NCADD TRAINING REVIEW
2012-2013
110 ppt Flashcards
ANTHONY J. RICCI
Anthony J. Ricci

REVIEW FLASH-CARDS
To get the most out of this study tool, remember to view it as a ppt slide show.
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 !
Anthony
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

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 problem
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

One of the major divisions of the nervous system, composed of the brain and spinal cord.
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distortion of thinking in which a person draws a conclusion that is not based on any evidence
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therapy in which the focus is on helping clients recognize distortions in their thinking and replace distorted, unrealistic beliefs with more realistic, helpful thoughts
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Cortical region essential for information processing
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1893-1970. developed and popularized gestalt therapy
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An acronym for
L esbian, G ay (male), B isexual,
T ransgender and persons Q uestioning their sexual identity
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treatment methods aimed at making people feel better and function more effectively
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drugs used to treat and calm anxiety reactions, typically minor tranquilizers.
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Selective filtering between the cerebral blood vessels and the brain
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1856-1939. founder of the psychoanalytic school of thought which focuses on the role of the unconscious on behavior
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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
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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
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Site of communication between a message sending neuron and its message receiving target cell
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The collection of psychological and environment factors that influence and individuals response to drug
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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
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The first step is to be aware of one's own lack of information about other's cultures and one's own prejudices.
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Form of withdrawal; paradoxical effect that occur when a drug has been eliminated front the body
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THE 4 GOALS for clients of GROUP THERAPY
Change in Thinking
New ways to define their problems and figure out solutions.
Change in Feeling
Identify and change the emotions they experience.
Change in Actions
Do something different to try and solve their problems.
Change in Relating
Ways to involve other people in personal problem solving.
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Belief that drinking (misconceived as safe) represses inhibitions, strengthens extroversion, and leased to increased sociability
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Compensation for motor impairments through behavioral pattern modification by chronic alcohol users.
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The most severe, even life threatening form of alcohol withdrawal, involving hallucinations, delirium, and fever
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Concentration of alcohol found in the blood, often expressed as a percentage
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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
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Respect the client's independence and self-determination
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action therapy in which the goal is to help clients overcome problems by learning to think more rationally and logically
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Four questions - yes to one indicates the possibility of alcohol dependence. Cut down? Annoyed by criticism of drinking behavior? Guilty about drinking? Eyeopener?
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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 thinkin g
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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 individual.
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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.
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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
.
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freudian technique in which a patient was encouraged to talk about anything that came to mind without fear of negative evaluations
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The rules of conduct recognized in a particular profession, the shared standards of what is good practice.
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therapy style that results from combining elements of several different therapy techniques
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A socio-political concept. Not biological.
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1902-1987. humanist psychologist who focused on the role of the self-concept and positive regard on personality development
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Detoxification is a process in which the body is allowed to free itself of a drug.
This period, the symptoms of withdrawal are treated.
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
.
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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.
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a nondirective insight therapy based on the work of carl rogers in which the client does all the talking and the therapist listens
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This refers to a counselor's responsibility to alert the appropriate authorities of a threat .
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Within-group differences are always greater than betweengroup differences.
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A sustained emotion. Changes less frequently than affect.
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An ongoing responsibility accomplished through engaging in continuing education, selfevaluation, supervision and consultation
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Any activity designed to obtain a service, practical help, support or information for a client.
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Directive
Non-directive
Combined
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psychotherapy focused on conscious, subjective experiences of emotion and people's sense of self
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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.
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in psychoanalysis, the tendency for a patient or client to project positive or negative feelings for important people from the past onto the therapist
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A condition affecting children born to alcohol consuming mothers that is characterized by facial deformities, growth deficiency, and mental retardation
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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
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the relationship between therapist and client that develops as a warm, caring, accepting relationship characterized by empathy, mutual respect and understanding
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an insight therapy based on the theory of freud, emphasizing the revealing of unconscious conflicts
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Psychotic condition connected with heavy alcohol use and associated vitamin deficiencies
(wet-brain)
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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 action.
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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
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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."
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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 talks
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These include poverty, oppression, poorly developed social skills, and family dysfunction that may contribute to a client's causes of substance abuse and dependence.
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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
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referring to the warmth, respect, and accepting atmosphere created by the therapist for the client-centered therapy
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Counselors need to be able to recognize symptoms in clients that require assessment by other professionals and be familiar with services available.
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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.
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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".
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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.
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1. personal bias
2.race/age
3. recovery experience
4.setting
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False beliefs that are maintained despite proof against their truth.
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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 stage
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(Homophobic) The fear and hatred of, or discomfort with, people who love and are attracted to members of the same sex
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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.
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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.
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These include brain chemistry problems, which may be genetic, making some people particularly vulnerable to addiction to certain drugs once they try them.
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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.
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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.
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Diagnostic and Statistical Manual of Mental Disorders, Fourth
Edition, Text Revision (APA,
2000).
DSM-V-TR May 2013
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This recognizes that there are biological, psychological and social causes of substance abuse and dependence
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These include cognitive styles, personality traits, and early developmental experiences that may contribute to a client's causes of substance abuse and dependence.
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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.
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Michigan Alcoholism Screening
Test - yes or no to 25 questions.
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Contains 16 categories of clinical disorders, one of which is
Substance Related Disorders.
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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.
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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.
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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.
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This category of clinical disorders in Axis I of the DSM IV-TR includes both Substance Use
Disorders and Substance Induced
Disorders.
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This sub-category of Substance
Related Disorders includes both
Substance Abuse and Substance
Dependence.
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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.
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This axis of the DSM IV- TR includes the personality disorders as well as mental retardation.
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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.
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Axis II disorders that feature odd, eccentric, isolative, or suspicious behavior. They include Paranoid,
Schizoid, and Schizotypal personality disorders.
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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.
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Person-Centered Goals in Therapy
• Become more self-directed.
• Increase positive self-regard.
• The client chooses the goals.
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This personality disorder features a pervasive pattern of disregard for and violation of the rights of others.
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Misperceptions of actual sensory input.
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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.
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Indicated by whether tolerance and withdrawal are present
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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.
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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.
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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.
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CO-OCCURING
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
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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.
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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
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Perceiving something in the absence of a sensory input. May be auditory, visual, olfactory, gustatory or tactile
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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.
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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.
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The external expression of an internal emotional state.
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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 headaches.
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