Certified Advanced Alcohol and Drug Counselor (CAADC) Practice Exam

Which condition is least likely to cause a manic episode?

1. Brain tumors

2. Multiple sclerosis

3. The flu

4. Premenstrual syndrome

The correct answer is: Premenstrual syndrome

A manic episode is characterized by an abnormally elevated mood, increased energy or activity levels, and other symptoms such as decreased need for sleep and impulsive behaviors. While various medical and psychological conditions can trigger or contribute to manic episodes, the condition least likely to do so among the choices presented is premenstrual syndrome (PMS). PMS primarily encompasses a range of physical and emotional symptoms that occur in relation to the menstrual cycle, generally not severe enough to induce mania. Although PMS can cause mood swings and irritability, it typically does not escalate to the elevated mood and energy levels associated with mania in a clinical sense. In contrast, brain tumors can affect areas of the brain that regulate mood and behavior, potentially leading to manic symptoms. Multiple sclerosis, while primarily a neurological condition, can also have mood-related symptoms due to its impact on the central nervous system. The flu, particularly if it is severe or accompanied by complications, can affect neurotransmitter activity and mood, potentially leading to manic-like symptoms, especially if the individual has a pre-existing vulnerability to mood disorders. Given these considerations, premenstrual syndrome is the condition that lacks a direct link to causing manic episodes compared to the other options listed. This understanding highlights the importance of recognizing how various medical