Module II: Addiction Counseling Theories, Practices, and Skills Flashcards by Alissa Deal

True or false: According to rational-emotive-behavioral therapy, an activating event is a negative event in an individual’s life.

True.

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Fact or myth: Relapse occurs because of an individual’s perception of an event in his or her life, rather than the actual events.

True

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True or false: Brief therapy is not related to any specific therapy or theoretical approach, but rather is a relative set of therapies that includes a shorter time period and fewer sessions than ‘traditional’ therapy.

True

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A deterministic method of counseling where mental dysfunction results from a client’s internal conflicts, processes, and memories.

A. Rational-Emotive-Behavioral Therapy

B. Solution-Focused Therapy

C. Reality Therapy

D. Psychoanalytic Therapy

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Fact or myth: Relapse is only using a psychoactive substance.

Myth

Fact: Relapse can also be the manipulative or destructive use of people, places or things people, places, or things.

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True or false: Strategic Family Therapy deals with change, nor by insight, and by use of strategic techniques providing directives toward change.

True

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A component of person-centered therapy where a counselor is able to match his or her external behavior and expressions with his or her internal feelings and thoughts.

A. Consistency

B. Integrity

C. Congruence

D. Empathy

C. Congruence

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Fact or Myth: Relapse is usually preceded by clearly defined signs.

Fact

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Dimension 6 of the ASAM is:

A. Biomedical Conditions and Complications

B. Recovery/Living Environment

C. Readiness to Change

D. Relapse, Continued Use, or Continued Problem Potential

E. Acute Intoxication and/or Withdrawal Potential

F. Emotional, Behavioral, or Cognitive Conditions and Complications

B. Recovery/Living Environment

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What is an incurable illness where an individual’s immune system is no longer able to fight infection or disease?

A. HIV

B. Tuberculosis

C. AIDS

D. Hepatitis A

C. AIDS

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A self-help program and alternative to Alcoholics Anonymous that emphasizes personal control over behavior and eliminating irrational beliefs.

A. Reality Therapy

B. Rational Recovery

C. Sequential Treatment

D. Narcotics Anonymous

B. Rational Recovery

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When an addiction counselor or other helping professional projects onto the client his or her own past feelings and attitudes toward significant others in his or her life.

A. Transference

B. Congruence

C. Countertransference

D. Dysrhythmia

C. Countertransference

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A method of counseling, also called Individual Psychology, where all behavior is believed to be goal directed.

A. Cognitive-Behavior Therapy (CBT)

B. Adlerian Psychology

C. Gestalt Therapy

D. Rational-Emotive-Behavioral Therapy (REBT)

B. Adlerian Psychology

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Fact or myth: Relapse means failure.

Myth.

Fact: Relapse is an opportunity to learn from the experience and strengthen the recovery process.

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Gestalt Therapy is a method of counseling where the client gains “awareness” of what he or she is currently experiencing and learns personal responsibility for what and how he or she is feeling, thinking, and doing. Who created it?

A. Salvador Minuchin

B. Murray Bowen

C. Fritz Perls

D. Carl Rogers

C. Fritz Perls

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Structural Family Therapy is an approach that focuses on family interactions and the resulting family structure. Who created it?

A. Murray Bowen

B. Salvador Minuchin

C. Fritz Perls

D. Alfred Adler

B. Salvador Minuchin

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The second stage of change is:

A. Maintenance

B. Preparation

C. Contemplation

D. Pre-contemplation

E. Action

C. Contemplation

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Fact or myth: Relapse is the result of a lack of willpower.

Myth

Fact: Relapse has more to do with a lack of skills necessary to abstain from psychoactive substances than an individual’s determination.

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True or false: PTSD is a disorder characterized by re-experiencing an extremely traumatic event associated with symptoms of increased arousal and avoidance of stimuli associated with the trauma.

True

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True or false: OARS is a guide for counselors when using Brief Therapy.

False.

OARS is a guide for counselor’s response to a client during Motivational Interviewing.

O=Ask open-ended questions
A=Affirm the client for change
R=Listen reflectively
S=Provide summaries

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True or false: Rational-Emotive-Behavioral Therapy is a method of counseling that focuses on how a client perceives the external world and the behaviors he or she exhibits to fit those perceptions and needs.

