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Anthony J. Ricci
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I hope they are helpful, I tried to cover the most basic pertinent info that has
historically been known to being on the CASAC test.
By no means is this all the questions or all the answers.
My honest opinion is: if you where, in class and awake. You should have no problem.
NCADD presents a great 2 day CASAC TEST REVIEW CLASS
Will let you know when its scheduled.
Don’t stress, Don’t overthink, Review the basics.
Best !
May 11, 2013
P.S. Questions get answers, in your last few weeks with us, PLEASE approach
Dennis, Jim, or myself with your questions, concerns, etc. We are here for YOU !
Anthony J. Ricci
group therapy
type of therapy in which a group of clients
meet together with a therapist.
psychotherapy where multiple people meet
regularly to interact and help one another to
achieve insight into their feelings and
behavior; allows the therapist to see how
the client interacts with others, offers a
social support, and shows the client that
s/he is not the only person with that
Anthony J. Ricci
an ongoing process through which the counselor
collaborates with the client and others to gather and
interpret information necessary for planning treatment
and evaluating client progress.
Anthony J. Ricci
Central Nervous System
One of the major divisions of the
nervous system, composed of the
brain and spinal cord.
Anthony J. Ricci
arbitrary inference
distortion of thinking in which a
person draws a conclusion that is
not based on any evidence
Anthony J. Ricci
cognitive therapy
therapy in which the focus is on
helping clients recognize
distortions in their thinking and
replace distorted, unrealistic
beliefs with more realistic, helpful
Anthony J. Ricci
Frontal Cortex
Cortical region essential for
information processing
Anthony J. Ricci
fritz perls
1893-1970. developed and
popularized gestalt therapy
Anthony J. Ricci
An acronym for
Lesbian, Gay (male), Bisexual,
Transgender and persons Questioning
their sexual identity
Anthony J. Ricci
treatment methods aimed at
making people feel better and
function more effectively
Anthony J. Ricci
antianxiety drugs
drugs used to treat and calm
anxiety reactions, typically minor
Anthony J. Ricci
Blood Brain Barrier
Selective filtering between the
cerebral blood vessels and the
Anthony J. Ricci
sigmund freud
1856-1939. founder of the
psychoanalytic school of thought
which focuses on the role of the
unconscious on behavior
Anthony J. Ricci
family counseling
a form of group therapy in which
family members meet together
with a counselor or therapist to
resolve problems that affect the
entire family
Anthony J. Ricci
Specialized nerve cells that make
up the nervous system and
release neurotransmitters
Anthony J. Ricci
Post Traumatic Stress
Disorder (PTSD)
A psychiatric syndrome in which
an individual who has been
exposed to a traumatic vent or
situation experiences persistent
psychological re experiencing the
trauma, numbing of general
responsiveness, and hyperarousal
Anthony J. Ricci
Site of communication between a
message sending neuron and its
message receiving target cell
Anthony J. Ricci
Mental Set
The collection of psychological
and environment factors that
influence and individuals response
to drug
Anthony J. Ricci
Beck's Cognitive Therapy
cognitive technique; designed by Aaron Beck;
designed to identify and change inappropriate
negative and self-critical patterns of thought;
primarily used to treat depression, anxiety
and substance abuse; therapy is not as
challenging and confrontational as REBT;
aims to lead person to more realistic and
flexible ways of thinking
Anthony J. Ricci
Culturally sensitive
The first step is to be aware of
one's own lack of information
about other's cultures and one's
own prejudices.
Anthony J. Ricci
Rebound Effect
Form of withdrawal; paradoxical
effect that occur when a drug has
been eliminated front the body
Anthony J. Ricci
THE 4 GOALS for clients
Change in Thinking
New ways to define their problems and figure out
Change in Feeling
Identify and change the emotions they experience.
