EDCO 740 ADDICTIONS CASE PART 1:
MARCI CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Fight, Flight, Freeze and Fawn responses to trauma.Part 1.
Answer: ● Initial reaction that is triggered in order to protect ourselves when
there is a perception of or an actual threat.
◍ Annette has an apparent predisposition for alcoholism, as evidenced by
multiple family members experiencing alcoholism. She also has recently
experienced a great deal of environmental stress, including the unexpected
death of her husband and a stressful job promotion. She is a member of a
faith community that prohibits the consumption of alcohol, however, she has
recently started drinking alcohol to "unwind" after work. If we evaluate
Annette's substance use by accounting for the interaction of all of these
factors, we are probably drawing from what model of addiction?.
Answer: Biopsychosocial Model
◍ Extra:Change is the most difficult thing we can do.
Answer: ▪ How do we progress changing any behavior?1. Precontemplation
- Failing to recognize the need for change (Usually needs to be worse not to
look)2. Contemplation - Seriously considering the need for change
(Remains worse not to change)3. Preparation - Making small changes.
(Most Common)4. Action - Less than six months (Somewhat Common)5.
Maintenance - Longer than six months (Least Common)6. Termination
◍ substance use disorders.
Answer: re patterns of symptoms resulting from the use of a substance that
you continue to take, despite experiencing problems as a result
◍ In Chapter 21 of your required text, "In the Realm of Hungry Ghosts," by
, Maté states what five traits underlie the addiction process?.
Answer: ● Poor self-regulation● Lack of basic differentiation● Lack of
healthy sense of self● A sense of deficient emptiness● Impaired impulse
control● Pages 232-239 of "In the Realm of Hungry Ghosts"
◍ Family Systems theory.
Answer: Families are an emotional unit, operating as parts of an overall
system
◍ Fight, Flight, Freeze and Fawn responses to trauma.Part 4.
Answer: ● "If I don't do anything, the threat cannot hurt me."● Protect
themselves through dissociation● Difficulty making decisions or getting
motivated.● Behaviors that might indicate this trauma response are:○
Feeling stuck in some part of the body○ Feeling cold/frozen, numb, pale
skin○ Sense of stiffness, heaviness○ Holding breath/restricted breathing○
Sense of dread, heart pounding○ Decreased heart rate (can sometimes
increase)● The Freeze Type - Dissociative Defense● Most freeze styles
instinctively assume that people and threats are interchangeable, and that
protection lies in isolation.● Freeze styles also seek shelter and relaxation in
long stretches of sleep, daydreaming and distracting behaviors such as
television, computer and video games.● Freeze forms are the most
complicated defenses to manage as this type of person is reluctant to enter
into a therapeutic relationship.● The freeze type often imposes the critic's
perfectionist expectations on others rather than on themselves - uses the
imperfections of others as a reason for alienation.
◍ Dysfunction.
Answer: existing homeostasis in a family impairs the health, well-being,
natural development of one or more members
◍ anabolic steroids.
Answer: Builds muscle mass, strength, can treat low testosterone conditions
◍ The many types of trauma..
Answer: ● AcuteSingle Incident● Chronic or ComplexMultiple, Repeated,
Varied● Vicarious and SecondaryTrauma Exposure - witnessing or
, hearing● DevelopmentalProlonged and during critical periods●
RacialRacial bias/discrimination● GenerationalA transmission process●
EpigeneticTrauma can leave a chemical mark on a person's genes●
CollectiveShared trauma in a culture. From the community to the world
(Genocide, war, pandemic, 9/11)● Big "T" trauma and little "t" trauma
◍ Among high school seniors, what was the group with the highest levels of
tobacco, alcohol, and illicit drug use?.
Answer: American Indian
◍ The three stages of recovery: abstinence, repair, and growth according to
Steven Melemis, in the article, "Relapse Prevention and the Five Rules of
Recovery and the etiological models from the article on Sexual Addiction
Disorder—A Review With Recent Updates."Part 3.
Answer: ● In the second stage of recovery, the main task is to repair the
damage caused by addiction [2]. Clinical experience has shown that this
stage usually lasts 2 to 3 years.● In the abstinence stage of recovery, clients
usually feel increasingly better. They are finally taking control of their lives.
But in the repair stage of recovery, it is not unusual for individuals to feel
worse temporarily. They must confront the damage caused by addiction to
their relationships, employment, finances, and self-esteem. They must also
overcome the guilt and negative self-labeling that evolved during addiction.
Clients sometimes think that they have been so damaged by their addiction
that they cannot experience joy, feel confident, or have healthy relationships
[9].● These are some of the developmental tasks of the repair stage of
recovery [1,2]:○ Use cognitive therapy to overcome negative self-labeling
and catastrophizing○ Understand that individuals are not their addiction○
Repair relationships and make amends when possible○ Start to feel
comfortable with being uncomfortable○ Improve self-care and make it an
integral part of recovery○ Develop a balanced and healthy lifestyle○
Continue to engage in self-help groups○ Develop more healthy alternatives
to using● Clinical experience has shown that common causes of relapse in
this stage are poor self-care and not going to self-help groups.