False.

Rational-Emotive-Behavioral Therapy is a method of counseling that focuses on changing the problematic beliefs of an individual as a result of the events in his or her life.

Reality Therapy is a method of counseling that focuses on how a client perceives the external world and the behaviors he or she exhibits to fit those perceptions and needs.

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True or false: Schizophrenia spectrum and other psychotic disorders is a group of disorders that are characterized by a disintegration of thinking processes, involving the inability to distinguish external reality from internal fantasy.

True

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Excessive anxiety and worry occurring more days than not for at least 6 months.

A. Histrionic Personality Disorder

B. Panic Disorder

C. Hypersomnia

D. Generalized Anxiety Disorder

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A method of counseling that focuses on simultaneously learning new behaviors and restructuring automatic thoughts.

A. Dialectical Behavioral Therapy

B. Cognitive Behavior Therapy

C. Person Centered Therapy

D. Psychoanalytic Therapy

B. Cognitive Behavior Therapy

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The first stage of change is: A. Maintenance B. Preparation C. Contemplation D. Pre-contemplation E. Action

D. Pre-contemplation

Fact or myth: Relapse can occur with any psychoactive substance use.

Fact

Sensitizers are pharmacotherapies that cause very unpleasant effects if certain psychoactive substances are taken in conjunction with them. Examples are: A. Naltrexone (Depade/Vivitrol) B. Disulfiram (Antabuse) C. Naloxone (Narcan) D. Desipramine (Norpramine)

B. Disulfiram (Antabuse)

A mild form of bipolar disorder, but with numerous periods of hypomanic symptoms and depressive symptoms (that do not meet the criteria for hypomanic or depressive episodes). A. Dependent Personality Disorder B. Cyclothymic Disorder C. Histrionic Personality Disorder D. Schizoaffective Disorder

B. Cyclothymic Disorder

Dimension 5 of the ASAM is: A. Biomedical Conditions and Complications B. Recovery/Living Environment C. Readiness to Change D. Relapse, Continued Use, or Continued Problem Potential E. Acute Intoxication and/or Withdrawal Potential F. Emotional, Behavioral, or Cognitive Conditions and Complications

D. Relapse, Continued Use, or Continued Problem Potential

The third stage of change is: A. Maintenance B. Preparation C. Contemplation D. Pre-contemplation E. Action

B. Preparation

True or false: According to the Family Disease Model, psychoactive substance dependence is a family disease. Psychoactive substance use disorder is the disease of the user, and codependence is the disease of the family.

True

Fact or myth: Relapse means the individual is not motivated.

Myth. Fact: Relapse occurs because addiction is a brain disease.

A personality disorder with a pattern of disregard for, and violation of, the rights of others. A. Antisocial Personality Disorder B. Avoidant Personality Disorder C. Borderline Personality Disorder D. Bipolar I Disorder

A. Antisocial Personality Disorder

Antagonists are pharmacotherapies that block the effects of certain drugs to either present overdose from finalizing or as a treatment approach for maintaining sobriety. Examples are: A. Naltrexone (Depade/Vivitrol) B. Naloxone (Narcan) C. Flumazenil (Mazicon) D. All of the above.

D. All of the above.

A disorder that includes persistent delusions, auditory hallucinations or formal thoughts consistent with the acute phase of schizophrenia and accompanied with manic or depressive symptoms. A. Schizoid Personality Disorder B. Schizophrenia C. Schizoaffective Disorder D. Schizophreniform Disorder

C. Schizoaffective Disorder

A personality disorder with a pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. A. Avoidant Personality Disorder B. Bipolar II Disorder C. Oppositional Defiance Disorder D. Histrionic Personality Disorder

A. Avoidant Personality Disorder

The fourth stage of change is: A. Maintenance B. Preparation C. Contemplation D. Pre-contemplation E. Action

E. Action

Where an addiction counselor or other helping professional attempts to view the world from the same frame of reference as the client to better understand the behavior of the client. A. Phenomenology B. Integrated treatment C. Existentialism D. Fictional Finalism

A. Phenomenology

A method of counseling where a client gains awareness of his or her behavior and learns how to accept personal responsibility for those behaviors. A. Dialectical Behavior Therapy B. Gestalt Therapy C. Social Learning Approach D. Psychoanalytic Therapy

B. Gestalt Therapy

True or false: Experiential/Humanistic Family Therapy emphasizes the interaction between the therapist and the family with the goal of promoting choice, self-determination, and actualization by the family.