Change in Actions
Do something different to try and solve their
Change in Relating
Ways to involve other people in personal problem
Anthony J. Ricci
Belief that drinking (misconceived
as safe) represses inhibitions,
strengthens extroversion, and
leased to increased sociability
Anthony J. Ricci
Behavioral Tolerance
Compensation for motor
impairments through behavioral
pattern modification by chronic
alcohol users.
Anthony J. Ricci
Delirium Tremens (DTs)
The most severe, even life
threatening form of alcohol
withdrawal, involving
hallucinations, delirium, and fever
Anthony J. Ricci
Blood Alcohol
Concentration (BCA)
Concentration of alcohol found in
the blood, often expressed as a
Anthony J. Ricci
Behavior displayed by either
addicted or no addicted family
member (codependents) who
identify with the alcohol addict and
cover up the excessive drinking
behavior, allowing it to continue
and letting it affect the
codependents life
Anthony J. Ricci
Respect the client's independence
and self-determination
Anthony J. Ricci
cognitive behavioral
therapy (cbt)
action therapy in which the goal is
to help clients overcome problems
by learning to think more rationally
and logically
Anthony J. Ricci
Four questions - yes to one indicates the
possibility of alcohol dependence. Cut
down? Annoyed by criticism of drinking
behavior? Guilty about drinking? Eyeopener?
Anthony J. Ricci
Rational-Emotive Therapy
cognitive therapy founded by Albert Ellis;
directive therapy; based on the idea that
psychological distress is caused by irrational
and self-defeating beliefs; therapy is designed
to challenge the dysfunctional thoughts
("stinking thinking") and reinterpret the
thoughts in a more positive light; therapy is
challenging and confrontational; aims to lead
person to more realistic and flexible ways of
Anthony J. Ricci
The Health Insurance Portability
and Accountability Act
This federal regulation protects
client rights by covering all
personal health information that
can be used to identify an
Anthony J. Ricci
42 CFR
This federal law prohibits
counselors from divulging the fact
that someone is in treatment or
any details of their treatment
without the client's written
consent, when the client is in a
clear state of mind. Applies to
former and deceased clients also.
Anthony J. Ricci
Instances when
confidentiality may be
Sharing among staff of a program, reporting
child abuse or neglect, threatening to harm
another person, threatening suicide,
committing or threatening a crime on program
property or against program staff, medical
emergencies, elder abuse and court orders.
Anthony J. Ricci
free association
freudian technique in which a
patient was encouraged to talk
about anything that came to mind
without fear of negative
Anthony J. Ricci
The rules of conduct recognized in
a particular profession, the shared
standards of what is good
Anthony J. Ricci
eclectic therapies
therapy style that results from
combining elements of several
different therapy techniques
Anthony J. Ricci
A socio-political concept. Not
Anthony J. Ricci
carl rogers
1902-1987. humanist psychologist
who focused on the role of the
self-concept and positive regard
on personality development
Anthony J. Ricci
Detoxification is a process in which the body
is allowed to free itself of a drug.
This period, the symptoms of withdrawal are
Detoxification is the primary step in any drug
treatment program, and is used as the initial
phase in treating alcohol, heroin, inhalant,
sedative, and hypnotic addictions.
Anthony J. Ricci
Informed Consent and
Releases of Information
Includes, but is not limited to, the
purpose of the disclosure, the
person to receive the disclosed
information, and the date or
condition under which the consent
will expire.
Anthony J. Ricci
person-centered therapy
a nondirective insight therapy
based on the work of carl rogers
in which the client does all the
talking and the therapist listens
Anthony J. Ricci
Duty to warn
This refers to a counselor's
responsibility to alert the
appropriate authorities of a threat .
Anthony J. Ricci
Key concept about
Within-group differences are
always greater than betweengroup differences.
Anthony J. Ricci
A sustained emotion. Changes
less frequently than affect.
Anthony J. Ricci
Professional Development
An ongoing responsibility
accomplished through engaging in
continuing education, selfevaluation, supervision and
Anthony J. Ricci
Any activity designed to obtain a
service, practical help, support or
information for a client.
