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Exam (elaborations)

LCDC Test 2026 – Licensed Chemical Dependency Counselor (LCDC) Exam – 2026 – Complete exam questions and answers

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This document contains a comprehensive collection of LCDC exam questions and answers covering substance use disorders, assessment, screening instruments, treatment planning, counseling approaches, ethics, pharmacology, co-occurring disorders, relapse prevention, and case management. It is organized in a question-and-answer format, making it suitable for exam preparation and review of key concepts likely to appear on the 2026 LCDC examination. The material also includes information on DSM-5 substance use disorder criteria, ASAM levels of care, motivational interviewing, CBT, 12-step facilitation, confidentiality, and commonly used screening tools such as SASSI, ASI, MAST, CRAFFT, and CAGE. Keywords LCDC exam chemical dependency counseling substance use disorders addiction counseling DSM-5 motivational interviewing cognitive behavioral therapy relapse prevention treatment planning screening instruments SASSI ASI MAST CRAFFT CAGE ASAM levels of care co-occurring disorders ethics case management pharmacology withdrawal symptoms confidentiality 12-step facilitation recovery support exam practice questions

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LCDC Test 2026 Exam
Questions and Answers |
Already Graded A+



A wife refers her husband for substance abuse counseling. His drug of

choice is cocaine which he has been using episodically with friends at a

poker game (biweekly to weekly) for some years. She is disturbed at the

illicit nature of the drug and the long standing use. He stated that though

he recreationally uses, he doesn't crave cocaine, doesn't seek it out but

rather uses with friends at the game who bring it. He feels that other

than his wife being upset, he has no other social or occupational issues.

Given the information provided, how is his use of cocaine BEST

,described? - ANSWER ✔✔IT IS NOT described as: Substance

abuse, cocaine intoxication, or cocaine use disorder.


What is Neuroplasticity? - ANSWER ✔✔the ability of the brain to form

and reorganize synaptic connections following an injury or longterm drug

use.

What does the experienced effect of a drug depend upon? -

ANSWER ✔✔1.amount taken & past experiences


2.mode of administration

3.poly drug use


How is drug tolerance BEST described? - ANSWER ✔✔A

(Decreased) sensitivity to a drug overtime


List some drug cues or triggers: - ANSWER ✔✔1.Prior drug use

setting

2.Drug Paraphernalia

3.Seeing others use


What does (SASSI) stand for & what is it? - ANSWER ✔✔(Substance

Abuse Subtle Screening Inventory)

,a brief self-report questionnaire that identifies substance use disorder.

For adults & adolescents. now there's 3rd edition (SASSI-3) for adults.

(67 true & false items & a 26 item self report questions)


What happens as tolerance for barbiturates develops? - ANSWER

✔✔The margin between intoxication & lethality stays the same.


What is the MOST common symptom of Wernicke's encephalopathy? -

ANSWER ✔✔Confusion


What does (formication) refer to? - ANSWER ✔✔The sensation of

bugs crawling on skin.

Or (Magnon's syndrome)


What is the organ most damaged by cocaine abuse? - ANSWER

✔✔The Heart


List (3) basic chemical classes of amphetamines: - ANSWER

✔✔1.Methamphetamine (meth)


2.Amphetamine Sulphate (speed)

3.Dextroamphetamine (Dexy's)

In terms of difficulty quitting (dependence), which of the following drugs

ranks the highest? - ANSWER ✔✔Nicotine


COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, THC content in marijuana varies widely.


True or false? - ANSWER ✔✔True


Regarding substance abuse, what does the Convergence Theory

propose? - ANSWER ✔✔Rates of substance abuse among women

are converging with men.

Which subcategory of alcohol use disorder onset is NOT found in the

elderly? - ANSWER ✔✔(Early onset) alcoholism


At an initial meeting with a new client, what is the FIRST requirement? -

ANSWER ✔✔Establish Rapport


What does motivational interviewing primarily involve? - ANSWER

✔✔Supportive Persuasion


What percentage of individuals with a dual diagnosis (co-occurring

disorders) received treatment for only their mental illness? -

ANSWER ✔✔32.9% percent


What factors can affect screening instrument validity? - ANSWER

✔✔1.setting/privacy


2.rapport/trust

3.clear instructions

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