True

Pharmacotherapies that can be used to alleviate the effects of withdrawal from psychoactive substances include: A. Buprenorphine (Subutex/Suboxone) B. Amantadine (Symmetrel) C. Desipramine (Norpramin) D. All of the above

D. All of the above

A personality disorder with a pattern of submissive and clinging behavior related to an excessive need to be taken care of. A. Dependent Personality Disorder B. Dysthymia C. Cyclothymic Disorder D. Histrionic Personality Disorder

A. Dependent Personality Disorder

The fifth stage of change is: A. Maintenance B. Preparation C. Contemplation D. Pre-contemplation E. Action

A. Maintenance

A personality disorder with a pattern of detachment from social relationships and restricted range of emotional expression. A. Schizophrenia B. Schizoid Personality Disorder C. Schizophreniform Disorder D. Schizoaffective Disorder

B. Schizoid Personality Disorder

A component of Adlerian therapy that is an imagined central goal that gives a client purpose and guides his or her behavior. A. Existentialism B. Fictional Finalism C. Congruence D. Beliefs

B. Fictional Finalism

A component of psychoanalytical therapy where the client surfaces repressed material from the unconscious mind up to the conscious mind. A. Classical Conditioning B. Confrontation C. Congruence D. Analysis of Resistance

D. Analysis of Resistance

True or false: Depressive disorders include Major Depressive Disorder and Persistent Depressive Disorder (Dysthymia)

True

Dimension 4 of the ASAM is: A. Biomedical Conditions and Complications B. Recovery/Living Environment C. Readiness to Change D. Relapse, Continued Use, or Continued Problem Potential E. Acute Intoxication and/or Withdrawal Potential F. Emotional, Behavioral, or Cognitive Conditions and Complications

C. Readiness to Change

A philosophy based on the premise that human behavior is largely influenced by internal, unconscious drives. A. Analytic Approach B. Deterministic Approach C. Existentialism D. Fictional Finalism

B. Deterministic Approach

True or false: Pharmacotherapy is the use of medically prescribed psychoactive substances to treat psychiatric and behavioral conditions.

True

True or false: Buprenorphine (Suboxone/Subutex), Methadone, Naltrexone (Depade/Vivitrol) can be used as maintenance therapy for the treatment of alcohol addiction.

False. They are used for the treatment of opioid addiction.

Bowenian Family Therapy is based on the idea that there is a multi-generational transmission of problems that need to be addressed as a family unit in the present. Who created it? A. Murray Bowen B. Salvador Minuchin C. Alfred Adler D. B.F. Skinner

A. Murray Bowen

A personality disorder with a pattern of excessive emotionality and attention seeking. A. Borderline Personality Disorder B. Histrionic Personality Disorder C. Bipolar I Disorder D. Paranoid Personality Disorder

B. Histrionic Personality Disorder

Examples of Anxiety disorders include: A. Agoraphobia B. Cyclothymic Disorder C. Obsessive Compulsive Disorder D. All of the above

A. Agoraphobia

A disorder that is characterized by thinking disturbances, sensory hallucinations, delusions, bizarre behavioral and deterioration of general level of functioning. Continuous signs of the disturbance must last 6 months or longer. A. Schizophrenia B. Schizophreniform Disorder C. Schizoaffective Disorder D. Schizoid Personality Disorder

A. Schizophrenia

Bipolar and Related Disorders include: A. Bipolar I Disorder B. Bipolar II Disorder C. Cyclothymic Disorder D. All of the above

D. All of the above

Classical conditioning is a model of therapy developed by _______ where a particular response to a stimuli can be elicited overtime by association with a related stimulus. A. Freud B. William Glasser C. Alfred Adler D. Ivan Petrovich Pavlov