Anthony J. Ricci
three approaches to
Anthony J. Ricci
humanistic therapy
psychotherapy focused on
conscious, subjective experiences
of emotion and people's sense of
Anthony J. Ricci
The purpose of this is to promote the
counselor's growth, protect the welfare of
clients, monitor counselor performance
and empower the counselor to selfsupervise and carry out responsibilities as
an independent professional.
Anthony J. Ricci
in psychoanalysis, the tendency
for a patient or client to project
positive or negative feelings for
important people from the past
onto the therapist
Anthony J. Ricci
Fetal Alcohol Syndrome
A condition affecting children born to
alcohol consuming mothers that is
characterized by facial deformities,
growth deficiency, and mental
Anthony J. Ricci
Interventions that show consistent
scientific evidence of being related
to preferred client outcomes.
Most definitions include three components:
Clinical expertise
Patient preferences
Research-based information
Anthony J. Ricci
therapeutic alliance
the relationship between therapist
and client that develops as a
warm, caring, accepting
relationship characterized by
empathy, mutual respect and
Anthony J. Ricci
an insight therapy based on the
theory of freud, emphasizing the
revealing of unconscious conflicts
Anthony J. Ricci
Psychotic condition connected
with heavy alcohol use and
associated vitamin deficiencies
Anthony J. Ricci
contemplation stage
a stage of change in which the
individual is aware that a problem
exists and is thinking about
overcoming it but has not yet
made a commitment to take
Anthony J. Ricci
gestalt therapy
form of directive insight therapy in
which the therapist helps the client
to accept all parts of his or her
feelings and subjective
experiences, using leading
questions and planned
experiences such as role-playing
Anthony J. Ricci
Goal Statement
Component of a Treatment Plan that
should be acceptable to the client and
answers the question, "What is
necessary to remedy the problem?"
Should be stated positively - eg. "Client
will maintain abstinence," rather than,
"Client will not drink."
Anthony J. Ricci
nondirective therapy
therapy in which the therapist
remains relatively neutral and
does not interpret or take direct
actions with regard to the client,
instead remaining a calm,
nonjudging listener while the client
Anthony J. Ricci
Social factors
These include poverty, oppression,
poorly developed social skills, and
family dysfunction that may
contribute to a client's causes of
substance abuse and dependence.
Anthony J. Ricci
self-help groups (support
a group composed of people who
have similar problems and who
meet together without a therapist
or counselor for the purpose of
discussion, problem solving, and
social and emotional support
Anthony J. Ricci
unconditional positive
referring to the warmth, respect,
and accepting atmosphere
created by the therapist for the
client-centered therapy
Anthony J. Ricci
Four emphases of
Evaluative, Clinical
and Supportive
Anthony J. Ricci
Counselors need to be able to
recognize symptoms in clients that
require assessment by other
professionals and be familiar with
services available.
Anthony J. Ricci
Axis V
This axis of the DSM IV -TR is the
Global Assessment of Functioning
(GAF) scale, which assigns a
number from 1 to 100 to the
counselor's judgment of the
client's overall level of
psychological, social and
occupational functioning.
Anthony J. Ricci
Component of a Treatment Plan that
states what the counselor will do to
help meet the client's objectives.
Includes the theoretical model to be
used, (eg. reality therapy) and the
specific techniques to be employed
(eg. assertiveness training or refusal
skills training). These are sometimes
also called "Interventions".
Anthony J. Ricci
preparation stage
A stage of change in which the
individual seriously considers
taking action to overcome a
problem in the next thirty days and
has unsuccessfully taken action
over the past twelve months.
Anthony J. Ricci
barriers to counseling
1. personal bias
3. recovery experience
Anthony J. Ricci
False beliefs that are maintained
despite proof against their truth.
