INDIANA CLINICAL
ADDICTION COUNSELOR
Exam Practice Questions
2026-2027 Edition
Verified Answers Plus Rationales
Q&A; | Instant Download PDF
EXAM SPECIFICATIONS
Time Allocation: 3 Hours
Total Questions: 150 Questions on State Exam
Question Format: Multiple Choice with Rationales
Minimum Competency: 70% Required to Pass
Core Focus: SUD, Assessment, Counseling, Ethics, Pharmacology
Indiana Clinical Addiction Counselor Exam Prep 2026-2027 Page 1
, Exam Overview & Content Outline
EXAM PURPOSE
Indiana Clinical Addiction Counselor (LCAC/CADC) certification covers substance use disorder
assessment, treatment planning, counseling skills, pharmacology, ethics, and co-occurring disorders.
Based on IC&RC;, NAADAC, DSM-5-TR, ASAM criteria, and Indiana Professional Licensing Agency
requirements for addiction counselors.
CONTENT DISTRIBUTION
• Assessment & Diagnosis (25%) — DSM-5-TR SUD criteria, ASAM dimensions, screening tools,
biopsychosocial assessment, co-occurring disorders
• Treatment Planning & Counseling (30%) — Motivational interviewing, CBT, 12-step,
group/individual therapy, relapse prevention, treatment plans
• Pharmacology & Withdrawal (20%) — Drug classifications, withdrawal syndromes, MAT
(methadone, buprenorphine, naltrexone), interactions
• Professional Practice & Ethics (15%) — 42 CFR Part 2, HIPAA, IC&RC; Code of Ethics,
boundaries, duty to warn, mandated reporting
• Case Management & Referral (10%) — Levels of care, discharge planning, community resources,
documentation, coordination
QUESTION FORMAT & SCORING
Each item presents four options. Correct answers are highlighted in green with checkmark (✓).
Every question includes detailed rationale with addiction counseling standards. Indiana requires 70%
to pass LCAC/CADC exam.
STUDY STRATEGY
Master DSM-5-TR SUD diagnostic criteria and ASAM dimensions. Know withdrawal symptoms and
timelines for major substances. Understand MI, CBT, and 12-step principles. Review 42 CFR Part 2
confidentiality rules. Study MAT medications and contraindications.
CURRICULUM ALIGNMENT
Questions reflect 2026-2027 standards: IC&RC; ADC exam, NAADAC NCC AP, DSM-5-TR, ASAM
Criteria 4th Ed, TIP 42/45/63, 42 CFR Part 2, Indiana Professional Licensing Agency, and SAMHSA
guidelines.
Indiana Clinical Addiction Counselor Exam Prep 2026-2027 Page 2
, Indiana Clinical Addiction Counselor Exam Prep 2026-2027 Page 3
ADDICTION COUNSELOR
Exam Practice Questions
2026-2027 Edition
Verified Answers Plus Rationales
Q&A; | Instant Download PDF
EXAM SPECIFICATIONS
Time Allocation: 3 Hours
Total Questions: 150 Questions on State Exam
Question Format: Multiple Choice with Rationales
Minimum Competency: 70% Required to Pass
Core Focus: SUD, Assessment, Counseling, Ethics, Pharmacology
Indiana Clinical Addiction Counselor Exam Prep 2026-2027 Page 1
, Exam Overview & Content Outline
EXAM PURPOSE
Indiana Clinical Addiction Counselor (LCAC/CADC) certification covers substance use disorder
assessment, treatment planning, counseling skills, pharmacology, ethics, and co-occurring disorders.
Based on IC&RC;, NAADAC, DSM-5-TR, ASAM criteria, and Indiana Professional Licensing Agency
requirements for addiction counselors.
CONTENT DISTRIBUTION
• Assessment & Diagnosis (25%) — DSM-5-TR SUD criteria, ASAM dimensions, screening tools,
biopsychosocial assessment, co-occurring disorders
• Treatment Planning & Counseling (30%) — Motivational interviewing, CBT, 12-step,
group/individual therapy, relapse prevention, treatment plans
• Pharmacology & Withdrawal (20%) — Drug classifications, withdrawal syndromes, MAT
(methadone, buprenorphine, naltrexone), interactions
• Professional Practice & Ethics (15%) — 42 CFR Part 2, HIPAA, IC&RC; Code of Ethics,
boundaries, duty to warn, mandated reporting
• Case Management & Referral (10%) — Levels of care, discharge planning, community resources,
documentation, coordination
QUESTION FORMAT & SCORING
Each item presents four options. Correct answers are highlighted in green with checkmark (✓).
Every question includes detailed rationale with addiction counseling standards. Indiana requires 70%
to pass LCAC/CADC exam.
STUDY STRATEGY
Master DSM-5-TR SUD diagnostic criteria and ASAM dimensions. Know withdrawal symptoms and
timelines for major substances. Understand MI, CBT, and 12-step principles. Review 42 CFR Part 2
confidentiality rules. Study MAT medications and contraindications.
CURRICULUM ALIGNMENT
Questions reflect 2026-2027 standards: IC&RC; ADC exam, NAADAC NCC AP, DSM-5-TR, ASAM
Criteria 4th Ed, TIP 42/45/63, 42 CFR Part 2, Indiana Professional Licensing Agency, and SAMHSA
guidelines.
Indiana Clinical Addiction Counselor Exam Prep 2026-2027 Page 2
, Indiana Clinical Addiction Counselor Exam Prep 2026-2027 Page 3