D. Ivan Petrovich Pavlov

An approach to counseling where the client, not the counselor, directs the treatment process because he or she is capable of invoking change within him or herself. A. Person-Centered Therapy B. Gestalt Therapy C. Behavior Therapy D. Solution-Focused Therapy

A. Person-Centered Therapy

A method of counseling that focuses on modifying the client's learned behaviors that are negatively affecting his or her life. A. Brief Therapy B. Cognitive Behavioral Therapy C. Behavior Therapy D. Classical Conditioning

C. Behavior Therapy

Dimension 3 of the ASAM is: A. Biomedical Conditions and Complications B. Recovery/Living Environment C. Readiness to Change D. Relapse, Continued Use, or Continued Problem Potential E. Acute Intoxication and/or Withdrawal Potential F. Emotional, Behavioral, or Cognitive Conditions and Complications

F. Emotional, Behavioral, or Cognitive Conditions and Complications

True or false: Anxiety disorders include Panic Disorder, Specific Phobia, Social Anxiety Disorder, Agoraphobia, Generalized Anxiety Disorder, Substance/Medication Induced Anxiety Disorder.

True

A disorder similar to schizophrenia but marked by a sudden onset of symptoms lasting less than six months. A. Schizophreniform Disorder B. Schizoaffective Disorder C. Schizophrenia D. Schizoid Personality Disorder

A. Schizophreniform Disorder

A disorder lasting at least one week characterized by one or more manic episodes that may be preceded by and following with at least one hypomanic episode and one major depressive episode. A. Borderline Personality Disorder B. Bipolar I C. Bipolar II D. Major Depressive Disorder

B. Bipolar I

True or false: Acamprosate (Campral) is indicated for the maintenance of abstinence from alcohol in patients who are abstinent in treatment initiation.

True.

A method of counseling where the client, his or her family, and significant others are actively involved in the treatment process. A. Cognitive Behavioral Therapy B. Behavior Therapy C. Family or Systems Counseling D. Person-Centered Theory

C. Family or Systems Counseling

A personality disorder with a pattern of distrust and suspiciousness such that others' motives are interpreted as malevolent. A. Post-Traumatic Stress Disorder B. Paranoid Personality Disorder C. Obsessive-Compulsive Disorder D. Histrionic Personality Disorder

B. Paranoid Personality Disorder

Dimension 2 of the ASAM is: A. Biomedical Conditions and Complications B. Recovery/Living Environment C. Readiness to Change D. Relapse, Continued Use, or Continued Problem Potential E. Acute Intoxication and/or Withdrawal Potential F. Emotional, Behavioral, or Cognitive Conditions and Complications

A. Biomedical Conditions and Complication

Dialectical Behavior Therapy is a cognitive behavior counseling technique originally developed to treat suicidal clients who also meet the diagnosis for borderline personality disorder. It focuses on four main principles: Mindfulness, Interpersonal Effectiveness, Distress Tolerance, and Emotional Regulation. Who created it? A. Marsha Linehan B. Alfred Adler C. B.F. Skinner D. Aaron Beck

A. Marsha Linehan

True or false: Schizotypical Personality Disorder is a personality disorder with a pattern of acute discomfort in those relationships, cognitive or perceptual distortions and eccentricities of behavior.

True

A disorder characterized by at least one hypomanic episode and at least one major depressive episodes (and that there has never been a manic episode). A. Bipolar II B. Borderline Personality Disorder C. Bipolar I D. Histrionic Personality Disorder

A. Bipolar II

The precursor for acquired immunodeficiency syndrome that attacks an individual's immune system. A. HIV B. Hepatitis C C. AIDS D. Tuberculosis

A. HIV

Examples of pharmacotherapies include: A. Antidepressants B. Antipsychotics C. Antagonists D. All of the above

D. All of the above

A personality disorder with a pattern of instability in interpersonal relationships, self-image and affect, and marked impulsivity. A. Bipolar II B. Dependent Personality Disorder C. Histrionic Personality Disorder D. Borderline Personality Disorder

D. Borderline Personality Disorder

True or false: Examples of Schizophrenia Spectrum and Other Psychotic Disorders include Schizophrenia, Schizophreniform Disorder, Schizoaffective Disorder, Delusional Disorder, and Substance/Medication Induced Psychotic Disorder.

