers-Drug use can worsen symptoms Continuum of Care - Answers-A comprehensive approach to behavioral health also means seeing prevention as part of an overall continuum of care. Promotion (Continuum of Care) - Answers-These strategies are designed to create environments and conditions that support behavioral health and the ability of individuals to withstand challenges. Promotion strategies also reinforce the entire continuum of behavioral health services. Prevention (Continuum of Care) - Answers-Delivered prior to the onset of a disorder, these interventions are intended to prevent or reduce the risk of developing a behavioral health problem, such as underage alcohol use, prescription drug misuse and abuse, and illicit drug use. Treatment (Continuum of Care) - Answers-These services are for people diagnosed with a substance use or other behavioral health disorder Recovery (Continuum of Care) - Answers-These services support individuals' abilities to live productive lives in the community and can often help with abstinence. Which of the following is the MOST appropriate course of action for a counselor that encounters an ethical dilemma? - Answers-Discuss dilemma with their clinical supervisor At the beginning of the initial counseling session with a child whose parent has a
substance use disorder, the child stubbornly refuses to leave the waiting room, even with parental coaxing. The counselor says to the child: "You are not sure that you want to be here today. You don't know me and you're not sure that you will like me. I'll leave my office door open, and your mother and I will be in there. When you are ready, you can come in." The counselors response is an example of - Answers-empathic reflection In group therapy, a client consistently perceives another group member as an angry, critical man like her father. This is an example of which of the following? - Answers- Transference How can trauma disorders complicate the treatment of substance use disorders? - Answers-Undiagnosed trauma symptoms can be mistaken as an unwillingness to engage in treatment A client with an alcohol use disorder that also presents with depressive symptoms would benefit MOST from which of the following? - Answers-Treatment of both disorders concurrently What is the MOST probable classification for a substance that causes a client to experience an instant euphoric flash when using? - Answers-CNS Stimulant A client in a methadone maintenance program reports an increase in anxiety and drug cravings. It is MOST appropriate for the counselor to - Answers-determine if the client is experiencing anxiety associated with withdrawal. What is one of the first steps in the treatment planning process? - Answers-Prioritize the problems that have been identified during assessment in collaboration with the client Which of the following is NOT one of the basic principles of ethics? - Answers-Right to Privacy Which of the following is an example of a treatment plan goal for a client? - Answers- Incorporating healthy activities into everyday life Paradoxical interventions - Answers-involve prescribing the very symptom the client wants to resolve. It's a complex concept often equated with reverse psychology. For example: the client fears failure, so the therapist asks the client to fail at something