MARCI CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Fight, Flight, Freeze and Fawn responses to trauma.Part 1.
Answer: ● Initial reaction that is triggered in order to protect ourselves when
there is a perception of or an actual threat.
◍ Annette has an apparent predisposition for alcoholism, as evidenced by
multiple family members experiencing alcoholism. She also has recently
experienced a great deal of environmental stress, including the unexpected
death of her husband and a stressful job promotion. She is a member of a
faith community that prohibits the consumption of alcohol, however, she has
recently started drinking alcohol to "unwind" after work. If we evaluate
Annette's substance use by accounting for the interaction of all of these
factors, we are probably drawing from what model of addiction?.
Answer: Biopsychosocial Model
◍ Extra:Change is the most difficult thing we can do.
Answer: ▪ How do we progress changing any behavior?1. Precontemplation
- Failing to recognize the need for change (Usually needs to be worse not to
look)2. Contemplation - Seriously considering the need for change
(Remains worse not to change)3. Preparation - Making small changes.
(Most Common)4. Action - Less than six months (Somewhat Common)5.
Maintenance - Longer than six months (Least Common)6. Termination
◍ substance use disorders.
Answer: re patterns of symptoms resulting from the use of a substance that
you continue to take, despite experiencing problems as a result
◍ In Chapter 21 of your required text, "In the Realm of Hungry Ghosts," by
, Maté states what five traits underlie the addiction process?.
Answer: ● Poor self-regulation● Lack of basic differentiation● Lack of
healthy sense of self● A sense of deficient emptiness● Impaired impulse
control● Pages 232-239 of "In the Realm of Hungry Ghosts"
◍ Family Systems theory.
Answer: Families are an emotional unit, operating as parts of an overall
system
◍ Fight, Flight, Freeze and Fawn responses to trauma.Part 4.
Answer: ● "If I don't do anything, the threat cannot hurt me."● Protect
themselves through dissociation● Difficulty making decisions or getting
motivated.● Behaviors that might indicate this trauma response are:○
Feeling stuck in some part of the body○ Feeling cold/frozen, numb, pale
skin○ Sense of stiffness, heaviness○ Holding breath/restricted breathing○
Sense of dread, heart pounding○ Decreased heart rate (can sometimes
increase)● The Freeze Type - Dissociative Defense● Most freeze styles
instinctively assume that people and threats are interchangeable, and that
protection lies in isolation.● Freeze styles also seek shelter and relaxation in
long stretches of sleep, daydreaming and distracting behaviors such as
television, computer and video games.● Freeze forms are the most
complicated defenses to manage as this type of person is reluctant to enter
into a therapeutic relationship.● The freeze type often imposes the critic's
perfectionist expectations on others rather than on themselves - uses the
imperfections of others as a reason for alienation.
◍ Dysfunction.
Answer: existing homeostasis in a family impairs the health, well-being,
natural development of one or more members
◍ anabolic steroids.
Answer: Builds muscle mass, strength, can treat low testosterone conditions
◍ The many types of trauma..
Answer: ● AcuteSingle Incident● Chronic or ComplexMultiple, Repeated,
Varied● Vicarious and SecondaryTrauma Exposure - witnessing or
, hearing● DevelopmentalProlonged and during critical periods●
RacialRacial bias/discrimination● GenerationalA transmission process●
EpigeneticTrauma can leave a chemical mark on a person's genes●
CollectiveShared trauma in a culture. From the community to the world
(Genocide, war, pandemic, 9/11)● Big "T" trauma and little "t" trauma
◍ Among high school seniors, what was the group with the highest levels of
tobacco, alcohol, and illicit drug use?.
Answer: American Indian
◍ The three stages of recovery: abstinence, repair, and growth according to
Steven Melemis, in the article, "Relapse Prevention and the Five Rules of
Recovery and the etiological models from the article on Sexual Addiction
Disorder—A Review With Recent Updates."Part 3.
Answer: ● In the second stage of recovery, the main task is to repair the
damage caused by addiction [2]. Clinical experience has shown that this
stage usually lasts 2 to 3 years.● In the abstinence stage of recovery, clients
usually feel increasingly better. They are finally taking control of their lives.
But in the repair stage of recovery, it is not unusual for individuals to feel
worse temporarily. They must confront the damage caused by addiction to
their relationships, employment, finances, and self-esteem. They must also
overcome the guilt and negative self-labeling that evolved during addiction.
Clients sometimes think that they have been so damaged by their addiction
that they cannot experience joy, feel confident, or have healthy relationships
[9].● These are some of the developmental tasks of the repair stage of
recovery [1,2]:○ Use cognitive therapy to overcome negative self-labeling
and catastrophizing○ Understand that individuals are not their addiction○
Repair relationships and make amends when possible○ Start to feel
comfortable with being uncomfortable○ Improve self-care and make it an
integral part of recovery○ Develop a balanced and healthy lifestyle○
Continue to engage in self-help groups○ Develop more healthy alternatives
to using● Clinical experience has shown that common causes of relapse in
this stage are poor self-care and not going to self-help groups.
