Certified Advanced Alcohol and Drug Counselor (CAADC) Practice Exam

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What is the recommended approach to treating non-severe coexisting psychiatric disorders in addicted clients?

  1. Cautious treatment

  2. Sequential treatment

  3. Concurrent treatment

  4. Parallel treatment

The correct answer is: Sequential treatment

The recommended approach for treating non-severe coexisting psychiatric disorders in clients with addictions is sequential treatment. This methodology involves first addressing the substance use disorder before the psychiatric disorder, as it provides a structured way to ensure that the effects of substance use do not interfere with the management of the psychiatric condition. In the case of sequential treatment, the underlying assumption is that stabilization of the addiction often leads to an improved ability to treat any psychiatric issues. This approach recognizes the potential for interactions between treatments that could impact the efficacy and safety of the care provided. While cautious treatment might suggest a careful approach to diagnosing and managing both disorders, it does not establish a prioritization of care which is key in sequential treatment. Meanwhile, concurrent treatment implies simultaneous treatment of both issues, which could potentially complicate the treatment process due to the interplay between substances and psychiatric symptoms. Parallel treatment, although involving separate plans for each disorder, lacks the structured prioritization that characterizes sequential treatment. By following the sequential treatment approach, counselors can ensure that clients receive appropriate care that is tailored to their current state, ultimately leading to better overall outcomes in managing both addiction and coexisting psychiatric disorders.