Anthony J. Ricci
Action stage
Action stage of change in which
the individual actually modifies his
or her behavior and environment
in order to overcome a problem. n
Anthony J. Ricci
(Homophobic) The fear and
hatred of, or discomfort with,
people who love and are attracted
to members of the same sex
Anthony J. Ricci
precontemplation stage
A stage of change in which the
individual may wish to change but
either lacks the serious intention
to undergo change in the
foreseeable future or is unaware
of how significant his or her
problem has become.
Anthony J. Ricci
biopsychosocial model
A perspective on drug-abuse
treatment that recognizes the
biological, psychological, and
social factors underlying drugtaking behavior and encourages
an integrated approach, based
upon these factors, in designing
an individual's treatment program.
Anthony J. Ricci
Biological factors
These include brain chemistry problems,
which may be genetic, making some people
particularly vulnerable to addiction to certain drugs
once they try them.
Anthony J. Ricci
maintenance stage
A stage of change in which the
individual has become drug free
for a minimum of six months and
has developed new skills and
strategies that reduce the
probability of relapse.
Anthony J. Ricci
The Person-Centered
Assumes that clients can be trusted to select
their own therapists, to choose the
frequency and length of their therapy, to talk
or to be silent, to decide what needs to be
explored, to achieve their own insights, and
to be the architects of their own lives.
Anthony J. Ricci
Diagnostic and Statistical Manual
of Mental Disorders, Fourth
Edition, Text Revision (APA,
May 2013
Anthony J. Ricci
This recognizes that there are biological, psychological and
social causes of substance abuse and dependence
Anthony J. Ricci
Psychological factors
These include cognitive styles,
personality traits, and early
developmental experiences that
may contribute to a client's
causes of substance abuse and
Anthony J. Ricci
Motivational interviewing
This is a style of interacting with clients, used not
only for assessment, but for all phases of
treatment, that is particularly helpful for reducing
defensiveness and encouraging therapeutic
collaboration between the counselor and client.
Uses the interpersonal process to enhance clients'
motivation to change, and encourages clients to
move on to the next stage of readiness for change.
Anthony J. Ricci
Michigan Alcoholism Screening
Test - yes or no to 25 questions.
Anthony J. Ricci
Axis I
Contains 16 categories of clinical
disorders, one of which is
Substance Related Disorders.
Anthony J. Ricci
AUDIT (Alcohol Use Disorders
Identification Test)
The 10 items on this instrument developed
by the World Health Organization ask about
frequency of drinking, alcohol dependence,
and problems caused by alcohol. Scores
range from 0 to 40 with a score of 8 or
higher indicating the likelihood of harmful
alcohol consumption.
Anthony J. Ricci
Cluster B
Axis II disorders that often co-occur with
substance abuse and dependence, and are
characterized by dramatic, emotional, erratic,
or impulsive behavior, or a reduced capacity
for empathy. They include Antisocial
Personality Disorder, Borderline Personality
Disorder, Histrionic Personality Disorder and
Narcissistic Personality Disorder.
Anthony J. Ricci
The Client’s Experience in Therapy
1. Experiencing responsibility.
2. Experiencing the therapist.
3. Experiencing the process of exploration.
4. Experiencing the self.
5. Experiencing change.
Anthony J. Ricci
Substance Related
This category of clinical disorders
in Axis I of the DSM IV-TR
includes both Substance Use
Disorders and Substance Induced
Anthony J. Ricci
Substance Use Disorders
This sub-category of Substance
Related Disorders includes both
Substance Abuse and Substance
Anthony J. Ricci
Substance Induced Disorders
These Axis I disorders are a subcategory of Substance Related
Disorders and can include Substance
Intoxication and Substance
Withdrawal, Substance induced
delirium, persisting dementia,
persisting amnesic disorder, psychotic
disorder, mood disorder, anxiety
disorder, sexual dysfunction disorder,
and sleep disorder.
Anthony J. Ricci
Axis II
This axis of the DSM IV- TR
includes the personality disorders
as well as mental retardation.
