Working with Clients with Substance Use and Clients with Specific Mental Disorders

MFT / LCSW

3.00 - CE credit hours training

$16.50 - Cost of course

This page contains important information about the course, including training details, a comprehensive course description, learning objectives, and source references. We encourage you to review each section to gain a clear understanding of the course content, educational goals, and supporting materials before beginning your training and taking the POST TEST below.

Target audience and instructional level of this course: foundational
There is no known conflict of interest or commercial support related to this CE program.

Working with Clients with Substance Use and Clients with Specific Mental Disorders

Course Training

Follow the link below, read the material and then take the 30 question post test

Read the Course Material:
Working with Clients with Substance Use and Clients with Specific Mental Disorders

Post Test

30 Questions

1. From "Suicidality": Amongst persons with COD, risk of suicide is greatest:

a. when psychiatric medicine is being adjusted. b. when the person decides to use treatment. c. when relapse occurs after a substantial period of abstinence--especially if there is concurrent financial or psychosocial loss. d. immediately after release from a hospitalization.

2. From "Suicidality": Alcohol abuse is associated with between _________ percent of suicides.

a. 10 - 15 b. 15 - 30 c. 20 - 35 d. 25 - 50

3. From "Nicotine Dependence": In the year 2000 it was estimated that smokers with mental disorders consumed __________of all the cigarettes sold in the United States.

a. about 25% b. one third c. nearly half d. almost 60%

4. From "Nicotine Dependence": According to the article, tobacco treatment medications are effective even in the absence of psychosocial treatments, but adding psychosocial treatments to medications enhances outcomes by _____________.

a. at least 50% b. 30 - 40% c. nearly half d. almost 60%

5. From "Nicotine Dependence": In the case study of Tammy T., how were the co-occurring disorders treated?

a. first nicotine dependence and panic disorder, then alcohol dependence b. first panic disorder, then alcohol and nicotine dependence c. first nicotine and alcohol dependence, then panic disorder d. first alcohol dependence and panic disorder, then nicotine dependence

6. From "Personality Disorder": The rigid and maladaptive behavior patterns seen in personality disorders:

a. arise in response to a particular set of circumstances or stressors. b. are enduring and persistent styles of behavior and thought.

7. From "Personality Disorder": Which of the following is advised when assessing risk of self-harm with clients who have Borderline Personality Disorder?

a. Always have another person in the room with you. b. Set a no harm contract with the client. c. Ask the client what is wrong. d. Assess for harm to others at the same time.

8. From "Personality Disorder": In the case study of Ming L., the conclusion was:

a. Ming would likely fail in standard substance abuse treatment. b. Ming would be best served by treatment for the BPD, like Dialectical Behavior Therapy, along with substance treatment. c. Ming would likely need complicated detoxification. d. A and B e. All of the above

9. From "Personality Disorder": Antisocial Personality Disorder can be diagnosed at age:

a. 15 b. 16 c. 17 d. 18 e. 21

10. From "Personality Disorder": In the case study of Mark R., what is recommended for him and others with Antisocial Personaltiy Disorder?

a. utilize individual therapy b. manage the individual through strict limits, clear consequences c. maximize the interaction with the court, parole officers, or other legal limit setters d. A and B e. B and C

11. From "Mood and Anxiety Disorders": The article reports that about ___________of individuals with a substance use disorder have an affective or anxiety disorder at some time in their lives.

a. 60% b. 50% c. 40% d. 25%

12. From "Mood and Anxiety Disorders": _____________________ is the essential feature of Generalized Anxiety Disorder.

a. restlessness or feeling keyed up or on edge b. muscle tension c. excessive anxiety and worry d. all of the above

13. From "Mood and Anxiety Disorders": Clinicians are advised to "start low, go slow" when working with clients who have mood and/or anxiety disorder; this means

a. start with less anxiety provoking topics and proceed gradually as clients become more comfortable talking about issues. b. start with easier items on the client's exposure hierarchy and proceed to more anxiety provoking items. c. use low dosages of medicine initially and increase as warranted. d. start with needs lower on Maslow's hierarchy and then proceed to higher needs.

14. From "Mood and Anxiety Disorders": In the case study of John W., the counselor used a motivational approach to:

a. help John see the importance of taking his Bipolar Disorder medicine consistently. b. help John see the value of receiving help for both alcohol problems and Bipolar Disorder. c. help John see that relationship breakups precipitate his manic episodes. d. help John get re-training for more adequate employment.

15. From " Schizophrenia and other Psychotic Disorders": The article advises counselors working with clients with schizophrenia, what looks like resistance or denial may in reality be:

a. a manifestation of negative symptoms of schizophrenia. b. due to psychotic symptoms. c. due to hallucinations or delusions. d. due to disorganized speech.