True

A personality disorder with a pattern of excessive grandiosity, need for admiration, and lack of empathy. A. Sociopath B. Histrionic Personality Disorder C. Borderline Personality Disorder D. Narcissistic Personality Disorder

D. Narcissistic Personality Disorder

An approach to therapy that includes a shorter time period and fewer sessions that "traditional" therapy. A. Dialectical Behavioral Therapy (DBT) B. Brief Therapy C. Behavior Therapy D. Gestalt Therapy

B. Brief Therapy

True or false: Obsessive-Compulsive Disorder is a personality disorder characterized by obsessions, which consist of persistent thoughts, urges or images and compulsions, which are repetitive behaviors that the individual feels driven to perform in response to an obsession or rules that must be rigidly applied.

True

Dimension 1 of the ASAM is: A. Biomedical Conditions and Complications B. Recovery/Living Environment C. Readiness to Change D. Relapse, Continued Use, or Continued Problem Potential E. Acute Intoxication and/or Withdrawal Potential F. Emotional, Behavioral, or Cognitive Conditions and Complications

E. Acute Intoxication and/or Withdrawal Potential

A depressive disorder characterized by at least two years of depressed mood for more days than not and where the criteria for major depressive disorder may be continuously present for two years. A. Major Depressive Disorder B. Bipolar II C. Dysthymia (Persistent Depressive Disorder) D. Generalized Anxiety Disorder

C. Dysthymia (Persistent Depressive Disorder)

Solution-Focused Therapy is a social constructionist method of counseling that concentrates not on the client's past, but on his or her future. Focus is on what is possible in developing solutions, rather than attempting to understand the problem. Who created it? A. Steve de Shazer B. Insoo Kim Berg C. All of the above

C. All of the above

Excessive sleepiness or desire to sleep. A. Insomnia B. Hyposomnia C. Hypersomnia D. Depressive State

C. Hypersomnia

Person-Centered Therapy, also referred to as Rogerian therapy, is an approach to therapy where the client, not the addiction professional, primarily directs the course of discussion and progression due to the belief that the client is completely capable of initiating change with minimal guidance from an addiction counselor or other helping professional. Who created it? A. Salvador Minuchin B. Murray Bowen C. Fritz Perls D. Carl Rogers

D. Carl Rogers

An anxiety disorder that is characterized by periods of panic attacks followed by a period of persistent fear of the recurrence of more panic attacks. A. Bipolar II B. Panic Disorder C. Post-Traumatic Stress Disorder D. Paranoid Personality Disorder

B. Panic Disorder

Personality Disorders include: A. Schizoid Disorder B. Histrionic Disorder C. Dependent Disorder D. Narcissistic Disorder E. All of the above

E. All of the above

A philosophical movement dating back to the 19th century that focuses on present day and stresses personal responsibility for one's own destiny in the absence of an intrinsic path. A. Existentialism B. Countertransference C. Congruence D. Humanism

A. Existentialism

True or false: The Alcohol Use Disorders Identification Test (AUDIT) is used to help rate individual's withdrawal from Alcohol.

False. AUDIT is used to detect problem alcohol use and aid in managing future use.

A philosophical movement that focuses on the innate nature within all humans to achieve our potential and find meaning in our lives. A. Phenomenology B. Humanism C. Existentialism D. Fictional Finalism

B. Humanism

A period of abnormally and persistently elevated expansive, or irritable with abnormally and persistently increased activity or energy mood. This is a criteria for the diagnosis of Bipolar II disorder. A. Bipolar I B. Hypersomnia C. Manic Episode D. Hypomanic Episode

D. Hypomanic Episode

A disorder characterized by one or more major depressive episodes (depressed mood most of the day, markedly diminished interest or pleasure in more activities, significant weight loss, insomnia or hypersomnia, fatigue or loss of energy nearly every day, feelings of worthlessness or inappropriate guilt, diminished ability to think or concentrate, recurrent thoughts of death). A. Depression B. Major Depressive Disorder C. Bipolar I D. Hypersomnia