Anthony J. Ricci
Borderline Personality
This personality disorder features a pervasive
pattern of instability in interpersonal
relationships, self-image, affect, and control
over impulses. Features may include frantic
attempts to avoid real or imagined
abandonment, impulsivity in at least two
areas that are self-damaging, chronic feelings
of emptiness.
Anthony J. Ricci
Cluster A
Axis II disorders that feature odd,
eccentric, isolative, or suspicious
behavior. They include Paranoid,
Schizoid, and Schizotypal
personality disorders.
Anthony J. Ricci
Substance Dependence
A maladaptive pattern of substance use, leading to
clinically significant impairment or distress, as manifested
by 3 or more of the following 7 criteria: tolerance,
withdrawal, increased dose or dosing for longer periods
of time, attempts to cut down unsuccessfully, time spent
obtaining, using, recovering from use, important social,
occupational and recreational activities given up or
reduced because of use, physical or psychological
problems caused or exacerbated by continued use.
Anthony J. Ricci
Person-Centered Goals in Therapy
• Become more self-directed.
• Increase positive self-regard.
• The client chooses the goals.
Anthony J. Ricci
Antisocial Personality
This personality disorder features
a pervasive pattern of disregard
for and violation of the rights of
Anthony J. Ricci
Misperceptions of actual sensory
Anthony J. Ricci
Axis IV
This axis of the DSM IV - TR contains nine
psychosocial and environmental problems
that may affect the client's diagnosis,
treatment and prognosis, including
primary support group, social
environment, educational, occupational,
housing , economic, healthcare access,
legal system/criminal, and other.
Anthony J. Ricci
Indicated by whether tolerance
and withdrawal are present
Anthony J. Ricci
Substance Abuse
A maladaptive pattern of substance use leading to
clinically significant impairment or distress, as
manifested by at least one of the four following criteria
occurring within a 12- month period: recurrent
substance use resulting in a failure to fulfill major
obligations at home, school or work, recurrent
substance use in situations in which it is physically
hazardous, recurrent substance use legal problems,
and continued substance use despite having persistent
or recurring problems caused or exacerbated by the
effects of the substance.
Anthony J. Ricci
Defined by either a need for
markedly increased amounts of
the substance to achieve
intoxication or desired effect or
markedly diminished effect with
continued use of the same
amount of the substance.
Anthony J. Ricci
Defined by either the
characteristic withdrawal
syndrome for the substance or the
same or a closely related
substance being taken to relieve
or avoid withdrawal symptoms.
Anthony J. Ricci
This client has one or more other
psychiatric disorders along with
substance abuse or substance
dependence. Also known as cooccurring disorders. All disorders
should be treated concurrently
and aggressively
Anthony J. Ricci
Used for Substance Dependence
Diagnosis, these six categories
are: Early full remission, early
partial remission, sustained full
remission, sustained partial
remission, on agonist therapy, in a
controlled environment.
Anthony J. Ricci
The proper diagnosis for a client
who has repeatedly taken at least
three groups of substances, and
who meets criteria for
dependence for the substances as
a group, but not for the
substances individually
Anthony J. Ricci
Perceiving something in the
absence of a sensory input. May
be auditory, visual, olfactory,
gustatory or tactile
Anthony J. Ricci
Problem Statement
Component of a Treatment Plan
that should be stated in client's
words whenever possible.
Answers the question, "Why are
you here?" Include statement of
problem and evidence for it.
Anthony J. Ricci
TX Objectives
Component of a Treatment Plan
that states specific things the
client will do to meet the goal.
Stated in behavioral terms, and
are observable, realistic, time
specific, appropriate to the level of
treatment and measurable.
Anthony J. Ricci
The external expression of an
internal emotional state.
Anthony J. Ricci
FYI: Axis I, IV and V
CASACs are responsible for these
three axes on the Written
Assessment Summary. Other
axes can be written up as
"deferred" or list symptoms eg.
deferred, reports frequent
Anthony J. Ricci

Person-Centered Therapy Carl Rogers (1902