Addiction and Mental Illness Part 1 Study Guide

ADDICTION AND MENTAL ILLNESS PART 1 STUDY GUIDE

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Study Guide

FOR

“ADDICTION AND MENTAL ILLNESS”

Your Study Guide will help reinforce the curriculum. Print your Study Guide out and fill in the blanks. You will find the answers in the course materials. Keep your Study Guide. This will help prepare you for your post-test.

Course Presented By:

NET Training Institute

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407-236-9400 Fax 407-217-1705

www.netinstitute.org

STUDY GUIDE

ADDICTION AND MENTAL ILLNESS

Chapter 7: The Affective and Anxiety Disorders

Clients with Bipolar Disorder

1. Bipolar disorder is the more recent term for ______________ __________________.

2. What are the distinctive features of bipolar disorder?

3. Define the term hypomania.

4. What is the first criterion for bipolar disorder?

5. What are the other symptoms a person may exhibit during the manic phase?

6. What is the difference between Bipolar I and Bipolar II?

Bipolar I type:

Bipolar II type:

7. What do mania and chemical dependency have in common?

8. In addition to Education about their illness and the need for medication, what other action can help those with bipolar disorder to maintain compliance?

9. When may hospitalization become necessary to stabilize behavior and ensure initial abstinence for someone with bipolar?

10. What other treatment options would you use to redirect a person's manic behavior into something positive?

11. What type of treatment approach can help clients deal not only with their chemical dependency but also their bipolar illness? How will this approach help the clients with bipolar disorder?

12. What is a “think-through-it first” drill as mentioned in your text? Give examples.

13. There is hope for people with bipolar disease to recover well and maintain ______________ from substance abuse.

Clients with Attention-Deficit/Hyperactivity Disorder (ADHD)

14. Symptoms of ADHD can sometimes mimic the symptoms of _______________.

15. In assessing ADHD in students, what are many school districts now requiring before completing that assessment?

16. Using stimulants to treat ADHD should be ______________ if the client is also suffering from a disease of addiction.

17. What type of medication is an alternative to using stimulants to treat ADHD?

Clients with Major Depression

18. What is the cardinal feature of major depression?

19. What are the other symptoms of major depression as indicated by the DSM-IV?

20. How many of the above symptoms must the person exhibit and for how long must those symptoms exist for person to be diagnosed with Major Depression?

21. What is dysthymia?

22. What are the symptoms of dysthymia? How long must they last?

23. How many people with a lifetime history of major depression also have a lifetime history of a substance use disorder?

24. For those with substance use disorders, what factors are likely to be causally linked to the development of major depression?

A Deeper Look

25. “Negative life events not only can trigger a major depression, but a major depression can create negative life events in a vicious cycle.” What does that statement mean to you? How will understanding that statement effect treatment for the dually diagnosed client with Major Depression?

26. About ________________ of persons with an episode of major depression will not fully recover, and those who have ________________ episodes are at higher risk for having additional episodes.

27. What type of treatment do the authors of your text suggest for the following types of depression:

Mild depression:

Moderate to severe depression:

28. When should the depressed dually diagnosed client be considered a candidate for antidepressant medication?

29. What should you do with the client who presents with serious suicidal ideation?

30. How can you help those clients remember the solutions and tasks you agreed upon during your session?

31. Symptoms of ______________ very commonly accompany major depression and require attention.

32. What will happen to the patient's depression if their anxiety levels are diminished?

33. How can you effectively use the client's mild dysphoria they might experience as they grieve over the losses caused by their chemical use?

Personal Reflection

34. “It's not always denial” is a useful saying to keep in mind when doing dual diagnosis work. What does that saying mean to you? How would that saying affect your counseling?

35. Why might clients relapse if they fall into a sense of "what's the point" or "don't care?"

36. What can the pain associated with Major Depression provide while addressing the substance use and the grist for step work on unmanageability?

37. Abstinence alone will not remove the depression, and psychotherapy and antidepressant alone will not eliminate substance dependence. How can you use this information when treating a person who is truly diagnosed with depression and chemical dependency?

Clients with Anxiety Disorders

38. What are the cardinal features of anxiety disorders?

39. List the 8 specific conditions that fall under the classification of anxiety disorders:

40. The anxiety disorders tend to be __________ in half or more of individuals.

41. What are the diagnostic criteria for Generalized Anxiety Disorder?

42. PTSD involves exposure to a traumatic event and is characterized by what three symptoms?

43. The term Panic Attack refers to a discrete period of intense fear or discomfort in which four or more of the following symptoms develop abruptly and peak within 10 minutes:

44. What types of chemicals do people with anxiety disorders often use?

45. “Taking a pill to fix things can become an easy way to avoid work necessary to lead to long-term recovery.” What does that statement mean to you?

46. What two therapeutic techniques are often used when treating an anxiety disorder?

47. The authors of your text state that letting clients “borrow the counselor’s brain” is also a helpful technique. What type of technique do you think this is?

48. The authors of your text suggest that there are high rates of codependency in people with anxiety. Why would the codependent person be anxious?

49. What has research on attachment theory indicated about those with long-term problems with anxiety?

50. Why might recovering addicts and alcoholics need higher doses of antidepressants or other medications to treat anxiety?

51. People with anxiety disorders are at a high risk for ___________________.