16. From " Schizophrenia and other Psychotic Disorders": The narrowest definition of psychotic is:

a. impairment that grossly interferes with the capacity to meet ordinary demands of life. b. prominent hallucinations that the individual realizes are hallucinatory experiences or other positive symptoms of schizophrenia (i.e., disorganized speech, or grossly disorganized or catatonic behavior). c. prominent hallucinations that the individual realizes are hallucinatory experiences. d. delusions or prominent hallucinations, with the hallucinations occurring in the absence of insight into their pathological nature.

17. From " Schizophrenia and other Psychotic Disorders": In the case study of Adolfo M., the authors highlight ________________ as a key for counselors to develop an effective treatment plan.

a. motivational interviewing b. coordinating with a case manager and other team members c. getting Adolfo's medicine adjusted first d. obtaining a thorough history

18. From "AD/HD": According to the article, adults with AD/HD have been found primarily to use alcohol, with marijuana being the second most common drug of abuse.

a. True b. False

19. From "AD/HD": For the diagnosis of Attention-Deficit/Hyperactivity Disorder, Combined Type, the three primary symptoms are:

a. inattention, hyperactivity, and impulsivity b. hyperactivity, inattention, conduct problems c. impulsivity, disruptive behavior, inattention d. disruptive behavior, inattention, annoying adults

20. From "AD/HD": Regarding advice to counselors seeing clients with AD/HD, it is acceptable during the counseling process to provide supports that help the client concentrate, take in information, and learn information.

a. True b. False

21. From "Posttraumatic Stress Disorder": Among clients in substance abuse treatment, PTSD is _________ common in women than in men.

a. half as b. 50% more c. twice as d. two to three times more

22. From "Posttraumatic Stress Disorder": Using the diagnostic criteria in the article, PTSD could be diagnosed in someone who experienced a traumatic and humiliating job loss.

a. True b. False

23. From "Posttraumatic Stress Disorder": In the case study of Caitlin P. the counselor focused attention on:

a. helping Caitlin setting up an exposure hierarchy for PTSD. b. helping Caitlin use methods to cope with urges to drink, drug, or burn herself. c. helping Caitlin better recognize PTSD symptoms. d. A and B e. B and C

24. From "Eating Disorders": Individuals with eating disorders experience craving, tolerance, and withdrawal from drugs associated with purging, such as laxatives and diuretics.

a. True b. False

25. From "Eating Disorders": Compared to other individuals undergoing substance abuse treatment individuals with eating disorders are significantly more likely to use !!!! _____________and significantly less likely to use ______________.

a. marijuana; alcohol b. opioids; alcohol c. stimulants; opioids d. marijuana; stimulants

26. From "Eating Disorders": Do the authors advise that counselors encourage eating disorder clients to set a weight range goal, and arrange for observations at and between meal times for disordered eating behaviors.

a. yes b. no

27. From "Eating Disorders": In the case study of Mandy H., she relapsed some time after residential treatment. What was added to her treatment plan after this relapse?

a. AA meetings b. anti-depressant medicine c. Dialectical Behavior Therapy d. mindfulness approaches

28. From "Pathological Gambling": It is estimated that the rate of problem gambling among people with substance use disorders is ___________ that found in the general population.

a. 50% greater than b. twice as high c. three to four times higher d. four to five times higher

29. From "Pathological Gambling": In the diagnostic features of Pathological Gambling which of the following is NOT listed as an aspect of persistent and recurrent maladaptive gambling behavior?

a. abuses substances to cope with gambling losses b. after losing money gambling, often returns another day to get even c. has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling d. needs to gamble with increasing amounts of money in order to achieve the desired excitement

30. From "Pathological Gambling": When a client presents with pathological gambling and a substance use disorder, do the authors recommend the client use separate support groups for gambling and for alcohol and/or drug dependence?

a. Yes b. No

Course Description

This course provides a brief overview for working with substance abuse treatment clients who also have specific mental disorders.
For each of the featured mental disorders four aspects are covered:
What counselors should know about substance abuse and the mental disorder
Diagnostic features and diagnostic criteria for the mental disorder
Advice to the counselor about working with clients with substance abuse and the mental disorder
Case Study: Counseling a substance abuse treatment client who has the mental disorder.
The mental disorders covered are: personality disorders (borderline and anti-social), mood and anxiety disorders, schizophrenia and other psychotic disorders, ADHD, PTSD, eating disorders, and pathological gambling. The course also covers suicidality and nicotine dependence, since these commonly overlap with substance abuse disorders.

Learning Objectives

identify pertinent information about substance abuse co-occurring with mental disorders.
summarize diagnostic features and criteria for key mental disorders that commonly co-occur with substance use disorders.

Source

Jonathan Max Gilbert, M.A.
Margaret K. Hamer, M.P.A.
Randi Henderson, B.A.
Susan Hills, Ph.D.
David Shapiro, M.S., M.Ed.
Published by Center for Substance Abuse Treatment and SAMHSA

MFT / LCSW