B. Major Depressive Disorder

A distinct period of abnormally and persistently elevated, expansive, or irritable moor and abnormally and persistently increased goal-directed activity or energy. Experiencing these episodes is a significant criteria for the diagnosis of Bipolar I disorder. A. Hypomanic Episode B. Depressive Episode C. Manic Episode D. Panic Attach

C. Manic Episode

A method of counseling where the client's internal motivation is the driving force for changing problematic behavior. A. Operant Conditioning B. Solution-Focused Therapy C. Gestalt Therapy D. Motivational Interviewing

D. Motivational Interviewing

Reality Theory/Choice Theory is a method of counseling which stems from the belief that it is not the real world that controls one's behavior but the way he or she perceives it to exist. An individual's behavior is an attempt to control his or her perceptions from the external world so it fits with his or her perceptions of internal needs. A. Sigmund Freud B. Murray Bowen C. William Glasser D. Albert Ellis

C. William Glasser

True or false: Alcoholics Anonymous (AA) was created by Bill Wilson and Bob Smith during the Depression of the 1930s. AA utilizes the common experience of its members, a 12-step process and spirituality to combat alcoholism. The only way to live alcohol-free, according to the AA, is to surrender oneself to a higher being and accept that he or she is powerless.

True

A method of behavioral therapy developed by Albert Bandura where behavior is learned by observing the consequences of someone else's experience. A. Social Learning Approach B. Solution-Focused Therapy C. Gestalt Therapy D. Motivational Interviewing

A. Social Learning Approach

True or false: Solution-Focused Therapy is a method of counseling that primarily focuses on the problem and not the individual.

True

Transference is: A. When the therapist projects unsaid expectations onto the client. B. When the client projects onto the professional his or her own feelings and attitudes towards significant others in their life. C. When the therapist projects onto the client his or her own feelings and attitudes towards significant others in their life.

B. When the client projects onto the professional his or her own feelings and attitudes towards significant others in their life.

Adlerian Psychology, also referred to as Individual Psychology, is a model of psychotherapy where human behavior is goal-directed and purposeful and that behavior is understood in the pattern of movement towards a life goal, determined at a young age. Who created Adlerian Psychology? A. Ivan Pavlov B. B.F. Skinner C. Alfred Adler D. Aaron Beck

A. Alfred Adler

True or False: Behavior Therapy is an action-oriented form of counseling to promote behavioral change through techniques of conditioning. It evolved from behaviorism as an alternative to traditional psychotherapy.

True

Cognitive-Behavior Therapy is a method of counseling that focuses on correcting thoughts, emotions and behaviors that lead to dysfunction by simultaneously restructing the client's automatic thoughts and learning new behavior. Who created it? A. Ivan Pavlov B. Alfred Adler C. Marsha Linehan D. Aaron Beck

D. Aaron Beck

Psychoanalytical Therapy is a deterministic approach to counseling that contends mental dysfunction results from a client's internal unconscious conflicts, that anxiety is a byproduct of the conflict, and that defense mechanisms are used to cope with anxiety when interacting with the outside world. It is based around the idea that a person's mind is made up of Id, Ego, and Superego, which regulate appropriate behavior. A. Sigmund Freud B. Fritz Perls C. Murray Bowen D. Carl Rogers

A. Sigmund Freud

Rational-Emotive-Behavior Therapy (REBT) is a cognitive-oriented counseling approach that focuses on changing the attitudes, beliefs, and negative self-statements that drive and maintain problematic behavior. Who created it? A. Sigmund Freud B. William Glasser C. Murray Bowen D. Albert Ellis

D. Albert Ellis

True or false: The five qualities of an addiction counselor are Immediacy, Genuineness, Compassion, Engagement, and Respect.

False. The five qualities of an addiction counselor are Immediacy, Genuineness, Warmth, Personal Ability, and Positive Regard and Respect.

True or false: The four most common ways that people contract HIV is: Intravenous drug use, sexual intercourse, from mother to child, and blood transfusions.

True.

The at-risk populations for contracting HIV/AIDS is: A. Heterosexual women B. Gay men C. Minorities D. All of the above

D. All of the above