ADDICTION COUNSELING EXAM
QUESTIONS AND ANSWERS (VERIFIED
AND UPDATED)
Who invented the trans-theoretical change model? - ANS Prochaska and DiClemente
what can the trans-theorretical change model treat? - ANS ED (eating disorder)
SUD
weight management
medication adherence
Is the change model linear? - ANS No, it is not linear, a person can jump from stage to stage
Stages of the trans-theorretical change model - ANS pre-contemplation
contemplation
preparation
action
maintenance
termination
pre-contemplation stage - ANS person does not see the problem
not open to feedback
@2026/2027 ALLRIGHTS RESERVED.
,get upset with feedback
defensive
contemplation stage - ANS ask that they have a problem with Substance abuse
not sure if they need to make a change
ambivalent
struggling with opposing values
Preparation stage - ANS made decision to change substance use
need help to make concrete plans to change
explore treatment options
action stage - ANS actively involved in treatment plan
change lifestyle
change social settings to decrease substance use
decrease substance use
maintenance stage - ANS continue to maintain behavior change
explore relapse prevention
contiue with treatment plan
AA groups, counselling, groups
termination stage - ANS problem behaviour resolved
may need decrease treatment contact
some may require on going monitoring
some may not require any treatment
@2026/2027 ALLRIGHTS RESERVED.
,what stage is this patient in? "I will cut down on my drinking to two glasses of wine at night
because I know it may be making my mood worse" - ANS contemplation
what stage is this patient in? " i use coke for my refractory depression. it is the only thing that
improves my mood" - ANS pre-contemplation
what stage is this patient in? "I have been clean from heroin and alcohol for about nine years
and do not need any treatments. I am now fine." - ANS termination
concurrent disorder - ANS presentation of psychiatric illness and substance use disorder
what are neg impacts for clients with concurrent disorders - ANS poverty
homelessness
victimization
crime
mental prblm
what are negative outcomes for clients with concurrent disorders? - ANS violence
homicide
suicide
non-med compliance
increased hos
drop out of treatment
eps/nms/td
how many bipolar clients abuse alcohol? - ANS 43-70%
self medication hypothesis - ANS people have an + risk and use substance to control
symptoms
@2026/2027 ALLRIGHTS RESERVED.
, ex. smoke weed to decrease voices associated with schizophrenia
super-sensitivity model - ANS pts who have psych illness are more sensitive to drugs and
their effects increase
iatrogenic model of concurrent disorders - ANS something induced by a physician or the
treatment. The model states that the treatment causes the person to use drugs
secondary models with concurrent disorders - ANS the mental illness comes first than the
drugs come second
kenneth minkoff beliefs - ANS co-morbidity is an expectation not an exception
treatment requires welcoming, empathic approach
provide ***long term continuous treatment***
provide case management
both disorders should be seen as primary *biological disorders*
*treat both disorders at the SAME TIME*
what kind of treatment stages do you want to provide with concurrent disorders? - ANS stage
wise treatment (contemplation, pre contemplation and pre interactions etc..)
what kinds of treatment should be used with concurrent disorders - ANS motivational
counselling
CBT
long term case mangement
12 step
proper pharmacological treatment
community treatment ex. act
fam education and counselling
@2026/2027 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS (VERIFIED
AND UPDATED)
Who invented the trans-theoretical change model? - ANS Prochaska and DiClemente
what can the trans-theorretical change model treat? - ANS ED (eating disorder)
SUD
weight management
medication adherence
Is the change model linear? - ANS No, it is not linear, a person can jump from stage to stage
Stages of the trans-theorretical change model - ANS pre-contemplation
contemplation
preparation
action
maintenance
termination
pre-contemplation stage - ANS person does not see the problem
not open to feedback
@2026/2027 ALLRIGHTS RESERVED.
,get upset with feedback
defensive
contemplation stage - ANS ask that they have a problem with Substance abuse
not sure if they need to make a change
ambivalent
struggling with opposing values
Preparation stage - ANS made decision to change substance use
need help to make concrete plans to change
explore treatment options
action stage - ANS actively involved in treatment plan
change lifestyle
change social settings to decrease substance use
decrease substance use
maintenance stage - ANS continue to maintain behavior change
explore relapse prevention
contiue with treatment plan
AA groups, counselling, groups
termination stage - ANS problem behaviour resolved
may need decrease treatment contact
some may require on going monitoring
some may not require any treatment
@2026/2027 ALLRIGHTS RESERVED.
,what stage is this patient in? "I will cut down on my drinking to two glasses of wine at night
because I know it may be making my mood worse" - ANS contemplation
what stage is this patient in? " i use coke for my refractory depression. it is the only thing that
improves my mood" - ANS pre-contemplation
what stage is this patient in? "I have been clean from heroin and alcohol for about nine years
and do not need any treatments. I am now fine." - ANS termination
concurrent disorder - ANS presentation of psychiatric illness and substance use disorder
what are neg impacts for clients with concurrent disorders - ANS poverty
homelessness
victimization
crime
mental prblm
what are negative outcomes for clients with concurrent disorders? - ANS violence
homicide
suicide
non-med compliance
increased hos
drop out of treatment
eps/nms/td
how many bipolar clients abuse alcohol? - ANS 43-70%
self medication hypothesis - ANS people have an + risk and use substance to control
symptoms
@2026/2027 ALLRIGHTS RESERVED.
, ex. smoke weed to decrease voices associated with schizophrenia
super-sensitivity model - ANS pts who have psych illness are more sensitive to drugs and
their effects increase
iatrogenic model of concurrent disorders - ANS something induced by a physician or the
treatment. The model states that the treatment causes the person to use drugs
secondary models with concurrent disorders - ANS the mental illness comes first than the
drugs come second
kenneth minkoff beliefs - ANS co-morbidity is an expectation not an exception
treatment requires welcoming, empathic approach
provide ***long term continuous treatment***
provide case management
both disorders should be seen as primary *biological disorders*
*treat both disorders at the SAME TIME*
what kind of treatment stages do you want to provide with concurrent disorders? - ANS stage
wise treatment (contemplation, pre contemplation and pre interactions etc..)
what kinds of treatment should be used with concurrent disorders - ANS motivational
counselling
CBT
long term case mangement
12 step
proper pharmacological treatment
community treatment ex. act
fam education and counselling
@2026/2027 ALLRIGHTS RESERVED.
